-P12 H7G . (8az COLLEGE OF PHYSICIANS AND SURGEONS LIBRARY Digitized by tine Internet Arciiive in 2010 witii funding from Open Knowledge Commons http://www.archive.org/details/lexiconmedicumorOOhoop %^^' / 1. L^-V^ <--^ ^ LEXICON-MEDICUM OR MEDICAL DICTIONARY; CONTAINING AN EXPLANATION OF THE TERMS IN ANATOMY, PHYSIOLOGY, PRACTICE OF PHYSIC, MATERIA MEDICA, CHEMISTRY, PHARMACY, SURGERY, MIDWIFERY, AND THE VARIOUS BRANCHES OF NATURAL PHILOSOPHY CONNECTED WITH MEDICINE. SELECTED, ARRANGED, AND COMPILED, FROM THE BEST AUTHORS. BY ROBERT if OpPER, M.D. F.L.S. BACHELOR OF PHYSIC OF THE DNIVERSITy OF OXFORD, MEMBER OF THE ROYAL COLLEGE OF PHYSICIANS OF LONDON, PHYSICIAN TO THE ST. MARY-LE-BONE INFIRMARY, &.C. &C. " Nec araneai'um sane texfls ideo melior, quia ex se fila gignunt, nee noster vilior quia ex alienis libamus ut apes." Jdst. Lips. Monit. Polit. Lib. i. cap. i. FROM THE FOURTH LONDON EDITION PUBLISHED BY E. DUYCKINCK, COLLINS & CO., COlilNS & HANNAY, AND SAMUEL WOOD & SONS. J. & J. Harper, Printers. 1822. TO WILLIAM SAUNDERS, M.D. F.RS. FELLOW OF THE ROYAL COLLEGE OF PHYSICIANS ; AND OF THE ANTIQUARIAN AND OTHER SOCIETIES ; IS DEDICATED, AS A MARK OF RESPECT AND ESTEEM, BY HIS SINCERE FRIEND, THE AUTHOR, PREFACE. In offering another edition of the Medical Diction- ary to the public, the Editor, desirous of rendering it as generally useful as possible, has made consi- derable additions and alterations by the insertion of the treatment of diseases, the Biography of eminent Medical men, and the pronunciation of the several termjs. Due attention has been given to the anatomical description of the various parts of the human body, and the explanation of their functions. The most approved nosological arrangement of the diseases is selected, and their genera and species fully enumerated^ Particular attention has been given to the Materia Medica which is arranged under the Linnaean ge- nera ; the preparations which enter the last edition of the London Pharmacopoeia are minutely men- tioned, and the later discoveries in chemistry in- serted. The derivation of the terms, however fanciful, is still retained, and the declension of the words which are in common use is given. The Compiler has generally to acknowledge his obligations to Abernethy, Accum, Aiken, Albinus, Bell, Brande, Bergius, Blanchard, Burns, Burserius, Callisen, Castelli, Chaptal, Cooper, Cruickshank, Cullen, Davy, Denman, Duncan, Edinburgh Dis- pensary, Editors of Rees' Cyclopoedia, and Mother-, ley's Dictionary, Fourcroy, Haller, Hunter, Innis. Vili PREFACE. Latta, Lavoisier, Lewis, Linnaeus, Meyer, Murray, Nicholson, Pott, Richerard, Ricbter, Saunders. Sauvage, Scarpa, Smith, Soemmering, Swediaur, Symonds, Thomas, Thompson, Tiirton, Vaughan, Vossius, Willan, Willson, Woodville. It was the Editor's original intention to have given to each writer the merit of the particular description selected from his work, but having occasion to con- sult, frequently to abridge, and sometimes to alter various passages in works connected with the subject; and finding it ditificult, and in many instances, im- possible, to discover the original writer, of several articles ; and, convinced at the same time it would be attended with no particular advantage, he prefers making a general acknowledii^ment to particulari- zing the labours of each individual. If he has been so fortunate as to have compressed within the nar- row limits of the present publication much general and useful information, his object will be fully answered. 21 Savile-Row, June 1 820. A NEW MEDICAL DICTIONARY. ABA AAA. ANA. (From av*, which signifies • of each.) A term in pharmacy, used after the mention of two or more ingredients, when it implies, that the quantity mentioned of each ingredient should be taken ; e. g. Y^. Potassce nitratis : Sacchari albi aa 3j- i- e- Take nitrate of potash and white sugar, of each one drachm. A'aeam. a term used by some antient chemists for lead. AA'RON. A physician of Alexandria, author of thirty books in the Syriac tongue, containing the whole practice of physic, chiefly collected from the Greek writings, and supposed to have been written before 620. He first mentioned, and clearly de- scribed, the small-pox and measles, which were probably brought thither by the Ara- bians. He directed the vein under the tongue to be opened in jaundice, and no- ticed the white colour of the faeces in that disease. His works are lost, except some fragments, preserved by Rhazes. Aba'ctus. Ahigeatus. Among the an- tient physicians, this term was used for a miscarriage, procured by art, or force of medicines, in contradistinction to abortus, which meant a natural miscarriage. The moderns know no such distinctions. A'bacds. (From a Hebrew word, sig- nifying dust.) A table for preparations, so called from the usage of mathematicians of drawing their figures upon tables sprinkled with dust. Abai'sir. Masis. Spodiu7n Arabiim. Ivory black ; and also calcareous powder. Abaliena'tio. a decay of the body, or mind. Abaliena'tds. Corrupted. A part so destroyed as to require immediate extir- pation : also the fault or total destruction of the senses, whether external or internal, by disease. A'banet. (Hebrew, the girdle worn by the Jewish priests.) A girdle-like bandage. A^a'nga. My. The palm of the Island of St. Thomas, from which Thernal's resto- rative is prepared. Abapti'sta. (From a, priv. and fixTrlco, to plunge.) Maptiston. The shoulders of 1 ABD the old trepan. This term is employed b^ Galen, Fabricius ab Aquapendente, Sculte- tus, and others, to denote the conical saw with a circular edge, (otherwise called mo- diolus, or terebra,) which was formerly used by surgeons to perforate the cranium. Abapti'ston. See Maptistcu Abarnahas. Ovum ruffum. A chemical term formerly used in the transmutation of metals, signifying luna plena, inagnes, or 7nagnesia. Aba'rtamen. Lead. Abarticulation. (From ab, and arlicu- lus, a joint.) That species of articulation which has evident motion. See Diarthrosis. A'bas. (An Arabian word.) The scald- head ; also epilepsy. Aba'sis. See Abaisir. Abbreviation. The principal uses of medicinal abbreviations are in prescriptions ; in which they are certain marks, or half words, used by physicians for despatch and conveniency when they prescribe, thus ; — 5^ readily supplies the place of rerApe — h. s. that of hora somni — n. m. that of nux mos- c/iata — elect, that of electariuvi, &c. ; and in general all the names of compound medi- cines, with the several ingredients, are fre- quently wrote only up to their first or second syllable, or sometimes to their third or fourth, to make them clear and expressive. Thus Croc. Anglic, stands for Crocus Angli- canus — Conf. Aromat. for Confectio Aroma- tica, &c. A point being always placed at the end of such syllable, shows the word to be incomplete. ABDO'MEN. {Abdomen, inis. n. from abdo, to hide, because it hides the viscera. It is also derived from abdere to hide, and omentura, the caul ; by others omen is said to be only a termination, as from lego, legumen, so from abdo, abdomen.) The belly. The abdomen is the largest cavity in the body, bounded superiorly by the diaphragm, by which it is separated from the chest ; inferiorly by the bones of the pubes and ischium ; on each side by various muscles, the short ribs and ossa ilii ; anteriorly by the abdominal muscles, and posteriorly by ABD ABD the vertebrae of the loins, the os sacrum aad OS coccygis. Internally it is invested by a smooth membrane, called peritoneum, and externally by muscles and common integu- ments. In the cavity of the abdomen are con- tained, 1 . interiorly and laterally. 1. The epiploon. 2. The stomach. 3. The large and small intestines. 4. The mesen- tery. 5. The lacteal vessels. 6. The pan- creas. 7. The spleen. 8. The liver and gall-bladder. 2. Posteriorly, without the peritoneum, are, 1. Thekidneys. 2. The supra-renal glands. 3. The ureters. 4. The receptaculum chyli. 5. The descending aorta. 6. The ascending vena cava. 3. Inferiorly in the pelvis, and without the peritoneum. In men, 1. The urinary bladder. 2. The spermatic vessels. 3. The intestinum rec- tum. In women, besides the urinary bladder and intestinum rectum, there are, 1. The uterus. 2. The four ligaments of the uterus. 3. The two ovaria. 4. The two Fallopian tubes. 5. The vagina. The fore part of this cavity, as has been mentioned, is covered with muscles and common integuments, in the middle of which is the navel. It is this part of the body which is properly called abdomen ; it is dis- tinguished, by anatomists, into regions. The posterior part of the abdomen is called the loins, and the sides the Epicolic regions. Abdominal Hernia. See Hernia abdomi- nali-s. Mdominal muscles. See Muscles. Abdominal ring. See £nnulus Abdominis. Abdominal regions. See Body. Abdu'cens. See Abductor. Abdu'cens Labio'rum. See Levator an- guli oris. Abducent nerves. See J^crvi abducentes. Abducent muscles. See Abductor. ABDUCTOR. (From abduco, to draw away.) Abducens. A muscle, the office of which is to pull back or draw the member to which it is affixed from some other. The antagonist is called adductor. Abductor auricularis. See Posterior auris. Abductor auris. See Posterior auris. Abductor brevis alter. See Abductor pol- hctS tTlCtTlllS ABDU'CTOR I'NDICIS MA'NUS. Ab- ductor of Douglas. Semi-interosseus indicis of Winslow. Abductor indicis of Cowper. An internal interosseous muscle of the fore-finger, situated on the hand. It arises from the superior part of the metacarpal bone, and the os trapezium, on its inside, by a fleshy beginning, runs towards the metacarpal bone of the fore-finger, adheres to it, and is connected by a broad tendon to the superior part of the first phalanx of the fore-finger. Sometimes it arises by a double tendon. Its use is to draw the fore-finger from the rest, towards the thumb, and to bend it somewhat towards the palm. ABDU'CTOR I'NDICIS PEDIS. An in- ternal interosseous muscle of the fore-toe, which arises tendinous and fleshy, by two origins, from the root of the inside of the metatarsal bone of the fore-toe, from the outside of the roo^ of the metatarsal bone of the great-toe, and from the os cuneiforme internum, and is inserted tendinous into the inside of the root of the first joint of the fore-toe. Its use is to pull the fore-toe in- wards, from the rest of the small toes. Abductor longus pollicis manias. See Ex- tensor ossi^ metacarpi pollicis manus. ABDU'CTOR ME'DII DI'GITI PEDIS. An interosseous muscle of the foot, which arises tendinous and fleshy, from the inside of the root of the metatarsal bone of the middle toe internally, and is inserted tendi- nous into the inside of the root of the first joint of the middle toe. Its use is to pull the middle toe inwards. ABDU'CTOR MINIMI DI'GITI MA'- NUS. Carpo-phalangien du petit doigt of Dumas. Extensor tertii internodii minimi digiti of Douglas. Hypothenar minor of Winslow. A muscle of the little finger, situated on the hand. It arises fleshy from the pisiform bone, and from that part of the ligamentum carpi annulare next it, and is inserted, ten- dinous, into the inner side of the upper end of the first bone of the little finger. Its use is to draw the little finger from the rest. ABDU'CTOR MINIMI DI'GITI PE'- DIS. Calcaneo-phalangien du petit doigt of Dumas. Adductor of Douglas, Parathe- nar major of Winslow, by whom this muscle is divided into two, Parathenar major and metatarseus. Adductor minimi digiti oi Cow- per. A muscle of the little toe, which arises tendinous and fleshy, from the semicii'cular edge of a cavity on the inferior part of the protuberance of the os calcis, and from the rest of the metatarsal bone of the little toe. and is inserted into the root of the first joint of the little toe externally. Its use is to bend the little toe, and its metatarsal bone downv/ards, and to draw the little toe from the rest. Abdu'ctor o'culi. See Rectus externus oculi. ABDU'CTOR PO'LLICISMA'NUS. Sca- pkosus-phalangien du pjouce of Dumas. Ad- ductor pollicis mantis, and Adductor brevis al- ter of Albinus. Adductor thenar Riolani of Douglas, (the adductor brevis alter of Albi- nus is the inner portion of this muscle.) Ad- ductor pollicis of Cowper. A muscle of the thumb, situated on the hand. It arises by a broad tendinous and fleshy beginning, from the ligamentum carpi annulare, and from the os trapezium.. a»d ABL ABO i inserted tendinous into the outer side of vhe root of the first bone of the thumb. Its use is to draw the thumb from the fingers. ABDUCTOR POLLICIS PEDIS. Calcaneo-phalangien du pouce of Dumas. Abductor of Douglas. Thenar of Winslow. Mductor pollicis of Cowper. A muscle of the great toe, situated on the foot. It arises fleshy, from the inside of the root of the protuberance of the os cal- cis, where it forms the heel, and tendinous from the same bone, where it joins the os naviculare ; and is inserted tendinous into the internal sesamoid bone and root of the first joint of the great toe. Its use is to pull the great toe from the rest. ABDUCTOR TE'RTII DI'GITI PEDIS. An interosseous muscle of the foot, that arises tendinous and fleshy from the inside and the inferior part of the root of the metatarsal bone of the third toe ; and is inserted tendinous into the inside of the root of the first joint of the third toe. Its use is to pull the third toe inwards. Abebje'os. (From «, neg. and 0tCauoc, firm.) Mebceus. Weak, infirm, unsteady. A term made use of by Hippocrates de Signis. Abeb5;'0s. See Abebceos. Abelmo'schus. (Arabian.) The seeds of the Hibiscus Abtlmoschus. See Hibiscus. Abehnosch. See Hibiscus. Abelmusk. See Hibiscus. Aberra'tio. (From ab and erro, to wan- der from.) Lusus natures. Dislocation. Abe'ssi. (Arabian.) Filth. The alvine excrements. A'besum. Quicklime. Abevagua'tio. (From ab, dim. and eva- cuo, to pour out.) A partial or incomplete evacuation of the peccant humours, either naturally or by art. A'BIES. (Abies, etis, fem. from aheo, to proceed, because it rises to a great height ; or from xTrtog, a wild pear, the fruit of which its cones something resemble.) The fir. An evergreen tree. Linnagus includes the abies in the genus Pinus. See Pinus. A'bies Canade'nsis. See Pinus Balsamea. Abigea'tus. See Abactus. Abio'tos. (From «, neg. and /g/sai, to live.) A name given to hemlock, from its deadly qualities. See Conium. Ablacta'tio. (From ab, from, and lac milk.) Ablactation. The weaning of a child from the breast. Abla'tio. (ProTsiaufero, to take away.) The taking away from the body whatever is useless or hurtful ; it comprehends all kinds of evacuations. Sometimes it signifies the subtraction of a part of the diet, with a me- dical view ; and sometimes it expresses the interval betwixt two fits of a fever, or the time of remission. Chemical ablation is the removal of any thing that is either finished or else no longer necessary in a process. Ablue'ntia. {Abluentia, sc. medicament a, from abluo, to wash away.) Abstergents. Abluents. Medicines which were formerly supposed to purifv or cleanse the blood. ABLUTION. (From abluo, to wash off.) A washing or cleansing either of the body or the intestines. In chemistry it signifies the purifying of a body, by repeated affusions of a proper liquor. Abo'it. An obsolete term of Arabic ei- traction, for white lead. \ Aboli'tio. (From aboleo, to destroy.) The separation or destruction of diseased parts. ABORTION. (Abortio, from aborior, to be steril.) Aborsus. Amblosis. Diaphthora. Ectrosis. Exambloma. Examblods. Apo- pallesis. Apopalsis. Apophthora. Miscarriage, or the expulsion of the foetus from the uterus, before the seventh month, after which it is called premature labour. It most commonly occurs between the eighth, and eleventh weeks of pregnancy, but may happen at a later period. In early gesta- tion, the ovum sometimes comes off entii'e ; sometimes the foetus is first expelled, and the placenta afterwards. It is preceded by flooding, pains in the back, loins, and lower part of the abdomen, evacuation of the wa- ter, shiverings, palpitation of the heart, nau- sea, anxiety, syncope, subsiding of the breasts and belly, pain in the inside of the thighs, opening and moisture of the os tineas. The principal causes of miscarriage are blows or falls ; great exertion or fatigue ; sudden frights and other violent emotions of the mind ; a diet too sparing or too nutri- tious ; the abuse of spirituous liquors ; other diseases, particularly fevers, and hemorrha- ges; likewise excessive bleeding, profuse diarrhoea or colic, particularly from accu- mulated foeces ; immoderate venery, &,c. • The spontaneous vomiting, so common in pregnancy, rarely occasions this accident : but when induced and kept up by drastic medicines, it may be very lilcely to have that effect. Abortion often happens without any obvious cause, from some defect in the uteras, or in the foetus itself, which we can- not satisfactorily explain. Hence it will take place repeatedly in the same female at a particular period of pregnancy ; perhaps in some measure from the influence of habit. The treatment of abortion must vary con- siderably according to the constitution of th& patient, and the causes giving rise to it. If the incipient symptoms should appear in a female of a plethoric habit, it may be proper to take a moderate quantity of blood from the arm, then clear the bowels by some mild cathartic, as the sulphas magnesia; in the infusura rosa?, afterwards exhibiting small doses of nitrate of potash, directing the pa- tient to remain quiet, in a recumbent posi- tion, kept as cool as possible, with a low diet, and the antiphlogistic regimen in other respects. Should there be much flooding^ cloths wetted with cold water ought to be applied to the region of the utenis, or even ABS ABS introduced into the vagina, to obstruct the escape of the blood mechanically. Where violent forcing pains attend, opium should be given by the mouth, or in the form of glys- ter, after premising proper evacuations. Should these means not avail to check the discharge or the forcing pains, and particu- larly if the water be evacuated, there can be no expectation of preventin g the miscarriage ; and where there is reason for believing the fcetus dead, from the breasts having previ- ousl)- subsided, the morning sickness gone off, the motion stopped, kc. it will be proper ra- ther to encourage it by manual assistance. If on the other hand females of a delicate and irritable habit, rather deficient in blood, be subject to abortion, orwhere this accident is threatened by profuse evacuations and other debilitating causes, it may be more probably prevented by a diet nutritious, yet easy of digestion, with tonic medicines, and the use of the cold bath, attending at the same time to the state of the bowels, giving opium if pain attend, and carefully avoiding the several exciting causes. Abortives. (Mortiva, sc. viedicamenta ; {vomiiborior,tohesteTi\.) Jlmblotica. Ecbolica. Medicines capable of occasioning an abor- tion, or miscai-riage, in pregnant women. It is now generally believed, that the me- dicines which produce a miscarriage, effect it by their violent action on the system, and not by any specific action on the womb. Abra'sa. (From abrado, to shave off.) Ulcers attended with abrasion of part of the substance. ABRASION. {Mrasio, from abrado to tear off.) This word is generally employed to signify the destruction of the natural mucus of any part, as the stomach, intestines, uri- uary bladder, &c. It is also applied to any part slightly torn away by attrition, as the skin, fee. A'brathan. Corrupted from abrotanum, southernwood. See ^Meniisia. A'brette. See Hibiscus. A'bric. An obsolete Arabic term for sul- phur. Aero'ma. (From a., neg. and /Sg»^«, food ; i.e. not fit to be eaten.) A tree of New South Wales, which yields a gum. ABRO'TANUM. (ACgoTavov, from a, neg. and /ggoTi/f , mortal ; because it never decays : or from afgo?, soft, and tc/vc?, extension ; from the delicacy of its texture.) Common southernvvood. See Artemisia. Abro'tanum mas. See Artemisia. Aekotoni'tes. (From abrotanum.) A wine mentioned by Dioscorides, impregna- ted with abrotanum, or southernwood, in the proportion of about one hundred ounces of the dried leaves, to about seven gallons of must. Abscede'ntia. (From abscedo, to sepa- rate. Decayed parts of the body, which, in a morbid state, are separated from the sound. ABSCESS. (From abscedo, to depart; because parts, which were before contiguous, become separated, or depart from each other.) Abscessio. Abscessus. Imposthuma. A collection of pus in the cellular mem- brane, or in the viscera, or in bones, prece- ded by inflammation. Abscesses have been variously denomi- nated according to their seat : as empyema, when in the cavity of the pleura ; vomica, in the lungs ; panaris, in any of the fingers ; hj-popyon, in the anterior chamber of the eye ; arthropuosis, in a joint ; also lumbar abscess, &.c. The formation of an abscess is the result of inflammation terminating in suppuration. This is known by a throbbing pain, which lessens by degrees, as well as the heat, ten- sion, ancf redness of the inflamed part : and if the pus be near the surface, a cream-like whiteness is soon perceived, with a promi- nence about the middle, or at the inferior part, then a fluctuation may be felt, which becomes gradually more distinct, till atlength the matter makes its way externally. When suppuration occurs to a considerable extent, or in apart of importance to life, there are usually rigours, or sudden attacks of chilli- ness, followed by flushes of heat ; and unless the matter be soon discharged, and the ab- scess healed, hectic fever generally Gomes' on. When abscesses form in the cellular membrane in persons of a tolerably good constitution, they are usually circumscribed, in consequence of coagulable lymph having been previously effused, and obliterated the communication with the adjoining cells; but in those of a weakly, and especially a scro- phulous constitution, from this not occurring, the pus is very apt to diffuse itself, like the water in anasarca. Another circumstance, which may prevent its readily reaching the surface, is its collecting under an aponeuro- sis, or other part of dense structure, when the process of ulceration will rather extend in another direction. Thus j>us accumula- ting in the loins, may descend to the lower part of the thigh. When suppuration occurs, if the inflam- mation have not yet subsided, it maybe ne- cessary to employ means calculated to mo- derate this, in order to limit the extent of the ifcbscess : but evacuations must not be carried too far, or there will not be power in the system to heal it afterwards. If the disease.be near the surface, fomentations or warm emollient poultices should be employ- ed, to take off the exteiision of the skin, and promote the process of ulceration in that di- rection. As soon as fluctuation is obvious, it will be generally proper to make an opening, lest contiguous parts of importance should be injured ; and often at an earlier period, where the matter is prevented from reaching the surface by a fascia, fee. but it is some- times advisable to wait awhile, especially in large spontaneous abscesses, where the con- stitution is much debilitated, till by the use ABfe ACA of a nutritious diet, with bark and otlier tonic means, this can be somewhat improved. There are dififerent modes of opening ab- scesses. 1. By incision or puncture ; this is generally the best, as being least painful, and most espeditious, and the extent of the aper- ture can be better regulated. 2. By caustic ; this may be sometimes preferable, when suppuration goes on very slowly in glandu- lar parts, (especially in scrophulous and ve- nereal cases) lessening the subjacent tu- mour, giving free vent to the matter, and exciting more healthy action in the sore ; but it sometimes causes much deformity, it can hardly reach deepseated abscesses, and the delay maybe often dangerous. 3. By se- ton : this is sometimes advantageous in su- perficial abscesses, (where suppuration is likely to continue,) about the neck and face, leaving generally but a small scar ; likewise ivhen near joints, or other important parts liable to be injured by the scalpel or seton. See Lumbar Mscess, and Ulcer. Abscissio:*. {Mscissio ; from ab, and scindo, to cut.) Apocope. The taking away some morbid, or other part, by an edged instrument. The abscission of the prepuce makes what we call circumcision. Abscis- sion is sometimes used by medical writers to denote the sudden termination of a disease in death, before it arrives at its decline. Celsus frequently uses the term abscissa vox to express a loss of voice. ABSI'NTHIUM. (A^ivBr.v, from a, neg. and ■^f/^o;, pleasant : so called from the dis- agreeableness of the taste.) A genus of plants which is ranked under Arteynisia in the Linneean system. Class, Syngenesia. Order, Polygamia superflua. Wormwood. See Artemisia. Absi'nthium commune. See Artemisia Absinthium. Absi'nthium maritimum. See Artemisia ^Maritima. Absi'nthium po'nticum. See Artemisia Poniica. Absi'nthium vulgare. See Artemisia Absinthium. Absorbing vessels. See Absorbents. A.BSORBENTS. Absorbentia. 1. Small, delicate, transparent vessels, v.hich take up any fluid from the surface of the body, or of any cavity in it, and carry it to be mixed with the blood. They are deno- minated according to the liquids which the^^ convey, lacteals and lymphatics. See Lac- teals and Lymphatics. 2. Medicines are so termed, which have no acrimony in themselves, and destroy aci- dities in the stomach and bowels ; such are magnesia, prepared chalk, oyster-shells, crab's claws, kc. ABSORPTION. (From absorbeo, to suck up.) A function in an animated body, ar- .nged by physiologists under the head of natural actions. It signifies the taking up of substances applied to the mouths of ab- sorbing vessels : thus the nutritious part of the food is absorbed from the intestinal canal by the lacteals : thus mercury is taken into the system by the lymphatics of the skin, k.c. The principle by which this function takes place, is a power inherent in the mouths of the absorbents, a vis insitci, de- pendent on the degree of irritability of their internal membrane by which they contract and propel their contents forwards. Abste'ntio. Cffilius Aurelianus uses this word, to express a suppression, or retention. Thus, akstentio stercorum, a retention of the excrements, which he mentions as a symp- tom very frequent in a satyriasis. In a sense somewhat different, he uses the word ab- stenla, applying it to the pleura, where he seems to mean, that the humour of the in- flamed pleura is prevented, by the adjacent bones, from extending itself. ABSTERGENTS. {Abstergmtia scilicet, medicamenta ; from abstergo, to cleanse away.) Lotions, or any application that cleanses or clears away foulness. The term is seldom employed by modern writers. Abstraction. (From abstraho, to draw away. A term employed by chemists in the process of humid distillation, to signify that the fluid body is again drawn ofl' from the solid, which it had dissolved. Abstracti'tius' (From abstraho, to draw away.) Native spirit, not produced by fer- mentation. A'bsus. An obsolete term for the Egyp- tian lotus. Aevacua'tio. {Yvomahvacuo, to empty.) Local or morbid discharge. A large evacu- ation of any fluid, as of blood from a ple- thoric person. Aca'ca. From a, neg. and «ax2c, bad.) Diseases which are rather troublesome than, dangerous. ACA'CIA. (AKstata., ivoxn cutst^ce, to sharp- en.) The name of a genus of plants in the Linnesan system. The Egyptian thorn. ACA'CIA CA'TECHU.''This plant affords a drug, formerly supposed to be an earthy substance brought from Japan, and there- fore called Terra Japonica, Japan earth ; afterwards it appeared to be an extract, pre- pared in India, it was supposed till lately, from the juice of the Mimosa catechu of Lin- nfeus : — spinis stipularibus, foliis bipinnatis mullijugis. glandulis partialium, siiigulis, spicis axillaribus geminis sen ternis peduncu- latis ; by boiling the wood, and evaporating the decoction by the heat of the sun. But the shrub is now ascertained to be an acacia, and is termed Acacia catechu. In its purest state, it is a dry pulverable substance, out- wardly of a reddish colour, internally of a shining dark brown, tinged with a reddish hue ; in the mouth it discovers considerable adstringency, succeeded by a sweetish mu- cilaginous taste. It may be advantageously employed for most purposes where an ad- stringent is indicated ; and is particularly ACA ACA useful in alvine fluxes, where astringents are required. Besides this, it is employed also in uterine profluvia, in laxity and debi- lity of the viscera in general ; and it is an excellent topical adstringent, when suffered to dissolve leisurely in the mouth, for laxi- ties and ulcerations of the gums, aphthous ulcers in the mouth, and similar affections. This extract is the basis of several formulaj in our pharmacopoeias, particularly of a tinc- ture •• but one of the best forms under which it can be exhibited, is that of a simple infu- sion in warm water with a proportion of cin- namon, for by this means it is at once freed of its impurities and improved by the addi- tion of the aromatic. Fourcroy says that catechu is prepared from the seeds of a kind of palm, called areca. Aca'cia Germa'nica. German acacia, or the German black-thorn or sloe-tree. Acacia nostras. Succus pruni sylvesiris. The inspissated juice of the -prunus spinosa, or primus sylvestris spinosa of Linnasus ; now fallen into disuse. Aca'cia i'ndica. See Tamarindus Indica. Aca'cia no'steas. See Acacia Germa- ACA'CIA VE'RA. True Acacia. 1. This is the name given by Wildenow to the Mimosa Kilotica of Linnaeus ; spinis stipularibits patentihns, foliis bipinnatis : par- tialibus extimis glandula interstinctis, spicis globosis pedimculatis, the Egjptian Thorn. This tree yields the true Acacia Gutn, or Gum Arabic, called also Gummi acanthinum. Gummi thebaicum. Gummi scorpionis. Gum- lamac. Gummi senega, or senica. Cairo and Alexandria were the principal marts for gum-arabic, till the Dutch inti'O- duced the gum from Senegal into Europe, about the beginning of the seventeenth cen- tury, and this source now supplies the greater part of the vast consumption of this article. The tree which yields the Senegal gum, grows abundantly on the sands, along the whole of the Barbary coast, and particularly about the river Senegal. There are several species, some of which yield a red astringent juice, but others afford only a pure, nearly colourless, insipid gum, which is the great article of commerce. These trees are from eighteen to twenty feet high, with thorny branches. The gum makes its appearance about the middle of November, when the soil has been thoroughly saturated with pe- riodical rains. The gummy juice is seen to ooze through the trunk and branches, and, in ahout a fortnight, it hardens into round- ish drops, of a yellowish white, which are beautifully brilliant where they are broken off, and entirely so when held in the mouth for a short time, to dissolve the outer sur- face. No clefts are made, nor any artificial means used by the Moors, to solicit the flow of the gum. The lumps of gum-senegal are usually about the size of partridge eggs, and the harvest conntiues about six weeks. This gum is a very wholesome and nutritious food ; thousands of the Moors supporting themselves entirely upon it during the time of harvest About sis ounces is sufficient to support a man for a day ; and it is besides, mixed with milk, animal broths, and other victuals. The gum-arabic, or that which comes directly from Egypt and the Levant, only differs from the gum-senegal in being of a lighter colour; and in smaller lumps ; and it is also somewhat more brittle. In all other respects, the two resemble each other per- fectly. Gum-arabic is neither soluble in spirit nor iu oil ; but, in twice its quantity of Avater, it dissolves into a mucilaginous fluid, of the consistence of a thick syrup, and in this state answers many useful pharmaceutical purposes, by rendering oily, resinous, and pinguious substances miscible with water. The glutinous quality of gum-arabic renders it preferable to other gums and mucilages as a demulcent in coughs, hoarsenesses, and other catarrhal affections. It is also very generally employed in ardor urinae, diar- rhoeas, and calculous complaints. 2. The name Acacia vera has also beea used to denote the expressed juice of the im- mature pods of the tree ; termed also, acacia veravel. This inspissated juice is brought from Egypt in roundish masses, wrapped up in thin bladders. It is considered as a mild astringent medicine. The Egyptians give it, in spitting of blood, in the quantity of a drachm, dissolved in any convenient liquor, and repeat this dose occasionally. They likewise employ it in collyria, for strength- ening the eyes, and in gargles, for quinsies. It is now seldom used as a medicine, being superseded by the use of catechu, or terra japonica. The inspissated juice of the unripe sloe is usually sold for the Egyptian acacia. Aca'cia veravel. See Acacia vera. Aca'cia Zeylo'nica. Logwood. See Hcematoxylon Campechianum. Aca'lai. ("Arab.) Common salt, or mu- riate of soda. Aca'lcum. Tin. Aca'matos. (From a., neg. and »«.^v», to grow weary.) A perfect rest of the mus- cles. Aca'nor. (Hebrew.) A chemical furnace. Aca'ntha. (A»«v&*, from ann, a point.) A thorn, or any thing pointed, as the shin, or spina dorsi. Acantha'bohjs. (From cotstvfl*, a thorn, and /S*AXffl, to cast out.) An instrument, or forceps, for taking out or removing thorns, or whatever may stick in the flesh. Paulus JEgineta. Aca'nthe. The name of the artichoke in antient authors. Aca'nthinum. (From aumi^a., a thorn.) Gum-arabic was so called because it is pro- duced from a thorny tree. ACC ACE AcANTHULUS. (From cmaivda., a thorn.) A surgical instrument to draw out thorns or splinters, or to remove any extraneous mat- ter frpm wounds. ACANTHUS. (AiccLvBo;, from ducAvBn, a thorn ; so named from being rough and prickly.) The name of a genus of plants in the Linnaean system. C\-dss, Didyiiamia. Order, Angiospermia. Bear's breech. Brank-ursine. Acanthus mollis. (Ak«9oc, from axavfla, a thorn, so named from its rough and prick- ly surface.) Bear's-breech, or Brank ur- sine. Acanthus mollis, foliis sinuatis iner- mibus of Linnaeus. Branca ursina of the shops. The leaves and root abound v.ith a mucilage, which is readily extracted by boil- ing or infusion. The roots are the most mucilaginous. Where this plant is common, it is employed for the same purposes to which althffia and other vegetables possess- ing similar qualities are applied among us. It is fallen into disuse. The herb-women too often sell the leaves of helleboraster or bear's-foot, and of spondylium or cow's parsnip, for the bear's-breech. Aca'pnon. (From st, priv. and k^cti/oj, smoke.) Common wild marjoram. Un- smoked honey. A'cARus. (From cuute>t;, small.) An in- sect which breeds in the skin. Acatale'psia. (From a, neg. and jtara- \a.[ji.QMai, to apprehend.) Uncertainty in the prognostication or judgment of diseases. Aca'talis. (From cl, neg. and ;(^«'r«a), to want.) The juniper, named from the abun- dance of its seeds. Acata'posis. (From *, neg. and^^tTAOTvai, to swallow.) Difficult deglutition. Aca'statos. (From *, neg. and •Aa.biTnfj.i, to determine.) Inconstant. 1. Fevers are so called whicli are anoma- lous in their appearance and irregular in their paroxysms. 2. Turbid urine without sediment. Aca'zdir. Tin. ACCELERATOR URI'NvE. (From ac- relero, to hasten or propel.) Ejaculator Seminis. Bulbo-syndesmo-caverntux of Du- mas. Bulbo-caveniosus of Winslow. A muscle of the penis. It arises fleshy from the sphincter ani and membranous part of the urethra, and tendinous from the cms, near as far forwards as the begin- ning of the corpus cavernosum penis; the inferior fibres run more transversely, and the superior descend in an oblique direction. It is inserted into a line in the middle of the bulbous part of the urethra, v.'here each joins with its fellow ; by which the bulb is completely closed. The use of these mus- cles is to drive the urine or semen ior ward, and by grasping the bulbous part of the urethra, to push the blood towards its corpus cavernosum, and the glans, by which they are distended. VccEssio.v. (From accedo, to approach.) The approach or commencement of a dis- ease. A term mostly applied to a fever which has paroxysms or exacerbations: thus the accession of fever, means the commence- ment or approach of the pyrexial period. ACCESSO'RII OF WILLIS. (Jccesso- rii, sc. nervi, from accedo, to approach ; having connexion with by contact or ap- proach ; so called from the course they take.) The name given by Willis to two nerves, which ascend, one on each side from the second, fourth, and fifth cervical pairs of nerves, through the great foramen of the occipital bone, and pass out again from the cranium through the foramina lacera, with the par vagum, to be distributed on the tra- pezius muscle. Accesso'rius. Being connected by con- tact or approach. Accesso'rius lumba'lis. A muscle of the loins. See Sucro-lumbalis. A'cciB. An obsolete term for lead. Acci'piTER. (From accipio, to take.) 1. The hawk; named from its rapacity. 2. A bandage which was put over the nose ; so called from its likeness to the claw of a hawk, or from the tightness of its grasp. Accipitri'na. (From awipi^er, the hawk.) The herb hawk-weed, which Pliny says was so called because hawks are used to scratch it, and apply the juice to their eyes to pre- vent blindness. ' AccLi'vis. A muscle of the belly, so named from the oblique ascent of its fibres. See Ohliquus internus abdominis. Accoucheur. The French for a midwfe. Accouchement. The French for the act of delivery. Accretion. (From ad, and cresco, to my crease.) 1. Nutrition, growth. 2. The growing together of the fingers or toes. Accuba'tio. (From accumbo, to recline.) Childbed. Reclining. Ace'dia. (From tt, priv. and x.nS'o;, care.) Carelessness, neglect in the application of medicines. Hippocrates sometimes uses this word, in his Treatise on the Glands, to signify fatigue or trouble. ACE'FHALUS. {AKi^iLKoc,) from a, priv. and Ki^a'g, qu. ^x^'^t' f'"'^'^ ^^t:'") bran ; according to Blanchard it is derived ffom d. priv. and yee^o^ space, as occupying but a small compass.) Laclamtn ; abas ; acores ; cerion ; favus. Crnsla Lactta of au- thors. The scald-head ; so called from the branny scales thrown off it. A disease which attacks the hairy scalp of the head, for the most part of young children, forming sofr and scaly eruptions. Dr. Willan, in his de- scription of different kinds of pustules, de- fines the achor, a pustule of intermediate size between the phlyzacium and psydraciuln. which contains a straw-coloured fluid, ha- ving the appearance and nearly the consis- tence of strained honey. It appears most fre- quently about the head, and is succeeded by a dull white or yellowish scab. Pustules of this kind, when so large as nearly to equal the size of phlyzacia, are termed ceria or favi, being succeeded by a yellow, semi- transparent, and sometimes, cellular scab, like a honey-comb. The achor differs from the favus and tinea only in the degree of virulence. It is called favus Vi'hen the per- forations are large ; and tinea when they are like those which are made by moths in cloth : but generally by tinea is understood a dry scab on the hairy scalp of children, with thick scales and an offensive smell. When this disorder affects the face, it is call- ed crusta lactea or milk scab. Mr. Bell, in his treatise on ulcers, reduces the tinea ca- pitis and crusta lactea to the same species of herpes, vis. the herpes pustulosas, differ- ing only in situation. See Crusta Laclea. AcHORi'sTOs. Inseparable. It is under- stood of accidents, symptoms, or signs, Avhichare inseparable from particular things. Thus, a pungent pain in the side is an inse- parable symptom of a pleurisy. AcHREi'os. Useless. It is applied by Hippocrates to the limbs which, through weakness, are become useless. Achkci'a. a paleness. A'cHYROisr, (««;^t/gov.) This* properly sig- nifies bran or chaff, or straw. Hippocrates, de Morbis Mulierum, most probably means by this word, bran. Achy- ron also signifies a straw, hair, or any thing that sticks upon a wall. A'ciA. (From :f.) The sense of hearing. Acoe'lius. (From a,, priv. and x-othtit., the belly.) Without belly. It is applied to those who are so wasted, as to appear as if they had no belly. Galen. Acoe'tus. {Ay.onoc) An epithet for honey, mentioned by Pliny ; because it has no se- diment, which is called ksov, from «.:/:», the pupil ; because it was esteemed good for disorders of the eyes.) The name of a genus of plants in the Linnaean system. Class, Hexandria. Order, Digynia. Sweet-flag. Sweet-rush. The following species is used medicinally. A'coRGs c a'l AEius. The systematic name for the calamus aromaticus. Jicorus rents. Calamus odoraiiis. Calamusv ulgaris. Dirin- ga. Jaceranlatinga. Typha aromalica. Clara .rugosu. Sweet-dag, or acorus. .Acorus cala- 7nus scapi tmicrone longissimo foliaceo of Linnaeus The root has been long employed medicinally It has a moderately strong aromatic smell, and a warm, pungent, bit- terigli taste ; and is deemed useful as a warm stomachic. Powdered, and mixed with some absorbent, it forms a useful and plea- sant dentifrice. A'coRus rAT.v'srp-i^. See Jm pa?!f*'n-<^ AcoRLS VE'Rus. Scc Jicorus Calamui. A'coRUS vdlga'ris. See Iris paluslris. A'cos. (From axioij.3.1, to heal.) A re- medy or cuie. Aco'sMiA. (From a., neg. and xotry.c?. ))eautiful.) Baldness : ill health ; irregu- larity, particularly of the critical days of fevers. Aco'sTE. (From oxori), barley.) An an- tient food made of barley. ACOU'STICA. {Acousiica. sc. medica- nienta ; ctx-oug-iKi. from astovw, to hear.) Re- medies which are employed with a view to restore the sense of hearing, when wanting or diminished. No internal remedies of this kind are known to produce any uniform effect. Acoustic nerves. See JS'erve and Portia mollis. Acoustic duct. The external passage of tlie ear. ACOUSTICS. That branch of general science which treats on the origin, propaga- tion, and perception of sound. AcRA. (Arab.) Acrai nymphomania. Ex- cessive venereal appetite. The time of menstruation. AcRAi'PALA. (From tt, neg. and Kosuwst?.;?, surfeit.) Acrcspalos. Remedies for the ef- fects of a debauch. Acra'sia. (From ot, and xfgaai, to mix.) Unhealthiness ; also the same with Acratia. Acrati'a. (From a., and xgaTsc, strength.) Weakness or intemperance. Acrati'sma. (From axoxlov, unmixed wine.) A breakfast among the old Greeks, consisting of a morsel of bread, soaked in pure unmixed wine. The derivation of this word is the same as Acrasia, because the wine used on this occasion Avas not mixed with water. AcRATo MELi. (From axApailov, pure wine; and f^iu, honey.) Mulsum, or wine mixed with honey. A'cRE. (From azpog, extreme.) The ex- tremity of the nose. A'cREA. (From cut^og, extreme.) Acro- feria. The extremities, i. e. the legs, arms. nose, and ears. Acrje'palos. See Acraipala. Acribei'a. (From ^jcpiCx;, accurate.) An exact and accurate description and diagno- sis, or distinction, of diseases. ACRID. (Acris.) A term employed in medicine to express a taste, the characteris- tic of which is pungency joined with heat. ACRIMONY. (Acrimonia, from acris, acrid.) This term is used to express a qua- lity in substances by which they irritate, corrode, or dissolve others. It has been sup- posed until very lately, there were acid and alkaline acrimonies in the blood, which pro- duced certain diseases ; and although the humoral pathology is nearly exploded, the term venereal acrimony and some othcr= are still and must be retained. A'rpis. Anv fractured extremity'. ACR ACT 15 Ac'ui siA. (From at, priv. aud k^ivo:, to judge or separate.) A turbulent state of a disease, which will scarcely suffer any judg- ment to be formed thereof. A'cRiTUS, (From a, neg. and K^ivce, to judge.) Disease without regular crisis, the event of which it is hazardous to judge. AcROBYSTiA. (Fi'omix^cc, extreme, and 0v\o;, a globe, bole, or mass._) Indian bdel- lium, which is coarser than the Arabian. Mstridion. Costiveness. ADSTRINGENTS. See Aslringents. Adustion. An inflammation about the brain, and its membranes, with an hollow- ness of the eyes, a pale colour, and a dry body. In surgery, adustion signifies the same as cauterization, and means the application of any substance to the animal body, which acts like fire. The antient surgeons, espe- cially the Arabians, were remarkably fond of having recourse to adustion in local dis- eases ; but the use of actual heat is very rarely admitted by the moderns. Adventitious. Any thing that acci- dentally, and not in the common course of natural causes, happens to make a part of another ; as the glands in strumous cases are said to be adventitious glands, in distinction from those which are naturally pj-oduced. It is also used in opposition to hereditary ; thus gout and scrofula are sometimes here- ditary, and very often adventitious, they having never before been known in the family. A'dy. Manga. The palm of the island of St. Thomas, from which is prepared Thernel's restorative. ADYNA'MIA. (AtTt/va^j* : from et, priv. and ivva.[xK, power.) A defect of vital power. ADYNA'MI^. (The plural of Adyna- mia^ The second order of the class neuroses of CuUen's Nosology : it comprehends syn- cope, dyspepsia, hypochondriasiSfSind chlorosis. Ady'namon. (From *, neg. and Swia.ij.i%, strength.) Mynamum. Among antient physicians, it signified a kind of weak factitious wine, prepared from must, boiled down with water; to be given to patients to wbifim pure or genuine wine might be hurtfui. j^doi'a. (From afcTajc, modesty ; orfrom St, neg. and itSa>,Xo see ; as not being decent, to the sight.) The pudenda, or parts of ge- neration. .-Eonpso'PHiA. (From 'iiSoui, pudenda, and 4«4'^') to break wind.) A term used by Sauvages and Sugar, to signify' a flatus from the bladder, or from the womb, making its escape through the vagina. .(Egagro'pilus. (From cttymy^og, a wild goat, and pila, a ball.) JEgagropila. 1. A ball found in the stomach of deer, goats, hogs, horned cattle, as cows, &.c. It consists of haii-s which they have swallowed from licking themselves. They are of dif- ferent degrees of hardness, but have no medicinal virtues. Some rank these balls among the Bezoars. Hieronymus Velsciiius wrote a treatise on the virtues of this. 2. A species of conserva found in Wallen- fenmoof, from its resembling these concre- tions, is also so named. jE'gias. a white speck on the pupil of the eye, which occasions a dimness of sight. jEgi'des. Aglia. A disorder of the eyes mentioned by Hippocrates. Foesius thinks the disease consists of small cicatrices in the eye, caused by an afflux of corrosive humours upon the part. But in one pas- sage of Hippocrates, Foesius says it signifies small white concretions of humours which stick upon the pupil, and obscure the sight. -Sgi'dion. a coliyrium or ointment for inflammations and defluxions of the eyes. ^GiLOPS. Wild fescue grass. This plant is called cegilops from its supposed virtue in curing the disorder named .^gylops. It is a species of Bromus in the Linnajan sys- tem. ./EGINE'TA,Pau'lus. a celebrated sur- geon of the island of .Slgina, from which he derived his name. He is placed by Le Clerc in the fourth century; by others in the seventh. He was eminently skilled in his profession, and his works are frequently quoted by Fabricius ab Aquapendente. He is the first author that notices the cathartic quality of rhubarb. He begins his book with the description of the diseases of women ; and is said to be the first that deserves the appellation of a man-midwife. jJ^gine'tia. Malabrian broom rape. A species of Orobanche. jE'gis. Jlchlys. A film on the eye, .^Go'cERAS. (From cii^, agoat, and »:-«*?, a horn; so called, because the pods were supposed to resemble the horns of a goat.) Foenugreek. See Trigonella Fmnum-greEcum, -^go'lethron. (From m'^, a goat, and oxiB^o;, destruction ; so named from the opinion of its being poisonous to goats.) Tournefort says it is the Chammrododcndron; now the Azelma pontica of Linnaeus. JCgo'nvchon. (From a/f, a goat, and om^, a hoof; because of the hardness of the seed.) Gromwell. See Liikospermum. _^GOPO'DIUM. (From a,<|, a goat, and 'Tsra;, a foot ; from its supposed resemblance to a goat's foot.) Goatweed. A genus of plants in the Linnasan system. Class, Pentandria. Order, Digynia. The follow- ing species was formerly mu«sh esteemed. £0 :-Euu ASC ^Gopo DiTjM poDAGRARiA. (PodagrarM, from its use in curing the podagra, orgout.) Goatweed. This plant is sedative, and was formerly applied to mitigate pains of gout, and to relieve piles, but not now employed. In its earlier state it is tender and escu- lent. jEgoproso'pon. (From at^, a goat, and >urg^oa-Qffrov , a face ; so called because goats are subject to defects in the eyes, or from having in it some ingredients named after the goat.) A name of a lotion for the eyes, when inflamed. ^'GYLOPS. (From «/*, a goat, anda-^, an eye.) A disease so named from the sup- position that goats were very subject to it. The term means a sore just under the inner angle of the eye. The best modern surgeons seem to consider the aegylops onlj- as a stage of the fistula lachrymalis. Paulus yEgineta calls it anchylops, before it bursts, and a^gi- lops after. When the skin covering the lachrymal sac has been for some time infla- med, or subject to fretjuent returning in- flammations, it most commonly happens that the puncta lachrymalia are affected by it; and the fluid, not having an opportunity of passing oft* by them, distends theinflamed skin, so that at last it becomes sloughy, and bursts externally. This is the state of the disease which is called perfect aigylops, or aegylops. ^gy'ptia musca'ta. See Hibiscus abel- 7nosciius. iEoYPTi'AcuM. A name given to differ- ent unguents of the detergent or corrosive kind. We meet with a black, a red, a white, a simple, a compound, and a magis- tral iEgyptiacum. The simple jEgyptia- cum, which is that usually found in our shops, is a composition of verdigrise, vine- gar, and honey, boiled to a consistence. It is usually supposed to take its name from its dark colour, wherein it resembles that of the natives of ^^-gypt It is improperly called an unguent, as there is no oil, or rather fat, in it. A'^Gy'pVIVK Pha'RMACUM AD au'res. Aiitius speaks of this as excellent for deter- ging foetid ulcers of the ears, which he says it cures, though the patient were born with Them. Aei'gi.uces. (From an, always, and yhva-v;, sweet.) A sweetish wine, or must. Aeipathei'a. (From aei, always, and 'srafloc, a disease.) Any disease of long du- ration. jF.kea. (From (bs, brass, so called be- cause it was formerly made of brass.) A catheter. M'ovi. The spinal marrow. iEoNE'sis. Fermentation. Sprinkling of the whole body. jSo'nion. The sedum majus, or common house-ieek. Mo'b-a. (From atuisia>, to lift up, to sus- pend on high.) Exercjse without muscular action ; as swinging. A species of exercise used by the antients, and of which Aetius gives the following account. Gestation, while it exercises the body, the body seems to be at rest. Of the motion there are se- veral kinds. First, swinging in a hammockj, which, at the decline of a lever, is beneficial. Secondly , being carried in a Utter, in which the patient either sits, or lies along. It is useful when the gout, stone, or such other disorder, attends, as does n&t admit of vio- lent motions. Thirdly, riding in a chariot, which is of service in most chronical disor- ders ; especially before the more violent ex- ercises can be admitted. Fourthly, sailing- in a sliip, or boat. This produces various effects, according to the different agitation of the waters, and, in many tedious chroni- cal disorders, is eflicacious beyond what is observed from the most skilful administra- tion of drugs. These are instances of a passive exercise. jI'.'que. Equally. The same as ana. A'ER. The fluid which surrounds the globe. See .iir and Atmosphere il^'pos. An excrescence, orprotuberanee. M'Rk. Darnel, or iolium. iERi'Tis. The Anagallis, or pimpernel!. AEROLO'GIA. (Ae/joxo^/* : from cutg, the air, and Koyj^, a discourse.) Aerologice. Aero- logy. That part of medicine which treats of the nature and properties of air. Aerolo'gice. See Aerologia. Aero'bieli. Honey dew; also a name for manna. Aero'phobi. (From «o)P, air, and jron. who taught him to cure the most dan^.rous diseases, and even raise the dead. His historj' is so involved in fable, that it is user less to trace it minutely. His two sons Machaon and Podalirius, who ruled over a small city in Thessaly, after his death JETti ^ETH iccompanied the Greeks to the siege of Troy : but Homer speaks merely of their skill in the treatment of wounds ; and di- vine honours were not paid to their Sither till a later period. In the temples raised to him votive tablets were hung up, on Avhich -were recorded the diseases cured, as they imagined, by his assistance. ^'SCULUS. {JEsculiis, from esca, food.) Horse-chesnut. The name of a genus of plants in the Linnagan system. Class, Uep- •tandria. Oi'der, Monugynia. JfjScvJLVs HippocASTANUM. The syste- matic name for the hippocastanum. Cas- tanea equma, pavina. Common horse-ches- nut. JEsculus hippocastanum ; foliolis septenis of Linnffius. The fruit, when dried and pow- dered, is recommended as an errhine. The cbark is highly esteemed on the Continent as a febrifuge ; and is, by some, considered as iieing superior in quality to the Peruvian hark. The bark intended for medical use is to be taken from those branches which are neither very young nor very old, and to be exhibited under similar forms and doses as directed with respect to the cortex peruvia- nas. It rarely disagrees with the stomach ; but its astringent elFects generally I'equire the occasional administration of a laxative. During the late scarcity of grain, some attempts were made to obtain starch from ■the horse-chesnut, and not without success. jSIseca'vum. Aurichalcum, or brass. .(Esta'tes. Freckles in the face ; sun- burnings. .^STPHARA. Incineration, or burning of the flesh, or any other part of the body. jEstua'rjum. a stove for conveying heat to all parts of the body at once. A kind of vapour batli. Ambrose Party calls an instru- ment thus, which he describes for conveying heat to any particular part. Palmarius, de morbis contagiosis, gives a contrivance under this name, for sweating the whole body. jEstua'tio. The boiling up, or rather the fermenting of liquors when mixed. iE'sTus vola'ticus. (From cesius, heat, and volo, to fly.) According to Voge), sy- lionymor.s witii phlogosis. ■ Sudden heat, or scorching, which soon goes off, but which for a time reddens the face. iE'THER. (JEtker, eris, m. from A/Sxg, a supposed fine subtile fluid.) Liquor cBthe- reus. Ether. JEthers^dphuricus,mtricusmu- rlatints, according to the acid from which it i; formed in conjunction with alcohol. A volatile liquor, obtained by distillation^ from H mixture of alcohol and a concentrated acid. The medical properties of sether, when ta- ken internally, are antispasmodic, cordial, and .stimulant. Against nervous and typhoid fevers, all nervous diseases, but especially tetanic affections, soporose diseases from de- bility, asthma, palsy, spasmodic colic, hyste- ria, fcc. it always enjoys some share of repu- tation. Regular practitioners seldom give so much as empirics, who sometimes venture upon large quantities, with incredible bene- fit. Applied externally, it is of service in the headach, toothach, and other painful affec- tions. Thus employed, it is capable of pro- ducing two very opposite effects, according to its management; for, if it be pre»'ented from evaporatii:^, by covering the place to which it IS applied closely with the hand, it proves a powerful stimulant and rubefacient, and excites a sensation of burning heat, as is the case with solutions of camphor in al- cohol, or turpentine. In this way it is fre- quently used for removing pains in the head or teeth. On the contrary, if it be dropped on any part of the body, exposed freely to the air, its rapid evaporation produces an in- tense degree of cold ; and as this is atteiided with a proportional diminution of bulk in the part applied in this way it has frequently contributed to the reduction of the intestine, in cases of strangulated hernia. .Sthe'rea he'rba. The Eryngium was so called. jI^thereal OIL. An animal or vegetable oil, highly rectified, partaking, as it were, of the nature of jether. See Oleum JEthe- reum. MTH^B. SULPHU'RICUS. J^apthavi- trioli. JEther Vitriolicus. Sulphuric aether. " Take of rectified spirit, Sulphuric acid, of each, by weight, a pound and a half. Pour the spkit into a glass retort, then gradually add to it the acid, shaking it after each addition, and taking care that their temperature, during the mixture, may not exceed 120 degrees. Immerse the retort veiy cautiously into a sand bath, previously heated to 200 degrees, so that the liquor may boil as speedily as possible, and let the ajther pass over into a tubulated receiver, to the tubulure of which another receiver is applied, and kept cold by immersion in ice, or water. Distil the liquor until a heavier part also begins to pass over, and appear under the aether in the bottom of the receiver. To the liquor which remains in the retort, pour on twelve fluid ounces more of recti- fied spirit, and repeat the distillation in the same manner." It is mostly employed as an excitant, ner- vine, antispasmodic, and diuretic, in cases of spasms, cardialgia, enteralgia, fevers, hys- teria, cepiialalgia, and spasmodic asthma. The dose is from min. xx to 3ij- Externally it cures toothach, and violent pains in the head. See JEtker. .^'THER RECTIFICA'TUS. miier vi- triolicus. Rectified ather. " Take of sulphuric tether, fourteen fluid ounces. Fused potash, half an ounce. Distilled water, two fluid ounces. Dissolve the potash in the water, and add thereto the aether, shaking them well toge- ther, until they are mixed. Lastly, by means of a temperature of about 200 degrees, di.'^ti! AET AFir' over twelve fluid ounces of rectified sether, from a large retort into a cool receiver." Sulphuric aether is impregnated with some sulphurous acid, as is evident in the smell, and with some aetherial oil : and these re- quire a second process to separate them. Potash unites to the acid, and requires to be added in a state of solution, and in sufficient quantities for the purpose of neutralizing it ; and it also forms a soap with the oil. It is advantageous also to use a less quantity of water than exists in the ordinary solution of potash : and therefore the above directions are adopted in the last London Pharmaco- poeia, For its virtues, see JEther. ^'THIOPS. A term applied formerly to several preparations, because of a black co- lour, like the skin of an ^Ethiopian. jE'thiops antimonia'lis. a preparation of antimony and mercury, once in high re- pute, and still employed by some practition- ers in cutaneous diseases. A few grains are to be given at first, and the quantity in- creased as the stomach can bear it. tE'thiops martia'lis. A preparation of iron, formerly in repute, but now neglected. jE'thiops mi'neral. The substance here- tofore known by this name, is called, by the London College, Hydrargyri sulphuretura nigrum, which see. Mlhmoid Artery. See Ethmoid Artery. .JEthmoid Bone. See Ethmoid Bone. iE'THNA. A chemical furnace. ^'thoces. JEtholicesi. Superficial pus- tules in the skin, raised by heat, as boils, fiery pustules. ^THU'SA. (From cttSna-u., beggarly.) The name of a genus of plants of the Lin- neean system. Class, Pentandria. Order, Digynia, of which the following species is sometimes used medicinally. jSIthusa meum. The systematic name of the meum of the Pharmacopoeias. Called also Meu, Spignel, Baldmoney. The root of this plant is recommended as a carminative, stomachic, and for attenuating viscid hu- mours, and appears to be nearly of the same nature as lovage, differing in its smell, being rather more agreeable, somewhat like that of parsnips, but stronger, and being in its taste less sweet, and more warm, or acrid. JEtkya. a mortar. -(E'tioi phle'bes. Eagle veins. The veins which pass through the temples to the head, were so called formerly by RufuaEphesius. ^ETIOLOGY. {AiTtoKoy* : h'om utliu, a cause, and }^oyoc, a discourse.) The doctrine of the causes of diseases. A ii'TIUS, called Amidenus, from the place of his birth, flourished at Alexandria, about the end of the fifth century. He left sixteen books, divided into four telrahiblia, on the practice of physic and surgery, principally collected from Galen and other earlier wri- ters, but with some original observations. He appears very partial to the use of the cautery, both actual and potential, especially in palsy : which plan of treatment Mr. Poit revived in paraphlegia ; and it has since often been adopted with success. Aetius is the ear- liest writer, who ascribed medical efficacy to the external use of the magnet, particularly in gout and convulsions ; but rather on the report of others, than as what he had per- sonally experienced. .^Cto'cion. JFAolium. The granum cni- dium. iETo'NYCHCM. See Lithospermum. AFFECTION. (This is expressed in Greek by «rsi6oc: hence pathema, passio.) This term indicates any existing disorder of the whole body, or a part of it, as hysterics, colic, leprosy. Thus by adding a descrip- tive epithet to the term affection, most dis- tempers may be expressed. We say febrile affection, cutaneous affection, &c. using the word affection synonymously with disease. AFFIiNITY. {Jlffinitas, a proximity of relationship.) The term affinity is used in^ differently with attraction. See Attraction. Affinity of Aggregation. See Attraction. Affinity of Composition. See Attraction. Affinity, Compound. When three or more bodies, on account of their mutual affinity, unite and form one homogeneous body, then the affinity is termed compound affinity or attraction : thus, if to a solution of sugar and water be added spirits of wine, these three bodies will form an homogeneous li- quid by compound affinity. See Attraction. Affinity Divellcnt. See Affinity Quiescent. Affinity, Double. Double elective attrac- tion. When two bodies, each consisting of two elementary parts, come into contact, and are decomposed, so that their elements become reciprocally united, and produce two new compound bodies, the decomposi- tion is then termed, decomposition by dou- ble affinity : thus, if we add common salt, which consists of muriatic acid and soda, to nitrate of silver, which is composed of nitric acid and oxyde of silver, these two bodies will be decompounded ; for the nitric acid unites with the soda, and the oxide of silver with the muriatic acid, and thus may be ob- tained two new bodies. The common salt and nitrate of silver therefore mutually de- compose each other by what is called double affinity. See Attractio7i. Affinity, Intermediate. Appropriate affi- nity. Affinity of an intermedium is,,whea two substances of different kinds, that show to one another no component affinity, do, by the assistance of a third, combine, and unite into an homogeneous whole : thus, oil and water are substances of different kinds, which, by means of alkali, combine and unite into an homogeneous substance : hence the theory of lixiviums, of washing, &.c. See jMtraction. Affinity, Quiescent. Mr. Kirwan emploj^s the term Quiescent affinity to mark that, by virtue of which, the principles of each com- pound-, decomposedby double affinity,adher« AGA AGA 23 to each other ; and Divellent qfflnify, to dis- tinguish that by which the principles of one body unite and change order with those of the other : thus sulphate of potash or vitri- olated tartar is not completely decomposed bj"^ the nitric acid or by lime, when either of these principles is separately presented ; but if the nitric acid be combined with lime, this nitrate of lime will decompose the sulphate of potash. In this last case the affinity of the sulphuric acid with the alkali is weak- ened by its affinity to the lime. This acid, therefore, is subject to two affinities, the one which retains it to the alkali, called quiescent, and the other which attracts it towards the lime, called divellent affinity. Affinity, reciprocal. When a compound of two bodies is decomposed by a third ; the separated principle being in its turn ca- pable of decomposingthe new combination: thus ammonia and magnesia will separate each other from muriatic acid. .Affinity, simple. Single elective attrac- tion. If a body consisting of two compo- nent parts, be decomposed on the approach of a third, which has a greater affinity with one of those componentpartsthan theyhave for each other, then the decomposition is termed, decomposition by simple affinity ; for instance, if pui'e potash be added to a combination of nitric acid and lime, the union which existed between these two bo- dies will cease, because the potash combines with the nitric acid, and the lime being dis- engaged, is precipitated. The reason is, that the nitric acid has a greater affinity for the pure potash than for the lime, therefore it deserts the lime to combine with the potash. When two bodies only enter into chemical union, the affinity, which was the cause of it, is also termed simple or single elective attraction ; thus the solution of sugar in water is produced by simple affinity, because there are but two bodies. See Attraction. A'ffion. £ffium. An Arabic name for opium. A'ffidm. See Affion. Affla'tus. (From ad and flare, to blow.) A vapour or blast. A species of erysipelas, which attacks people suddenly, so named upon the erroneous supposition that it was produced by some unwholesome wind blowing on the part. Affu'sio. Pouring a liquor upon some- thing; but sometimes it means the same as suffusio, a cataract. After-birth. See Placenta. A'ga Crete'msium. The small Spanish milk-thistle. Agalacta'tio, See Agalactia. Agala'ctia. {AyetXAitli^ : from a, priv, and y!t\!t, milk.) Agalaxis. Agalactia. Aga- lactatio. A defect of milk in childbirth, Agala'ctos. (From *, priv. and yeiKct, milk.) An epithet given to women who have no milk when they lie in. Agala'xis. ^te Agalactia ■ Aga'llochi ve'ri li'gnum. See Lignum Aloes. Aga'lluge. Agallugum. A name of the agallochum or aromatic aloe. Agaric. See Agaricus. Agaricoi'des. a species of agaricus or fungus. AGA'RICUS. (Aj/.-x|<;to? : from Agaria, a town in Asia ; or irom^garus, a river in Sarmatia, now Malowouda.) Agaric. The name of a genus of plants in the Linnsan system. Class, Crypiogamia. Order, Fungi. Several species of this genus have been, and still are, used for medicinal and culinary purposes. Aga'ricus a'lbcs. See Boletus Laricis, Aga'ricus campe'stris. There are seve- ral species of the agaricus, which go by the term mushroom ; as the agaricus chantarel- liis,deliciosus, violaceiis, k,c. but that which is eaten in this country is the agaricus campes- tris of Linna-us. Similar to it in quality is the thampignion or agaricus pratensis. Broil- ed with salt and pepper, or stewed with cream and some aromatic, they are extreme- ly delicious, and, if not eaten to excess, sa- lubrious. Great care shculdlDe taken to as- certain that they are the true fungus, and not those of a poisonous nature. Catchup is , made by throwing salt on mushrooms, which causes them to part with their juice. Aga'ricus chantare'lles. A species of fungus, esteemed a delicacy by the French. Bi'oiled with salt and pepper, it has much the flavour of a roasted cockle. Aga'ricus chirurgo'rum. See Boletus Igniarius. Aga'ricus cinnamo'meus. Brown Mush- room. A species of agaricus, of a pleasEuit smell. When broiled, it gives a good flavour. Aga'ricus delicio'sus. This fungus well seasoned ai.d then broiled has the exact fla- vou: of a roasted muscle. It is in season in September. Aga'ricus musca'rius. Bug Agaric, so called from its known virtue in destroying bugs. This nddish fungus is the Agaricus mvscarius of Linnseus : — stipiiatus, lamellis dimidiaiis solitariis, stipite vclrato, apice dila- tato, basi ovato. The use of this vegetable is not much known in this country. Haller re- lates that six persons of Lithuania perished at one time, by eating this kind of mushroom, and that in others it has caused delirium. It is employed externally to strumous, pha- gedenic, and fistulousulcers, as an escharotic. Aga'ricus pipeka'tus. The plant ft^jis named by Linngeus, is the peppermushroom, also called pepper agaric. It is the fungus piperatus albus, lacteo-succo turgens of Ray. Fungus albus acris. When freely taken, fatal'^consequences are related by several writers to have been the result. When this vegetable has even lost its acrid juice by drying, its caustic quality still remains. Aga'ricus pr.ate'nsis. The Champig- niou of Hudson's Flora Anglica. This 24 AGL AGxi plant has but little smell, and is rather dry, yet when broiled and stewed, communicates a good flavour. Aga'ricus viola'cf.us. Violet mush- room. This fungus requires much broiling, but when sufficiently done and seasoned, it is as delicious as an oyster. Hudson's bul- bosus is only a variety of this. AGE. The antients reckoned six stages of life : pueritia, childhood, which is to the fifth year of our age; — adolescentia, youth, reckoned to the eighteenth, and youth pro- perly so called, to the twenty-fifth year; — juventus, reckoned from the twenty-fifth to the thirty-fifth year ; — virilisatas, manhood, from the thirty-fifth to the fiftieth year ; — senectus, old age, from fifty to sixty ; — cre- piia (Btas, decrepid age, which ends in death. Agenne'sia. (Ayiviicriu.: from a., neg. yivviuc, to beget.) Impotency in man. A term employed by Vogel. It is synonymous with anaphrodisia and dyspennatismus. A'ger. The common earth or soil. A'ger natu'e.^. The womb. Agera'tus la'pis. {Jlgerafus common.) A stone used by coblers. It is ridiculously said to be discutient and gently astringent. If it possess any such virtues, it probably contains iron ; a supposition countenanced by its being used in dyeing. Age'ratum. (Aynp^ov : from et, priv. and yn^a.;, senectus ; never old, ever green : be- cause its flowers preserve their beauty a long time.) See Achillcea agerafum. A'ges. (From si^«c, wicked ; so called be- cause it is generally the instrument of wick- ed acts.) The palm or hollow of the hand. AGEUSTIA. (From a., neg. and yiuo/jLti, gusto, to taste.) Agheustia, Apogeustia, Apogeusis. A defect or loss of taste. A ge- nus of disease in the class locales, and order dysaesthesioe of CuUen. The causes are fe- ver or palsy, whence he forms two species ; the latter he calls organic, arising from some affection in the membrane of the tongue, by ■which relishing things, or those which have some taste, are prevented from coming into contact with the nerves ; the other atonic, arising without any affection of the tongue. Agglutina'ntia. Adhesive medicines which heal by causing the parts to stick to- gether. Agglutina'tio. Agglutination. The adhesive union or sticking together of sub- stances. Aggl'jti'tio. Obstruction in the oeso- phagus, or a difficulty in swallowing. Aggregatm glands. (From flggrego, to assemble together.) An assemblage of glands, as those of the intestines. Aggregation, affijiUy of. See Attraction. Agheu'stia. The Ageustia. Agis. See thigh or femur. Agitato'ria. Convulsive diseases, or those called clonic. Aglacta'tio. Defect of milk \gz.a'xi?- The same Aglia. Aglium. A shining tubercle m pustule on the face. White specks on the eye. See JEgides. A'gma. Agme. A fracture. A'gnacal. a tree, which, according to Ray, grows about the isthmus of Darien, and resembles a pear-tree, whose fniit is a great provocative to venery. Agna'ta. See adnata tunica. Agni'na membra'na. (From agnks, a lamb, and menibrana, a membrane.) Aetius calls one of the membranes which involve the fcetus by this name, which he derives from its tenderness. See Amnios. Agnoi'a. (From a,, priv. and ytva>rH.ce, t» know.) Forgetfulness ; a symptomatic af- fection in fevers. A'gnus ca'stus. (From agnus, a lamb ; so called from the down upon its surface, which resembles that upon a lamb's skin ; and castus, because the chaste matrons, at the feasts of Ceres, strewed them upon their beds, and lay upon them.) The Chaste Tree. See Viiex. Ago'ge. The deduction or reasoning upon diseases from their symptoms and ap- pearances. The order, state, or tenour of a disease or body. Agomphi'asis. a looseness of the teeth. A'gone. {Kycm : from «, neg. and yo-zs^., offspring.) Hyoscyamus or Henbane ; so called because it was supposed to cause barrenness. Ago'nia. Sterility, impotence, agony. Agoni'sticum. {hyrnvts-utov, from a.yutina>, to struggle.) A term used by antient phy- sicians to signify water extremely cold, which was directed to be given in large quantities, in acute erysipelatous fevers, with a view of overpowering or struggling with the febrile heat of the blood. A'gonos. (From a, priv. and yovo^, or ynvii an offspring ; barren.) Hippocrates calls those women so who have not children, though they might have if tlie impediment were removed. Ago'stos. (From a.ya>, to bring, or lead.) That part of the arm from the elbow to the fingers ; also the palm or hollow of the hand. Agre'sta. {Ay^i'jQ, wild.) Verjuice, which is made from the wild apple. The imma- ture fruit of the vine Agre'sten. a name for the common tartar, Agre'stis. In the works of some old writers it expresses an ungovernable malig- nity in a disease. A'gria. 1. A name of the Ilex aquifo- lium or Holly. 2. A malignant pustule, of which, the an- tie:it surgeons- describe two sorts; one which has been so called, is small, and casts a rough- ness or redness over tl^e skin, slightly corrod- ing it,smooth aboutits centre,spreads slowly, and is of a roimd figure ; this sort is cured by rubbing it with the fasting spittle. The second ulcerates, with a violent redne.?s snr' AfeiK AGU ^;olTi^sion, so as to make the hair tall oft'; it is of an unequal form, and turns leprous ; it is cured, by the application of pellitory of the wall in the manner of a poultice. Agria'bipelos. (From ctypio;, wild, and oi/uTrihoc, a vine. ) The wild vine, or white bryony. See Bryonia. Agriel^e'a. From ctT'/j/of, wild, andeAac/*, the olive-tree.) The oleaster, or wild olive. Agrifo'lium. (From ani;, a prickle, and uK>h, a leaf.) Aquifolium, or holly tree. It should rather be called acifolium from its nricklv lcnv6s, AGiUMO'JsiA. (From aj^f:?, a field, and uovcc, alone : so named from its being the chief of all wild herbs.) Agrimony. 1. The name of a genus of plants in the Linnaean system. 2. The pharmacopoeial name of a plant ; the common agrimony. Jlgrimonia Eupalo- ■^ria of Linnaeus : — foliis caulinis pinnatis, fo- liolis undique serratis, omnibus minutis inter- slindis, fruclibus hispidis. It is common in fields about hedges and shady places, flow- ering in June and July. It has been princi- pally regc.rded in the character of a mild astringent and corroborant, and many au- thors recommend it as a deobstruent, espe- cially in hepatic and other visceral obstruc- tions. Chomel relates two instances of its successful use in cases where the liver ^as much enlarged and indurated. It has been used with advantage in hemorrhagic aftec- tions, and to give tone to a lax and weak state of the solids. In cutaneous disorders, particularly in scabies, we have been told that it manifests great efficacy ; for this pur- pose it was given infused w ith liquorice in the form of tea ; but according to Alston it should be always exhibited in the state of powder. It is best used while fresh, and the tops, before the flowers are formed, possess the most virtue. Cullen observes that the agrimony has some astringent powers, but they are feeble ; and pays little attention to what has been .said in its favour. Agrimonia Eupatoria. See Jlgrimonia. Agnmony. See Agrimonia. .Agrimony, hemp. The Bidens tripartita of Linngeus. Agrioca'rdajium. (From a-yfiog, wild, and x.-j.fi'ci./j.o)!, the nasturtium.) Sciatica cresses, or wild garden cress. Agrioca'stanum. (From ei-^pio;, wild, and xctg-Avov, the chesnut.) Earth-nut or pig-nut. Agrioci'nara. (From ctypto;, wild, and MVAfdi, artichoke.) See Cinara. Agriococcime'la. (From ctyfiK, wild, KsxKsc, a beiTy, and fjinxitt, an a])ple-tree.) The prunus sylvestris. Agriome'la. The crab apple. A'grion. Agriophyllon. The peuceda- num silaus, or hog's fennel, or sulphur vvoi-t. Agriophy'llox. See .igrion. Agrjopastina'ca. (From etypioc, wild, and Pff.?fJ77ora, a carrot) Wild rariX)t, or parsnip - 4. Agriori GAKUM. (Fi'om ajp/s;, "wild, and cftyotvov, marjoram.) Wild marjoram. See Origanum. Agrioseli'num. (From ccypioc, wild, and o-i\tvov, parsley.) Wikl parsley. See Smyr- niuni. Agriosta'ri. (From etyfua;, wild, and r««, wheat.) A species of field-corn, call- ed Ti'iticum creticum. Agripa'lma. (From etypioi;, wild, and '^rctf.y.n, a palm-tree.) Agripalma gallis. The herb mother-AVort, or wild palm. Agripa'lma ga'llis. See Agripalma,. Agri'ppjE. Those children which are born with their feet foremost, are so called, because tliat was said to be the case with Agrippa the Roman, who was named ab (cgropartu, (rom his difficult birth. These births, though reckoned preter-natural, are often more safe and easy than the natural. A'grium. An impure sort of natron, or soda. The purer sort was called halmy- rhaga. A'grom. A disease of the tongue pecu- liar to the Indians, in which it becomes ex- tremely rough and chopped. Agrtj'mina. Leeks, wild onions. Agry'psia. From a,, priv. and vTr'i'o;, sleep.) Watchfulness : want of sleep. Agry'pnco'sia. (From a^pcno?, without sleep, and Kcey.a., a lethargy.) A lethargic kind of watchfulness, in which the patient is stupidly drow,sy, and yet cannot sleep. A species of coma. Ague. See Fehris Intermittens. Ague cake. The popular name for a hard tumour on the left side of the belly, lower than the false ribs in the region of the spleen, said to be the effect of intermittent fevers. However frequent it might have been formerly, it is now very rare, and al- though then said to be owing to the use of bark, it is now less frequent since the bark has been generally employed. Ague drops. This is a medicine sold for tlie cure of agues, composed of arsenite of potash in solution in v\'ater. Ague-free. A name given by some to sassafras on account of its supposed febri- fuge virtue. Ague Tree. See Laurvs. Agui'a. (From a., priv. and yjtov, a member.) Pai-alytic debility. Where the use of the members is defective or lost. A'gul. (Arab.) Mhagi. The Syrian thorn. The leaves are purgative. AGUSTINE. A new earth discovered in the Saxon Beryl, or Beryl of Georgien Stadt, a stone greatly resembling the Beryl of Siberia, by professor Tromsdorfl" of Er- furth in Germany, to w^hich he has given the name of augustine on account of the pro- perty of forming salts which are nearly des- titute of taste. This earth is white and insipid ; when moistened with water, it is somewhatductiJe^ but is not soluble in ihat finl/!, EsDQbE-u., AIR A IK to a violent heat, it becomes extremely hard, but acquires no taste. It combines with acids, forming salts, which have little or no taste. It does not combine either in the humid or dry way with alkalies, or with their carbonates. It retains carbonic acid but feebly. It dissolves in acids equally well after having been hardened, by exposure to heat, as when newly precipitated. With sul- phuric acid it forms a salt which is insipid, and scarcely soluble, but an excess of acid renders it soluble, and capable of crj^stalli- zing in stars. With an excess of phosphoric acid it forms a very soluble salt. With ni- trous acid it forms a salt scarcely soluble. Agutiguepoo'bi Brazilie'nsis. (An In- dian term.) Arrow-root : dartwort. Escu- lent and vulnerary, and used by the Indians to cure wounds made by arrows. Agyion. See Aguia. AGYKT^a:. (Fvom etyvgtg, a crowd of peo-" pie, or a mob; or from a^s/gw, to gather to- gether.) It formerly expressed certain stroll- ers who pretended to strange things from supernatural assistances ; but of lat;e it is ap- plied to all quack and illiterate dabblers in medicine. Ahaloth. The Hebrew name of lignum aloes. Ahame'lla. See Mimtlla. Aho'vai theveticlush. a chesnut-like fruit of Brazil of a poisonous nature. Ahu'sal. Orpiment. Ai'lmad. An Arabian name for anti- mony. Aimatei'a. a black bilious and bloody discharge from the bowels. Aimo'rehots. See Ilccmorrhois. Aiihgrrhce'a. See Hecmorrhagia. Aipathei'a. (From asi always, and israeoc, a disease.) A disease of long continuance. Ai'pi. Aipima coxera. ./Hpipoca. Indian words for Cassada. A poisonous root of India. AIR. Common air. Atmospherical air. The word air seems to have been used at first to denote the atmosphere in general ; but philosophers afterwards restricted it to the elastic fluid, which constitutes the great- est andthe most important part of the atmos- phere, excluding the water and the other foreign bodies which are occasionally found ^nixcd ■with it. See Atmosphere. Air is an elastic fluid, invisible indeed, but ^■rsily recopniKod by its properties. Its spe- filic gravily, according to the experiments of bir George Shuckburgh, when thebarometer ]=■■ at 30 inches, and the thermometer between 50 and 60 deg. is 0.0012, or 816 times light- er than water. One hundred cubic inches of air weigh 31 grains troy. But as air is an elastic fluid, and compressed at the sur- r-icc of tlie earth by the whole weight of the incumbent atsnosphere, its density dimi- nishes according to its height above the sur- face of the earth. From the experiments of rascha',- Selur. ficneval Soy, &c., it has been ascertained that the density diminishes in the ratio of the compression. Consequent- ly the density decreases in a geometi'ical pro- gression, while the heights increase in an arithmetical progression. Bouguer had sus- pected, from his observations made on the Andes, that at considerable heights the den- sity of the air is no longer proportional to the compressing force ; but the experiment* of Saussure junior, made upon Mount Rose, have demonstrated the contrary. Air is dilated by heat. From the experi- ments of General Roy and Sir George Shuckburgh, compared with those of Trera- bley, &.C., it appears, that at the temperature of 60 deg. every degree of temperature in- creases the bulk of air about l-82d part. But the experiments of Mr. Dalton of Manches- • ter, and those of Gay-Lussac, where atten- tion was paid to have the air previously well dried, show that the expansion by one de- gree of heat is only about 1-4S0 of the whole volume. The specific caloric of air, according to the experiments of Dr. Crawford, is 1-79, that of water being reckoned 1. Although the sky is well known to have a blue colour, yet it cannot be doubted that air itself is altogether colourless and invisible. The blue colour of the sky is occasioned by the vapours which are always mixed with the air, and which have the property of reflecting the blue rays more copiously than any other. This has been proved by the experiments which Saussure made with his cyanometer at different heights above the surface of the earth. This consisted of a circular band of paper, divided into 51 parts, each of which were painted with a different shade of blue ; beginning with the deepest mixed with black, to the lightest mixed with white. He found that the colourof the sky always corresponds with a deeper shade of blue, the higher the observer is placed above the surface ; con- sequently, at a certain height the blue wil{ disappear altogether, and the sky appear black; that is to say, will reflect no light at all. The colour becomes always lighter in proportion to the vapours mixed with the air. Hence it is evidently owing to them. The property which the air has of sup- porting combustion, and the necessity of it for respiration, are too well kno%vn to re- quire any description. For many ages, air was considered as an element, or simple substance. For the knowledge of its component parts, we are indebted to the laboui'sof those philosophers in whose liands chemistry advanced with such rapiditj' during the last forty years of the eighteenth century. Air is a compound of oxygen and nitro- gen: but it becomes a question of consider- able consequence to determine tbepropor-. tion of thesG two ingredients, and to ascertain whetlier that proportion is in every case the saipa. Since nitrogen gas, ous of the com-'.' AIR AIT /iUHeni parts of that fluid, cannot be separa- ted by any substance with which chemists are acquainted, the analysis of air can only be attempted by exposing it to the action of those bodies which have the property of absorbing its oxygen. By these bodies the oxygen gas is separated, and nitrogen gas is left behind, and the proportion of oxygen may be ascertained by the diminution of bulk ; which, once known, it is easy to as- certain the proportion of nitrogen gas, and thus to determine the exact relative quanti- ty of the component parts. After the composition of the atmosphere was known to philosophers, it was taken for granted that the proportion of its oxygen %'aries in different times and in different places ; and that upon this variation the pu- rity or noxious qualities of air depended. Hence it became an object of the greatest importance to be in possession of a method of determining readily the quantity of oxy- gen in a given portion of air. Accordingly various methods were proposed, all of them depending upon the'property which a variety of bodies possesses of absorbing the oxygen of the air, without acting upon its azot. These bodies were mixed v/ith a certain known quantity of atmospheric air, in gra- duated glass vessels inverted over water, and the proportion of oxygen was determined by the diminution of bulk. These instruments received the name of eudiometers, because they were considered as measures of the pu- rity of air. See Eudiometer. It is considered as established by experi- . ment, that air is composed of 0.21 of oxygen gas, and 0.79 of nitrogen gas by bulk. But as the weight of these two gases is not ex- actly the same, the proportion of the com- ponent parts by weight will differ a little : for as the specific gravity of oxygen gas is to that of nitrogen gas as 135 : 118, it follows that 100 parts of air are composed by weight of about 76 nitrogen gas 24 oxygen gas 100 Having thus ascertained the nature and the proportion of the component parts of air, it remains only to inquire in what manner these component parts are united. Are they merely mixed together mechanically, or are they combined chemically .'' Is air a mecha- nical mixture or a chemical compound ? .Philosophers seem at first to have adopted the former of these opinions, if wc except Scheele, who always considered ai r as a che- -mical compound. But the supposition that air is a mechanical mixture, by no means agrees with the phenomena which itexhibits. If the two gases were only mixed together, as their specific gravity is different, it is scarcelypossiblethattheywouldbe uniform- ly mixed in every part of the atmosphere. Even Mr. Dalton's ingenious supposition, ^hatthey neither attract nor repel each other. Avould not account for this equal distribu- tion ; for undoubtedly, on that supposition,' they would arrange themselves according to their specific gravity. Since, therefore, air is in all places composed of the same in- gredients, exactly in the same proportions, it follows that its component parts are not only mixed, but actually combined. When substances dift'ering in specific gravity com- bine together, the specific gravity of the compound is usually greater than the mean. This holds also with respect to air. The specific gravity, by calculation, amounts only to 0.00119, whereas it actually is 0.0012. But perhaps the specific gravity of nitrogen and oxygen gas can scarcely be considered as known with such precision as to entitle us to draw any consequence from this difference. The difference between air and a mere mixture of its two component parts, has been demonstrated by the experiments of Morozzo and Humboldt. The artificial mix- ture is much more diminished by nitrous gas than air, even when the mixture contains less oxygen. It supports flame better and long-er, and animals live in it longer than they do in an equal portion of air. The air is, therefore, to be considered as a chemical compound. Hence the reason that it is in all cases the same, notwithstanding the numerous decomposing processes to which it is subjected. The breathing of animals, combustion, and a thousand other operations, are constantly abstracting its oxygen, and decomposing it. The air thus decomposed or vitiated no doubt ascends in the atmosphere, and is again, by some un- known process or other, reconverted into atmospherical air. But the nature of these changes is at present concealed under bji impenetrable veil. Thomson. Jlir, alkaline.. See Ammonia. Air, atmospherical. See Air. Air, azotic. See Nitrogen gas. Air, fixed. See Carbonic acid gas. Air, fluoric. See Fluoric acid gas. Air, hepatic. See Hydrogen gas, sulphU' retted. Air, inflammable. See Hydrogen gas. Air, marine. See Muriatic acid gas. Air, nitrous. See Kilrous gas. Air, phlogisticated. See .N'itrogen gas. Air, phosphoric. Sec Hydrogen gas, phos- phuretted. Air, sulphureous. See Sulphurous acid gas. Air, vital. See Oxygen gas. Aisthete'rium. (From ctiT^xvo/j.n, to per- ceive.) The censoi'ium commune, or com- mon sensory, or seat, or origin of sensation. Cartesius and others say, it is the pineal gland ; Willis says, it is where the ri'^ -^.s of the external senses arc terminated/ is about the beginning of the mec longata, (or top of the spinal me the corpus striatum. Ai'tatad. Antimony. "Ik. ■^i's AIX ALA AIX LA CHAPE'LLE. Called Aken by the Germans. Thermae Aquis-granensis, A town in the south of France, Avhere there is a sulphureous water, the most striking fea- ture of which, and what is almost peculiar to it, is the unusual quantity of sulphur it cootains ; the whole, however, is so far united to a gaseous basis, as to be entirely volatilized by heat ; so that none is left in the residuum after evaporation. In colour it is pellucid, in smell sulphureous, and in taste saline, bitterish, and rather alkaline. The temperature of these waters varies con- siderably, according to the distance from the source and the spring itself. In the well of the hottest bath, it is, according to Lucas, 136°, Monet, 146 ; nt the fountain where it is drank, it is 112^. This thermal water is much resorted to on the Continent, for a variety of complaints. It is found essentially serviceable in the numerous symptoms of disorders in the stomach and biliary organs, that follow a life of high indulgence in the luxuries of the table; in nephritic cases, which produce pain in the loins, and thick mucous urine with difficult micturition. As the heating qualities of this water are as de- cided as in any of the mineral springs, it should be avoided in cases of a general in- flammatory tendency, in hectic fever and ulceration of the lungs ; and in a disposition to active ha;morrhagy. As a hot bath, this water is even more valuable and more ex- tensively employed than as an internal re- medy. The baths of Aix la Chapelle may be said to be more particularly medicated than any otherthat we are acquainted with. They possess both temperature of any degree that can be borne, and a strong impregnation with sulphur in its most active forms, and a quantity of alkali which is sufficient to give it a very soft soapy feel, and to render it more detergent than common water. From these circunistances these baths will be found of particular service in stiftaess and rigidity of the joints and ligaments, which is left by the inflammation ot gout and rheumatism, and in the debility of palsy, where the highest degree of heat w"hich the skin can bear is required. The sulphureous ingredient ren- ders it highly active in almost every cutane- ous eruption, and in general in every foul- ness of the skin ; and here tlie internal use of the water should attend that of the bath. These waters are also much employed in the distressing debility Avhich follows a long course of mercury and excessive salivation. Aken water is one of the few natural springs, that are hot enough to be employed as a va- pour bath, without the addition of artificial iieat. It is employed in cases in which the liot bath. is used; and is found to be a remark- ably powerful auxiliary in curing some of the worst species of cutaneous disorders. With regard to the dose of this water to be begun with, or the degree of heat to bathe in, it is in 311 pases best to b?i;ia w ith small quantities and low degrees of heat, and gradually in* crease'thera agreeably to the effects and con- stitution of thejpatient. The usual time of the year for drinking these waters, is from the beginning of May to the middle of June, or from the middle of August to the latter end of September. Aizo'oN. (From mi always, and ^a> to live.) Jlizoum. An evergreen aquatic plant, like the aloe, said to possess antiscorbutic virtues. Aja'ta. (Indian.) A seed used in the Ea.st Indies as a remedy for the colic. AJUGA. (From*, priv. and(ft/^ov,ayoke.) 1. The name of a genus of plants in the Linnaean system. 2. The pharmacopceialname of the creep- ing bugloss. Called also Comolida media. Bugula. Upright bugloss. Middle consound. This plant, J3juga pyramidalis oi Linnaeus : — ietragono pyrumidalis, villosa foliis radicall- bus ?naximis, possesses subadstringent and bitter qualities : and has been recommend- ed in phthisis, aphthm. and cynanche. AjUGA Pl'RAMIDALIS. ScC .^J7,'g«. Ajura'kat. Lead. A'KENSIDE, MARK,an English physician, born at Newcastle-upon-Tyne, in 1721 ; but more distinguished as a poet, especially for his " Pleasures of the Imagination." After studying at Edinburgh, and graduating at Leyden, he settled in practice; butthough appointed physician to the Queen, as well as to St. Thomas's Hospital, he is said not to have been very successful. He died of a putrid fever, in his 49th year. He has left a Dissertation on Dysentery in Latin, admired for its elegance ; and several small Tracts in the Philosophical, and London Medical Transactions. Ai,. Tiie Arabian article which signifies ike. ; it is applied to a word by way of emi- nence, as the Greek o is. The Easterns ex- press the superlative by adding GofZ thereto, as themountai7i of God, for the highest moun- tain ; and it is probable that M relates to the word Mia, God : so alchemy, may be the chemistry of God, or the most exalted per- fection of chemical science. A'la. a wing. The arm-pit, so called because it answers to the pit under the wing of a bird. Ala'bari. Lead. A'lacae. Sal ammoniac. Al^efo'umis. Any thing like a wing. A'lie au'ris. The upper part of the ex- ternal ear. A'ljE nasi. Two cartilages of the nose which form the outer part of the nostrils. A'lje vf.spertilio'num. That part of the ligaments of the womb, which lies between the tubes and the ovaria ; so called from its resemblance to tlic wing of a bat. A'lje iNTr.'KNiE mino'res. See KymphcE. A'lafi. .'Ilafor. Mafort. Alkaline. Alai'a rHTiii'sis. (From axsuoc, blind, and cpBicrtc. ■.^ wasting.) A consumption from a flux of humours from the head. ALB ALE Alamad. Alamed. Antimony. Ai.A'.)jBic. Mercury. ALANDAHI.A. (Arab, bitter.) The bitter apple, or colocyntli. Alanfu'ta. (Arab.) A vein between the chin and lower lip, which was formerly opened to prevent fcptid breath. Alapou'li. See Bilimbi. Ala're exte'rnum. a name of the ex- ternal pterygoid muscle : so called because it takes its rise from the wing-like process of the sphenoid bone. Ala'ria o'ssa. The wing-like processes of the sphenoid bone. Ala'uis ve'na. The innermost of the three veins in the bend of the arm. Alasalet. Alasct. Ammoniacum. Alasi. AlafoT. An alkaline salt. Ala'strob. Lead. A'latan. Litharge. Alate'rnus. a species of rhamnus. Ala'ti. Those who have prominent sca- pula3 like the wings of birds. Alau'rat. Nitre. Albadal. An Arabic name for the sesamoid bone of the first joint of the great toe. Albage'nzi. Albagiasi. An Arabic name for the OS sacrum. Albagras nigra. So Avicenna names the lepra ichthyosis. Others call it lepra Grfficorum. Albame'ntum. (From albus, white.) The white of an egg. Alba'num. Urinous salt. Alba'ra. (Chald.) The white leprosy. Albaras. Arsenic. A white pustule. Alba'tio. (From albus, white.) Mbificatio. The calcination or whitening of metals. A'lberas. (Arab.) White pustules on the face ; also staphisagria, because its juice was gaid to remove these pustulefe. Albe'stox. Quick lime. A'lbetad. Galbanum. A'lbi subi.ima'ti. Muriated mercury. ALBICA NTIA CORPORA. (From al- Mco, to grow white.) The glands of a white colour which are usually called Willis's glands, in the brain. A'lbimec. Orpiment. See Arsenic. Albi'num. See Gnaphalium. ALBI'IN'US, Be'rnard Sie'gfred, sonof a physician, and professor at Leyden of the same name, was born near the end of the 17th century, and prosecuted his studies with so much zeal and success, that he was appointed, on the recommendation of Boer- baave, professor of anatomy and surgerj', when only 20 years old. This office he filled for half a century, and acquired a greater reputation than any of his predecessors. He has left several valuable anatomical works ; and particularly very accurate descriptions, and plates of the muscles and bones, which are still highly esteemed. A'iBOR. Urine. A'lbora. a sort of itch; or rather of iPprosy, Paracpbiis '••ays. it is a complica- tion 01 tiie morphew, serpigo, and leprosy, Wlien cicatrices appear in the face like the serpigo, and then turn to small blisters of the nature of the morphew, it is the aibora. It terminates without ulceration, but by fe« tid evacuations in the mouth and nostrils ; it is also seated in the root of the tongue. Albo'rea. Quicksilver. A'lbot. a crucible. Albo'tai. Turpentine. A'lbotar. Turpentine. A'lbotat. White lead. A'lbotiji. Turpentine. A'lbotis. a cutaneous phlegmon or boil. ALBUCA'SIS, an Arabian physician and surgeon, of considerable merit, Avho lived about the beginning of the twelfth century. He has copied much from pre- ceding writers, but added also many origi* nal obsen^ations ; and his works may be still perused with pleasure. He insisted on the necessity of a surgeon being skilled in anatomy, to enable him to operate with suc- cess, as well as acquainted with the ma- teria medica, that he may apply his reme- dies with propriet}'. He appears to have extracted polypi from the nose, and per- formed the operation of bronchotomy. He is the first who left distinct descriptions and delineations of the instruments used in sur- gery, and of the manner of employing them. Albugi'nea o'culi. (From aZ62(s, white.) See Adnata tunica. Albugi'nea te'stis. (Albuginea ; from albus, white ; so called on account of its white colour.) Tunica albuginea testis. The innermost coat of the testicle. It is a strong, white, and dense membrane, immediately covering the body or substance of the testi- cle. On its outer surface it is smooth, but rough and uneven on the inner. Albu'ginous humour. The aqueous hu- mour of the eye. Albu'go oculo'ru.ii. a white opacity of the cornea of the eye. The Greeks named it leucoma ; the Latins, albugo, nebula, and nubecula; some ancient writers have called it pterygium, janua, oculi, onyx, unguis, and (Pgides. It is a variety of Cul'en"s Caligo CornecE. Albuhar. White lead. A'lbum ba'lsamcm. The balsam of co- paiba. A'lbum gr-s'cum. The white dung of dogs. It was formerly applied as a discu- tient, to the inside of the throat, in quinsies, being first mixed with honey : medicines of this kind have long since justly sunk intp disuse. A'lbum or.us. Lamb's lettuce, or corn- sallad. The Valeriana locusta of Linnaeus. ALBU'MEN. Albumine. Coagulable lymph. Albumen is very abundant in the ani- mal kirgdom. It is the principal constituent part of the serum of the blood, and the lymphatic fluid. It forms the cheese in mill;, ALC ALE and makes up the greater part of the white of eggs. It is composed of carbon, hydro- gen, azot, and oxygen ; and sometimes con- tains phosphorus, and somewhat of calca- reous earth. Aleu'men o'vi. Albugo ovi. Albumen ; albor ovi, ovi albus liquor, ovi candidum, al- bamentum, clareta. The white of an egg. A'lcahest. An Arabic word to express an universal dissolvent, which was pretend- ed to by Paracelsus and Helmont. Some say that Paracelsus first used this word, and that it is derived from the German words al and geest, i. e. all spirit : and that Van Hel- mont borrowed the word, and applied it to his invention, which he called the universal dissolvent. A'LCALI. (Arab.) See Alkali. Alcalization. The impregnating any spirituous fluid with an alkali. Alcanna. (Indian word.) See Anchusa. A'lcaol. The solvent for the preparation of the philosopher's stone. A'LCEA. (From aajm, strength.) The name of a genus of plants in the Linnsan system. Class Monadelphia. Order, Poly- andria. Hollyhock. A'lcka .Sgypti'aca villo'sa. See Hi- biscus abelnioschus. A'lcea I'ndica. See Hibiscus abelmoschus. 4'lceaRo'sea. Common hollyhock. The flowers of this beautiful tree are said to pos- sess adstringent and mucilaginous virtues. They are seldom used medicinaliy. A'lcebar. See Lignum Aloes. A'lcebris vi'vl'm. See Sulphur vivum. A'r.CHABRic. Sulphur vivum. A'lchachil. Rosemarj-. A'lcharith. Quicksilver. A'lchien. This word occurs In the Thea- Irum Cheraicum, and seems to signify that power in nature by which all corruption and generation are effected. ALCHEMJ/LLA. (So called because it was celebrated by the old alchemists.) 1. The name of a geniis of plants in the Linnasan system. Class, Ttlrandria. Order, Mcnogynia. Ladies' mantle. 2. The pharmacopoeial name of the plant called ladies' mantle. AlchemilUt vulgaris ; foliis lobalis of Llnn^us. It vvas formerly esteemed as a powerful adstririgent in has- morrhages, fluor albus, k.c. given inter- nally. Alchemi'lea vulga'rjs. See AlcJicmilla. Alchimelec. (Heb.) The Egj-ptian raelilot. A'lchemy. Alchemia. Alchimia. Alkima. That branch of chemistry which relates to the transmutation of metals into gold ; the forming a panacea or universal remedy ; an alkahest, or universal menstruum ; an universal ferment ; and many other absur- dities. A'lchibric. Sulphur. Alchimi'lla. See Alchemiila. A'lchitron. "Oil of Juniper; also the .name of a dentrifrice of aTps^'ip. A LCHUTE. See Morum. A'lchymy. Alchemy. A'i.chlys. a speck on the pupil of the eye, somewhat obscuring vision. A'lcimad. Antimony. A'lcob. Sal-ammoniac, or muriat of ammonia. Alco'calum. (Perhaps Indian.) Arti- choke, or cinara. A'r.ccFOL. Antimony. A'LCOROL. See Alkohol. A'lcola. (Heb.) The aphtha, or thrush. Paracelsus gives this name to tartar, or excrement of urine, whether it appears as sand, mucilage, &.c. Alcoli'ta. Urine. Alco'ne. Brass. A'lcor. ^s ustum. A'lcte. It is the name of .a plant men- tioned by Hippoci-ates. Foesius thinks it is the elder. Alcd'erith. Sulphur. Alcyo'nium. Bastard sponge, a spongy plant-like substance, which is met with on the sea-shore : it is of diiferent shapes and coloui's. It is difficult to say what the Greeks called by this name. Dioscorides speaks of live sorts of it. They are calcined with a little salt, as dentrifrices, and are used to remove spots on the skin. Alder-tree. See Betula Alnus. Alder, berry-bearing. See Rhamnus Fran- gula. Alder wine. When welFfermented, and having a proper addition of raisins in its composition, is frequently a rich and strong liquor; itkeepsbetterthanmanyof the other made-wines, often for a number of years, and was formerly supposed to possess many medical virtues ; but these experience does not seem to sanction : and the virtues of the alder, like those of many other simples for- merly prized, have sunk into oblivion. ALE. Cerevisia. Liquor cereris. Vinum hordeaceum. Barley wine. A fermented liquor made from malt and hops, and chiefly distinguishedfrom beer, made from the same ingredients, by the quantity of hops used therein ; which is greater in beer, and there- fore renders the liquor more bitter, and fitter for keeping. Ale, when well fermented, is a wholesome beverage, and seems only to disagree with those subject to asthma, or any disorder of the respiration, or irregula- rity in the digestive organs. The old dis- pensatories enumerate several medicated ales, sucii as cerevisia oxydorica, for the eyes : cerevisia cmliarthriiica, against the gout ; cephalica, epilcptica, &c. Aeeara. A cucurbit. Ale'bria. (From alo, to nourish.) Nou- rishing foods, or medicines. A'lec. Alech. Vitriol. Ale'charith. Mercury. Alei'mma. (From a.Keiipa>, lo anoint.^i An ointment. Alei'on. ('Aas/ov, copious.) Hippocrate,^ iT^cs this word as an epithet for water. ALE ALl :ik Alei'pha. (From akufee, to anoint.) Any medicated oil. Alelai'on. (From a.x;, salt, and s^st/ov, oil ) Oil beat up with salt, to apply to tu- mours. Galen frequently used it. Ale'ma. (Frona a, priv. and Xi^ao?, hun- ger. Meat, food, or any thing that satisfies the appetite. ALE'MBIC. (Some derive it from the Arabian particle al, and njuCit, from Ay.Caivw, to ascend. Avicenna declares it to be Arab.) Moorshead. A chemical utensil made of glass, metal, or earthen- ware, and adapted to receive volatile products from retorts. It consists of a body, to which is fitted a conical head, and out of this head descends laterally a beak to be inserted into the receiver. AtE'MBROTH. A Chaldee word, import- ing the key of art. Some explained it by .va7 mercurii, or sal philosophoruin S/- artis ; others say it is named alembrot and salfusio- nis, or salfixionis. Jlhmbroth desiccatum is said to be the sal tartari ; hence this word seems to signify alkaline salt, which opens the bodies of metals by destroying their sulphurs, and promoting their separation from the ores. From analogy, it is sup- posed to have the same effect in conquering obstructions and attenuating viscid fluids in the human body. A peculiar earth, proba- bly containing a fixed alkali, found in the island of Cyprus, has also this appellation ; and a solution of the corrosive sublimate, to which the muriat of ammonia has been added, is called sal alembroth. Ale'mzadar. Crude sal ammoniac, or muriat of ammonia. Ale'mzadat. Crude sal ammoniac, or muriat of ammonia. Alepe'nsis. a species of ash-tree which produces manna. A'les. (From £tXf, salt.) The name of a compound salt. Aleu'ron (From cthim, to grind.) Meal. Alexander. See Trallian. Alexanders, common. This plant, Smyr- nium olusatrum of Linnanis, was formerly cultivated for salads. It is now superseded by celery. Alexan'ders, round-leaved. Smyrnium perfoliahim of Linnaeus. The blanched stalks of this species are far preferable to those of common alexanders, and are es- teemed as stomachic and nervine. Alexa'ndria. Jllexandrina. The 1 ay- tree, or laurel, of Alexandria. Alexa'sdriuw. Eraplastrum viride. A plaster described by Celsus, made ^vith Vvax, alum, &.C. Alexica'ca. (From atvs^aj, to drive away, and Mitov, evil.) Alexicacum. An antidote, or amulet, to resist poison. Alexipha'r7,iics. (A'exipharmica, sc. mc- dicamenta, from ax*?*, to expel, and cpue- uctmv, h poison.) £nlipharmica. Caco-alexi- feria. Medicines supposed to preserve ilif body again.^t tlie power of poison:?, or to cor- rect or expel tliose taken. The antients attributed this property to some vegetables, and even waters distilled from them. The term, however, is now disused. Alexipvre'ticum. (From axs^a, to drive away, and rwugilog, fever.) A febrifuge. A remedy for fever. Alexipy'retos. Jllexipyretum. The same as alexipyreticum. Ale'xir. An elixir. Alexite'ria. Preservatives from con- tagion. Alexite'rium. (From eixe^ai, to expel, and THgfco, to preserve.) A preservative medicine against poison, or contagion. Alfa'cta. Distillation. Alfa'tide. Muriat of ammonia. Alfa'sra. .Ilphesara. Arabic terms for the vine. A'lfadas. Alfides. Cerusse. A'lfol. Muiiat of ammonia. A'lfus.'V. Tutty. A'lgall a catheter. Also nitre. A'lgarah. See Jjnchilops. A'lgaroth. (So called from Victorius x\lgaroth, a physician of Verona, and its in- ventor.) Jilgarot, Algaroilii. Mercurias vit(E . Pulvis Algarothi. The antimonial part of the butter of antimony, separated from some of its acid by washing it in water. It is vio- lently emetic in doses of two or three grains, and is preferred by many for making the emetic tartar. Alge'do. (From axyoc, pain.) A violent pain about the anus, perinajum, testes, ure thra, and bladder, arising from the sudden stoppage of a virulent gonorrhoja. A terra very seldom used. Alge'ma. (From «x^*>j, to be in pain.) Mgemodes. Mgemalodes. Uneasiness, pain of any kind. Alge'ri-s;. Algirie. Lime. A'lgeroth. See Mgaroth. A'lgibic. Sulphur vivum. A'lgor. a sudden chillness or rigour. A term met v;ith in Sauvage's and Sagar'.s Nosology. Algosarel. The Arabian term for the Daucus sylvestris, or carrot. Alguada. a white leprous eruption. Alha'gi. (Arab.) A species of Hedy- sariirn. Tlie leaves are hot and pungent, the flowers purgative. Alk,\'>dala. An Arabian name for co- locynth, or bitter apple. Alha'sef. (Arab.) .filknsaf. A sort of fojtid pustule, called also Hydroa. A'lia stiui'LLA (From .jlkic^, belonging (o the s.;a, and cxiw^, a shrimp.) 7\. prawn. A'LicA. (From alo, to nourish. In gene- ral significatiou, a grain ; a sortjof food ad- mired by the antients ; it is not c'erlain whe- ther it is a grain or a preparation of some kind thereof. A'LTcss.^(From awla, to sprinkle.) Liftir: red spots in the skin, which precede the eruption of pustules in the small-po:i. 3^ ALK AL'K Aliena'tjo mentis. (From ulieno, to estrange. Delirium.) Estrangement of the mind. Alifc'rhies mu'sculi. Muscles so called from their supposed resemblance to wings. See Pterygoideus. ALIMENTARY CANAL. Alimentary duct. A name given to the whole of those passages which the food passes through from the mouth^to the anus. This duct may be said to be the true characteristic of an ani- mal ; there being no animal without it, and whatever has it, being properly ranged un- der the class of animals. Plants receive their nourishment by the numerous fibres of their roots, but have no common receptacle for digesting the food received, or for cariy- ing off the excrements. But in all, even the lowest degree of animal life, we may ob- serve a stomach, if not also intestines, even where we cannot perceive the least forma- tion of any organs of the senses, unless that common one of feeling, as in oysters. Alimentary duct. The alimentary ca- nal. The thoracic duct is sometimes so called. Alimos. Common liquorice. .Vlimum. See Arum. Alinde'sis. ('AxtvJ'iiTi;, from ctKDifay.ui, to be turned about.) A bodily exercise, which seems to be rolling on the ground, or rather in the dust, after being anointed with oil. Hippocrates says it hath nearly the same eflFect Eig wrestling. AliPje'nos. (From et, neg. and UTrdnvw, to be fat.) Ali-pcEnum. Mipantos. An ex- ternal remedy, without fat or moisture. Alipa'sma. (From etxu^ce, to anoint.) An ointment rubbed upon the body, to prevent sweating. Alipe. Remedies for viounds in the cheek, to prevent inflammation. Alipow. a species of turbith, found near Mount Ceti, in Languedoc. It is a power- ful purgative, used instead of senna, but is much more active. Ali'ptje, (From nxn^ce, to anoint.) Ser- vants who anointed the persons after bath- ing. Misandcrs. See Smyrnium. ALI'SMA. (From a/i;, the sea.) Water- plantain. The name of a genus of plants in the Linna^an system. Class, Hexandria. Order, Polygynia. Ali'stelis. (From axi, the sea.) Muriat of ammonia. A'litt. Jllith. Asafcetida. Alkafi'al. Antimony. A'lkahest. An imaginary univei-sal men- struum, or solvent. See Mcahest. A'i-kaiiest Glaube'ri. Alkaline salts. A'LKAriAT Glaube'ri. An alkali. A'LKALI. {Mcali, in Arabic, signifies burnt ; or from aZ and kali, i. e. the essence, or the whole of kali, the plant from which it was originally prepared, though now de- rived from plants of every kind.) Jikaii^ alafi, ulafor, alafort, calcadis. A term given to substances which possess the following properties : They are incombustible, and soluble in water: they possess an acrid, urinous taste. They unite with another class of bodies called acids, and form new compounds, in which both the acid and al- kaline properties are more or less lost. They render oils miscible with water. They change various blue vegetable pigments to green ; red to violet, or blue ; and yellow to brown. Blue pigments, that have been turned red with acids, are again restored by alkalis to their primitive colours. They at- tract water and carbonic acid from the atmo- sphere. They unite to sulphur by fusion, and by means of water. They exert a great solvent power on the cellular membrane and animal fibre. They also corrode woollen cloth, and, if sufficiently concentrated, con- vert it into a sort of saponaceous jelly. There are only three kinds of alkalis at present known : 1. The mineral, called sorfa, in the new chemical nomenclature. See Soda. 2. The vegetable, called ■poiassa, in the new chemical nomenclature. See Potassa. 3. jimmonia, or the caustic %'olatile al- kali, is the third. See Ammonia. To these, some chemists add baryles, and some other earths : which, agreeing with alkalis in some respects, are properly called alkaline earths. Potassa and soda, not being converted to the state of vapour, but by a very intense heat, are termed fixed alkalis : but ammonia, existing in the gaseous form at common temperatures, is distinguished by the name of volatile alkali. The two former-, when mixed with siliceous substances, and expo- sed to a strong heat, form a more or less perfect glass. They emit light on the affusion of the dense acids when freed from water. ALKALESCENT. Slightly alkaline. Alkali, caustic An alkali is so called when deprived of the carbonic] acid it usu- ally contains, for it then becomes more caustic, and more violent in its action. A'LKALI Fi'xuM. Thosc alkalis are so called, that emit no characteristic smell, and cannot be volatilized, but with the greatest dllficulty. Two kinds of fixed alkalis have only hitherto been made known, namely, potash and soda. See Potassa and Soda. Alkali, fossile. See Soda. Alkali, mineral. (So called because it forms the basis of marine salts.) See Soda. Alkali, vegetable. (So called because it abounds in many vegetables.) See Potassa. Alkali, volatile. (So called because it is volatile, in opposition to the other alkalis, which are fixed.) See Ammonia. ALKALI'NA. A class of substances des- cribed by Cullen as comprehending the sub- stances otherwise termed antadda. They consist of alkalis,and othersubstances which nentraliKe acids. ThepriucJpalBlkdjue?ir< ALL ALL 33 Use, are the carbonates and subcarbouates of soda and potash, the subcarbonate of am- monia, lime water, chalk, magnesia and its carbonate. Alkalizatiok. (Alkalizatio, onis, f.) AI- kalization. The impregnating any thing with an alkaline salt, as spirit of wine, &.c. A'lkaket. {Mkanahj a reed, Arab.) Badix AnchuscE. Alka'nna. See Anchusa. Alka'nna ve'ra. See Laivsonia. Alka'sa. Alksoal. A crucible. Alka'nthum. Arsenic. A'lkant. Quicksilver. ALKEKE'WGI. (Alktkengi, Arab.) The winter-cherry. See Physalis. Alke'rmes. a term borrowed from tlie Arabs, denoting a celebrated remedy, of the form and consistence of a confection, whereof the kermesisthe basis. See Kermcs. Alice'rva. (Arab.) Castor oil. A'LKOHOL. (An Arabian word, which signifies antimony : so called from the usage of the Eastern ladies to paint their eye- brows with antimony, reduced to a most .subtle powder ; whence it at last came to .signify any thing exalted to its highest per- fection.) Alcohol. Alkol. Spirilus vinosus rec- lificalus. Spirilus vini rtciificatus. Spiritus vini concentratus. Spiritus vini rectificatis- simus. Alkohol is highly rectified spirit of wine, freed from all those aqueous particles which are not essentia] to it, by duly per- forming rectification. In its purest state, it is quite colourless, and clear, of a strong and penetrating smell and taste ; capable of be- ing set on fire without a wick, and burning ■with a flame, without leaving a residue, and without smoke and soot. Alkohol is misci- ble with water in all proportions. It is not known to freeze in any degree of coldness. It is the direct menstruum or solvent of re- sins. It dissolves, also, the natural balsams. The resinous and various other parts of plants are also soluble in alkohol ; hence it is made use of for extracting those parts, and for making tlie preparations called elix- irs, tinctures, essences, &c. In England, al- kohol is procured by distillation from mo- lasses ; in Scotland and Ireland, from an in- fusion of malt. This last, before its rectifi- cation, is termed whiskey. In the East-In- dies, arrack is distilled from rice ; in the West Indies, rum from the sugar-cane ; and in France and Spain, brandy from wine ; all these afford alkohol by distillation. On the human solids, alkohol acts as a most violent corrugator and stimulus. A'lkosor. Camphire. A'lki plumbi. Supposed to be acetate of lead. Alkymia. Powder of basilisk. A'llabor. Lead. Allantoi'des membra'na. (Allantoides ; from AKKctc, a hog's pudding, and uJ'oc, like- ness ; because in some brutal animals, it is 'ong and thick. > A membrane of the foetus, peculiar to brutes, which contains the urine discharged from the bladder. Allefltji'a, (Heb. Praise the Lord.) The acetosa, or wood-sorrel ; so named from its many virtues. See Oxalis. All-good. English mercury. The vul- gar name for the Chenopodium bonus Ilen- ricus of Linnffius; a plant which may be boiled for spinach, and which is in no de- gree inferior to it. See Chenopodium. All-heal. See Heraclium and Stachys. ALLIA'RIA. (From allium, garlick ; from its smell resembling garlick.) .Tack- of-the-hedge. Sauce-alone, or stinking hedge-mustard. See Erysimum. A'llicar. Vinegar. Alli'coa. Petroleum. Alligatu'ka. a ligature, or bandage. Allio'ticum. (From a-AXioce, to alter, or vary.) An alterative medicine, consisting of various antiscorbutics. Galen. A'LLIUM. (From oleo, to smell, because it stinks ; or from m-Aite, to avoid, as being unpleasant to most people.) Garlick. 1. The name of a genus of plants in the Linnaean system. Class, Hexandria. Order Monogynia. Garlick. Four species of this genus are used medicinally. 2. The pharmacopceial name of garlick. See Allium Sativum. A'llium ce'pa. The Onion. Cepa.Allium: — scapo yiudo inferne veniricoso longiore, foliis teretibus, of Linnajus. Dr. Cullen says, onions are acrid and stimulating, and pos- sess very little nutriment. With bilious con- stitutions they generally produce fiatulencj'-j thirst, head-ache, and febrile symptoms ; but where the temperament is phlegmatic, they are of infinite service, by stimulating the habit and promoting the natural secre- tions, particular! j^ expectoration and urine. They are recommended in scorbutic cases, as possessing antiscorbutic properties. Ex- ternally, onions are employed in suppura- ting poultices, and suppression of urine in children is said to be relieved by applying them, roasted, to the pubes. A'llium po'rrum. The Leek or Porret. Porrum. Allium porrum of Linna;as. Every part of this plant, but more particularly the root, abounds with a peculiar odour. The expressed juice possesses diuretic qualities, and is given in the cure of dropsical dis- eases, and calculous complaints. A'llium sati'vum. Garlick. Allium. Theriaca rusticontm. Allium : — caule plani- folio bulbifero, bulbo composito, staminibus tricuspidatis, of Linnaeus. This species of garlick, according to Linnaeus, grows spon- taneously in Sicily; but, as it is much em- ployed for culinary and medicinal purposes, it has been long very generally cultivated in gardens. Every part of the plant, but more especially the root, has a pungent ac- rimonious taste, and a peculiarly ottensive strong smell- This odour is extremely pene- (ratina; and diffu'^ive : for- on the r«nt being 3A. ALL ALM i'aken into the stomach, the alliaceous seeut impregnates the -wliole system, and is dis- f ovcrable in the various excretions, as in (he urine, perspiration, milk, &c. Garlick is generally allied to tiie onion, from which it seems onlj' to differ in being more power- :'nl in its effects, and in its active matter, being in a more fixed state. By stimulating the stomach, they both favour digestion, and, as a stimulus, are readily diffused over the system. They may, therefore, be con- sidered as useful condiments with the food of phlegmatic people, or those whose cir- culation islanguid,and secretions internipt- "ed ; but with those subject to inflammatory complaints, or where great iiTitability pre- A'ails, these roots, in their acrid state, may prove very hurtful. The medicinal uses of garlick are various ; it has been long in es- timation as an expectorant in pituitous asth- mas, and other pulmonary aftections, laiat- fcnded with inflammation. In hot bilious constitutions, therefore, garlick is improper} for it frequently produces flatulence, head- ache, thirst, heat, and other inflammatory symptoms. A free use of it is said to pro- mote the piles in habits disposed to this complaint. Its utility as a diuretic in drop- sies is attested by unquestionable authorities ; and its febrifuge power has not only been experienced in preventing the paroxysms of intermittents, but even in subduing the plague. Bergius says quartans have been cured by it; and he begins by giving one bulb, 01= clove, morning and evening, add- ing eveiy day one more, till four or five cloves be taken at a dose ; if the fever then vanishes, the dose is to be diminished, and it will be sufficient to take one, or two cloves, twice a day, for some wrecks. Ano- ther virtue of garUck is that of an anthel- ininthic. It has likewise been found of great advantage in scorbutic cases, and in calcu- lous disorders, acting in these, not only as a diuretic, but, in several instances, manifest- ing a lilhontriptic power. That the juice of alliaceous plants, in general, has considera- ble effects upon human calculi, is to be in- ferred from the experiments of Lobb : and ■".ve are abundantly warranted in asserting , to pour.) Hippocrates uses this word to mean delirious. Alloeo'sis. (From dxxcc, RBOther.) Al- teration in the state of a disease. Alloeo'tica. (From a\ko;, another.) AI» teratives. Medicines which change the ap- pearance of the disease. ALi.ocyo'sis. (From clx/.k, another, and yivas-zoc, to know.) Delirium ; perversion of the judgment; incapability of distinguishing persons. Ai.Lo'PHASis. (From axKoc, another, and tpaor., to speak.) According to Hippocrates, a delirium, where the patient is not able to distinguish one thing from another. Aelotriopha'gia. (From axAcT/g/cc, fo- reign, and ?>*^ft), to eat. A synonym of pica. See Pica. In Vogel's iNosology it signifies the greedily eating unusual things for food. ALLOY. By this word, chemists and artificers commonly understand any portion of base metal, oi- metallic mixture, which is added to lower the more valuable metals, particularly gold and silver; likewise all compounds of metals united by fusion into one seemingly homogeneous mass, unless mercurj' be present, when they are termed Amalgams. JIUfico See Juydus Flmerdu. A'lma. Water ; and the first motion ot a fp?tns to h^.fi i(s-elf from ii^ confinement. ALy XIA) -\i.iiABRr. A stone-like amber. Almagra. Boluni cuprum. 1. Red earth, or ochre, used by the an- 'ients as an astringent. 2. Rulandus says it is the same as Loiio. 3. In the Theatrum Chymicum, it is a aamefor the white sulphur of the alchemists. ALMARi'NDA. Almakis. Litharge. Alma'nda catha'rtica. a plant grow- ing on the shores of Cayenne and Surinam, used by the inhabitants as a remedy for the colic ; supposed to be cathartic. Alma'rcab. (Arab.) Litharge of silver. Almasca'rida. Litharge of silver. Alma'rgen. Almarago. Coral. Almarkasi'ta. Mercury. Alma'rtak. Powder of litharge. Aliiata'tica. Copper. Almeca'site. Mmtchasile. Copper. Almeaile'tu. a word used by Aviceo- iia, to express a preternatural heat less than that of fever, and which may continue after a fever. Al.me'ne. Sal lucidum, orsalgemm.ce. Almi'sa. Musk. Aljiiza'dir. Verdigris, or muriat of am- monia. Almiza'dar. Muriat of ammonia. Almond, bitter. See Amygdalus. Almond, common. See Amygdalus. Almond, sweet. See Amygdalus. Al.monds or THE EARS. A popular name . for the tonsils, Vihich have been so called from their resemblance to an almond in :?hape. See Tonsils. AmoT^Ds ojF THE THROAT. A vulgar name for the tonsils. Alnabati. In Avicenna and Serapion, this word means the siliquadukis, a gentle laxative. A'lnec. Stannum, or tin, A'lneric. Sulphur vivum. A'LNUS. (Alno, Ital.) The alder. The piharmacopoeial name of two plants, sometimes used in medicine^ thougli rarely employed in the present practice. 1. Alnus rotund'folia ; glutinosa; viridis; the common alder-tree. See Betula. 2. Alnus nigra, ve\ frangula ; the black, or berry -bearing alder. See Rhamnus Fran- gula. A'LOe. (From a/tZaft, a Hebrew word, signifying growing near the sea.) The Aloe. A genus of plants of the Linna;an system. Class, Hexandria. Order, Monogynia. Aloe Cahallina. See Alo?s. Aloe Guinensis. See Aloes. Atoii: peerfoliata. See Aloes. Aloe Socoiorina. See Aloes. Aloe Zocotorina. See Aloes. ALOeS. (Aloe,es,L) Felnaturcc. The inspissated juice of the aloe plant Aloes are distinguished into three species, socoto- nne, htpatic, and, caballine ; of which the two first are directed for ofScial use in onr pharmacopfei.a.s. The 1st. J/(/i SticcotoTina. Aloe Zoclorinia Succotcrine alecs, is obtained from a variety of the Aloe ■pcrfoliutu of Linuffius: — folii.'i caulinis dentatis, amplexicauUbus vaginanti- busjfloribus corymbosis, cernuis,ptdiia culath suhcylindricis : it is brought over wrapped in skins, from the Island of Socotora, in the Indian Ocean ; it is of a bright surface and in some degree pellucid; in the lump, of a yellowish red colour, with a purplisli cast; when reduced into powder, it is of a golden colour. It is hard and friable in very cold weather ; but in summer it softens very ea- sily betwixt the fingers. It is extremely bitter, and also accompanied with an aro- matic flavour, but not so much as to cover its disagreeable taste. Its scent is rather agreeable, being somewhat similar to that of myrrh. Of late this sort has been very scarce, and its place in a great measure sup- plied by another variety, brought from the Cape of Good Hope ; which is said to be obtained from the Aloe Spicata of Linnosus, by inspissating the expressed juice of the leaves, whence it is termed in the London Pharraacopceia Aloes Spicatse Estractiim. 2. Aloe hepalica, vel Barhadensis : the common or Barbadoes or hepatic aloes. This was thought to come from a variety of the Aloe perfoliata of Linntcus .- — -floribus pedunculalis, cernuis corymbosis, subcylindri- cis,foliis spinosis, conftrlis, denialis, tagirian- iibus, planis, mficiilulis : but Dr. Smith has announced, that it Vi'ill be shown, in Sib- thorp's Flora Grsca, to be from a distinct species, the Aloe vulgaris, or true tt?.o», of Dioscorides ; and it is therefore termed iii the London Pharmacopciia Aloes vulgaris Extractum. The best is brought from Bar- badoes in large gourd-shells; an inferior sore in pots, and the Vvorst in casks. It is darker coloured than the socotorine, and not so bright; it is also drier and more compact,, though sometimes the sort in casks is soft and clamm.y. To the taste it is intensely bitter and nauseous, being almost wholly without that aroma v.hich is observed in the socotorine. To the smell it is strong and. disagreeable. 3. Aloe cub allina vel Guineensis ; Horse- aloes. This is easily distinguished from both the foregoing by its strong rank smell ; in other respects it agrees pretty much with the hepatic, and is now not unfrequently sold in its place. Sometimes it is prepared so pure and bright as scarcely to be distiH- guishable by the eye, even from the socoto- rine, but its offensive smell betrays it ; and if this also should be dissipated b}.- art, its wanting the aromatic flavour of the liner aloes will be a sufficient criterion. This aloe is not admitted into the materia medi- ca, and is employed chiefly by farriers. The general nature of these three kinds is nearly the same. Their particular diifer- ences only consist in the diiferent propor- tions of 2:nir! to their resiLi. and in their ALO ALG flfivou;-. The smell and taste reside prin- cipally in the gum, as do the principal vir- tues of the aloes. Twelve ounces of Bar- hadops aloes yield nearly 4 ounces of re- sin, and 8 of gnmmy extract. The same quantity of socotorine aloes yields 3 ounces of resin and 9 of gummy extract. Aloes is a well known stimulating purga- tive, a property which it possesses not only ■when taken internally, but also by external application. The cathartic quality of aloes does not reside in the resinous part of the drug, but in the gum, for the pure resin has little or no purgative pov.er. Its medium dose is from 5 to 15 grains, nor does a larger quantity operate more effectually. Its ope- Fation is exerted on the lar^e intestines, principally on the rectum. In small doses long continued, it often produces much heat, and irritation, particularly about the anus, from which it sometimes occasions a bloody discharge ; therefore, to those who were subject to piles; or of an haemorrhagic diathesis, or even in a state of pregnancy, its exhibition has been productive of con- siderable mischief; but on the contraiy, by those of a phlegmatic constitution, or tliose suffering from uterine obstructions, (for the stimulant action of aloes, it has been sup- posed may be extended to the uterus,) and in some cases of dyspepsia, palsy, gout, and worms, aloes may be employed as a laxa- tive with peculiar advantage. In all dis- eases of the bilious tribe, aloes is the strong- est purge, and the best preparations for this purpose are the pilula ex aloe cum myrrha, the tinctura aloes, or the extract- um coiocynthidis compositum. Its effi- cacy in jaundice is very considerable, as it proves a succedaneum to the bile, of which in that disease there is a defective supply to the intestine either in quantity or quality. Aloes therefore may be considered as inju- rious where inflammation or irritation exist in the bowels or neighbouring pai-ts, in pregnancy, or in habits disposed to piles ; but highly serviceable in all hypochondriac alFections, cachectic habits, and persons la- bouring under oppression of the stomach caused by irregularity. Aromatics correct the offensive qualities of aloes the most perfectly. The canella alba answers tole- rably, and without any inconvenience ; but some rather prefer the essential oils for this purpose. Dr. CuUen says, "If any medicine be entitled to the appellation of a stomach 'pin-gc, it is certainly aloes. It is remarkable with regard to it, that it operates almost to as good a purpose in a sniall as in a large dose ; that one or two grains ■will pro- duce one considerable dejection, and 20 gi-ains will do no more, except it be that in the last dose the operation will be attended with gripes, &c. Its chief use is to render the peristaltic motion regular, and it is one of the best cures in habitual cqstiveness. There is a difScult^v we meet with in the exhibit ioi! of purgatives, viz. tliat they wiU not act but in their full dose, and will not produce half their effect if given in half the dose. For this purpose we are chiefly con- fined to aloes. Neutral salts in half their dose will not have half their efl:ect; although even from these, by large dilution, we may obtain this property ; but besides them and our present medicine, I know no other Avhich has any title to it, except sulphur. Aloes sometimes cannot be employed. It has the effect of stimulating the rectum more than otherpurges, and with justice has been accused of exciting hemorrhoidal swellings, so that v.'e ought to abstain from it in such cases, except when we ■want to promote them. Aloes has the effect of rarifying the blood and disposing to heemorrhagj-, and hence it is not recommended in uterine fluxes. Foetid gums are of the same nature in producing heemorrhagy, and perhaps this is the foundation of their emmenagogue power." Aloes is administered either sim- ply in povi^ders, which is too nauseous, or else in composition : — 1. With purgatives, as soap, scammony, colocynth, or rhubarb. 2. With aromatics, as canella, ginger, or essential oils. 3. With bitters, as gentian. 4. With emmenagogues, as iron, myrrh, Avine, fee. It may be exhibited in pills as the most convenient form, or else dissolved in wine, oi- diluted alkohol. The officinal preparations of aloes are the following; — Pilula; Aloes. Pilula AIoSs Composita. Pi- lulae Aloes cum Assafoetida Pilula Aloes cumColocynthide. Pilula Aloes cum Myrrh. Tinctura Aloes, Tinctura Aloes jEtherialis. Tinctura Aloes et Myrrh. Vinum Aloes. Extractum Aloes. Decoctum Aloes Com- positum. Pulv. Aloes comp. Pulv. AloSs cum Canell. Pulv. Aloes cum Guaiac. Tinc- tura Aloes comp. Ext. Colocjmth. comp. Tinctura Benzoin, comp. and some others. Aloeda'ria. (From axon, thealoe. Com- pound purging medicines, so called from having aloes as the chief ingredient. Aloephangina. Medicines formed by a combination of aloes and aromatics. A'loes. See ./lloe. A'loes spica't;e extra'ctuji. See Jllo!;. A'loes vdlga'ris extra'ctum. See Mo'e\ Aloe'tics. Medicines wherein aloes is the chief or fundamental ingredient. Alogotro'phia. (From axoyo;, dispro-; portionate, and T-|ssai, to nourish.) Unequal nourishment, as in the rickets. A'lohar. (Arab.) Mohoc. Mercury. A'loks li'gnitm. See Lignum MIoes. Alo'mba. (Arab.) Mooc. Plumbum, or lead. Alo'peces. (From a.KWTTr,'^, the fox.) The psoae muscles are so called by Fallopius and Vesalius, because in the fox they are parti- cularly strong. ALOPE'cfA. (From cLxxTn^i a fox ; be- cause the fox is subject to a distemper that resembles it : or. as some say. because the _\LP ALT iox s ui-iiie will occasion baldness.) Mhr'u; flepilis. Phalacrofi.s. Baldness, or the fall- ing off of the hah-; when on the sinciput, calvities, ccilritium. Alo'sa. (From akickod, to take ; because it is a ravenous fish.) The Shad. See Clupea. A'losat. Alosohoc. Quicksilver. Alosa'nthi. (From nu, salt, and stvSsf, a flower.) MosoMthum. Flowers of salt. Alphabe'tcm chy'micum. Raymond Lully hath given the world this alphabet, but to what end is difficult to say ■. A signijicat Deurn. B Mey- curium. C Salis Petram. D VUriolum. E Menstruale. F ' Lunarn claram. G Mercurium nostrum. H Salem purum. I Coniposiium Lunce. K Compositum Soils. L Terr am compositi Lunce. M Jlquam compositi Lunce. N JErem compositi Lunce. O Terrani compositi Soils. P Jlquam compositi Soils. Q JErem compositi Soils. R Ignem compositi Soils. S Lapidem Mbum. T Medicinam corporis rubei. U Caloremfumi secretl. X Ignem siccum clneris. Y Calorem balnei, Z Separationem liquorum. Z Alembicum cum cucurbltA. A'lphanic. Mphenic. An Arabian word (signifying tender) for barley-sugar, or su- gar-candy. A'lphita. {Alphita, the plural of aA? See Alumen. u in an eartken pan over a gentle lire, till it deases to bubble, it is termed burnt alum, alunien exsiccaium, and is sometimes em- ployed by surgeons to destroy fungous flesh, and is a principal ingredient in most styptic powders. Alum is also applied to many pur- poses of life ; in this country, bakers mix a quantity with the bread, to render it white ; this mixture makes the bread better adapted for weak and relaxed bowels ; but in oppo- site states of the alimentary canal, this prac- tice is highly pernicious. The officinal pre- parations of alum are ; Mumen exsiccatum. Solutio sulphat. cupri amnion. Edin. Liq. alum. comp. Lond. Pulv. sulph. alum, comp. E. Alu'men ca'tinum. a name of potash. Alu'biex exsicca'tom. See Alumen. Alu'men kutilum. "j Alu'sien commune. Ald'men crvstallinum. Altj'men rupeum. ■Alu'men factitium. Alu'men romanum. Alu'men ruerum. Alu'men ustum. ALU'MINE. Mumina. Earth of alum. Pure clay. Aluminous earth derives its name from alum, of which it forms the base. It con- stitutes the greater part of clay, which forms the lower strata of mountains and plains. It arrests the waters, and causes them to rise in springs to the surface of the earth. Alumina enters into the natural composi- tion of the schistus, and all those stones and earths called argillaceous, such as potttfs- clay, fuller's-earth, lepidoliie, mica, corun- dum, k.c. Hitherto it has not been found pure any where, except in the garden of the public schools at Halle in Germany. Properties of pure Alumine. — Alumine is white, and soft to the touch. It is ingipid, adhei'es to the tongue, and occasions a sense of dryness in the mouth. When moistened with a small quantity of watei-, it forms a tenaceous, ductile, kneadable paste. When heated to redness, it shrinks considerably in bulk, and at last becomes so hard as to strike iire with flint. After being ignited, it is no longer capable of being kneaded with water into a ductile mass. It recovers, however, this property b)^ solution in an acid and pre- cipitation. Alkalies dissolve it in the humid way, and form compounds decomposable by acids. It dissolves slowly in all acids. It possesses a pov/crful attraction for lime. The most intense heat of our furnaces is not able to melt it, but it becomes fusible when lime is added. Lavoisier has proved that it is capable of entering into a kind of fusion like paste, by tlie action of oxygen gas ; it then cuts glass and resists the file. It absorbs water and carbonic acid from the atmos- phere. By its mixture with water and silex it acquires great solidity. It does not unite ■ivil!) anv vonibp.stible ?nl'st.?.-nc"e, but be- cQuies fused into coloured frits wiUi metal- lic oxids. Its specific gravity is 2. It l", employed in a multitude of arts. Method of obtaining pure alumine. — Take any quantity of alum of commerce, dissolve it in six parts of boiling distilled water, and add to tliis solution, when cold, liquid am- monia, till no further precipitate ensues. Then lieat the whole nearly to the boiling ])oint for a few minutes, and transfer it on a filter. In proportion as the fluid passes off, pour more water over the precipitate, until it passes tasteless. Let the precipitate ob- tained, while yet in a pasty state, be trans- ferred into a glass of Wedgwood's bason., and add to it muriatic acid in small quanti- ties at a time, until the whole is dissolved. Then evaporate the solution, till a drop of it, when suffered to cool on a plate of glass, yields minute ciystals : on letting it now cool, crystals of alum will be deposited. Re- move these ciystals by decanting the fluid, and renew the evaporation, until, on further cooling, no more crystals are formed. No- thing now but pure alumine remains in the solution ; the fluid may therefore be decom- posed by adding to it gradually liquid am- monia till no further precipitate ensues. The precipitate thus obtained, when well w aslied and dried, is pure alumine. The process recommended in general by syitematic writers, for obtaining alumine differs from this ; it consists in decomposing a solution of alum of commerce by an excess of carbonated alkali, washing the obtained precipitate, and exposing it to a sufficient , heat to drive off the carbonic acid. This method however is imperfect, for if the alu- mine thus obtained be heated with charcoal, and a diluted acid is added to the mixture, sulphureted hydrogen gas will be liberated. It adheres to the tongue, and emits a pecu- liar odour when breathed upon. Sure signs that it is not pure. It must be obvious that alumine cannot be obtained absolutely pure in this manner. For alum is a triple compound, consisting &f alumine, potash, and sulphuric- acid in ex- cess. When this excess of acid is saturated, by adding to the solution an alkali, or even pure alumine, a highly insoluble salt (sul- phate of alumine) is produced, differing from alum only in the proportion of its base. Vv'hen we therefore gradually add to a solu- tion of alum, a carbonated alkali, the first effect of the alkali is, to saturate the excess of the sulphuric acid, and the precipitate consists principally of the salt which is inso- luble in water. A further quantity of the alkali effects instantly a decomposition of part of the salt, which, in proportion as it takes place, becomes mixed with the alu- mine ; and it is thus covered from the fur- thei- action of the alkali. This being the case, it is obvious that no subsequent wash- ing can do more than separate the sulphate ofpot9:^h. and therefore the residuum, in- 41) AMA AMA stead of being pure alumine, contains als6 a variable propoi-tion of true sulphate of alu- mine ; the sulphuric acid of which becom- ing decomposed on heating it in contact with charcoal, accounts for the sulphureted hydrogen gas produced by the atfusion of an acid. With the acids it is known to form more than twenty species of neutral salts. Of these only one is used in medi- cine and surgery, called alum, ov aluminous sulphate. See Alumen. Alu'minous waters. Waters impregna- ted with particles of alum. Aldsar. Manna. ALVEA RIUM, (From alvtUTC, a bee- hive.) That part of the meatus auditorius externus is so called, which contains the wax of the ear. ALVE'OLI. (Plural of alveolus, a dimi- nutive of alveus, a cavity.) Botrion ; both- non ; frena, mortariolum. The sockets of the teeth. A'LVEUS COMMUNIS. The common duct, or communication of the ampuUai of the membranaceous semicircular canals in the internal ear, is so termed by Scarpa. A'lveus ampulle'scens. Part of the duct conveying the chyle to the subclavian vein. Alvidu'ca. (Fi-ora alvus, the belly, and duco, to draw.) Purging medicines. Alvij-lu'xus. (From alims, and Jluo, to flow.) A diarrhoea, or purging. A'LVUS. (J)lvus, i. f and sometimes, m. ablaUuendo, quA sanies alluuntiir.) The belly, . stomach and entrails. A'lyce. (Fi-om a.}^ua, to be anxious. That anxiety which is attendant on low fe- vers. Aly'pia. (From a., neg. and xutth, pain.) A gentle purgation of the humours without pain. Aly'pias. Mypum. A species of purge, fcio called because it purges gently and with- out pain. Aly'smus. - (From a.x-ja>, to be restless.) Restlessness. Aly'ssum. (From a, neg. and ws-a-u, the bite of a mad dog : so called because it was foolishly thought to be a specific in the cure of the bite of a mad dog.) Mad-wort. See Marrubium. Aly'ssum Gale'si. See marrubium ver- ilcillaium. Aly'ssum Pli'nit. See Galium album. Aly'ssum verticilla'tum. The marru- bium verticillalum. Alze'mafor. Cinnabar. A'lzum. Mdum. Aldrum. The name of the tree which produces gum bdellium ac- cording to some antient authors. A'ma. (ii^st, together.) A word used in (joniposition. AMA'LGAM. (From itf/.a., and ysiy.w to marry.) A substance produced by mixing mercury v.'ith a metal, the two being there- •:v ic corpora' v'^d. Ajiame'lis. (From ciy.:t, and /.oixia, aii apple.) The bastard medlar of Hippo- crates. Amani'tje. (From a., priv. and y.Avtx, madness ; so called because they are eatable and not poisonous, like some others.) A tribe of fungous productions, called mush- rooms, truffles, and morells, and by the French, champignons. AMA'RA. (Amara, sc. medicamenta ; from amarus, bitter.) Bitters. The principal bitters used medicinally are : the pure bitters, gentiana lutea; humulus lupulus ; and quassia amara: styptic bitters^ cinchona officinalis ; croton cascarilla ; quassia simarouba : and aromatic bitters, artemisia absinthium; anthemis nobilis ; hyssopus, &ic. Ama'ra dul'cis. See Solanum Dulca- mara. Ama'racus. (From *, neg. and /uatpcttvce, to decay ; because it keeps its virtues a long time.) Marjoram. A'maranth e'sculeivt. See Amaranthus- Oleraceus. AMARA'NTHUS. (From a, neg. and /uu^cuvo), to decay.) The name of a genus of plants in the Linnasan system. Amara'nthus olera'ceus. Esculent Am- aranth. The leaves of this, and several other species are eaten in India the same as cabbage is here. Amato'ria eebkis. (From amo, to love.) See Chlorosis. Amato'ria venefi'cia. (From amo, to love, and venejicium, witchcraft.) Philters, Love powders. Amato'rii. (Amatori, sc. musculi.) A term given to the muscles of the eye, by which that organ is moved in ogling. Ajiatzqui'tl. (Indian.) See Arbutus Unedo. AMAURO'SIS. (A/ncLu^cea-ic : froma^cty^^* to darken or obscure.) Gutta serena. Am- blyopia. A genus of disease in the class lo- cales, and order dysa:sthesi(s of Cullen. It arises generally from compression of the optic nerves; amaurosis compressionis ; ivoxa debility, amaurosis atonica ; from spasm, amaurosis spasmodica; or from poisons, amaurosis venenata. This is a disease of the eye attended witli a diminution or total loss of sight, without any visible injury to the organ, and arisijig from a paralytic affection of the retina and optic nerve. The symptoms of gutta serena are noted for being very irregular. In many cases, the pupil is very much dilated, immovea- ble and of its natural black colour. Some- times, however, in the most complete and incurable cases, the pupil is of its natural size, and the iris capable of free motion. In some cases, the pupil has a dull, glassy or horny appearance. Sometimes its colour is greenish, occasionally whitish and opaque, so as to be liable to be mistaken for an in- !;ipient cataract. Richter mentions a de- AMB A. MB 41 gree of strabismus, as the only symptom, except the loss of sight, as invariably at- tendant on amaurosis. The blindness produced by the gutta Serena, is generally preceded by an ima- ginary appearance of numerous insects, or substances, like cobwebs, interposing them- selves between objects and the eye. The origin of a cataract on the other hand, is usually attended with a simple cloudiness of vision. Violent contusions of the head, apoplec- tic fits, flashes of lightning, frequent ex- posure to the rays of the sun, severe exer- cise, strong passions, drunkenness, and other causes of paralytic affections, are enume- rated as producing this complaint. Some- times tumours within the cranium, bony projections, &.c. have been found compress- ing the optic nerves : but in many instances no morbid appearance could be traced, whence the defect has been concluded to exist in these. The disorder is generally difficult to be removed : but is sometimes much bene- fited by general and local stimulants, per- severed in for a considerable time. If there are marks of congestion in the head, local bleeding, active purging and other evacua- tions would be proper in the first instance. Blisters and issues behind the ear or neck should also be tried. Richter speaks of much success from the use of medicines acting steadily on the bowels, after premi- sing an emetic. Mr. Ware observes, that in some cases the pupil is contracted, indi- cating probably, internal inflammation ; and then the internal use of mercury, especially the oxymuriate, will be most beneficial. Electricity has been sometimes serviceable, taking the aura or sparks, or even gentle shocks ; but galvanism is certainly prefera- ble. Errhines are often useful, as tbe compound powder of asarabacca ; Mr. Ware particularly recommends the hydrargj'rus vitriolatus of the former London Pharma- copoeia. Stimulants have been sometimes usefully applied to the eye itself, as the vapour of oil of turpentine, an infusion of capsicum, &c. Where the intention of a blister is to stimulate, it is best applied to the temple on the affected side. Amber seed. See Hibiscus abelmoschus. A'MBE. (A^f», the edge of a rock ; from tif/.S!tiva), to ascend. An old chirur- gical machine for reducing dislocations of the shoulder, and so called, because its extremity projects like the prominence of a rock. Its invention is imputed to Hip- pocrates. The ambe is the most ancient mechanical contrivance for the above pur- pose, but is not at present employed. A'mbela. (Arab.) The cornered hazle- nut, the bark of which is purgative. AMBER. Succinum. A beautiful bi- tuminous substance, of a yellow or brown colour, either transparent or opaque, which 6 takes a good polish, and, after a slight rub- bing, becomes so electric, as to attract straws and small bodies ; it was called }!Kix.- Tgif (eledntm) by the ancients, and hence tbe word electricity. ^Vhen powdered, it emits an agreeable smell. It is dug out of the earth at various depths, and often contains insects in high preservation ; a circumstance which proves that is has been liquid. Amber is also found floating on the shores of the Baltic, and is met Avith in Italy, Sicily, Poland, Sweden, &,c. From its colour or opacity it has been va- riously distinguished ; thus ivhite, orange, golden, cloudy amber, &c. An oil is ob- tained from it, which, as well as its other preparations is occasionally used in medi- cine against spasmodic diseases. See Oleum, Snccini, and Succinic Jlcid. AMBERGRIS. (Jlmbragrisea.) A con- crete, bituminous substance, of a soft and tenacious consistence, marked with black, and yellow spots, and of an agreeable and strong smell when heated or rubbed. It is found in very irregular masses, floating on the sea near the Sloiucca Islands, Mada- gascar, Sumatra, on the coast of Coroman- del, Brazil, America, China, and Japan, Several American fishermen assured Dr. Schwediaur, that they often found this sub- stance, either among the excrements of the Physeter macroctphalus, a species of whale, or in its stomach, or in a vessel near the stomach. The medical qualities of ambergris are stomachic, cordial, and antispasmodic. It is very seldom used in this country. Amelo'sis. (A/uSxaia-t; : from etiuCKoai, to cause abortion.) A miscarriage. Amblo'tica. (Amblotica, sc. medica- metita, ct^CptaT/a*; from ct/xCxoo), to cause abortion.) Medicines which were supposed to occasion abortion. Amblyopia. (From a.f/.CKu;, 'dull, and 0-1, the eye.) Hippocrates means by this word, dimness of sight to which old people are subject. Pauius Actuarius, and the best modern writers, seem to think that am- blyopia means the same thing as the in- complete amaurosis. See Gv.tta serena and Amaurosis. Amblyo'smus. Amblytes. The same. A'mbo. (Indian.) The mango. A'mbon. (From a,fACa.ivui, to ascend.) Celsus uses this term to signify the margin or tip of the sockets in which the heads of the large bones are lodged. A'mbone. The same as ambe. A'mbra. Amber. Also an aromatic gum. A'aiBRA cinera'cea. (From cineraceus, of the colour of ashes.) Ambergris and gray amber. A'mbra gri'sea. Ambergris. A'mbram. Amber. Ambre'tte. See Hibiscus abelmoschus. Ambulati'va. (From ambulo, to walk.) A ME AMM A species of herpes ; so called because it walks or creeps as it were about the body. A'meulo. (From afA^axxK, to cast forth.) Flatus Fiiriosus. A periodical flatulent dis- ease, caused, according to Michaelis, by va- pours shooting through various parts of the body. Ambc'stio. (From ainburo, to burn.) Jimbustum. A burn or scald. Ame'lla. The same as achmella. AMENORRHEA. (From ct, priv. ,m«v, a month, and pa», to flow.) A partial or total obstruction of the menses in women from other causes than pregnancy and old age. That this excrementitious discharge should be regular as to quantity and quality, and that it should observe the monthly pe- riod, is essential to health. When it is obstructed, nature makes her efforts to ob- tain for it sotae other outlet. When these efforts of nature fail, the consequence may be, pyrexia, pulmonic diseases, spasmodic affections, hysteria, epilepsia, mania, apo- plexia, chlorosis, according to the general habit and disposition of the patient. Dr. Cullen places this genus in Ihe class locales, and order episdiescs. His species are, 1. Emansio mensium; that is, when the menses do not appear so early as is usually expect- ed. See Chlorosis. 2. Suppj-essio mensium, when, after the merses appearing and con- tinuing as usual for some time, they cease without pregnancy occurring. 3. Amenor- rhea difficilis, vel Menorrhagia difficilis, when this flux is too small in quantity, and attend- ed with great pain, fee. The causes of a suppression of the menses appear mostly to operate by inducing a constriction of the extreme vessels ; such as cold, fear, and other depressing passions, an indolent life, the abuse of acids, he. It is sometimes symptomatic of other dis- eases, in which considerable debility occurs, as phthisis pulmonalis. When the discharge has been some time interrupted, particu- larly in persons previously healthy, haemor- rhages will often liappen from other out- lets, the nose, stomacli, lungs-, &.c. even in some instances a periodical discharge of blood from an ulcer has occurred. The patient generally becomes obstinately cos- tive, often dyspeptic ; colicky pains, and various hysterical symptoms likewise are apt to attend. The means of chief efficacy in restoring the uterine function are those cal- culated to relax spasm, assisted sometimes by such as increase arterial action, particu- larly in protracted cases. The former will be employed with most probability of suc- cess, when symptoms of a menstrual efi'ort appear. They arc, especially the hip-bath, fomentations to the hypogastrium, sitting over a. vessel of hot water, so that the va- pour may be applied to the pudenda ; with antispasmodic medicines, as the compound gaibanum pill, castor, &c. but especially opium. If the patient be plethoric, vens- section should be premised. In cases of long standing, the object will be to bring about a determination of blood to the ute- rus. This may be accomplished by em- menagogues, of which savine and the lytta are most to be depended upon ; though the latter would be improper, if hematuria had occurred. Certain cathartics are also very useful, particularly aloes, which ap- pear to operate especially on the rectum, and thus sympathetically influence the ute- rus. Electric shocks passed through the hypogastric region, may likewise contribute to the cure. In cases of scanty and painful menstrua- tion, the means pointed out above as calcu- lated to take off" constriction of the uterine vessels, should be resorted to ; especially the hip-bath, and the free use of opium. AME'NTIA. (From a, priv. and mens the mind.) Imbecility of intellect, by which the relations of things are either not j)er- ceived, or not recollected. A disease in the class neuroses, and order vesanice of Cullen. Wiien it originates at birth, it is called amentia congenita, natural stupidity ; when from the infirmities of age, amentia senilis, dotage or childishness ; and when from some accidental cause, amentia acqui- sita. ^Imerican balsam. See Myroxylon Perui- ferxmi. America'num tubero'subi. The potato. An American tubersose root. See Solanum, Amethy'sta fha'rmaca. (From a., neg. and f.'.i^v, wine.) Medicines which were said either to prevent or remove the effects of wine. Galen. Amethy'stus. (From *, neg. and fxiBvc-- Kce, to be inebriated.) The amethyst. A precious stone, so called, because in former times, according to Plutarch, it was thought to prevent drunkenness. Ruland. in Lex. Chem. Ami'culum. a little short cloak. It is the same as the amnios, but anciently meant a covering for the pubes of boys, when they exercised in the gymnasium. Rhodius. A'midum. See Jimylum. AiiiNiE'uM. A wine produced in Ami- nasa, formerly a province of Italy ; called also Salernum. Also a strong wine vine- gar. Galen mentions Amina;um Neapo- litanum, and Aminseum Siculum. A'MMI. (Aju/j.t : from u/ui./u.o;, sand, from its likeness to little gravel-stones.) 1. The name of a genus of plants in the Linnsean system. 2. The pharmacopteial name of the herb bishop's weed, of which there are two sorts, the ammi veruni and vulgare. A'mmi ma'jus. The systematic name for the ammi vulgare of the shops. The seeds of this plant, Jlvmii majus of Linnaeus ; — foliis inferioribus pinnatis, lanceolatis, serraiis ; superioribus, nmltifidis, linearibus, are less powerful than those of the Sisnii A MM AMM •43 animi, but were exhibited with the same %'iews. A'mmi ve'rum. See Sison Ammi. A'mmi vulga're. See Ammi majus. A'mmion. Ammium. Cinnabar. Arimocho'sia. (From a.fj.[j.oz, sand, and yja>, to pour.) A remedy for drying the body by sprinkling it with hot sand. Ori- basius. Ammo'nia aceta'ta. See Liquor acetaiis ammonice. Ammo'nia muria'ta. See Sal ammoniac. Ammo'nia pr^parata. See Subcarbonas ammonite. AMMO'NIA. Ammonia-gas. The sub- stance so called, is an aeriform or gaseous body. Pure ammonia appears to be a compound of hydrogen and nitrogen, rendered gaseous by caloric. If a portion of it well dried be subjected to repeated electrical explosions, its bulk becomes gradually almost doubled, being resolved into hydrogen and nitrogen gases,ofwhich the latter constitutes only one- fourth by measure of the result ; and there- fore the proportions by weight are about : 18 hydrogen 82 nitrogen 100 If some liquid ammonia be subjected to the galvanic influence in contact with mer- cury, a substance resembling an amalgam is formed : but whether this be a com- pound of ammonia and mercury, or con- sist of the latter united to some element of ammonia, is uncertain. Berzelins who made the discovery, considers the volatile al- kali to be a compound of oxygen, and a me- tallic substance, which he calls ammonium. Ammonia-gas has a strong and very pun- gent odour. It extinguishes a flame, yet it increases the magnitude of the flame of a taper before extinction, producing a pale yellow colour round its edge. Animals cannot breathe it without death ensuing. It is lighter than atmospheric air, in the proportion of three to five. It tinges yel- loAV vegetable colours brown, and blue ones green. It is rapidly absorbed by cold water ; by ardent spirit, essential oils, ether, char- coal, sponge, bits of linen cloth, and all porous bodies. When a piece of ice is brought in con- tact with this gas, it melts and absorbs the gas, while at the same time its temperature is increased. It has no effect upon oxy- gen gas while cold ; but when made to pass with it through an ignited tube, it denotates and becomes decomposed. The same is the case with common air. It is also decom- posed by phosphorus at high tempera- tures. It does not explode when mixed with hydrogen gas. Nitrogen gas has no effect upon it. Atmospheric air does not combine with it at common temperatures, but only mixes with and dilutes it. When made to pass through ignited charcoal, it forms with it a substance called prussic acid. If brought into contact with acid gases, both gases lose their gaseous form, and become concrete. It has no sensible action on earths, or on the salino terrene substances. It combines readily with acids, and unites to sulphur, Avhen both are in a state of va- pour. It reduces oxides of metals to their metallic state, and is decomposed by them. It is alsojdecomposed by oxigenated muria- tic acid gas, Sic. — When liquid ammonia is exposed to the temperature of 46 degrees below 0, it crystallizes, and Avhen suddenly cooled down to 68 degrees below 0, it as- sumes a gelatinous appearance, and has scarcely any odour. Methods of obtaining Ammonia. — 1. Mis together equal quantities of muriate of am- monia and quick-lime, separately powdered ; introduce them into a gas-bottle or retort, apply the heat of a lamp, and receive the gas over mercury. Explanation. — Muriate of Ammonia con- sists of muriatic acid and ammonia ; on adding lime to it, a decomposition takes place, the muriatic acid quits the ammonia and unites to the lime, forming muriate of lime, which remains in the retort, and the- ammonia flies off in the state of gas. Remark. — In order to obtain the gas in a state of purity, it is essentially necessary that a considerable quantity of the gas first disengaged, be suffered to escape, on account of the common air contained in the distil- ling vessel, and in the interstices of the in- gredients. 2. Ammonia may likewise be obtained by heating the liquid ammonia of the shops (liquor ammonias, Pliarm. Loud.) in a retort placed in communication with the. mercurial pneumatic trough. In this process the ammonia contained in this liquid combines with caloric, assumes the form of ammonia-gas, and parts with the water to which it Avas united. Remark. — The temperature of the fluid must not be carried so high as to cause the water to be converted into vapour, or, if this cannot well be avoided, a small vessel should be interposed between the retort and the receiver, Avhich, Avhen kept cool, may serve to condense the aqueous vapour Avhich is formed, and cause the ammonia-gas to pass in a very pure and dry state. Ammonia is likewise produced during the spontaneous decomposition of animal and vegetable substances; in these cases it did not pre-exist in them ready formed, but is generated by the union of the hydrogen and nitrogen contained in them. In combination with water, this alkali forms a solution of, or liquid ammonia, which is called, in the London pharmaco- poeia, 4-i AMM XMM LlcjUOR AMMONIiE. Take of muriate of ammonia, eight ounces. Lime newly prepared, six ounces. Water, four pints. Four on the lime apint of the water ; then cover the vessel, and set them by for an hour ; tiien add the muriate of ammonia, and the remaining water previously made boiling hot, and cover the vessel again ; strain the liquor when it has cooled ; then distil from it twelve fluid ounces of the solution of am- monia. The specific gravity of this solution should be to that, of distilled water, as 96 to 100. Lime is capable of decomposing muriate of ammonia at a temperature much below that of boiling water ; so that when the ma- terials are mixed, a solution of ammonia and of muriate of lime is obtained. This being submitted to distillation, the ammonia passes over with a certain portion of the water, lea- ving behind the muriate of lime dissolved in the rest. The proportion of water directed seems, however, unnecessarily great, which obliges the operator to employ larger vessels than Avould otherwise suffice. But the pro- cess now directed is certainly much easier, more economical, and more uniform in its results, than that of the Pharmacopoeia of 1809. This preparation is colourless and transpa- rent with a strong peculiar smell ; it parts with the ammonia in the form of gas, if heated to 130 degrees, and requires to be kept, v.ith a cautious exclusion of atmosphe- rical air, with the carbonic acid of which it readily unites : on this latter account, the propriety of keeping it in small bottles in- stead of a large one, has been suggested. This is the aqua aviinonicB puree of the shops, and the alkali volatile causticum . Water of ammonia is very rarely given internally, although it may be used in doses of ten or twenty drops, largely diluted, as a powerful stimulant, in asphyxia and similar diseases. Externally, it is applied to the skin as a rubefacient, and in the form of gas to the nostrils, and to the eyes as a stimu- lant : in cases of torpor, paralysis, rheuma- tism, syncope, hysteria, and chronic oph- thalmia. The other preparations of ammonia in use are, 1. The sub-carbonate of ammonia. See Jlmmoni(s suhcarbonas, and ammonicB subcar- bonaiis liquor. 2. The acetate of ammonia. See ammo- nice acelatis liquor. 3. The muriate of ammonia. See Sal- ammomac. 4. Ferrum ammoniatum. 5. Several tinctures and spirits, holding ammonia in solution. AMMOlS'rACUM. {AfAfAon^Kov. so call- ed from Ammonia, whence it %vas brought.) Gum-ammoniac. A concrete gummy resi- nous juice, composed of little Jumps^ or tears, of a strong and somewhat ungrateful smell, and nauseous taste, followed by a' bitterness. There has, hitherto, been no in- formation had concerning the plant which affords this drug : but Wildenow considers it to be the Heracleum giimmiferum, having raised that plant from the seeds, which are sometimes found in the drug. It is im- ported here from Turkey, and from the East-Indies. Gum-ammoniacum is princi- pally employed as an expectorant, and is frequently prescribed in asthma and chronic catarrh. Its dose is from 10 to 30 grains. It is given in the form of pill or diffused in water, and is frequently combined with squill, or tartarized antimony. In large doses, it proves purgative. Externally, it is applied as a discutient, under the form of plaster, to white swellings of the knee, and to indolent tumours. The officinal prepa- rations are Ammoniacum purificatum : Em- plastrumammoniaci: Empl. ammoniac! cum hydragyro ; Mistura ammoniaci. AMMONi'.ffi; ACETATis LIQUOR. Solution of acetate of ammonia ; formerly called Aqua ammonice acetce. " Take of sub-carbonate of ammonia, two ounces ; acetic acid, four pints. Add the acid to the salt, until bub- bles of gas shall no longer arise, and mix." The effervescence is occasioned by the es- cape of carbonic acid gas, which the acetic acid expels, and neutralizes the ammonia. If the acid rather predominate, the solu- tion is more grateful to the taste ; and pro- vided that acid be correctly prepared, the proportions here given will be found suffi- cient ; where the acid cannot be depended on, it will be right to be regulated rather by the cessation of effervescence than by quantity. Tills preparation was formerly known in the shops under the name of spirit of Min- dererus. When assisted by a warm regimen, it proves an excellent and powerful sudo- rific ; and, as it operates without quickening the circulation, orincreasingthe heat of the body, it is admissible in febrile and inflam- matory diseases, in which the use of stimu- lating sudorifics are attended with danger. Its action may likewise be determined to the kidneys, by walking about in the cool air. The common dose is half an ounce, either by itself, or along with other medicines, adapted to the same intention. Ammonia carbonas. See Ammonite suh- carbonas. AmmdnicE. Liquor. See Ammonia. Ammonia murias. See Sal-ammoniac. AMMo'Ni.ffi stjbcarbo'nas. AmmonicE car- bonas. Subcarbonate of ammonia. This preparation was formerly called ammonia prcsparata, and sal volafilis salis ammoniaci, and sal volatilis. It is made thus : — take of muriate of ammonia, a po;ind ; of prepared chalk, dried, a pound and a half. Reduce them separately to powder ; then mix them together, and sublime in a heat gradually AMN AMP 45 raised, till tke retort becomes red. In this preparation a double decomposition takes place, the carbonic acid of the chalk uniting with the ammonia, and forming subcarbo- nate of ammonia, which is volatilized, while muriate of lime remains in the vessel. This salt possesses nervine and stimula- ting powers, and is highly beneficial in the dose of from two to eight grains, in nervous affections, debilities, flatulency, and acidity from dyspepsia. Ammoni'^ subcarbona'tis liquor. Li- quor ammonia carbonntis. Solution of sub- carbonate of ammonia. The aqua ammoniac of the Phami. Lond. 1787. " Take of sub- carbonate of ammonia, four ounces ; distil- led water, a pint. Dissolve the subcarbo- nate of ammonia in the water, and filter the solution through paper." This preparation possesses the properties of ammonia in its action on the human body. See AmmonicE subcarbonas. Ammo'niok. (From a.y.ijt.oz, sand.) Agtius uses this term to denote a collyrium of great virtue in many diseases of the eye, which was said to remove sand or gravel from the eyes. AMMO'NIUM. Berzelius has given this name to a supposed metal which Avith oxy- gen he conceives to form the alkali called ammonia. See Ammonia. Amne'sia. (From *, priv. and /uvuo-f;, memory.) Amnestia. Forgetfulness ; mostly a symptomatic affection. Amne'stia. See Amnesia. A'MNIOS. Amnion. (From et/mvo;, a lamb, or lamb's skin.) The soft internal membrane which surrounds the foetus. It is very thin and pellucid in the early stage of pregnancy, but acquires considerable thick- ness and strength in the latter months. The amnios contains a thin watery fluid, in which the fcetus is suspended. In the abortion of the early months, we find the quantity of this fluid very great, in proportion to the whole ovum, and the amnios forms a delicate and almost gelatinous substance, and is a pro- vision for the regular presentation of the bead of the child ; for now, the fcetus being suspended in the fluid, and hanging by the umbilicus, and the head and upper part of the body greatly preponderating, it takes that position with the head presenting to the orifice of the womb, which is necessary to natural and safe labour, the foetus being prevented from shifting, in the latter months by the closer embracing of the child with the uterus. AMNIOTIC A'CID. Vauquelin ,and Buniva have discovered a peculiar acid in the liquor of the amnios of the cow, to which tiiey have given the name of amnio- tic acid. It exists in the form of a white pulveru- lent powder. It is slightly acid to the taste, but sensibly reddens vegetable blues. It is difficultly soluble in cold, but readily soluble in boiling water, and in alkohol. When ex- posed to a strong heat, it exhales an odour of ammonia and of prussic acid. Assisted by heat, it decomposes carbonate of potash, soda, and ammonia. It produces no change in the solutions of silver, lead, or mercury, in nitric acid. Amniotic acid may be obtained by eva- porating the liquorof the amnios of the cow to a fourth part, and suifering it to cool ; crystals of amniotic acid will be obtained in considerable quantity. Whether this acid exists in the liquorof the amnios of other animals, is not yet known. AMO'MUM. (From an Arabian word, signifying a pigeon, whose foot it was thought to resemble.) The name of a ge- nus of plants in the LinnEean system. Class, Monandria. Order, Monogynia. Amo'bium verum. True stone parsley. The fruit is about the size of a grape, of a strong and graj^ful aromatic taste, and penetrating smell. The seeds have been given as a carminative. Amo'mum cardamo'mum. The former sys- tematic name for the cardamomum minus. See Elettaria cardamomum. Amo'mum gra'num paradisi. The sys- tematic name of the plant which affords the grains of paradise. Cardamomum majus. Melegvetta maniguetta. Cardamomum pi- peratium. They are angular reddish brown seeds, smaller than pepper, and resembling very much the seeds of the cardamomum minus. They are extremely hot, and simi- lar in virtue to pepper. Amo'mum zingiber. The former system- atic name of the plant which affords ginger. See Zingiber Officinale. Amo'rge. See Amurca. Ampelosa'gria. (From et/ufTiKo;, a vine, and ety^io^, wild.) See Bryonia. Amphemeri'nos. (From ctjU(pi, ahont, and H^sg*, a day.) Amphemerina. A quotidian fever. A species of ague. AMPHIARTHRO'SIS. (Af^<, both, and agS^anrig, an articula- tion; so called from its partaking both of diarthrosis and synarthrosis.) A mixed species of connexion of bones, which admits of an obscure motion, as is observed in the metacarpal and metatarsal bones, and the vertebrae. Amphibious. (From af/.(pt, ambo, and /3v, about, and tsrKuCloo, to connect.) According to Rufus Ephesius, the part situated between the scrotum and anus, and which is connected with the thighs. Amphipneu'ma. (From et^, to cough up.) An expectoration of matter by coughing. Anable'psis. (From ctvu. and ^Kirrai, to see again.) The recovery of sight after it has been lost. Anabltsis. (From ctv.* and j^Kv^u, to gush out again.) Ebullition or effervescence. Ana'bole. (From eLva.Cu.KKa>, to cast up.) The discharge of any thing by vomit ; also dilatation, or extension. Galen. Anabroche'sis. (From a.va and ^ep-^fWi, to resorb.) The reabsorption of matter. Anabrochi'smos. (From avct£'go;t««', to reabsorb.) Anabrochismus. The taking up and removing the hair on the eyelids, when they become troublesome. Galen, JEgintta, and others. Anabro'sis. (From ctvetligoaiue, to de- vour.) A corrosion of the solid parts, by sharp and biting humours. Galen. Anaca'rdium occidenta'le. (From ttvtt, without, and im^S'ia., a heart ; without heart ; because the pulp of the fruit, instead of having the seed enclosed, as is usually the case, has the nut growing out of the end of it.) The cashew-nut, the oil of this nut is an active caustic, and employed as such in its native country ; but neither it, nor any part of the fruit, is used medicinally in this country. Anaca'rdium orienta'le, Anacardium or Malacca bean. See Avicennia. Ana.catha'rsis. (From ttva., and u^Qm- gofA.M, to purge up.) An expectoration of pus. It properly denotes a purgation by spitting, in which sense it stands contra- distinguished from catharsis, or evacuation downwards. In this sense the word is used by Hippocrates and Galen. Blanchard de- notes, by this word, medicines which operate upwards, as vomiting, &.c. Anacatha'rtica. (From stvax*92, to take again. A species of epilepsy, Avhich proceeds from a disorder of the stomach, and with which the patient is apt to be seized very often and suddenly. Anale'ntia. a fictitious term used by Paracelsus for epilepsy. Analb'psis. (From a.vAKafxQa.\m, to re- store.) A recovery of strength after sick- ness. Galen. ANALE'PTICA. (From ai-«xa,^£'*TO, to recruit or recover.) AuulepHcs. Resto- rative medicines; medicines, or food, which recover the strength which has been lost by sickness. Analo'sis. (From av^xio-kcc, to consume.) A consumption, or wasting. ANA'LYSIS. (Av:(Xuo-/c: from avaxuu, to resolve.) The resolution by chemistry, of any matter into its primary and constituent parts. The processes and experiments which chemists have recourse tg, are extremely numerous and diversified, yet they may be reduced to two species, which comprehend the whole art of chemistry. The first is, analysis, or decomposition ; the second, syT.- thesis, or composition. In analyse, the parts of which bodies are composed, are separated from each other : thus, if we reduce cinnabar, which is composed of sulphur and mercury, and exhibit these two bodies in a separate state, we say we have decomposed, or analysed cinnabar. But if, on the con- trary, several bodies be mixed together, and a new substance be produced, the process isthen termed chemical composition, or syn- thesis : thus, if by fusion and sublimation, we combine mercury with sulphur, and pro- duce cinnabar, the operation is termed che- mical composition, or composition by syn- thesis. Anamne'sis. (From *vit/y./^v»o-wi)., to re- member.) Remembrance, or recollection of what has been done. Galen. Anamne'stica. (From the same.) Re- ra'edies for bad memorr ANANAS. Called by the Brazilians yayama. Tiie egg-shaped pine-apple. See Bromelia Ananas. Ana'nce. (From ctvuy!t.u.^a!, to compel.) Necessity. It is applied to any desperate operation. Hippocrates. Akaphalanti'asis. (From clvv-^'J-Kcivto?, bald.) A thinness of hair upon the eye- brows. G or r ecus. Ana'phora. (From «tV5tpsga>, to bring up.) It is applied to a person who spits blood. Gorraus. Anaphory'xis. (From Avstcfogus-a-o), to grind down.) The reducing of any thing to dust, or very fine powder. ANAPHRODI'SIA. (From «, priv. and A?gcii5-/A, the feast of Venus.) Impo- tence. A genus of disease in the class lo- cales, and order dysorexicR of Cullen. It either arises from paralysis, anaphrodisia paralytica; or from gonnorrhcea, anaphro- disia gonorrhoica . Anaphro'meli. (From a, neg. apgs;, froth, and |«exi, honey.) Clarified honey. Anapla'sis. (From ava.7rKa,(Tc-m, to re- store again.) A restoration of flesh where it has been lost; also the reuniting a frac- tured bone. Hippocrates. Anaplero'sis. (From «tv5twA«§ia', to fili again.) The restitution, or filling up of wasted parts. Galen. Anaplero'tica. (From the same.) Me- dicines renewing flesh : incarnatives, or such medicines as fill up a wound so as to restore it to its originul shape. Galen.- Anapi.eu'sis. (From o-vdiyrKiuu), to float upon.) The rotting of a bone, so that it drops off, and lies upon the flesh ; exfolia- tion, or separation of a bone. HippocraleSy JEgineta, k.c. Anapneu'sis. (From cuvuTrrM, to respire.) Res[)iration. Ana'pnoe. The same. Anapto'sis. (From «v:tOTvr7», to fall back./ A relapse. Ana'ptysis. The same as Anacailiarsis. Anariihegni'mia. (From ava., and pnym/ui, to break again.) Anarrhexis. A fracture; tiie fresh opening of a wound. Anarrhce'a. (From ttvct, upwards, arid ^is), to flow.) A flux of humours from be- low upwards. Schneider de Catarrho. A.«jarrho'pia. (From uv^ upv/ards, and pi-rce, to creep.) The same. Hijjpocrates. A'NAS DOME'STICA. (From via--, to swim.) The tame duck. The flesh of this bird is difficult of digestion, and requires that warm and stimulating cpndiments be taken with it to enable the stomach to di- gest it. ANASA'RCA. (From ccvcf., through, and o-ot^l', flesh.) A species of dropsy from a serous humour, spread between the skin and flesh, or rather a general accumulation of lymph in the cellular system. Dr. Cullen ranks this genus of disease in the class Caeh-exiee, and the orcTei' rntumescaiti ANA i' the form of tincture; the colchicura as an oxymelby some German physicians ; but the squiri is most in use, though certainly very precarious if given alone. In languid and debilitated habits, we prefer the more stimu- lant diuretics, as juniper, horseradish, mus- tard, garlic, the spiritus aitheris nitrici, &,c. ; even the oil of turpentine, or the tinctura lytta?, may be proper, where milder means have failed. Digitalis is often a very power- ful remedy, from the utility of which in inflammatory diseases we might expect it to answer best in persons of great natural strength, and not much exhausted by the disorder ; but Dr. Withering expressly states that its diuretic effects appear most certainly and benelicially, where the pulse is feeble or intermitting, the countenance pale, the skin cold, and the tumours readily pitting on pressure ; which has been since confirmed by other practitioners ; it should be begun with in small doses two or three times a day, and progressively increased till the desired operation on the kidneys ensues, unless alarming symptoms appear in the mean- time. Opium and some other narcotics have been occasionally useful as diuretics in dropsy, but should be only regarded as ad- juvants, from their uncertain effects. In the use of diuretics, a very important rule is, not to restrict the patient from drinking freely. This was formerly thought necessary on theoretical grounds ; whereby the thirst was aggravated to a distressing degree, and the operation of remedies often prevented, es- pecially on the kidneys. Sir Francis Mil- man first taught the impropriety of this practice, which is now generally abandoned ; at least so long as the flow of urine is increas- ed in proportion to the drink taken, it is con- sidered proper to indulge the patient with it. Another evacuation, which it is very desi- rable to promote in anasarca, is that by the skin, but thisis with difficulty accomplished : nauseating emetics are the most powerful means, but transient in their eifect, and their frequent use cannot be borne. If a gentle diaphoresis can be excited, it is as much as Ave should c:spect; and perhaps on the whole most beneficial to the patient. For this pur- pose the compound powder of ipecacuanha, saline substances, and antimonials in small doses, assisted by tepid drink, and warmth applied to the surface, may be had recourse to. Sometimes much relief is obtained by promoting perspiration locally by means of the vapour bath. Mercury has been much employed in dropsy, and certaifily appears often materially to promote the operation of other evacuants, particularly squill and digitalis; but its chief utility is where there are obstructions of the vicera, especially the liver, of which, however, ascites is usually the first result ; its power of increasing absorp- tion hardly appeals, unless it is carried so far as to affect the mouth, wlien it is apt to Tveaken the *vstf»m so rrnirh. ;;'? grontiv fo ANA 5L limit its use. The other indication of invi- gorating the constitution, and particularly the eshalent arteries, may be accomplished by tonic medicines, as the several vegetable bitters, chalybeates in those who are remark- ably pale, and, if there be a languid circula- tion, stimulants may be joined with them : a. similar modification will be proper in the diet, which should be always as nutritious as the patient can well digest ; directing also in torpid habits pungent articles, as garlic, onions, mustard, horseradish, &c. to be freely taken, v/hich will be farther useful by promoting the urine. Rhenish wine, or punch made with hollands and supertartrate of potash, may be allowed for the drink. Regular exercise, such as the patient can bear, (the limbs being properly supported, especially by a well-contrived laced stock- ing,) ought to be enjoined, or diligent fric- tion of the skin, particularly of the affected parts, employed when the tumefaction is usually least, namely, in the morning. The cold bath duly regulated may also, when the patient is convalescent, materially con- tribute to obviate a relapse. Anaspa'sis. (From «vtx, and a^aai, to draw together.) Hippocrates uses this word to signify a contraction of the stomach. Ana ssYTOs. (From av:t, upwards, and a-i-jojuai, to agitate.) Jlnassytus. Driven forcibly upwards. Hippocrates applies this epithet to air rushing violently upwards, as in hysteric fits. Anasta'ltica. (From wffrexxa, to con- tract.) Styptic or refrigerating medicines. Ana'stasis. (From avas-n/^i, to cause to rise.) A recovery from sickness; a resto- ration of health. It likewise signifies a migration of humours, when expelled from one place and obliged to remove to another. Hippocrates. ANASTOMO'SIS. (From avu, through, and g-o/uct, a mouth.) The communication of vessels with one another. s! Anastomo'tica. (From ava, through, and Tofxa, the mouth.) Medicines which open the pores and mouths of the vessels, as cathartics, diuretics, deobstruents, and sudorifics. Ana'tes. (From nates, the buttocks.) A disease of the anus. Festus, Slc. ANATOMY. {AvArofXla, or etvaro/^H : from avct, and t-s/^vw, to cut up.) £nero- tomy. The dissection of the human body, to expose the structure, situation, and uses of every part. Anatomt, comparative. Zootomy. The dissection of brutes, fishes, polypi, plants, Sic. to illustrate, or compare them with the structure and functions of the human body. Anatre'sis. (From omo., and Tilgace, to perforate.) A perforation like that which is made upon the skull by trepanning. Galen. Anatri'be. (Prom eivale^iCai, to rub.) Frrtlon ^\\ over the body. 0-2, xiNC -JAlSi Anatki'psis. The same. Moschion de Morb. Mulieb. and Galen. Ana'tris. Mntaris. Mercury. Ruland. Ana'tron. (Arab. A lake in Egypt, i where it was produced.) Soda, or fixed mineral alkali. Ana'tropk. (From avctr^izrie, to sub- vert.) Jinatropht. Anatropha. A relaxation, "I or subversion of the stomach, with loss ot ^ appetite and nausea. Vomiting. Indiges- tion. Galen. A;va'trum. Soda. Anau'dia. (From a, priv. and ewfri, the speech.) Dumbness; privation of voice ; catalepsia. Hippocrates. AjjA'xyras. (From ava^v^t;, the sole.) The herb sorrel ; so called because its leaf i.s shaped like the sole of the shop: A'ncha. (Arab, to press upon, as being the support of the body.) The thigh, .jlci- i-eniia, Forcstius, &.c. A'jfcriiLOFS. (From ayx'j 'lear, and ce4., the eye.) A disease in the inward corner of fhe eye, called also vEgilops. An inci- pient fistula lachrymalis. Anchora'lis proce'ssus. {Anchoralis ; from ctyKoev, the elbow.) See Coracohl pro- cess. Anchovy pear. This fruit, the produce of the Grias cauliflora of Linnajus, is eaten by the inhabitants of Jamaica, as a pleasant and refrigerant fruit. AJN'CHU'SA. (From aj/;\;^siv, to strangle ; from its supposed constringent quality ; or, as others say. because it strangles serpents.) Alkanet. 1. The name of a genus of plants in .the Linnaean system. Class, Pentandria. Or- der, Monogynia. 2. The name in some pharmacopoeias for the alkanet root and bugloss. Anchusa officinalis. The officinal bu- gloss. Jliichusa foliis hniceolalis strigosis, spicis secunJis imbricalis, culycihus quinque partiiis, of Linnaeus : it was formerly es- teemed as a cordial in melancholic and hy- pochondriacal diseases. It is seldom used in modern practice, and then only as an aperient and refrigerant. In some phar- macopojias it is called Buglossa. Buglos- sitm angustifoliimi majus. Buglossiim vul- gave majus. Buglossum saiivutn. A.RcriDSA TiNCTORi*' . The systematic name for the anchusa or alkanna of the pharmacopceias. This plant grows wild in France, but is cultivated in our gardens. The root is esternally of a deep purple colour. To oil, wax, turpentine, and al- kohol, it imparts a beautiful deep red co- lour, for which purpose it is used. Its medicinal properties are scarcely percep- tible. A'nchyle. Se,e Ancyle. AscHYLOMERi'sMA. (From ar^'^^Sl.^lxai, to bend.) Sagar uses this term to express a concretion, or grooving together of the aoft part?. ANCHYLOSIS. (From ayxV'^'-'lJ-'J.-n ^o bend.) A stiiF joint. It is divided into the irut and spurious, according as the motion is entirely or but partly lost. This state may arise from va- rious causes, as tumefaction of the ends of the bones, caries, fracture, dislocation, oic. also dropsy of the Joint, fieshy escres- cences, aneurisms, and other tumours. It may also be owing to the morbid contrac- tion of the fiexor muscles, induced by the limb being long kept in a particular posi- tion, as a relief to pain, after burns, mecha- nical injuries, &c. The rickets, white swel- lings, gout, rheumatism, palsy, from lead particularly, and some other disorders, often lay the foundation of anchylosis : and the joints are very apt to become stilF in ad- vanced life. Where the joint is perfectly im- moveable, little can be done for the patient ; but in the spurious form of the complaint, wc must first endeavour fo remove any cause mechanically obstructing the motion of thfi joint, and then to get rid of the morbid contraction of the muscles. If inflamma- tion exist, this must be first subdued by proper means. Where extraneous matters have been deposited, the absorbents must be excited to remove them : and where the parts are prcternaturally rigid, emollient applications will be serviceable. Fomenta- tions, gentle friction of the joint and of the muscles, which appear rigid, with the cam- phor liniment, &c. continued for half an hour or more two or three times a day ; and frequent attempts to move the joint to a greater extent, especially by the patient exerting the proper muscles, not with vio- lence, but steadily for some time, are the most successful means: but no rapid im- provement is to be expected in general. Sometimes in obstinate cases, rubbing the part with warm brine occasionally, or ap- plying stimulant plasters of ammoniacum, &c. may expedite the cure : and in some instances, particularly as following rheu- matism, pumping cold water on the part every morning has proved remarkably bene- ficial. Where there is a great tendency to contraction of the muscle, it will be useful to obviate this by some mechanical con- trivance. It is proper to bear in mind, where from the nature of the case, com-- plete anchylosis cannot be prevented, that the patient may be much less inconveni- enced by its being made to occur in a paj- ticular position ; that is in the upper extre- mities generally a bent, but in the hip or knee an extended one. A'vci. Those who have a distorted elbow. An'cirome'i.e. See Ancylomde. A'iSciNAK. Borax. A'ncon. (From aynct^o/u-uLt to embrace ; airo TK ctyKiia-6sL$ iTsp'ji ors(» to otiov : because the bones meeting and there uniting, aro folded one into another.) The elbow. AND ANE 55 " ANCONEUS, (.^aconeiis, sc. muscii- . Jus; from ayn^v, the elbow.) Anconeus minor of Winslow. Anconeus vel cubitalis Riolani of Douglas. A small triangular muscle, situated oii the Lack part of the elbow. It arises from the ridge, and from the external condyle of the humerus, by a thick, strong, and short tendon : fr,)m this it becomes fleshy, and, after running about three inches obliquely backwards, it is in- serted by its oblique fleshy fibres into the back part or ridge of the ulna. Its use is to extend the fore-arm. Akcone'us exte'rnus. See Triceps ex- tensor cubiti. - Ancone'us ister'nus. See Triceps ex- tensor cahiti. Ancone'us sia'jok. See Triceps extensor x-,ihiti. Ancone'us mi'noh. See Anconeus. Anconoid process. Processus anconoi- /kus. (From aLyxm, the elbow.) A pro- c-€s9 of the cubit. See Ulna. A'ncteh. (Aynl)!^, a bond, or button.) A fibula, or button, by which the lips of wounds are held together- Gorrcev^. Ancteria'smus. (From a7.z7;ig, a button.) The operation of closing the lips of wounds together by loops, or buttons. Galen. Ancu'bitus. a disease of the eyes with a sensation of sand. Joh. Anglic. Ros. Ang. A'ncyle. (From sl^wkoq, crooked.) A species of contraction, called a stiff joint. Galen. ANCYLOBLETHARON. (From j;, a hook, and ,SAS?a^:v, an eyelid.) A disease of the eye, by which Ihe eyelids are closed together. Aetius. ANCYLOGLO'SSUM. (From ayy.vy.),, a hook, and yhoi^Tct, the tongue.) Ancy- lion, of .Sgineta. A contraction of the fraenulum of the tongue. Tongue-tied. Ancylome'le. (From ayz'jKog, crooked, and ij.:i7,», a probe.) A crooked probe, or a probe with a hook. Galen, 6ic. Ancylo'sis. See Anchylosis. Ancylo'tomus. (From ayn-jKn, a hook, and Tifjiva:, to cut.) A crooked chirurgical knife, or bistoury. A knife for loosening the tongue. This instrument is no longer in use. JEginela, &.c. A'ncyra. {Kyy.wea, an anchor.) A chi- rargical hook. Epicharmus uses this word for the membrum virile, according to Gor- rffius. Ancyroi'dks. (From a.y:ivsa, an anchor, and iii'i;, a likcneiss.) A process of the scapula was so calleu, from its likeness to the beak of an anchor. It is the coracoid process. See Scapula. Anctrome'i.e. See Ancylomde. Andi'ra. a tree of Brazil, the fniit of ■which is bitter and astringent, and used as a vermifuge. Andranato'mia. Andranatome. (From •a',7^. a ;man^ and nuvw, to cut.) The dis- section of the human body, particularly of the male. M. Aur. Sevcrinus, Zootome De- mo cr it. Ar.DRAPonocAPE'Lus. (From a\i'e_o7rcS'cv, a slave, and ■^^tTn^.cc, a dealer.) A crimp. Galen calls by this name the person whose office it was to anoint and slightly to wipe the body, to cleanse the .skin from foulness. A'ndria. (From av>tg, a man.) An her- maphrodite. Bonnet. Akdroc(ete'sis. (From o.v:i^, a man, and Koflio), to cohabit with.) The venereal act ; or the infamous act of sodomy. Mos- chion, fcc. Andro'gynus. (From avu^, a man, and yuvn, a woman.) An effeminate person. Hipp. Anjiermaphrodite. Andro'm ACKus, of Crete, was physician to the Emperor Nero. He invented a com- position, supposed to be an antidote against poison, called after him, Theriaca Andro- machi, which he dedicated to that Emperor in a copy of Greek verses still preserved. This complicated preparation long retained its reputation, but is now deservedly aban- doned. Andro'nion. Andronium. A kind of plaster used by ^l^gineta for Carbuncles, in- vented by Andron. Andropogon Sch-Snanthus, Juncus odo- ratus. Fcenum camelorum. Juncus aro- maCicus. The systematic name of the Ca- mel-hay, or Sweet rush. The dried plant is imported into this country from Turkey and Arabia. It has an agreeable smell, and a warm, bitterish, not unpleasant taste. It was formerly employed as a stomachic and deobstruent. Andro'tomia. Androtome. Human dis- section, particularly of the male. Andry, JS'ichola-s, a physician, born at Lyons in 1658. He was made professor of medicine at Paris in 1701, and lived to the age of 84. Besides a Treatise ou Worms, and other minor publications, and contributions in the Medical and Philoso- phical Journals, he was author of a work, still esteemed, called " Orthopedic," or the art of preventing and removing deformities in children; which he proposed to effect by regimen, exercise, and various mechanical contrivances. Ane'eium. (From avaCatvai, to ascend.) The herb alkanet, so called from its quick growth. Aneile'sis. (From aviP.ice, to roll up.) Aneilerna. An iiivokition of the gut.--, such as is caused by flatulence and grlpe=. Hippocrates. Ane'mia. (From aviucg, wind.) Flatu- lence. ANE'MONE. (From avifxc;, Vvind ; so named, because it does not open its flowers till blovvn upon by the wind.) The wind flower. The name of a genus of plants in the Linn^an system. Class, Po^yandrifi,, Order, Po'yzynicf. o4 ANE Ake'motje hepa'tica. The systematic name for the hepatica nobilis of the pharma- topcEias. Herbu Irinitatis. Hepatica, or herb trinity. Tliis plant possesses mildly aclstringcnt and corroborant virtues, Avith which intentions infusions of it have been drank as tea, or the powder of the dry leaves given, to the quantity of Iialf a spoonful at a time. Anemone meadow. See Anemone prat ensis. /ine'jione nemoro'sa. The systematic name of tlie ranunculus alhus of the phar- macopoeias. The bruised leaves and flowers are said to cure tinea capitis applied to the part. The inhabitants of Kamskatka, it is believed; poison their arrows with the root of this plant. xVne'i.ione prate'nsis. The systematic name for the Pulsatilla nigricans of the phar- macopoeias. This plant, Anemone pedimculo 'involucralo., petalis apice rejiexis, foliis bipin- nalis, of Linnffius: has been received into the Edinburgh pharmacoposia upon the au- thority of Baron Stoerck, who recommend- ed it as an elTectual remedy for most of the chronic diseases affecting the eye, particu- larly amaurosis, c?itaract, and opacity of the cornea, proceeding from various causes. lie likewise fouad it of great service in venereal nodes, nocturnal pains, ulcers, if/.i, to relax.) A re- mission, or relaxation, of a disease, or symp- tom. Aelius, k.c. Ase'subi. SeeAnisum. AKE'THUM. (Ayjifisv; from wsy, afar, and '3-ea', to run; so called because its roots run out a great way.) Fennel, dill, anet. 1. The name of a genus of plants in the J-inniean system. Class, Pentandria. Or- der, Digynia. 2. The pharmncopoeial name of the com- mon dill, or anet. Ake'thum rcENi'cui.UM. The systema- tic name for the fxniculum of the shops. Sweet fennel, Anethum fceniculum, fructibus oralis of LinnaBus. T!ie seeds and roots of this indigenous plant are directed by the colleges of Londt)ii and Edinburgh. The seeds \\nvc an aromatic smell, and a warm sweetish taste, and contain a large proportion of essential oil. They are stomachic and carminative. The root has a sweet taste, but very little aromatic warmth, and is said To be y)ector;i^ and diiiretir. Ane'thum grave'olens. The systema- tic name for the Anethum of the shops, Andkum fructibus compressis, of Lin- nasus. This plant is a native of Spain, but cultivated in several parls of Eng- land. The seeds of dill are directed for use by the London and Edinburgh Phar- macopceias : they have a moderately warm, pungent taste, and an aromatic, but sickly smell. There is an essential oil, and a distiiled water, prepared from them, which are given in flatulent colics and dyspepsia. They are also said to promote the secretioQ of milk. Ane'tica. (From uvin/ni, to relax.) Pbt regorics ; medicines which assuage pain, ac- cording to Andr. Tiraqueli. ANEURl'SMA. (-matis, neut. Avsj^ur/ua, from ctnv^uvce, to dilate.) An aneurism. A preternatural tumour formed by the dila- tation of an artery. A genus of disease ranked by Cullen in the class locales, and 0!-der fumores. There are three species of aneurism: 1 The true aneurism, aneurisnia verum, which is known by the presence of a pulsating tumour. The artery either seems ordy enlargedatasmall partofitstract, and the tumour has a determinate border, or it seems dilated for a considerable length, in which circumstance the swelling is oblong, and loses itself so gradually in the surround- ing parts, that its margin cannot be exactly ascertained. The first, which is the most common, is termed circumscribed true aneu- rism ; the last, the diffused true aneurism. The symptoms of the circumscribed true aneurism, take place as follows: the first thing the patient perceives, is an extraordi- nary throbbing in some particular situation, and. on paying a little more attention, he discovers there a small pulsating tumoui-, which entirely disappears when compressed, but returns again as soon as the pressure is removed. It is commonly unattended witli pain or change in the colour of the skin. When once the tumour has originated, it continually grows larger, and at length at- tains a very considerable size. In proportion as it becomes larger, its pulsation becomes weaker, and, indeed, it is almost quite lost, when the disease has acquired much mag- nitude. The diminution of the pulsation has been ascribed to the coats of the artery i losing their dilatable and elastic quality, in proportion as they are distended and in- durated ; and, consequently, tke aneurismal sac being no longer capable of an alternate diastole and systole from the action of the heart. The fact is also imputed to the coagulated blood, deposited on the inner surface of the sac, particularly in largo aneurisms, in which some of the blood is ahvays interrupted in its motion. In true aneurisms, however, the blood does not coa- gulate so soon, nor so often as in false ones. Whenever such coagulated blood lodges in the sac, pressure can only produce a partial am;. A-NX disappearance ot' the swelling, in pvopoitioii as the aneurismal sac grows larger, the com- munication into the artery beyond the tu- mour is lessened. Hence in this slate, the pulse below the swelling becomes weak and small, and the limbfrequently cold and cede- matous. On dissection, the lower continua- tion of the artery is found preternatui'ally small, and contracted. The pressure of the tumour on the adjacent parts, also produces a variety of symptoms, ulcerations, caries, Sic. Sometimes an accidental contusion, or concussion, may detach a piece of co- agulum from the inner surface of the cyst, and the circulation through the sac be- ob- structed by it. The coagulum may possibly be impelled quite into the artery below, so as to induce important changes. The danger of an aneurism arrives when it is on the point of bursting, by which occurrence the patient usually bleeds to death ; and this sometimes happens in a few seconds. The fatal event may generally be foreseen, as the part about to give way, becomes particular- ly tense, elevated, thin, soft, and of a dark purple colour. 2. The false or spurious aneurism, aneurisma spuriuin, is always owing to an aperture in the artery, from "which the blood gushes into the cellular substance. It may arise from an artery being lacerated in violent exertions : but the most common occasional cause is a wound. This is particularly apt to occur at the bend of the arm, where the artery is expo.sed to be injured in attempting to bleed. When this happens, as soon as the puncture has been made, the blood gushes out with unusual force, of a bright scarlet colour and in an irregular stream, corres- ponding to the pulsation of the artery. It flows out, however, in an even and less ra- pid stream when pressure is applied higher up than the wound. These last are the most decisive marks of the artery being opened ; for blood often flows from a vein with great rapidity, and in a broken cur- rent, when the vessel is verj' turgid and si- tuated immediately over the artery, which imparts its motion to it. The surgeon en- deavours precipitately to stop the hamor- phage by pressure ; and he commonly occa- sions a diffused false aneurism. The ex- ternal v/ound in the skin is closed, so tiiat the blood cannot escape from it; but insinu- ates itself into the cellular substance. The swelling thus produced is uneven, often knotty, and extends upwards and down- wards, along the tract of the vessel. The skin is also usually of a dark purple colour. Its size increases as long as the internal liasmorrhage continues, and, if this should proceedabove a certain pitch, mortification of the limb ensues. 3. The varicose aneu- rism, aneurisma varicosum ; this was first described by Dr. W. Hunter. It happens when the brachial artery is punctured in opening a vein : the blood then ru=;he; into ihe vein, which becomes varicose. Aneu- risms may happen in any part of tlie body, except the latter species, which can only take place where a vein runs over an artery. AVhen an artery has been punctured, the tourniquet should be applied, so as to stop the flow of blood by conjpressing the vessel above ; then the most likelyplan of obviating the production of spurious aneurism appears to be applying a firm compress immediately overthe wound, and securing it by a bandage, or in any other Avay, so as effectually to close the orifice, yet not prevent the circula- tion through other vessels ; afterwards keep- ing the limb as quiet as possible, enjoining the antiphlogistic regimen, and examining daily that no extravasation has happened, which would require the compress being fixed more securely, previously applying the tourniquet, and piessing the effused blood as much as possible into the vessel. If there should be much coldness or sw"elling of the limb below, it will be proper to rub it frequently with some spirituous or other stimulant embrocation. It is only by trial that it can be certainly determined when the wound is closed ; but always better not to discontinue the pressure prematurely. The same plan may answer, when the disease has already come on, if the blood can be entirely, or even mostly, pressed into the artery again; at any rate by determiningthe circulation on collateral branches it will give greater chance of success to a subsequent operation. There is another mode, stated to have sometimes succeeded even when there was much coagu- lated blood ; namely making strong pressure over the whole limb, by a bandage applied uniformly, and moistened to make ?t sit closer, as well as to obviate inflammation ; but this does not appear so good a plan, at least in slighter cases. If however the tu- mour be very large and threatens to burst, or continues spreading, the operation should not be delayed. The tourniquet being^ap- plied, a free incision is to be made into the tumour, the extravasated blood remoyed, and the artery tied both above and below the wound, as near to it as may be safe ; and if any branch be given off between, this must be also secured. It is better not to make the ligatures tighter, than maybe necessary to stop the flow of blood ; and to avoid in- cluding any nerve if possible. Sometimes where extensive suppuration or caries has occui'red, or gangrene is to be apprehended, amputation will be necessary : but this must not be prematurely resohed upon, for often after several weeks the pulse has lelurned its the limb below. In the true aneurism, when small and recent, cold and astringent applications are sometimes useful; or ma- king pressure on the tumour, or on th.e artery above, may succeed ; otherwise ;iii operation becomes necessaiy to save the patient's life ; though unfortunateb/ it oftenui' fails in thi-s tlian in the snurioMs kind ; "f'ni^iene en=n- 66 A>'£ A2\G ing, or haemorrhage ; this chiefly arises from the arteries being often extensively diseased, so that they-are more likely to give way, and there is less vital power in the limb. A great improvement has been made in the mode of operating in these cases by ]VIr. John Hunter, and other modern sur- {^eons, namely, instead of proceeding as already explained in the spurious aneurism, securing the artery some way above, and leaving the rest in a great measure to the powers of nature. It has been now proved by many instances, that when the current of the blood is thus interrupted, the tumour will cease to enlarge, and often be con- siderably diminished by absorption. There is reason for believing too, that the cures effected .spontaneously, or by pressure, have been usually owing to the trunk above being obliterated. There are many obvious advantages in this mode of proceeding ; it Is more easy, sooner performed, and disorders the system less, particularly as you avoid having a large unhealthy sore to be licaled ; besides there is less probability of the vessel being diseased at some distance from the tumour. In the popliteal aneurism, for ex- ample, the artery may be secured rather below the middle of the thigh, where it is easily come at. The tourniquet therefore being applied, and the vessel exposed, a strong ligature is to be passed round it; or, Avhich is perhaps preferable, two ligatures a little distant, subsequently cutting through the artery between them, when the two portions contract among the surrounding flesh. It is proper to avoid including the nerve or vein, but not unnecessarily detach the vessel from its attachments. For greater security one end of each ligature, after being tied, may be passed through the in- tercepted portion of artery, that they may not be forced off. Then the wound is to be closed by adhesive plaster, merely leaving the ends of the ligatures hanging out, Avhich will after some time come away. However it must be remembered that lisemorrhage is liable to occur ; M"hen this happens, even three or four weeks after the operation ; so that proper precautions are required, to check it as soon as possible ; likewise the system should be lowered pre- viously, and kept so during the cure. When a true aneurism changes into the spurious form, which is known by the tumour spreading, becoming harder, and with a less distinct pulsation, the operation becomes immediately necessary. When an aneurism is out of the reach of an operation, life may be prolonged by occasional bleeding, a spare diet, Sic. ; and when the tumour becomes apparent externally, carefully guarding it from injury. In the varicose aneurism an operation will be very seldom if ever re- quired, the growth of the tumour being limited. Aneuri'sma spu'iut-M. See dnearli-ma. Aneuri'sjia varico'sum. SeeAiieurlsma. Aneuri'sma ve rum. See Aneurisma. Ane'xie. (From a.\iyjt, to project.) A swelling, or protuberance. AISGEIOLO'GIA. (From ityyyov, a ves- sel, and Xi^of, a discourse.) A dissertation, or reasoning, upon the vessels of the body. ANGEIO'TOMY. (From A»tov, a ves- sel, and Tiuvu; to cut.) The dissection of the blood-vessels of an animal body ; also the opening of a vein, or an artery. Akgeioti'smus. (From nyy-Mv, a vessel, and Tiy.-m, to cut.) A skilful dissector ot the vessels. AiXGE'LICA. (So called from its sup- posed angelic virtues.) Angelica. 1. The name of a genus of plants in the Linnaean system. Class, Peniandria. Order, Di- gynia. 2. The pliarmacopceial name of the gar- den-angelica. Ange'lica archakge'eica. Tbe syste- matic name for the angelica of the shops. .Angelica foliorum imparl lobato of Lin- naeus. A plant, a native of LapTand, but cultivated in our gardens. The roots of angelica have a fragrant, agreeable smell, and a bitterish, pungent taste. The stalk, leaves, and seeds, which are also directed in the pharmacopoeias, possess the same qualities, though in an inferior degree^ Their virtues are aromatic and carminative. A sweetmeat is made, by the confectioners, of this root, which is extremely agreeable to the stomach, and is surpassed only by that ginger. Jlngdica, garden. See Angdka. Ange'lica sati'va. See Angelica si/hes- tris. Ange'lica sylvestris. Angelica sat'iva. Wild angelica. Angelica foliis (Rqualihus ovato-lanceolaiis serralis, of Linnaeus. This species of angelica possesses similar proper- ties to the garden species, but in a much inferior degree. It is only used when the. latter cannot be obtained. The seeds, pow- dered and put in the hair, kill lice. Angelica, wild. See Angelica si^lvesfris. Angeli'n^: co'rtex. Tlie tree from which this bark is procured is a native of Grenada. It has been recommended as an anthelmin- tic for children. Angeloca'cos. Myrobalans, or purging Indian plums. A'ngi. (From angor, anguish ; because of their pain.) Buboes in the groin. Fal- lopius de Morbo Galileo. Angiglo'ssus. (From eLy-MfKn, a hook, and yKcec-c-A, the tongue.^ A person who stammers. AJVGI'iVA. (From etyj^ct, to strangle; because it is often attended with a sense of strangulation.) A sore throat. See Cynanche. Angi'na maligna. See Cynanche ma- ligna. Angi'xa parotidea. See CynanChe pa- rotiiteru AISG AiSH 57 A^"G^^'A pectoris. Syncopt un- ginosa of Dr. Pariy. An acute constrictory pain al the lower end of the sternum, in- clining rather to the left side, and extending up into the left arm, accompanied w ith great anxiety. Violeiii palpitations of the heart, laborious breathings, and a sense of suffo- cation, are the characteristic symptoms of this disease. — It is found to attack men much more frequently than women, parti- cularly those who have short necks, who are inclinable to corpulency, and who, at the same time, lead an inactive and seden- tary life. Although it is sometimes met with in persons under the age of twenty, still it more frequently occurs in those who are between forty and fifty. In slight cases, and in the first stage of the disorder, the fit comes on by going up-hill, up-stairs, or by walking at a quick pace after a hearty meal ; but as the disease advances, or be- comes more violent, the paroxysms are apt to be excited by certain passions of the mind; by slow walking, by riding on horseback, or in a caniage ; or by sneezing, coughing, speaking, or straining at stool. In some cases, they attack the patient from two to four in the morning, or whilst sitting or standing, without any previous exertion or obvious cause. On a sudden, he is seized with an acute pain in the breast, or rather at the extremity of the sternum, inclining to the left side, and extending up into the arm, as far as the insertion of the deltoid muscle, accompanied by a sense of suffocation, great anxiety, and an idea that its continuance, or increase, would certainly be fatal. In the first stage of the disease, the uneasy sensation at the end of the sternum, with the other unpleasant symptoms, wliich seemed to threaten a suspension of life by a perseverance in exertion, usually go off upon the person's standing still, or turning from the wind ; but, in a more advanced stage, they do not so readily recede, and the paroxysms are much more violent. During the fit, the pulse sinks in a greater or less degree, and becomes irregular ; the face and extremities are pale, and bathed in a cold sweat, and, for a while the patient is perhaps deprived of the powers of sense and volun- tary motion. The disease having recurred more or less frequently during the space of some years, a violent attack at last puts a sudden period to his existence. Angina pec- toris is attended with a considerable degree of danger ; and it usually happens that the person is carried off suddenly. It mostly depends upon an ossification of the coronary arteries, and then we can never expect to effect a radical cure. During the paroxysms, considerable relief is to be obtained from fomentations, and administering powerful antispasmodics, such as opium and sether combined together. The application of a blister to the breast is likewise attended sometimes with a good effect. As the pain- S I'ul sensation at the extremity of the sternum often admits of a temporary relief, from an evacuation of wind by the mouth, it may be properto give frequent doses of carminatives, such as peppermint, carraway, o. cinnamon Avater. Where these fail in the desired ef- fect, a few drops of ol. aaisi, on a little sugar, may be substituted. With the view of preventing the recur- rence of the disordiir, the patient should carefully guard against passion, or other emotions of the mind ; he should use a light, generous diet, avoiding every thing of a heating nature ; and he should take care never to overload the stomach, or to use any kind of exercise immediately after eating. Besides these precautions, lie should endea- vour to counteract obesity, which lias been considered as a predisposing cause; and this is to be effected most safely by a vege- table diet, moderate exercise at proper times, early rising, and keeping th#bbdy perfectly open. It has been observed that angina pectoris is a disease always attended with considerable danger, and, in most instances, has proved fatal under every mode of ti-eat- ment. We are given, however, to under- stand, by Dr. Macbride,that of late, several cases of it have been treated with great suc- cess, and the disease radically removed, by inserting a large issue in each thigh. These, therefore, should never be neglected. In one case, with a view of correcting, or draining off the irritating fluid, he oi'dered, instead of issues a mixture of lime-water with a little of the spirituous juniperi comp., and an alterative proportion of Hux- ham's antimonial wine, together with a plain, light, perspirable diet. From this course the patient was soon apparentlv mended; but it was not until after the in- sertion of a large issue in each thigh, that he was restored to perfect health. Angi'na tonsilla'ris. See Cynanche tonsillaris. Axgi'na trache'alis. See Cynancht iracherrlis. ANGIOLO'GIA. (From u^yyuov, n vessel, and Koycr, a discourse.) The doctrine of the vessels of the human body. A'nglicus su'dor. (From Anglia, Eng- land, and sudor, sweat.) The sweating sickness. Sennertus. Awgo'lam. a very tall tree of Malabai-, possessing vermifuge powers. Ango'sj2. (From ty/^^a,, to strangle.) A nervous sort of quinsy, or hectic suffoca- tion, where the fauces are contracted and stopped up without inflammation. A'ngor. Intense bodily pain. Galtn. A'ngos. (Aj/fic a vessel.) A vessel; a collection of humours. ANGUSTU'RiE CORTEX. Angustura bark. See CuspUria. Anhela'tio. (From anhelo, to breathe with difficulty.) AnhelUm. Shortness of breathing. ANN" Also AsiciiTOiV. (From a, priv. and vwh, vic- tory.) A name of a plaster invented by Crito, and so called because it was thought an infallible or invincible remedy for achores, or scald-head. It was composed of litharge, alum, and turpentine, and is described by Galen. A'NIMA. The thinking principle. A'nima a'loes. Refined aloes. A'nima articulo'rum. Hermodactylus. A'nima he'patis. Sal martis. A'nima pulmo'num. The soul of the lungs. A name given to saffron, on account of its use in asthmas. A'nima khaba'rbari. The best rhubarb. A'nima satu'rni. A preparation of lead. ■A'nima ve'neris. A preparation of cop- per. ANIMAL. An organized body endowed with life and voluntary motion. Animal actions. Jlctiones animales. Those action5,"or functions, are so termed, ivhich are performed through the means of the mind. To this class belong the exter- na! and internal senses, the voluntary action of muscles, voice, speech, watching, and sleep. Animal heat. Heat is essentially ne- cessary to life. That of a man in health is about 98 of Fahrenheit. It appears to de- pend upon the decomposition of the air in the lungs. See Respiratiori. Animal oil. Oleum animale. An em- pyreumatic oil obtained from the bones of animals, recommended as an anodyne and antispasmodic. / A'nime gu'mmi. The substance which bears this name in the shops is a resin, the produce of the Hymencea courbaril of Lin- naeus. It is seldom ordered in the practice of the present day, and is only to be met with in the collections of the curious. A'nimi deli'q.uidm. (From animus, the mind,' and delinquo, to leave.) Fainting. See Syncope. A'nimus. This word is to be distinguish- ed from anima; the former expresses the faculty of reasoning, and the latter the being in which that faculty resides. Anin'ga. a root which grows in the Antilles islands, and is used by sugar- bakers for refining their sugar. Anisca'lptor. (From anus, the breech, and scaipe, to scratch.) The latissimus dorsi is so called, because it is the muscle chiefly instrumental in performing this office. Bartholin. Aniso'tachys. (From avtcroQ, unequal, and Ta;^uf, quick.) A quick and unequal pulse. GorrcEUs. ANI'SUM. (From a, neg. and Kroi, equal.) Anise. See Pimpinella. Ani'sum sine'nse. ) See Illicium Anis'um stellatum. ^ ' Jinisatum. Ani'sum vulgare. See Pimpinella. Annce'ntes. (From annuo, to nod.) Some muscles of the head were fovmerlv so called, because they perform the office of nodding, or bending the head downwards. Cowper, &,c. Annular, (^'innularis.) Like a ring; thus, annular bone, fee. Annular bone. Circulas osseus. A ring- like bone placed before the cavity of the tympanum in the fretus. Annular Cartilage. See Cartilago Cri- coidea. Annula'ris di'gitus. The ring-finger. The one between the little and middle fingers. Annula'ris proce'ssus. See Pons va- Tolli A'NNULUS ABDO'MINIS. The ab- dominal ring. An oblong tendinous open- ing in each groin, through which the sper- matic chord in men, and the round liga- ment of the uterus in women, pass. It is through this aperture that the abdominal viscera fall in that species of hernia, which is called bubonocele. See Obliquus externus abdominis. A'no. {Avce, upwards; in opposition to x*T«i, downwards.) Upwards. A^ocatha'rtica. (From avai, upwards, and H.aQa.tpa>, to purge.) Emetics: medi- cines which purge upwards. Anochei'lon. (From *va), upwards, and X^i^^i} the lip.) The upper lip. Ano'dia, (From a,, neg. and oJ'cc, the way.) Hippocrates uses this word for in- accuracy and irregularity in the description and treatment of a disease. Ano'dyna. See Anodynes. ANODYNES. (Anodyna, sc. medica- nienta. From *, priv. and axTuvx, pain.) Those medicines are so termed which ease pain and procure sleep. They are divided into three sorts ; paregorics, or such as as- suage pain ; hypnotics, or such as relieve by procuring sleep ; and narcotics, or such as ease the patient by stupifying him Ano'dynom minera'le. Sal prunella. Ano'dynum martia'le. Ferrum am- moniatum precipitated from water by pot- ash. Anomalous. This term is often ap- plied to those diseases whose symptoms do not appear with that regularity which is generally observed in diseases. A dis- ease is also said to be anomalous, when the symptoms are so varied as not to bring it under the description of any known affection. Ano'mphalos. (From a, priv. and o/n- Qppi;, the gout.) Medicines which relieve or repel the gout. Antasthma'tica. (From c/.vlt, against, and eta-Qjuct, an asthma.) Remedies against asthma. Antatro'phica. (From ctvlt, against, and etlpopta., a consumption.) Medicines which relieve consumption. Anteche'sis. (From oLvje^ojuxt, to resist.) A violent stoppage in the bowels, which re- sists all eff'orts to remove it. Hippocrates. Antela'bium. (From ante, before, and labium, a lip.) The extremity of the lip. Ante'mbasis. (From avlt, mutually, and if^Saiveo, to enter.) A coalescence, or union of bone. Galen. Anteme'tica. (From avlt, against,' and sfAsce, to vomit.) Medicines which stop or prevent vomiting. Antenea'smus. (From uvlh against, and Tuna-fjiOQ, implacable.) That species of mad- ness in which the patient endeavours to de- stroy himself. Antephia'ltica. (From avIi, against, and iiiia?ClitQ, the night-mare.) Medicines which prevent the night-mare. Antepile'ptica. (From *v7;, against, and i7rix-^-\,t(, the epilepsy.) Remedies against the epilepsy, and other convulsive disor- ders. ANTE'RIOR AURIS. One of the common muscles of the ear, situated before the external ear. It arises thin and mem- branous, near the posterior part of the zygo- ma, and is inserted into a small eminence on the back of the helix, opposite to the concha, which it draws a little forwards and upwards. ANTERIOR INTERCOSTAL NEflVE. Splanchnic nerve.' A branch of the great intercostal that is given ofl" in the tho- rax. Ante'rior ma'llei. See Laxalor tym- pani. Anthe'lix. See Antihelix. Anthe'lmia. (From *v7/, against, and iK/utvc, a worm.) The herb Indian pink, or worm-grass, so called, because it was thought of great virtue in expelling worui? See Spigelia Marilandicu- 60 ANT AN'l ANTHELMINTICS. {Anlhtlmintica, sc. medicamenta ; from olvIi, against, and i\- f^iv;, a worm.) Medicines which procure the evacuation of worms from the stomach and intestines. The greater number of them act mechanically, dislodging the worms, by the sharpness or roughness of their particles^ or by their cathartic opera- tion. Some seem to have no other qualities than those of powerful bitters, by which they either prove noxious to these animals, or remove that debility of the digestive or- gans, by which the food is not properly assimilated, or the secreted fluids poured into the intestines are not properly pre- pared ; circumstances from which it has been supposed the generation of worms may arise. The principal medicines be- longing to this class, are : Calomel, gam- boge, Geoffraja inermis, tanacetum,polypo- dium filix mas, spigelia, Marilandica, arte- misia santonica, olea Europasa, stannum pulverisatum, ferri liraaturae, and dolichos pruriens ; which see under their respective heads. A'NTHEMIS. (Anthcmis, miclis ; fcem. From Avflsiu, jloreo ; because it bears an abundance of flowers.) Chamomile. 1. The name of a genus of plants in the tinnaean system. Class, Syiigenesia- Or- der, Polygamia superflua. 2. The name in the last London Phar- macopoeia for chamomile. See Anihcmis nobilis. A'NTHEMIS co'tula. {Colula, a dim. of cos, a whetstone ; so called from its leaves resembling a whetstone.) The systematic name for the plant called Cotula fcetida in the pharmacopoeias. ChairKemelumfcetidum. Mayweed. Stinking chamomile. This plant, Anihemis cotula, of Linnajus : — receptnculis conicis paleis setaccis, seminibus nudis, has a very disagreeable smell; the leaves, a strong, acrid, bitterish taste ; the flowers, however, are almost insipid. It is said to have been useful in hysterical affections, but is very seldom employed. A'NTHEMIS no'bilis. Tlic Systematic name for the chain (Emelum of the shops. ChamcB- meluni nobile. Chamomilla romana. Euan- thtmon of Galen. Anthemis of the last Lon- don pharmacopceia. Common chamomile. Antliemis foliis pinnato-compositis linearibus acutis subvillosis, of Linnajus. Both the. leaves and flowers of this indigenuous plant have a strong though not ungrateful smell, and a very bitter, nauseous taste: but the latter are the bitterer, and considerably more aromatic. They possess tonic and stoma- chic qualities, and are much employed to restore tone to the stomach and intestines, and as a pleasant and cheap bitter. They have been long successfully used for the ciu'e of intermittents, as well as of fevers of the irregular nervous kind, accompanied with visceral obstructions. The flowers have been found useful in hysterical affec- tions, flatulent or spasmodic colics, and dysentery; but, from their laxative qualityj Dr. Cullen tells us they proved hurtful in diarrhoeas. A simple infusion is frequently taken to excite vomiting, or for promoting the operation of emetics. Externally they are used in the decoclum pro fotnento, and are an ingredient in the decociiim malvce composHum. A'NTHEMIS PYRETHRUM. The plant from which we obtain the pyrethrum of the pharmacopoeias. Buphthalmum cre- ticum. Bellis montana putescens acris. Dentaria. Herba salivaris. Pes alexandri- nus. Spanish Chamomile. Pellitory of Spain, jinthemis caulibus simplicibus uni- fioris decunibentibus, foliis pinnato-muUi- Jidis, of Linnaeus. This root, though cul- tivated in this country, is generally im- ported from Spain. Its taste is hot and acrid, its acrimony residing in a resinous principle. The ancient Romans, it is said, employed the root of this plant as a pickle. In its recent state, it is not so pungent as wliefi dried, and yet, if applied to the skin, it produces inflammation. Its qualities are stimulant; but it is never used, except as a masticatory, for relieving tooth- aches, rheumatic aft'ections of the face, and paralysis of the tongue, in which it affords relief by stimulating the excretory ducts of the saliva! glands. ANTHERA. (From avBcg, a flower.) 1. A compound medicine- used by the ancients; so called from its florid colour. Galen. JEgineta. 2. The male part of the fructification of plants. Anthophy'lli. (From avSuc, a flower, and <^uxxov, a leaf; so called from the fra- grance of the flowers and the beauty of the leaves.) Cloves are so termed when they have been suffered to grow to maturity, G. Bauhin Pin. A'NTHORA. (Quasi arilithora, ai-Mopx: from etvli, against, and S-6/)a, monkshood; so called because it is said to counteract the effects^ of the thora or monkshood.) A species of Wolfsbane. See Aconiium. A'nthos flo'res. The flowers of the rosmarinus are so termed in some pharma- copoeias. Anthra'cia. See Anlhrax. A'NTHRAX. (From avSgaf, a burning coal.) Anthracia. Anthroco-na. Anthro- cpma. Carbuncidus. A hard and circum- scribed inflammatory tubercle like a boil, which sometimes forms on the cheek, neck, or back, and in a few days becomes highly gangrenous. It then discharges an ex- tremely foetid sanies from under the black core, which, like a burning coal, continues destroying the surrounding parts. It is sup- posed to arise from a peculiar miasma, is most common in warm climates, and often attends the plague. Anthraco'sis o'culi. a red. livid, ANT AIST 61 burning, sloughy, very painful tumour, oc- several authors, as those oi JS'icholaus, Mesne, cun-ing on the eyelids. JEgineta. Myrepsus, k.c. Anthropogra'fhia. (From avd^uTro;, a AlN'TI'DOTUS. (From a.-f]t, against, man, and y^aipte, to write.) Description of and tS'ttSai/ui. to give.) A preservative against man's structure. sickness. A remedy. Galen. ANTHROPOLO'GIA. (From a.vd^a>7roc, a Antidysente'rica. (From ctvli, against, man, and Koyo;, a discourse.) The descrip- and J'uo-live^tci, or flux.) JWedicines against tion of man. a dysentery, or flux. Anthypnotica. (From a.vli, against, and Antifebri'lia. (From mli, against, and t«rvcf, sleep.) Medicines which prevent sleep /e6riy, a fever.) A febrifuge, a remedy or drowsiness. against fever. Anthypochondri'ac A. (From «tv7/, against, Antihe'ctica. (From ay7/, against, and and u':ro;)(_oyJ'gtu., the hypochondria.) Me- hCliKog, a hectic fever.) Remedies against dicines adapted to cure low-spiritedness or a hectic fever. disorders of the hypochondria. Antihe'cticum Pote'rii. Antimonium Anthyste'rica. (From av7/, against, diaphoreticum Joviale. A medicine invented and vg-i^a., the womb.) Uterines or me- by Poterius, formerly extolled as effectual dicines which relieve the hysteric passion, in hectic fevers, but now disregarded. It Blancard. is an oxyd of tin and chalybeated regulus of A'iNTl. (Av7/, againsl.) There are many antimony, in consequence of their defla- names compounded \vith this word, as anYf- gration with nilre. asthmatics, antihysterics, antidysenterics, &c. ANTIHE'LIX. (From ctvlt, against, xvhich signify medicines against the asthma, and s>.;|, the helix.) The inner circle of hysterics, dysentery, fcc. the auricle, so called from its opposition to Akti'ades. (From etvliAw, to meet.) The the outer circuit called the helix, tonsils are so called, because they answer Antihelmin'tica. See Ailhelminitics. one another. The mumps. JVk. Piso. Antihyster'jca. (From sjv7/, against, Aktia'gra. (From av7/«, a tonsil, and and v?-igiy.a, hysterics.) Medicines which tf.>g*, a prey.) Aniiagri. A tumour of the prevent or relieve hysterics. tonsils. Ulpian, Roland, fcc. Antile'psis. (From ctvltKctuCoi.vce, to take Antiarthri'tica. See Antarthritica. hold of.) The securing of bandages, or Anticache'ctica. (From avli, against, ligatures from slipping. Hippocrates. and xa;t^|w, a chachexy.) Medicines against Antilo'eium. (From ctv7/, opposite, and a cachexy, or bad habit of body. xofs?, the bottom of the ear.) The tragus Antica'rdidm. (From av7/, against, or or that part of the ear which is opposite opposite, and jta^tT/a, the heart.) The hoi- the lobe. low at the bottom of the breast, commonly Antiloimica. (From ov7<, against, and called scrobiculis cordis, or pit of the sto- AcyfAoc, the plague.) Remedies orpreven- roach. tives against the plague. Anticatarrha'lia. (From nvli, against, Anti'lopus. The antelope. An African and xalappc;, a cataj-rh.) Medicines which beast resembling a deer, whose hoofs and relieve a catarrh. horns were formerly given in hysteric and Anticauso'tica. (From av7<, against, and epileptic cases. JcAuo-cc, a burning fever.) Remedies against Astily'ssus. (From a.vlt, against, and burning fevers. We read, in Corp. Pharm. xua-o-a, the bite of a mad dog.) A medicine of Junken, of a syrupus anticausoticiis. or remedy against the bite of a mad dog. A'nticheir. (From ctvli, against, and Anihnoni'al powder . SeeAntiamonialispulris. j'^ag, the hand.) The thumb. Galen. A.nijioniale. (From anii7nonium.) An ANTiCiNE'MioK. (From av7i, against, or antimonial, or composition in which anti- opposite, and jcv«^/), the calf of the leg.) mony is a chief ingredient. A preparation That part of the tibia which is bare of of antimony. flesh, and opposite the calf of the leg. The Antimoxia'lis pu'ltis. Antimonial shui-bone. Galen. powder. "Take of sulphuret of antimony, Antico'lica. (From ctvli: against, and powdered, a pound : hartshorn shavings, x»A/;M,the colic.) Remedies against the colic, two pounds." Mix and throw them into Antidia'stole. (From avIi, against, and a broad iron pot heated to a white heat, ^wrsWtw, to distinguish.) An exact and ac- and stir the mixture constantly until it ac- curate distinction of one disease, or symp- quires an ash colour. Having taken it out, torn, from another. reduce it to powder, and put it into a coated Antidinica. (From avli, against, and crucible, upon which another inverted cru- cT/vs?, circumgyration.) Medicines against cible, having a small hole in its bottom, is a vertigo, or giddiness. Blancard. to be luted. Then raise the fire by degrees Amtidota'rium. (From avltJ^olo;, an an- to a white heat, and keep it so for two t!dote.) A term used by former writers, hours. Reduce the residuary mass to a for what we noAv call a dispensatory; a very fine powder. The dose is from five place where antidotes are prescribed and to ten grains. It is in high esteem as a prepared. There are antidotaries extant of febrifuge, sudorific, and antispasmodic. The 63 ANT AxNT diseases in which it is mostly exhibited are, most species of asthenic and exanthematous fevers, acute rheumatism, gout, diseases arising from obstructed perspiration, dysu- ria, nervous affections, and spasms. This preparation was introduced into the former London Pharmacopoeia as a substi- tute for a medicine of extensive celebrity. Dr. James's powder; to which, however, the present form more nearly assimilates in its dose, and it is more manageable in its administration, by the reduction of the pro- portion of antimony to one half. Astimo'nii O'sydum. Oxyd of Antimony. This preparation is now directed to be made by dissolving an ounce of tartarized anti- mony, and two drachms of subcarbonate of ammonia, separately in distilled water, mixing the solutions and boiling, till the oxyd of antimony is precipitated, which is to be washed with water and dried. This must not be confounded with the old cal- cined or diaphoretic antimony, being amuch more active preparation. See Jintimony. In its effects, it will be found to agree pretty much with the antimouium tartari- /iatum ; but it is very little employed. Antimo'nii TAKTARiZATi LiquoR. Solu- tion of tartarized antimony. Vinum anti- mnnii lartarisati of the Pharm. Lond. 1787. •• Take of tartarized antimony, one scruple; boiling distilled water, four fluid ounces ; wine, six fluid ounces. Dissolve the tar- tarized antimony in the boiling distilled water, then add the wine. Half an ounce of the solution contains one grain of the salt. This preparation may be given in all cases where the tartar emetic is indicated. AnTIMo'nII SULPHURE'tUM PRiECIPITA'- TUJi. Sulphur antimonii prczcipitatum. Pre- cipitated sulphuret of antimony. This pre- paration of antimony appears to have ren- dered that called Kermes mineral unneces- sary. It is made thus : — Take of sulphuret of antimony, in pow- der, two pounds ; of the solution of potash, four pints ; of distilled water, three pints. Mix and boil the mixture over a slow fire for three hours, stirring it well, and occa- sionally adding distilled water, so that the same measure may be preserved. Strain the solution forthwith through a double linen cloth ; and while it is yet hot, drop in, gradually, as much sulphuric acid as may be required to precipitate the powder ; then wash away the sulphate of potash, by hot water ; dry the precipitated sulphuret of antimony, and reduce it to powder. In this process part of the water is decomposed, and its oxygen unites partly with the antimony ; the oxyd of antimony as well as the potash combine with sulphur and hydrogen, form- ing hydrosnlphuret of antimony and hydro- guretted sulphuret of potash : if the solu- tion be allowed to cool, the former of these partly precipitates, constituting the kermes mineral; but the addition of the sulphuric acid throws down the whole of it at once, mixed with some sulphur, furnished by the decomposition of the hydroguretted sulphu- ret of potash. As an alterative and sudorific, it is in high estimation, and given in diseases of the skin and glands ; and joined with calomel, it is one of the most powerful and penetrating alteratives we are in pos- session of. ANTIMO'iSflUM. See Antimony. Antimo'nium calcina'tum. The volatile oxyd of antimony. Antimo'nium diapSore'ticum. An old name for the volatile oxyd of antimony. Antimo'nium tartariza'tum. Tartarus emeticus. Tartarum emeticum. Tartarus antimonialis. Tartris antimonii cum potassa. Tartarum stihiatum. Tartar emetic is ob- tained by boiling the fusible oxyd of anti- mony with supertartrate of potash ; the excess of tartaric acid dissolves the oxyd, and a triple salt is obtained by ciystallization. The London Pharmacopoeia directs thus : Take of powdered sulphuret of antimony two ounces, nitrate of potash an ounce, supertailrate of potash two ounces, sulphuric acid two ounces by weight, distilled water a pint and a half; mix the acid with half a pint of the water in a suitable glass vessel, and heat them in a sand bath. When they are moderately heated, add gradually the nitre and sulphuret previously mixed ; then boil, till the moisture is consumed. Wash the residuum with distilled water, till it is without flavour, and mix it, still moist with the supertartrate of potash, and throw them into a pint of distilled water ; finally boil the liquor away sufficiently, and set it aside to crystallize. In the first part of this process, when nitre and sulphuret of antimony are boiled in dilute sulphuric acid, this gradually decomposes the nitre, and the nitric acid, as it is liberated oxidizes the antimony ; the oxide of antimony, united probably to a small portion of sulphuric acid, appears in the form of a white powder : and it is by boiling this with the supertartrate of potash, which renders the oxide of antimony solu- ble, that the antimonium tartarizatum, or tartrate of antimony and potash, is formed. A solution of this salt iri dilute wine is order- ed in the pharmacopoeia. See Antimoiiii Tartarasati Liquor. Tartar emetic is the most useful of all the antimonal preparations. Its action is not dependent on the state of the stomach, and, being soluble in water, its dose is easily managed,while it also operatesmore speedily. In doses of from one to three, four, or five grains, it generally acts powerfully as an emetic, and is employed whenever we wish to obtain the eff"ects which result from full vomiting. As patients are differently aifected by this medicine, the safest mode of exhibiting it is : ]^. Antimonii tartarisati, gr. iii. Aqun-, distillate, ^iv. Misce et cola -AKT AiNT 63 Dosis ?ss. omni horae quadrante, donee supervenerlt vomitus. For children, emetic tartar is not so safe an emetic as ipecacuanlia powder : when great debility of the system is pre- sent, even a small dose has been known to prove fatal to children. Sometimes it proves cathartic. In smaller doses it excites nausea, and proves a powerful diaphoretic and expec- torant. As an emetic it is chiefly given in the beginning of fevers and febrile diseases ; when great debility is present, and in the advanced stages of typhoid fever its use is improper and even sometimes fatal. As a diaphoretic," it is given in small doses, of from an eighth to a quarter of a grain ; and as an expectorant, in doses still smaller. Emetic tartar in small doses, combined with calomel, has been found a powerful yet safe alterative in obstinate eruptions of the skin. P-. J3ntimonii tartarisati, gr. iv. Hydrargyri submuriatis, gr. xvi. Confedionis Roscr gal- licce, q. s. Divide in pil. xsiv. Capiat i. mane nocteque ex thea sassafras. In the form of powder, or dissolved in water, it is applied by a pencil to warts and obstinate ulcers : it is also given in the form of clyster, with a view to produce irritation in soporose diseases, apoplexy, ileus, and hernia incarcerata. The powder mixed with any fluid, and rubbed on the scrobiculus cordis, excites vomiting. Ano- ther property which tartar emetic has, when rubbed on the skin, is that of producing a crop of pustules very like to the small-pox, and with this view it is used against rheu- matic pains, white, and other obstinate swellings. The best antidote against the bad effects of too large a quantity of this and other antimonial preparations, is a de- coction of the bark of cinchona : in defect of which, tea and other astringents may be used. Antimo'nium viTRiF ACTUM. Glass of an- timony. An oxid of antimony, with a little sulphuret. ANTCMOiNY. Jintimonium, i. n. Av7/;Mo- vtov. The origin of this word is very ob- scure. The most received etymology is, from edit, against, and fxovog, a monk ; be- cause Valentine, by an injudicious adminis- tration of it, poisoned his brother monks.) Jinlimonium Stibium. A metal found native, but very rarely ; it has, in that state, a me- * tallic lustre, and is found in masses of dif- ferent shapes ; its colour is white, between those of tin and silver. It generally con- tains a small portion of arsenic. It is like- wise met with in the state of an oxyd, antimonial ochre. The most abundant ore of it is that in which it is combined with sulphur, the gray ore of antimony, ov sulphuret of antimony. The colour of this ore is bluish, or steel-gray, of a metallic lustre, and often extremely beautifully variegated. Its texture is either compact, foliated, or striated. The striated is found both crys- tallized, massive, and disseminated ; there are many varieties of this ore. Properties of Antiynony. — Antimony is a metal of a grayish white, having a slight bluish shade, and very brilliant. Its texture is lamellated, and exhibits plates crossing each other in every direction. Its surface is covered with herbarizations and foliage. Its specific gravity is 6.702. It is suffi- ciently hard to scratch all the soft metals. It is very brittle, easil}^ broken, and pulveri- zable. It fuses at 810° Fahr. It can be volatilized, and burns by a strong heat. When perfectly fused, and suffered to cool gradually, it crystallizes in octahedra. It unites with sulphur and phosphorus. It de- composes water strongly at a red heat. It is soluble in alkaline sulphurets. Sulphuric acid, boiled upon antimony, is feebly de- composed. Nitric acid dissolves it in the cold. Muriatic acid scarcely acts upon it. The oxigenated muriatic acid gas inflames it, and the liquid acid dissolves it with fa- cility. Arsenic acid dissolves it by heat with difliiculty. It unites, by fusion, with gold, and renders it pale and brittle. Platina, silver, lead, bismuth, nickel, copper, arsenic, iron, cobalt, tin, and zinc, unite with anti- mony by fusion, and form with it compounds, more or less brittle. Mercuiy does not alloy with it easily unless very pure. We are little acquainted with the action of alka- lies upon it. Nitrate of potash is decom- posed by it. It fulminates by percussion with oxigenated muriate of potash. Anti- mony forms at least two definite compounds with oxygen. One may be obtained by the action of muriatic acid, adding water to the solution, which precipitates the oxide in union with a little acid, which may be sepa- rated by boiling for some time in a solution of subcarbonate of potash ; it is of a dull brownish white colour, fusible at a moderate red heat, but hardly volatilized without access of air, which carries the oxidizement farther. The other oxide is formed by the combustion of the metal, subliming as a fine white powder, which requires a much high- er temperature for its fusion than the pre- ceding. It is very important to dijstinguish these two compounds ; the former, or fusi- ble oxide, combines most readily with acids, and possesses much greater activity as a medicine, than the volatile oxide ; indeed it appears to be the basis of all those anti- monial preparations, on which any reliance can be placed. Methods of obtaining antimony. — 1. To obtain antimony, heat 32 parts of filings of iron to redness, and project on them, by degrees, 100 parts of antimony ; when the whole is in fusion, throw on it> by degrees, 20 parts of nitrate of potash, and after a few minutes quiet fusion, pour it into an iron melting cone, previously heated and greased. 04 ANT ANT 2. It may also be obtained by melting eight parts of the ore mixed with si;i of ni- Irate of potash, and three of supertartrate of potash, gradually projected into a red- liot crucible, and fused. To obtain perfectly pure antimony, Mar- graaf melted some pounds of tlie sulphuret in a luted crucible, and thus scorified any metals it might contain. Of the antimony thus purified, which lay at the bottom, he took sixteen"ounces, which he oxidized cau- tiously, first with a slow, and afterwards with a strong heat, until it ceased to smell of sulphur, and acquired a grayish-white co- lour. Of this gray powder he took four ounces, mixed them with six drachms of supertartrate of potash, and three of chai'- coal, and kept them in fusion in a well co- vered and luted crucible, for one hour, and thus obtained a metallic button that weighed one ounce, seven drachms, and twenty grains. The metal, thus obtained, he mixed with half its weight of desiccated subcarbonate of soda, and covered the mixture with the same quantity of the subcarbonate. He then melted it in a well covered and luted cru- cible, in a very strong heat, for half an hour, and thus obtained a button which weighed one ounce, six drachms, and seven grains, much whiter and more beautiful than the former. This he again treated Avith one and a half ounce of subcarbonate of soda, and obtained a button, weighing one ounce, five drachms, and six grains. This button was still «f)urer than the foregoing. Repeating these fusfcns with equal Aveights of subcar- bonate of soda three times more, and an hour and a half each time, he at last ob- tained a button so pure, as to amalgamate with mercury with ease, very hard, and in some degree malleable ; the scoria? formed in the last fusion w^ere transparent, which indicated that they contained no sulphur, and hence it is the obstinate adherence of the sulphur that renders the purification of this metal so diflTicult. The preparations of antimony formerly in use were very many : those now directed to be kept are : — 1. Sulphuretum antimonii. 2. Oxydum antimonii. ^ 3. Sulphuretum antimonii pra;cipitalum. 4. Antimonium tartarizatum. 5. Pulvisantimonialis. 6. Liquor antimonii tartarizati. Anti'mokis. (From a.\1i, against, and 'j.cpoc, death, or disease.) A medicine to prolong life. Antinepiiri'tica. (From avli, against, and vsiptlt;, a disease of the kidneys.) Re- medies against disorders of the kidneys. Blanr.ard. Antiodonta'i.gicus. An insect described by Germi in a small work published at Florence 1794, so called from its property of allavina: the toothach. It is a kind of curculio found on a species of thistle, car- duus spinosissimus. If twelve or fifteen of these insects in the state of larvae, or when come to perfection, be bruised and rubbed slowly between the fore-finger and thumb until they have lost their moisture ; and if the painful tooth whei'e it is hollow, be touched v.ith that finger, tiie pain ceases sometimes instantaneously. A piece of shamoy leather will answer the same pur- pose with the finger. If the gums are in- flamed, the remedy is of no avail. Other insects possess the property of curing the toothach ; such as the scarabeus ferrugi- neus of Fabricius ; the coccinella septem- punctata, or lady-bird ; the.chrysomela po- puli, and the chrysomela sanguinolenta. Tills property belongs to several kinds of the coleoptera. Antiparaly'tica. (From *v7«, against, and 'sruMxxvc-is, the palsy.) Medicines against the palsy. Antipathei'a. (From etvlt, against, and 'zs-aQoc, an affection. (Antipathy. An aver- sion to particular objects. Antiperista'ltic. (From a.vli, against, and 'aripis-i>xai, to contract.) Whatsoever obstructs the peristaltic motion of the in- testines. Aktiperi'statis. (From ci'.^i, against, and '!t!-epig->i/ui, to press.) A compression on all sides. Theophrastus de igne. Antipha'rmaca. (From avlt, against, and 9/o-K, consumption.) Remedies against a consumption. Anti'phthora. (From avli, against, and pSo/!it, corruption.) A species of wolfsbane which resists corruption. Antiphy'sica. (From ai'7/, against, and (pva-itie, io blow.) Carminatives or remedies against wind. Antipleuri'tica. (From ctvli, against, and 'orMvpiit;, pleurisy.) Remedies against a pleurisy. Antipoda'grica. (From aili, against, and tiroS'a'ypci., the gout.) Medicines which relieve or remove the gout. Antipra'xia. (From aili, against, and 'nrpATo-ci), to work.) A contrariety of func- tions and temperaments in divers parts. Contrariety of symptoms. Antipyre'tica. (From avli, against, and 'o-upilo;, fever.) Antifebrile. Remedies against a fever. Antiqcartana'bia. (From ai7/, against, ANT AM 65 and quartana, a quartan fever.) Remedies against quartan agues. Aftiqca'rticum. The same as Anti- quartanaria. ANTIRRHI'NUM. (Avlipfim: from *v7/, against, and p/f, the nose ; so called because it represents the nose of a calf.) Snap-dra- gon, or calf's-snout. The name of a genus of plants in the Linnaean system. Class, Didynamia. Order, Angiosptrmia. Antirkhi'num lina'ria. The systematic name for the linaria of the pharmacopoeias. Osyris. Urinaria. Common toad-flax. Jin- tirrhinumfoliis la7iceolatis linearibus confer- iis, caule erecto, spicis terminalibus sessilibus, fioribus imbricatis, of Linnaeus. A peren- nial indigenous plant, common in barren pastures, hedges, and the sides of roads, flowering from July to September. The leaves have a bitterish and somewhat saline taste, and when rubbed between the fingers, have a faint smell, resembling that of elder. They are said to be diuretic and cathartic, and in both characters to act powerfully, especially in the first; hence the namewri- nalis. They have been recommended in dropsies and other disorders requiring powerful evacuations. The linaria has also been used as a resolvent in jaundice, and such diseases as were supposed to arise from visceral obstructions. But the plant has been chiefly valued for its efiects when externally applied, especially in hasmorrhoi- dal affections, for which both the leaves and flowers have been employed in various forms of ointment, fomentation, and poultice. Dr. Wolph first invented an ointment of this plant for the piles. The Landgrave of Hesse, to whom he was physician, constant- ly interrogated him, to discover its composi- tion ; but Wolph obstinately refused, till the prince promised to give him a fat ox annually for the discovery: hence, to the following verse, which was made to distin- guish the linaria from the escula, viz. " Eiula ladescit, sine lade linaria crescit," The hereditary Marshal of Hesse, added, " Esula nil nobis, sed dat li7iaria taurum." Antirkhi'num elatine. The systematic name of the plant we call fluellen, or female speedwell. Elatine of the shops. The leaves of this plant have a roughish bitter taste, but no smell. It was formerly much used against scurvy and old ulcerations, but now wholly forgotten. Antisco'lica. (From olvIi, against, and trxoiM^, a worm.) Remedies against worms. Anthelmintics. ANTISCORBUTICS. {Antiscorbutica, sc. -medicamenta ; from avIi, against, and ■scorbutus, the scurvy.) Medicines which cure the scurvy. ANTISEPTICS. (Antiseptica, sc. me- dicamenta; from <*i7/, against, and s-wwai, to putrefy.) Those medicines which possess 9 ft power of preventing animal substances from passing into a state of putrefaction, and of obviating putrefaction when already begun. This class of medicines compre- hends four orders. 1. Tonic antiseptics, as cinchona, cusparioE. cortex, chamaemelum, &.c. which are suited for every condition of body, and are, in ge- neral, preferable to other antiseptics, for those with relaxed habits. 2. Refrigerating antiseptics, as acids, which are principally adapted for the young, vigo- rous, and plethoric. 3. Stimulating antiseptics, as wine and alcohol, best adapted for the old and debi- litated. 4. Antispasmodic antiseptics, as caraphora and asafcfitida, which are to be selected for irritable and hysterical habits. Anti'spasis. (From ctvli, against, and , to draw.) A revulsion. The turn- ing the course of the humours, whilst they are actually in motion. Galen. ANTISPASMODICS. {Antispamio- dica sc. medicamenta; from avlt, against, and enrcta-fAo^, a spasm.) Medicines which possess the power of allaying, or removing, inordinate motions in the system, particu- larly those involuntary contractions which take place in muscles, naturally subject to the command of the will. Spasm may arise from various causes. One of the most fre- quent is a strong irritation, continually ap- plied ; such as dentition, or worms. In these cases, narcotics prove useful, by dimi- nishing irritability and sensibility. Some- times spasm arises from mere debility ; and the obvious means of removing this is by the use of tonics. Both narcotics and tonics, therefore, are occasionally useful as antispasmodics, such as opium, camphorj and ether, in the one class, and zinc, mer- cury, and Peruvian bark, in the other. But there are farther, several other substances, which cannot be with propriety referred to either of these classes ; and to these, the title of antispasmodics is more exclusively appropriated. The principal antispasmo- dics, properly so called, are moschus, casto- reum, oleum animale empyreumaticum, petroleum, ammonia, asafoetida, sagapenum, galbanum, Valeriana, crocus, melaleucai leu- cadendron. The narcotics, used as antispasmodics^ are ether, opium, camphor. Tonics, used as antispasmodics, are cu- prum, zincum, hydrargyrum, cinchona. Anti'thenar. (From av7/, against, and ^vdLg, the palm of the hand.) A muscle of the toot. See Adductor pollicis pedis. Antitra'gicus. Antitragus. (Antitra- gicus, sc. musculus.) One of the proper muscles of the ear, whose use is to turn up the tip of the antitragus a little outwards, and to depress the extremity of the antihe- lix towards it. Antitba'gus. {Antitragus, i, m. from. A.M ANU mil, and Tgity®', the tragus.) An eminence of the outer ear, opposite to the tragus. Antivene'rea. (From ttvli, against, and vtnereus, venereal.) Medicines against the lues venerea. Anto'nii Sa'ncti i'gnis. (So called be- cause St. Anthony was supposed to cure it miraculously. In the Roman Missal, St. Anthony is implored as being the preserver from all sorts of fii-e.) St. Anthony's fire. See Erysipelas. Antophy'llon. (From ttvlt, against, and <^uM(!v, a leaf; so called because its leaves are opposite.) The male caryophyllus. A'ISTRUM OF HIGHMORE. (From the name of an anatomist, who gave the first accurate description of it.) Jlntrum High- morianum. Antrum genm. Sinus maxillaris pituitarius. Antrum maxillce superioris. Maxillary sinus. A large cavity in the mid- dle of each superior maxillary bone, be- tween the eye and the roof of the mouth, lined by the mucous membrane of the nose. One or both antra are liable to several morbid affections. Sometimes their mem- branous lining inflames, and secretes pus. At other times, in consequence of inflam- mation, or other causes, various excres- eences and fungi are produced in them. Their bony parietes are occasionally af- fected with exostosis, or caries. Extraneous bodies may be lodged in them, and it is even asserted that insects may be generated in them, and cause, for many years, afflicting pains. Abscesses in the antrum are by far the most common. Violent blo^vs on the cheek, inflammatory aft'ections of the ad- jacent parts, and especially of the pituitary membrane lining the nostrils, exposure to eold and damp, and, above ail things, bad teeth, may induce inflammation and suppu- ration in the antrum. The first symptom is a pain, at first imagined to be a toothach, particularly if there s'lould be a carious tooth at this part of the jaw. This pain, however, extends more into the nose than that usually does which arises from a de- cayed tooth ; it also affects, more or less, the eye, the orbit, and the situation of the frontal sinuses. But even such symptoms are insufficient to characterize the disease, tlie nature of which is not unequivocally evinced, till a much later period. The complaint is, in general, of much longer duration than one entirely dependent on a caries of the tooth, and its violence increases more and more, until at last a hard tumour becomes perceptible below the cheek-bone. The swelling by degrees extends over the whole cheek; but it afterwards rises to a point, and forms a very circumscribed hard- ness, vrhich may be felt above the back- grinders. This symptom is accompanied by redness, and sometimes by inflamma- tion and suppuration of the external parts. It is not uncommon also, for the outward abscess to communicate with that within the antrum. The circumscribed elevation of the tumour, however, does not occur in all cases. Thereareinstancesin which the matter makes its way towards the palate, causing the bones of the part to swell, and at length rendering them carious, unless timely assist- ance be given. There are other cases, in which the matter escapes between the fangs and sockets of the teeth. Lastly, there are other examples, in which matter, formnid in the antrum, meikes its exit at the nostril of the same side, when the patient is lying with his head on the opposite one, in a low posi- tion. If this mode of evacuation should be frequently repeated, it prevents the tumour both from pointing externally, and bursting, as it would do if the purulent matter could find no other vent. This evacuation of the pus from the nostril is not very common. The method of cure consists in extracting one of the dentes molares from the affected side ; and then perforating through the socket into the bony cavity. A mild injec- tion may afterwards be employed to cleanse the sinus occasionally. [Cyclopaedia.] A'ntrum buccino'sum. The cochlea of the ear. A'ntrum pylo'ri. The great concavity of the stomach approaching the pylorus. A'ntrum maxilla're. See Antrum of Highmore. Ants, acid of. See Formic acid. Anty'lion. (From Antyllus, its inven- tor.) An astringent application, recom- mended by Paulus ^gineta. A'l^US. {Anus, i, masc. quasi onus; as carrying the bui"den of the bowels.) 1. Tlie fundament; the lower extremity of the great intestine, named the rectum, is so called ; and its office is to form an outlet for the faeces. The anus is furnished with muscles which are peculiar to it, viz. the sphincter, which forms a broad circular band of fibres, and keeps it habitually closed, and the levatores ani, which serve to dilate and draw it up to its natural situation, after the expulsion of the fffices. It is also surrounded, as well as the whole of the neighbouring intestine, with muscular fibres, and a very loose sort of cellular substance. The anus is subject to various diseases, especially piles, ulceration, abscesses, ex- crescences, prolapsus ; and imperforation in new-born infants. 2. The term anns is also applied to a small opening of the third ventricle of the brain, whicli leads into the fourth. Anus, artifcial. An accidental open- ing in the parietes of the abdomen, to which opening some part of the intestinal canal leads, and through which the fjeces are either wholly or in part discharged. When a strangulated hernia occurs, in which the intestine is simply pinched, and this event is unknown ; when it has not been relieved by the usual means ; or Avhen the necessary operation has not been practised in time ; APH the protraded part becomes gangrenous, and the faeces escape. But if the patient should be at last operated upon, his fseces are discharged through the wound, and the intestines are more easily emptied. In both cases, the excrement continues to be discharged from the artificial opening. In this way an artificial anus is formed, through which the excrement is evacuated during life. Any'drion. (From a., priv. and t/Jajg, water ; so called, because they who eat of it become thirsty.) A speci«s of night- shade, according to Blancard. Anvpeu'thynus. (From et, neg. and vTnrj- Bvvoc, blamabls.) Hippocrates, in his Pre- cepts, uses this word to signify an accidental event, which cannot be charged on the phy- sician, and for which he is not accountable. AO'RTA. (From a«g, air, and TugMe, to keep ; so called because the ancients sup- posed that only air was contained in it.) The greal artery of the body, which a-'ises from the left ventricle of the heart, forms a curvature in the chest, and descend-s into the abdomen. See AHery. Apalachi'ne ga'ixis. (From ttvea.Aiut, to repel ; because it is supposed to repel in- fection.) See Ilex Cassine. 'Apari'ne. (From g/vii, a file; because its bark is rough, and rasps like a file.) Goose-grass. See Galium Sparine. Aparthro'sis. (From utto and a^^gm, a joint.) Articulation. Ape'lla. (From a, priv. aiaApdlis, skin.) Shortness of the prepuce. Galen gives this name to all whose prepuce, either through disease, section, or otherwise, will not cover the glans. Ape'psia. (Apepsia, m, f. ctmr^ia.: from <3t, priv. and -srsTrlce, to digest.) Indigestion. See Dyspepsia. Ape'riens palpebra'rum re'ctus. See Levator palpebrcB superioris. APERIENTS. {Aperientia, sc. medica- ment a ; {yovq. aperio, to open.) Laxatives. Medicines which gently open the bowels. ApERi'sTATDS. (From tt, neg. and -nn- ^tgrn/ut, to surround.) Aperistation. An epi- thet used by Galen, of an ulcer which is not dangerous, nor surrounded by inflammation. Aperi'staton. See Aperistaius. Ape'rtor o'culi. See Levator palpebrce superioris. Apeuthy'smenus. (From atto and iuQu;, straight.) A name formerly given to the intestinura rectum, or straight gut. A'PEX. The extremity of a part ; as the apex of the tongue, apex of the nose, &.c. Aphani'smus. (From A((ictvi^a>, to remove from the sight.) The removal, or gradual decay, of a disorder. Aph^'resis. (From Mni^iao, to remove.) This term was formerly much used in the schools of surgery, to signify that part of the art which consists in taking oflf any dis- eased or preternatural part of the body. API! ApHEPSEiiA. (From «t*«, and s^** ^^'^ boil.) A decoction. A'phesis. (From a<|>WjM/, to remit.) The remission or termination of a disorder. Aphiste'sis. (From apirx,"/, to draw from.) An abscess. A'pHODOs. (From avo and rJor, departure.) Excrement. The dejection of the body. APHO'NIA. (Apffiiw : from a, priv. and ^a)v>t, the voice.) A suppression of the voice, without either syncope or coma. A genus of disease in the class locales, and order dyscinesifE of Cullen. When it takes place from a tumour of the fauces, or about the glottis, it is termed aphonia gutturalis ; When from a disease of the trachea, aphonia Irachealis ; And when from a paralysis, or want of nervous energy, aphoiiia antonica. A'PHORISM. (Aphorismus ; f ro m "■ipogi^ai, to distinguish.) A maxim, or principle, comprehended in a short sen- tence. ApHRODi'siA. (From Aipg^Sntt, Venus.) An immoderate desire of veneiy. APHRODISIACS. (Aphrodisiaca, sc. medicamenta, u.pgoJtTi'Mn. ; from a, to se- crete from.) A secretion of suberabundant humours. Hippocrates. ApoeRtT'sTiNUiwF. ^pocrvsticop. (From AFQ ^vcuftuee, to repel.) An astringent or repel- lent medicine. Galen. ApocRu'sTicoN. See Apocrustinum. Apocve'sis. (From uvo, and sua), to bring forth.) Parturition, or the bringing forth of a child. Galen. Apoi acry'tica. (From atto, and S'ax^u, a tear.) Medicines which, by exciting tears, remove superfluous humours from the eyes, as onions, &e. Pliny. ApoGEu'siA. See Ageudia. Apogeu'sis. See Ageustia. Apoginome'sis. (From aurraymfAM, to be absent.) The remission or absence of a disease. Hippocrates. ApoGLAUco'sis. (From «wo, and yKuvKc?, sky-coloured ; so called because of its blue- ish appearance.) Glaucoma. A cataract of the eye. Dioscorides. Apo'gonum. (From awo, and ynoy-ctt, to beget.) A living foetus in the womb. Hippocrates. Apole'psis. (From earo, and ka/xCclvu, to take from.) An interception, suppression, or retention of urine, or any other natural evacuation. Hippocrates. Apolino'sis. (From st«ro, and Xivov, flax.) The method of curing a fistula, according to ^gineta, by the application of raw flax. Apo'lysis. (From cfTro, and xt/ai, to re- lease.) The solution or termination of a disease. The removal of a bandage. Ero- tianus. Apoma'gma. 'From oltto, and fjntTlcn, to cleanse from.) Any thing used to cleanse and wipe away filth from sores, as sponge, &c. Hippocrates. Apomathe'ma. (From ctiro, neg. and ^ayfl^vo), to learn.) Hippocrates exi)resses, by this term, a forgetfulness of all that has been learnt. Apo'meli. (From cfn-o, from, and juiKi, honey.) An oxymel, or decoction, made with honey. APONEURO'SIS. (From awo, and vsvgov, a nerve ; from an erroneous supposi- tion of the ancients, that it was formed by the expansion of a nerve.) A tendinous ex- pansion. See Muscle. Apo'nia. (From a., priv. and tvovo;, pain.) Freedom from pain. ApoNiTno'sis. (From a.iro, artd yit^cv, ni- tre.) The sprinkling an ulcer over with nitre. Apopalle'sis. (From etTrovAf^cc, to throw off" hastily.) An abortion, or premature expulsion of a foetus. Hippocrates. Apopeda'sis. (From ciTro, and 'miS'aue, to jump from.) A luxation. Apophlegma'sia. (From niro, and 9\iry- f«», phlegm.) A discharge of phlegm, or mucus. Apophlegma'tica. (From awo, and (phey- (xtL, phlegm.) Apophlegmatizantia. Apo- phlegmaiieonta. Medicines which excite the secretion of mucus from the mouth and nose. Masticatories. Errhines. Apophra'xis. (FromrtTo, and pgorff-w, to APO 69 interrupt.) A suppression of the menstrual discharge. Apophtha'rma. (From eivo, and pQa^a,, to corrupt.) A medicine to procure abortion. Apo'phthoka. (From atropflag*, to be abortive.) An abortion. Apophy'ades. The ramifications of the veins and arteries. Hippocrates. Apo'phyas. (From cfn-o(puce, to proceed from.) Any thing which grows or adheres to another, as a wart to the finger. APO'PHYSIS. (From ct7ro(puce, to pro- ceed from.) Appendix. Probole. Ecphy- sis. Processus. Productio. Projectura. Protuberantia. A process, projection, or protuberance, of a bone beyond a plain surface; as the nasal apophysis of the frontal bone, &.c. Apophthe'gma. (From ttTrapBryyofAntf to speak eloquently.) A short maxim, or axiom ; a rule. Apople'cta. a name formerly applied to the internal jugular vein ; so called because in apoplexies, it appears full and turgid. Bartholin. Apople'ctica. (From nmTrKyi^ut, an apo- plexy.) Medicines against an apoplexy. APOPLE'XIA. (From ttvo, and mrKnaa-x^ to strike or knock down ; because persons, when seized with this disease, fall down suddenly.; Apoplexy. A sudden aboli- tion, in some degree of the powers of sense and motion, the patient lying in a sleep-like state ; the action of the heart remaining, as well as the respiration, often with a sterto- rous noise. CuUen arranges it in the class neuroses and order comata. 1. When it takes place from a congestion of blood, it is termed apoplexia sanguinea. 2. When there is an abundance of serum, as in persons of a cold temperament, apo- plexia serosa. 3. If it arise from water in the ventricles of the brain, it is called apoplexia hydroce- phalica. See Hydrocephalus. 4. If from a wound, apoplexia traumatica. 5. If from poisons, apoplexia venenata. 6. If from the action of suffocating ex- halations, apoplexia suffocata. 7. If from passions of the mind, apoplexia mentalis. 8. And when it is joined with catalepsy, apoplexia cataleptica. Apoplexy makes its attack chiefly at an advanced period of life ; and most usually on those who are of a corpulent habit, with a short neck, and large head ; and who lead an inactive life, make use of a full diet, or drink to excess. The immediate cause of apoplexy, is a compression of the brain, produced either by an accumulation of blood in th» vessels of the head, and dis- tending them to such a degree, as to com- press the medullary portion of the brain ; or by an effusion of blood from the red ves- sels, or of serum from the exhalants y which fluids are accumulated in such a TO APQ APO quantityasto occasion compression. These On an attack of sanguineous apoplexy, states, of over-distention and of effusion, all compression should be removed from maybe brought on by whatever increases the neck, the patient laid with his head a the afflux and impetus of the blood in the good deal raised, and a free admission of arteries of the head ; such as violent fits of cool air allowed. Then blood should be passion, greatexertions of muscular strength, taken freely from the arm or the temporal severe exercise, excess in venery, stooping artery, or the jugular vein ; which it may down for any length of time, wearing any be sometimes necessary to repeat, if the thing too tight about the neck, overloading symptoms continue, and the patient is still the stomach, long exposure to excessive cold, plethoric; or if blood caa less be spiared, era vertical sun, the sudden suppression of cupping or leeches may lessen the conges- any long-accustomed evacuation, the appli- tion in the brain. The next object should cation of the fumes of certain narcotic and be thoroughly to evacuate the bowels by metallicsubstances, such as opium, alcohol, some active purgative, as calomel joined charcoal, mercury, Sic. and blows, wounds, with jalap, or with extract of colocynth, or and other external injuries : in short, apo- followed by infusion of senna and some plexy may be produced by whatever deter- neutral salt, with a little tartarized anti- mines too great a flow of blood to the brain, mony or tincture of jalap repeated every or prevents its free return from that organ. two hours till it operates; or a draught The young, and those of a full plethoric of tincture of senna and wine of aloes, habit, are most liable to attacks of the where the bowels are very torpid, may sanguineous apoplexy ; and those of a answer the purpose. Stimulant glysters phlegmatic constitution, or who are much will also be proper, particularly if the pa- advanced in life, to the serous. Apoplexy tient cannot swallow, as common salt and is sometimes preceded by headach, giddi- syrup of buckthorn with a proper quantity ness, dimness of sight, loss of memory, fal- of gruel, infusion of senna or infusion of tering of the tongue in speaking, numbness colocynth ; oraturpentineglysterinelderly in the extremities, drowsiness, stupor, and torpid habits. Cold should then be applied night-mare, all denoting an affection of the assiduously to the scalp, the hair being pre- brain ; but it more usually happens that, viously shaved, and a blister to the back of without much previous indisposition, the the neck ; and diaphoretic medicines may person falls down suddenly, the counte- be exhibited, avoiding however those which nance becomes florid, the face appears contain opium. Sinapisms to the feet may swelled and puffed up, the vessels of the also be useful, particularly if these are cold, head, particularly of the neck and temples. If under these means, the sensibility does not seem turgid and distended with blood ; the gradually return, some of the gentle difFu- eyes are prominent and fixed, the breathing sible stimulants will be proper, as ammonia, is difficult and performed with a snorting mustard, ather, camphor, &.c. : and at this noise, and the pulse is strong and full. Al- period, a blister to the scalp may come in though the whole body is affected with the aid. By some practitioners emetics are re- loss of sense and motion, it nevertheless commended, but their use is hazardous, takes place often more upon one side than especially if sufficient evacuations be not the other, which is called hemiplegia, and premised : and the same may be observed inthis case, the side least affected with palsy of sternutatories. In the serous form of is somewhat convulsed. the disease, general bleediiag is inadmissible, In forming an opinion as to the event, and even the local abstraction of blood we must be guided by the violence of the should be very sparingly made ; the bowels symptoms. If the fit is of long duration, should be kept open, especially by aloetic the respiration laborious and stertorous, or mercurial formula, but not procuring and the person much advanced in years, profuse discharges ; and the other secretions the disease, in all probability, will terminate maintained, especially by the use of the diffu- fatally. In some cases, it goes off entirely ; sible stimulants already mentioned ; blisters but it more frequently leaves a state of to the head, and errhines may be here also mental imbecility behind it, or terminates useful. When apoplectic symptoms have in a hemiplegia, or in death. Even when beenoccasionedbyopium,or othernarcotic, an attack is recovered from, it most fre- the timely discharge of this by an active fluently returns again, after a short period emetic will be the most important measure ; of time, and in the end proves fatal. In but in a plethoric habit, bleeding should be dissections of apoplexy, blood is often found premised : subsequently various stimulants effused on the surface and in the cavities of may be employed, as ammonia, vinegar, &c. the brain ; and in other instances, a turgi- endeavouring to procure a determination dity and distention of the blood-vessels are to the surface, and rousing the patient to be observed. In some cases, tumours from his torpid state. The prevention of have been found attached to different parts the sanguineous form of the disease will of the substance of the brain, and in others, be best attempted by abstemiousness, regular no traces of any real affection of it could Be moderate exercise, and keeping up the observed. evacuations; an issue or seton may also b& APO useful ; but under urgent circumstances, bleeding, especially topical, must be resorted to. In leucopblegmatic habits, a more nu- tritious diet will be proper. Apopni'xis. (From a^s;rv;^a), to suflFo- eate.) A suffocation. Moschion. Apopsophe'sis. (From ayro, and ■^ocn : from a7r£iiai, a shop.) An apothecary. In every European country, except Great Britain, the apothecary is the same as, in England, we name the druggist and chemist. ApoTHERAPEi'A. (From ATTo and S-sga- 5m/ai, to cure.) A perfect cure, according to Hippocrates. Apotherapeu'tic.a. (From aTrcB-i^ATrweu, to heal.) Therapeutics ; that part of medi- cine which teaches the art of curing disorders. Apotue'rmum. (From atto and B-e^fjtn, heat.) An acrimonious pickle, with mus- tard, vinegar, and oil. Galen. Apo'thesis. (From atto and Ti^nfAi, to replace.) The reduction of a dislocated bone, according to Hippocrates. Apothli'mma. (From atto and 3-xiCee, to press from.) The dregs or expressed juice of a plant. Apothrad'sis. (From atto and S-gso/®, to break.) Apocope. The taking away the splinters of a broken bone. Apo'tocus. (From ato and TtnTm, to bring forth.) Abortive ; premature. Hip- pocrates. Apotre'psis. (From avo and r^i^a, to turn from.) A resolution or reversion of a suppurating tumour. ApoTROPiE'A. (From ATnTgiTrce, to avert.) An amulet, or charm, to avert diseases. Foesius. A'pozEM. Jlpozema. (From avo and fa», to boil.) A decoction. AQU AQU Apozed'xis. (From ttTto and if»j/n/,w;, to separate.) The separation or removal of morbid parts. Hippocrates. Apo'zymos. (From aro and fu^ax, fer- ment.) Fermented. APPARA'TUS. (From appareo, to ap- pear, or be ready at hand.) This term is applied to the instruments and the prepara- tion and arrangement of everything neces- sary in the performance of any operation surgical or chemical. Appara'ttjs, CHE3IICAL. See Chemical .Apparatus. Af para'tus, pneumatic. See Pneumatic apparatus. Appara'tus mi'mor. See Lithotomy. Appara'tus ma'jor. See Liiholomy. Appaka'tus a'ltus. See Lithotomy. AppENDi'cuLA cs'ci vermifo'rmis. A vermicular process, about four inches in length, and the size of a goose-quill, which hangs to the iutestinum cacum of the hu- man body. AppENDi'cuLiE EPiPi.o'ica;. Appendices coli adiposce. The small appendices of the colon and rectum, which are filled with adi- pose substance. See Omtnlum. Apple, thorn. See Datura. .ipple. See Pyrus. Apricot. See Fninus armeniaca. AFYRE'XIA. (From a., priv. and -aw- gsf;st, a fever.) Apyrexy. Without fever. The intermission of feverish heat. A'QUA. See JVater. A'qua a'eris fi'x*. Water impregnated with fixed air. This is liquid carbonic acid, or water impregnated with carbonic acid ; it sparkles in the glass, has a pleasant acidu- lous taste, and forms an excellent beverage. It diminishes thirst, lessens the morbid heat of the body, and acts as a powerful diuretic. It is also an excellent remedy in increasing irritability of tiie stomach, as in advanced pregnancy, and it is one of the best anti- emetics which we possess. A'qca alu'minis compo'sita. Compound solution of alum, formerly called aqua alu- minosa bateana. See Liquor aluminis com- positus. A'qpa amsio'nijE aceta'tjc. See Ammo- nia acetali-s liquor. A'qua ammo'm.e po'Ra:. See Ammonia. A'quA ane'thi. See Anethum. A'qua ca'lcis. See Calcis liquor. A'q.ua c(Ele'stis. a preparation of cu- prum. A'qua ca'kui. See Carum. A'qua cinnahio'mi. See Laurus cinna- momum. A'qua cu'pri ammonia'ti. See Cupri ammoniati liquor. A'qua cu'pri viteiola'ti compo'sita. This preparation of the Edinburgh Phar- macopoeia, is used externally, to stop he- morrhages of the nose, and other parts. It is made thus: IJ.. Cupri vitriolati, Muminis, sing. iss. AqucE puree, ?iv. Acidi vitriolici, 3ij- Boil the salts in water until they are dissolved ; then filter the liquor, and add the acid. A'qua DrsriLLA'TA. Distilled water. This is made by distilling water in clean vessels, until about two-thirds have come over. In nature, no water is found perfectly pure. Spring or river water always contains a portion of saline matter, principally sulphate of lime : and, from this impregnation, is unfit for a number of pharmaceutic prepa- rations. By distillation, a perfectly pure water is obtained. The London College directs ten gallons of common water ; of which, first distil four pints, which are to be thrown away ; then distil four gallons. This distilled w ater is to be kept in glass ves- sels. See Water. A'qua f(eni'culi. See Anethum ftenicu- lum. A'qua fo'rtis. See Kitric acid. Aqua ka'li prspara'ti. See Poiassx subcarbonatis liquor. A'qua ka'li pu'ri. See Potassce liquor. A'qua litha'rgvri aceta'ti. See Plumbi subacetatis liquor. A'qua litha'rgyri aceta'ti compo'sita. See Plumbi suba4:etatis liquor dilutus. A' QUA ME'NTHa; piperi't.2. See Mentha piperita. A'qua me'nth^: sati'v^. See Mentha viridis. A'qua me'nthjE vir'idis. See Mentha viridis. A'qua pime'nt^. See Myrtus Pimenta. A'qua pule'gxi. See Mentha Pulegium. A'qua re'gia. Aqua regalis. The acid now called the nitro-muriatic, was formerly called aqua regalis, because it was, at that time, the only acid that was known to be able to dissolve gold. See JYitro-muriatic acid. A'qua ro's^. See Rosa ceniifolia. A'qua sty'ptica. A name formerly given to a combination of powerful astrin- gents, viz. sulphate of copper, sulphate of alum, and sulphuric acid. It has been ap- plied topically to check haemorrhage, and, largely diluted with water, as a wash in pu- rulent ophthalmia. See Aqua cupri vitrio- lati composita. A'qua zi'nci titriola'ti cum ca'mphora. Otherwise named Aqua vitriolica campho- rata. It was made by dissolving half an ounce of sulphate of zinc in a quart of boil- ing water, adding half an ounce of campho- rated spirit, and filtering. This, when pro- perly diluted, is an useful collyrium for inflammations of the eyes, in which there is a weakness of the parts. Externally it is applied by surgeons to scorbutic and phage- denic ulcerations. A'quje distilla't.i. Distilled waters. These are made by introducing vegetables, as mint, penny-royal, &c, into a still witfe AQU AKA water; and drawing oflFas much as is found to possess the properties of the plants. The London College orders the waters to be dis- tilled from dried herbs, because fresh are not ready at all times of the year. When- ever the fresh are used, the weights are to be increased. But whether the fresh or dried herbs are employed, the operator may vary the weight according to the season in which they had been produced and col- lected. Herbs and seeds, kept beyond the space of a year, are improper for the dis- tillation of waters. To every gallon of these waters, five ounces, by measure, of proof spirit are to be added. A'iivM minera'les. See Mineral waters. A'i^vM stillati'ti^ si'uPLicES. Simple distilled waters. A'quiE stillati'ti^ spiritco's^. Spiri- tuous distilled waters, now called only spi- ritus, as spiritus pulegii. Aqujeduct of Fallopius. a canal in the petrous portion of the temporal bone, first accurately described by Fallopius. Aquatic nut. See Trapa naians. A«iUEOUS HUMOUK OF THE EYE. The very limpid watery fluid, which fills both chambers of the eye. See Eye. Aqce'tta. The name of a liquid poison, made use of by the Roman women, under the Pontificate of Alexander VII. It was prepared, and sold in drops, by Tophania, or Toffania, an infamous woman who re- sided at Palermo, and afterwards at Naples. From her, these drops obtained the name of Aqua Toffania, Aqua delta Toffana, and also Aqua di JVapoli, This poison is, said, by some, to be a composition of arsenic, and by others of opium and cantharides. A^tJiFo'tiCM. (From acus, a needle, and folium, a leaf; so called on account of its prickly leaf. See Ilex. A'^uiLA. A chemical name formerly used for sal-ammoniac, mercurius prjeci- pitatus, arsenic, sulphur, and the philoso- pher's stone. A'qniLA a'lba. One of the names given to calomel by the ancients. See Submurias hydrargyri. A'quila a'lba philosopho'rum. Aqua alba ganymedis. Sublimed sal-ammoniac. A'uviLA ccele'stis. a panacea, or cure for all diseases ; a preparation of mercury. A'quila ve'neris. a preparation of the ancients, made with verdigrise and sublimed sal-ammoniac. A'quila, among the ancients, had many other epithets joined with it, as rubra, salu- tifera, volans, &c. A'quil.?: ve'nje. (From aquila, an eagle.) Branches of the jugular veins, which are particularly prominent in the eagle. A'quil^ li'gnum. Eagle-wood. It is generally sold for the agallochum. AQUILE'GIA. (From aqua, water, and f.cgo, lo gather - so called from the shape 10 of its leaves, which retain water.) The herb columbine. 1. The name of a genus of plants in the Linnasan system. Class, Polyandria. Or- der, Pentagynia. 2. The name, in the Pharmacopceias, for the columbine. See Aquilegia vulgaris. Aquile'gia vulga'ris. The systematic name of the columbine. The seeds, flowers, and the whole plant, have been used medi- cinally, the first in exanthematous diseases, the latter chiefly asan antiscorbutic. Though retained in several foreign pharmacopoeias, their utility seems to be not allowed in this country. Aqud'la. (Diminutive of aqua.) A small quantity of very fine and limpid wa- ter. This term is applied to the pellucid water, which distends the capsule of the crystalline lens, and the lens itself. Paulus jEgineta uses it to denote a tumour con- sisting of a fatty substance under the skin of the eyelid. Arabic gum. See Acocue gummi. A'racai.an. Amulets. A'raca mi'ri. (Indian.) A shrub grow- ing in the Brazils, whose roots are diuretic and antidysenteric. Ara'chne. (From amg-, Heb. to weave; or from ^at.p^vii, a spider.) The spider. ARACHNOID MEMBRANE. (From aifx;)(v>t, a spider, and uJ'ct, likeness; so named from its resemblance to a spider's web.) A thin membrane of the brain, »'ithout vessels and nerves, situated be- tween the dura and pia mater, and sur- rounding the cerebrum, cerebellum, me- dulla oblongata, and medulla spinalis. The term is also applied by some writers to the tunic of the crj'stalline lens and vitreous humour of the eye. Arack. (Indian.) An Indian spiritu- ous liquor, preparea in many ways, often from rice ; sometimes from sugar, ferment- ed with the juice of cocoa-nuts; frequently from toddy, the juice which flows from the cocoa-nut tree by incision, and from other substances. A'rados. (From a^aS^, to be turbu- lent.) Hippocrates uses this term to sig- nify a commotion in the stomach, occa- sioned by the fermentation of its contents. Ar;eo'tica. (From a^ouoo), to rarefy.) Things which rarefy the fluids of the body. Ara'lia (From ara, a bank in the sea ; so called because it grows upon banks, near the sea.) The berry-bearing angelica. Of the several species of this tree, the roots of the nudicaulis, or naked-stalked, v/ere brought over from North America, where it grows, and sold here for sarsaparilla. Ara'ne A. (From n^aa>, to knit together.) The spider. ARA'NTIUS, Jc'lius C-«:sar, ^a cele- brated anatomist and physician, born at Bologna, about • the year 153a After ARC AKC studying under Vesalius, and others, he graduated and became professor there, and died in 1589. In his first work, " On the Human Fcetus," he described the for- amen ovale, and ductus arteriosus ; and corrected several errors in the anatomy of the gravid uterus, which had been generally derived from the examination of brutes. He afterwards showed that the blood, aftei- birth, could only pass from the right to the left side of the heart thi-ough the vessels of the lungs, thus preparing for the discovery of the circulation by Harvey. A Treatise on Tumours, and a Commentary on Part of Hippocrates, were also written by him. A'RBOR VJ'TiE. The tree of life. 1. The cortical substance of the cerebel- lum is so disposed, that, when cuttraversely, it appears ramified like a tree, from which c'rcumstance it is termed arbor vitce. 2. The name of a tree formerly in high estimation in medicine. See Thuya occi- dentalis. ARBUTHIN'OT, Joh.v, a physician, born in Scotland soon after the Restoration, celebrated for his wit and learning. He graduated at Aberdeen, and settling in this metropolis, had the good fortune to be at Epsom, when Prince George of Denmark Avas taken ill there ; whom, having restored to health, he was a|jpointed phj'sician to Quesn Anne, but never got into very ex- tensive practice. His chief medical publi- cations were "On the Choice of Aliments," and "On the Eifects of Air upon Human Bodies." He died in 1735. A'RBUTUS. The name of a genus of plants in the Linna?an system. Class, De- candria. Order, Monogynia. The straw- berry tree. A'RBUTUS uxe'do. Amalzquil. Unedo papyracea. A decoction of the bark of the root of this plant is commended in fevers. A'kbutus u'va u'rsi. The systematic name for the officinal trailing arbuius. Bear's berry, bear's whortle-berry, bear's ivhorts, or tear's bilberries, called also vac- caria-vaccinia. JJrbutus ccnlibiis procum- bentibus, foliis iniegerrimis of Linnaeus. This plant, though employed by the ancients in several diseases, requiring adstringent medicines, had almost entirely fallen into disuse until the middle of the present cen- tury, when it first drew the attention of physicians, as a useful remedy in calculous and nephritic complaints, which diseases it appears to relieve by its adstringent qua- lities. A'rca ARCA^•o'RCM. The mercurj- of the philosophers. A'rca co'rdis. The pericardium. ARCA'.NUM. (A secret.) A medicine whose preparation, or efficacy, is kept from the world, to enhance its value. With the fhemists, it is a thing secret and incorpo- real ; it can only be known by experience, lor it is the virtue of evervthin?- which operates a thousand times more than the thing itself. Arca'num catho'licum. Bezoar, plan- tain, and colchieum. Arca'num Bu'rLEX. .9rcanum duplica- tum. A name formerly given to the com- bination of potash and sulphuric acid, more commonly called vitriolated tartar, and now sulphate of potash. Arca'num ta'ktari. The acetate of pot- ash. Arce'rthos. Juniper. Arch-s'us. The universal archaeus, or principle of Van Helmont, was the active principle of the material world ; it means good health also. A'rche. (From a^x.") ^^® beginning.) The earliest stage of a disease. Arche'nda. (Arab.) A powder naade of the leaves of the ligustrura, to check the fcetid odour of the feel. Detergent. Archko'stis. White briony. Archuia'gia. (From tt^X!*, the chief, and 7naga, Arab, meditation.) Chem istry, as being the chief of sciences. Archi'tholus. (From a^X'^, the chief, and b-o?.cc, a chamber.) The sudatorium, or principal room of the ancient baths. A'rchos. (From a^x^-c, an arch.) The anus ; so called from its shape. Archopto'ma. (From a|;^cc, the anus, and nsTtTrlcc, to fall down.) A bearing down of the rectum, or prolapsus ani. Arcta'tio. (From ardo, to make nar- row.) Jlrctitudo. rsari'owness. 1. A constipation of the intestines, from inflammation. 2. A preternatural straitness of the pu- dendum muliebre. A'RCTIUM. (From a^iCltt, a bear; so called from its roughness.) The name of a genus of plants in the Linna;an system. Class, Syngenesia. Order, Polygamia a-.qua- lis. The burdock. A'rctium la'ppa. (Lappa ; otTTcir St xcuCifv, from its seizing the garments of passengers.) The herb clot bur, or burdock. The syste- matic name for the bardana. .^irdium Be- tonica. Britannica. Ilaphis. The plant so Ccdled in the pharmacopoeias, is Ardium lappa : — foliis cordatis, inermibus, petiolatis, of Linnaeus. It grows wild in unculti- vated grounds. The seeds have a bitterish subacrid taste : they are recommended as very efficacious diuretics, given either in the form of emulsion, or in powder, to the quantity of a drachm. I'he roots taste sweetish, with a slight austerity and bit- terness : they are esteemed aperient, diu- retic, and sudorific ; and are said to act without irritation, so as to be safely ven- tured upon in acute disorders. Decoctions of them have of late been used, in rheuma- tic, gouty, venereal, and other disorders : and are preferred by some to those of sar- saparilla. Two ounces of the roots are to be boiled in three pints of water, to a ARE ARG siuart ; to this, two drachms of sulphate of potash have been usually added. Of this decoction, a pint should be taken every day in scorbutic and rheumatic cases, and when intended as a diuretic, in a shorter period. Arct&'ra. (From ardo, to straiten.) An inflammation of the finger, or toe, from a curvature of the nail. Linnaus. Arcua'lia. (From arcus, a how.) Ar- cualis. The sutura coronalis is so named, from its bow-like shape ; and, for the same reason, the bones of the sinciput are called arcualia ossia. Bartholin. Akcua'tio. (From arcus, a bow.) A gibbosity of the fore-parts, with a curva- tion of the sternum of the tibia, or dorsal vertebrae. Jlvicenna. A'RcuLa:. (A dim. of area, a chest.) The orbits or sockets of the eyes. A'rdas. (From agivu, to defile.) Filth, excrement, or refuse. Hippocrates. Ardent Spirit. See Mkohol. A'rdor febri'lis. Feverish heat. A'rdor uri'n^. Dysuria. Scalding of the urine. Difficulty and pain in making water, attended with a sense of heat in the urethra. It is a symptom of gonorrhoea, and some other affections. A'rdor ventri'culi. Heartburn. A'rea. An empty space. That kind of baldness where the crown of the head is left naked, like the tonsure of a monk. Are'ca i'ndica. An inferior kind of nutmeg. Are'gon. (From tt^Ayai, to help.) A resolvent ointment ; so called from its valu- able qualities. Arema'ros. Cinnabar. Are'na. Sand or gravel. Arena'mel. (From arena, sand ; so called because it was said to be procured from sandy places.) Arenamen. Bole-armenic. Arena'tio. (From arfna, sand.) Sabur- ration, orthe sprinkling of hot sand upon the bodies of patients. Andr. Baccius de Therm. Are'ntes. (From area, to dry up.) A sort of ancient cupping-glasses, used without scarifying. ARE'OLA. (A dim. of area, a void space.) A small brown circle, which sur- rounds the nipples of females. During and after pregnancy, it becomes considerably larger. Aretxnoi'des. See Arytanoidcs. ARETji^'US, of Cappadocia, a physi- cian, who practised at Rome, but at what period is uncertain, though the most probable opinion places him between the reigns of Vespasian 'and Adrian. Eight books of his remain "On the Causes, Signs, and Method of treating acute and chronic Diseases," written in the Greek language, and admired for their pure style, and luminous descrip- tions,, as well as the judicious practice srenerally recommended. He was partial to the use of hellebore and other drastic medi- cines ; and appears to have been among the first to recommend cantharides for blister- ing the skin. A'rete. (Ag6T», virtue.) Hippocrates uses this word to mean corporeal or mental vigour. Are'us. a pessary, invented by iHgi- neta. A'rfar. Arsag. Arsenic. Ruland,] &ic. A'rgal. Argol. Crude tartar, in the state in which it is taken from the inside of wine-vessels, is known in the shops by this name. Argasy'llis. (From ag^oc, a serpent; which it is said to resemble.) The plant which was supposed to produce gum am- moniac. A'rgema. (From a^yo;, Avhlte.) Argemon. A small white ulcer of the globe of the eye. Erotianus. Galen, fee. Arge'nti ni'tras. Causticum lunare. Ar- gentiim nilratum. Nitrate of silver. " Take ' of silveran ounce; nitric acid, afluid-ounce ; distilled water, two fluid-ounces. Mix the nitric acid and water, and dissolve the silver therein on a sand bath ; then increase the heat gradually that the nitrate of silver may be dried. Melt the salt in a crucible over a slow fire until the water being evaporated, it shall cease to boil ; then pour it quickly into moulds of convenient shape." Its vir- tues are corrosive and astringent. Internal- ly it is exhibited in very small quantities, in epilepsy ; and externally it is employed ta destroy fungous excrescences, callous ulcers, fistulas, &ic. In the latter disease it is em- ployed as an injection ; from two grains to three being dissolved in an ounce of dis- tilled water. ARGE'NTUM. Silver. See Silver. Arge'ntum nitra'tum. See A'itras ar- genti. Arge'ntum vi'vum. It was formerly, by some, called argentum mobile, and argen- tum fusum. See Mercury. A'rges. (From ct^yo^, white.) A ser- pent, with a whitish skin, deemed by Hippo- crates exceedingly venomous. Argi'lla. (From a^ycc, white.) White clay ; argil ; potters' earth. Aagi'xla vitriola'ta. Alum. Argtri'tis. (From a^yvgo;, silver.) Li- tharge, or spume of silver. A kind of earth was formerly so named, which is taken from silver mines, and is bespangled with many particles of silver. Argvro'come. (From etgyv^o;, silver, and Ki/un, hair.) A sort of cudweed, or gnaphalium, was so named from its white silvery floscules. Argyroli'banos. The white-olibanum. Argyro'phora. An antidote, in the composition of which there is silver. Argyrotrophe'ma. (From d^yoQ, white, and TgopHfjLit, food.) A white cooling food, made with milk. Milk diet. Galen. ^Sl AKM ARhEoMATi'sTos. (PTOta et, Bfeg. and 'iiufjLaTilx, to be afflicted with rheums.) Not being afflicted with gouty rheums. Aricy'mon. (From a/><, and nuui, to be quickly impregnated.) A woman who con- ceives quickly and often. Aristalth^'a. (From etgigro^, best, and axBsiin, the althaea.) Althsea, or common marsh-mallow. ARISTOLO'CHIA. (From cl^ktIcc, good, and y^cx'"-' ^'' ^-^X^^^ parturition ; so called because it was supposed to be of sovereign use in disorders incident to child-birth.) 1. The name of a genus of plants in the Linnaean system. Class, Gynandria. Or- der, Hexandria. Birthwort. 2. The pharmacopceial name of the long* rooted birthwort. See Aristolochia longa. Akistolo'chia anguici'da. Snake-killing birthwort. Aristolochia :—foliis cordatis, acu- minatis; caulevoluhili,fruticoso; pedunculis solitariis ; stipulis cordatis, of Linnaeus. The juice of the root of this plant has the property of so stupifying serpents, that they may be handled with Trnpunity. One or two drops are sufficient ; and if more be dropt into the mouth, they become convulsed. So ungrate- ilil is the smell of the root to those reptiles, that it is said they immediately turn from it. The juice is also esteemed as a preventive against the effects usually produced by the bite of venomous serpents. Akistolo'chia clemati'tis. (Chmatiiisy fromxx»|M«, a tendril 5 from its climbing up trees, or any thing it can fasten upon with its tendrils.) Aristolochia tenuis. The sys- tematic name of the Jristolochia vulgaris of some pharmacopoeias. An extract is ordered by the Wirtemberg Pharmacopoeia, and the plant is retained in that of Edinburgh. It is esteemed as possessing antipodagric virtues. Akistolo'chia faba'cea. See Fumaria hulbosa. Akistolo'chia longa. The systematic name for the aristolochia of our pharmaco- pceias. Aristolochia foliia cordatis, petiolalis, ititegerrimis, obtusiusculis ; caule infirmo,flo- ribus solitariis. The root of this plant only is in use ; it possesses a somewhat aromatic smell, and a warm bitterish taste, accompa- nied with a slight degree of pungency. The virtues ascribed to this root by the ancients were very considerable; and itwas frequent- ly employed in various diseases, but particu- larly inpromotingthe discharge of the lochia; hence its name. It is now very rarely used, except in gouty affections, as an aromatic stimulant. Akistolo'chia rotu'nda. The root of this species of birthwort, Aristolochia foliis cordatis, siibsessilibus, obtusis ; caule iitfirmo ; Jloribus solitariis of Linneeus ; is used indis- criminately with that of the aristolochia longa. See Aristolochia longa. Akistolo'chia serpenta'ria. The sys- tematic name for the Serptntaria virginiana o{ the pharmacopcelas. Coluhrina virgi- iitdna. Viperina virginemut. Arisloltckid, Pestilochia. Contrcfyerva virgineana. Vir- ginian snake-root. The plant which affords this root is the Aristolochia foliis cordate oblongis planis, caulibus infirmis Jlexuosis teretibus, Jloribus solitariis. Caulis geniculala valde nodosa. Floras ad radicem of Lin- nasus. Snake-root has an aromatic smell, approaching to that of valerian, but more agreeable ; and a warm, bitterish, pungent taste. It was first recommended as a me- dicine of extraordinary power in counter- acting the poisonous effects of the bites of serpents ; this, however, is now wholly disre-^ garded ; but as it possesses tonic and anti- septic virtues, and is generally admitted as a powerful stimulant and diaphoretic, it is employed, in the present day, in some fevers M'here these effects are required. A tinctura serpentarice is directed both by the London and Edinburgh Pharmacopoeias. Akistolo'chia te'nuis. See Aristolochia clematitis. Aristolo'chia triloba'ta. Three-lobed birthwort. The root, and every part of this plant, Aristolochia foliis trilobis, caule volubili, floribus maximis of Linnajus ; is diuretic, and is employed in America against the bite of serpents. Aristolo'chia vulga'ris. See Aristolochia clematitis. Aristophanei'on. (From Aristophanes f its inventor.) The name of an ancient emol- lient plaster, composed of wax, or pitch, Gorrccus. Armatu'ka. Harness. The amnios or internal membrane which surrounds the foetus. Akme. (From aga>, to adapt.) A junc- tion of the lips of wounds ; also the joining of the sutures of the head. Akmi'lla. (Dim. of armus, the arm.) The round ligament which confines the tendons of the carpus. Armora'cia. (From Armorica, the coun- try whence it was brought.) See Cochlearia Artnoracia. Armora'cijE ka'dix. Horse-radish root. See Cochlearia Armoracia. ARMSTRONG, Johk, a Scotch physi- cian, born in 170y, who, after graduating at Edinburgh, settled in London, but met with little successjhaving distinguished himself less in his profession than as a poet,particularly by his '-' Essay on the Art of preserving Health" in blank verse. He afterwards attended the army in Germany, which brought him more into notice as a physician. He attained tbe age of seventy, and died in pretty good cir- cumstances. His pi-ofessional publications are not of much note ; the principal one b entitled " Medical Essays." He is supposed, however, to have contributed materially to a useful Treatise on the dieases of Children, published by his brother George, who aftei- practising many years as an apothecary ob- tained a diploma in medicine. ARn ARS A'RNICA. (AgHJO) : from a??, a lamb ; because of the likeness of the leaf of this plant to the coat of the lamb.) Leopard's- bane. Arnica. 1. The name of a genus of plants in the Linnsean system. Class, Syngenesia. Order, Folygamia superflua. 2. The pharmacopceial name of the moun- tain arnica. A'rnica monta'na. The systematic name for the arnica of the pharmacopoeias. Ar- nica foliis ovatis integris ; caulinis gcminis oppositis of LinnEeus. Doronicum Germa- nicum. The flowers of this plant are very generally employed on the Continent. Of the advantages derived from their use, in paralytic and other affections, depending upon a want of nervous energy, there are several proofs ; and their extraordinary vir- tues, as a febrifuge and antiseptic, have been highly extolled by Dr. Collin, of Vienna. Much caution is necessary in regulating the dose, as it is a medicine very apt to produce vomiting and much uneasiness of the sto- mach. See jjrrdca. A'rnica Suede'nis. See Inula dysenterica. Arno'tto. (Spanish.) A curious shrub in Jamaica, the seeds of which are covered with a kind of wax, from which is made the Spanish arnotto. ARO'MA. {Aro7na, matis, neut. from et^t, intensely, and o^a>, to smell.) Spiritus rector. Each plant has its characteristic smell. This odorant principle is called, by the moderns, aroma. Water charged with aroma, is called the distilled water of the substance made use of; thus lavender and peppermint waters, are water impreg- oated with the aroma of the lavender and peppermint. Aroma'ticus co'rtex. a name for ca- nella alba. AROMA'TICS. (Aromatica, sc. medi- camenta ; from aeai/ua, an odour.) A term applied to all medicines which have a grate- ful spicy scent, and an agreeable pungent taste, as cinnamon bark, cardamoms, &ic. Their peculiar flavour appears to reside in their essential oil, and arises in distillation either with water or spirit. Aromatopo'la. (From aga^a, an odour, and -jB-aiXto, to sell.) A druggist ; a vender of drugs and spiceries. Ar^ctebusa'de. (A French word, im- plying good for a gun-shot loound.) Aqua sclopetaria. Aqua vulneraria. Aqua cata- pultarum. The name of a spirituous water, distilled from a farrago of aromatic plants. Arra'ck. a spirituous liquor distilled from rice, and drank, in the rice countries, as brandy is in this Island. Its effects on the animal economy are the same. A'rraphus. (From a, priv. and gapn, a suture.) Without suture. It is applied to the cranium when naturally without su- tures. AKEHiE'A. (From «, neg. and psa, to flow.) The suppression of any natural flux, as the menses, 6ic. ARROWHEAD. The roots of this plant, Sagittaria sagittifolia of Linnaeus, are said to be esculent, but it must be in times of very great scarcity. ARROW-ROOT. See Maranta. ARSE'JNIAS. (From arseniciim, arse- nic.) An arseniate or arsenital salt. A salt formed by a combination of arsenic acid with different bases, as arseniate of ammonia, which is produced by the union of ammonia with arsenic acid. The OJily one used in medicine is the superarseniate of potash. See Arsenic Acid. ARSENIC. (From the Arabic term Arsanek, or from ag(riiv, for a^gw, mnsculus ; from its strong and deadly powers.) Arsenic is a metal scattered, in great abun- dance, overthe mineral kingdom. It is found in black heavy masses of little brilliancy, called native arsenic, (testaceous arsenic.) This exists in difi"erent parts of Germany. Mineralised by sulphur, it forms sulphurised arsenic. This mineral is met with in Italy, about Mount Vesuvius. — There are two varieties of this ore, which differ from each other in colour, occasioned by the diflerent proportions of their component parts. The one is called yellow sulphurised arsenic, or orpiment ; the other, red sulphurised arsenic, or realgar, (ruby arsenic;) both are met with in Hungary and different parts of Ger- many. The colour of the first ore is a lemon-yelloW; inclining sometimes to a green ; the colour of the latter is a ruby- red ; it is more transparent than the former, and found in compact solid masses, some- times crystallized in bright needles. Ar- senic united to oxygen, constitutes the ore called native oxide of arsenic. This ore is scarce ; it is generally found of an earthy appearance, or as an efflorescence, coating native, or metallic arsenic ; its colour is a whitish-gray ; it is rarely met with crys- tallized. Arsenic exists likewise alloyed with cobalt, antimony, tin, copper, lead, and various other metals. Properties. — Arsenic is a brittle metal, and in the recent fracture, of a lively bright colour, between tin-white and lead-gray; but, on exposure to the air, it soon loses its metallic lustre, becoming dull, and at last black. Its specific gravity is between 8.310 and 5.763, according to its texture or purity. Its hardness surpasses that of copper ; but its ductility is inconsiderable, and itsbrittle- ness so great, that it is readily converted into a powder by the hammer. It is en- tirely volatilized when heated to 3560Fahr. It sublimes in close vessels, and then crys- tallizes in teti-ahedra, or octahedra. When heated with the access of air, it emits a strong smell of garlic, and burns with a blueish-white flame, being conA'erted to a 18 AR3 ARS. white oxide. It combines with sulphur by and the blood is fluid; though in general fusion. It unites to phosphorus, and com- the patient expires before the action of the bines with most of the metals. It gives a poison has proceeded to such a length, white colour to copper, and renders many After death, the body runs into sudden pu- of the ductile metals brittle. When mixed trefaction. When the quantity taken does "with hyper-oxygenated muriate of potash, not prove fatal, it occasions tremours, palsies, it detonates strongly by the stroke of a ham- or lingering hectics, and in the end death, mer. It is soluble in hydrogen gas by heat. To detect the presence of arsenic, whether It does not decompose water alone. If it taken by design, the wickedness of others, be kept under water, its metallic brilliancy or imprudence, it is recommended by some may be preserved. This effect is still better to throw on live coals, the contents of the produced by alcohol. It decomposes sul- stomach, when a garlicky smell will be ici- phuric acid by heat. The nitric and nitrous mediately obvious. In thestomach,however, acids oxidate it rapidly. The muriatic acid there maybe many substances, which resem- attacks it with heat. The oxygenated mu- ble or disguise the smell of arsenic, espe^ riatic acid, when in a gaseous state, inflames cially if the arsenic be in small quantities. it instantly. It is nearly unalterable by the We are therefore advised by Hahneman, to fluoric, boracic, phosphoric, and carbonic boil the contents of the stomach of the per- acids. It unites with alkaline sulphurets, son supposed to be destroyed by this poison, and hydro-suljihurets. in a large quantity of river water ; to add Method of obtaining Arsenic. — In order to one-third of the filtered liquor, hot and to obtain metallic arsenic, mix two parts of limpid lime-water ; to another third, water the white oxide of arsenic of commerce, saturated with sulphuretted hydrogen gas; with one of black flux (obtained by deto- and to the remainder, a solution of copper, Dating one part of nitrate of potash with in pure aqua ammonise. Each fluid is ren- two of supertartrate of potash,} and put the dered turbid, if the suspected contents con- mixture into a crucible, or melting-pot. tain arsenic ; and the sediment, thrown on Invert over this, another crucible, lute the live coals, emits the odour of garlic. The two together with a little clay and sand, white sediment from the lime-water is again and apply gradually a red heat to the lower dissolved by a recent solution of arsenic ; one. The oxide of arsenic will be reduced, the lemon-coloured sediment, from the sul- and be found lining the upper crucible in phuretted hydrogen water throw^n on the small crystals of a metallic brilliancy. coals, takes fire, and the smell of sulphur is The charcoal of the black flux takes in observed previous to that of garlic ; while this process the oxygen from the white oxide, the yellow-green sediment from the solution and forms carbonic acid gas ; which flies off of copper is soluble in pure ammonia, and during the process, and the oxide becomes acids of every kind. Another very minute reduced to the metallic state. This reduc- test of the arsenious acid is nitrate of sil- tion of the oxide is greatly facilitated by the ver, producing a yellow precipitate from alkali of the flux. the solution, particularly if a little potash Remark. — In order to obtain arsenic in or ammonia be previousl)' added, to neutra- a state of absolute purity, the metal thus lize the acid. But it must be borne in obtained must be reduced to a powder, dis- mind, that nitrate of silver produces a simi- solved by heat in nitro-muriatic acid, and lar precipitate from a solution of phosphate then precipitated by immersing into the so- of soda. Indeed no single mode of trial lution a plate of zinc. The arsenic is thus should be relied upon, as we cannot be sure precipitated in a fine powder, and may be but that some other substance might be si- reduced to a mass, by exposing it in a co- milarly affected, where no arsenic is pre- vered crucible to a moderate heat. sent ; and farther, because where arsenic is Arsenic and its various preparations are present many substances will prevent the the most active of all poisons. That which usual precipitates, or render them of a dif- is mostly taken, is the white oxide, or ar- ferent colour. It should be remembered senious acid, to which the following obser- also, that the whole of the poison may have rations apply. A nausea, sickness, and been discharged by vomiting, and therefore retching, commonly ensue in half an hour any matters rejected from the stomach ought after taking it, followed by violent vomit- to be examined in the same way. If any ings, hiccups, and pains in the stomach and white substance can be collected, having bowels; convulsions and palsies of the the appearance of arsenious acid, it will be limbs presently succeed, with intense heats, proper to mix part of it with about the cold sweats, palpitations of the heart, ex- same bulk of charcoal and a little oil ; put treme anxiety, prostration of strength, the mixture between two plates of bright thirst, and dryness of the mouth and throat ; copper, and expose the whole to a faintly loss of reason, and at last death. If the red heat; the copper will be changed to a quantity taken has been considerable, the silvery whiteness on its inner surface, sup- stomach and intestines are often found, posing arsenic present. But a more im- upon dissection, corroded, or perforated, portant step is to obtain the metal separate. AttS AKb Apy substance suspected to be arsenious acid, or any of the precipitates above men- tioned, should be mixed with about the same bulkof finelypowdered charcoal and subcar- bonate of potash (or of the black flux,) the mixture put into agjasstubeclosedatthe bot- tom, taking care that the part above is quite clean, then partially close the orifice with a piece of paper, and expose the other end to a slight red heat ; in a few minutes a bril- liant metallic coating will appear on the inside of the tube above the materials intro- duced, on the supposition that arsenic was Jthere. In all these modes of examination, the judgment will be much assisted by mak- ing comparative experiments with the sub- stances suspected, and with what is known to be arsenious acid : as the coincidence is greater, the stronger will be our conviction, that the person had actually taken that poi- son. The treatment of poisoning by arsenic is very simple. The chief object is to procure its expulsion from the stomach as speedily and with as little irritation as possible. None of the various antidotes that have been recommended can be depended upon. If the practitioner were consulted before vomiting had come on, it would be proper to attempt to excite that act, by giving a quantity of warm water, and irritating the fauces with a feather ; or even exhibiting a mild emetic, as ipecacuanha, unless there were violent pain at the stomach. But in general, before advice is sought, the vomit- ing has become so severe, that all we can do is by giving repeated large draughts of dilu- ent and demulcent liquids, as water, milk, linseed infusion, or whatever can be most readily procured to render it less painful, and facilitate the thorough evacuation of the poison. It is necessary to remember, that butter, oils, &,c. though ranked with demulcents, have been found even injurious, accelerating the fatal event in experiments on animals. Should inflammation supervene in any part of the alimentary canal, marked especially by much pain on pressure, it will be requisite to adopt the antiphlogistic plan ; taking blood from the arm, if the habit of the patient will allow it, but particularly applying from ten to twenty leeches over the part aff"ected ; then the warm bath may be directed, or fomentations, if the pressure can be borne : likewise copious mucilagi- nous glisters, &.c. If on the other hand, after the discharge of the poison, marks of disturbance of the nervous system appear urgent, antispasmodic or sedative remedies will be indicated, but especially opium. Should the patient fortunately be brought to a state of convalescence, much will de- pend on a careful regulation of the diet; which should consist of milk, arrow-root, jellies, and other substance?, which are nu- tritious, mild, and easy of digestion : taking ■i:are at the same time tiiat the bowels be not confined. Sulphur combined with ar- senic appears to lessen its activity ; how far it can contribute to remove its effects is per- haps hardly determined by satisfactory ex- perience ; but it may certainly be given in small doses without impropriety. Notwith- standing the mischief it is capable of pro- ducing, the arsenious acid is a valuable in- ternal remedy, in its appropriate dose, viz. about one-eighteenth part of a grain. See Arsenicalis HqvMr. Externally it is used as a caustic, particularly in cancer. ARSENIC ACID. This is arsenie fully oxygenated. It is always a product of art. It is capable of existing in the solid state. It appears in the form of a white pulveru- lent matter. It attracts humidity from the air. It is soluble in water. The solution possesses a considerable acid taste. It may be evaporated to dryness, and even con- verted into glass. It is decomposable by all combustible bodies, and by many oxides. It is soluble in some acids, but without change, or intimate combination. Method of obtaining Arsenic acid. — Take two ounces of white arsenic in powder, and put it into a tubulated retort ; pour on it six or seven ounces of muriatic acid, and apply the heat of a lamp until the arsenious acid is dissolved. Then add three or four ounces of nitric acid, and heat it again gradually. An intestine motion now takes place, and much red vapour, or nitrons gas, is extri- cated. As soon as in the progress of the operation, the red vapours have ceased, an ounce of finely powdered arsenious acid is to be again added, and the solution efi'ect- ed as before, by a gentle ebullition ; to this two ounces of nitric acid must be added, which will produce a second efferves- cence and discharge of red vapours ; the distillation must now be continued to dry- ness, and the fire must be urged towards the end, to such a degree, as to make the residual mass thoroughly red hot. This mass is arsenic acid, which may either be preserved in that form, or be dissolved in boiling distilled water. Arsenic acid, united to different bases, forms saline compounds, called akseniates. The only one used in medicine is the super- arseniate of potash, which see. Arse'nical c/vustic, a species of caustic said to possess useful properties, indepen- dent of those of destroying morbid parts to which it is applied. It is composed of two parts of levigated antimony to one of white arsenic. This is the caustic so ex- tensively employed under the name of arse- nical caustic, by the late Mr. Justamond, in his treatment of cancers. Arse>ica'i.is Li'quoR. Arsenical solution, •'■ Take of sublimed oxide of arsenic, in very fine powder, subcarbonate of potash from tartar, of each 64 grains ; distilled water a pint. Bail ihem tooetber in a glass vet?e). so ARS ART until the arsenicbe entirely dissolved. 'When smoke will be fonned, and become preci» the solution is cold, add compound spirit pitated on the internal sides of the flask. of lavender, four fluid-drachms. Then add If the process be kept up till all the arse- as much distilled water as may exactly nic be oxidated, (which may be known by- fill a pint measure." This preparation ac- introducing a wire into the flask for a mo- cords with the formula of Dr. Fowler, of ment, which will become covered with a Stafford, who first introduced it in imitation white crust, if the sublimation be not com- of a celebrated popular remedy for inter- pleted.) and the heat be then gradually mittents, sold under the name of the tasteless augmented, the sublimed arsenious acid ■ague-drop. The compound spirit of laven- undergoes a sort of fusion, and an opaque der is only intended to give some colour white mass, similar to thai met with in and tase, without which it would be more commerce, is obtained. liable to mistakes. Where the dose is small, 2. The arsenious acid of the shops (or and the effects so powerful, the most minute white arsenic) is chiefly obtained from ar- attention to its proportion and preparation senical ores of cobalt. These ores are becomes necessary. Each ounce contains thrown into a furnace, resembling a baker's four grains of the oxide, and each drachm oven, with a long flue, or chimney, either half a grain; but it will rarely be proper horizontal or winding, into which the fumes to go beyond one-sixteenth of a grain as a pass, and are condensed into a grayish or dose. blackish powder. This is refined by a se- ^rsenical solution. See Arsenic alis liquor, cond sublimation, in close vessels, with a Arse'^iciosydhm sublima'tum. Arstnici little alkali to arrest the impurities. As the oxydum priEparatum. This is intended to ren- heat is considerable, it melts the sublimed der the arsenious acid more pure. It is direct- arsenious acid into those opaque crystalline ed to be powdered, put into a crucible, and masses which are known in comncerce by sublimed by the application of fire into an- the name of white arsenic. other crucible inverted over the first. Arsenici oxydum prcspardtum. See Arse- nici oxydum subliynatum. .Arsenicum album. White arsenic. See Arsenious acid in the article Arsenic. ARSE'MOUS ACID. White arsenic. Oxide of arsenic. Arsenicum crystallinum, risagalhuri. aquala, arfar, aquila, sarnick, crtaneck. Rat's bane. The earliest che- mists were embarrassedin the determination of the nature of the poisonous white sub- stance known in commerce bv the name of A R T E M r S I A. (From a queen of that name, who first used it ; or from A^nui;, Diana ; because it was formerly used in the diseases of women, over whom she presided.) The name of a genus of plants in the Linneean system. Class, Syn- genesia. Order. Polygamia superfiua. Artzmi'sia abro'tasuh. The systema- tic name for the abrotanum of the pharma- copoeias. Abrotanum mas. Abrathan. Com- mon southern-wood. .Artemisia frvdcosa, of Linnaeus : — -foliis white arsenic. Subsequent experiments have setaceis ramosissimis. A plant possessed of shown that this substance is metallic arsenic a strong and, to most people, an agreeable oxygenated in the first degree, but possess- smell ; a pungent, bitter, and somewhat ing the characters of an acid. The name of nauseous taste. It is supposed to stimulate arsenious acid li therefore given to it. It is the whole system, but more particularly the sometimes found in nature in sublimed ciys- utenis. It 'is very rarely used unless by tals, in volcanoes ; and in masses, or in sta- way of fomentation, with which intention lactites among the ores of arsenic, cobalt, the leaves are directed, bismuth, and nickel. Aetemi'sia aesi'^thium. The syste- It possesses a weak sub-acid taste, which rnatic name for the Absinthium vulgare slowly manifests itself. Though of but a of the })harmacopceias. Common worm- teeble acidity, it sensibly reddens the tine- wood. Falsely called in our markets Ab- ture of cabbage and litmus. If placed on sinlhium Royruminn, or Roman worm- burning coals, or on a red-hot iron, it is wood. Absiiithium Poniicum of Diosco- volatilizcd in the form of a white vapour, rides and Pliny, according to Murray. "which has a strong smell of garlic. It is Artemisia foliis composiiis muliijidis flori- slightly soluble in water. With phosphoric bus subglobosis pendulis : receptaculo ril- and boracic acids it fuses into glass. It loso of Linneeus. This plant is a native decomposes the nitrates and the super-oxy- of Britain, and grows about rubbish, rocks, genated muriate of potash. It unites with and sides of roads. The leaves of worm- many of the earths and alkalies, as well as wood have a strong disagreeable smell: metallic oxide?, and forms saline compounds, their taste it nauseous, and so intensely T.iiich are termed arsenites. bitter as to be proverbial. The flowers are Methods of obtauii.i.: Arsenious Acid. — more aromatic and less bitterthan the leaves, 1. Pulverize arsenic, and put as much of it and the roots discover an aromatic warmth, into a Florence flask as will fill it about one without bitterness. This species of worm- halt, or less. Inti'oduce a little tow, or wood may be considered the principal of cotton, into the neck of the fiask, and ap- the herbaceous bitters. Its 'virtus, in the ply the heat of a lamp. A d?a=e white word? of Bergiu?, is antiputrediBOsa. ant- ART ARJ 81 acids, anthelmintica, resolvens, tonica, spas- modica. And, although it is now chiefly employed with a view to the two last-men- tioned qualities, yet we are told of its good effects in a great variety of diseases, as in- termittent fevers, hypochondriasis, obstruc- tions of the liver and spleen, gout, calculi, scurvy, dropsy, worms, &.c. See Wood- ville's Medical Botany. Cullen thinks it is possessed of a narcotic power, and that there is in every bitter, when largely em- ployed, a power of destroying the sensi- bility and irritability of the nervous sys- tem. Externally, wormwood is used in dis- cutient and antiseptic fomentations. This plant may be taken in powder, but it is more commonly preferred in infusion. The Edinburgh Pharmacopoeia directs a tincture of the flowers, which is, in the opinion of Dr. Cullen, a light and agreeable bitter, and, at the same time, a strong impregna- tion of the wormwood. Artemi'sia chinf.'ksis. Moxa Japonica. Musia pattrcE. Moxa. Mugwort of China. A soft lanuginous substance, called moxa, is prepared in Japan, from the young leaves of this species of mugwort, by beating them when thoroughly dried, and rubbing them betwixt the hatids, till only the fine fibres are left. Moxa is celebrated in the eastern countries for preventing and curing many disorders, by being burnt on the skin ; a little cone of it laid upon the part, pre- viously moistened, and set on fire on the top, burns down with a temperate and glowing heat, and produces a dark-coloured spot, the ulceration of which is promoted by putting a little garlic, and the ulcer is either healed up when the eschar separates, or kept running for a length of time, as different circumstances may require. Artemi'sia juda'ica. The systematic name for the Santonicum of the pharmaco- pceias, according to soine botanists. See Artemisia Sanlonica. Artemi'sia maritima. The system- atic name for the jlbsinthmm mariti- mum of the pharmacopoeias. Sea worm- wood, falsely called in our markets, Roman wormwood, .iriemisia .• foliis multipartitis, tomentosis ; racemis cernuis ; fiosculis fami- nds ternis of Linnajus. This plant grows plentifully about the seashore, and in salt marshes. The specific differences be- tween it and the common wormwood, ar- temisia absinthium, are very evident. Its taste and smell are considerably less unplea- sant than those of the common wormvvood, and even the essential oil, which contains the whole of its flavour concentrated, is some- what less ungrateful, and the watery extract somewhat less bitter than those of the com- mon wormwood. Hence it is preferred, in those cases where the artemisia absinthium is supposed to be too unpleasant for the itomach. A conserve of the tops of this 11 plant Avas directed by the London Pharma- copceia. Artemi'sia po'ntica. The systematic name for the Msinthium ponticum, or Ro- man wormwood, not now used raedicinallj'. Artemi'sia rupe'stris. The systematic name for the genipi album of the pharma- copceias. .Artemisia :— foliis pinnatis ; cau- libus adscendentibus ; JJoribus globosis, cer- nuis; receplaculo papposo. It has a grateful smell, and is used in some countries in the cure of intermittents and obstructed cata- menia. Arte.mi'sia santo'nica. Msinthium santonicum Alcxandrinum. Serjicniina. M- sinthium seriphium JEgyplium. Sckeba Jirabum. Zedoaria; sem. Xantolina. Lv.in- bricorum semina. Cina. Semen contra. Semen sanctum. The Tartarian south- ern-wood or wormseed, Artemisia : foliis canlifiis li7iearibus, pinnato-multifidis ; ramis indivisis ; spicis secundis rejlexi-s ; Jloribus quinquefloris of Linnaeus. The seeds are small, light, and oval, composed of a number of tljin membranous coats of a yel- lowish-green colour, with a cast of brown, easily friable, upon being rubbed between the fingers, into a fine chaffy kind of sub- stance. They are brought from the Levant ; have a moderately strong and not agreeable smell, somewhat of the wormwood kind, and a very bitter subacrid taste. Their virtues are extracted both by watery and spirituous menstrua. They are esteemed to be stomachic, emmenagpgue, and anthel- mintic ; but it is especially for the last-men- tioned powers that they are now adminis- tered, and from their eilicacy in this wav they have obtained the name of wormseed. To adults the dose in substance is from one to two drachms, twice a-day. Lewis thinks that the spirituous extract is the most eligibly preparation of the santonicum, for the pur- poses of an anthelmintic. Artemi'sia vdlga'ris. Mugwort. This plant, Jirtemisia : — foliis pinnatifidis, plajiis, incisis, subtus tomentosis ; raceniis simplicibus, recurvatis ; floribus radio quinquefloro of Linnaeus, Is slightly bitter, and, although in high esteem in former days, is now almost wholly forgotten. Artemo'nium. (From Arttmon, its in- ventor.) A collyrium, or wash for the eves, ARTE'RIA. See .Artery. Arteri'aca. (From uPTttgia, an artery.) Medicines formerly used against disorders of the aspera arteria, or trachea. Arte'ri/e ADiPo'siE. The arteries whicli secrete the fat about the kidneys are so called. They are branches of the cap- sulai- and diaphragmatic, renal, and sper- matic arteries. Arte rijE venc'sjE. The four pulmona- ry veins were so called by the ancients, Arterio'sits du'ctus. See Ductus arte- riosus. ARTERICTOMV. (From ag7»^^,»« 82 ART ART artery^ and rifA.vu, to cut.) The opening of an artery. This operation is only performed on the temporal artery. A'RTERY. (From cwg, air, and Titgioi, to keep ; so called because the ancients supposed that only air was contained in them.) Arleria. Arteries are membranous pulsating canals, which gradually become less as they proceed from the heart. They are composed of three membranes ; a com- mon, or external ; a muscular ; and an in- ternal one, which is very smooth. They originate from the heart ; the pulmonary ar- tery from (he right ventricle, and the aorta from the left: the other arteries are all branches of the aorta. Their termination is either in the veins, or in capillary exhaling vessels, or they anastomose with one ano- ther. It is by their means that the blood is carried from the heart to every part of the body, for nutrition, preservation of life, generation of heat, and the secretion of the different fluids. The action of the arteries, called the pulse, corresponds with that of the heart, and is effected by the contraction ef their muscular, and great elasticity of tlieir outermost coat. A Table of the Arteries. All the arteries originate from the pul- monary artery and the aoi-ta. The pulmonary artery emerges from the vight ventricle of the heart, soon divides into a right and left branch, which are distribu- ted by innumerable ramifications through the lungs. The aorta arises from the left ventricle of the heart, and supplies every part of the body with blood, in the following order : a. It first forms an arch ; b. It then descends along the spine, and c. It divides into the two iliacs. a. The arch of the aorta gives off three branches. 1. The arteria innominata, which divides into the right carotid and right subclavian. 2. The left carotid. 3. The left subclavian. I. The carotids are divided into external and internal. The external carotids give oft', 1. The thyroid, 2. 'I'he lingual, 3. The labicd, 4. The inferior pharyngeal, 5. The occipital, 6. The posterior anris. T. The iidernal maxillary, from which the spinous artery of the dura mater, the lower maxillary, and several branches about the palate and orbit arise, 8. The temporal. The internal carotid affords; 1. The ophthabnic, '2. The middle cerebral, 'i. The commtniicaa.f: which inosculates with " the vertebra!. 11. The subclavians give off the following branches : 1. The internal mammary, horn which the thymic, comes phrenici, pericardiac, and phrenico-pericardiac arise. 2. The inferior thyroid, which gives off the tracheal, ascending thyroid, and transver- salis humeri. 3. The vertebral, which proceeds within the vertebrae, and forms within the cranium the basilary artery, from which the ante- rior cerebelli, the posterior cerebri, and many branches about the brain are given off, 4. The cervicalis profunda, 5. The cervicalis superjicialis, 6. The superior intercostal, 7. The supra-scapular. As soon as the subclavian arrives at the arm-pit, it is called the axillary artery; and when the latter reaches the arm, it is called the brachial. The axillary artery gives off, 1. Four mammary arteries, 2. The sub-scapular, 3. The posterior circumflex, 4. The anterior circumflex, which ramify about the shoulder-joint. The brachial artery gives off, 1. Many lateral branches, 2. The profunda humeri superior, 3. The profunda humeri inferior, 4. The great anastomosing artery, which ra- mifies about the elbow-joint ; The brachial artery then divides, about the bend of the arm, into the ulnar and ra- dial arteries, which are ramified to the ends of the fingers. The ulnar artery gives off, 1. Several recurrent branches, 2. The common in'erosseal, of which the dorsal ulnar, the palmaris profunda, the palmary arch, and the digitals, are branches. The radial artery gives off, 1. The radial recurrent, 2. The superjicialis voice, and then divides into the palmaris profunda, and the digitals. b. The DESCENDING AORTA gives off. In the breast, 1. The bronchial, 2. The (Esophageal , 3. The intercostals. 4. The inferior diaphragmatic : Within the abdomen, 1. The cceliac, which divides info three branches ; 1. The hepatic, from which are given off, before it reaches the liver, ct. Tiie duodeno-gaslric, which sends oflT the right gastro-epiploic and the pan- creatico-duode nal, 0. The pylorica superior hepatica ; 2. The coronaria ventriculi, 3. The splenic, ovhich emits the great and small pancreatics, the posterior gastric, the !''fi gaiirv- epiploic, and the rasa breina : AKi ART '2. ^B superior mesenteric 3. The emulgenls, 4. The spermatics, 5. The inferior mesenteric, 6. The lumbar arteries, 7. The middle sacral. c. The aorta then bifurcates into the ILiAcs, each of which divide into external and internal. The internal iliac, cailed also hypogastric, gives off, 1. The lateral sacrals, 2. The gluteal, 3. The ischialic, 4. The pudicas, from which the external hcemorrhoidal, the perineal, and the arterim penis arise, 5. The obturatory. The external iliac gives off, in the groin, 1. The epigastric, 2. The circumflexa iliaca ; it then passes under Poupart's ligament, andis called the/ej?iora/ artery ; and sends oflf, 1. The profunda, 2. The ramus anastomoticus magnus, \vh ich runs about the knee-joint ; Having reached the haui, where it gives oflF some small branches, it is termed the popliteal. It then divides into the anterior and posterior tibial. The tibialis antica gives off, 1. The recurrent, 2. Tlie internal malleolar, 3. The external malleolar, 4. The tarsal, 5. The metatarsal, 6. The dorsalis externa haiicis. The posterior tibial sends off", 1. The yiutritia tibice, 2. Many sraall branches, 3. The internal plantar, 4. The external plantar, from which an arcA is formed, that gives off the digi- tals of the toes. Akthani'ta. (From ag7oc, bread ; be- uause it is the food of swine.) The herb sow-bread. See Cyclamen. Arthre'mbolus. (From ctg^^gov, a joint, and ifjiCiLn^on, to impel.) An instrument for reducing luxated bones. Arthri'tica. (From «^9g;T«, the gout.) 1. The herb ground-pine ; so called because it was thought good against gouty disorders. 3. Remedies for the gout. ARTHRI'TIS. {-tidis, fcem, from a/i9gov, a joint ; because it is commonly confined to the joints.) The gout. Dr. Cullen, in his Nosology, gives it the name oi podagra, be- cause he considers the foot to be the seat of idiopathic gout. It is arranged in the class pyrexia, andorder^/iZegwi(m(E,andis divided into four species, the regular, atonic, retro- cedent, and misplaced. The gout is a very painful disease, preceded, usually by flatu- lency and indigestion, and accompanied by fever, pains in the joints of the hands and feet, particularly in that of the great toe, and which returns by paroxysms, occurring- chiefly in the spring and beginning of win- ter. The only disoi-der for which the re- gular gout can possibly be mistaken, is the rheumatism ; and cases may occur wherein there may be some dirliculty in making a just discrimination : but the most certain way of distinguishing them will be, to give due consideration to the predisposition in the habit, the .symptoms which have pre- ceded, the parts affected, the recurrences of the disease, and its connexion with other parts of the system. Its attacks are much confined to the male sex, particularly those of a corpulent habit, and robust body ; but every now and then we meet with instances of it in robust females. Those who are employed in constant bodily labour, or who live much upon vegetable food, as likewise those who make no use of wine, or other fermented liquors, are seldom aiiiicted with tiie gout. The disease seldom appears at an earlier period of life than from five-and- thirty to forty ; and, when it does, it may be presumed to arise from an hereditary disposition. Indolence, inactivity, and too free a use of tartareous vv'ines, fermented liquors, and animal food, are the principal causes which give rise to the gout; but it may likewise be brought on by great sen- suality and excess in venery, intense and close application to study, long want of rest, grief, or uneasiness of mind, exposure to cold, too free a use of acidulated liquors, a sudden change from a full to a spare diet, the suppression of any accustomed dis- charge, or by excessive evacuations ; and that it sometimes proceeds from an heredi- tary disposition, is beyond all doubt, as fe- males who have been remarked for their great abstemiousness, and youths of a ten- der age, have been attacked with it. 1. Arthritis regularis. A paroxysm of regular gout sometimes comes on suddenly, without any previous warning ; at other times it is preceded by an unusual coldness of the feet and legs, a suppi'ession of per- spiration in them, and numbness, or a sense of prickling along the whole of the lower extremities ; and with these symp- toms the appetite is diminished, the sto- mach is troubled with flatulency and indi- gestion, a degree of torpor and languor is felt over the whole body, great lassitude and fatigue are experienced after the least ex- ercise, the body is costive, and the urine pallid. On the night of the attack, the patient perhaps goes to bed in tolerable health, and after a few hours, is awaked by the severity of the pain, most com- monly in the first joint of the great toe ; sometimes, however, it attacks other parts of the foot, the heel, calf of the leg, or perhaps the whole of the foot. The pain resembles that of a dislocated bone, and is attended with the sensation as if cold water was poured upon the part- and the 84 ART ART pain becoming more violent, is succeeded by rigours and other febrile symptoms, to- gether with a severe throbbing and inflam- mation in the part. Sometimes both feet become swelled and inflamed, so that nei- ther of them can be put to the ground ; nor eanthe patient endure the least motion, with- out sutfering excruciating pain. Towards morning, befalls asleep, and a gentle sweat fereaks out, and terminates the paroxysm, a number of which constitutes what is called a fit of the gout ; the duration of the fit will be longer or shorter, according to the disposition of the body to the disease, the season of the year, and the age and strength of the patient. When a paroxysm has thus taken place, although there is an alleviation of pain at the expiration of some hours, still the patient is not entirely lelieved from it 3 and, for some evenings successively, he has a return both of pain and fever, which con- tinue, with more or less violence, until morning. The paroxysms, however, prove usually more mild every day, till at length the disease goes otF either by perspiration, urine, or some other evacuation ; the parts which have been affected becoming itchy, the cuticle falling off in scales from them, and some slight degree of lameness remain- ing. At first, an attack of gout occurs, perhaps, only once in two or three years ; it then probably comes on every year, and, at length, it becomes more frequent, and is more severe, and of longer duration, each succeeding fit. In the progress of the dis- ease various parts of the body are affected, and translations take place from one joint, or limb, to another ; and, after frequent attacks, the joints lose their strength and flexibility, and become so stiff as to be de- prived of all motion. Concretions, of a chalky appearance, are likewise formed upon the outside of the joints, and nephri- tic affections of the kidneys arise from a deposit of the same kind of matter in them, which, although fluid at first, becomes gra- dually dry and firm. This matter is partly- soluble in acids, but without effervesence ; and Dr. WoUaston discovered it not to be carbonate of lime, but a compound of the uric or lithic acid and soda. 2. Arthritis aionica. Atonic gout. It sometimes happens that, although a gouty diathesis prevails in the system, yet, from certain causes, no inflammatory affection of the joints is produced ; in which case, the stomach becotnes particularly affected, and the patient is troubled with flatulency, in- digestion, loss of appetite, eructations, nau- sea, vomiting, and severe pains ; and these affections are often accompanied with much dejection of spirits, and other hypochondria- cal symptoms. In some cases the head is affected with pain and giddiness, and now and then with a tendency to apoplexy ; and in other cases, the viscera of the thorax suffer f-Tom the disease, and palpitations, faintings, and asthma arise. This is what is called atonic gout. 3. Arthritis retregrada. Retrocedent gout. It sometimes happens that, after the inflam- mation has occupied a joint, instead of its continuing the usual time, and so going off gradually, it ceases suddenly, and is trans- lated to some internal part. The term retrocedent gout is applied to occurrences of this nature. Vt'hen it falls on the sto- mach, it occasions nausea, vomiting, anxiety, or great pain ; when on the heart, it brings on syncope ; when on the lungs, it produces an affection resembling asthma ; and, when it occupies the head, it is apt to give rise to apoplexy, or palsy. 4. Arthritis aberrans, or misplaced gout, is when the gouty diathesis, instead of pro- ducing the inflammatory affection of the joints, occasions an inflammatory affection of some internal part, and which appears from the same symptoms that attend the in- flammation of those parts from other causes. All occurrences of this nature, as well as of the two former, are to be regarded as attacks of irregular gout, and are to be guarded against as much as possible. In the regular gout generally little medi- cal interference is necessary : the antiphlo- gistic regimen should be observed, in pro- portion to the strength of the patient, the bowels kept regular, and the part of a mo- derate temperature, by covering it with flan- nel, &ic. : it may be useful too to promote a gentle diaphoresis. In young and robust constitutions, where there is no heredi- tary tendency to the disease, and the in- flammation and fever run high, more active evacuations may sometimes be required : and, on the contrary, in persons advanced in life, who have suffered much from the dis- ease, and been accustomed to a generous diet, this must be in some degree allowed even during the paroxysm to obviate a me- tastasis ; recommending fish in preference to other animal food, and madeira as the least acescent wine. The application of cold to the part is a dangerous practice ; and it is better to abstain from any local measures, lest the favourable progress of the disease should be interrupted. When the paroxysm isterminated, any remaining stiffness of the joint will probably be gradually removed by friction, &c. With respect to the means of obviating future attacks, the chief depend- ance is to pe placed on abstemiousness, with regular moderate exercise. Proper medi- cines may be occasionally presci'ibed to re- move any dyspeptic symptoms, keep the bowels regular, the skin perspirable, k.c. If the disease appear to hang about the patient in the atonic form,a more nutritious diet,with tonic or even stimulant medicines, may be required to re-establish the health, which will probably not be accomplished without a pa- roxysm intervening. The Bath waters have often been found useful under these circum- ART ARU 8$ stances. In the retrocedent gout the object is to bring back the inflammatio« to the joint as soon as possible ; for which purpose a sinapism, or other stimulant application, should be put upon the part ; while ammo- nia, aromatics. aether, warm wine, or brandy and water, he. are administered internally, in proportion to the urgency of the symp- toms ; but in general the best form of medi- cine is the combination of opium with some of the stimulants just mentioned, unless where congestion appears in the head. Sometimes blisters or rubefacients may be properly applied over the internal part affect- ed, where this is of importance to life, or even the local abstraction of blood become necessary. This however holds more espe- cially where the attack is inflammatory, con- stituting the misplaced gout, and a more antiphlogistic plan must then be pursued; but evacuations cannot be borne to the same extent as in the idiopathic phlegmasia. Arthroca'ce. (From ei^Bgov, a joint, and X.A-MI, a disease.) An ulcer of the cavity of the bone. ARTHRO'DIA. (From a^Q^ca,, to ar- ticulate.) A species ol diarthrosis, or move- able connexion of bones, in which the head of one bone is received int© the superficial cavity of another, so as to admit of motion in every direction, as the head of the hu- merus with the glenoid cavity of the sca- pula. ARTHRODY'NIA. (From apepov, a joint, and oS'uvn, pain.) Chronic pains in the joints, without pyrexia. It is one of the terminations of acute rheumatism. See Rheumatis7nus. ARTHROPUO'Sl S (From apBpov, a joint, and 'O'uov, pus.) Jlrthropyosis. A collection of pus in a joint. It is, however, frequently applied to other affections, as lumbago psoadica, fcc. Arthro'sis. (From Apo^oo), to articulate, or join together.) Articulation. Artichoke. See Cinara. Jirtichoke, French. See Cinara. Artichoke, Jerusalem. See Helianthus tubtrosus. Articula'ris. a name given to a dis- ease which more immediately infests the ar- ticuU, or joints. The morbus articularis is synonymous with the Greek word arthritis, and our gout. A branch of the basilic vein is called articularis vena, because it passes under the joint of the shoulder. ARTICULATION. (From arliculus, a joint.) The skeleton is composed of a great number of bones, which are all so admirably constructed, and with so much affinity to each other, (hat the extremity of every bone is perfectly adjusted to the end of the bone with which it is connected; and this connexion is termed their articulation. Anatomists distinguish three kinds of arti- culation ; the first they name Diarthrosis ; the second, Synarthrosis ; and the third, Amphiarthrosis ; which see, under their respective heads. Arti'scus. (From agro?, bread.) A troch ; so called because they are made like little loaves. Arto'creas. (From agTOf, bread, and Kjiac, flesh.) A nourishing food, made of bread and various meats, boiled together Galen. Arto'gala. (From «^to?, bread, and ytixcL, milk.) A cooling food made of bread and milk. A poultice. Arto'meli. (From agrif, bread, and fji.6Ki, honey.) A cataplasm made of bread and honey. Galen. A'RUM. (From the Hebrew word ja- TBU, which signifies a dart ; so named be- cause its leaves are shaped like a dart ; or from a^a, injury.) 1. The name of a genus of plants in the Linna?an system. Class, Gynandria. Or- der, Polyandria. Arum, or wake-robin. 2. The Fharmacopoeial name of the com- mon arum, or wake-robin. A'rum dracu'nculus. The systematic name of the plant called in English dragon's wort, and many-leaved avum. ~ Dracunculus polyphyllus. Colubrina dracontia. Erva de Sancta Maria. Gigarus serpentaria. Arum polyphyllum. The roots and leaves of this plant are extremely acrimonious, more so than the arum maculatum, with which it agrees in medicinal virtues. ^ A'rum macula'tum. The systematic name for the arum, of the pharmacopoeias, Arum : acaule ; foliis hastatis, integer rimis ; spadice clavato of Linna?us. The root is the medicinal part of this plant, which, Avheu recent, is very acrimonious ; and, upon being chewed, excites an intolerable sensa- tion of burning and prickling in the tongue, which continues for several hours. When cut in slices and applied to the skin, it has been known to produce blisters. This acri- mony, however, is gradually lost by drying, and may be so far dissipated by the applica- tion of heat, as to leave the root a bland farinaceous aliment. In this state, it has been made into a wholesome bread. It has also been prepared as starch. Its medicinal quality, therefore, resides wholly in the ac- tive volatile matter, and consequently the powdered root must lose much of its power, on being long kept. Aruia is certainly a powerful stimulant, and, by promoting the secretioiis, may be advantageously emplo}'ed in cachectic and chlorotic cases, in rheu- matic aft'ections, and in various other com- plaints of phlegmatic and torpid constitu- tions ; but more especially in a weakened or relaxed state of the stomach, occasioned by the prevalence of viscid mucus. If this root is given in powder, great care should be tnken that it be young and newly dried, when it may be used in the dose of a scru- ple, or more, twice a day ; but in rheu- matisms, and other disorders requiring the m AS A ASC full effect of this medicine, the root should be given in a recent state ; and, to cover the insupportable pungency it discovers on the tongue, Dr. Lewis advises us to administer it in the form of emulsion, with gum-arabic and spermaceti, iucreasingthe dose from ten grains to upwards of a scruple, three or four times a day. In this way, it generally occasioned a sensation of slight warmth about the stomach, and afterwards, in the remoter parts, manifestly promoted perspi- ration, and frequently produced a plentiful sweat. Several obstinate rheumatic pains were removed by this medicine. The root answers quite as well as garlic for cata- plasms, to be applied on the feet in deli- I'iums. The London College, in their ' pharmacopoeia, 1788, ordered a conserve, in the proportion of half a pound of the fresh root to a pound and a half of double refined sugar, beat together in a mortar, which appears to be one of the best forms of exhi- biting arum, as its virtues are destroyed by drying, and are not extracted by any men- struum. It may be given to adults in doses of a drachm. ARY17E NO-EPIGLOTTIDE'US. Innes. Albinus. Jlrytceno-Epiglvttici of Winslow. A muscle composed of a number of fibres running between the arytajnoid cartilage and epiglottis. It pulls the side of the epi- glottis towards the external opening of the glottis, and when both act, they pull it close upon the glottis. ARYTiENOID CARTILAGE. Carlilago arytcEUoiden. The name of two cartilages of the larynx. See Larynx. ARYT/ENOl'DES. (From a.fvlou\a, a funnel, and tiio^, shape.) The name of some parts, from their being funnel-shaped. Aryt^noide'us major. See Aryictnideus transversus. Aiiyt^noide'cs mi'nor. See Jlrylanoi- deus obliquus. ARYTiENOIDE'US OBLI'QUUS. Innes, Albinus, and Winslow. Jirylanoideus minor of Douglas. A muscle of tlie glottis, which arises from the base of one arytte- noid cartilage, and crossing its fellow, is inserted near the tip of the other arytce- noid cartilage. It is a muscle that is occasionally wanting ; but when present, and both muscles act, their use is to pull the arytenoid cartilages tov.-ards each other. aryt^.:noide'Us transversus, of Innes, Albinus, Winslow. Arytcenoideus major of Douglas. An azygos, or single muscle of the glottis, that arises from the side of one ary ta>noid cartilage,from near its articulation with the cricoid to near its tip. The fibres run across, and are inserted in the same manner into the other arytenoid cartilage. Its use is to shut the glottis, by bringing the two aryttenoid cartilages, with their ligaments, nearer to each other. ASAFOE'TIDA. {Jisafottida, ce, f. from ihe Hebrew word asa, to heal.) See Ferula. Asa'phatum. (From *, neg. and o-a^D?, clear.) An intercutaneous itch, generated in the pores, like worms with black heads : so called by reason of their minuteness : they are hardly visible. Asa'phia. (From a, neg. and a-apac; clear.) A defect in utterance or pronun- ciation. AsARABACCA. See Jlsarum. A'sARi fo'lia. Asarabacca leaves. The leaves of the Asarum Europseum. See Jisaium. ASARUM. (From a., neg. and o-a/p, to adorn ; because it was uot admitted into the ancient coronal v.reaths.) Asarabacca. 1 . The name of a genus of plants in the Linna»an system. Class, Dodecandria. Or- der, Monogynia. 2. The pharmacopceial name of the asa- rabacca. A'sARUM EuROPa:'rM. The systematic name of the asarabacca of the shops. Jlsarum; foliis reniformibus, obtusis, biitis of Linnaeus. It is a native of England, but not very common. The leaves of this plant are extremely acrid, and are occa- sionally used, when powdered, as a ster- nutatoiy. For this purpose the leaves, as being less acrid than the roots, are pre- ferred, and in moderate doses not exceeding a few grains, snufled up the nose, for several evenings, produce a pretty large watery dis- charge, which continues for several days to- gether, by which headacb, toothach, oph- thalmia, and some paralytic and soporific complaints have been effectually relieved. Prior to the introduction of ipecacuanha, the leaves and root of this plant were fre- quently employed on account of their emetic power : the dose of the dried leaves was 20 grains ; of the dried roots 10 grains. As they were occassonally violent in their operation, they have fallen into disuse. See Asarum. Ascaloni'tis. A species of onion. Asca'rides. The plural of aicaris. See Jlscaris. A'SCARIS. (From ao-xae, to move about ; so called from its continued trouble- some motion.) There are several kinds of worms distinguished by this term ; but those which claim a place here, as belonging only to the human body, are : — i. Jlscaris vermicularis, the thread or maw worm, which is a very small and slender, not exceeding half an inch in length ; they inhabit the rectum. 2. Jlscaris lumbricoides, ihe long and round worm, which is a foot in length, and about the breadth of a goose-quiil. Asce'sdens OELi''alis. The systematic name of the asparagus, the root of which has been esteemed as a diuretic. It is mostly employed as a food, but it contains very little nourishment. Aspa'sia. (From a, for a/ua., together, and a-Tcttce., to draw.) A constrictive medi- cine for the pudendum muliebre. Capivac. A'spera arte'ria (So called from the in- equality of its cartilages.) See Trachea. ASPE'RULA. (A" diminutive of asper, the seeds being rough.) The name of a genus of plants in the Linnsean system. Class, Tetrandria. Order, Monogynia. Woodroof. Aspe'rula odora'ta. Ihe systematic name for the officinal maUisylva. It is a low umbelliferous plant, growing wild in woods and copses, and flowering in May. It hath an agreeable odour, which ismuch improved by moderate drying ; the taste is a little au- stere. It imparts its flavour to vinous li- quors ; and is commended as a cordial and deobstruent remedy. Asphalti'tis. a kind of trefoil : the last vertebi-a of the loins. ASPHO'DELUS. (From aa-TrK, a ser- pent, and Je;Aoc, fearful ; because it destroys the venom of serpents ; or from a-TTiSiKo^, ashes, because it was formerly sown upon the graves of the dead ) Asphodel. 1. The name of a genus of plants in the Linnaean system. Class, Hexandria. Order, Monogynia. 2. The pharm.acopceial name of the dafifo- dil, or branched asphodel. Aspho'delus ramo'sus. The systematic name for the oflicinal asphodelus. — As- phodelus : caule nudo ; foliis ensiformibus, ca- rinatis, IcEvibus, of Linnaeus. The plant was formerly supposed to be efficacious in the cure of sordid ulcers. It is now wholly laid aside. ASPHY'XIA. (From *, priv. and it so called because they lie near the bladder. Asso DES. (From ct^nofJiAt, to nauseate, or from assare, to burn.) Jisodes. A continual fever, attended v/ith a loathing of food. Sauvages calls it Tritajophya sssodes ; it is arranged by Cullen under the tertian re- mittents. A'ssos. A name given formerly to alumen. A'stacus mari'nus. (From a, neg. and rafo), to distil ; so called from the hardness and dryness of its shell.) The lobster. See Cancer. A'stacus fluvia'tilis. The officinal cre- vis, or cray-fish. See Cancer. A'sTAPis. (From g-cf^tg, uva passa.) A raisin. Asta'rzof. The name of an ointment of litharge, house-leek, he. Paracelsus. AsTCHACHiLos. A malignant ulcer, by some called araneus. Astera'ntium. (From ar«g, a star.) As- tericum. The herb pellitory ; so called from its star-like form. ASTHE'NIA. (From a, priv. and a-^mc, strength.) Extreme debility. The asthenic diseases form one great branch of the Bru- nonian ari'angement. AsTHENOLOGY. (From a, priv. and o-Ssvoc, strength, and xoyoc, a treatise.) The doctrine of diseases arising from debility. The dis- ciples of the Brunonian school, as they de- nominate themselves, maintain peculiar opinions on this subject. A'STHMA. {Asthma, malis, neut. from o/rBfAA^ce, to breathe with difficulty.) Difficult respiration, returning at intervals, with a sense of stricture across the breast, and in the lungs ; a wheezing, hard cough, at first, but more free towards the close of each paroxysm, with a dis- charge of mucus, followed by a remission. It is ranked by Cullen in the class neuroses, and order spasmi. There are three species of asthma : — 1. Mlhma sponlaneum, when without any manifest cause. 2. Asthma plethoricum, when it arises from plethora. 3. Asthma exanthematicum, originating from the repulsion of some acrid humour. Asthma rarely appears before the age of puberty, and seems to attack men more fre- quently than women, particularly those of a full habit, in whom it never fails, by frequent repetition, to occasion some degree of emaci- ation. In some instances, it arises from an hereditary predisposition, and in many others, it seems to depend upon a particular constitution of the lungs. Dyspepsia always prevails, and appears to be a very prominent feature in the predisposition. Its attacks are most frequent during the heats of summer, in the dog-days, and in general commence about midnight. On the evening preceding an attack of asthma, the spirits are often much affected, and the person experiences a sense of fulness about the stomach, with lassitude, drowsiness, and a pain in the m AST ASX head. On the approach of the succeeding evening, he perceives a sense of tiglitness antl stricture across the breast, and a sense of straitness in the kings, impeding respiration. The ditlicuity of breathing continuing to in- crease for some length of time, both inspi- ration and expiration are performed slowly, and with a wheezing noise ; tiie speech be- comes difficult and uneasy, a propensity to coughing succeeds, and the patient can no longer remain in a horizontal position, be- ing as it were threatened with immediate suffocation. These symptoms usually conti- nue till towards the approach of morning, and then a remission commonly takes place; the breathiiig becomes less laborious and more full, and the person speaks and coughs ■with greater ease. If the cough is attended W'ith an expectoration of mucus, he expe- riences much relief, and soon falls asleep. When he awakes in the morning, he still feels some degree of tightness across his breast, although his breathing is probably more free and easy, and he cannot bear the least motion, without rendering this more difficult and uneasy; neither can he continue in bed, unless his head and shoulders are raised to a considerable height. Towards evening, he again becomes drowsy, is much troubled with flatulency in the stomach, and perceives a return of the difficulty of breath- ing, which continues to increase gradually, till it becomes as violent as on the night be- fore. After some nights passed in this w^ay, the fits at length moderate, and suffer more considerable remissions, particulai-Iy when they are attended by a copious expectoration in the mornings, and this continues from time to time throughout the day ; and the disease going off at last, the patient enjoys his usual rest by night, without further dis- turbance. The pulse is not necessarily af- fected in this disease, though often quicken- ed by the difficulty of breathing ; and so.ue- times slight pyrexia attends. In plethoric habits, the countenance is flushed and turgid during the fit ; but in others ratiier pale and shrunk : in the former too, some difficulty of breathing and wheezing usually remain in the interval ; in others, the recovery is more complete. On this is founded the com- mon distinction of asthma into the humid, pituitous, or catarrhal, and the dry, spasmo- dic or nervous forms. The exciting causes are various : — accumulation of blood, or viscid mucus in the lungs, noxious vapours, a cold and foggy atmosphere, or a close hot air, the repulsion of eruptions, or other metastatic diseases, flatulence, accumulated fffices, violent passions, organic diseases in the thoracic viscera^fcc. Sometimes the fits return at pretty regular periods ; and it is generally difficult to obviate future attacks, W'hc^n it has once occurred : but it often continues to recur for many years, and sel- dom proves u;frt]. except a.s inducing hydro- thorax, pUti.i^js. ivi;. The treatment must vary accoiding to the form of the disease'. In young persons of a plethoric habit, with great dyspnoea, a flushed countenance, ac- celerated pulse, he. the abstraction of blood will be found to afford marked relief; but under opposite circumstances, it might be highly injurious, and we should always avoid repccding it unnecessarily. In ambi- guous cases, cupping may be preferi'ed, or leeches to the chest, with blisters Mild ca- thartics should also be employed ; or where costivfijiess appears to induce the fits, those of a more active nature. Nauseating eme- tics are of considerable service, especially where the patient is distressed with viscid mucus, not only by promoting perspiration and expectoration, but also by their anti- spasmodic power, the return of a paroxysm may often be prevented by their timely use. Squill combined with ipecacuanha is one of the best forms. Where the disease is of the purely spasmodic character, opium will be found the most powerful palliative remedy, especially if combined with ether, though it unfortunately loses of its power by repe- tition ; the fetid gum resins are also useful, particularly where the bowels are torpid > and other antispasmodics may be occasion- ally employed. The practice of smoking, or chewing tobacco, has sometimes appeared extremely beneficial ; and a cup of strong coffee has often afforded speedy relief- Means should also be employed for strength- ening the system ; and Avhere there appears a tendency to serous effusion, digitalis may be very useful. But by far the most impor- tant part of the treatment consists in obvi- ating or removing the several exciting causes,' whether operating on the lungs im- mediately, or through the medium of' the prima? via;. Sic. Individual experience can alone ascertain what state of the atmosphere as to temperature, dryness, purity, &.c. shall be most beneficial to asthmatics, though a good deal depends on habit in this respect ; but a due regulation of this, as well as ofe" the diet, and other parts of regimen, will' usually afford more permanent relief than any medicines we can employ. A'sTiTEs. (From ad, and slo, to stand near.) A name given by the ancients to the prostate glands, because they are situated near the bladdei'. ASTRA'GALUS. (ArpA-yctxo;, a cockle/ or die ; because it is shaped like the die used in ancient games.) 1. The name of a bone of the tarsus, upon which the tibia moves. Ancle-bone ; also called the sling- bone, or first bone of the foot. Ballistce os : aristrios : talus .- qualrio : tetroros : carirula -. - cavilla : diabebos : pesa. It is placed poste- riorly and superiorly in the tarsus, and is formed of two parts, one large, which i;* called its body, the other small, like a pro- cess. The part where these two unite is termed the neck. •2. The nttuie of a genur^ of plant- in !hf ASJ Alii yi Lianaeau system. Class, Biadelphia, Or- «ier, Decandria. Milk-vetch. Astea'galus excafus. Stemless milk- xetch. The root of this plant, Astragalus acauiis excapus ; legmninibus lunatis ; foliis villosis of Linnasus, is said to cure confirmed syphilis, especially when in the form of Dodes and nocturnal pains. Astra'galus tragaca'ntha. The former systematic name for the plant which aftbrds the gum tragacaath. See Astragalus verus. Astra'galus ve'rus. Goat's thorn. Miik- velcb. Spina, hirci. Astragalus aculeatus. We are indebted to a French traveller of the name of Olivier for the discovery that the gum tragacanth of commerce, is the pro- duce of a species of astragalus not before known. He describes it under the name of astragalus verus, being different both from A. tragacantha of Linuajus, and from the A. gummifera of Labillardiere. It grows in the North of Persia. Gum tragacanth, or gum dragant, (which is forced from this plant by the intensity of the solar rays, is concreted into irregular lumps or vermicular pieces, bent into a variety of shapes, and larger or smaller proportions, according to the size of the wound from w'hich it issues,) differs from all other known gums in imparting to a very large quantity of water a thick and glutinous consistence. The demulcent qualities of this gum are to be considered as similar to those of gum arabic It is seldom given alone, but frequentlyin combination with more power- ful rpedicines, especially in the form of troches, for which it is peculiarly well adapt- ed: it gives name to an officinal compound powder, and was an ingredient in the com- pound powder of cerusse. Astra'ntia vulga'ris. (Trom astrum, a star ; so called from the star-like shape of its flowers.) Astrantia nigra. The herb sanicle masterwort. A rustic purge. _ A'sTRAPE. (From a.T^a.7rla>, to corruscate.) Lightning. Galen reckons it among the re- mote causes of epilepsy. AsTRi'cTA. (From astringo, to bind.) When applied to the belly, it signifies cos- tiveness ; thus, alvus astricta. ASTRI'NGENTS. (From astringo, to constringe.) Remedies which, when applied to the body, render the solids denser and firmer, by contracting their fibres, indepen- dently of their living, or muscular power. They thus serve to diminish excessive dis- charges; and by causing greater compression of the nervous fibrilla?, may lessen morbid sensibility or irritability. Hence they may tend indirectly to restore the strength, when impaired by these causes. The chief articles of this class are the acids, alum, lime-water, chalk, certain preparations of copper, zinc, iron, and lead ; with galls and several other vegetable substances which; owe their as- tringency principally to tannin. ASTRONO'MIA (From «rgt>v, a star, and vo^of, a law.) .Astronomv, or the know- ledge ot the heavenly bodie?;. Hippocrates ranks this and astrology among the neces- sary studies of a physician. ASTRUC, John, a learsied physician, born in France, 1684. He studied and took his degrees at Montpe}ier,and became after- wards a professor there. In 17-9; he was appointed physician to the king of Poland, but soon returucd to his native country, was made consulting physician to the French king, and professor of mediciiie at Paris, whei-e he attained great celebrity. He was author of numerous medical and philosophi- cal works, but especially one " on Venereal Diseases," which desei'vedly became ex- tremely popular, and was translated into various modern languages. He lived to the advanced age of 82. A'suAR. Indian niyrobalans.orpurgingnut. A'suGAR. .(Erugo ceris, or verdigrise. Asd'oi.i. Fuligo, or soot; an antispasmodic. A'tac. Pi'ltr-f;. Ata'xtv. (From ol, neg. asid tas-s-s-, ta order.) Want of regularity in the .symptoms of a disease, or ihe functican of an animal body. Ata'xir. (Arab.) A tejiesraii;- ; r disease of the eyes. Ata'xmir. CArab.) Removal of preterna- tural hairs growing under the natural ones on the eye-lids. A'teeras. a clic'inicai sublimiug vessel. Ate'cnia. (From a., neg. and TiKrce, to bring forth.) Venereal impotency : inability to procreate children. ATHAMAIVTA. (Alhamanta, i>-<^h the neck.) Short necked. ' Atrage'ne. The Cltmalis vilalba of Lin- naeus ; which see. Atrame'ntuivi srTo'RicM. A name of green vitriol. Atra'sia. (From *, neg. and TiTg^x, to perforate.) ^trtsia. Imperforation. A disease where the anus or genitals have not their usual orifice. Atreta'rum. (From a, neg. and Tg*», to perforate.) A suppression of urine from the menses being retained in the vagina. A'trices. (From *, priv. and 9"^<|, hair.) Small tubercles about the anus upon which liairs will not grow. Vasdius. A'trici. Small sinuses in the rectum, which do not reach so far up as to perfo- liate into its cavity. A'TRIPLEX. (Atripkx-icis, f. said to be named from its dark colour, whence it was called airum olus.) The name of a genus of plants in the Linnaan system. Class, Folygamia. Order. Moncecia. Orach. A'triples fce'tida. See Chetwpodium vulvar ia. A'triplex horte'ssis. The systematic name for the atripkx saliva of the pharma- copoeias. The herb and seed of this plant, Atriplex caule eredo fierbaceo, foliis Iriangu- laribus, of Linnaeus, have been exhibited medicinally as antiscorbutics, but the prac- tice of the present day appears to have to- tally rejected them. A'triplex sati'va. See Atnplex horlensi^. A'TROPA. (From KT^ovog, the goddess of Destiny ; so called from its fatal effects.) The deadly night-shade. The name of a genus of plants in the Linneean system. Class, Pentandria. Order, Monogynin. A'tropa bellado'nna. The systematic name for the belladonna of the pharmaco- poeias. So'anum melonocerasiis. Holanum ielkale. Deadly night-shade or dvvale. Airopa : c.tuk herbacso ; folik ovaiis intcgris, of Linnaeus. This pla.^t has been long Icnown as a strong poison of the narcotic kind, and the berries have furnished many instances of tlieir fatal effects, partlcularly upon children that have been tempted to eat ■[ipm. The leave= were first ii^ed inter- iially, to discuss scirrhous and cancerous tu- mours ; and from the good effects attending their use, physicians were induced to em- ploy them internally, for the same disorders: and there are a considerable number of well- authenticated facts, which prove them a very serviceable and important remedy. The dose, at first, should be small ; and gradually and cautiously increased. Five grains are considered a powerful dose, and apt to produce dimness of sight, vertigo, &;c. A'tropa 3ia>'dra'gora. The systematic name for the plant which affords the radix niandragorcE of the pharmacopceias. Man- drake. The boiled root is employed in the form of poultice, to discuss indolent tu- moui*s. ATROPHIA- (From *, neg. and T/^s<^e, to nourish.) Atrophia. Marasmus. Atrophy. iVervous consumption. This disease is mark- - ed by a gradual wasting of the body7~unac- companied either by a difficulty of breath- ing, cough, or any evident fever, but usually attended with a loss of appetite and impaired digestion. It is arranged by CuUen in the class cacfiexicE, and order marcores. There are four species i — 1. VA'hen it takes place from too copious evacuations, it is termed atrophia inanilo- rum ; by others called tabes nutricum ; — sudatoria ;—a sangiiifluxu, &c. 2, Vi'hen from famine, atrophia fameli- corum. 3.- When from corrupted nutriment, atro- phia cucuchymica. 4. And when from an interruption in the digestive organs, atrophia debilium. The atrophy of children is called paida- tropia. The causes which commonly give rise to atrophy, are a poor diet, unwhole- some air, excess in venery, fluor albus, severe evacuations, continuing to give suck too long, a free use of spirituous liquors, mental uneasiness, and Avorms ; but it fre- quently comes on without any evident cause. Along with the loss of appetite and impaired digestion, there is a diminution of strength; the face is pale and bloated, the natural heat of the body is somewhat diminished, euid the lower extremities are osdematous. Atro- phy, arise from whatever cause it may, is usually very difficult to cure, and not unfre- quently terminates in dropsy. A'tr-jphy. See Atrophia. ATTE'xXUANTS. (Attemiantia, sc. medi- camenla ; from altenv.o, to make thin.) Di- luents. Those substances are so termed,, which possess a powder of imparting to the blood a more thin and more fluid consis- tence than it had previous to their exhi- bition ; such are, aqua, serum , lactis , fcc. ATTO'LLENS AU'REM. {Altolltns ; from altollo, to lift up.) Atlollcns auricula of Albinus and Douglas : Superior auris of ^Vinslow, and Attollens auriculam of Cowper. A common muscle of the ear, which arises, thin, broad, and tendinous, from tlie tendoxi m A'iT ATT of the occipito-frontalis, from which it is almost inseparable, where it covers the apo- neurosis of the temporal muscle ; and is in- serted into the upper part of the ear, oppo- site to the antihelix. Its use is to draw the ear upwards, and to make the parts into which it is inserted, tense. Atto'llens o'culi. One of the recti- muscles which lies upon the upper part of the globe and pulls up the eye. Atto'nitos mo'rbus. (From altono, to surprise ; so called because the person falls down suddenly.) JiUonitus stupor. The apoplexy and epilepsy. ATTRACTION. (From attruko, to at- tract.) Affinity. The terms attraction, or affinity, and repulsion, in the language of modern philosophers, are employed merely as the expression of the general facts, that the masses or particles of matter have a tendency to approach and unite to, or to recede from one another under certain cir- cumstances. All bodies have a tendency or power to attract each other more or less, and it is this power which is called attraction. Attraction is mutual, it extends to inde- finite distances. All bodies whatever, as well as their component elementary parti- cles, are endued with it. It is not annihi- lated, at how great a distance soever we sup- pose them to be placed from each other ; neither does it disappear though they be ar- ranged ever so near each other. The nature of this reciprocal attraction, or at least the cause which produces it, is altogether unknown to us. Whether it be inherent in all matter, or whether it be the consequence of some other agent, are questions beyond the reach of human under- standing ; but its existence is nevertheless certain. Proofs of altraclion. That the power of attraction really ex- ists, is obvious from the slightest view of the phenomena of nature. It is proved with mathematical certainty, that the ce- lestial bodies which constitute the solar system, are urged towards each other by a force which preserves them in their orbits. It is further proved beyond any doubt, that this planetary attraction is possessed not only by the heavenly bodies as wholes, but that it also extends to the smaller par- ticles of which they are formed, as may be evinced by means of the following experi- ments. First. — If we place two or more globules of mercury on a dry glass or earthen plate, and push them gently towards each other, the globules will attract each other, and form one mass or sphere greater in bulk, but precisely the same in nature. Secondly.— If a plate of clean glass, perfectly dry, be laid on a large globule of mercury, the globule, notwithstanding the pressure applied to it, continues to preserve its spherical form : if we gradually charge the plate witii weights carefully, the globule will be flattened, and become thinner and thinner ; but if we again remove the weights from the plate, the mercury will instantly recover its globular figure, and push up the glass before it. In both these experiments, we see that there exists an attraction between the par- ticles of mercury ; in the first, the globules which are in contact witli the plate of glass leave this substance completely, they attract each other, and form a sphere greater in bulk. A mere inert fluid would in any case retain the figure it once possessed. It could not be endued with a globular form, unless a real reciprocal attraction among its parti- cles took place, which in the latter experi- ment is still more striking, for it there is not only superior to gravitation, but actually overcomes an external force. Thirdly. — If a glass tube of a fine bore be immersed in water, contained in any vessel, the fluid will ascend to a certain height within the tube above its level, and its elevation in several tubes of different sizes, will be reciprocally as the diameter of their bores. This kind of attraction which takes place as well in vacuo as in the open air, has been called capillary attraction. It is this at- traction which causes water to rise in sponge, cloth, sugar, sand, &ic. for all these substan- ces may be considered as fine tubes in which the fluid ascends. Remark. — The ascension of fluids in glass tubes of a fine bore, succeeds best when the inside of the tube has been previously moist- ened, which may conveniently be done, by blowing through it with the mouth. And if the water be coloured with a little red or black ink, its ascension will be more obvi- ous, particularly if the tube be held against a sheet of white paper. Fourthly. — If two plates of glass, pre- viously wetted, be made to meet on one side, and be kept open at the other, at a small distance, by the interposition of a shilling, or any other thin substance, and then immersed in water, the fluid will as- cend between the two plates unequally. Its upper surface will form a curve, iu which the heights of the several points above the surface of the fluid will be to one another reciprocally, as their perpendicular distance from the line in which the plates meet. The ratio of this attraction is there- fore as the squares of the increments with which the plates open. Here then we have two other instances that an attraction prevails among the particles of bodies. For in both cases, part of the fluid has left the contiguous mass, contrary to the laws of gravitation. It is drawn up as it were, or attracted by the tube, or plate of glass. Fifthly. — If we immerse a piece of tin^ lead, bismuth, silver, or gold, in mercury. ATI Ail yi and draw it out again immediately, \.h4t mercury will attract tlie metal, and the latter will carry with it a portion of the former, which will stick to it so ob- stinately as to be inseparable by mere friction. There exitjts therefore an attraction be- tween the different metals brought in con- tact with each other. Sixthly. — If a small stick. be dipt in water or any other fluid, and drawn out again, a drop will be found hanging at tlie end of it of a spherical form. The drop U spherical, because each pajlicle of the lluid exerts an equal force in every direction, drawing other particles towards it on every side, as far as its power extends. Thus the verj'- formation of drops obvi- ously demonstrates that there must exist a cause Avhich produces that effect. This can- not be gravity, for, agreeably to experience, that is rather an obstacle to the formation of drops, since by the weight of the parti- cles, large globules resting on solid bodies are flattened, and their regular spherical form prevented. To explain this phenomenon, there re- mains only the power of attraction, acting between the particles of the liquid body ; for if it is supposed that the particles of a substance reciprocally attract each other with equal force, and their aptitude for being moved upon one another be great enough to overcome any impediment to their motion, it follows by the principles of mechanics, that the equilibrium of the at- tractive forces can only take place ivhen the mass has received a globular form. Hence it is, that ail liquid bodies assume a spherical figure, when suffered to fall through the air, or form drops. Division of allraclion. Though we are unable to discover the eause of the mutual attraction, experience has proved to us, that this agency follows certain conditions or laws ; for similar phe- nomena always present themselves, when- ever the circumstances of experiment are the same. Observaiion has taught us, that attraction takes place between bodies of the same kind, and bodies of a different kind. The first is called attraction of aggregation, also corpuscular attraction ; molecular attraction ; and attraction of cohesion, or the cohesive poiver. The latter is termed chemical attraction^ chemical aji^titt/, or affinity of composition. Attraction of Aggregation. Corpuscular attraction, or attraction of cohesion or aggregation, is that power by means of which the similar particles of bodies attract each other, and become uni- ted into one mass, without changing in the least the chemical properties they possess- ed before their union. The bodies may be in a solid, fluid, or aSriform state. 1-3 I'iiis attraction is different in different bodies. It is always in an inverse ratio to the power of repulsion, or the quantity of caloric inteiposed between the particles of the acting bodies. - It becomes obvious from this, that the agency of attraction of aggregation consists in a mere successive and constant accumu-- lation of similar jjarticles into one mass ; and that it produces adherence of surface, or apparent contact in the ratio of the sur- faces. This force is inherent in all the particles of all bodies (caloric and light, perhaps, excepted ;) we never find the particles of bodies in a detached state, but constantly in masses of greater or smaller magnitude/ made up of an indefinite number of parti- cles united together by virtue of the force of cohesion. The simplest case of the exertion of the attraction of aggregation is that, where two bodies placed in mutual contact with each other form a direct union, without changing their chemical properties : thus. if different portions of sulphur be melted together, they form an uniform mass or whole, the particles of which are held together by virtue of the power of attrac- tion of aggregation, but the properties of the body are not altered. The same effect takes place when pieces of the same metal, or particles of resin, wax, &c. are united in a similar manner. The force of tliis attraction in solid bo- dies may be measured by the weight neces- sary to overcome it. Thus if a rod of me- tal, glass, wood, &.C. be suspended in a per- pendicular direction, and weights be at- tached to its lower extremity, till the rod is broken by them, the weight attached to the rod just before it broke is the measure of the cohesive force of the rod. Laws of attraction of aggregation. 1, The agency of attraction of aggrega- tion is exerted only at insensible distances ; its force increases as the distance of the bodies presented to each other decreases;, and as the surfaces of apparent contact are larger : thus, if we take two sections of a leaden ball, having each a flat and smooth surface, and press them forcibly together, they will cohere, and a considerable effort is necessary to force them asunder : so also two plates of glass wetted with a little water to fill up their inequalities, when laid together, will cohere ; and two pieces of marble having each a flat, smooth, and well-polished surface, when moistened and slipt Upon each other with a gentle pres- sure, will unite, and a considerable force is required to separate them. But if the two substances placed together be not sufficient- ly smooth or polished, it w^ill be in vain to tiy to cause them to adhere together ; for this reason, that the jiarticles (ouch each fjthfir oidy in a few points, whereas, cruthft 98 ATT ATI; contrary, tlie particles of the I'orinei" flat and smooth surfaces touch each other in many points. It has been noticed, that a silk-worm's thread can be interposed, but not two. The pressure of the atmosphere has no in- fluence on these experiments, for they suc- ceed equally well in vacuo as in the open air. It is on this account that carpenters, when they intend to glue pieces of wood . together, ]ilane the surfaces perfectly smooth before they apply the glue : and that the surfaces of metals are scraped clean before they are soldered, fcc. Hence the attraction of aggregation al- W^ays vanishes whenever the distance is measurable, and becomes exceedingly great "whenever the distance is exceedingly di- minished ; but the particular rate which this power follow s. is still unknown, as we have no method of measuring either the distance at which it acts, or its relative in- tensity. 2. Attraction of aggregation acts differ- ently in different bodies ; according to the degree of force with which it acts between the particles of matter, the bodies appear under different forms. It is on this account that rock-crystal, flint, diamond, and various other precious stones are extremely hard, for the attraction of aggregation unites the particles of these bodies Avith a great degree of force. Hence a considerable mechanical ettbrt is necessa- ry to disunite them. In blocks of marble, chalk, lime-stone, &.C. the particles are held together with a force considerably less. In these bodies it prevents all relative motion among the particles themselves, and hence the motion of one particle is followed by the motion of the whole mass; or if that is impossible, the cohesion is destroyed altogether, and the piece breaks. The integrant parts of wax, tallow, suet, or lard, may be made to change their situa- tions, with a less degree of force than tlie former. In these substances, the motion of one particle of the body is not necessarily fol- lowed by that of all the rest, neither does that motion destroy the cohesion, nor break them. The particles of water, spirit, and ether, move or slide over each other very readily ; hence their resistance is considerably less. And lastly, vapours, the air of the atmo- sphere, and all the gases, yield to the slight- est possible impulse. 3. Attraction of aggregation may be an- nihilated by every cJFo! t which tends to se- jiarate the particles of bodies, if powerful :^nough. It need hardly be mentioned that all mechanical forces, such as grinding, cutting, etiliug, rasping, poundlflg. bn"d\;\n^. &c. are in all these cases the force applied mu^t be more than equal to the force of the at- traction ; and, as it was stated before, that the attraction of aggregation acts with dif- ferent degrees of force between the particles of different bodies, so different degrees of force are necessary to destroy that attrac- tion in different bodies ; and hence it is that chalk is more easily reduced to powder than flint ; wood is easier broken than lead ; lead easier than iron, &c. Chemical Affinity. Chemical affinity, or affinity of composi- tion, is that power, by means of which the particles of compound bodies attract each other so intimately as to produce an uniform whole, totally inseparable by mechanical efforts, and the characteristic properties of the compound are often different, and sometimes contrary to those of its constitu- ent parts. It is obvious from this, that the particles of those bodies which are united by virtue of chemical affinity, form not a mere aggre- gate, but an entire new body, which can only be altered by the action of another chemical power. In considering this kind of affinity, it will be necessary to state ; — In what manner it takes place between the particles of different bodies ; — In what proportion they are capa- ble of combining ; — Under what conditions: — With what degree of force they unite ; — And vvhat takes place when a variety of different substances are made to act upon each other at the same time, under certain circumstances and in different proportions. Hence chemical affinity is of greater im- portance than affinity of aggregation, for it takes place in all the complex operations of chemistry. Instances of chemical affinity. To prove that chemical affinity acts dif- ferently from attraction of aggregation ; that it takes place between the ultimate con- stituent parts of bodies ; and that it pro- duces substances possessing properties, fre- quently very different, and sometimes con- trary to those of the constituent parts, the ' following experiments may serve. 1. Put into a crucible placed in a coal fire, equal parts by weight of sulphur and mer- cury ; stir the two substances together for a few minutes, and when the sulphur is melted, pour the contents out on a marble slab, or a piece of glass previously warmed and greased. The substance obtained by this means is- a sulphurel of mercury, inwhicii the mercury and sulphur are united by virtue of chemical affinity ; for the compound has neither the colour, the splendour, the inflammability, the volatility, nor the specific gravity of either of its constituent parts ; nor can the sulphur and mercury be separated by mechanical means; they are therefore chemically united. 3. If we raelttoa-ether two ver-v mali-eable ATX ATT y9 find ductile metals, for iastanee, lia aiui iron, in equal quantities, the compound pro- duced will have totally lost the properties which its constituent parts possessed before their union, for the alloy formed will be a brittle metal which may easily be broken by the blow of a hammer. 3. Put two or three teaspoonsful of an aqueous infusion of red cabbage or syrup of violets, into a wine-glass of water, mix it well, and put half the mixture into another glass. By adding a few drops of sulphuric acid to one of the glasses and stirring it, the blue will be changed to a crimson ; and by adding an alkali, for instance potash, to the other glass, the blue fluid will be changed into a green. If we drop carefully down the sides of the glass into the green obtained in this experi- ment, a few drops of sulphuric acid, crim- son will be perceived at the bottom, purple in the middle, and green at the top. On adding a little alkali to the other glass, con- taining the crimson, these colours will ap- pear in an inverted order. 4. When equal parts of muriate of am- monia and slacked lime, both substances destitute of odour, are intimately blended in a stone mortar, a very pungent gas (am- monia) becomes evolved. 5. Water impregnated with ammonia and concentrated muriatic acid, both fluids of a strong odour, when mixed together in pro- per proportions, instantly lose their odour, and form a fluid void of smell, (a solution of muriate of ammonia.) 6. Into a saturated solution of muriate of lime, let fall gradually concentrated sulphu- ric acid, a quantity of pungent vapour will become disengaged, (muriatic acid gas,) and from the two fluids will thus be produced an almost solid compound, called sulpliate of lime. 7. Let equal parts of fresh ciysfallized acetate of lead and acidulous sulphate of alumine and potash, (alum) be nibbed to- gether intimately in a stone mortar, the saline mixture \vill soon become soft, and lastly flui(^. A like effect is produced by treating in a similar manner equal parts of crystallized nitrate of ammonia and sulphate of soda. A solid alloy of mercury and bismuth, and another composed of lead and mercury, on being triturated together, instantly be- come fluid. It is obvious from this, that when chemi- cal combination takes place, the compound ivliich is formed does not possess properties merely intermediate between those of its component parts, but has acquired others more or less new. This however does not hold good in all cases. There are various combinations in which the properties of bo- dies are only slightly altered : and in these cases the union does not appear so intimate, Ss where the chanse is greater. Laws of chemical ajjiniiii Observation has shown that alfinily of composition offers certain invariable phe- nomena, which being founded on a great number of facts are regarded I)y chemists as laws, and may be reduced under the. following heads. Law I. — Chemical affinity can exert its action between a number of bodies, simple or compound, and unite them chemically into one whole. Lav) II. — The efficacy of chemical affinity is in an inverse ratio to that of attraction of aggregation. Lnw III. — The agency of chemical afllinity is influenced by temperature ; its action i^ cither accelerated, retarded, prevented, or rendered efficacious. Law IV. — Chemical affinity is generally accompanied l)y a change of temperature at the instant of its action. Lmo V. — The chemical affinity existing between two or more bodies may be dor- ' mant, until it is called into action by the interposition of another body which fre- quently exerts no energy upon any of thera. in a separate state. Law y\. — The ratio of the energy of che- mical affinity acting between various bodies, is difterent in different substances. Law VI J. — The agency of cjiemical affi- nity is either limited, or unlimited in cer- tain bodies ; in other words, chemical affi- nity is capable of uniting bodies in definite, or in indefinite proportions. Law VIII. — The energy of the chemical affinity of diflTerent bodies is modified in pro- portion to the ponderable quantities of the bodies placed within the sphere of action. Such are the leading laws wliich regulate chemical affinity ; they may be demonstra- ted by experiments. I, Chemical affinity can exert its action between a number of bodies, simple or com- pound, and unite them chemically into one whole : — There are an infinite variety of com- pounds, consisting of tiiree, four, five or more simple substances in nature ; and art can also effect combinations in which there are many simple bodies chepaically united into one whole. It frequently happen; that various sepa- rate bodies presented to each other in a fluid, unite and form a single n\ass, which possesses all the characters of an homoge- neous compound, and which retains these characters till its composition has been al- tered by chemical means. A considerable fiumber of triple salts are known, which consist of three different sub- stances ; for instance, the common alum of commerce consists of sulphuric acid united to alumine and potash or ammonia. The salt formerly called microcosmic salt, or phosphate of soda and ammonia, consists ;7f phoaphnric acid united to «nda and am- J 00 All A.11- monia kc When the oxygenated muriate »e s-educed to powder, and tbeu hronght of mercury is precipitated by the- precise into contact with the acid, a considerable quantity of carbonate of soda which is requi- action instantly takes place, the sulphuric site to effect its decomposition, the precipi- acid unites to one of the constituent parts tate obtained contains muriatic acid, carbo- of the fluor spar, namely, to the lime, and nic acid, and oxide of mercury in excess. its other constituent part, the fluoric acid, It is awell-know^n fact that two, three, or becomes disengaged m the state ot white more metals may be fused together so as to vapour, or fluoric acid gas, produce compounds whose properties are If crjstallized alum, or sulphaie oi soda, widely different from those of the constituent and acetate of lead, are brought into contact j.jg • with each other, the individuality of these Melt together in an iron ladle or crucible, bodies will not be destroyed, that is to say, eight parts of bismuth, five of lead, and no chemical change will take place ; but it three of tin, the fusibility of the metals will they be intimately rubbed together ma thus be altered, for the alloy melts at 212» mortar, the two solids will act upon each Fahr. A spoon or any other utensil formed other and form a fluid. . of this compound will therefore melt in wa- ft is obvious therefore that m order to la- ter kept boilin"- cilitate chemical affinity, the attraction oi If in a =imilar manner an alloy be made aggregation must be bro'ken ; the bodies in- of lead, tin, bismuth, and mercury, their tended to be chemically united must not be proportions being two, three, five, and one, the compound produced melts at a heat even less than that of boiling water. A composition of lead, zinc, and bismuth, presented to each other in mass, but mecha- nically divided, or reduced to the smallest molecules possible : hence liquids combine with more facilitv than solids, or even than in equal parts, niav be kept in fusion upon a solid and a liquid, and in like manner va paper over a lamp. P0»// combine with rapiditj- and ease._^ _ II The efficacy of chemical affinity is HI. Ihe agency of chemical affinity JS in an inverse ratio to that of corpuscular influenced by temperature. Its action is attraction • either accelerated, retarded, prevented, or The coiiesion of the particles of a bodv is rendered efficacious :— owing to the mutual affinity existing be- If we expose phosphorus m an open ves- tween them. It is this force which must be sel to the action of the atmosphere, a che- overcome bv the action of the substance mical union will take place between the which has "a tendency to combine with phosphorus and one of the constituent parts those particles chemically. Chemical affi- of the atmosphere, namely, the oxygen gas ; nity therefore does not become strovger as the phosphorus wiU gradually (but very the affinity of aggregation becomes u-eaA-f/-, slowly) disappear, and become converted it becomes onlv more efficacious; the abso- into a fluid called phosphorous acid, lute powers remain the same; the effect But if we heat the vesse contaimng the produced by that agency mcreases, because phosphorus, the latter will take fire, and the resistance opposed to it derreases Remark. — It is from this law that it was formerly inferred that some or at least one of the bodies should be in a state of fluidity. ■This hoAvever is liy no means necessary. It is in general true, tliat the v.'eaker the attraction of aggregation is. the more easily chemical affinity takes place, a? may be evinced by means of the folloning e^iperl- ments become converted into a white substance, W'hich in a short time is changed into an acid analogous to the former. If equal quantities of muriate of ammonia and carbonate of magnesia are mixed with six or eight parts of water, and suffered to stand for some time exposed to the ordinary temperature of the atmosphere, a mutual decomposition of the two salts v/ill take place. For if the fluid whicli passes the fil- Let any quantity of dry carbonate of soda ter, be left to evaporate spontaneously, and tartaric aci-i'be mingled together, and muriate of magiiesia and carbonate of ara- put the mixtui-e into a wine no obvi ous chemical change will be produced ; but if water be added, or either of the salts be previously dissolved, avioient effervescence ensues, and a chemical union is obtained. The water added is of use merely to over- come the resistance which arises from the cohesion of the- particles of the salts in- tended to be brought into the sphere of ac- iion, or to increase their mutual contact monia will be obtained. On the contraiy : If equal quantities of muriate of mag- nesia and carbonate of ammonia be ex- posed to a temperature of 200° in about four parts of water, the products obtained are, muriate of ammonia and carbonate of magnesia. If muriate of soda and sulphate of mag- nesia be mixed together in any proportion, and exposed to a temperature below zero. If we let fall a crystal, or lump of fluor they decompose each other, and munate of spar, (fluate of lime,) into concentrated sul- magnesia and sulphate of soda are formed, phuric acid, no sensible action will take ^ut no decompositmn takes place at a tem- place, both the sulphuric acid and the fluate perature above 30°. 0f Time remain unaltered: but if the form pr Murjate of -^oda and acidulous sulphatfi ATj Ari im pi alumine and potasli, exhibii precisely the same phenomena. If ardent spirit and a solution of salt in water be mixed together, the compound .formed is a real chemical union ; but if we carefully heat the fluid, the caloric applied will be divided between the three ingre- dients according to their respective affini- ties : the union will be broken, for the ar- dent spirit will first become volatilised, and the union of the salt and water remain un- altered. On increasing the temperature, the water will escape in the form of vapour, and the salt will be left behind. There are numerous cases in which an increase of temperature is essentially neces- sary to determine bodies to unite. If pure mercur}' be exposed to oxygen gas at the <;ommon temperature of the ntmosphere, the corpuscular attraction subsisting be- tween its particles is sufficient to prevent combination. But if the mercury be heat ed to a certatR-degree, the force v.'liich kept its particles united will become annihilated, and it tlien combines with the oxygen which is present. Again, if the oxide of mercury thus formed be exposed to a higher degree of temperature, the union is demolished, and the quicksilver re-appears in its metallic state. Hence it is obvious that the action of ca- loric favours the union of the oxygen and mercury, in consequence of the diminution of the mutual affinity of the parts of the latter : but at length, by augmenting the elastic force of the oxygen, it again breaks the union, or renders the combination im- possible. That increased temperature augments the power of chemical union, the solutions of many salts in the water afford proofs. A larger quantity of salt is soluble in a given quantity of water at a high, than at a low temperature, and this larger quantity of salt is again separated by cooling. IV. Chemical affinity is generally accom- panied by a change of temperature at the instant of its action : — When equal parts of concentrated sul- phuric acid and ardent spirit are mingled together, the mijiture in a few minutes be- comes so hot as to render the vessel insup- portable to the liands. If four parts of sulphuric acid of com- merce; and one part, by weight, of water, be mixed together, each at the temperature of 50"^, the mixture immediately acquires a temperature of about 300°. All the dense acids, ammonja, and ardent spirit, when mixed with water, have the property of raising its temperature remark- ably : and the same is the case when alka- lies are introduced into concentrated acids. On the contrary, in many instances cold is produced : — Take one ounce and a half of muriate •nf ammonia, and a like quanfifv of nitrate oi potash ; reduce each of these salts sepa- rately to a powder, and blend them inti- mately together: having done this, mix them gradually in a glass basin, or other thin glass vessel, with four ounces of water. The result will be, that the cold produced will sink a thermometer immersed in it, to 36° Fahr. A new addition of the same quantity of salts will cool it to 14°, which therefore will freeze water in a glass tube that is immersed in it, without the use of snow or ice. If the water used in a first process be used to reduce other Vv^ater and salts to the temperature of about 32°, and these be applied to the performance of a second experiment, the temperature may be lowered to 4° below 0°. A number of experiments have lately been made to produce artificial cold by means of such freezing mixtures. The most complete set of this kind are those of Pepys, Lowitz, and Walker. V The chemical affinity betAveen two or more bodies may lie "dormant, until it is called into action by the interposition of another body, which frequently exerts no energy upon any of them in a separate state. From this law originates what was for- merly called disposing affinity, or that case in Avhich t^vo or more bodies are incapable of uniting, until the agency is called into action by the addition of a third body, which exerts no sensible affinity upon either of them. This may be proved in the fol- lowing manner. Water is a compound of hydrogen and oxygen ; phosphorus is a simple body ac- cording to our present state of knowledge. If these be presented to each other, no chemical union will take place ; but if we add to them an alkali, and then apply heat, the water wilt become decomposed ; that is to saj^, part of the phosphorus will unite to the oxygen of the Avater, and form phos- phoric acid, and the otlier part will be dis- solved in the hydrogen gas and appear as phosphuretted hydrogen. Here the alkali acts as the substance re- quisite to favour l!ie mutual action, or to give the disposing affinity. If iron and water be brougiit into con- tact with each other, no perceptible change will be produced ; but if a little sulphuric acid bft added to the water and iron, a vio- lent effervescence will take place, the wa- ter will become decomposed, hydrogen gas will be evolved, and the iron become dis- solved in the acid. In this case the sulphuric acid is the con- dition necessaiy to accelerate the chemical action. VI. The ratio of the energy of chemical affinity acting between various bodies, is different in different substances. This is the most important law of chemi- cal attraction. As beginners Mill find it rathPf diffionlt to nndof-tand what -pas^-e^ in 102 Air^j" ATT this more complicated ageucy, tliey must remember, that the combination which is efl'ected between two or more bodies by virtue of chemical affinity becomes broken whenever we present to the compound an- other body, which lias an attraction to one of the constituent parts of the compound, superior to that attraction by which they ■were held together: the bodies, therefore, between which the strongest attraction pre- vails, combine, and the rest are disengaged, thus : — If muriatic acid be poured either on pure barytes, or on its carbonate, the oarytes will be dissolved, and the com- pound will be muriate of barytes, which compound is held together by the force of affinity existing bet^veen the muriatic acid and the barytes. On letting fall into this solution a tew drops of sulphuric acid, an immediate change of principles takes place ; the whole quantity of the muriatic acid which was combined with the barytes be- comes disengaged, and the sulphuric acid unites to the barytes with a force equal to their affinity, minus that of the muriatic acid for the barytes. Again, if pure silver be dissolved in pure nitric acid, part of this is decomposed to furnish oxygen, to which and the remaining acid the silver will remain united, till an- other body is presented to it, which has a greater force of attraction to one of the con- stituent parts of the compound ; for in- stance, if mercury be added to this solution of silver, the mercury will be dissolved, and the silver becomes precipitated or disenga- ged. The supernatant fluid will then be a .soliilion of oxide of mercury in nitric acid. If to the before-obtained solution, a piece of sheet-lead be presented, the lead "will be dissolved, and the mercury become precipitated. The fluid will then be a solu- tion of oxide of lead in nilricacid. If in this solution of lead, a thin slice of copper be suspended, the copper will be dis- solved, and the lead will become disengaged. The fluid noAV is a xolulion of oxide of copper in nitric acid. If in this solution of copper, a thin sheet of iron he kept immersed, the iron will be dissolved, and the copper become precipi- tated. The fluid now is a solution of oxide of iron in nitric acid. If to this solution of iron, a piece of zinc be presented, the zinc will be dissolved, and the iron become precipitated. The so- lution then consists oi zinc, oxy<^cn, and rii- fric acid. If to this solution of oxide of zinc in nitric acid, some ammonia be gradually added, the ammonia will join to tlie acid, and the oxide of zinc will be precipitated. The solution will then be nitrate of animo- iiin. If to this solution of nitrate of ammonia, some lime-water be added, the ammonia will bfcomp di^end'agnd. ,6ind manifest it- self by a pungent odour,) and the solution will be nitrate of lime. If to this solutiori of nitrate of lime, some oxalic acid be added, the lime will be pre- cipitated by this, and wliat now remains will be merely nitric acid. We see from these experiments, that different bodies have different degrees of affinity for one and the same substance, which can only be learnt from observation and experiments. VII. The agency of chemical affinity is either limited or unlimited ; in other words, chemical affinity is capable of uniting bodies in definite, or in indefinite propor- tions : — Experience has convinced us, that in bodies generally there are certain precise limits of combination beyond which their action cannot pass ; it remains still to be ascertained how bodies can combine with- in these limits. If we attend to what is known at pre- sent, we are forced to acknowledge that this law comprehends several modifications, which may be arranged under the following classes. 1. Chemical affinity unites several bo- dies, in any proportion whatsoever ; their combination is therefore unlimited ; for in- stance. If water and ardent spirit be mingled together in any quantity, a chemical com- bination ensues ; for the compound ob- tained has always a specific gravity differ- ent from the mean specific gravity of the fluids combined. Its bulk is likewise not the same as that of the fluids in a separate state. The same is the case when liquid acids and water, or acids and ardent spirit, are combined together. 2. Chemical affinity combines several bo- dies to a certain extent or maximum only. To this class belong all those bodies which are capable of saturation. It is on this account that water can only dissolve a certain quantity of salt ; ardent spirit a certain quantity of resin, fee. The union of oxygen and hydrogen in the formation of water, belongs likewise tc> this class. It will likewise apply to many cases, in which bodies neutralize one an- other. If we take a quantity ofany of the dense acids diluted with water, for instance sul- phuric acid, and let fall into it a solution of an alkali, for example soda, by a little at a time, and examine the mixture after every addition of the alkali, we findfor a consider- able time it will exhibit the properties of an acid, it will have a sour taste, and convert vegetable blue colours into red ; but if we continue to add greater quantities of soda, these acid properties will gradually diminish, and at last disappear altogether. At that point, neutralization is said to have taken ^i^nro : if we cnntinno to add more alkali. AIX ATT 103 the luixiuve will gradually acquire alkaline properties ; it will convert blue vegetables into green ; it will have an urinous or alka- line taste, k.c. These pi'operties will be- Gome stronger, the greater the quantity of the soda is, which is added. But if we proceed to evaporate the solu- tion, in order to obtain crystals, we do not find these containing an indefinite propor- tion of soda : on the contrary, the salt ap- pears to be truly neutral, and any slight ex- cess of alkali present to be. only mechani- cally mixed. It may be therefore said, that the sulphuric acid is saturated, as well as neutralized by soda. But the converse will not hold good, because a salt may be form- ed of the same ingredients, containing a considerable excess of acid, called there- fore supersulphate of soda. Again, take muriatic acid, and let fall into it gradually carbonate of lime or magnesia ; an effervescence will take place, for a che- mical union ensues between the acid and the lime, or magnesia, while the carbonic acid, the other constituent of these bodies, becomes disengaged. But if we continue the addition of the carbonate of lime, or magnesia, until it produces no further effer- vescence ; no chemical union will be ob- tained on adding more ; this will fall to the bottom unaltered, for the combination is at its maximum., 3. Chemical affinity is capable of uniting some bodies in one proportion only ; thus hydrogen and oxygen are known to form but one compound, namely, water; whereas it combines other bodies in two, three, or more proportions ; each of these combina- tions produces compounds, possessing pe- culiar properties. This peculiarity of combination is highly important. It is owing to this circumstance that both nature and art produce substances of the same principles, only combined in different proportions, which possess peculiar proper- ties, widely different from each other. This is illustrated in the case of sulphuric acid and soda already noticed. Another instance of this law may be seen in the following experiment : Introduce one ounce of copper filings into four ounces of muriatic acid, contained in a medicine-phial of eight ounces capacity, cork it v>^ell, and let it stand undisturbed ; the acid will soon acquire a greenish colour, which becomes deeper in pi'oportion as the copper becomes dissolved ; but in a few days, if the bottle be now and then agitated, the colour vanishes, and the solution at last becomes colourless. , If we novi" invert the bottle in mercuiy or water, and remove the coi-k under that fluid, a quantity of the mercury will rush in : an evident proof that part of the air contained in the phial has disappeared. ^f we ex?..ui>ise the remaipJu? ai\'- we shall lind thav it is incapable of supporting flame, and that it is nearly deprived of all its oxy- gen. If we now open the phial, the solu- tion becomes again green. The rationale of these phenomena is this ; The quantity of oxygen which is present in the confined quantity of air in the empty part of the phial, combines with the copper to a certain degree, Avhich then becomes soluble in the acid, and exhibits the green solution. This oxide is gradually decomposed to a certain extent by some of the remaining copper, more of which is thus dissolved, and the solution becomes colourless. If more oxygen be admitted, the solution be- comes green again as before. 4. In the formation of similar intimate chemical combinations, the same quantity of a given substance ajipears always requi- site : and where there are different com- pounds of the same ingredients, if all con- tain the same quantity of one, the relative proportions of the other may be expressed by some of the small whole numbers, 1, 2> 3, 4, oic. Thus, if such quantities of potash, and of soda be taken, as will both neutralize the same weight of sulphuric acid, each will also neutralize the same weight of nitric acid as the other. Hence the salts formed by the mutual decomposition of neutral salts are likewise neutral. This important law was first announced by Dr. Richter, in 1792. He also pointed out, that in the precipita- tion of metals by each other, the whole of the oxygen and acid are transferred ; and that if the original solution were neutral, the new one Is so likewise. Mr. Dalton, of Manchester, about the year 1802, adopted the opinion, that in these intimate com- pounds every particle of the one ingredient united to a corresponding particle of the other, or to some small number of particles. The simplicity and beauty of this, which has been called the atomic theory, made a speedy and strong impression on chemists in general. Dr. Wollaston found it agree veiy well with the analyses of different salts, formed of the same acid and alkali. He took, for instance, equal weights of carbo- nate of potash, reduced one portion to sub- carbonate by heating it to redness, then in-^ troducing them separately over mercuiy, and letting up diluted sulphuric acid to each, found the quantity of carbonic acid expelled from the subcarbonate exactly one half of that fi'om tlie carbonate. Gay-Lussac, in 180S, first maintained that gases unite in simple ratios of their volume, and where the compound is gaseous, that the conden- ^ sation, if any, is also in a simple ratio. ^ Thus 1 measure of oxygen unites with 2 of hydrogen to form water ; 1 measure of ni- trogen with 3 of hydrogen to form 2 mea- sures of ammonia; equal measuresof ammo- nia and muriatic acid to form muriate of aninioiua. It appears too in majiy instances 104 ATX AUK that a soliil combining witli a gas does not alter its volume, as when charcoal uniting to oxygen forms carbonic acid gas. Berze- lius, Sir Humphrey Davy, and many other chemists, have since adduced numerous proofs of the correctness of the atomic the- ory ; but from the difficulty of analysing bodies with sufficient precision, and still more from the readiness with which the in- gredients often combine with each other, or with the resulting compounds, less inti- mately, and therefore in indeterminate pro- portidtas, it can hardly be expected that it should be established universally. VIII. The energ}- of the chemical affinity of diiferent bodies is modified in proportion to the ponderable quantities of the substan- ces placed within the sphere of action. It is obvious, fi-om this, that the denomi- nation nf elective affinity is erroneous; since it supposes the union of one entire substance with another, to the exclusion of a third. But this is not the case ; a Aiere division of action takes place in instances of this kind ; that is to say, the substances act according to the quantity existing within the sphere of activity. The excess of quantity is capable of compensating the deficiency of the force of affinity. When, therefore, a compound body of two substances is acted on by athird, that part of the compound which is the sub- ject of combination, is divided between the two remaining, not only in proportion to their respective degrees of affinity, but also according to their ponderable quantities, so that by varying this in either, the effect pro- duced will be varied. Thus Bertliollet has proved, that in all cases a large quantity of a body is capable of abstracting a portion of another, from a small portion of a third, how weak soever the affinity between the first and second of these bodies may be, and how strong soever the affinity Ijetween the second and third. Thus potash is capable of abstracting part of the acid from oxalate of lime, phosphate of lime, and carbonate of lime. Soda and limedecompose partially sulphate of potash. Nitric acid subtracts part of the base from oxalate of lime, fcc. The following experiment, advanced by Berthollet, will prove this more clearly. If equal parts, by weight, of potash and sulphate of barytes be boiled, in a small quantity of water, to dryness, it will be found that the sulphuric acid has been divi- ded between the two bases in the compound ratio of their mass, and their force of affinity. The greater part of the sulphate of barytes will be found undecomposed ; a small quan- tity of barytes will be found at liberty ; most of the potash will also be uncombined, but a certain portion will be united with the sulphuric acid which the barytes has lost, in the form of sulphate of potash. Jt is not merely in the instance stated kere, that this division of one bodv between two others, according to their respective; masses and affinities, takes place, there be- ing scarcely any example to the contrary. And as the affinities of bodies vary with their masses, it is obvious that, when we speak of the affinities of bodies, we ought to consider them as always acting in cei'tain determinate proportions. Aua'nte. (From oi^vM^a^ to dry.) A dry- disease, proceeding from a fermentation in the stomach, described by Hippocrates de Morbis. Aua'pse. The same. Au'chen. (From a,vj(,eu, to be proud.) The neck, which, in the posture of pride, is made stiff and erect. jiuditory nerve. See J\'crve and Poriio mollis. Aadilory passage. See Ear and Meatus auditorius inlernu.^. Augu'sturi. An epithet given to several' compound medicines. AuLi'scos. (FromayAos, a pipe.) A ca- theter, or clyster-pipe. Ac'los. The same. AURA. (From ot.u, to breathe.) Any subtile vapour, or exhalation. AU'RA EPILETTICA. A sensation which is felt by epileptic patients, as if a blast of cold air ascended from the lower parts towards the heart and head. AU'KA SE'MINIS. The extremely sub- tile and vivifying portion of the semen vi- rile, that ascends through the Fallopian tubes, to impregnate the ovum in the ovarium. Au'ka vita'lis. So Helmont calls the vital heat. Auka'ntia curassave'ntia. Curassoa, or Curassao apples, or oranges. The fruit so called seem to be the immature oranges, that by some accident have been checked in their growth. They are a grateful aromatic bitter, of a ilavour very different from that of the peel of the ripe fruit, and without any acid ; what little tartness they have when fresh, is lost in drying. Infused in wine, or brandy, they afford a good bitter for the stomach. They are used to promote the discharge in issues, whence their name of issue peas, and to give the flavour of hops to beer. Aura'ntii BA'cca:. Seville oranges. See Ciirus aiiruntiwn. Aura'ntii cortex. Bee Ciirus auran- Hum. AURA'NTIUM. (So called, ab aureo colore, from its golden colour, or from .^ran- tium, a town of Achaia.) See Ciirus auran- tium. AURICULA, (dim. of auris, the ear.) The external ear, upon which are several eminences and depressions, as the helix, an- iilielix, tragus, aniitragus, conchec aurieidte, scapha, and lobidus. See Ear. A'jri'cui.a jud^, Jew's ear. 6«,e Z*p~ zisa auricula^ AVE AVE le'o AoRi'cuLA bic'ris. See Hieracium. Adri'culje cor'dis. The auricles of the heart. * See Heart. AURICULA'RIS. (Auriadaris, sc. digitus; from auris, the ear; so called be- cause people generally put it into the ear, when the hearing is obstructed.) Thelittle finger. ^ Auri'ga. (A wagoner. Lat) A» ban- dage for the sides is so called because it is made like the -traces of a wagon-horse. Galen. Auri'go. (.8.h aureo colore; from its yellow colour.) The jaundice. See Ic- terus. Auripi'gmektcm. (From auruni, gold, and pigmentum, paint; so called from its colour and its use to painters. Yellow or- piment. See Arsenic. AU'RIS. (From aura, air, as being the medium of hearing.) The ear, or organ of hearing. See Ear. Au'ris leva'tor. See Attollens aurem. Aurisca'lpium. (From auris, the ear, and scalpo, to scrape.) An instrument for cleansing the ear. Au'ripm so'rdes. The wax of the ears. Au'rium tikni'tus. a ringing noise in the ears. Auru'go. The jaundice. AU'RUM. Gold. Au'rum horizokta'le. Oil of cinnamon and sugar. Ac'rum lepro'sum. Antimony. Au'rum musi'vum. a preparation of tin, sulphur, sal-ammoniac, and quick- silver. Ac'rum pota'bile. Gold dissolved and mixed with oil of rosemary, to be drank. Au'rus Brazilie'nsis. An obsolete name of the Calamus aromaticus. Authe'meron. (From olvtoc, the same, and >tfjiij>a., a day.) A medicine which gives relief, or is to be administered the same day. Autolitho'touus. One who cuts him- self for the stone. Autocrate'ia. The healing power of nature. Hippocrates. AuTo'psiA. (From avroi, himself, and tvlof/.af, to see ) Ocular evidence. Aaxo'pyRos. (From ciuro;, itself, and t, wheat.) Bread made with the meal of wheat, from which the bran has not been removed. Galen. Auxilia'rii biu'sculi. The pyramidal muscles of the abdomen. Ava'nsis. Jivante. Indigestion. AVELLA'NA. (From Alhdla, or Avella, a town in Campania, where they grew.) The hazel-nut. Avella'na catha'rtica. Bai'badoes nuts. A purgative. Avella'na Mexicana. Cocoa and cho- colate nut. Avella'jja purga'trix. Garden spurge. AVE'NA. (From areo, to cov^et ; be- 14 cause cattle are so fond of it.) The oat. 1. The name of a genus of plants in the Linnffian system. Class, Triandria. Or- der, Digynia. 2. The pharmacopceial name of the oat. Ave'na sati'va. The systematic name for the avena of the pharmacopoeias. It is the seed which is commonly used, and called ' the oat. There are two kinds of oats : the black and the white. They have similar virtues, but the black are chiefly sown for horses. They ar-T less farinaceous, and less nourishing, than rice, or wheat ; yet afford a sufficient nourishment, of easy digestion, to such as feed constantly on them. In Scotland, and some of the Northern coun- ties ef England, oats form the chief bread of the inhabitants. They are much used in Germany; but, in Norway, oat bread is a luxury, among the common people. Gi-uels, made with the flour, or meal, called oatmeal, digest easily, have a soft mucilaginous qua- lity, by which they obtund acrimony, and are used for common drink and food In fevers, inflammatory disorders, coughs, hoarseness, roughness, and exulceration of the fauces ; and water gruels answer all the purposes of Hippocrates' ptisan. Ex- tei'nally, poultices, Avith oatmeal, vinegar, and a very little oil, are good for sprains and bruises. Stimulant poultices, with the grounds of strong beer, mixed up with oatmeal, are made for tumours, &,g. of a gangrenous tendency. Ave'na; se'mina. See Aveiia sativa. AvENAcu. A Molucca tree, of a caustid qualit\\ Avens, common. See Geum. AVENZOAR, a native of Seville, in Spain, who flourished about the beginningof the twelfth century ; he was made physician to the king, and is said, but on imperfect evidence, to have attained the uncommon age of 135. He prepared his own medi- cines, and practised surgery, as well as phy- sic. His principal work was a compendium of the practice of medicine, called " Al Theiser," containing some dise-ases not elsewhere described, aad numerous cases candidly related. He was called the Ss- perimenter, from his careful in%'estigiiio.i of the powers of medicines by av^-&;^ trial. AVERROES, an eminent philosoo:' - and physician, born about the middle of the 12th century, at Corduba, in Spain. Be- studied medicine under Avenzoar, but doe-- not appear to have been much en';aged '.-. the practice of it, his life exhibitiiig c :e most extraordinary vicissitudes of honoure bestowed upon him as a magistrate, and persecutions, which he underwent for reli- gion. He appears to ha:ve first observed, that the small-pox occurs but once in the same person. His principal medical work, called the " Universal," is a compendium 106. AXt of physic, mostly collected from other au- thors. He died about the year 1206. AVICENNA, a celebrated philosopher and physician, born in Chorasati, intheyear 980. He studied at Bagdat, obtained a degree, and began to practise at 18 ; and he soon attained great wealth and honour in the court of the calijjh. But during the latter part^of his life residing at Ispahan, after several years spent in travelling, he impaired his constitution by intemperance, and died of a dysentery in his 58th year. His chief work on medicine, called " Ca- non Medicina'," though mostly borrowed from the Greek or other preceding writers, and in a very dilTuse style, acquired great re- putation, and was taught in the European colleges till near the middle of the 17th century. AVICE'NNIA. The name of a genus of plants in the Linnajan system. Class, Didynamia. Order, Jingiosptrmia. AvicENNi'i TOMENTo'sA. The systema- tic name for the plant which affords the Malacca bean, or Anacardium orientale of the pharmacopoeias. The fruit, or nut, so called, is of a shining black colour, heart- shaped, compressed, and about the size of the thumb-nail. It is the produce of the Avkennia iommlosa ; foliis cordato-ovatis, sjfblus iomentosis, of Linnasus. It is now deservedly forgot in this country. AviGATO Pear. See Laurus persea. AXI'LLA. {.-Ixilln, atzil, Heb. Sca- liger deduces it from ago, to act ; in this manner, ago, axo, asa, asula, axilla.) The cavity under the upper part of the arm, called the arm-pit. Axillary arteries. Arterice axillarcs. The axillary arteries are continuations of the subclavi'ans, and give off, each of them, in the axilla, four mammary arteries, the sub- scapular, and the posterior and anterior cir- cumflex arteries, which ramify about the joint. . Axillary nerve. Articular nerve. A branch of the brachial plexus, and sometimes of the radial nerve. It runs outwards and backwards, around the neck of the humerus, and is lost in the muscles of the scapula: Axillary veins. Vente- axillaris. The axillary veins receive the blood from the AZT veins of the arm, and evacuate it into the subclavian vein. A'xis. (From ago, to act.) See Dtn- talus. AXU'NGIA. (From axis, an axle-tree, and unguo, to anoint.) Hog's lard. Axu'ngia cura'ta. Purified hog's lard. Axd'ngia de Mif'MMTA. Marrow. A'zac. (Arab.) Gum ammoniac. Aza'gor. Verdigrise. AzAMAR. Native cinnabar. Vermi lion. AzED. A fine kind of camphor. AZOT. (From a, priv. and ^m, to live ; because it is unfit for respiration.) See Js'itrogen. AzoT, GASEOUS OXIDE OF. See Nitrogen, gaseous oxide of. A'zoTH. An imaginary universal remedy. A'zuB. Alum. Azu'rium. Quicksilver, sulphur, and sal-ammoniac. A'ZYGES. (From a, priv. and ^uya;, a yoke.) The os sphenoides was so called, because it has no fellow. A'ZYGOS. (From a, priv. and ^uyo;, a yoke ; because it has no fellow.) Several single muscles, veins, bones. Sic. are so called. A'zYGOs mokga'gni. A muscle of the mouth. A'zYGOs proce'ssus. a process of the OS sphenoides. A'ZYGOSU'VULUiE. Palato-staphilinus of Douglas. Staphilinus, or Episiaphilinus of Winslow. A muscle of the uvula, which arises at one extremity of the suture which joins the palate bones, runs down the whole length of the velum and uvula, resembling an earth-worm, and adhering to the tendons of the circumflexi. It is inserted into the tip of the uvula. Its use is to raise the uvula upwards and forwards, and to shorten it. A'zYGOs VEIN. Venaasygos. Vena sine pari. The vein is situated in the right cavity of the thorax, upon the dorsal vertebrae. It receives the blood from the vertebral, inter- costal, bronchial, pericardiac, and diaphrag- matic veins, and evacuates it into the vena cava superior. B. "Babuz,c.'rius. (From /3*C«fa,, to speak ,Bacca mokspelie'ssis. Inula dy sent e- inarticulately.) The incubus, or night- "'"• ,s ^ . •- i,„.,.,c» mare ; so called because, in this disorder, the Bacca'lia. (a baccharum copia, because person is apt to make an inarticulate and 't abounds in berries.) The bay, or laurel r.onfused noise. ^^^' BAD BAL 1©7 Ba'cc^: BERMUDE'ifSJEs. See Sapindus saponaria. Ba'cc^ juni'pkri. Juniper berries. See Junipenis. Ba'cc^ lau'ri. Laurel berries. See Lauras. BA'cca: korla'ndic^;. See Rubus Arc- ticus. Ba'cc^; piscato'ri^. See Menispermuni cocculus. Ba'ccharis. (From bacchus, wine ; from its fragrance resembling that liquor.) See Inula dysenterica. Backer's pills. PUiiIce tonicce Bachcri. A celebrated medicine in France, employed for the cure of dropsies. Their principal ingredient is the extract of melampodium, or black hellebore. Ba'cchia. (From bacchus, wine ; be- cause it generally pi'oceeds from hard drink- ing and intemperance.) Gutta rosacea. A name given by Linnaeus to a pimpled face. BACCIUS, Andrew, anative of Ancona, practised mediciae at Rome towards the end of the 16th century, and became physician to Pope Sixtus V. He appears to have had great industry and learning from his nume- rous publications ; of which the chief, "De Thermis," gives an extensive examination of natural waters. Ba'cculi. Is used, by some writers, for a particular kind of lozenges, shaped into little short rolls. Hildanus likewise uses it for an instrument in surgeiy. Ba'coba. The Banana. BACTISHUA, George, was a cele- brated physician of Chorasan, distinguished also for his literary attainments. He was successful in curing the reigning caliph of a complaint of the stomach, which brought bim into great honour; he translated seve- ral of the ancient medical authors into the Arabian language ; and many of his obser- vations are recorded by Rhazes and other succeeding physicians. His son, Gabriel, was in equal estimation Vvith the famous Haroun A! Raschid, whom he cured of apo- plexy by blood-letting, in opposition to the opinion of the other physicians. Badia'ga. A kind of sponge usually sold in Russia, the powder of which is said fo^take away the livid marks of blows and bruises within a few hours. It is only de- scribed by Bauxbaum, and its nature is not properly understood. Badian se'men. The seed of a tree which grows in China, and smells like aniseed. The Chinese (and Dutch, in imitation of them) sometimes use the badiane to give their tea an aromatic taste. See Illicium anisatum. Badi'za a'q,ca. See Bath waters. Badranum semen. Indian aniseed. Badu'cca. (Indian.) A species of cap- paris. Ba'dzcher. An antidote. Ba'os. (B:zMc.) In Hippocrates it means few ; but in P. .^gineta, it is an epithet for a poultice. BAGLIVI, George, born at Ragusa in 1668, after graduating at Padua, and im- proving himself greatly by travelling through - out Italy, was made professor of medicine and anatomy at Rome. In 1696, he pub- lished an excellent work on the practice of physic, condemning the exclusive attach- ment to theory, and earnesily recommend- ing the Hippocratic method of observation ; which, he maintained, assisted bythemodern improvements in anatomy and physiology, would tend greatly to the advancement ot medicine. He has left also several other tracts, though he died at the early age of 38. BAGNIGGE WELLS. A saline mi- neral spring in London, i-esembling the Epsom water. In most constitutions, three half-pints is considered a full dose for purg- ing. Ba'gnio. (From bagno, Ital.) A bathing or sweating-house. Ba'hei coyo'lli. Ray takes it to be the Jlreca, or Faufel. Ba'hel schu'lh. An Indian-tree. See Genista. Ba'iac. White lead. BAILLOU, GuiLLAusiE de, commonly called Ballonius, was born in 15.38 at Paris, where he graduated and attained consider- able eminence. He was very active in the contest for precedence between the physi- cians and surgeons, which was at length decided in favour of the former. His wri- tings are numerous, though not now much esteemed ; but he appears to have been the first who properly discriminated between gout and rheumatism. Ba'la. The plantain-tree. BALa:'NA macroce'phala. (B«x«/v* : from 0aK>M, to cast, from its power in cast- ing up water ; and fj.aiy.fi o^ofa^cg : from /uaxpoc, long, and iii See Tanacetum Balsami'ta mas. I Balsamita. BA'LSAMUM. (From baal sameti, Heb. the prince of oils.) A balsam. See Balsam. Ba'lsamum jEgypti'acum. See Amyris opobalsamum. Ba'lsamum America'num. See Myroxy- lon Peruiferum. Ba'lsamum ano'dynum. A preparation made from tacamahacca, distilled with tur- pentine and soap liniment, and tincture of opium. Ba'lsamum alpi'num. See Amyris opo- balsamum. Ba'lsamum antimo'sii. A remedy for- merly applied to cancer. Ba'lsamum arc^'i. A preparation com- posed of gum-elemi and suet. Ba'lsamum Asia'ticum. See Amyris opobalsamum. Ba'lsamum Brazilie'nse. See Pinus halsamea. Ba'lsamum Canade'nse. See Pinus halsamea. Ba'lsamui* cepha'licum. a distillation of oils, nutmeg, cloves, amber, he. Ba'lsamum commendato'ris. A com- position of storax, benzoe, myrrh, , aloes, &c. Ba'lsamum Copa'ibj:. See Copaifera officinalis. Ba'lsamum embryonum. A preparation of aniseed. Ba'lsamum genui'num antiquo'rum. See Amyris opobalsamum. Ba'lsamum Gileade'nse. See Jlmyris opobalsamum. Ba'lsabium guaia'cikum. Balsam of Peru and spirits of wine. Ba'lsamum Guido'nis. The same asba!- samum anodynum. Ba'lsamum Hunga'ricum. A balsam pre- pared from a coniferous tree on the Carpa- thian mountains. Ba'lsamum Juda'icum. See Amyris opo- balsamum. Ba'lsamum Locate'lli. (Locatelli ; so called from its inventor Lucatellus.) Balsa- mum Lucatelli. A preparation made of oil, turpentine, wax, and red saunders ; now disused; formerly exhibited in coughs of ^ long standing. Ba'iiPamum mas. The herb costmarj'. See Tanacetiim balsamita. Ba'lsajium e Me'cca. See Amyris opo- balsamum. Ba'lsamum Mexica'num. See Myroxy- Ion Peruiferum. Ba'lsamum no'vum. A new balsam from a red fruit in the West Indies. Ba'lsamum odori'ferum. A preparation of oil, wax, and any essential oil. Ba'lsamum Pe'rsicum. A balsamum com- posed of storax, benzoe, myrrh, and aloes. Ba'lsamum Peruvia'num. See Myroxy- Ion peruiferum. Ba'lsamum rackasira. This balsam, which is inodorous when cold, but of a, smell approaching to that of Tolu balsam when heated, is brought from India in gourd-shells. It is slightly bitter to the taste, and adheres to the teeth, on chewing. It is supposed to be one of the factitious balsams, and is scarcely ever prescribed in this country. Ba'lsamum sa'meck. A factitious bal- sam, composed of tartar, dulcified by spirits of wine. ^ Ba'lsamum sapora'ceum. A name given to the preparation called opodeldoc. Ba'lsamum satu'rni. The remedy so named is prepared by dissolving the acetate of lead in oil of turpentine, and digesting the mixture till it acquires a red colour. This is found to be a good remedy for cleasing foul ulcers ; but it is not acknow- ledged in our dispensatories. Ba'lsamum sty'racis Benzoi'ni. Gum- benzoin is so called. See Styrax Benzoin. Ba'lsamum su'ccini. Oil of amber. Ba'lsamum su'lphuris. A solution of sulphur in oil. Ba'lsamum su'lphuris anisa'tum. Tere- binthinated balsam of sulphur, and oil of aniseed. Ba'lsamum su'lphuris Barbade'nse. Sulphur boiled with Barbadoes tar. Ba'lsamum su'lphuris cra'ssum. Thick balsam of sulphur. Ba'lsamum su'lphuris terebinthina'tum. This is made by digesting the sulphur with oil of turpentine ; it is now confined to veterinary medicine. Ba'lsamum su'lphuris si'mplex. Sul- phur boiled with oil. Ba'lsamum Syri'acum. The balm of Gilead. See Amyris opobal^mum. Ba'lsamum Toluta'num. See Toluifera balsamum. Ba'lsamum trauma'ticum. Vulnerary balsam. A form of medicine prescribed in the London Dispensatory, intended to sup- ply the place of the tincture commonly called Friar's balsam, so famous for curing old ulcers. The London College have na- med it Tinctura Benzoini composita. Ba'lsamum univeksa'le. A name given to the unguentum saturninum of old phar- macopoeias. Ba'lsamum ve'r^jm. See Armyris opobal- samum-. nh BA^ BAR Ba'lsajium vi'ride. Linseed-oil, turpen- Both the above plants were carried to the tine, and verdigrise mixed together. West Indies from the Canary islands ; whi- Ba'lsamum vi't^ Hoffma'nni. Beaume ther, it is believed, they had been brought de vie. An artificial balsam, so named from from Guinea, where they grow naturally, its inventor, and comjwsed of a great variety Bananei'ra. See Banana. of the warmest and most grateful essential Ba'ncia. The Elaphoboscum, or wild oils, such as nutmegs, cloves, lavender, &-c. parsnip. with balsam of Peru, dissolved in highly BANDAGE. Deligalio. Fascia. An rectified spirit of wine ; but it is now greatly apparatus consisting of one or several pieces abridged in the number of ingredients, and of linen, or flannel, and intended for cover- but little used. ing, or surrounding parts of the body for Balzoi'num. The gum-benjamin. surgical purposes. Bandages are either Bamba'lio. (From /Sa^Ca/va, to speak simple or compound. The chief of the inarticulately.) A person who stammers, simple are the circular, the spiral, the or lisps. uniting, the retaining, the expellent, and Bambo'o. (Indian.) The young shoots the creeping. The compound bandages used of the arundo bambos of Linnaeus, which in surgery, are the T bandage, the suspen- are prepared by the natives of both Indies sory one, the capistrum, the eighteen-tail with vinegar, garlic, pepper, fee. into a very bandage, and others, to be met with in excellent pickle, which promotes the appe- surgical treatises. tite, and assists digestion. Bandu'ra. A plant which grows in Cey- Ba'biia moscha'ta. See Hibiscus. Ion, whose root is said to be astringent. Bamier. The name of a plant common Bangu'e. Bange. A species of opiate in in Egypt, the husk of which they dress with great use throughout the East, for its in- meat, and, from its agreeable flavour, make toxicating qualities. It is the leaf of a kind great use of it in their ragouts. of wild hemp, growing in the countries of Ban a'kbor. The coffee-tree. the Levant, and made into powder, pills, or BANA'NA. (Indian.) Bananeira, Fi- conserves. coides. Ficus Indica. Miisa friictu cucu- Ba'nica. The wild parsnip. merino breviori. Senoria. Paceeira. The Bani'lia. ) q p -j 7 Banana, or Plantain-tree. The most re- Bani'las. 5 ^'^^ J^piaenarum. markable species of this genus of plants are, Bao'bab. Bahobab. A species of the 1. The paradisaica, or plantain. genus of plants called by Linnaeus Jidanso- 2. The musa sapientum, or banana-tree. 7iia : which see. Both are among the most important pro- Ba'ptica co'ccus. Kermes berries, ductions of the earth. The first sort is cul- Baptiste'rium. (From /3st^7a, to im- tivated in all the islands of the West Indies, merge.) A bath, or repository of water, to where the fruit serves the Indians for bread ; wash the body. and some of the white people also prefer it Bapti'strum. (From /Sa^*, to dye.) to most other things, especially to tlie yams A species of wild mustard, so called from and cassada bread. This tree is cultivated, its reddish colour. onavery extensive scale, in Jamaica; with- Ba'kac. (From borak, Arabian, splen- out the fruit of which. Dr. Wright says, the did.) Baraclipanis. PJitre. According to island would scarcely be habitable, as no Rulandus, nitrum sails, species ofprovision would supply their place. Ba'ras. (Arabian.) In M. A. Severinus, Even flour, or bread itself, would be less it is synonymous with Alphus, or Leuce. agreeable, and less able to support the la- Bara'thrum. (Arabian.) Any cavity or borious negro, so as to enable him to do his hollow place. business, or to keep in health. Plantains BA'RBA. (From 6ar6arMs, because wild also fatten horses, cattle, swine, dogs, fowls, nations are usually unshaven.) 1. The and otherdomestic animals. Theleaves,being beard of man. smooth and soft, are employed as dressings 2. Some vegetables have the specific after blisters. The water from the soft trunk name of barba, whose ramifications are is astringent, and employed by some to check bushy, like a beard, as barba jovis, he. diarrhteas. Every other part of the tree is Ba'rea aro'nis. The arum, useful in diff'erent parts of rural economy. Ba'rba ca'pr^. The ulraaria. The leaves are used as napkins ond table- Ba'rba hi'rci. . The tragopogon. cloths, and are food for hogs. The second Ba'rba jo'vis. Jupiter's beard, or the sort, musa sapientum, or banana tree, dif- silver bush. Also a name of the semperv'i- fers from the paradisaica, in having its stalks vum majus, and of a species of anthyllis. marked with dark purple stripes and spots. Barba'does che'rry. The fruit of the The fruit is shorter, straighter, and rounder ; malphigia glabra of Linnsus, resembling the pulp is softer, and of a more luscious the inferior sorts of our cherries, taste. It is never eaten green ; but, when Barhadoes nut. See Jatrophe curcas. ripe, it is very agreeable, either eaten raw BARBA'DOES TAR. (So named from or fried in slices, as fritters, and is relished the island from which it is chieflji procu- by all ranks of people in the West Indies, red.) The use of this article in medicine BAK BAR 111 is limited to its external application, at Bari glia. ) times, in paralytic cases. Bari'jlla. ^ See Soda impura. Barba'kea. (From St. Barbary, who is bari'llok. ) said to have found its virtues.) See Ery- BARK. A term very frequently em- simum barbarea. ployed to signify, by way of eminence, Barba'ria. Barbaricum. An obsolete Peruvian bark. See Cinchona. term formerly applied to rhubarb. Bark, Carribcean. See Cinchona Caribma. Barbaro'ss^; pi'hjla. Barbarossa's pill. Bark, Jamaica. See Cinchona Caribma. An ancient composition of quicksilver, rhu- Bark, Peruvian. See Cinchona. barb, diagridium, musk, amber, &ic. It was Bark, red. See Ciiichona oblongifolia. the first internal mercurial medicine which Bark, yellotv. See Cinchona cordifolia. obtained any real credit. Barley. See Hordeum. Ba'kbarum. The name of a plaster in Barley, caustic. See Cevadilla. Scribonius Largus. Barley, i^carl. Sea Hordeum. Earbatina. A Persian vermifnge seed. Barm. A name given to yeast. Ba'rbel. Barbo. An oblong fish, re- BARNET WATER. It is of a purging isembling the pike, the eating of whose roe kind, of a similar quality tfl^lhat of Epsom, often brings on the cholera. and about half its strength. Barberry. See Btrberis. BARO'METER. (From £:tpoc, weight, BARBEYRAC, Charles, a French and /u&rpov, measure.) An instrument to physician of the Hth century, who gradu- determine the weight of the air; it is com- ated and settled at Montpelier, where he monly called a weather-glass, acquired great celebrity. Pie died in 1699, Baro'nes. Small worms; called also at the age of about 70, having published Nepones. little, except a good account of the diseases Baro'ptis. A black stone, said to be an of the chest and stomach in females. Mr. antidote to venomous bites. Locke, who became intimate with him Ba'ros (Bj-.psc,) Gravity, abroad, considered him very similar in his 1. Hippocrates uses this word to express manners and opinions to Sydenham. His by it, an uneasy weight in any part, practice is said to have been distinguished 2. It is also the Indian name for a species for simplicity and energy. of camphire, which is distilled from the roots Barbo'ta. The barbut. A small river- of the true cinnamon-tree, fish. It is remarkable for the size of its Ba'rrenness. The same as sterility, liver, which is esteemed the most delicate BA'RTHOLINE, Thomas, was born part of it. at Copenhagen in 1616. After studying in BARDA'NA. (From bardus, foolish; various parts of Europe, particularly Padua, because silly people are apt to throw them andgraduatingatBasil, he became professor on the garments of passengers, having the of anatomy in his native city ; in which propertyofsticking to whatever they touch.) office he greatly distinguished himself, as Burdock. See Jirciium. well as in many other branches of learning. BARE'GE WATER. The small vil- He was the first who described the lympha- lage of Barege, celebrated for its thermal tics with accuracy ; though some of these waters, is situated on the French side of the vessels, as well as the lacteals and thoracic Pyrenees, about half way between the Me- duct, had been before discovered by other diterranean and the Bay of Biscay. The anatomists. Besides many learned works hot springs are four in num.ber. They have which he published, several others were all the same component parts, but differ unfortunately destroyed by fire in 1670 ; somewhat in their temperature, and in the and he particularly regretted a dissertatioii quantity of sulphur, the hottest being most on the ancient practice of midwifery, of strongly penetrated with this active ingre- which an outline was afterwards published dient. The coolest of these waters raises by his son Cas^Jar. Of those which remain Fahrenheit's thermometer to 73 deg. ; the the most esteemed are, his epistolary corre- hottest to 120 deg. Barege waters are re- spondence with tlie most celebrated of his markable for a very smooth soapy feel; cotemporaries; his collection of cases where they render the skm very supple and plia- fa2tuses have been discharged by preter- ble, and dissolve perfectly well soap and natural outlets; and the "Medical and animal lymph ; and are resorted to as a bath Philosophical Transactions of Copenha-^en " in resolving tumours of various kinds, ri- enriched by the communications of many gidities, and contractions of the tendons, correspondents : this last work was in four stiffness of tne joints, left by rheumatic and volumes, published within the ten years gouty complaints, and are highly serviceable preceding his death, which happened in m cutaneous eruptions. Internally taken, 16S0 ; and a fifth Avas aftewards added by thiswater gives considerable relief in disor- his son. dersofthe stomach, especially attended with Bartholinia Na: GLA'NouLiE. See Sub- acidity and heart-burn, in obstinate colics, lingual glands. jaundice,_and in gravel, and otheraffections Barycoi'a. (From /3:tm. heavy, and ««,««, of the urinary organs. to hear.) Deafness, or difficulty of heming! 113 BAR BAS Baryoco'ccalon. (From ^a/iuj, heavy, and ROHxaKoc, a nut; because it gives a deep sound.) A name for the stramonium. Barypho'nia. (From /3!t/>j/c, dull, and <^a>v», the voice.) A difficulty of speaking. BARY'TES. (From /Sa/juc, heavy; so called because it is very ponderous.) Cauk. Calk. Terra ponderosa. Baryt. Ponder- ous earth. Heavy earth. Barytes does not exist pure in nature. It is always found in combination with sulphu- ric or carbonic acid. United with the sul- phuric acid, it forms the mineral called sul- phate of barytes, ov baroselenite. It is found in Staffordshire, Derbyshire, fee. When united to carbonic acid, it is called aerated barytes, or car^knate of barytes, found at Anglezark, near Chorley, in Lancashire. Both combinations are met with regularly crystallized and amorphous. Pure barytes has a much stronger affinity than any other body for sulphuric acid ; it turns blue tincture of cabbage green. It is entirely infusible by heat alone, but melts when mixed with various earths. Its specific gravity is 4,000. It changes quickly in the air, swells, becomes soft, and falls into a white powder, with the acquisition of about one-fifth of its weight. This slaking is much more active and speedy than that of lime. It combines with phosphorus, which compound decomposes water rapidly. It unites to sulphur by the dry and humid^^ way. It has a pow erful attraction for waterj'' which it absorbs with a hissing noise and consolidates it strongly. It is soluble in twenty times its weight of cold, and twice its weight of boiling water. Its crystals are long four-sided prisms of a satin-like appearance. It is a deadly poison to ani- mals. Method of obtaining pure Bai-ytes.— l. Take native carbonate of barytes ; reduce it to a fine powder and dissolve it in a suf- ficient quantity of diluted nitric acid ; eva- porate this solution till a pellicle appears, and then suffer it to crystallize in a shallow bason. The salt obtained is nitrate of ba- rytes ; expose this nitrate of barytes to the action of heat in a china cup, or silver cru- cible, and keep it in a dull red heat for at least one hour; then suffer the vessel to cool, and transfer the greenish solid contents, ^vhich are pure barytes, into a well-stopped bottle. When dissolved in a small quantity of distilled water, and evaporated, it may be obtained in a beautiful crystalline form. In this process the nitric acid, added to the native carbonate of barytes, unites to the barytes, and expels the carbonic acid, and forms nitrate of barytes ; on exposing this nitrate to heat, it parts with its nitric acid, which becomes decomposed into its constituents, leaving the barytes behind. 2. Pure barytes may likewise be obtained fi'om its sulphate. For this purpose, boil powdered sulphate of barytes in a solution of twice or three times its weight of carbo- nate of potash, in a Florence flask, for about two hours; filter the solution, and expose what remains on the filter to the action of a violent heat. In this case, the sulphuric acid of the ba- rytes unites to the potash, and the carbonic acid of the latter joins to the barytes ; hence sulphate of potash and carbonate of barytes are obtained. The former is in solution and passes through the filter; the latter is inso- luble, and remains behind. From this;arti- ficial carbonate of barytesjthe carbonic acicf is driven off by heat. Baryta Murias. Terra ponderosa sa- lita. The muriate of barytes is a very acrid and poisonous preparation. In small doses it proves sudorific, diuretic, deob- struent, and alterative ; in an over-dose, emetic, and violently purgative. The late Dr. Crawford found it very serviceable in all diseases connected with scrofula; and the Germans have employed it with great success in some diseases of the skin and vis- cera, and obstinate ulcers. The dose of the saturated solution in distilled water, is from five to fifteen drops for children, and from fifteen to twenty for adults. Basaal. (Indian.) The name of an In- dian tree. A decoction of its leaves, with ginger, in water, is used as a gargle in dis- orders of the fauces. The kernels of the tjpait kill worms. Ray's Hist. * BASAXTES. (In the iEthioplc tongue, this word means iron, which is the colour of the stone.) A heavy and hard kind of \ stone, chiefly black, or green. It frequently contains iron, has a flinty hardness, is inso- luble by acids, and is fusible by fire. The most remarkable [)roperty of this substance is its figure, being never found in strata, like other marbles, but always standing up in the form of regular angular columns, composed of a numberof joints, one placed upon and nicely fitted to another, as if formed by the hands of a skilful architect. Some regard this fusible substance as a vol- canic production ; others have supposedthat it was formed from water. The Giant's Causeway, in the county of Antrim, in Ireland, and the rock of Pereniere, near St. Santdoux, in Auvergne, are formed of these stones. The distinctive characters of ba- saltes are, a regular form ; hardness suffi- cient to give fire with steel ; and a cinereous, gray colour, inclining to black. Basani'tes. (From Ccttretvt^ee, to find out.) A stone said, by Pliny, to contain a bloody juice, and useful in diseases of the liver: also a stone upon which, by some, the purity of gold was formerly said to be tried, and of which medical mortars were made. Base, acidifiable. See Jcfd!. Base, acidifying. See jlcid. Basia't'io. (From basio, to kiss.) Ve- nereal connexion between the sexes, BAS BAT 113 Basia TOK. See Orbicularis oris. Basis ck'reeki. A term applied for- Basil. See Ocimum hasilicum. merlytothe palatum. Basila'ke OS. (Basilaris ; from 0d.crikiuc, Ba'sis co'rdis. The broad part of the a king.) Several bones were so termed by heart is so called, to distinguish it from the the ancients ; as the sphenoid and occipital apex, or point, bones. Bassi co'lica. The name of a medicine BASILA'RIS ARTE'RIA. Basilary ar- in Scribonius Largus, compounded of aro- tery. An arteiy of the brain. So called matics and honejr. because it lies upon the basilary process of Bastard Pleurisy. See Peripneumonia the occipital bone. It is formed by the junc- notha. tion of the two vertebral arteries within the Bata'tas. (So the natives of Peru call skull, and runs forwards to the sella turcica tlie potato, wliich is a native of that coun- alongthe ^OTZsi'aroZti, which it supplies, as try, whence our word pot;itoe.) A species ■well as the adjacent parts, with blood. of night-shade, solanum iuberosum, Linn. Basila'ris proce'ssus. Basilary process, which. see. See Occipital bone. BATH. {Balneum, -i, n. From jitt^e.- Basilia'ris APo'PHYsrs. The great apo- niov, a bath.) Baths are of several kinds, physis of the os occipitis. 1. A convenient receptacle of w^ater, for Basi'lica media'na. See Bamlicaveyia. persons to wash or plunge in, either for Basi'lica Nux. The walnut. health or pleasure, is called a bath. These BASI'LICA VE'NA. The large vein are distinguished into hot and cold ; and are that runs in the internal part of the arm, either natural or artificial. The natural hot and evacuates its blood into the axillary ba^hs are formedof the water of hot springs, vein. The branch which crosses, at the of which there ai-e many in different parts headof the arm, to join this vein, is called of the world; especially in those countries the basilic median. They may either of where there are, or have evidently been, 4hem be opened in the operation of blood- volcanoes. The artificial hot baths consist letting. either of water, or of some other fluid, Basilicon ointment. See Basilicwm un- made hot by art. The cold bath consists guentum. of water, either fresh or salt, in its natural Basi'hcum. (From ^a-txtno;, royal ; so degree of heat ; or it may be made colder called from its great virtues.) Ocimum Ba- by art, as by a mixture of nitre, sal-ammo- sril. See Ocimum Basilicum. niac, &.c. The chief hot baths in our coun- Basi'licum ungue'wtum. Unguentumba- try are those of Bath and Bristol, and those sUicum flavum. An ointment popularly so ot Buxton and Matlock ; which latter called from its having the ocimum basili- however, are rather warm, or tepid, thaa cum in its composition. It came afterwards hot. The use of these baths is found to be to be composed of wax, resin, Sic. and is beneficial in diseases of the head, as palsies,, now called ceratum resinoe. &c. ; in cuticular diseases, as leprosies, &c. ; Basi'licus pd'lvis. The royal powder, obstructions and constipations of the bowels, A preparation formerly composed of calo- the scurvy, and stone; andin many diseases mel, rhubarb, and jalap. Many composi- of women and children. The cold bath, tions were, by the ancients, so called, from though popularly esteemed one of the most their supposed pre-eminence. innocent remedies yet discovered, is not Basili'dion. An itchy ointment was for- however, to be adopted indiscriminately, merly so called by Galen. On the contrary, it is liable to do consi- Ba'silis. a name formerly given to col- derable mischief in all cases oi diseased vis' lyriums of supposed virtues, by Galen. cera, and is not, in any case, proper to be Basili'scus. (From 0Af a ?ound constitutionj BAX but who lead a sedentary life, and at the same time are employed in some occupa- tion which strongly engages their attention, requires much exertion of thought, and ex- cites a degree of anxiety. Such persons have constantly a pulse rather quicker than natural, hot hands, restless nights, and an impaired appetite, but without any con- siderable derangement in the digestive or- gans. This disorder will continue for a long time, in an irregular way, never en- tirely preventing their ordinary occupation, but rendering it more than usually anxious and fatiguing, and often prejiaring the way for confirmed hypochondriasis. Persons in this situation, are remarkably relieved by the cold-bath, and, for the most part, bear it well ; and its use should also, if possible, be aided by that relaxation from business, and that diversion of the mind from its ordinary train of thinking, which are obtained by attending a watering place. The Doctor also found cold bathing hurtful in chlorosis, and observes, that it is seldom admissible in those cases of disease in the stomach which are brought on by high living, and consti- tute what may be termed the true dyspepsia. The topical application of cold water, or of a cold saturnine lotion, in cases of local inflammation, has become an esta- blished practice ; the efficacy of which is daily experienced. Burns of every de- scription will bear a most liberal use of cold water, or even of ice ; and this may be applied to a very extensive inflamed sur- face, without even producing the ordinary effects of general chilling, which would be brought on from the same application to a sound and healthy skin. Another very dis- tressing symptom remarkably relieved by cold water, topically applied, is that in- tolerable itching of the vagina, which wo- men sometimes experience, entirely uncon- nected with any general cause, and which appears to be a kind of herpes confined to that part. Cold water has also been used topically in the various cases of strains, bruises, and similar injuries, in tendinous, and ligamentous parts, with success ; also in rigidity of muscles, that have been long kept at rest, in order to favour the union of bone, where there appears to have been no organic injury, but only a deficiency of ner- vous energy, and in mobility of parts, or at most only slight adhesions, which would give way to regular exercise of the weak- ened limb. Another very striking instance of the powerful effects of topical cold, in stimulating a part to action, is shown in the use of cold, or even iced water, to the vagina of parturient women, during the dangerous hemorrhages that take place from the uterus, on the partial separation ofjhe placenta. Tkt Shower Bath. A species of cold bath. A modern in- vention, in which the water falls, through BAT BAT li numerous apertures, ou the body. A pro- per apparatus for tliis purpose is to be ob- tained at the shops. The use of the shower bath applies, in every case, to the same purposes as the cold bath, and is often at- tended with particular advantages. 1. From the sudden contact of the water, which, in the common cold bath, is only momentary, but which, in the shower bath, may be pro- longed, repeated, and modified, at pleasure ; and, secondly, from the head and breast, which are exposed to some inconvenience and danger in the common bath, being here effectually secured, by receiving the first shock of the water. The Tepid Bath. The range of temperature, from the lowest degree of the hot bath to the highest of the cold bath, forms r/hat may be termed the tepid. In general, the heat of water wliich we sbc'ald term tepid, is about 90 deg. In a medicinal point of view, it produces the greatest effect in ardent fever, where the temperature is little above that of health, but the powers of the body weak, not able to bear the vigorous application of cold im- mersion. In cutaneous diseases, a tepid bath is often quite sufficient to produce a salutary relaxation, and perspirability of the skin. The. Hot Balk. From 93 to 96 deg. of Fahrenheit, the hot bath has a peculiar tendency to bring on a state of repose, to alleviate any local irritation, and tliereby induce sleep. It is, upon the whole, a safer remedy than the cold bath, and more peculiarly applicable to very Avcak and irritable constitutions, whom the shock produced by cold immersion would overpower, and who have not suffi- cient vigour of circulation for an adequate re-action. In cases of topical inflammation, connected with a phlogistic state of body, preceded by rigor and general fever, and where the local formation of matter is the solution of the general inflammatory symp- toms, experience directs us to the use of the warm relaxing applications, rather than those which, by excitinga general re-action, would increase the local complaint. This object is particularly to be consulted when the part affected is one that is essential to life. Hence it is that in fever, where there is a great determination to the lungs, andthe respiration appears to be locally affected, independently of the oppression produced bj' mere febrile increase of circulation, prac- titioners have avoided the external use of cold, in order to promote the solution of the fever; and have trusted to the general an- tiphlogistic treatment, along with the topi- cally relaxing application of warm vapour, inhaled by the lungs. Warm bathing ap- pears to be peculiarly well calculated to relieve those complaints that seem to depend on an irregular or diminished action of any pari of the alimentarv canal ; and the state of the skin, produced by immersion in waria water, seemshighly favourable to the healthy action of the stomach and bowels. Another very important use of the warm bath, is in herpetic eruptions, by relaxing the skin, and rendering it more pei'vious, and pre- paring it admirably for receiving the sti- mulant applications of tar ointment, mer- curials, and the like, that are intended to restore it to a healthy stale. The consti- tutions of children seem more extensively relieved by the warm bath than those of adults ; and this remedy seems more gene- rally applicable to acute fevers in them than in persons of a more advanced age. Where the warm bath produces its salutary opera- tion, it is ajifiost always followed by an easy ai;-. (From ^awai, to enter.) Balhru7n. The same as bathmis: also an instrument used in the extension of frac- tured limbs, called scamnum. Hippocrates. It is described by Oribasius and Scul- tetus. Ba'tia. a name formerly given to a retort. Bati'non-mo'ron. (From ,S«to?, a bram- ble, and fjiofov, a raspberry.) A raspberry. Batra'chium. (From fi^Tpa^^o;, a frog ; so called from its likeness to a frog. The herb crow's foot, or ranunculus. Ba'trachl's. (From ^aT/i«;^o?, a frog ; so called because they who are infected with it croak like a frog.) An inflammatory tu- mour under the tongue. Battari'smus. (From Botto?, a Cyre- na;an prince, who stammered.) Stam- mering; a defect in pronunciation. See Psellismus. Batta'ta Virgisia'na. See Solanum tuberosum. Batta'ta peregri'na. The cathartic potato ; perhaps a species of ipomcea. If about two ounces of them are eaten at bed- time they grfeatly move the belly the next morning. BATTIE, William, was born in De- vonshire, in 1704. He graduated at Cam- bridge, and after practising some years successfully at Oxbridge, settled in London, and became a fellow of the College of Physicians, as well as of the Royal Society. The insufficiency of Bethlehem hospital to receive all the indigent objects labouring under insanity in this metropolis, naturally led to the establishment of another similar institution ; and Dr. Battle having been very active in promoting the subscription for that purpose, he was appointed physician to the new institution which was called St. Luke's Hospital, then situated on the north side of Moorfields. In 1757 he published a treatise on madness ; and a few years after, having exposed before the House of Com- mons the abuses often committed in private madhouses, they became the subject of legis- lative interference, and were at length pla- ced under the control of the College of Physicians, and the magistrates in the coun- try. He died at the age of 72, Bau'da. a vessel for distillation was formerly so called. BAUHIN, John, w-as born at Lyons, in 1541 . Being greatly attached to botany, he accompanied the celebrated Gesner in his travels through several countries of Europe, and collected abundant materials for his principal work, the " Historia Plantarum," which contributed greatly to the improve- ment of kis favourite science. He was, at the age of 32, appointed physician to the duke of Wirtemberg, and died in 1613. A Treatise on Mineral Waters, and some "Other publications by him also remain. BAUHIN, Ctaspard, was brother to the preceding, but younger by 20 years. He graduated at Basle, after studying at several universities, and was chosen Greek professor at the early age of 22 ; afterwards professor of anatomy and botony ; then of medicine, with other distinguished honours, which he retained till his death in 1624. Besides the plants collected by himself, he received material assistance from his pupils and friends, and was enabled to add con- siderably to the knowledge of botany; on which subject, as well as anatomy, he has left numerous publications. Among other anatomical improvements, he claims the discovery of the valve of the colon. His " Pinax" contains the names of six thousand plants mentioned by the ancients, tolerably well arranged ; and being continually re- ferred to by Linneeus, must long retain its value. Baulmoney. See Mihusa meum. BAUME, Anthony, an apothecary, born at Senlis in 1728. He distuiguished himself at an early age by his skill in che- mistry and pharmacy : and was afterwards admitted a member of the Royal Academy of Sciences of Paris. He also gave lectures on chemistry for several years with great credit. _ Among other works, he published " Elements of Pharmacy," and a "Manual of Chemistry," which met with considerable approbation : also a detailed account of the different kinds of soil, and the method of improving them for the purposes of agri- culture. Bau'rach. (Arab. Bourach.) A name formerly applied to nitre, or any salt ; hence it is that borax took its name, which is also thus called, as well as the mineral fixed alkaline salt. Baxa'na. (Indian.) A poisonous tree growing near Ormuz ; called by Ray, ra- buxit. Bay-cherry. See Primus Lauro-cerasus. Bay-leaves. See Laurus. Bay-leaved Passion-flower. The plant so called is the Passiflora laurifolia of Linna3us : which see. Bay-salt. A very pure salt, prepared from sea-water by spontaneous evaporalion. Ba'zcher. A Persian word for antidote. Bde'lla. (From /BJ'cikxw, to suck.) Bdellerum. A horse-leech. BDE'LLIUM. (From bedallah. Arab.) Madekon. Bolchon. Balchus. Called by the Arabians, mokel. A gum, like very im- pure myrrh. It is one of the weakest of the deobstruent gums. It was sometimes used as a pectoral and an emmenagogue. Ap- plied externally, it is stimulant, and pro- motes suppuration. It is never met with in the shops of this country. Bde'llus. (From fiSioo, to break wind.) A discharge of wind by the anus. Bdely'gjiia. (From /S/s®, to break wind.) Any filthy and nauseous odour. 120 BEI BEL Beak. The common bean is the seed of the Vicia f aba oiljinndiMs : which see. Bean, French. ) g^^ Phaseolus vulgaris. Bean, Kidney. 5 ° Bean, Malacca. See Jlvkennia tomentosa. Bean of Carlhagena. See Bejuio. Bean, St. Ignatius. See Jgnaiia amara. Beard. The hair growing on the chin and adjacent parts of the face, in adults of the male sex. Beafs-breech. See Jicanthus. Bear's-foot. See Helh.borus falidus. Bear's whorthberri/. SeeJlrbutus uva ursi. Be'cca. a fine kind of resin from the turpentine and mastich trees of Greece and Syria, formerly held in great repute. BECCABU'NGA. (From bach bungen, water-herb, German, because it grows in rivulets.) See Veronica. Be'cha. See Bechica. Be'chica. (From fii>^, a cough.) Be- chita. Medicines to relieve a cough. An obsolete term. The trochisci bechici albi consist of starch and liquorice, with a small proportion of florentine orris root made into lozenges, with mucilage of gum tragacanth. They are a soft pleasant demulcent. The trochisci bechici nigri consist chiefly of the juice of liquorice, with sugar and gum- tragacanth. Be'chion. (From /?«^, a cough ; so call- ed from its supposed virtues in relieving coughs.) Bechium. The herb colt's foot, or tussilago. Becui'ba nux. (Indian.) A large nut growing in Brasil, from which a balsam is drawn that is held in estimation in rheuma- tisms. Bede'guar. (Arab.) Bedeguar. The Carduus lacteus Syriacus is so called, and also the cynosbatos, or rosa canina. Bedengian. The neime of the love-apples in Avicenna. Bedstraw, lady's. See Galium Sparine. BEE. ^pis mellijica of Linnaeus. This insect was formerly exhibited, after being dried and powdered, internally, as a diu- retic. It is to the industry of bees we are indebted for those valuable articles, honey and wax. See Honey and Cera. Beach tree. See Fagus. BEES' WAX. See Cera. Rett. red. See Beta. Beet, white. A variety of red beet. The juice and powder of the root are good to excite sneezing, and will bring away a considerable quantity of mucus. Be'gma. (From fiHo-iru. to cough.) A cough. Expectorated mucus, according to Hippocrates. ; Ba'hen a'lbum. (From beheti, a finger, Arab. See Centaurea behen. Be'hen officina'rum. See Cucubalus behen. Be'hen ru'brum. See Staiice Limonium. Beide'lsar. Beidellopar. A species of Asclepias, used in Africa as a remedy for fever and the bites of serpents. The caus- tic juice which issues from the roots when wounded, is used by the negroes to destroy venereal and similar swellings. Beju'io. Habilla de Carlhagena. Bean of Cai'thagena. A kind of bean in South. America, famed for being an effectual anti- dote against the poison of all serpents, if a small quantity is eaten immediately. This bean is the peculiar product of the jurisdic- tion of Carthagena. Bela-aye co'rtex. (Indian.) Belac. A bark of Madagascar, said to be of considerable efficacy in the cure of diar- r!ia?as. Belemnoi'dss. (From /Jsasmvov, a dart, and sfcToc, form ; so named from their dart- like shape.) Belenoides. Beloidos. The styloid process of the tempor.il bone, and the lower end of the ulna, were formerly so called. Bele'som. (Indian.) Belilia. The Jtfus- senda frondosa of Linnajus, a decoction of which is, according to Ray, cooling. BELLADO'NNA. (From bella donna, Italian, a handsome lady ; so called because the ladies of Italy use it, to take away the too florid colour of their faces.) See Mropa belladonna. Be'llegu. ~j T> , ■ > See Murobalanus Bellirica. Be lnileg. j ^ Beele'kicjE. J Bellidioi'des. (From belHs, a daisy, and s/Joc, form.) See Chrysanthemum. BELLl'NI, Laurence, an ingenious physician, born at Florence in 1643. He was greatly attached to the mathematics, of which he was made professor at Pisa, when only twenty years of age. He was soon after appointed professor of anatomy, which office he filled with credit for nearly thirty years. He was one of the chief supporters of the mathematical theory of medicine, which attempted to explain the functions of the body, the causes of diseases, and the operations of medicines on mechanical prin- ciples : and having imprudently regulated his practice accordingly, he was generally unsuccessful, and lost the confidence of the public, as well as of Cosmo III. of Flo- rence, who had appointed him his physician. In his anatomical researches he was more successful, having first accurately described the nervous papillae of the tongue, and dis- covered them to be the organ of taste ; and also having made better known the struc- ture of the kidney. He was the author of several other publications, and died in 1704. BE'LLIS. a hello colore, from Its fair colour.) The name of a genus of plants in the Linnaean system. Class, Syngenesia. Order, Polygamia superflua. The daisy. Be'llis ma'jor. See Chrysanthemum. Be'llis mi'nor. See Bellis perennis. Be'i-t,is pere'nkis. The systematic nanle BEi\ BEN 121 of the common daisy. Beliis. Bellis minor. The bdlis jjerennis of Linna?us : — scapo nudo, or bruisewort, was formerly directed in pharmacopceias by this name. Although the leaves and flowers are rather acrid, and are said to cure several species of wounds, they are never employed by modern sur- geons. Bello'culus. (From bellvs, fair, and oculus, the eye.) A precious stone, resem- bling the eye, and formerly supposed to be u.seful in its disorders. Be'llon. The Devonshire colic, or co- licapictonum, Bellona'ria. (From Bellona, the god- dess of war.) A herb which, if eaten, makes people mad, and act outrageously, tike the votaries of Bellona. BELLOSTE, Augustin, a surgeon, born at Paris in 1654. After practising several years there, and as an army sur- geon, he was invited to attend the mother of the Queen of Sardinia, and continued at Turin till his death in 1730. He was inventor of a mercurial pill, called by his name, by which he is said to have acquired a great fortune. The ivork by which he is principally known, is called the " Hospital Surgeon," which passed through numerous editions, and was translated into most of the European languages. Among other useful observations, he recommended pierc- ing cai'ious bones, to promote esfoiialion, which indeed Celsus had advised before ; and he blamed the custom of frequently changing the dressings of wounds, as retard- ing the cure. Bzllu'tta Tsja'mpacam. (Indian.) A tree of Malabar, to which many virtues are attributed. Belmu'schus, A name given to the Abelmoschus. Belo'ere. (Indian.) An eveFgreen plant of America, whose seeds purge moderately, but the leaves roughly. Belonoi'des. Beloides. The same as belemnoides. Belu'lcum. (From /2s>.2c, a dart, and i>jue, to draw out.) A surgeon's instrument for extracting thorns, or darts. Belo'zzar. Beluzaar. The Chaldee word for antidote. n^^..^ ' \ r^ / See Styrax Benzoin. JdEEZOI KUM. 3 Bemccrini. An Indian shrub used in gout. Bem-ta'haka. (Arab.) The faba iEgyp- tiaca. Ben. (Arab.) See Guilandina moringa. Ben ma'gnu5I. Monardus calls by this name, the avellana purgatrix, which purges and vomits violently. Ben ta'mara. The Egyptian bean. Be'nath. (Arab.) Small pustules pro-, duced by sweating in the night. Be'hedict. (From benedico, to bless.) A. specific name prefixed to many compo?i- 76 tions and herbs on account of their supposed good qualities ; as benedicta herba, bene- dicta aqua, &.c. BzNEDi'cTA a'ijua. Limc-watcr was for- merly so called; also a water distilled from serpyllum, and, in Schroeder. it is the name for an emetic. Benedicta a'qua compo'sita. Compound lime-water. Benedi'cta he'rba. See Geum urba- num. Benedi'cta lasati'va. A compound of turbeth, scammony, and spurges, with some warm aromaiics. Benedi'ctl'm laxati'vum. Rhubarb, and sometimes the lenitive electuary. Benedi'ctum li'gnum. A term applied to Guaiacum. Benedi'ctum vi'ncm. Antimonial wine. Benedi'ctus ca'rduus. See Centaurea benedicla. Benedi'ctus la'pis. A name for the phi- losopher's stone. Beneole'ntia. (From bene, weU, and oleo, to smell.) Sweet-scented medicines, as gums, fee. Beng. a name given by the Mahome- dans to the leaves of hemp, formed into pills, or conserve. They possess exhilarating and intoxicating powers. BENGA'i-a: ra'dix. (From Bengal, its nativ^e place.) See Cassumuniar. Benga'e q,uince. This fruit is the pro- duce of the Erattva marmelos of Liimaeus ; wliich see. Eenga'lle Ikdo'rum. (From Bengah its native place.) See Cassumuniar. Bk'ngi ei'ri. a species of evergreen; Indian ricinus, Vv'hich grows in Malabar. Benil herb. See Geum vrhanum. Beni'vi A'fcEOR. See Styrax benzoin. Benjamin. See Slyrax benzoin. Benjamin flowers. See benzoic acid. BENZO'AS. A benzoate. A salt formed bytlie union of benzoic acid, with an alka- line, earthy, or metallic base; as benzoate of alumine, fcc. Benzo'e. See Styrax benzoin. Benzo'e amygdaloi'des. See Styrax Benzoin. BENZOIC ACID. Acidum bensoi- cum. Flores benzoes. Flores benzoini. Ben^ jamin flowers. This acid exists in several balsams, but principally in the concrete bal- samj called benzoin. (See Styrax benzoin.) Chemists have obtained it from this bal- sam in various ways, either by sublimation, which gives beautiful foliated crystals, but the process requires to be repeated thrice, and the crystals pressed between bibulous paper after eacli sublimation, to obtain them white and free from any adherent es- sential oil : or, by forming some of its solu- ble compounds, and afterwards decomposing them, so as to precipitate the acid ; or, by simply boiling the benzoin in water, which dissolves the acid. and. as it cools, allows it 122 BER- BER to separate again. The London Phanua- ccpceia directs it to be obtained thus : — -•'Take of benzoin, a pound and a half; fresh lime, four ounces : wafer, a gallon and a half; muriatic acid, four fluid ounces. Rub together the benzoin and lime ; then boil them in a gallon of the water, for half an hour, constantly stirring; and, when it is cold, pour off the liquor. Boil what re- mains, a second time, in four pints of water, and pour off the liquor as before. Mix the liquors, and boil down to half, then strain through paper, and add the muriatic acid gradually, until it ceases to produce a preci- pitate. Lastly, having poured off the liquor, dry the powder in a gentle heat ; put if into a proper vessel, placed in a sand bath ; and, by a very gentle fire, sublime the benzoic acid." In this process a solution of benzoate of lime is first obtained, by boiling the bezoin and lime in water ; the muriatic acid then abstracting the lime precipitates the benzoic acid, which is finally crystallized by subli- mation. The Edinburgh Pharmacopoeia forms a benzoate of soda, precipitates the acid by sulphuric acid, and afterwards crystallizes it by solution in hot water, which dissolves a larger quantity than cold. Benzoic acid has a strong, pungent, aro- matic, and peculiar odour. Its crystals are ductile, not pulverizable ; it sublimes in a moderate heat, forming a white irritating smoke. It is soluble in about twenty-four times its weight of boiling water, which, as it cools, precipitates 19-20ths of what it had previously dissolved. Itis soluble in alcohol. Benzoic acid is veiy seldom used in the cure of diseases ; but now and then it is ordered as a stimulant against convulsive coughs and difficulty of breathing. The dose is from one grain to five. It combines with alkaline, metallic, and earthy bodies ; and forms benzoates. Benzoi'fera. See Styrax benzoin. BENZOTNUM. (From the Arabic term benzoah.) See Styrax benzoin. Benzo'es flo'res. See Benzoic acid. Benzo'ini maciste'rium. Magistery or precipitate of gum-benjamin. Benzo'ini oledm. Oil of benjamin. BE'RBERIS. (Berberi, wM. Arab, used by Averrboes, and officinal writers.) 1. The name of a genus of plants in the Linneean system. Class, Hexandria. Or- der, Monogynia. The barberry, or pep- peridge bush. 2. The pharmacopceial name for the barberry. See Berberis vulgaris. Be'rberis gelati'na. Barberries boiled in sugar. Be'rberis vulga'ris. The sj'Stematic name for the barberry of the pharmaco- pceias. Oxycaniha Galeni. Spina acida. Crespinus. This tree, Btrberispedunculisra-. cemosis. spiius iriplicibvs, of Linnaeus, is a native of England. The fruit, or berrie&j which are gratefully acid, and moderately adstringent, are said to be of great use in biliary fluxes, and in all cases where heat, acrimony, and putridity of the humours prevail. The filaments of this shrub possess a remarkable degree of irritability ; for on being touched near the base with the point of a pin, a sudden contraction is produced, which may be repeated several times. Bere'drias. An ointment. BEREIS'GA'RIUS, James, born about the end of the 15th century at Carpi, in Modena, whence he is often called Carpus. He was one of the restorers of anatomy, of which he was professor, first at Padua, afterwards at Bologna, which he was in a few years obliged to quit, being accused of having opened the bodies of two Spaniards alive. By his numerous dissections, he cor- rected many previous errors concerningthe structure of the human body, and paved the way for his successor Vesalius. He was among the first to use mercurial frictions in syphilis, whereby he acquired a large for- tune, which he left to the Duke of Ferrara, into whose territory he retired at his death in 1527. His principal works are an en- larged Commentaiy on Mundinus, and a Treatise on Fracture of the Cranium. Bereni'ce. The city from whence it was formerly brought.) Amber. Bereni'cium. (From Bcthlc. Beth. Betelle. An oriental plant, like the tail of a lizard. It is chewed by the Indians, and makes the teeth black ; is cordial and exhila- rating, and in very general use throughout the East. It is supposed to be the long pepper. BETO'NICA. (Corrupted from Vetl.oni- ra, which is derived from the Veetones, an ancient people of Spain.) Betony. 1. The name of a genus of plants in the Linnajan system. Class, Didynamia. Or- der, Gymnospermia. 2. The. pharmacopoeial name for the wood betony. See Betonica officinalis. Beto'nica ai^ua'tica. See Scrophularia aquaticn. Beto'nica officina'lis. The systematic name of the betony of the pharmacopoeias. Betonica purpurea. Vetonica cordi. Betonica spica interruptu, corollanan lahii lacinia inter- media emarginata of Linnajus. The leaves and tops of this plant have an agreeable, but weak smell : and to the taste thev discover a slig]itwarmth,accompanied with somedegree of adstringency and bitterness. Tiie powder of the leaves of betony, snutFed up the nose, jjrovokes sneezing ; and hence it is some- times made an ingredient in sternutatory powders. Its leaves are sometimes smoked like tobacco. The roots differ greatly, in their quality, from the other parts ; their taste is very bitter and nauseous; taken in a small dose, they vomit and purge violently, and are supposed to have somewhat in com- mon with the roots of helebore. Like many other plants, formerly in high medical esti- mation, betony is now almost entirely neg- lected. Antonius Musa, physician to the Emperor Augustus, filled a whole volume with enumerating its virtues, stating it as a remedy for no less than forty-seven dis- orders ; and hence iu Italy the proverbial compliment, You have more virtues than betony. Beto'nica fau'li. A species of vero- nica. Beto'nica vulga'ris. The betonica offi- cinalis is so called in some pharmaco- poeias. Btlony, water. See Scrophularia aquatica. BE'TULA. 1. The name of a genus of plants in the Linnasan system. Class, Mo- ncexia. Order, Tetrandria. Alder and birch. 2. The pharmacopoeial name of the white birch. See Betula alba. Be'tula a'lba. The systematic name for the betula of the pharmacopoeias. Be- tula. alba, foliis ovatis, acuminatus, serratis, of Linnaeus. The juice, leaves, and bark have been employed medicinally. If the tree be bored early in the spring, there issues, by degrees, a large quantity oi lim- pid, watery, sweetish juice ; it is said that one tree will afford from one to two gallons a-day. This juice is esteemed as an anti- scorbutic, deobstruent, and diuretic. The leaves and bark are used externally as re- solvents, detergents, and antiseptics. Be'tula a'lnus. The systematic name for the alnus of the pliarmacopceias. The common alder, called Jimendanus : for an account of its virtues, see Rhamnus fran- gula. Bex. (From /S))5-(ra,, to cough.) A cough, Bexu'go. The root of the JEmatitit Peruviana of Casper Bauhin ; one drachm of which is suflicient for ql purge. Bexagtji'llo. A name given to the white ipecacuanha, which the Spaniards bring from Peru, as the Portuguese do the brown frorn Brazil. Be'zahan. The fossile bezoar. Beze'tta coeru'lea. See Crolon tincio- rium. BE'ZOAR. (From pa-zahar, Persian, a destroyer of poison.) Lapis bezoardicus. Bezoard. A preternatural or morbid con- cretion formed in the bodies of land-ani- mals. Several of these kinds of substances 124 BEZ BIC were formerly celebrated for their medicinal fourth stomach of an animal of the gvst virtues, and distinguished by the names of kind, which inhabi4s the mountains of Fer- the countries from whence they came, or sia. It is generally about the sizeof akid- the animal in which they were found. They ney bean, of a roundish or oblong figure, were considered as powerful alixiphar- smooth, and of a shining olive or dark raics, in so much so, that other medicines, greenish colour. possessed, or supposed to be possessed of Be'zoar micro.co'smicum. The calculus alexipharmic powers, were called 6esoar(/ics; found in the human bladder, .and so ethcacious were they once thought, Be'zoar porci'num. See Besoar hys- that they were bought for ten times their tricis. weight in gold. These virtues, liowever, Be'zoar si'mj^. The bezoar of the are in the preseiit day justly denied them, monkey. as they produce no other effects than Bezoa'rdica ra'dix See Dorstenia. those common to the saline particles which Bezoa'rdicum jovia'le. Besoar with they contain, and which may be given to tin. It ditfered very little from the ^n- greater advantage from other sources, tiheclicum Folerii. A composition of bezoar with absorbent BEZOA'KOicuM luna'le. A preparation powders, has been much in repute, as a of antimony and silver, popular remedy for disorders in children, Bezoa'rdicum martia'le. A prepara- by the name of Gascoigne's powder and tion of iron and antimony. Gascoigne's ball ; but the real bezoar was Bezoa'rdicum mi?;era'le. A prepara- rarely, if ever, used for these, its price tion of antimony, made by addi-ng nitrous offering such a temptation to counterfeit it. acid to butter of antimony. Some have employed for this purpose, a re- Bezoa'rdicum satu'rni. A preparation sinous composition, capable of melting in ef antimony and lead. the fire and soluble in alcohol ; but Nevv- Bkzoa'rdicus pui.vis. The powder of mann supposed that those nearest resembling the oriental bezoar. it, were made of gypsum, chalky or some Bezoa'kticum msnekale. An inert calx other earth, to w hich the proper colour was of antimony. imparted by some vegetable juice. We un- Bezoa'kticus spi'ritus >i'thi. The dis- derstand, however, that tobacco-pipe clay, tilled acid of the liezoarticum minerale. tinged with ox-gall, is commonly employed, Bezoas. A common chemical epithet, at least for the Gascoigne's powder ; this Bl^e'dn. Wine of sun-raisins and sea- giving a yellow tint to paper, rubbed with water. chalk, and a green to paper rubbed over Bibine'lla. See Pimfintlla. with quick-lime ; which are considered as Bibito'rius. {Bibilorius, sc. mnsculus ; pi'oofs of genuine bezoar, and which a ve- from bibo, to drink ; because by drawing the getable juice would not effect. eye inwards towards the nose, it causes Be'zoar Bovi'scM. The bezoar from the those who drink to look into the cup.) See ox. Rectus interims oculi. Be'zoar Germa'nicum. The bezoar from BI'CEPS. (From iw, twice, and caput, the alpine goat. a head.) Many muscles have this denomi- Be'zoarhy'stricis. Lapis p or citms. La- nation, from their having two distinct heads, pis malacensis. Petro delporco. The bezoar or origins. ■of the Indian porcupine. Said to be found Bi'ceps era'ciiii. See Biceps Jfexor in the gall-bladder of an Indian porcupine, cubiLic particularly in the province of Malacca. Bi'ceps cru'ris. See Biceps flexor crn- This concrete differs from others ; it has an ris. intensely bitter taste ; and on being steeped Bi'ceps cu'bitf. See Biceps fl.exor cu- in water for a very little time, impi'egnates bili. the fluid with its bitterness, and with aperi- Bi'ceps exte'rnus. See Triceps exien- ent, stQmachic, and, as it is supposed, with sor rulnli. alexipharmic virtues. How far it differs in BI'CEPS FLEXOR CRU'RIS. Bicep.f virtue from the similar concretions found in cruris of Albinus. Biceps of Winslow. the gall-biadder of the ox, and otlitr ani- Douglas, and Cowper, and Ischio-fevwrope- mals, does not appear. rQr.ien of Dumas. A muscle ot' the leg, Be'zoaroccidenta'le. Occidental besoar. situated on the hind part of the thigh. It This concretion is said to be found in the arises by two distinct heads ; the first, called stomach of an animal of the stag or goat iongus, arises in common with the semiten- kind, a native of Peru, he. it ig of a dinosus, from the upper and posterior part larger size than the oriental bezoar, and of the tuberosity of the os ischium. The sometimes as large as a hen's egg; its sur- second, called fcrei;^, arises from the linea face is rough, and the colour green, gray- aspera, a little below the termination of the ish, or brown. gluta;us maximus, by a fieshy acute begin- Be'zoar orienta'le. Lapis bezoar orien- ning, which soon grows broader as it de- talis.^ Oriental bezoar stone. This concre- sccnds to join with the first head, a little |i)|»10 is sai^ to be [ound ia the pylorus, or above the external condyle of the osfcmoris. BID BIL 125 It is inserted, by a strong tendon, into tlie upper part of the head of the iibula. Its use is to bend the leg. This muscle forms what is called the outer hamstring ; and, between it and the inner, the nervus popli- teus, arteriaand vena poplitea, are situated. BICEPS FLEXOR CU'BITI. Bi- ceps irac/iij of Albinus. Caraco-radialis, seu biceps of Winslow. Biceps intemus of Douglas. Biceps intemus humeri of Cow- per. Scapulo-coracoradial of Dumas. A muscle of the fore-arm, situated on the fore- part of the OS humeri. It arises, by two heads. The first and outermost, called iongus, begins tendinous from the upper edge of the glenoid cavity of the scapula, passes over the head of the os humeri within the joint, and in its descent without the joint, is enclosf d in a groove near the head of the os humeri, by a miembranous ligament that proceeds from the capsular ligament and adjacent tendons. The se- cond, or innermost head, called brevis, ai'ises, tendinous and fleshy, from the co- racoid process of the scapula, in common Avith the coracobrachialis muscle. A little below the middle of the forepart of the os humeri, these heads unite. It is inserted by a strong roundisli tendon into the tu- bercle on the upper end of the radius inter- nally. Its use is to turn the hand supine, and to bend the fore-arm. At the bendina; of the elbow, where it begins to grow ten^ dinous, it sends off an aponeurosis, which covers all the muscles on the inside of the fore-arm, and joins with another tendinous membrane, which is sent off from the triceps extensor cubiti, and covers all the muscles on the outside of the fore-arm, and a num- ber of the fibres, from opposite sides, decus- sate each other. It serves to strengthen the muscles, by keeping them from swellin.'^ too much outwardly when in action, and a number of their tiesby fibres take their ori- gin from it. Bi'cEPs inte'rnus. See Biceps Jlexor cu- biti. Bicni'cHiJE. An epithet of certain pec- torals, or rathertroches, described by iHiazes, which were made of liquorice, &c. Bi'cHos. A Portuguese name for the worms that get under the toe of the people in the Indies, which are destroyed by the oil of cashew nut. Bi'coR.v. (Bicornis: from his, twice, and cornu, an horn.) An epithet some- times applied to the os hyoides, which has two processes, or horns; and likewise, in former times, to muscles that had two ter- minations. BICU'SPIS. (Bicuspis : from bis, twice, and cuspis, a spear.) The name of those teeth which have double points, or fangs. See Teeth. BI'DENS. (From bis, twice, and dens, a tooth ; so called from its being deeply ser- rated, or indented.) The name of a genus of plants in the Linna^an system. Class Syngenesia. Order, Polygamia (squalis. BIDLOO, Godfrey, a celebrated ana- tomist, born at Amsterdan^, 1649. After practising several years as a surgeon, he was appointed physician to William III. and in lt)94, made professor of anatomy and sur- gery at Leyden. He published 105 very splendid, though rather inaccurate anatomi- cal tables, with explanations ; and several minor w^orks. His nephew, Nicholas, was physician to the Czar, Peter I. Bifurcated. (Bifurcus : from his, twice, and f urea, a fork.) A vessel, or nerve, is said to bifurcate when it divides into two branches ; thus the bifurcation of the aorta, &c. Biga'ster. (Bigasler : from bis, twice, and yag-np, a belly.) A name given to mu.s- cles which have two bellies. Bihe'rnius. (From bis, double, and hernia, a disease so called.) Having a hernia, or rupture, on each f^ide of the scrotum. Bila'dejt. a name of iron. BILE. (Bilis. Najvius derives it from bis, twice, and lis, contention ; as lining sup- posed to be the cause of anger and dispute.) The gall. A bitter fluid, secreted in the glandular substance of the liver; in part flowing into the intestines, aad in part re- gurgitating into the gall-bladder. The se- cretory organ of this fluid is the penicilli of the liver, which terminate in very mi- nute canals, called biliary ducts. The bi- liary ducts pour their bile into the ductus hepaticus, which conveys it into the ductus co7nmunis choledochus, from whence it is in part carried into the duodenum. The other part of the bile regurgitates through the cystic duct (see Gall-bladder.) info the gall- bladder; for hepatic bile, except during digestion, cannot flow into the duodenum, which contracts when empty; hence it ne- cessarily regurgitates into the gall-bladder. The branches of the vena porta contribute most to the secretion of bile ; its peculiar blood, returning from the abdominal viscera, is supposed to be, in some respects, different from other venal blood, and to answer ex- actly to the nature of bile. It is not yeA ascertained clearly whether the florid blood, in the hepatic artery, merely nourishes the liv.:?r, or whether, at the same time, it con- tributes a certain principle, necessary for the formation of bile. It has been sup- posed, by physiologists, that cystic bile was secreted by the arterial vessels of the gall- bladder ; but the fallacy of this opinion is proved by making a ligature on the cy.stic duct of a living animal. From what has been said, it appears that there are, as it were, two kinds of bile in the human body : — 1. Hepatic bile, whic'i flows from the liver into the duodenum : this is thin, of a faint yellow colour, inodorous, and ynv «n2:hflv 126 BIL BIS bitter, otlierwise the liver of animals would not be eatable. 2. Cystic bile, which regurgitates from the hepatic duct into the gall-bladder, and there, from stagnating, becomes thicker, the aque- ous part being absorbed by lymphatic ves- sels, and more acrid from concentration. Healthy biie is of a yellow, green colour; of a' plastic consistence, like thin oil, and when very much agitated, it froths like soap and water ; its smell is fatuous, somewhat like musk, especially the putrefjing or eva- porated bile of animals : its taste is bitter. The constituent principles of bile are : 1. Water, which constitutes the greatest part of bile. 2. ^n albuminous principle, precipitated by alcoliol and mineral acids. 3. j{ resinous principle, obtained by eva- porating a tincture made of alcohol and bile. 4. ^ colouring principle, which adheres to the resinous part, and gives the colour to bile. 5. Soda, in its caustic slate : hence healthy Liie does not eflervesce with acids, and affords a neutral salt. 6. Phosphate of lime. The primary uses of this fluid, so im- portant to the animal economy, are : 1. To separate the chyle from the chyme ; thus chyle is never observed in the duode- imm before tbe chyme has been mixed with the bile : and thus it is that oil is extricated from linen by the bile of animals. 2. By its acridity it excites the peristaltic motion of the intestines ; hence the bowels are so inactive in people with jaundice. 3. It imparts a yellov) colour to the ex- crements : thus we observe the white colour of the ffeces in jaundice, in which disease the How of bile into the duodenum is entirely prevented. 4. It prevents the abundance of mucus and acidity in the prima? via; ; hence acid, pituitous, and verminous saburra are com- mon from deficient or inert bile. BILGUER, John Ulbick, was born at Coire, in Switzerland. He practised sur- gery at Berlin with such reputation, that he was appointed bj"^ the great Frederick, Surgeon-General to the Prussian army. It wasthen the general practice to amputate in bad compound fractures ; and being struck with the small proportion of those, who recovered after the operation, he was led to try more lenient methods ; from which meeting with much better success, he pub- lished as a thesis, on graduating at Halle, in 1761, a pretty general condem.nation of amputation. This work attracted much notice throughout Europe, and materially checked the unnecessary use of the knife. In his " Instructions for Hospital Sur- geons," which appeared soon after, he in- sisted farther on the same subject; and where amputation was unavoidable, he advised leaving a portion of the integuments, Avhich is now generally adopted. Bi'liary duct. Ductus biliosvs. The very vascnlai'g^ajjrfw/es, which compose al- most the whole substance of the liver, ter- minate in very small canals, called biliary ducts, which at length from one trunk, the ductus hepaticus. Their use is to convey the bile, secreted by the liver, into the hepatic duct; this uniting with a duct from the gall-bladder, forms one common canal, called the ductus communis choledochus, which conveys the bile into the intestinal canal. Bili'mbi. (Indian.) See Mains Indica. Bi'lious. a term very generally made use of, to express diseases which arise from too copious a secretion of bile : thus bilious colic, bilious diarrhoea, bilious fever, fee. BI'LIS. See Bile. Bi'lis a'tra. Black bile. The sup- posed cause among the ancients of melan- choly. Bi'lis cy'stica. Bills fellea. Cystic bile. The bile when in the gall-bladder is so called to distinguish it from that which is found in the liver. Bi'lis hepa'tica. Hepatic bile. The bile when it has not entered the gall-bladder. Bi'lobus, (From bis, double, and lobus, the end of the ear.) Having two lobes, resembling the tips of ears. Bime'stris. (From tis, twice, andmensis, month.) Two months old. Bindweed. See Convolvulus sepium. Binga'lle. See Casuynuniar. BiNo'cuLus. (From bijius, double, and oculus, the eye.) A bandage for securing the dressings on both eyes. Bi'nsica. a disordered mind. Helmont. Bi'nsica mors. The binsical, or that death which follows a disordered mind. Bioly'chsium. (From /2io;, life, and Kv^viov, a lamp.) Vital heat : an officinal nostrum. Bi'oTE. (From ^loc, life.) Life. Light food. Biotha'natj. (From ^la, violence, or /2;(3C, life, and 3-d.valo;, death.) Those Avho die a violent death, or suddenly, as if there wore no space between life and death. Bipemu'lla. See Pimpinella. Bipene'lla. See Pimpinella. Bi'ka. Malt liquor or beer. Bira'o. Stone parsley. Birch tree. See Betula. Birdstongue. a name given to the seeds of the Fra.vinus excelsior of Linnaeus. Bi'bsen. (Heb. an aperture.) A deep ulcer, or imposthume in the breast. Birthwort, climbing. See Arislolochia. clnnatitis. Bisco'cTus. (From bis, twice, and coqvo, to boil.) Twice dressed. It is chiefly ap^ plied to bread much baked, as biscuit. Biscute'lla. Mustard. Bise'rmas. a name formerly given Xq c\a.Yj, or garden clary. Bishop's weed. See Ammi. BIS BIV 127 BisLiNGUA. (From his, twice, and lingua, a tongue ; so called from its appearance of being double-tongued ; that is, of having upon each leaf a less leaf.) The Alexandrian laurel. Bisma'lva. (From vismalva, quasi viscum vialva, from its superior viscidity.) The water, or marshmallow^ BI'SMUTH. (Bismut. Germ.) Bis- mxdhum. A metal which is found in the earth in very few different states, more ge- nerally native or in the metallic state. Native bismuth is met with in solid masses, and also in small particles dispersed in and frequently deposited on different stones, at Schreeberg in Saxony, Sweden, k.c. Sometimes it is crystallized in four-sided tables, or indis- tinct cubes. It exists combined with oxygen in the oxide of bismuth (bismuth ochre,) found in small particles, dispersed, of a bluish or yellowish-gray colour, needle-shaped and capillary ; sometimes laminated, forming small cells. It is also, though more seldom, united to sulphur and iron in the form of a sulphuret in the martial sulphuretted bismuth ore. This ore has a yellowish-gray appear- ance, resembling somewhat the martial py- rites. And, it is sometimes combined with arsenic. Properties. — Bismuth is of a silver-white colour inclining to red. It soon tarnishes and becomes irridescerit. It is brittle and can easily be reduced to small particles. It is soft enough to be cut with a knife. It has a laraellated texture. Its specific gravity is y.SOO. It requires less heat for fusion than any other metal, tin excepted, melted by a heat = 460 deg. Fahr. It can be vo- latilized by heat and escapes in the state of grayish white vapour. It readily unites with mercury and with sulphur. When fused, it exhibits on cooling, cubical figures on the surface. It is soluble in sulphuric, nitric, and muriatic acids. The solution in nitric acid is decomposable by mere dilution with pure water. It inflames in oxygenaled muriatic acidgas. It is capable of combining with the greatest number of the metals ; and when in certain proportions, promotes their fusibility remarkably. It speedily becomes black by sulphuretted hydrogen gas. Bismu'thum. (From bismut, German.) See Bismuth. BISSET, Charles, was born about the year 1716. After studying at Edinburgh, and practising some years as an Hopital Surgeon in Jamaica, heentered the armj^; but soon after settled in Yorkshire, and in 1755, published a Treatise on the Scurvj'. But his most celebrated work is an " Essay on the medical Constitution of Great Bri- tain," in 1762. He obtained three years after a diploma from St. Andrews, and reached his 75th year. Bistort. See Bisforta. BISTO'RTA. (From bis, twice, and '^or/fieo, to bend ; so called from the coti- toriions of its i-oots.) Bistort. See Poly- gonum bistoria. Bistoury. (Bisloire, French.) Any small knife for surgical purposes. Bi'thinos. a Galenical plaster. Bithi'nici emplastrum. a plaster for the spleen. Bitter apple. See Cucumis Colocynlhis. BIT rsOBEN. Salt of bitumen. A white saline substance has lately been im- ported from India by this name, which is not a natural production, but a Hindoo preparation of great antiquity. It is called in the country, bit noben, padnoon, and soucherloon, and popularly khala mimuc, or black salt. Mr. Hendei'son, of Bengal, conjectures it to be the sal asphalliles, and sal sodomenus of Pliny and Galen. This salt is far more extensively used in Hin- doslan than any other medicine whatever. The Hindoos use it to improve their appe- tite and digestion. They consider it as a specific for obstructions of the liver and spleen ; and it is in high estimation with them in paralytic disorders, particularly those that affect the organs of speech, cu- taneous ati'ections, worms, old rheumatisms, and indeed all chronic disorders of man and beast. BITU'MEN. ('nriluud, mrflvg, pine; be- cause it flows from the pine tree ; or, quid vi tumeat e terra, from its bursting forth from the earth.) Bitumens are combustible, solid, soft, or fluid substances, whose smell is strong, acrid, or aromatic, composed of hydrogen and carbon with a contamination of earth and other substances in small pro- portions. They are found either in the in- ternal part of the earth, or exuding through the clefts of the rocks, or floating on the surface of waters. Like oils they burn with a rapid flame. Natural historians have di- vided them into several genera ; but modern chemists arrange them according to their chemical properties, and are only acquaint- ed with six species, which are very distinct from each other : these are, naphtha, amber, asphaltos, jet, pit-coal, and petroleum. Bitc'men barbade'nse. See Petroleum barbadense. Bitu'men juda'icum. Asphaltus. Jews' pitch. A solid light bituminous substance, of a dusky colour on the outside, and a deep shining black within; of very little taste, and scarcely any smell, unless heated, when it emits a strong pitchy one. It is said to be found plentifully in the earth in several parts of Egypt, and floating on the surface of the Dead Sea. It is now wholly ex- punged from the catalogue of otficinals of this country ; but was formerly esteemed as a discutient, sudorific, and emmena- gogue. Bitu'men li'q.uidum. See Petroleum. BIVE'IV'TER. (Biv enter ; from 6js, twice, and venter, a belly.) A muscle is so termed, which has two bellies. 128 BLA BLE Bite'stek cervi'cis. a iquslIc of the lower jaw. Bive'nter maxi'll^ inferio'ris. See Digastricus. Bi'xA orlea'na. The systematic name for the plant atfording tlie ten-u orleana of the pharmacopoeias. The substance so called is a ceraceous mass obtained from the seeds of the Bixa orleana of Linnaeus. In Jamaica and other warm climates, it is considered as a useful remedy in dysenter}^, possessing adstringent and stomachic qualities. Bla'ccl^. The measles. Rhazcs. Bla'ckberry. The fruit of the common bramble, Rubus fruticosus of Linnteus : which see. BLACKMORE, Sir Richard, was born in Wiltshire about the year 1650. After stu- dying at Oxford, he took his degree in me- dicine at Padua, then settled in London, and met with considerable success, insomuch tiiat he was appointed physician lo "William in. and retained the same otlice under Queen Anne. He then published several long and dull epic poems, which appear to have materially lessened his reputation ; so that his opposition to the inoculation for sraall-pox had very little weight. He wrote also several medical tracts, which are little known at present. Bladder. See Urinary bladder, and Gall- bladder. Bladder, inflamed. See Cystitis. Blade-bone. See Scapula. Bl^e'sitas. (From blmsus.) A defect in speech, called stammering. Blje'sus. (From &Kan-la, to injure.) A stammerer. Bla'nca. {Bla7ic, French.) A purging mixture ], so called because it was supposed to evacuate the white phlegmatic humours. Also white lead. Bla'nca mulierom. White lead. BLANCARD, Stephen, was born at Ley- den, and graduated at Franeker, in 1678. He settled at Amsterdam, and published many anatomical and medical works ; espe- cially one on morbid anatomy, containing 200 'cases, and a "Lexicon Medicum," which passed through numerous editions. Bla'sa. (Indian.) A tree, the fruit of which the Indians powder, and use to de- stroy worms. BLASIUS, Gerard, son of a physician at Amsterdam, from whom he derived a great predilection for comparative anatomy. After graduating at Leyden about the year 1646, he returned to his native city, and acquired so much reputation, that he was made professor of medicine in 1660, and soon after physician to the hospital. Be- sides publishing new editions of several useful works, with notes comprehending subsequent improvements, he was author of various original ones, especially relating to comparative and morbid anatomy. He claimed the discovervof lhcdnc!ii= saiivari-. asserting he had pointed it out to Steno ; to whom it has been commonly ascribed. Blaste'ma. (From /ixA^-ava, to germi- nate.) A bud or shoot. Hippocrates uses it to signify a cutaneous pimple like a bud. Bla'stum mosylitum. Cassia bark kept v.rith the wood. Bla'tta. (From .2\aTTffl, to hurt.) A sort of beetle, or bookworm ; so called from its injuring books and clothes: the kerraes insect. Blatta'ria iaj'tf.x. (From hlaila ; sa called, because, according to Pliny, it en- gendei's the blatta.) The herb yellow moth- mullein. Ble'chon. (From fihii'^jio(ji, to scrape off.) The cleans- ing of the eyelids. Inflammation of the eyelids. Blessed Thistle. See Centaurea benedicta. Blestri'smus. (From /SaN^u, to throw about.) Phrenetic restlessness. Bee'ta. a word used by Paracelsus to signify wjiite, and applied to urine ^vhen it BLr BLO 1-20 is milky, and proceeds from a disease of the kidneys. Bie'ti. (Bletus, from /S*x^s), to strike.) Those seized with dy-^pnoea or suffocation. BLl'STER. Vesicalorium. Emplastruin vesicatorium. A topical application which when put on the skin raises the cuticle in the form of a vesicle, filled with a serous fluid. Various substances produce tliis ef- fect on the skin ; but the powder of the lytta vesicatoria, or blistering fly, is what operates with most certainty and expedition, and is now invariably made use of for the purpose. When it is not wished to maintain a dis- charge from the blistered part, it is sufhcient to make a puncture in the cuticle to let out the fluid ; but when the case requires keep- ing up a secretion of pus the surgeon must remove the \rhole of the detached Sbticle with a pair of scissors, and dress the exco- riated surface in a particular manner. Prac- titioners used formerly to mix powder of cantharides with an ointment, and dress the part with this composition. But such a dressing not unfrequently occasioned very painful affections of the bladder, a scalding sensationinmaking of water, and very afflict- ing stranguries. The treatment of such complaints consists in removing every parti- cle ofthe fly from the blistered part, making the patient drink abundantly of mucilaginous drinks, giving emulsions and some doses of camphor. These objections to the employment of salves containing the lytta, for dressing blis- tered surfaces, led to the use of mezereon, euphorbium, and other irritating substances, which, when incorporated with ointment, form very proper compositions for keeping blisters open, which they do without the in- convenience of irritating the bladder, like the blistering fly. — The favourite applica- lion, however, for keeping open blisters, is the savine cerate, which was brought into notice by Mr. Crowther in his book on v/hite swellings. (See Ceratum SabincE.) On the use of the sdvine cerate,! mmediately after the cuticle raised by the blister is removed, says Mr. Crowther, it should be observed that experience has proved the advantage of using the application lowered i^y a half or two- thirds of the unguentum cera;. An atten- tion to this direction will produce less irrita- tion and more discharge, tlian if the savine cerate were used in its full strength. Mr. Crowther says also, thai he has found fo- menting the part with flannel, wrung out of warm water, a more easy and preferable way of keeping the blistered surface clean, and fit for the impression of the ointment, than scraping the part, as has been directed by others. An occasional dressing of un- guentum resinaj flavae, lie has found a very useful application for rendering the sore free from an appearance of slough, or rather dense lymph, which has sometimes been so firm in its i^extnre as to be separated by the 77 probe, with as much readines-: as the cuticle is detaclied after blistering. As the discharge diminishes, the strength of the savine dress- ing should be proportionably increased. The ceratum sabina' must be used in a stronger or weaker degree, in proportion to the ex- citemetit produced on the patient's skin. Blister-fill. See Lylta. Bli'tum-fe'tidum. See Chenojjodiumvid- varia. BLOXDEL, James Augustus, was born in England of a French family, and admit- ted licentiate of the College of Physicians about 1720. Ke chiefly distinguished him- self by controverting, in a very a))Ie man- ner, the opinion then generally receivedj that marks could be imtirinted on tire foetus by the imagination ofthe mother, and he has the merit of contributing very largely to the rem.ovalofthis prejudice which had prevailed forages, and often produced much mischief. BLOOD. Sanguis. A red homogeneous fluid, of a saltish taste,and somewhaturinous smell, and glutinous consistence, which cir- culates in the cavities of the heart, arteries, and veins. The quantity is estimated to be about twenty-eight pounds in an adult : of this, four parts are contained in the veins, and a fifth in the arteries. The colour of the blood is red; in the arteries it is of a florid hue, in the veins darker ; except only the pulmonary vessels,in which the colour is reversed. Physiology demonstrates, that it acquires this florid colour in passing through the lungs, and from the loss of carbon. The blood is the most important fluid of our body. Some physicians and anatomists have considered it asalive,and have formed many ingenious hypotheses in support of its vitality. The temperature of this fluid is of consider- able importance,and appearsto depend upon the circulation and respiration. The blood of man, quadrupeds, and birds, is hotter than the medium they inhabit; hence they are termed animals of warm blood ; whilst in fishes and reptiles, animals with cold blood, it is nearly ofthe temperature ofthe medium they inhabit. The microscope dis- covers that the blood contains a great num- ber of round globules, which are seen float- ing about in a yellowish fluid, the serum. The bloodalsopossesses remarkable physical properties ; its taste is saltish, and the smell of its halitus or vapour,when recently drawn, is somewhat urinous ; it is of a plastic con- sistence, somewhat glutinous and adhesive. Chemical analysis of blood, by means of distillation, discovers, 1. A considerable quantity of insipid water, which very soon becomes putrid. 2. Empyreumatic oil. 3. Ammoniacal spirit. 4. Carbon, which remains behind, is very spongy, and with great difficulty incinerated. The ashes, however, consist of asmall quan- tity of culinary salt, soda, phosphate of lime, and a, very small portion of iron. ISO MLO Bod While hot, and in motion, the blood re- mains constantly fluid, and red : when it Gools, and is at rest, it takes the form of a fluid mass, which gradually and sponta- neously separates into two parts; the one, which is red and floating, becomes of a darker colour, remains concrete, and is called the cruor, crassamentum, or cake ; the other, which occupies the lower part of the vessel, is of a yellow-greenish colour, and adhesive, and is called the strum or lymph. The cRuoR forms more than one half of the blood; it is very plastic, thick, and, in consistence, like glutinous jelly. It soon putrefies in the temperature of the air ; but, dried by a gentle heat, becomes a brittle, dark, red mass. It is insoluble in water; and, when boiled in it, is converted into a hard grumous mass, internally red. The surface of the cruor of the blood, after being exposed in a vessel to atmospheric air, becomes of a florid red colour ; but the inferior surface, contiguous to the vessel, is of a deep black : the change of colour on the surface is owing to the oxygen of the atmosphere acting upon the blood. The cruor of the blood is composed of, 1. Red globules, which chemistry demon- strates consist of a fibrous gluten and iron. The experiments of the celebrated Rhades show, that from twenty-five pounds of blood from the human body, near two drachms of the oxide of iron were obtained. 2. The fibrous gluten of the cruor, is that which remains after washing the cruor of blood for a considerable time in cold water, and enclosed in a fine linen cloth ; in which case the red globules are washed away. If the red water obtained in this experiment be evaporated, and then distilled to dryness, it leaves behind a carbon, exhi- biting, when incinerated, a great quantity of a*on, attractable by the magnet. From these experiments it would appear, that the red- ness of the globules is imparted from the oxidated iron, for which purpose a small quantity is sufficient. The SERUM of the blood is a lymphatic fluid, almost inodorous ; rather saltish to the taste ; pellucid, and of a yellowish-green colour ; and rather of a plastic consistence. It forms scarcely one half of the blood ; and it contains. 1. A large portion oi water ; from forty- seven ounces of serum, forty-three of insi- pid water were yielded by distillation. 2. Mbuminous gluten, like the white of an egg, obtained by boiling, or by stirring it with a stick, or by an admixture of alcohol or concentrated mineral acid. If equal parts of water and serum of the blood be coagulated by fire, that part of the serum which is not coagulated, upon being cooled, puts on the appearance of a tremulous jelly. 3. Carbonated soda, obtained by pour- iflg a mineral acid upon recent diluted serum. 4. Culinary salt, found in the incinerated carbon of blood. The albuminous princi- ple of the serum, more commonly called the coagulable lymph, appears to be of very con- siderable importance in the animal economy^ both in diseased and healthy states of it : it affords, by analysis, carbon, azote, and hydrogen. The importance of the blood is very con* siderable ; it distends the cavities of the heart and blood vessels, and prevents them from collapsing; it stimulates to contraction the cavities of the heart and vessels, by which means the circulation of the blood is performed ; it generates within itself ani- mal heat, which it propagates throughout the body ; it nourishes the whole body ; and, lastly, it is that source from which every secretion of the body is separated. Blood, dragon's. See Calamus rotang. BLOOD-LETTING. Under this term is comprehended every artificial discharge of blood made with a view to cure or pre- vent a disease. Blood-letting is divided into genera/ and topical. As examples of the former, vencesection and arteriotomy may be mentioned ; and of the latter, the appli- cation of leeches, cupping-glasses, and scari- jication. Blood, spitting of. See Hcemoptyfis. Blood, vomiting of. See Hcematemtsis. Blood-stone. See Hematites. Bloody flux. See Dysenteria. Bo'a. (From /Set/;, an ox.) A pustulous eruption like the small-pox, so called be- cause it was cured, according to Pliny, by anointing it with hot ox-dung ; also the name of a serpent of Calabria ; and of the hydroa. Boche'tum. a decoction of the woods prepared by a second boiling with fresh water. Bo'cHiA. A subliming vessel. Bo'cHiuM. A swelling of the bronchial glands. Bodies, combusi^ible. This term is given by chemists to all substances which, on account of their affinity for oxygen, are capable of burning. Bodies, gaseous. See Gas. Bodies, inflammable. Chemists give this name to such bodies as burn with faci- lity, and flame in an increased temperature ; although, strictly speaking, all combustible bodies are inflammable bodies ; such are the diamond, sulphur, bitumens, fcc. Bodies, phosphorescent. Bodies which produce light, though their temperature be not increased. BODY. Corpus. The human body is divided by anatomists into the trunk and extremities : i.e. the head, and inferior and superior extremities, each of which have certain regions before any part is removed, by which the physician is enabled to direct BUE sail. iSi the applicatioQ of blisters and the like, and the situation of diseases is better de- scribed. The head is distinguished into the hairy part and the face. The former has five regions, viz. the crown of the head or vtr- iex, the forepart of the head or sinciput, the hindpart or occiput, and the sides, partes lalerates capitas. In the latter are distinguished, the region of the forehead, frons ; temples, or tempara ; the nose, or nasus ; the eyes, or oculi; the mouth, or os; the cheeks, buccce ; the chin, or mentum ; and the ears, or aures. The trunk is distinguished into three jirincipal parts, the neck, thorax, and ab- domen. The neck is divided into the an- terior region or pars unlica, in which, in men, is an eminence called pomum Mami ; the posterior region is called nucha colli; and the lateral regions, partes laterales colli. The thorax is distinguished into the an- terior region, in wiiich are the sternum and mammcE, and at whose inferior part is a pit or hollow called scrobiculus cordis; a posterior region, called (/or.su/w ; and the sides, or latera thoracis. The abdomen is distinguished into an anterior region, properly the abdomen ; a posterior region, called the loins, or lumhi ; and lateral regions or flanks, called latera abdominis. The anterior region of the ab- domen being very extensive, is subdivided into the epigastric, hypochondriac, ximJjiUcal, and hypogastric regions, which are described under their respective names. Immediately below the abdomen is the ??ion.s Veneris, and at its sides the groins or inguina. The space between the organs of generation and the anus,ov fundament, is called the peri- nctum. The superior extremity is distinguished into the shoulder, summitas humeri, under which is the arm-pit, called axilla or fovea uxillnris ; the brnchium, or arm ; the anti- brachium, or fore-arm, in which anteriorly is the bend of tiie arm, where the veins are generally opened, caUed flexura antibrachii ; and posteriorly the elbow, called a7igulus cvbiti ; and the hand, in which are the car- pus or wrist, the back or dorsum manus, and the palm or vola. The inferior extremity is divided into, 1. the region of the femur, in which is distinguished the coxa or regio-ischiadica, forming the outer and superior part ; 2. the leg, in which are the knee or genu, the bend or cavmn poplitis, and the calf or sura; 3. the foot, in which are the outer and inner ankle, or malleolus externus and internus, the back or dorsum, and the sole or planta. Bo'e. (FromySsa^, to exclaim.) Clamour, or moaning made by a sick person. BOERHAAVE, Kkrjian, was born at Voorhout.in Holland, December 31. TfifiS. His father, the pastor of the village, having nine children, educated them himself, and intending Herman for the church, was care- ful to ground him well in the learned lan- guages; in which he made such rapid progress, that he was sent at 14 to Leydon. His father dying soon after in slender cir^ cumstances, he was fortunately supported by the burgomaster, Daniel Van Alphin; which Boerhaave ever remembered with gratitude. Among other studies, he was very partial to the mathematics, and im- proved so much as to be able to give private instructions in them, whereby he partly maintained himself. In 1690, he took his degree in philosophy, and in an inaugural thesis refuted the errors of the materialists. But he soon after turned his mind to the study of medicine, and attended dissections under Nuck ; he greatly preferred Hippo- crates among the ancient, and Sydenham among the modern physicians. He was made doctor of medicine at Harderwyck, in 1693 ; and in his dissertation on that occasion, insisted on the utility of observing the excretions in disease, especially the urine. He was then engaged in forming a new theory of medicine, by a judicious selection from all that had been before ad- vanced ; which was so well arranged, and so ably supported by him, that it became gene- rally adopted, and prevailed throughout Europe for more than half a century. He gave also lectures on chemistry, with con- siderable reputation, about the same period. The university ofLeyden therefore appointed him, in 1701, professor of the theory of me- dicine; when he read an oration recommend- ing the study of Hippocrates; and, as he declined some very advantageous oft'ersfrom other parts, they afterwards augmented his salary. About this time, he published an- other Latin oration, " On the Use of me- chanical Reasoning in Medicine," which contributed to extend his fame. In 1709, he was appointed professor of botany, to which study he was ever after eminently attached. On that occasion he produced another oration, maintaining that medicine would be best improved by observation, and by simplicity in prescriptions. His '• Apho- risms" had appeared the j'ear before, giving a brief account of the history and cure of • diseases, a work universally admired; to which his pupil Van Sv.ieten afterwards attached a very ample commentary. About the same time, he published his " Insti- tutes," treating of physiology. These two works,withsuccessive improvements, passed through numerous editions, and were trans- lated into every European, nay even into the Arabic language. In the year after, he printed a catalogue of the plants in the university gai'den. In 1714. he was made rector of the university, and at the end of the year for which he held the office, deli- vered a discourse " On attaining Certainty 132 B0& BOL in Physics." About this period he was made professor of the practice of medicine, and in 1718, of chemistry also. His lectures on these suhjects, and on botany, were delivered with such clearness and precision, that stu- dents throns;ed from every partto hear him.; insomuch that Leydon could scarcely afford accommodations for them. He \vas also often consulted in difficult cases, by pjiy- sicians even in distant parts of the world. When appointed to the chemical chair, he had published a short work on that subject; but some of his pupils having printed his lectures without authority, and very incor- rectly, he was led to prepare tliem forxbe press in 1732. In his conversation, Boer- Jiaave was generally famiiiar, in his de- meanour grave, but disposed to occasional pleasantry; he was dintinguished for piety, and on his moral character, his disciple Kaller has passed a very high eulogium. Havingacquircd considerable wealth by his exertions, and being plain in bis dress, as well as abstemious in his diet, he was by some accused of parsimony ; but he spared DO reasonable expense in procuring rare books, and foreign plants. Being of a- vi- gorous constitution, and accustomed to much exercise abroad, he met with little interruption from illness ; but in 1729, having become corpulent and incapable of riding, his health began to suffer, and he was induced to resign his botanical and chemical appointments. In an oration then delivered, he rencounted the chief events of liis life, expressing himself grateful lor the patronage which he had received from indi- viduals ; as well as to his own profession, for tlie little opposition shown to his opinions. It perhaps never hajipened, that so great a revolution in science was so readily brought about. The great reputation acquired by i-liis extensive abilities, and the moderation of his character, particularly averse from con- tention, no doubt contribrited materially to this result. In the year following, he was again made rector of the university of Leyden : and also elected a fellow of the Royal Society in London, having been pre- viously admitted to the Royal Academy of Sciences in Paris. The remainder of his life waschieily occupied in revising htsown nu- merous productions, in publishing more cor- rect editions of several esteensed authors, and in domestic recreations at his seat near Leyden. with his wife and daughter. To- ward.- the end of 1/-37, he was attacked with spniptoms of disease in tbcch.est, whicii terminated his existence in tKc September following. His fellow-citizens erected an elegant monument to his memory. Boethe'ma. (I^rom /Stcubiai, to assist.) A remedy Boethema'tica. (From fionbtoD, to assist.) Favourable symptoms. Bocr-hzan. See Meni/anlhes tTifoliuta. Bo'gia gt:'ji:.ii. Gamboge. Bohea tea. See Thea. BOHN, John, was born at Lelpsic, M 164i* ; and after studying in many parts of Europe, graduated there ; and was made successively professor of anatomy, and oj therapeutics, public physician to the city, &c. Among numerous publications, he chiefly distinguished himself by his " Circu- lus anatomico physiologicus," and a trea- tise " De officio medici clinico et forensi,'' which latter particularly has great merit. He also well explained the judgement to be formed concerning wounds ; and recom- mended purging with calomel in the begin- ning of small-pox. He died in 1718. Bois de coissi. See (Quassia. Bolar earths. See Boh. BOLE. (B&'AOf, a mass.) A friable earthy substance, uniting with water into a smooth paste, adhering to the tongue, and dissolving as it were in the mouth ; it is of the argil- laceous or clay kind, but more readily im- bibing water tlian the clays strictly so called. Those used in medicine, are the Armenian and French boles. See Bolt Armenian, and DoLus Gallica. Many other bolar earths have been recommended for medicinal uses, and were formerly ranked among the ofiiicinals ; as red boles from Armenia, Lemnos, Stri- gonium, Portugal, Tuscany, and Livonia; yellow bolesfrom Armenia. Tockay, Silesia, Bohemia, and Blois ; white boles from Ar- menia, Lemnos, Nocera, Eretria, Lamos, Chio, Malta, Tuscany, and Goltberg. Seve- ral of these earths have been commonly made into little cakes or flat masses, and stamped with certain impressions ; from which circumstance they received the narae- of terra sigillala. or sealed earths. BOLE, ARMENIAN, Bolus Armenia:, Bole armenic. A pale, but bright red co- loured earth, which is occasionally mixed with honey, and applied to children's mouths when atHicted with aphtha. It forms, like all argillaceous earths, a good tooth-powder, when mixed with some aromatic. BOLETUS. (From /?a)Ac?, a mass, or /?ai/.'°^^l - _ I rai-iitine I Inferior spongy j Vomer [ Inferior maxil. ( Incisores _ < Cnspidati f fv'Io lares Hyodes os Bone of the tongue Bones of the f Malleus ear, within J Incus the tempo- 1 Stapes ral bones - { Orb'culare os JVb. - 1 . 2 - 1 - 2 - 1 - 1 - 8 - 4 - 20 - 1 Bones, growth of. See Osteogeny. Bonebinder. See Osteocolla. BONET, Theophilus, was born at Ge- neva in 1620, and graduated at Bologna, He had considerable practice, and was ex- 2 tremely zealous in the pursuit of morbid 1 anatomy, as well as in extracting valuable 1 observations from authors. His hearing be- 2 coming impaired, he devoted the latter part 2 of his life to the arrangement of the materials, 2 which he had prepared. His principal work, 2 entitled " Sepulchretum," published 1678, was highly approved; and laid the founda- tion of Morgagni's excellent treatise, " De Sedibus et Causis Morborum." Another publication of his, " Mercurius compilati- tius," is an index of medical literature to the time of its appearance, 1682. His death occurred seven years after. Bonosie'ssis la'pis. The Bononian- stone. Called also phosphorus bononicnsis, phosphorus kircheri, the light carrier, or Bo- nonian phosphorus. As a medicine the stone is caustic and emetic. BONTIUS. James, was born at Levden, BOR where he studied medicine, and then went to practice in India. After his return, he wrote several valuable works on the diseases and practice of that country, as well as on its natural productions, animal and vegeta- ble. The most esteemed is entitled ":fiiiov, the head ; so called from its sup- posed resemblance to a calf's snout.) The antirrhinum, or snap-dragon plant. Bu'cton. The hymen, according to PircEus. Buga'rtia. Chilblains, Bugle. See Prunella. Bugloss. See Jlnchusa officinalis. BUGLO'SSUM. (From 0cv;, an ox, and y?,cea-(Tu, a tongue ; so called from the shape and roughness of its leaf.) See jln- chusa officinalis. BuGLo'ssuM sylve'stre. The stone bu- gloss. Bd'gula. (A dim. of buglossa.) See JJjuga pyramidalis. BULBOC.VSTANUM. (From fi^ikCoc, a bulb, and xarwov, a chesnut ; so called from its bulbous appearance.) See Buniurn bulbocaitanum. Bulbocavekno'sus. (Bulbocnvernosus, sc. musculus : so called from its origin and in- sertion.) See Accelerator urince. Bu'lbonach. (Germ.) The Lunaria rediviva of Linnaeus. Satin and honesty. It is said, by Ray, to be a warm diuretic. Bu'lbus escule'ntus. Such bulbous roots as are commonly eaten are so called. Bu'lbus vomito'rius. Muscayi. Hyadn- thus muscari of Linnagus. Musk-Grape- flower. Emetic and diuretic, according to Ray. Bulge-water-tree. The Geoffroya Jamai- censis. > BULI'MIA. (From fiw, a particle of excess, and xtfjic?, hunger.) Bulimiasis. Boulimos. Bulimus. Bolismos of Avicenna. Fames canina. jjppetitus caninus. Phage- dena. Mephagia. 13upeina. Cynorexia. In- satiable hunger, or canine appetite. Dr. Cullen places this genus of disease in the class locales, and order dysorexice ; and distinguishes three species. 1. Bulimia hel- luonum ; in which there is no other disorder of the stomach, than an excessive craving of food. 2. Bulimia syncopalis ; in which there is a frequent desire of food, and the sense of hunger is preceded by swooning. 3. Bulimia emetica, also cynorexia; in which an extraordinary appetite for food is followed by vomiting. The real causes of this disease are, perhaps, not properly un- derstood. In some cases, it has been supposed to proceed from an acid in the stomach, and in others, from a superabundance of acid in the gastric juice, and from indigested sordes, or worms. Some consider it as de- pending more frequently on monstrosity than disease. An extraordinary and well-attested case of this disease, is related in the third ^'olume of the Medical and PhysicalJoumal, BUP BUR 143 of a French prisoner, who, in one day, con- sumed of raw cow's udder 4 lbs., raw beef 10 lbs., candles 2 lbs. ; total, 16 lbs. ; besides 5 bottles of porter. Buli'mia addepha'gia. a voracious ap- petite. Buli'mia caw i'na. a voracious appetite, with subsequent vomiting. Buli'mia cardia'lgica. A voracious ap- petite^ with heartburn. Buli'mia contulso'kum. A voracious appetite, with convulsions. Buli'mia eme'tica. A voracious appe- tite, with vomiting. Buli'mia helluo'num. Gluttony. Buli'biia esuri'gio. Gluttony. Buli'mia syscopa'lis. A voracious ap- petite, with fainting, from hunger. Buli'mia vermino'sa. A voracious ap- petite, from worms. Bulimi'asis. See Bulimia. Bu'limus. See Bulimia. Buli'thum. (From 0ouc, an ox, and \iQos, a stone.) A bezoar, or stone, found in the kidneys, or gall, or urinary bladder, of an ox, or cow. Bu'lla. (A bubble.) A clear vesicle, Avhich arises from burns, or scalds ; or other causes. Bu'llace. The fruit so called, is the produce of the Prunus insitia of Linnaeus, which grows wild in our hedges. There are two varieties of bullace, the red and the white, which are used with the same inten- tions as the common damsons. BuLLo'sA ff/bkis. An epithet applied to the vesicular fever, because the skin is co- vered with little vesicles, or blisters.. See Pemphigus. Buni'tes vi'btuiw. (From bunium, wild parsley.) A wine made of bunium and must. BU'NIUM. (From ^ouvo;, a little hill ; so called from the tuberosity of its root.) 1. The name of a genus of plants in the Linnaean system. Class, Fentandria. Order, Digynia. 2. The name of the wild parsley. Bu'nium Bulboca'stanum. The syste- matic name of a plant whose root is called the pig-nut. Jigriocastanum. JVucula ter- restris. Bulbocastaneum. Bulbocastanum majus et minus. Earth-nut. Hawk-nut. Kipper-nut, and pig-nut. The root is as large as a nutmeg ; hard, tuberous, and whitish ; which is eaten raw, or roasted. It is sweetish to the taste, nourishing and supposed to be of use against strangury and bloody urine. Bu'nius. a sps?*^fes of turnip. Bupei'na. (From /Sou, a particle of mag- nitude, and 'STj/vst, hunger.) A voracious appetite. Bu'phagos. (From /Sow, a particle of £xcess, and (pctya], to eat.) The name of an antidote which created a voracious appetite iu JSJarcellus Empiricus. 19 Buphtha'lmum. (From fiou;, an ox, and oy Baglivi against dysenteries ; its basis is catechu. CACHE'XIA. (From Ktxog, bad, and «f«, a habit.) A bad habit of body, known by a depraved or vitiated state of the solids and fluids. CACHE'XI/E. A class of diseases in Cullen's nosology, embracing three orders, viz. marcores, iniumescenticE , and impeti- gines. Cache'xia uteri'na. The fluor albus is sometimes so called. Cache'xia icte'rica. The jaundice, or a disposition thereto. Ca'chlan. The huphthalmum verum. Ca'chlex. a little stone, or pebble. Ga- len says, that the cachleces, heated in the fire and quenched in whey, become astrin- gents, and useful in dysenteries. Cachinka'tio, (From cachinno, to laugh aloud.) A tendency to immoderate laugh- ter, as in some hysteric and maniacal affec- tions. Cacho're. a name for catechu. Ca'chos. (Indian.) A shrub which the Indians use as a diuretic, and to expel con- cretions from the kidneys. CACHU'NDE. A medicine highly cele- brated among the Chinese and Indians, made of several aromatic ingredients, per- fumes, medicinal earths, and precious stones. They make the whole into a stiff paste, and form out of it several figures, according to their fancy, which are dried for use. These are principally used in the East Indies, but are sometimes brought over to Portugal. In China, the principal persons usually carry a small piece in their mouths, which is a con- tinued cordial, and gives their breath a very sweet smell. It is highly esteemed as a medi- cine in nervous complaints ; and it is reckon- ed a prolonger of life, and a provocative to venery ; the two great intentions of most of the medicines used in the East. Ca'chrys. Galen says it sometimes means parched barley. In Linnaeus's bo- tany, it is the name of a genus of which i] e enumerates three species. Ca'chrys odonta'lgica. A plant, the root of which may be substituted for that of the pyrethrum. Cachy'mia. (KctKUfAict.) An imperfect metal, or an immature metalline ore, ac- cording to Paracelsus. Cacoalexite'rium. (From luuo;, bad, and xM^flnpiai, to preserve.) An antidote to poison or against infectious diseases. Alexipharmics. Cacocho'lia. (From latxo;, and ;tox«, bile.) An indisposition, or disease of the bile. Cacochy'lia. (From kako^, bad, and ;t"'^») the chyle.) indigestion, or depraved chylification. CACOCHY'MIA. (From xawoc, bad, and X'^M"^} juice, or humour.) A diseased or depraved state of the humours. Cacocne'mds. (From mmco;, bad, and »w^», the leg.) Having a natural defect in the tibia. Cacocore'ma. (From ksuu;, bad, and Kopece, to purge or cleanse.) A medicine which purges off the vitiated humours. Cacod^'mon. (From k:moc, bad, and J^cLijum, a spirit.) An evil spirit, or genius, which was supposed to preside over the bo- dies of men, and afflict them with certain disorders. The night-mare. Caco'dia. (From kmcoc, bad, and ce^ie, to smell.) A defect in the sense of smelling. Cacoe'thes. (From k^koc, ill, and nQoc, a word which, when applied to diseases, signifies a quality, or a disposition.) Hip- pocrates applied this word to malignant and difficult distempers. Galen, and some others, express by it an incurable ulcer, that is rendered so through the acrimony of the humours flowing to it. Linnaeus and Vo- gel use this term much in the same sense with Galen, and describe the ulcer as super- ficial, spreading, weeping, and with callous edges. Cacopa'thia. (From xmiq;, bad, and 'utaQo;, affection.) An ill affection of the body, or part. Cacopho'nia. (From xojtoc, bad, and ?a>v)), the voice.) A defect in the organs of speech ; a bad pronunciation. Cacopra'gia. (From xmcoc, bad, and -w/ixT?*, to perform.) Diseased chylopoietic viscera. Cacorry'thmhs. (From jcajcoc, bad, and puS/uog, order.) A disordered pulse. Caco'sis. (From aaxsc, bad.) A bad disposition of body. Cacosi'tia. (Fromxojtoc, and nsr?t of ^mall"-. CAT. OAL concrete, roundish, smooth, glossy, and crystalline bodies, of a red-yellow colour, like that of wood, and so hard as to admit of polishing. On account of their minute- ness, they easily pass through the urinary passages in form of §7-avel, which being sometimes of arougli surface, cause several complaints on their passage. But in some instances they are of too great a size to be able to pass along the ureters ; in which case they increase in the kidneys, sometimes to a great size. Calculi renales of tl)is kind are generally of a brown, dark red, or black colour, and surrounded with several strata of coagulated blood and pus ; they have also been observedof a yellow, reddish, and lighter colour ; and some consisting of an homogeneous stony mass, bu^ white or gray calculi renales are very rarely to be met with. Amongst the great number that were examined, one or two only were found of a gray or blackish colour, and of a composi- tion simiJar to those which generally bear the name of mulberry -like stones. The stones in the ureters, which, on pass- ing into the ureters, are prevented by their •size from descending into the "bladder, fre- quently increase very much : they, however, rarely occur ; their colour is white, and they consist of phosphate of lime. The stones in the bladder are tlie most frequent urinary concrements that have been principally examined ; they draw their first origin from the kidneys, whence they descend into the bladder, where they in- crease ; or they immediately originate and increase in the bladder ,; or they arise from a foreign body that by chance has got into the bladder, which not unfrequently hap- pens, particularly in tlie female sex. Con- cretions of this kind differ greatly in their respective physical qualities and external form, which, however, is generally spheri- cal, oval, or compressed on botli sides ; and sometimes, when there are several stones in the bladder, they have a polyhedi'ous or cubical forra ; their extremities are fre- quently pointed or roundish, but they are A'ery seldom found cylindrical, and more xarely with cylindrical ends. There is a great variety in the size of the <;alculi, and likewise in their colour, whicli IS materially different, according to their respective nature and composition. They ■occur, 1. of a yellowish colour, approaching nearly to red, or brown ; such stones consist of lithic acid. 2. Gray, or more or less white ; these stones always contain phos- phates of earths. 3. Dark gray, or blackish ; stones of this colour have oxalates of earths. Many stones show brown or gray .spots, on a yellow or white ground, generally raised on the surface, and consisting of oxalate of iime, which is enclosed in lithic acid, when ihe ground-colour of the stone is of a wood colour, or in phosphate of lime, when it is *vhite, The^e .spots are, in general, only to be observed in the middle of tlm stone, or at one of its extremities. All that is here stated, is the result of observations on more than 600 calculi ; and different other coloui-s, that are said to have been observed, either arise from he- terogeneous substances, or are merely va- riations of the above colours. Their surface is smooth and polished in some, in others only smooth, and in others uneven, and, covered with rough or smooth corpuscles, which are always of a yellow colour ; in some, the surface is partly smooth and partly rough. The white ones are fre- quently even and smooth, half transparent, and covered with shining crystals, that ge- nerally indicate phosphate of ammonia, with magnesia, or they are faint, and consist of minute grains ; or rough, in which case they consist of phosphate of lime. The brown and dark gray stones are, from their simi- larity to mulberries, called mulberry-stones, and being frequently very rugged, they cause the most pain of all. On examining the specific weight of uri- nary calculi in more than 500 specimens, it was found to be, in the lightest, as 121.3.1000, in the heaviest, as 1976.1000. Their smell is partly strong, like urine or ammonia, partly insipid, and terreous ; especially the white ones, which are like sawed ivory, or rasped bone. The internal texture of calculi is but seldom guessed from their external appear- ance, particularly when they exceed the size of a pigeon's egg. On breaking them, they generally separate into two or threw strata, more or less thick and even, which prove that they are formed by different j)recipitations, at different times. In the middle, a nucleus is generally seen, of the same mass as the rest. When the place tliey are broken at is finely streaked, and of a yellow or reddish colour, the lithic acid predominates ; but when they are half trans- parent, luminous like spar, they have am- moniacal phosphate of magnesia in them, and phosphate of lime, and then they are brittle and friable ; but when they are s© hard as to resist the instrument, of a sraootii surface, and a sm.ell like ivory, they contain oxalate of lime. It frequently happens, that the exterior stratum consists of white phosphate of earth, while the nucleus is yellow lithic acid, or oxalate of lime, covered sometimes with a yellow stratum of lithic acid, in which case the nucleus appears radiant ; but when it consists of lithic acid, and is covered with white phos- phate of earth, it is roundish, oval, and somewhat crooked. These concretions have very seldom three strata; namely, on the outside a phosphate, towards the inside lithic acid, and quite withinside an oxalate of lime : but still rarer these substances oc- cur in more strata, or in another order, as before-mentioned. 356 CAL CAL Stones of the urethra are seldom generated in the urethra itfelf; however, there are in- stances of their having been formed in the fossa navicularis, by means of foreign bodies that have got into" the urethra. We also very frequently observe stony concrements deposited between the glands and prepuce. All the concretions produced in the inside and outside the urethra consist of phosphate of earths^ which are easily precipitated from the urine. There ai-e likew-ise stones in the urethra which have come out of the blad- der, having been produced there, or in the kidneys ; and they generally possess the properties of stones of the kidneys. The different constituent Particles of Urinary Calculi. Ithas been mentioned before, that Scheele found a peculiar acid in the urinarv' concre- tions, and likewise that phosphate of lime Avas discovered in them. The identity of the lithic acid, however, was much doubted by modern chemists, particularly by Dr Pearson, who asserted that it was merely -an oxide, Avhereby he gave rise to the dis- coveries which Fourcroy and Vauquelin have since made on this subject, because they were induced to repeat the experi- ments, in order to examine whether the li- thic acid w^ere really an acid. Their endea- vours were fully rewarded, as they not only found the lithic acid and phosphate of lime in the different calculi, b-.it also five other substances, vis^. the lithate of ammonia, oxa- late of lime, siliceousearth,phosphateofam- moniacal magnesia, and an animal matter. 1. Of the lithic or Uric Acid. 1. The acid discovered by Mr. Scheele, in the urinar)'^concretions,was styled lithicacid, or, according to Dr. Pearson's Researches, uric acid ; which, after Scheele. has the fol- lowing properties. It is insipid, without smell,hard.crystallizable,not soluble in cold •water, and in boiling Avater only in seA'eral thousand times its quantity. The solution, after having become cool, deposits the acid in form of minute yellow needles, easily .•soluble in the lye of fixed alkalies, out of Avhich,howeA'er,itis precipitated by all acids (even the carbonic acid,) except the sulphu- ric and muriatic, Avhich have no effect on it. Concentrated nitric acid, on dissolving it, obtains a red colour. On distilling the lithic acid, it yields a small quantity of sublimed, undecomposed acid, very little oil and water, crystallized carbonate of ammonia, carbonic acid, and a A^ery black coal, which, however, contains neither alkali nor iime. Besides these properties, it possesses still others. On rubbing it with concen- trated lj''e of potash or soda, it immediately forms a saponaceous, thick, and pulpy mass, which is very soluble in water, Avhen satu- rated Avith alkali, but little soluble when nnly neutralized Avith it. The neutral r.orw- binations have little taste, are not crystal- lizable, and, Avhen diluted Avith AA^ater, the muriatic acid precipitates the uric acid in form of small, needle-like, shining, some- Avhat yelloAvish crystals. Ammonia receives very little of it, w^hich combination is almost indissoluble. Lime-Avater has likeAvise very- little effect on it, and the carbonates of alka- lies none at all. On being dissolved in nitric acid, a part of the lithic acid is changed into oxalic acid. The red colour Avhich appears after this combination, is said by Pearson to prove that substance to be merely an oxide ; but it arises from a peculiar animal matter. When oxygenated muriatic acid is brought in contact with lithic acid, the colour of it groAvs pale, it puffs up, becomes soft and gelatinous, and at last obtains the consisten- cy of a milky liquor ; from Avhich process, only one-sixtieth of a Avhite, light, animal substance remains, and a quantity of carbo- nic acid evolves itself under continual sIoaa' effervescence. The liquor yields muriate of ammonia, oxalate of ammonia, both iu crj'stals, free muriatic and malic acid ; con- sequently the oxygenated muriatic acid se- parates the ui'ic acid into ammonia, carbonic acid, oxalic acid, and malic acid, Avhereby Ave observe that the oxygenated muriatic acid changes the uric acid, first into ammonia and malic acid, but on the addition of more acid, into oxalic acid : and Avhen still more acid is added, into Avater and cai-bonic acid. The remaining white substance is the same,* from Avhich the red colour originates that appears on the combination of the uric acid Avith nitric acid, and which imparts the cu- bical form to the muriate of ammonia, ob- tained by the eA'aporation of the liquor. It remains noAv to be stated what is observed in the distillation of that acid, by Avhichityields, not only carbonate of ammonia, but also car- bonic gas, very little oil, Prussic acid, partly in form of gas, partly fluid, a considerable quantity of coal that contains no salt, and a little water. The productions thus obtained have the smell of bitter almonds. The re- sults of these inquiries manifestly shoAv, that the lithic acid is really a distinct acid from ail others, consisting of azote, carbon, hy- drogen, and oxygen. This peculiar acid is an exci-ementitious substance, Avhich is car- ried oft' by the urine, and, at the forming of calculi, combines itself Avith a coloured ani- mal matter, from Avhich also it probably originates by a process still unknoAvn. 2. Of the Lithate of Ammonia. This substance seems to have been un- knoAvn before, or at least not properly dis- cerned from the uric acid ; and, though Scheele has observed it, he was ignorant of its particular nature. It is easily to be dis- tinguished, by the small even strata in which it is formed, "by its colour, that looks like milk coloured Avith coffee, and by its form- ins but small calcnli. It dissoh-es in the CAL CAL 157 lees of fixed alkalies like the lithic acid, but Avith the characteristic difterence that it dis- charges ammonia, a phenomenon already observed by Scheele. It is more soluble in cold as well as Avarm water, than the lithic acid. It is in the same way affected by acids, except that a greater quantity is re- quired for changing it. It is generally mixed ■with phosphate of ammoniacal magnesia, because it seems only to be produced after a sufficient quantity of ammoniacal mag- nesia has been formed, to saturate the phos- phoric acid. ' 3. Of the Phosphate of Lime. The existence of this substance had hi- therto been but inaccurately determined, every substance which was not lithic acid being formerly comprised by the name of phosphate of lime. It occurs in small fria- ble strata, which break in scales, or splints, of a gray white colour, and are faint, opaque, without any smell or taste, and crystallized in a luminous or spar-like form ; instead of strata, it is frequently composed of friable grains, that slightly cohere, and has many hole* and pores, like a spongy texture. It never forms a calcidus by itself, being in a calculus always united with an animal gelatinous matter ; on account of which cir- cumstance it becomes black by exposing it to strong heat ; and burns to coal, exhaling the odour of burned bones ; and yields wa- ter, oil, carbonate of ammonia, and a car- bonaceous residuum. Being calcined white, it only leaves lime, and phosphate of lime, without any water of crystallization. It is not soluble in cold water, but in boiling water a part of its gelatine dissolves, spread- ing an animal odour. All acids, except the boracic and carbonic acid, dissolve it, leav- ing on the bottom of the vessels transparent spots of animal matter. These solutions are all precipitated b}' alkalies, but without any decomposition, the precipitate remain- ing phosphate of lime. On treating the phosphate of lime with concentrated sul- phuric acid, a thick pulpy mass of acid-sul- phate and phosphate of lime will be obtain- ed, on which pure alkalies, as well as car- bonates of alkalies, have no effect. We never could find acid-phosphate of lime, as Brugnatelli pretends to have observed. 4. Of the Phosphate of ^mmoniaml Mag- nesia. It consists of scaly, half-transparent, hard, and coherent strata ; can be sawed without crumbling, and reduced to a fine, soft, and white powder. It is of a sweetish insipid taste, somewhat soluble, and crystallized in rhomboids, or thick laminas, dispersed in the cavities of other calculous substances ; and it is frequently found on the surface of other calculi. It contains, betwixt its strata, a gelatinous substance, but less than the phosphate of lime, on which account it also blackens by being heated. Though it be but little soluble in water, yet it dissolves in such a quantity as to be capable of crystal- lizing by slow evaporation Acids dissolve it more quickly than they do the phosphate of lime. Weak sulphuric acid entirely dis- solves it, forming sulphate of ammoniacal magnesia. In diluted muriatic or nitric acid, it disappears more quickly than phos- phate of lime. Ammonia, by which that salt is made turbid, only precipitates small particles of magnesia. The lees of fixed alkalies disengage from it ammonia, with- out forming with it a solution ; and, depri- ving it of the phosphoric acid, leave the magnesia behind. 5. Of the Oxalate of Lime. It is, according to our observations, only found in the mulberry-like calculi, in com- bination with a coloured animal matter, and consisting of strata covered with pointed, roundish, rough or smooth protuberances; outside it appears of a dark or brown co- lour, but internally it is gray, frequently with white streaks, of a solid texture, and may be polished like ivory; it breaks in scales, or in the shape of .shells ; and, on being pounded, or sawed, it exhales an ani- mal odour, like semen. It is the heaviest of all calculous substances, and the only one which yields one-third of lime by calci- nation. It dissolves with difficulty in acids, and is precipitated unaltered by alkalies from nitric acid. The fixed alkalies de- compose it when they are impregnated with carbonic acid, and when it is pulve- rized, and the solution heated, whereby carbonate of lime and oxalates of alkalies are obtained. The great quantity of animal matter which constantly adheres to this oxalate of lime is veiy characteristic, it imparts the brown, reddish, blackish colour to the above kind of stones, and Ifkewise the fine and solid texture. This substance may be ob- tained by putting small pieces of these stones into diluted nitric acid, whereby it appears of the same colour, and becomes soft and spongy. The great hardness of this kind of calculous substance, most pro- bably arises from the intimate connexion of its particles, produced by the combina- tion of the oxalate of lime with animal matter, in the same Vv^ay as lime obtains a great degree of solidity by its combination with albuminous matter, of which, and of a peculiar matter of urine, that animal sub- stance seems to consist. 6. Of the Siliceous Earth. Amongst 600 calculi that were examined, there were only two which contained this earth ; both had the texture of mulberry- like stones, though of a lighter colour, and by being calcined, lost one-third of their weight, without giving free-lime : heated ISS CAI. CAL with acids they lost nothing ; but when melted with four times as much of alkali, theyyielded siliceous earth bybping treated with muriatic acid. They contained phos- phate of lime, and an animal matter similar to that which is united with the oxalate of lime. They were hard, difficult to be sawed and pulverized, and the powder made scratches in metal. On being burnt, they emitted an animal odour ; they imparted nothing to boiling water, and to the acids a little phosphate of lime, which difficultly separates from the siliceous earth. Alka- lies, either pure or combined with carbonic acid, did not affect them, merely depriving them of a part of their animal matter. Their essential character consists in their being fusible and vitrifiable with fixed al- kalies. 7. Of the Jinimal Matter. All the six substances just examined, which constitute the urinary calculi of the human species, are always combined with an animal matter, as appears from its being burnt to coal, from the productions it yields by distillation, from its stench on being burnt, and from the cellulous membranous flocculi, which remain when pieces of calculi are dissolved in diluted acids. This animal matter has been frequently, and with good reason, considered as the basis of all urinaiy concretions, like as in bones the gelatinous matter, the first basis of the bones, forms an organic texture, in the interstices of which the phosphate of lime is deposited. It is very remarkable, that the different con- stituent particles of urinary calculi are com- bined with a dissimilar animal matter, which is sometimes albuminous, sometimes gelati- nous, sometimes composed of both, and fre- quently united with the matter of urine. Thus the lithic acid, or the lithate of am- monia, contains a third of albuminous mat- ter, combined vvitli the matter of urine ; the phosphates of earths, albuminous matter, gelatine in form of membranes, and laminas, or tela cellulosa ; the oxalate of lime, a spongy, yet more solid texture, of the colour of albumen ; and the siliceous earth, a simi- lar substance On the whole, the animal matter seems to unite and join together all the acid and saline particles of urinary con- cretions. The Classification of Urmary Stones. The old classification of urinary calculi, made according to their figure and their size, cannot at present, where we have acquired so accurate a knowledge of their internal nature, be retained, as they ought rather to be classed according to their constituent par- ticles ; however no regard is to be had to the animal matter, as being found in all urinary concretions, and having no influence on their respective difference. On comparing the re- STiIts of the analyses of more than 600 sfones. Fom-croy was induced to bring them under three genera; tht first of which comprehends such stones as are merely composed of one substance, besides the animal matter ; the second, contains urinary concretions, con- sisting of two substances, besides the animal matter ; and the third, comprises all those which are formed by more than three cal- culous substances. These three genera com- prehend about twelve species, namely, the first genus three, the second seven, and the third two ; but it must be remembered that the number of the genera, as well as of the species, is determined after the observa- tions hitherto made, and may consequently be increased in future. 1 . The first species of urinary concretions consists of lithic acid, and stones of this kind most frequently occur, as there were^ amongst 600, about 150. They are easily distinguished by their reddish or high yel- low colour, much resembling that of wood, by their brittle, radiant-like, homogeneous, and fine texture, and by their perfect solu- bility in the lyes of fixed alkalies, without disengaging the smell of ammonia. Their size varies from the bigness of a pea to that of a duck's egg, &c. and their figure is roundish, spheroid, compressed, oval, ob- long, &c. the surface polished like marble, but frequently rough and warty ; of a crim- son light red, yellowish, or light brown colour, but never white, gray, or black ; their strata differ in number and thickness; and are frequently of a smooth surface. The specific weight of these stones is from 1.276 to 1.786, but generally more than 1.500. The urinary concretions in the kid- neys are mostly of this species. 2. The second species is composed of li- thate of ammonia, and differs from the for- mer by disengaging ammonia on their being dissolved in the lyes of fixed alkalies. Con- cretions of this kind are generally small, of a pale or gray colour, and consist of fine strata, easily separable from each other ; they mostly contain a nucleus, which is easily separated from the strata that cover it. Their figure is generally oblong, com- pressed like almonds, and of a smooth sur- face, which is frequently crystalline. Their specific weight varies from 1.225 to 1.720. They are entirely soluble in water, particu- larly when previously pulverized. All acids, principally the muriatic acid, deprive them of the ammonia, leaving the pure lithic acid behind. They are frequently found covered with a thin stratum of lithic acid. Amongst 600 calculi there were but few of this kind. 3. The third species, consisting of oxalate of lime, are easily to be distinguished by the protuberances and inequality of their surface, whence they have got the appel- lation of mulberry-like stones ; by their hardness, gray colour, solid texture, theiv polish like ivory, in the inside, and thp'it €AL CAL 159 pai'iiculai' smell on being sawed, wtiicu resembles that of semen- A peculiar cha- racteristic, which distinguishes them from all others, consists in their leaving lime after the calcination, in their being with difficulty soluble in acids and not soluble in alkalies, and, at last, in their being only decomposed by the lees of carbonates of alkali. They weigh from 1.42S to 1.976, and their size varies from that of a calcu- lus renalis to the bigness of an egg, or more ; their figure is generally spherical or spheroid. They often make the nu- cleus of other stones, in which case they belong to another species. In 300 stones they bore the proportion of one-fourth or one-fifth. 4. atones of this species contain lithic acid and phosphate of earth, but in a separate state. Their surface is white, cretaceous, brittle,- and half-transparent, as it either consists of phosphate of lime, or of phos- phate of ammoniacal magnesia, the kernel being formed by lithic acid ; thus both constituents are exactly separate from each other. They were found in the proportion of one-twelfth amongst the stones that were examined, and they grow bigger than any of the rest, as they appear from the size of an egg to that of the whole bladder, even when extended. They generally have an oval form, often pointed at one end, of a smooth surface, which, however, isfrequent- ly covered with crystals of phosphate of am- moniacal magnesia. Sometimes the lithic acid in the middle is alternately covered with phosphate of lime, and phosphate of ammoniacal magnesia. The specific weight of these stones is extremely variable. 5. The fifth species of calculi contdiias, like- wise, lithic acid and phosphates of earth, but intimately mixed with each other. Of these stones, a great many varieties are ob- served, depending on the proportionable quantity of their constituent particles, as well as on the strata in which they lie above one another. The chief constituents, the phosphates of earths, are separated in diffe- rent strata, but sometimes so intimately mix- ed with each other, that it is impossible to distinguish them with the eye ; and the ana- lysis could only show their difference. From this circumstance arises the variety in the colour, figure, and number of the strata. The colour, however, is generally gray, but frequently variegated like marble, some- times like soap. Their figure is irregular, oval, or globular, and the surface mostly brittle, cretaceous, or whitish, so as to make us believe that they only consist of. phos- phate of lime. The polyhedrons stones ge- nerally belong to this species, when they have the appearance of being worn away by rubbing. They make about one-fifth of the stones that were examined. Their spe- cific weight varies extreme! v. the least being 5..2ir>, the grx;ate?t 1.73.9- t>. This species is constituted by lithate of ammonia and phosphate of earth, i. e. of lime and ammoniacal magnesia ; and re- sembles in its external appearances the fourth species. One of the constituents ge- nerally the lithate of ammonia, makes the nucleus, while a mixture of the two otherSj but rarely one by itself forms the crust. Sometimes, however, the nucleus contains also the phosphates, and the crust a little lithate of ammonia, which, even in some varieties, is mixed with pure lithic acid. The strata in stones of this kind are more easily separable, and always smaller than those of the fourth species. The spe- cific weight is 1.312 to 1.761; and they are more rarely met with than most of the rest. Amongst 600 there were only twenty of this kind. 7. Stones of the seventh species consist likewise of lithate of ammonia and phos- phate of earths, but intimately mixed with each other. They are of a paler colour, much lighter than the first species, and disengage a great deal of ammonia on their being treated with potash. We found them only in the proportion of one-fortietli amongst the stones which we have ana- lysed. They never grow so large as the two former. 8. The constituent particles of the eighlJt^ species are phosphate of lime and phosphate of ammoniacal magnesia. The pure white colour, the friability, their being insoluble in alkalies, and their easy solubility even in weak acids, constitute the chief character- istics of this sort of stones, of which about 60 were found amongst 600 : sometimes they are of an enoi'mous size, of irregular form, rarely round, but frequently of an uneven surface, and resembling an incrus- tation. Their texture is formed of white brittle strata ; sometimes interwoven with solid half-transparent crystals of phosphate of ammoniacal magnesia. The crusts form- ed on foreign bodies that happened to pe- netrate into the bladder, belong to this spe- cies ; the specific weight of which is 1.138 to 1.473. 9. This species of calculi contains oxalate of lime, but externally uric acid, in more or less quantity, and are only to be distin- guished by the nucleus from the first species. The proportion of both constituents, and the specific weight, vary extremely, the latter being 1.341 to 1.754. Sometimes the nucleus, consisting of oxalate of lime, is only covered on one side with, uric acidj and discernible on the other by protube- rances with which the surface is variegated ^ which variety, however, seldom occurs. 10. Stones of this species have, in their centre, oxalate of lime, surrounded by phosphates of earths ; the kernel is gray, or brown, and radiant-like, the crust white and cretaceous ; their size and figure dift'eT extremelv- and tlreir srwc'ifiT; -vvddit is from CAL CAL 1.168 to 1.762. They amount to oiie-iifth of tlie 600 stones that were examined. 11. This species contains stones com- posed of three or four calculous substances, namely, of oxalate of lime, phosphates of earths, and uric acid, either pure or com- bined with ammonia. They rarely occur ; and amongst 600 stones only ten or twelve were observed. They often consist of three distinct strata, viz. in the interior, of oxa- late of lime ; in the middle, of lithate of am- monia ; and the exterior of phosphates of earths, which are frequently mixed with uric acid or lithate of ammonia, all which are distinguished on their being sawed through. This species comprehends three varieties ; the first of which consists of ox- alate of lime, uric acid, and phosphates of earths ; the second contains lithate of am- monia, combined with pure uric acid, and the two other constituents ; the third has, besides these substances, free uric acid and lithate of ammonia, mixed with the phos- phates of earths. We forbear to mention other varieties of this species, as being less remarkable and instructive. 12. The last species of calculi is of a very complicated composition. The siliceous earth seems to have taken the place \,f the oxalate of lime ; it is mixed with uric acid and lithate of ammonia, and covered by phospliates of earths. Stones of this kind are the rarest of all, and there were only iivo amongst 600. The causes of the Generation of Urinary Calculi. To inquire into the causes by which urinary concretions are produced, is both interesting and useful ,ho\vever attended with the greatest difliculties. The writings of medicrd authors are full of conjectures and iiypotheses with regard to this subject, on which nothing could b* ascertained before we had acquired an accurate knowledge of the nature of urinary concretions. It is owing to this circumstance that the most enlightened physicians acquiesced in ascri- bing the immediate cause of them to a superabundance of terreous matter in the urine; and Boerhaave, as well as, particu- larl}'. Van Svveiten, imagined that the urine of all men contained calculous matter in the natural state, and that, for the generation of stones, a nucleus was only required, to attract it. That this may be the case, in some instances, is proved by frequent ex- perience ; but stones produced by foreign bodies, that have accidentally got into the urethra or bladder, are always white and composed of phosphates of earths, and seldom or never covered with lithic acid, a substance which is observed to form the stones that most frequently occur ; but even in these the nucleus consists of a substance formed in the body itself, as a particle de- ^■"cended from the kidney?. &c. which, mn-r. therefore, have necessarily originated in a peculiar internal cause. A superabundance of uric acid in stony patients, and its more copious geaeration than in a sound state, though it seems to be one of the principal and most certain causes, is by no means sa- tisfactory, as it only explains the precipita- tion of stony matter from the urine, but not why it unites in strata. A coagulating sub- stance is required for separating, attracting, and, as it were, agglutinating the conden- sible particles that are precipitated. This substance is undoubtedly the animal matter which we have constantly found in all cal- culous masses, and which seems to consti- tute the basis of stones, like the membranous gelatina that of bones. It is known tliat the urine of calculous patients is generally muddy, ductile, in threads, slimy, and as if mixed with albumen, which quality it obtains at the moment when the ammonia is disengaged, or on the addition of potash that separates it from the acid in which it was dissolved ; and in all cases of super- abundance of lithic acid the urine contains a great quantity of that animal matter, which promotes the precipitation of it, and attracts and unites the particles thus sepa- rated. Hence it appears, that every thing capable of increasing the quantity of that pitultous gluten in the urine, may be con- sidered as the remote cause of the forma- tion of calculi. And the old ideas on pitu- itous temperaments, or superabundant pitu- ita, &ic. which were thought to dispose peo- ple to a calculus, seem to be connected with the late discoveries on the nature of urinary stones. Though the animal matter appears to be different in different calculi, yet it is certain, that every calculous substance con- tains an auimal gluten, from which its con- crete and solid state arises ; whence we may fairly state the superabundance of that substance as the chief and principal cause of the formation of calculi. There are, however, other causes which seem to have a particular influence on the nature of urinary stones, and the strata in which they are formed ; but it is extremely difficult to penetrate and to explain them. We are, for instance, entu'ely ignorant of the manner in which urinary stones are formed from the oxalate of lime ; though, froth their occurring more frequently in ch'ldren than in adults, we might be en- titled to ascribe them to a disposition to acor, a cause considered by Boerhaave as the general source of a great numbar of diseases incident to the infantile age. This opinion seems to be proved by the ideas of Bonhomme, physician at Avignon, on the oxalic or saccharic acid, as the cause of moliities ossium in the rickets ; by this acid being discovered in a species of saliva by Bin.o:natelli ; and, lastly, by an observation of Turgais, who found this acid in tlie urine of a child diseased ivith v,"oro^s' We hvX CAL CAL 161 varely observe saccharic acid in the iiuman body, which appears to be mostly adventi- tious, and by which the animal matter is rendered coagulabie, and deposited, or pre- cipitated, with the oxalate of lime ; or the oxalic acid decomposes the phosphate of iime, and forms an insoluble combination, incapable of being any longer kept dissolved in the urine. It is^ however, extremely difficult to determine how far the constitu- tion of the body is connected with that par- ticular disposition in the urine, of precipi- tating sometimes phosphate of lime mixed with oxalate of lime, sometimes phosphate of ammoniacal magnesia, either by itselt or mixed with lithic acid, &.c. fee. Who can explain the reason why, of 600 stones, there were only two in which siliceous earth could be traced ? Still more difficult is it to explain the causes why the above substances preci- pitate either at once or in different strata ; but it may suffice to have shown how many observations and experiments are required, and what accurate attention and perseve- rance are necessary, in order to throw light on so difficult a subject. The means to be employed in calculous complaints must vary according to circum- stances. Permanent relief can be obtained only by the removal of the morbid concre- tion ; and where this is of too large a size to be passed by the natural outlet, the operation of lithotomy becomes necessary. Various remedies indeedhave been proposed as capa- ble of dissolving urinary calculi; and some of them are certainly useful in palliating the symptoms, and perhaps preventing the for- mation of fresh calculous matter : but ex- perience has not sanctioned their efficacy as actual lythonfriptics ; and by delaying the operation, we not only incur the risk of organic disease being produced, butthe con- cretion may also become friable externally, so as to be with more difficulty removed. Sometimes however the advanced age of the patient, the complication with organic dis- ease, or the exhausted state of the system, may render an operation inexpedient ; or he may not be willing to submit to it ; we shall then find some advantage from the use of chemical remedies, according to the morbid quality of the urine ; that is generally from alkaline or earthy preparations, where a red deposit appears, and from acids where there is a white sediment. Tonic medicines may also be useful, and some of the mild astrin- gents, especially uva ursi, and occasional narcotics, where violent pain attends: some- limes an inflammatory tendency may require fomentations, the local abstraction of blood, and other antiphlogistic measures. The most likely plan of effecting a solution of the calculus must certainly be that proposed by Fourcroy, namely, injecting suitable liquids into the bladder. The most common calculi, containing uric acid, are readily soluble in a solution of pot3=b. or soda, weak enough to 21 be held in the mouth, or even swallowed without inconvenience; those which consist of phosphoric acid neutralized by lime, or other base, the next in frequency, dissolve in nitric or muriatic acid of no greater strength ; the most rare variety, made up mostly of oxalate of lime, may be dissolved, but very slowly, in nitric, acid, or solutions of the fixed alkaline carbonates, weak enough not to irritate the bladder. However it is not easy to ascertain which of these solvents is proper in a particular case, for most calculi are not uniform throughout, owing probably to the urine having varied during their for- mation,so that the examination of this secre- tion will not certainly indicate the injection required. The plan recommended therefore is, the bladder having been evacuated, and washed out with tepid water, to inject first the alkaline solution heated to the tempera- ture of the bod}', and direct it to be retained for half an hour, or longer, if the parson can bear it ; then to the liquor voided and filtered add a little muriatic acid, which will cause a white precipitate, if there be any uric acid dissolved ; and so long as this happens, the same injection should be used, otherwise diluted muriatic acid is to be thrown in, and ammonia added to it when discharged ; whereby phosphate of lime, if there be any, is precipitated ; and when neither of these succeeds, diluted nitric acid is to be tried ; in each case varying the injection from time to time, as that previously used loses its effi- cacy. However there appears one source of error in this method, namely, that the urine secreted, while the liquid is retained, may give rise to a precipitate, though none of the calculus may have been dissolved ; it would therefore be proper to examine the urine previously, as Avell as occasionally during the use of injections, and, if necessary, cor- rect its quality by the exhibition of proper internal medicines. See Lithonlriptics and Lithotomy. Ca'lculus eilia'ris. See Gall-stones. Calda'rium. (From ealeo, to make hot.) A vessel in the baths of the ancients, to hold hot water. Calefa'cients. (Calefacientia, sc. medi- camenta ; from calidus, warm, and /ado, to make.) Medicines, or other substances, which excite a degree of warmth in the parts to which they are applied : as pipers spiritus vini, Sic. They belong to the class of stimulants. CALE'NDULA. {Quod singulis calen- dis, i. e. mensibus, florescat ; so called be- cause it flowers every month.) Marigold. 1. The name of a genus of plants in the Linnsean system. Class, Syngenesia. Order, Polygamia necessaria. 2. The pharmacopoeial name of the Sin- gle marigold. Garden marigold. Calen- dula safiva. Chrysanthcmnm. Sponiasolis. Calflia vulgaris. The flowers and leares of this plant; CakndvJla officinalis; sominihus 163 CAL CAL cymbiformibus, muricatis, incurvatis omnibus^ of Linnaeus, have been exhibited medicinally: the former, as aperients in uterine obstruc- tions and icteric disorders, and as diapho- retics in exanthematous fevers ; the latter, as gentle aperients, and to promcie the secre- tions in general. Calen'dula alpi'na. The Arnica mon- iana of Linnaeus. See Arnica. Cale'ndula arve'nsis. The wild mari- gold. See Caltha. Cale'ndula officina'lis. The systema- tic name of the single mangold plant. See Calendula. Cale'ndui,a pald'stris. Common single marsh-marigold. See Caltha palustris. Ca'lenture. Afebrile delirium, said to be peculiarly sailors, wherein they imagine the sea to be green fields, and will throw themselves into it if not restrained. Bonetus gives an account of it ; also Dr. Oliver and Dr. Stubbs. It is probably a species of phrenitis. Cale'sium. (Indian.) A tree which grows in Malabar, whose bark, made into an oint- ment with butter, cures convulsions from wounds, and heals ulcers. The juice of the bark cures theapthee, and, taken inwardly, the dysentery. Ray. Ca'li. (Arab.) The same as kali. CALicHA'PA-The spina alba,or white-thorn. Ca'lidum. In medical language, it is commonly used with the adjective ammale, or innatiim, for animal heat, or the vis vitoe. Calie'ta. (From nxMn;, a nest, which it somewhat resembles.) CaUiettc. A fungus growing on the juniper-tree. CALI'GO. {Caligo,-ginis,f(Em.) A disease of the eye, known by diminished or des- troyed sight ; and by the interposition of a dark body betv/een the object and the retina. It is arranged by Cullen in the class locales, and order dyscesthesics. The species of caligo are distinguished according to the situation of the interposed body : thus caligo lentis, caligo corneee, caligo pupillm, caligo hiano- Tum, and caligo palpebrarum. Cali'go le'ntis. Glaucoma Woulhousi. The true cataract. See Cataract. Cali'go co'eneje. An opacity of the cornea. See Caligo. Cali'go pupi'll^. Synchysis. Amyosis. Blindness from obstruction in the pupil. See Caligo. Cali'go humo'rum. Glaucoma Vogelii. Blindness from a fault in the humours of the eye. See Caligo. Cali'go palpeera'ruki. Blindness from a disorder in the eyelids. See Caligo. Caliha'cha. The cassia-lignea, or cassia- tree of Malabar. Cali'mia. The lapis calaminaris. CA'LIX. (Cali.v, -ids, m.; from Kcfhwlm, to cover.) Calyx. 1. The term calix is given to the mem- brane which covers the papillee in the pelvis of the human kidnev. 2. The name of the case, or siieatU, in which the flower of plants is concealed be- fore it expands. CALLiE'uM. (From xa^xuva, to adorn.) Calltzon. The gills of a cock, which, Galen says, is food not to be praised or con- demned. Calle'na. a kind of salt-petre. Ca'lli. Nodes in the gout. Galen. Ca'llia. (From xaKcn, beautiful.) A name of the chamomile. Calliele'phara. (From y.ctKa, good, and ,6/.i^Afov, the eyelid.) Medicines, or compositions, appropriated to the eye-lids. CALLICO'CCA. The name of a genu.s of plants in the Linnaean system. Class, Pentundria. Order, Monogynia. CALLico'ccAiPECACUA'sHA.Theplantfrom which ipecacuan root is obtained was long unknown ; it was said by some writers to be the Psychotria emetica ; class, Pentandria ; ordev, Monogynia : by others, the Viola ipeca- cuanha,^ syngenesious plant of the order Mo- nogynia. It is now ascertained to be neither, but a small plant called Callicocca ipecacu- anha. There are three sorts of ipecacuan to be met with in our shops, viz. the ash- coloured or gray, the brown, and the white. The ash-coloured is brought from Peni, and is a small wrinkled root, bent and con- torted into a great variety of figureS;brought over in short pieces, full of wrinkles, and deep circular fissures, down to a small white woody fibre that runs in the middle of each piece : the cortical part is compact, brittle, looks smooth and resinous upon breaking : it has very little smell ; the taste is bitterish and subacrid, covering thetongue,as it were, with a kind of mucilage. The brown is small, somewhat more wrinkled than the foregoing ; of a brown or blackish colour without, and white within ; this is brought from Brazil. The white sort is woody, and has no wrinkles, nor any perceptible bitterness in taste. The first, the ash-coloured or gray ipecacuan, is that usually perferred for me- dicinal use. The brown has been sometimes observed, even in a small dose, to produce violent effects. The white, though taken in a large one, has scarcely any efl'ect at all. Experience has proved that this medicine is the safest emetic with which we are acquaint- ed, having this peculiar advantage, that, if it does not operate by vomit, it readily passes off by the other eraunctories. Ipecacuan was first introduced as an infallible remedy against dysenteries, and other inveterate fluxes, as diarrkosa, menorrhagia, leucor- rhcea, &.c. and also in disorders proceeding from obstructions of long standing ; nor has it lost much of its reputation by time : its utility in these cases is thought to depend upon its restoring perspiration. It has also been successfully employed in spasmodic asthma, catarrhal and consumptive cases. Nevertheless, its chief use is as a vorait. and CAL GAL 163 5u small doses, joined with opium, as a dla- ances, we apply the terms hot, or cuhl, to the phoretic. The officinal preparations are the substances themselves ; calling those bodies pulvis ipecacuanhce compodtus, and the ft- hot, which produce in us the sensation oi ■/mm ipecacuanhce. heat, and those colfl, which communicate Calli'creas. (From aa^cc, good, and the contrary sensation. Hfixe, meat ; so named from its delicacy as This ambiguity, though of little conse- food.) The pancreas, or sweet-bread. quence in the common affairs of human life, Calli'gonum. (From b^xo?, beautiful, has led unavoidably to confusion and per- and yovv, a knot, or joint ; so named from plexity in philosophical discussions. It was its being handsomely jointed, like a cane.) to prevent this, that the framers of the new The polygonum, or knot-grass. nomenclature adopted the word caloric, Callioma'rchus. The Gaulish name, which denotes that which produces the sen- in Marcellus Empiricus, for tussilago, or sation of heat. colt's foot. Ca'lhon. a kind of night-shade. Calliphy'llum. (From ■moj.ck, beauty, and puKAoi', a leaf.) The herb adiantum, or maidenhair. See Adianthurii. Callistru'thia. (From ni-xo^, good, and c-/iw9(jc, a sparrow ; because it was said to fatten sparrows.) A lig mentioned by Pliny, of a good taste. Theories of Heat. Two opinions have long divided the phi- losophical world concerning the nature^of heat. 1. The one is : that the cause which pro- duces the sensation of heat, is a real, or dis- tinct substance, universally pervading na- ture, penetrating the particles or pores of all Callitri'cum. (From k.«aaoc, beauty, bodies, with more or less facility, and in and ■&'/>/|, hair ; so named because it has the different quantities. appearance of long, beautiful hair ; or, ac- This substance, if applied to our system in cording to Littleton, because it nourishes a greater proportion than it already contains, the hair, and makes it beautiful.) The herb warms it, as we call it, or produces the sen- maidenhair, sation of heat : and hence if has been Callo'ne. (From suaxo?, fair.) Hippocra- called caloric or calorific. tes uses this word, to signify that decency 2. The other theory concerning heat is ; and gravity of character and deportment that the cause which produces that sensation which it is necessaiy that all medical men is not a separate or self-existing substance ; should be possessed of. but that it is merely like gravity, a property CALLO'SITAS. Callosity, or prefer- of matter; and that it consists in a specific natural hardness. or peculiar motion, or vibration of the parti- CA'LLOUS. A surgical term, signifying cles of bodies, hardened or indurated; thus the callous The arguments in favour of the first the- edges of ulcers. ory have been principally deduced from the CA'LLUS. (Callus, i, m. and Galium, evolution and absorption of heat during che- i, n. mical combinations ; those of the latter are 1. The bony matter deposited between chiefly founded on the production of heat the divided ends of broken bones, about by friction. For it has been observed, that (he fourteenth day after the fracture. whatever is capable of producing motion iii 2. A preternatural hardness, or indura- the particles of any mass of matter, excites tion, of any fleshy parts. heat. Count Rumford and Professor Davy Caloca'takus. (From ;ca?.5c, beautiful, have paid uncommon attention to this fact, and >ut]aiov, a cup ; so called from the beauty and proved, that heat continues to be evolv- of its flower and shape.) The papaver rhoeas, ed from a body subjected to friction, so long or wild poppy. as- it is applied, and the texture or form of Calome'lanos TURCiUE'Ti. So Riverius the body not altered, calls a purgative medicine, composed of All the effects of heat, according to this calomel and scammony. theory, depend therefore entirely on the vi Calo'melas. (From koom, good, and bratoiy motion of the particles of bodies. MiKas, black ; from its virtues and colour. According as this is more or less intense, a The preparation called Jithiops mineral, or higher or lower temperature is produced ; hydrargyrus cum sulphure, was formerly and and as it predominates over, is nearly equal, properly so named. But calomel now means or inferior to the attraction of cohesion, a white preparation of sublimed mercury.) bodies exist in the gaseous, fluid, or solid See Submurias hydrargyri. state. CALO'RIC. (Caloricum ; from calor, Different bodies are susceptible of it in heat.) Heat. Igneous fluid. different degrees, and receive and commu- Heat and cold are perceptions of which nicate it with different celerity. From the we acquire the ideas from the senses; they generation, communication, and abstraction indicate only a certain State in which we find of this repulsive motion, under these laws, ourselves, independent of any exterior ob- all the phenomena ascribed to heat are ject. But as these sensations are for the most explicable. part produced by bodies around us, we con- Each of these theories has been supporte j • ■ ^ , J. .1, .^ i ^ • 1 J • which has been introauced into France, our bodies, their contac gives us what is since the revolution, under the name of the called the sensation of cold. Centigrade thermometer ; and the freezing The eirects ot heat upon material bodies „• t? • .i • ■ .i +1 „ * ^d , I „u- u -1 • -1.1 ^ point IS in this, asm the thermometer 01 Reau- m general, which are easuv visible to ns, „ c j * At /-\ j ii i« ^tr J ■ J j'^^x • X ■ J- mur, fixed at 0=*. One degree on the scale afford more precise and determinate indi- ^^ Fahrenheit, appears, from this account, to rations of the iBtensity, than can be derived ,^ ^ ^^, ig^ths of a degree on that of from our teelings alone. The ingenuity ot t> ^ j * = r^iu /■ j - »u <- the philosopher\nd artist has therefore fur- ^SE ^ ^^'"'' "'^ nished us x^^th instruments for measuring ^he space in Delisle's thermometer be- the relative heat or temperature of bodies. , Ji c ■ j i, -i- ■ * • j- These instruments are called Thermomeipr^ ^^^^" ^^^ freezing and boding points is di- ^«rP™!^F? R !if ifrmometers ^^j^^^ j^^^ 150o,but the graduation begins at and lyrometers. By these, all degrees are ^i i -i- - - j • ^ * j ti, v^«.„^„'^„M„ f ^ iu T v. ,,";,. f the boihng point, and increases towards the measurable, from the slightest, to that of /• • ° • ^ r^i i, -t • ^ • ™ i j the most intense heat freezing point. The boding point is marked tne most intense heat. ^^ ^^^ freezing point 150°. Hence 180 1. JVature of the Thermometer. ^ -.—IBO D, or 6 F :=5 D. To reduce A thermometer is a hollow tube of glass, the degrees of Delisle's thermometer under hermetically sealed, and blown at one end the boiling point to those of Fahrenheit ; we intheshape of a hollow globe. Thebulband have F:=2l2 — 6-5 D; to reduce those part of the tube are filled with mercury, a&oi'e the boiling point F:=: 212 ^f^ 6-5 D, Avhich is the only fluid which expands Upon the knowledge of this proportion it is equally. When we immerse the bulb of the easy for the student to reduce the degrees of thermometer in a hot body, the mercury any of these thermometers into the degrees expands, and of course rises in the tube ; but of any other of them, when we plunge it into a cold body, the mer- 1 ^^ , />./ n cuiy contractstand of course/a?/sin the tube. ^- "^"^"''^ "f^^'' Pyrometer. The rising of the mercury indicates, To meEisure those higher degrees of heat Ibejefore, an increase of heat; its falling, to which the thermometer cannot be applied, a diminution of it ; and the quantity which there have been other instraments invented it rises or falls, denotes the proportion of by diffeient philosophers : these are called increase or diminution. To facilitate ob- pyrometers. The most celebrated instru- servation, the tube is divided into a number raent of this kind, and which has been of equal parts, called degi-ees. adopted into general use, is that invented Further, if we plunge a thermometer by the late ingenious Mr. Wedgwood, ever so often into melting snow or ice, it This instrument is also sufficiently simple, will always stand at the same point. Hence It consists of two pieces of brass fixed on a we learn that snoiv or ice always begins to plate, so as to be 6-lOths of an inch asunder melt at the same temperature. at one end, and 3-lOths at the other ; a scale If we plunge a thermometer repeatedly is marked upon them, which is divided into into water keptboiling,we find thatthe mer- 240 equal parts, each 1-lOlh of an inch ; and cury rises up to a certain point. This is withthis his gauge, are furnished a sufficient jmmber of pieces of baked clay, which must have been prepared in a red heat, and must be of given dimensions. These pieces of day, thus prepared, are first to be applied cold, to the rule of the gauge, that there may no mistake take place in regard to their dimensions. Then any one of them is to be exposed to the heat which is to be measured, till it shall have been completely penetrated by it. It i.s then removed and applied to the gauge. The difference between its former and its present dimensions, Avill show how much it has shrunk ; and will consequently indicate to what degree the intensity of the heat to which it was exposed amounted. High temperatures can thus be ascertain- ed with accuracy. Each degree of Wedg- wood's pyrometer is equal to 130° of Fah- renheit's. Exceptions to the Expansion by Heat. Philosophers have noticed a few excep- tions to the law of heat expanding bodies. For instance ; water, when cooled down within about 7° of the freezing point, in- stead of contracting on the farther depriva- tion of heat, actually expands. Another seeming exception is manifested in aluraine, or clay; others occur in the case of cast-iron, and a few other metals. Alu- mine contracts on being heated, and cast- iron, bismuth, he. when fully fused, are more dense than when solid ; for, as soon as they become so, they decrease in density, they expand in the act of cooling, and hence the sharpness of figures upon iron v/hich has been cast in moulds, compared to that of many other metals. Some philosophers have persuaded them- selves that these exceptions are only appa- rent, but not really true. They say vv^hen water freezes, it assumes a crystalline form, the crystals cross each other and cause nu- merous vacuities, and thus the ice occupies more space. The same is the case with fused iron, bismuth, and antimony. The contrac- tion of clay is considered owing to the loss of water, of which it loses a part at every !:> creased degree of temperature hitherto tried ; there is therefore a loss of matter ; and a reduction of volume must follovf : but others assert, that this only happens to a certain extent. Mr. Tilloch has published a brief exami- nation of the received doctrines respecting heat and caloric, in which these truths are more fully considered, together with many other interesting facts relative to the received notions of heat. Equal Distribution of Heat. If a number of bodies of different tempe- ratures are placed in contact with each other, they will all at a certain time acquire a temperature, which is intermediate ; the caloric of the hottest body will diffuse itself among those which are heated in a less de- gree, till they have all acquired a certain mean 'emperature. Thus, if a bar of iron which CAJ. 367 has been made red-hot be kept in the open air, it does not retain the heat which it had received, but becomes gradually colder and colder, till it arrives at the temperature of the bodies in its neighbourhood. On the other hand, if we cool down the iron bar by keeping it for some time covered with snow, and then cairy it into a warm room, it does not retain its low temperature, but becomes gradually hotter, till it acquires the temperature of the room. It is therefore obvious, that in the one instance the tempe- rature is lowered, and in the other it is raised . These changes of temperature occupy a longer or a shorter time, according to the nature of the body, but they always take place at last This law itself is, indeed, familiar to every one : Avhen we wish to heat a body, we carry it towards the fire : when we wish to cool it, we surround it by- cold bodies. Propagation of Heat. We have seen, that when bodies of higher temperature than others are brought into contact with each other, the heat is propa- gated from the first to the second, or the colder bodydeprives the warmer of its excess of heat. — We shall now see that some bo- dies do so much more quickly than others. Through some bodies caloric passes witlx undiminished velocity, through others its passage is prodigiously retarded. This disposition of bodies of admitting^ under equal circumstances, the refrigeration of a heated body within a shorter or a longer time, is called the power conducting heat ; and a body is said to be a better ov worse con- ductor of heat., as it allows the refrigeration to go on quicker or slower. Those bodies, therefore, which possess the property of let- ting heat pass with facility, are called good conductors, those through which it passes with difficulty are called bad conductors, and those through which it is supposed not to pass at all, are called non-conduct- ors : tJius we say, in common language, some bodies are warm, or capable of pre- serving w^armth, and from this arises the great diffei-ence in the sensation excited by different bodies, when applied at the same temperature to our organs of feeling. Hence, if we immerse our hand in mercury, we feel a greater sensation of cold than when we immerse it in water, and a piece of me- tal appears to be much colder than a piece of wood, though their temperatures, when examined by means of the thermometer, are precisely the same. It is probable that all solids conduct lieat in some degree, though they differ very much in their conducting power. Metals are the best conductors of heat ; but the conducting powers of these substances are by no means equal. Stones seem to be the next best con- ductors. Glass conducts heat very slowly; wood and charcoal still slower; and fea- Jher.s. silk, wooh and hain are still worse QM> CAL conductors than any of the substances yet mentioned. The best conductors of electricity and gal- vanism aie also the best conductors of heat. Experiment. — Take a number of straight wires, of equal diameters and lengths, but of different metals; for instance, gold, silver, copper, iron, &.c. ; cover each of them with a thin coat of v/ax, or tallow, and plunge their extremities into water, kept boiling, or into melted lead. The melting of the coat of wax will show that caloric is more quickly transmittedthrough some metals than others. It is on this account also, that the end of a glass rod may be kept red-hot for a long time, or even melted, without any inconve- nience to the hand which holds the other extremity ; though a similar metallic rod, heated in the same manner, would very soon become too hot to be held. Liquid and Aeriform Bodies convey Heat hy an actual Change in the Situation of their Particles. Count Rumford was the first who proved that fluids in general, and aeriform bodies, convey heat on a different principle from that observed in solids. This opinion is -pretty generally admitted, though various ingenious experiments have been made by different philosophers to prove the contrary. In water, for instance, the Count has proved that caloric is propagated principally in consequence of the motion which is occa- sioned in the particles of that fluid. All fluids are considered by him, strictly speaking, in a similar respect as non-conduct- ors of caloric. They can receive it, indeed, from other substances, and can give it to other substances, but no particle can either receive it from or give it to another particle of the same kind. Before a fluid, therefore, can be heated or cooled, every particle must go individually to the sub- stance from which it i-eceives or to which it gives out caloric. Heat being, therefore, only propagated in fluids, in consequence of the internal motion of their particles, which transport the heat ; the more rapid these motions are, the more rapid is the communication of heat. The cause of these motions is the change in the specific gravity of the fluid, occasioned by the change of temperature, and the rapidity is in propor- tion to the change of the specific gravity of the liquid by any given change of tempera- ture. The following experiment may serve to illustrate this theory. Take a thin glass tube, eight or ten inches long, and about an inch in diameter. Pour into the bottom part, for about the depth of one inch, a little water coloured with Brazil- wood, or litmus, and then fill up the tube with common water, extremely gently, so as to keep the two strata quite distinct from each other. Having done this, heat the bottom part of the tnbe over a lamp ; the coloured infusion will then ascend, and gradually tinge the whole fluid ; on the contrary if the heat be applied above, the water in the upper part of the tube may be made to boil, but the colouring matter wil' remain at the bottom undisturbed. The hea^ cannot act downwards to make it ascend. By thus being able to make the upper part of a fluid boil without heating the bottom part, water may be kept boiling for a consi- derable time in a glass tube over ice, with- out melting it. Other experiments, illustrating the same principle, may be found in Count Ruraford's excellent Essavs, especially in Essay the 7th; 1797. To this indefatigable philosopher we are wholly indebted for the above facts : he was the first who taught us that air and water were nearly non-conductors. The results of his experiments, which are contained in the above Essay, are highly interesting ; they also show that the conductingpowerof fluids is impaired by the admixture of fibrous and glutinous matter. Count Rumford proved that ice melted more than 80 times slower, when boiling- hot water stood on its surface, than when the ice was placed to swim on the surface of the hot water. Other experiments showed that water, only eight degrees of Fahren- heit above the freezing point, or at the tem- perature of forty degrees, melts as much ice,, in any given time, as an equal volume of that fluid at any higher temperature, pro- vided the water stands on the surface of the ice. Water, at the temperature of 41°, is found to melt more ice, when standing on its surface, than boiling water. It appears however that liquids are not, as he supposes, complete non-conductors of caloric: be- cause if heat be applied at top, it is capable of making its way downwards, through wa- ter for example, though very imperfectly and slowly. It becomes further evident fi'om the Count's ingenious experiments, that of the different substances used in clothing, hares' fur and eider-down are the warmest ; next to these, beavers' fur, raw silk, sheep's wool, cotton wool, and lastly, lint, or the scrapings of fine linen. In fur, the air interposed among its particles is so engaged as not to be driven away by the heat communicated thereto by the animal body ; not being easily displaced, it becomes a barrier to defend the animal body from the external cold. Hence it is obvious that those skins are warmest which have the finest, longest, and thickest fur ; and that the furs of the beaver, otter, and other like quadrupeds, which live much in the water, and the feathers of water-fowl, are capable of confining the heat of those animals in winter, notwithstanding the cold- ness of the water which they frequent. Bears, and various other animals, inhabitants of cold climates, which do not often take CA>L CAL 169 ike water, have their fur much thicker on their backs than on their bellies. The snow which covers the surface of the earth in winter, in high latitudes, is doubt- less designed as a garment to defend it against the piercing winds from the polar re- gions, which prevail during the cold season. Without dwelling farther upon the phi- losophy of this truth, we must briefly re- mark that the happy application of this law, satisfactorily elucidates some of the most in- teresting facts of the economy of nature. Theory of Caloric of Fluidity, or Latent Heat. There are some bodies which, when sub- mitted to the action of caloric, dilate to such a degree, and the power of aggregation sub- sisting among their particles is so much de- stroyed and removed to such a distance by the interposition of caloric, that they slide over each other in eveiy direction, and tlierefore appear in a fluid state. This phe- nomenon is called /ui-ion. Bodies thus ren- dered fluid by means of caloric, are said to Le fused, or melted; and those that are subject to it, are called fusible. The greater number of solid bodies may, by the application of heat, be converted into fluids. Thus metals^may be fused ; sulphur, resin, phosphorus, may be melted ; ice may be converted into w-ater, Sic. Those bodies which cannot be rendered fluid by any degree of heat hitherto knoviru, are called infusible. If the effects of heat under certain cir- cumstances, be carried still further than is necessary to render bodies fluid, vaporization begins ; the bodies then become converted into tlie Vapourous or gaseous stale. Vapori- zation, however, does not always require a previous fusion. Some bodies are capable of being converted into the vapourous state, without previously becoming fluid, and others cannot be volatilized at any tempe- rature hitherto known : the latter are term- ed fixed. Fluidity is therefore by no means essential to any species of matter, but always depends on the presence of a quantity of caloric. Solidity is the natural state of all bodies, and there can be no doubt that every fluid is capable of being rendered solid by a due reduction of temperature ; and every solid may be fused by the agency of caloric, if the latter does not decompose them at a tempe- rature inferior to that which would be ne- cessary for their fusion. Caloric of Fluidity. Dr. Black was the first who proved that, whenever caloric combines with asolid body, the body becomes heated only, until it is rendered fluid : and that, while it is acquir- ing the fluid state, its temperature remains stationary, though caloric is continued to be added to it The same i? tlie case when fluids are converted into the aeriform or va- pourous state. From these facts, the laws of latent heat have been inferred. The theory may be illustrated by means of the following ex- periments. If a lump of ice, at a low temperature, suppose at 22°, be brought into a warm room, it will become gradxially less cold, as may be discovei'ed by means of tlie thermo- meter. After a very short time, it will reach the temperature of 32°, (the freezing point;) but there it stops. The ice then begins to melt ; but the process goes ou very slowly. During the whole of that time its temperature continues at 32° ; and as it is constantly surrounded by warm air, we have reason to believe that caloric is constantly entering into it; yet it does not become hot- ter till it is changed into water Ice, there- fore, is converted into water by a quantity of caloric uniting with it. It has been found by calculation, that ice in melting absorbs 140° of caloric, the tem- perature of the water produced still remain- ing at 32°. Thisfact maybe proved in a direct manner. Take one pound of ice, at 32°, reduced to a coarse powder ; put it into a wooden bowl, and pour over it one pound of water, heated to 172'^ ; all the ice will become melted, and the temperature of the whole fluid, if examined by a thermometer, will be 32°; 140° of caloric are therefore lost, and it is this quantity which was requisite to con- vert the ice into water. This experiment succeeds better, if, instead of ice, fresh-fallen snow be employed. This caloric has been called latent caloric, because its presence is not measurable by the thermometer ; also more properly ca- loric of fluidity. Dr. Black has also ascertained by experi- ment, that the fluidity of melted wax, tallow, spermaceti, metals, &ic. is owing to the same cause; and Landriani proved, that this is the case with sulphur, alum, nitrate of potash, &.c. We consider it therefore as a general law, that whenever a solid is converted into a fluid, it combines with caloric, and that is the cause of fluidity. On the sudden transition of solids into fluids, is founded the -well-known Production of Artificial Cold, by means of Frigorific Mixtures. Anumber of experiments have been lately made by diiferent philosophers, in order to produce artificial cold. And as these me- thods are often employed in chemistry, witli a view to expose bodies to the influence of very low temperatures, we shall enumerate the diffBrent substances which may be made use of for that purpose, and the degrees of cold which they are capable of producfng. We are indebted fpr them to Pepys, Walkef , and Lowitz, ivO A TABtE OF FREEZING MIXTITRES. Mixtures. _ Thermometer sinks. | Muriate of ammonia Nitrate of potash - Water - - - - - 5 parts - 5 - 16 » — - - 5 parts - 5' - 8 - 16 From 50° to lO^. i Muriate of avnmoriia Nitrate of potash - Sulphate of soda - Water - - - - From 50=' to 4°. 1 Sulphate of soda - Diluted nitric cicid - - 3 parts - 2 ' From 50° to —3°. i Sulphate ot soda - Muriatic acid - - 8 parts - 5 From 50° to 0°. Snow - - - - Muriate of soda - 1 part - 1 From 32° to 0°. 1 i Snow, or pounded ice - Muriate of soda - 2 parts - 1 From 0° to —5°. 1 i Snow, or pounded ice - - 12 parts Muriate of soda - ". " ^ Muriate of ammonia and nitrate of potash - - - - 5 From —30 to —18°. j Snow, or pounded ice - Muriate of soda Nitrate of ammonia - 12 parts - 5 - 5 From —18° to —25°. ,1 Snow - - - - Diluted nitric acid - - 3 parts From 0° to —46°. Muriate of lime Snow - . - - - 3 parts - 2 From 320 to —50°. Potash . - - - Snow . - - - - 4 parts 3 From 32° to -—51°. Snow . - - - Diluted sulphuric acid Diluted nitric acid - - 8 partB - 3 ~ 3 From —10° to —56-, Snow . - - - Diluted sulphuric acid - 1 part - 1 From 20° to —60°. i Muriate of lime Snow - - - - - 2 parts - 1 From 0° to — 660. Muriate of lime Snow - - - - - 3 parts - 1 From — 40° to 73='. Diluted sulphuric acid Snow . - . - - 10 parts - 8 From —68° to —91°. | Nitrate of ammonia Water - . - . - 1 part > 1 From 50° to 4°. Niti'ate of ammonia Carbonate of soda Water - - - - - 1 part - 1 . 1 From 50° to — T°. - Sulphate of soda - Muriate of ammonia Nitrate of potash - Diluted nitric acid -. - 6 parts - 4 , 3 - 4 From 50° to — 10°. Sulphate of soda - Nitrate of ammonia Diluted nitric acid - - 6 parts - 5 - 4 From 50° to — 14°- Phosphate of soda - Diluted nitric acid - - y parts - 4 From 50°tQ— 12°. Phosphate of soda - Nitrate of ammonia Diluted nitric acid - - 9 parts - 6 - 4 From 50° to —21°. Sulphate of soda Diluted sulphuric acid - 5 parts - 4 From 50° to 3°. CAL CAL i7i Maiiagemeni of the preceding Mixlures for producing Cold. To produce the effects before stated, the salts mustbereducedto powder, and contain their full quantity of water of crystallization. The vessel in which the freezing mixture is made, should be very thin, and just large enough to hold it, and the materials should be mixed together as expeditiously as pos- sible, taking care to stir the mixture at the same time with a rod of glass or wood. In order to obtain the full effect, the materials ought to be first cooled to the temperature marked in the table, by in- troducing them into some of the other frigorific mixtures, and then mingling them together in a similar mixture. If, for in- stance, we wish to produce — 46°, the snow and diluted nitric acid ought to be cooled down to 0°, by putting the vessel which contains each of them into the fifth freezing mixture in the above table, before they are mingled together. If a more intense coM be required, the materials to produce it are to be brought to the proper temperature by being previously placed in the second freezing mixture. This process is to be continued till the required degree of cold has been procured. Conversion of Solids and Fluids into the Mriform or Gaseous State. We have seen before, that in order to render solids fluid, a certain quantity of caloric is necessary, which combines with the body, and therefore cannot be measured by the thermometer; we shall now endea- vour to prove, that the same holds good in respect to the conversion of solids or fluids into the vaporous or gaseous state. Take a small quantity of carbonate of ammonia, introduce it into a retort, the neck of which is directed under a cylinder filled •with mercury and inverted in a bason of the same fluid. On applying heat to the body of the retort, the carbonate of ammonia will be volatilized, it will expel the mercury- out of the. cylinder, and become an invisi- ble gas/and would remain so, if its tempe- rature was not lowered. The same is the case v.-ith benzoic acid, champhire,and various other substances. All fluids may, by the application of heat, be converted into an aeriform elastic state. When we consider water in a boiling state, we find that this fluid, when examined by the thermometer, is not hotter after boiling several hours, than when it began to boil, though to maintain it boiling a brisk fire must necessarily be kept up. What then, we may ask, becomes of the wasted caloric .'' It is not perceptible in the water, nor is it manifested by the steam ; for the steam, if not compressed, upon examination is found not to be hotter than boiling water. The caloric is therefore absorbed by the steam, and although what is so absorbed, is abso- lutely necessary for the conversion of water into the form of steam ; it does not increase its temperature, and is therefore not appre- ciable by the thermometer. The conclusion is further strengthened by the heat given out by steam on its being condensed by cold. This is particularly manifested in the condensation of this fluid in the process of distilling, where upon ex- amining the refrigeratory, it will be found that a much greater quantity of caloric is communicated to it, than could possibly have been transmitted by the caloric which was sensibly acting before the condensation. This may be easily ascertained by observing the quantity of caloric communicated to the water in the refi-igeratory of a still, by any given quantity of liquid that passes over. 1. The boiling point, or the temperature at which the conversion of fluids into gases takes place, is different in different fluids, but constant in each, provided the pressure of the atmosphere be the same. Put any quantity of sulphuric ether into a Florence flask, suspend a thermometer in it, and hold the flask over an Argand's lamp, the ether will immediately begin to boil, and the thermometer will indicate 98°, if the ether has been highly rectified. If highly rectified ardent spirit is heated in a similar manner, the thermometer will rise to 176°, and there remain stationary. If water is substituted, it will rise to 212°. If strong nitrous acid of commerce be made use of, it will be found to boil at 248° ; — -sulphuric acid and linseed-oil at 600°; — mercury at 656°, Sic. 2. The boiling point of fluids is raised by pressure. Mr. Watt heated water under a strong pressure to 400°. Yet still when the pressure was removed, only part of the water was converted into vapour, and the temperature of this vapour, as well as that of the remain- ing fluid, was no more than 212°. There was therefore 188° of caloric suddenly lost. This caloric was carried oflF by the steam. Now as only about one-fifth of the water was converted into steam, that steam must contain not only its own 188°, but also the 188° lost by each of the other four parts ; that is to say, it must contain 188° X 5, or about 940°. Steam, therefore, is water eom- bined with at least 940° of caloric, the presence of which is not indicated by the thermometer. 3. When pressure is removed from the surface of bodies, their conversion into the gaseous state is greatly facilitated, or their boiling poini is lowered. In proof of this the following experimentg may serve : Let a small bottle be filled with highly- rectified sulphuric ether, and a piece of wetted bladder be tied over its orifice avoujicT CAL CAL its neck. Transfer it under the receiver of an air pump, and take away the super- incumbent pressure of the air in the recei- ver. When the exhaustion is complete, pierce the bladder by means of a pointed sliding wire, passing through a collar of leather which covers the upper opening of the receiver. Having done this, the ether will instantly begin to boil, and become converted into an invisible gaseous fluid. Take a small retort or Florence flask, fill it one half or less with water, and make it boil over a lamp ; when kept l)riskly boiling for about five minutes, cork the rnouth of the retort as expedi- tiously as 2)ossible, and remove it from the lamp. The water, on being removed from the .source of heat, will keep boiling for a few minutes, and when the ebullition begins to slacken, it may be renewed by dipping the retort into cold water, or pouring cold water upon il. The waier during boiling, becomes con- verted into vapour; this vapour expels the air of the vessel, and occupies its place ; on diminisliing the heat, it condenses ; when the retoi't is stopped, a partial vacuum is formed; the pressure becomes diminished, and a less degree of heat is sufficient to cause an ebullition. i-'or the same reason, water may be made to boil under tlie exhausted receiver at 94° Fahr. or even at a lower degree; alcohol at 560 ; and ether at —20°. On the conversion of fluids into gases is founded the following experiment, by "which water is frozen by means of sulphuric ether. Take a thin glass tube four or five inches long and about two or three-eighths of an inch in diameter, and a two-ounce bottle furnished with a capillary tube fitted to its neck. In order to make ice, pour a little water into the tube, taking care not to wet the (Uitside, nor to leave it moist. Having done this, Jet a stream of sulphuric ether i'all through the capillary tube upon that part of it containing the water, which by liiis means will be converted into ice in a f^w miiUite.'^, and this it will do even near a ijre 01' in the midst of summer. If the glass tuije, containing the water, be exposed to the brisk thorough air, or free draught of an open window, a large quan- tity of water may be frozen in a shorter time; and if a liiin spiral wire be introduced pre- vious to tlie congelation of the water, the ice will adhere to it, and may thus be drawn out conveniently. A person might be easily frozen to death tluringvery warm weather, by merely pour- ing u])on his body for some time sulphuric etiier, and keeping him exposed to a tho- roui^h draught of air. .'Artificial Refrigeraiion. The cooling or refrigeration of rooms iri the summer season by sprinkling them with water, becomes likewise obvious on this account. The method of making ice artificially in the East Indies depends on the same principle. The ice-makers at Benares dig pits in large open plains, the bottom of which they strew with sugar-canes or dried stems of maize or Indian-corn. Upon this bed they place a number of unglazed pans, made of so porous an earth that the water penetrates through their whole substance. These pans are filled towards evening in the winter season with water that has boiled, and left in that situation till morning, when more or less ice is found in them, according to the temperature and other qualities of the air ; there being more formed in drj and warm weather, than in that which is cloudy, though it may be colder to the human body. Every thing in this process is calculated to produce cold by evaporation ; the beds on which the pans are placed, sutfer the air to have a free passage to their bottoms ;, and the pans constantly oozing out water to their external surface, are cooled by the evaporation of it. In Spain, they use a kind of earthen jars, called buxaros, which are only half-baked, the earth of which is so j)orous, that the outside is kept moist by the water which filters through it, and though placed in the sun, the water in the jar becomes as cold as ice. It is a common practice in China to cool Avine or other liquors by wrapping the l)ottle in a wet cloth, and hanging it up in the sun. The water in the cloth be- comes converted into vapour, and thus cold is produced. The Blacks in Senegambia have a similar method of cooling v ater by filling tanned leather bags with it, which they hang up in the sun ; the water oozes more or less through the leather so as tOjkeep the outward surface wet, which by its quick and continued evaporation cools the water remarkably. The winds on the borders of the Persian Gulph are often so scorching, that travel- lers are suddenly suffocated unless they cover their heads with a wet cloth ; if this be too wet, they immediately feel an intole- rable cold, which would prove fatal if the moisture was not speedily dissipated bv the heat. Condensation of Vapour. If a cold vessel is brought into a ■warm room, particularly where many people are assembled, the outside of it will soon be- come covered with a sort of dew. Before some changes of weather, the stone pavements, the walls of a house, the balustrades of staircases and other solid ob- jects, feel clammy and damp. V CAL ■ill frosty nights, when the ah" abroad is colder than the air within, the dampness of this air, for the same reason, settles on the glass panes of the windows, and is there frozen into curious and beautiful figures. Thus fogs and deivs take place, and in the higher regions clouds are formed from the condensed vapour. The still greater con- densation produces mists and rain. Capacity of Bodies for containing Heat. The property which different bodies pos- sess, of containing at the same temperature, and in equal quantities, either of mass or bulk, unequal quantities of heat, is called their capacity for heat. The capacities of bodies for heat are therefore considered as great or small in proportion as their tempe- ratures are either raised by the addition, or diminished by the deprivation, of equal quantities of heat, in a less or a greater degree. In homogeneous bodies, the quantities of caloric which they contain are in the ratio of their temperature and mass : when there- fore equal quantities of water, of oil, or of mercury, of unequal temperatures, are mingled together, the temperature of the whole will be the arithmetical mean between the tem.peratures of the two quantities that had been mixed together. It is a self-evident truth that this should be the case, for the particles of different jjortions of the same substance being alike, their effects must be equal. For instance: Mis a pound of water at 172° with a pound at 32°, half the excess of heat in the hot water will quit it to go over into the colder portion ; thus the hot water will be cooled 70°, and the cold will receive 70° of temperature ; therefore 172 — 70, or 324-70 ==102 Will give the heat of the mixture. To attain the arithmetical mean very ex- actly, several precautions however are ne- cessary. When heterogeneous bodies of different temperatures are mixed together, the tem- perature produced is never the arithmetical mean of the two original temperatures. In order to ascertain the comparative quantities of heat of different bodies, equal weights of them are mingled together ; the experiments for this purpose being in gene- ral more easily executed tlian those by which they are compared from equal bulks. Thus, if one pound of mercury heated to 110° Fahr., be added to one pound of water of 44°, the temperature of the blended (luids will not be changed to 77°, as it would be if thesurplusof heat were divided amonf'tiiose fluids in the proportion of their quantities. It will be found, on examination, to be only On the contrary, if the pound of mer- cury be heated to 44°, and the ivater to 110°, then on stirring them together, the common temperaturewillbc 107°. CAL 173 Hence, if the quicksilver loses by this distribution 63° of caloric, an equal weight of water gains only 3° from this loss of 63° of heat. And on the contrary, if the water loses 3°, the mercury gains 63°. When, instead of comparing the quanti- ties of caloric which equal weights of different bodies contain, we compare the quantities contained in equal volumes, we still find that an obvious difference takes place. Thus it is found by experiment, that the quantity of caloric necessary to raise the temperature of a given volume of water any number of degrees, is, to that necessary to raise an equal volume of mercury, the same number of degrees as 2 to 1. This is therefore the proportion between the comparative quan- tities of caloric which these two bodies con- tain, estimated by their volumes ; and simi- lar differences exist with respect to every other kind of matter. From the nature of the experiments by which the quantities of caloric which bodies contain are ascertained, it is evident that we discover merely the compurative, not the absolute quantities. Hence water has been chosen as a standard, to which other bodies may be referred ; its capacity is stated as the arbitrary term of 1000, and with this the capacities of other bodies are compared. It need not be told that pains have been taken to estimate on these experiments that portion of heat which diffuses itself into the air, or into the vessel where the mercury and water are blended together. As however such valuations cannot be made Avith con- plete accuracy, the numbers stated above are only an approximation to truth. Radiation of Caloric. Caloric is thrown off or radiates from heated^ bodies in right lines, and moves through space with inconceivable velocity. It is retarded in its passage by atmosphcru- air, by colourless fluids, glass, and other transparent bodies. If a glass mirror be placed before a fire, (he mirror transmits the rays of light, l,!it not the rays of heat. If a plate of glass, talc, or a glass vessel filled witli water be suddenly interposed between tiie fire and the eye, the rays of light pass through it, but the rays of caloric are considerably retarded in its passage ; for no heat is perceived until the interposed substance is saturated with heat, or has reached its maximum. It then ceases to intercept the rays of caloric, and allows them to pass as freely as the ravs of light. It has been lately shown by Dr. Herschel, that the rays of caloric are refrangible, but less so than the rays of light ; and the same philosopher has also proved by experiment, that it is not only the rays of caloric emitted by the sun, v>^hich are refrangible, batb'kf--. 174 CAL CAL wise the rays emitted by common fires, by candles, by heated iron, and even by hot water. Whether the rays of caloric are differently refracted, in different mediums, has not yet been ascertained. We are certain however, that they are refracted by all transparent bodies which have been employed as burning glasses. The rays of caloric are also reflected by polished surfaces, in the same manner as the rays of light. This was long ago noticed by Lambert, Saussure, Scheele, Pictet, and lately by Dr. Herschcl. Professor Pictet placed two concave me- tallic mirrors opposite to each other, at the distance of about twelve feet. When a hot body, an iron bullet for instance, was placed in the focus of the one, and a mercurial thermometer in that oftbe other, a substance radiated from the bullet ; it passed with in- calculable velocity through the air, it was reflected from the m'irrors, it became con- centrated, and influenced the thermometer placed in the focus, according to the degree of its concentration. An iron ball two inches in diameter, heated so tliat it was not luminous in the dark, i-aised the thermometer not less than ten and a half degrees of Reaumur's scale, in six minutes. A lighted candle occasioned a rise in the thermometer nearly the same. A Florence flask containing two ounces and three draclims of bailing water, raised Fahrenheit's thermometer three degrees. lie blackened the bulb of his thermometer, and found that it was more speedily influ- enced by the radiation than before, and that it rose to a greater height. M. Pictet discovered another very singular fact ; namel}^, the apparent radiation of cold. When, instead of a heated body, a Florence flask full of ice or snow is placed in the focus of one of the mirrors, the thermometer placed in the focus of the other immediately descends, and ascends again whenever the cold body is removed. This phenomenon may be explained on the supposition, that from every body at every temperature caloric radiates, but in less quantity as tlie ten;nerature is low ; so that in the above experiment, the thermo- meter gives out more caloric by radiation, than itreceivesfrom the body in the opposite focus, and therefore its temperature is low- ered. Or, as Pictet has supposed, when a jiumber of bodies near to each other have the same temperature, there is no radiation of caloric, because in ali of them it exists in a slate of equal tension ; but as soon as a body at an inferior temperature is intro- duced, the balance of tension is broken, and caloric begins to radiate from all of tbem, till the temperature of that body is raised to an equality with theirs. In the above expe- riment therefore, the placing the snow ov ice in the focus of the mirror causes the radiation of caloric f7-om the thermometer^ and hence the diminution of temperature which it suffers. These experiments have been since re- peated by Dr. Young and Professor Davy, at the theatre of the Royal Institution. These gentlemen inflamed phosphorus by reflected caloric ; and proved that the heat thus excited, was very .sensible to the organs of feeling. It is therefore evident, that caloric is thrown off from bodies in rays, which are invisible, or incaple of exciting vision, but which are capable of exciting heat. These invisible rays of caloric are propa- gated in right lines, with extreme velocity ; and are capable of the laws of reflection and refraction. The heating agency however is different in the different coloured rays of the prisma- tic spectrum. According to Dr. Herschel's experiments, it follows inversely the order of the refrangibility of the rays of light. The least refrangible, possessing it in the greatest degree. Sir Henry Englefieid has lately made a series of experiments on the same subject, from which Ave learn, that a thermometer having its ball blackened, rose when placed in the blue ray of the prismatic spectrum in 3' from 55- to 56° ; in the green, in 3' from 54° to 58° ; in the t/cUow, in 3' from 56° to 62° ; in the full red, in 2 1-2' from 56° to 72° ; in the confines of the red, in 2 1-2' from 58° to 73 1-2° : and guite out of the visible light, in 2 1-2' from 61° to 79°. Between each of the observations, the thermometer was placed in the shade so long as to sink it below the heat to which it had risen in the preceding observation, of course its rise above that point could only be the effect of the ray to which it was exposed. It was continued in the focus long after it had ceased to rise ; therefore the heats given are the greatest effects of the several rays on the thermometer in each observation. A thermometer placed constantly in the shade near the apparatus, was found scarcely to vary during the experiments. Sir Henry made other experiments with thermometers with naked balls, and with others whose balls were painted white, for , which we i-efer the reader to the'interesting paper of the Baronet, from which the above experiments are transcribed. The coloured rays emitted from the sun, and combustible bodies, since they excite heat and vision, must consist of a mixture of heat-making rays, and rays of light. And as the rays of heat and light accom- pany each other, when emitted from lumi- nous bodies, the velocKy with which the rays of caloric move, must be equal to that of light, and hence its particles must be equally minute. Thev differ however iil CA£ CAL m this particular, that the rays of light pro- duce the sensation of vision, and possess certain chemical properties, whilst in those of caloric the peculiar agency of heat re- sides. CALORIMETKR. An instrument by which the whole quantity of absolute heat existing in a body in chemical union can be ascertained. CA'LTHA, (KaxBct, corrupted from yttx^a, yellow, from whence, saysVossius, come calthula, caldula, caledula, calendula.) Marsh marigold. 1. The name of a genus of plants in the Linnaean system. Class, Polyandria. Order, Polygynia. 2. The pharmacopceial name of the herb wild marigold, so called from its colour. Ca'ltha arve'nsis. Calendula arvensis. Caltha vulgaris. The wild mai-igold is some- times preferred to the garden marigold. Its juice is given, from one to four ounces, ill jaundice and cachexia; and the leaves are commended as a salad for children afiSicted with scrofulous humours. Ca'ltha palu'stris. Common single marsh marigold. It is said to be caustic and deleterious ; but this may be ques- tioned. The young buds of this plant make, when properly pickled, very good substitutes for capers. Ca'ltha volga'kis. See Caltha arvensis. Ca'lthula. The caltha is so called. Caltrops. See Trapa natans. CALU'MBA. The name now adopted by the London college of physicians for the columbo. Colombo. Calomba. Colomba. The root formerly so called, is now termed Ca- lumbcE radix in the London pharmacopoeia. It is imported from Colomba, in Ceylon, in circular, brown knobs, wrinkled on their outer surface, yellowish within, and consist- ing of cortical, woody, and medullary laminae. Its smell is aromatic ; its taste pungent, and very bitter. From Dr. Per- cival's experiments on the root, it appears that rectified spirit of wine extracts its virtues in the greatest perfection. The watery infusion is more perishable than that of other bitters. An ounce of the powdered root, half an ounce of orange-peel, two ounces of brandy, and fourteen ounces of water, macerated 12 hours without heat, and then filtered through paper, afford a sufficiently strong and tolerably pleasant infusion. The extract made first by spirit and then with water, and reduced by evapo- ration to a pilular consistence, is found to be equal, if not superior in efllcacy, to the powder. As an antiseptic, Calumba root is inferior to the bark ; but, as a corrector of putrid bile, it is much superior to the bark ; whence also it is probable, that it would be of service in the West-India yellow fever. It also restrains alimentary fermentation, -.vithout impairing digestion ; in which pro- perty it resembles mustard. It does not appear to have the least heating quality, and therefore may be used in phthisis pulmonalis, and in hectic cases, to strengthen digestion. It occasions no disturbance, and agrees very well with a milk diet, as it abates flatulence, and is indisposed to acidity. The London, Edinburgh, and Dublin colleges, direct a tincture of Calumba root. The dose of the powdered root is as far as half a drachm, which, in urgent cases may be repeated every third or fourth hour. Ca'lva. (From calvus,hs\i.) The scalp or upper part of the cranium or top of the head ; so called because it often grows bald first. CALVA'RIA. (From calvus, bald.) The upper part of the cranium which becomes soon bald. It means all above the orbits, temples, ears and occipital eminence. Calvi'ties. (From calvus, bald.) Cal- riiium. Baldness ; want or loss of hair, particularly upon the sinciput. CALX, {-cis, fcem. from kalah, to burn, Arab.) 1. Chalk. Limestone. 2. Lime. Calx viva. The London College direct it to be prepared thus : — Take of lime- stone one pound : break it into small pieces, and heat it in a crucible, in a strong fire, for an hour, or until the carbonic acid is entirely driven off, so that on the addition of acetic acid, no bubbles of gas shall be extricated. Lime may be made by the same process from oyster-shells previously washed in boiling water, and cleared from extraneous matters. See Lime. Ca'lcis li'c^uoe. Solution of lime, for- merly called aqua calcis. Lime-water. '• Take of lime, half a pound ; boiling dis- tilled water, twelve pints. Pour the water upon the lime, and stir them together; nest cover the vessel immediately, and let it stand for three hours ; then keep the so- lution upon the remaining lime in stopped glass bottles, and pour otf the clear liquc- when it is wanted for use." Lime is soluble in about 450 times V-s weight of water, or little more than one grain in one fluid-ounce. It is given in- ternally, in doses of two ounces and up- wards, in cardialgia, spasms, diarrhoea, &c. and in proportionate doses in convulsions of children arising from acidity, or ulcerated intestines, intermittent fevers, &,c. Exter- nally it is applied to burns and ulcers. Ca'lcis mu'rias. Calx salita. Salammo- niacusfixus. Muriate of lime. " Take of the salt remaining after the sublimation of subcarbonateof ammoniatm'O pounds, water a pint ; mix and filter through paper. Eva- porate the salt to dryness ; and preserve it in a closely stopped vessel." This prepara- tion is exhibited with the same views as the muriate of bary tes. It possesses deobslru - ent, diuretic, and cathartic virtues, and is much used by th& celebrated Fo'n'croi- 116 CAM CAM ao-ainst scrofula, and oilier analogous dis- eases. Six, twelve, and twenty grains, are given to children three times a day, and a drachm to adults. Ca'lcis muria'tis li'quor. " Take of muriate of lime two ounces, distilled water three fluid-ounces ; dissolve the salt in the water, and filter it through paper." Calx antimo'nii. See Antimonii oxydum. Calx cum ka'li pu'ro. The preparation formerly called by this name, is now termed, in the London pharmacopojia, potassa cum calce. Calx hydra'rgyri a'lba. See Hydrar- gyrum prcBcipitatum album. Calx viva. See Calx. Caly'pter. (From kakv^to), to hide.) A carneous excrescence covering the he- morrhoidal vein. Ca'mara. (From «st^ap*, a vault) Ca- mariwm. The fornix of the brain : also the vaulted part of the auricle of the heart. Cama'rium. (From Ki.wapa, a vault.) See Camara. Camaro'ma. (From nufx^tfa, a vault.) Camarosis. Camaratio. A fracture of the skull, in the shape of an ai'ch or vault. Ca'mbing. a tree of the Molucca is- lands, whose bark has been recommended in dysenteries. Cambirea. So Paracelsus calls the ve- nereal bubo. Ca'mbium. (Fi'om cambio, to exchange.) That nutritious humour which is changed into the matter of which the body is com- posed. Cambo'dia. See Slalagmitis. Cambo'gia. (From the province of Cam- baya, in the East Indies ; called also Cam- hodja and Cambogia ; hence it has obtained its names of Cambodia. Cambogium. Gam- bogia. Gambogium.) See Slalagmitis. Cambo'gia gu'tta. See Slalagmitis. Cambo'gium. (From the province of Cambogia, whence it was brought.) See Slalagmitis. Cambro-brita'nnica. See Rubus Cha- mcemorus. Cambu'ca. Cambuta membrata. So Pa- racelsus calls the venereal cancer. Also by some it is described as a bubo, an ulcer, an abscess on the pudenda ; also a boil in the groin. Ca'mbui. The wild American myrtle of Piso and Margrave, which is said to be as- tringent. CavieVs hay. See Andropogon Schcenan- ■ thus. CA'MERA. Chamber or cavity. The chambers of the eye are termed camerae. Camera'tio. See Camaroma. Ca'mes. Camtt. Silver. Cami'nga. See Canella alba. Ca'minus. A furnace and its chimney. Ill Fvulandus it signifies a bell. Cami'sia fce'tu5. (From the Arabic term kamisah, an under garment; The sliirt of the foetus. It is frequently ftuf for the chorion. Ca'momile. See Anthemis nobilis. Ca'momiU, siivMng. See Anihemis co- tula. Camomi'lla. Corrupted from chama?- melum. Ca'mmorum. (k«^^o/i!!1», quia homines, Ku.y^fl /j.opa>, perimat; because if eaten, it brings men to a miserable end.) A species of monkshood. See Aconitum. Campa'na. a bell. In Chemistry, a receptacle like a bell, for making sulphu- ric acid ; thus the oleum sulphui-is per campanam. CAMPA'iNULA. (From campana, a bell, named from its shape.) The bell- flower. The name of a genus of plants in the Linuffian system. Class, Pentan- dria. Order, Monogynia. Ca'mpe. (From Ko.fjt.Tcvctt, to bend.) A flexure or bending. It is also used for the ham, and a joint, or articulation. Campea'chy wood. See Hamatoxylon Campechianum. Campeche'nse li'gnum. See Hccma- toxylon Campechianum. CAMPER, Peter, was born at Leydea in 1722, where he studied under Boerhaave, and took his degree in medicine. He then travelled forsome years, and was afterwards appointed a professor successively at Fra- neker, Amsterdam, andGroningen. He was subsequently occupied in prosecuting his favourite studies, in visiting various parts of Europe, by the different societies of which he was honourably distinguished, and in performing many public duties in his own country, being at length chosen one of the council of state. He died in 17S9 of a. pleurisy. He published some improvements in midwifery and surgery, but anatomy ap- pears to have been his favourite pursuit. He finished two parts of a work of considerable magnitude and importance, in which the healthy and morbid structure of the arm, and of the pelvis, are exhibited in very accu- rate plates, from drawings made by himself : which he appears to have purposed extending to the other parts of the body. There are also some posthumous works of Camper possessing great merit, partly on subjects of natural history, partly evincing the connex- ion between anatomy and painting ; in which latter judicious rules are laid down for exhibiting the diversity of features in persons of various countries and ages, and representing the different emotions of the mind in the countenance, also for delinea- ting the general forms of other animals, which he shows to be modified according to their economy. Ca'mphire. See Laurus camphora. Ca'mphor. See Laurus camphora. CA'MPHORA. (Camphura.. Arab CAM CAPS IV. 'llie ancients by camphor meant what now is called asphaltum, or Jew's pitch ; Kx^ovfia.) See Laurus camphora. Ci'MPHORiE flo'ees. The subtile sub- stance which first ascends in subliming camphor. It is nothing more than the camphor. Ci'MPHOR^; flo'res cOMPo'siTi. Cam- phor sublimed with benzoin. CA'MPHORAS. A salt formed by the union of the camphoric acid with differ- ent bases : thus camphorate of alumine, cam- phorate of ammonia, &.c. Camphora'sma. (From camphora; so called from its camphor-like smell.) Turkey balsam. See Dracocephalum. Camphora'ta. See Camphorosma. Camphora'tum o'leum. a mixture of olive oil, two parts, with one of camphor : of use in inflammatory swellings of the throat, if mixed with a proper cataplasm and applied to it. In ascites, when the ab- domen is much distended, if rubbed on freely every night and morning, it is sup- posed to be useful. CAMPHORIC ACID. Acidum cam- phoricum. If nitric acid be distilled several times (six or eight) from camphor, a crys- tallized salt is obtained, called the acid of camphor, which reddens syrup of violets an>d the tincture of turnsole. Its taste is bitter, and it differs from oxalic acid, in not precipitating lime from the muriatic acid. The union of this acid with different bases forms what are called camphorates, none of which have yet been used medicinally. CAMPHORO'SMA. (From camphora, and o(r^», smell ; so called from its smelling of camphire.) The camphor-smelling plant. 1. The name of a genus of plants in the Linnaean system. Class, Tdrandria. Or- der, Monogynia. 2. The pharmacopoeial name of the cam- phorata. See Camphorosma Monspeliensis. Camphorosma Monspeliensis. The sys- tematic name of the plant called camphorata in the pharmacopoeias. Chamcepeuce, Cam- phorata hirsuta. Camphorosma Monspeliaca. Stinking ground-pine. This plant, Cam- phorosma MonsptUcnsis ; foliis hirsutis linea- ribus, of Linnajus, took its name from its smell resembling so strongly that of cam- phor : it has been exhibited internally, in form of decoction, in dropsical and asthma- tic complaints, and by some is esteemed in fomentations against pain. It is rarely, if ever, used in modern practice, Ca'm'pter. (From Ka/nvlce, to bend.) An inflexion or incurvation. Ca'mpuluai. (From Ka/tATrro!, to twist about.) A distortion of the eyelids or other parts. Camptlo'tis. (From KXjUTr-jxog, bent.) A preternatural incurvation, or recurvation of a part; also, a distortion of the eye- jids. Ca'mpvlcm. See Campylolis. 23 Ca NABiL. A sort of medieinal earth. CiNABi'NA A^DATicA. See Bidtiis. Ca'nabis I'ndica. See Bangue and Can- nabus. Ca'nabis peregki'na. See Cannabis. Ca'nada balsam. See Pinvs Balsamea. Canadensis. (Brought from Canada.) A name of a balsam. See Pinus Balsamea. CANA'LES SEMICIRCULA'RES. Se- micircular canals. There are three in each ear placed in the posterior part of the la» byrinth. They open by five orifices into the vestibulum. See Ear. CJanali'culus. (Dim. o{ canalis, a chan- nel.) A little canal. See Canalis arte- riosus. CANA'LIS. (From pt^avo?, an aperture, or rather from canna, a reed.) A canal. A hollow round instrument like a reed, for embracingand holding a broken limb. The hollow of the spine. Also it is specifically- applied to many parts of the body ; as ca- Tldl'lS VGHOSUS* CANA'LIS ARTERIO'SUS. Canaliculus arteriosus. Canalis Botalii. A blood vessel jjeculiar to the fcetus, disappearing after birth ; through which the blood passes from the pulmonary artery into the aorta. CANA'LIS NASA'LIS. A canal going from the internal canthus of the eye downwards into the nose : it is situated in the superior maxillary bone, and is lined Avith the pituitary membrane continued from the nose. CANA'LIS PETITIA'NUS. A triangular cavity, naturally containing a moisture, between the two lamina^ of the hyaloid membrane of the eye, in the anterior part, formed by the separation of the anterior lamina from the posterior. It is named after its discoverer, M. Petit. Cana'lis semispetros. The half bony canal of the ear. CANA'LIS VENO'SUS. A canal pecu- liar to the fcEtus, disappearing after birth, that conveys the maternal blood from the porta of the liver to the ascending vtna cava. Cana'ry balm. See Dracocephalum. Ca'ncanum GRaico'RtTM. See Hymencca Courbaril. CANCE'LLl. Lattice-work; generally applied to the reticular substance in bones. Cahce'llds. (From cancer, a crab.) The wrong heir. Bernard the hermit. A spe.. cies of cray-fish supposed to cure rheunaa- tism, if rubbed on the part. CA'NCER. (From Bapwwc, a crab ; so called by the ancients, because it exhibited large blue veins like crab's claws.) 1. The name of a crab fish, from which the clieliE cancrorum, and oculi cancrorum, or lapides cancrorum are produced. The shell fish so called is the Cancer astacus of Lin- naeus: the ofiicinal preparations are never^ theless obtained also from the cancer gam- viurus, maciirus, and pagwrvs of Linna:ii3, MB CAxN CAN Crab's claws and crab's eyes, as tbey are called, which are concretions found in the stomach are of a calcareous quality, and possess antacid virtues. They are exhi- bited with their compounds in pyrosis, diarrhoea, and infantile convulsions from acidity. 2. The name of a disease likewise called Carcinoma, carcinos by the Greeks, Lupus by the Romans, because it eats away the flesh like a wolf. Dr. Cullen places this genus of disease in the class locales, and order tumores. He defines it a painful scirrhous tumour, terminating in a fatal ulcer. Any part of the body may be the seat of cancer, though the glands are most subject to it. It is distinguished according to its stages into ocxuU and open; by the former is meant its scirrhous state, which is a hard tumour that sometimes remains in a quiet slate for many years. When the cancerous action commences in it, it is attended with frequent shooting pains : the skin that covers it, becomes discoloured, and ulceration sooner or later takes place: when the disease is denominated open can- cer. Mr. Pearson says, " When a malig- nant scirrhns or a watery excrescence, hath proceeded to a period of ulceration, at- tended with a constant sense of ardent and occasionally shooting pains, is irregular in its figures, and presents an unequal surface; if it discharges sordid, sanious or fetid mat- ter ; if the edges of the sore be thick, indu- rated, and often exquisitely painful, some- times inverted, at other times retorted, and exhibit a serrated appearance ; and should the ulcer in its progress be frequently at- tended with haemorrhage, in consequence of the erosion of blood vessels; there will be lit- tle hazard of mistake in calling it a cancerous ulcer." In men, a cancer most frequently seizes the tongue, mouth, or penis ; in wo- men, the breasts or the uterus, particularly about the cessation of their periodical dis- charges ; and in children, the eyes. The following description of Scirrhns and Can- cer, from the above writer, will serve to elucidate the subject. A hard unequal tu- mour that is indolent and without any dis- eolouration in the skin, is called a scirrhns ; but when an itching is perceived in it, which is followed by a pricking, shooting, or lancinating pain, and a change of colour in the skin, it is usually denominated a can- cer. It generally is small in the beginning, and increases gradually ; but though the skin changes to a red or livid appearance, and the state of the tumour, from an indo- lent to a painful one, it is sometimes very difficult to say when the scirrhus really be- comes a cancer, the progress being quick or slow according to concijrring causes. When the tumour is attended with a peculiar kind of burning, shooting pains, and the skin hath acquired the dusky purple or livid hue, It may then be deemed the malignant scir- rhus or confirmed cancer. When thus far advanced in women's breasts, the tumour sometimes increases speedily to a great size, having a knotty unequal surface, more glands becoming obstructed, the nipple sinks in, turgid veins are conspicuous, ramifying around and resembling a crab's claws. These are the characteristics of an occult cancer on the external parts ; and we may suspect the existence of one internally when such pain and heat as has been described, succeed in parts where the patient hath before been sensible of a weight and pressure at- tended with obtuse pain. A cancerous tu- mour never melts down in suppuration like an inflammatory one ; but when it is ready to break open, especially in the breast, it ge- nerally becomes prominent in some minute point, attended with an increase of the pe culiar kind of burning, shooting pain, felt before at intervals, in a less degree and deeper in the body of the gland. In the prominent part of the tumour, in this state, a corroding ichor sometimes transudes through the skin, soon forming an ulcer: at other times a considerable quantity of a thin lymphatic fluid tinged with blood from eroded vessels is found on it. Ulcers of the cancerous nature discharge a thin, fetid, acrid sanies, which corrodes the parts, hav- ing thick dark-coloured retorted lips ; and fungous excrescences frequently rise from these ulcers, notwithstanding the corrosive- ness of the discharge. In this state they are often attended with excruciating, pun- gent, lancinating, burning pains, and some- times with bleeding. Though a scirrhus may truly be deemed a cancer, as soon as pain is perceived in it, yet every painful tumour is not a cancer : nor is it always easy to say whether a cancer is (he disorder or not: irregular hard lumps may be perceived in the breast; but on examining the other breast, where no unea- siness is perceived, the same kind of tu- mours are sometimes found, which renders the diagnostic uncertain. Yet in every case after the cessation of the catamenia, hard unequal tumours in the breast are suspi- cious ; nor, though without pain, are they to be supposed indolent or innoxious. In the treatment of this disease our chief reliance must be on extirpating the part af- fected. Some have attempted to dispel the scirrhous tumour by leeches, and various discutient applications, to destroy it by caus- tics, or to check its progress by narcotics ; but without material siiccess. Certainly, before the disease is confirmed, should any inflammatory tendency appear, antiphlogis- tic means may be employed with propriety; but afterwards the operation should not be delayed : nay where the nature of the tumour is doubtful, it will be better to remove it, than incur the risk of this dreadful disease. Some. surgeons indeedhave contested the uti lity of the operation ; and no doubt the dis OAX CAN 170 >ease will sometimes appear again ; from con- stitutional tendency, or from the whole not having been removed : but the balance of evidence is in favour of the operation being successful, if performed early and to an adequate extent. The plan of destroying the part by caustic is much more tedious, painful, and uncertain. When the disease has arisen from some accident, not spon- taneously, when the patient is otherwise healthy, when no symptoms of malignancy inthecancerhave appeared, and the adjacent glands and absorbents seem unaffected, we have stronger expectation of success ; but unless all the morbid parts can be removed without the risk of dividing important nerves or arteries, it should scarcely be attempted. In operating it is advisable ; 1. To make the external wound sufficiently large, and nearly in the direction of the subjacent mus- cular fibres. 2. To save skin enough to cover it, unless diseased. .3. To tie every vessel, which might endanger subsequent haemorrhage. 4. To keep the lips of the wound in contact, not interposing any dress- ing, &c. 5. To preserve the parts in an easy and steady position for some days, be- fore they are inspected. 6. To use only mild and cooling applications during the cure. Supposing however the patient will not consent to an operation, or circumstances render it inadmissible, the uterus for exam- ple being affected, internal remedies may somewhat retard its progress, or alleviate the sufferings of the patient : those, which have appeared most beneficial, are, 1. Arse- nic, in very small doses long continued. 2. Conium,in doses progressively increased to a considerable extent. 3. Opium. 4. Bel- ladonna. 5. Solanum. 6. Ferrum ammo- niatum. 7. Hydrargyri oxymurias. 8. The juice of the galiuui aparine. When the part is external, topical applications maybe useful to alleviate pain, cleanse the sore, or correct the fcetor ; especially, 1. Fresh-bruis- ed hemlock leaves. 2. Scraped young car- rots. 3. The fermenting poultice. 4. Finely levigated chalk. 5. Powdered charcoal. 6. Carbonic acid gas, introduced into a blad- der, confined round the part. 7. A watery solution of opium. 8. Liquid tar, or tar water. But none of these means can be relied upon for effecting a cure. Ca'ncer a'stacus. The systematic name of the fish from which the crab's claws are obtained. See Cancer. j> Ca'ncer mundito'rum. Chimney sweep- er's cancer. Ca'nchrys. Cachrys. Libanotis. Galen says it sometimes means parched barley. Cancre'na. Paracelsus uses this word instead of gangrtena. Cancro'rum che'lje. Crab's claws. See Carbonas calcis and Cancer. Cancro'rum o'culi. See Carbonas calcis, and Cancer. Ca'kcrum o'eis. (Trom cancer, a spread- ing ulcer.) Canker of the mouth ; called also aphthaj serpentes, gangra;na oris, &c. See JiphthcR. Cande'la. (From candeo, to shine.) A candle. Cande'la fuma'lis. A candle made of odoriferous powders and resinous matters, to purify the air and excite the spirits. Cande'la re'gia. See Verbascum. Candei.a'ria. (From canrfeZa, a candle, so called from the resemblance of its stalks to a candle.) The herb mullein. See Ver- bascum. Ca'ndy ca'rrot. See Athamanta Cre- tetisis. Cane'la. Sometimes used by the an- cients for cinnamon, or rather cassia. CANE'LLA. (Canella, dim. of canna, a reed ; so named because the pieces of bark are rolled up in the form of a reed.) The name of a genus of plants in the Liunasan system. Class, Dodecandria. Order, Mo- nogynia. The canella-tree. CANE'LLA A'LBA. The pharmaco- pceial name of the laurel-leaved canella. Cortex Winteranus spurius. Canella Cubana. Winterania Canella of Linnaeus. The tree which produces the bark so called, is a na tiveof the West Indies. If is brought into Europe in long quills, somewhat thicker than cinnamon ; their taste is moderately Avarm, aromatic, and bitterish ; and of an agreeable smell, somewhat resembling that of cloves. Canella alba has been supposed to possess considerable medicinal powers in the cure of scurvy and some other complaints. It is now merely considered as a useful and cheap aromatic, and is chiefly employed for the purpose of correcting, and rendering less disagreeable the more powerful and nauseous drugs ; with which view it is used in the tinctura amara, vinum amarum, vi- num rhtei, he. of the Edinburgh Pharma- copoeia. Ca'nelea Cuba'na. See Canella alba. Ca'kella cuu'kdo. The true cinnamon- tree. Cahe'll^ Malaba'rice co'rtex. See Laurus cassia. Canelli'fera Malabarica. See Lau- rus cassia. Caneon. (From »avii«, because it was made of split cane.) A sort of tube or in- strument, mentioned by Hippocrates, for conveying the fumes of antihysteric drugs into the womb. Ca'nica. a spice used in the island of Cuba, probably the pimento ; or from some of the species of myrrhs. Ca'nica. (From canis.) Coarse meal, was so called by the ancients, from canis, a dog, because it was food for dogs. Hence panis caniceus, very coarse bread. Canici'da. (From canis, a dog, and cade, to kill ; so called because dogs are destroyed by eating it.) The herb dog's bane, or aco- nitum. See Aconitum. XiQ -CA^i ■Cahici'divm. (From ctoiis, a dog, -anS ceedo, to kill.) The anatomical dissection «f living dogs. Cani'na bra'ssica. The mercurialis syl- vestris of Linnaeus Cani'na li'ngua. The cynoglossum. Cani'na ma'lus. The mandragora. Cani'na ra'eies. The hydrophobia. Canine. Whatever partakes of, or has any relation to the nature of a dog. Canine appetite. See Bulimia. \ Canine madness. See Hydrophobia. CANINE TEETH. Denies canini. Cy- nodontes. Cmpidati of Mr. John Hunter ; because they have the two sides of their edge sloped off to a point, and this point is very sharp or cuspidated. Columellaris of Varro and Pliny. The four eye-teeth are so called from their resemblance to those of the dog. They are situated, two in each jaw, on the side of the four middle or incisor teeth. Their fangs are longer than those of the incisores, and therefore from the fangs of those in the upper jaw being supposed to extend the greatest part of the way to the eye, they have been called the eye-teeth. Cani'ncs. {Caninus sc. musculns ; be- cause it arises near the canine or eye-tooth.) See Levator anguli oris. Caki'nus se'ntis. (From canis, a dog, and senlis, a thorn ; from its being prickly like a thorn.) See Rosa canina. Cani'ram. (Indian.) See Strychnos nux vomica. Canirtt'bcs. (From canis, and rubus, a Jbramble.) See Rosa canina. CA'NIS. A dog. The white dung of this animal, called a/6u??i gracw/n, was for- merly in esteem, but now disused. This term was also applied to the freenum of the penis. Ca'nis iNTERFF.'cTOR. Indian caustic bar- ley or cevadilla. Ca'nis po'nticu.s. See Castor. Ca'nna. (Heb.) A reed or hollow cane. A name of the fibula from its resemblance to a reed. Ca'nna fi'stola. See Cassia fistula. Ca'nna I'ndica. The Sagitaria alexi- pharviica. Ca'nna ma'jor. The tibia. Ca'nna mi'nor cru'ris. A name for- merly applied to the fibula. Caknabi'na. (From canna, a reed ; named from its reed-like stalk.) So Tourne- fort named Datisca. CA'NNABIS. (From zaw^, a reed. K*vv«tfo/ are foul springs, wherein hemp, &c. grow naturally. Or from kanaba, from kanah, to mow. Arab.) Hemp. 1. The name of a genus of plants in the Linnaean system. Class, Dloecia. Order, Pentandria. 2. The pharmacopoeial name of the hemp plant. Ca'knabis SATi'vA. The Systematic Dame of the hemp plant. It has a rank smell of a BarcotiG kind. The effluvia fiom liig fresh herb are said to affect the eyes and head, and that the water in which it has been long steeped is a sudden poison. Hemp-seeds, when fresh, aiford a consi- derable quantity of oil. Decoctions and emulsions of them have been recommended against coughs, ardor urinae, &c. Their use, in general, depends on their emollient and demulcent qualities. The leaves of an oriental hemp, called bang or bangue, and by the Egyptians assis, are said to be used in Eastern countries, as a narcotic and aphrodisiac. See Bangue. Canna'corus radi'ce cro'cea. See Curcuma. CA'NNULA. (Dim of canna, a reed.) The name of a surgical instrument. See Canula. Ca'non. (Kavoir.) A rule or canon, by which medicines are compounded. Cano'niai. {Y^dLvovuti.) Hippocrates in his book De Aera, &.c, calls those persons thus, who have straight, and not prominent bellies. He would intimate that they are disposed, as it were, by a straight rule. Cako'picon. (From xaviuwoi', the flower of the elder.) A sort of spurge named from its resemblance ; also acoUyrium, of which the chief ingredient was elder flowers. Canopi'te. The name of a collyrium mentioned by Celsus. Cano'pum. (Ka-voTTsv.) The flower or bark of the elder-tree, in Paulus ^gineta. Canta'brica. See Convolvulus. Canta'rrum. (From kania, Heb.) In Cffilius Aurelianus it signifies bran or furfur. Ca'ntacon. Garden saflron. Ca'ntara. * The plant which bears the St. Ignatius's bean. Ca'nthari figuli'ni. Earthen cucurbits. CA'NTHARIS. (Cantharis, pi. cantha- rides .• from iuivB^pog, a beetle, to whose tribe it belongs.) See Lylla. Ca'nthum. Sugar-candy. CA'NTHUS. (K£ti;6oc, the iron binding of a cart-wheel. Dr. "Turton, in his glos- sary, supposes from its etymology, that it originally signified the circular extremity of the eyelid.) The angle or corner of the eye, where the upper and under eyelids meet. That nest the nose is termed the in- ternal or greater canthus, and the other, the external or lesser canthus. Ca'ntion. An epithet for sugar. Cantuarie'nsis a'qua. Canterbury water is strongly impregnated Avith iron, sulphur, and carbonic acid gas; it is recommended in disorders of the stomach, in gouty com- plaints, jaundice, diseases of the skin and chlorosis. CA'NULA. (Dim. of canna, a reed.) A small tube. The term is generally applied to a tube adapted to a sharp instrument, with which it is thrust into a cavity or tumour, containing a fluid ; the perforation being made, the sharp instrument is withdrawn. and the canula left, in order that the fluid may pass through it. Cancsa. Crystal. Caoutchoo'c. See Indian rubber. Capaiva balsam. See Copalfera officinalis. Capeh'na. (From capeline, a woman's hat, or bandage, French.) A double- headed roller put round the head. Cape'lla. a cupel or test. Caper-bush. See Capparis. Ca'petus. (Kaiviloc, per aphasresin, pro trxATTiloi; from a-x.±7rla), to dig.) Hippo- crates means by this word a foramen, which is impervious and needs the use of a chi- rurgical instrument to make an opening; as the anus of some new-born infants. Ca'phoka. (Arab.) Camphire. Ca'phura ba'ros indo'rum. a name for camphire. Ca'phurjE o'le0M. An aromatic essential oil distilled from the root of the cinnamon- tree. Capilla'res VERMi'cuLi. See Crinones and Dracunculus. CAPI'LLARY. (capillaris : from ca- pillus, a little hair ; so called from the re- semblance to hair or fine thread.) The very small ramifications of the arteries, which terminate upon the external surface of the body, or on the surface of internal cavities, are called capillary. Capilla'tio. (From capillus, a hair.) A capillary fracture of the cranium. CAPI'LLUS. (Quasi capitis pilus, the hair of the head.) The hair. Small, cylin- drical, transparent, insensible, and elastic filaments, ■which arise from the skin, and are fastened in it by means of .small roots. The human hair is composed of a spongy, cellular texture, containing a coloured liquid, and a proper covering. Hair is divided into two kinds: long, which arises on the scalp, cheek, chin, breasts of men, the anterior parts of the arms and legs, the arm pits, groins, and pelvis : mxd short, which is softer than the long, and is present over the whole body, except only the palm of the hand and sole of the foot. The hair originates in the adipose membrane from an oblong membra- nous bulb, which has vessels peculiar to it. The hair is distinguished by different names in certain parts ; as, capillus, on the top olF the head ; crinis, on the back of the head ; circrinnus, on the temples ; cilium, on the eyelids ; supercilium, on the eyebrows ; mbrissa, in the nostrils ; barba, on the chin ; pappus, on the middle of the chin ; mystax, on the upper lip ; pilus, on the body. Capi'llus ve'neris. See Mianthum. Capi'llus ve'neris Canade'nsis. The Adianthum Canadense. Capiple'nium. (From caput, the head, And plenus, full.) A catarrh. It is a bar- barous word ; but Baglivi uses it to signify that continual heaviness or disorder in the head, which the Greeks call Carebaria, K.!tf>t/ioi.ota., CAP 18 f Capistra'tio. (From capistrwm, a bridle ; so called because the praepuce is restrained as it were with a bridle.) See Phimosis. Capi'strdm. (From caput, the head.) A bandage for the head is so called. In Vogel's Nosology it is the same as Trismus. CA'PITAL. The head or upper part of an alembic. Capita'lia. (From capwf, the head.) Cephalics : medicines which relieve disor- ders of the head. Capite'llum. The head or seed vessels, frequently applied to mosses, fee. Some say it signifies soapy water, others say it is a lixivium. Capitilu'vium. (From caput, the head, and Zffno, to wash.) A lotion or bath for the head. Capitis obliquus inferior et major. See Obliquus inferior capitis. Capitis par tMium FalUpii. See Tra- ck elo -mastoid eiis. Capitis posticus. See Rectus capitis pos- ticus major. Capitis rectus. See Rectus capitis posticus minor. Capi'tulum. (Dim. of ca/jw/, the head.) 1. A small head or protuberance of a bone, received into the concavity of another bone. 2. An elembic. Capi'vi. (Indian.) A tree of Brazil, which aflTords the drug called balsam of capivi. See Copaifera officinalis. CAPNELiE'uM. (From Kitmo;, smoke, and sKMov, oil ; so named from its smoky ex- halations when exposed to heat.) In Ga- len's works, it is said to be a resin. Ca'pnias. (From k^ttvc;, a smoke.) A jasper of a smoky colour. Also, a kind of vine which bears white and part black grapes. Capni'ston. (From hattvo;, smoke.) A preparation made of spices and oil, by kindling the spices, and fumigating the oil. CaPim'tis. (Trom z^tTrvoc, smoke; so called from its smoky colour.) Tutty. Capkoi'des. (From uattvoc, fumitory, and s/tTs?, likeness.) A species of fumitory. Ca'pnos. K'jiTTvo;. Fumitory ; so called, says Bianchard, because its juice, if applied to the eyes, produces the same effect and sensations as smoke. Ca'po mola'go. The Piper Indicum. Ca'ppa. (a capite, from the head ; so- called from its supposed resemblance.) The herb monkshood. CA'PPARIS. From cabar, Arab, or tsrct^ TO ita.v7ra.vuv apttv, from its curing mad- ness and melancholy.) The caper plant. 1. The name of a genus of plants in the Linneean system. C\a.ss, Poly andria. Order, Monogynia. 2. The pharmacopoeial name of the caper plant. ■^ Ca'pparis spino'sa. The systematic name of the caper plant. Capparis; pedunculis 132 tAl* CAF solitariis unifloris, stipulis spinosis, foliis an- nuls, capsulis ovalibns of Licnseus. ■ The buds, or unexpanded flowers of this plant, are in common use as a pickle, which is said to possess antiscorbutic virtues. The bark of the root was formerly in high esteem as a deobstruent. Capreola'f.is. (From capreolvs, a ten- dril.) Capreolatus. Resembling in its con- tortions, or other appearance, the tendrils of a vine ; as the spermatic vessels. Capheola'tds. See Capreolaris. Capre'olus. (Dim. of caprea, a tendril.) It means the helix or circle of the ear, from its tendril-like contortion. Dr. Turton sug- gests its derivation from caper, a goat, whose horn its contortions somewhat resemble. Caprico'rncs. Lead. Caprifi'ccs. (From caper, a goat, and ficus, a fig ; because they are a chief food of goats.) The wild fig-tree. Capri'zans. Is by Galen and others used to express an inequality in the pulse, when it leaps, and, as it were, dances in uncertain strokes and periods. Capse'lla. (Dim. oi capsn, a chest, from its resemblance.) A name in Marcellus Empiricus for viper's bugloss. CA'PSICUM. (From kuttIw, to bite, on account of its efifect on the mouth.) 1. The name of a genus of plants in the Linnaean system. Class, Pentandria. Or- der, Monogynia. Guinea pepper. 2. The pharmacopoeial name of the cap- sicum. Ca'psicum an.vucm. The systematic name of the plant from which we obtain Cayenne pepper. Piper Indicum. Lada chilli. Capo molago. Solanum urens. Sili- quastrum Plinii. Piper Brasilianum. Piper Guineense. Piper Calecuticum. Piper His- panicum. Piper Lusitaniciim. Cayenne pep- per. Guinea pepper. This species of pepper is obtained from the Capsicum ; caule her- haceo, pedunculis solitariis of Linneeus. What is generally used under the name of Cayenne pepper, however, is an indiscriminate mix- ture of the powder of the dried pods of many species of capsicum, but especially of the capsicum minimum, or bird pepper, which is the hottest of all. These peppers have been chiefly used as condiments. They pre- vent flatulence from vegetable food, and give warmth to the stomach, possessing all the virtues of the oriental spices, without producing those complaints of the head which the latter are apt to occasion. An abuse of them, however, gives rise to visceral obstructions, especially of the liver. In the practice of medicine, there can be little doubt that they furnish us with one of the purest and strongest stimulants which can be introduced into the stomach, and may be very useful in some paralytic and gouty cases. Dr. Adair, who first introduced them into practice, found them useful in the ca- chexia Africana, which he considers as a most frequent and fatal predisjwsitjon to disease among the slaves. Dr. Wright says, that in dropsical and other complaints where chalybeates are indicated, a minute portion of powdered capsicum forms an excellent addition, and recommends its use in lethar- gic aflfections. This pepper has also been successfully employed in a species of cy- nanche maligna, which proved very fatal in the West-Indies, resisting the use of Peru- vian bark, wine, and other remedies com- monly emploj^ed. In tropical fevers, coma and delirium are common attendants ; and in such cases, cataplasms of capsicum have a speedy and happy effect. They redden the parts, but seldom blister unless when kept on too long. In ophthalmia from relaxation, the diluted juice of capsicum is found to be a valuable remed}'. Dr. Adair gave six or eight grains for a dose, made into pills ; or else he prepared a tincture by digesting half an ounce of the pepper in a pound of al- kohol, the dose of which was one or two drachms, diluted with a suflicient quantity of water. A iinctura capsici is now for the first time introduced into the London phar- macopceia. CA'PSULA. (Dim. of capsa. a chest or case.) A term given by anatomists to any membranous production enclosing a part of the body like a bag ; as the capsular liga- ments, the capsule of the crystalline lens, &.c. Ca'psuls; atrabila'ri^e. See Renal Glands. Ca'psulje rena'les. See Renal Glands. CAPSULAR LIGAMENT. (Capsula- ris ; from capsa, a bag.) Ligamentum capsulare. The ligament which surrounds every moveable articulation, and contains the synovia like a bag. CA'PSULE OF GLI'SSON. {Capsula commums Glissonii. Vagina port m. Vagina Glissonii.) A strong tunic, formed of cellular texture, which accompanies the vena portae, and its most minute ramifications, through- out the whole liver. Ca'p0lum. (From KA^^rrai, to bend.) A contortion of the eye lids, or other parts. Ca'pur. (Arab.) Camphor. CA'PUT. (capitis, neut. from capio, to take ; because from it, according to Varro, the senses take their origin.) The head, cranium; or skull. It is "situated above or upon the trunk, and united to the cervical vertebrae. It is distinguished into skull and face. On the skull are observed rertex, or crown ; sinciput, or fore part ; occiput, or hinder part; and the temples. The parts distin- guished on the face are well known ; as the forehead, nose, eyes, &.c. The arteries of the head are branches of the carotids ; and the veins empty themselves into the jugulars. See Skull and Face. CA'PUT GALLINA'GINIS. Verumon- tanvm. A cutaneous eminence in the urethra of men, before the neck of the CAR CAR IBS bladder, somewhat like the head of a wood- cock in miniature, around which the semi- nal ducts, and the ducts of the prostate gland, open. Ca'put mo'rtcum. a fanciful term, much used by the old chemists, but now entirely rejected. It denoted the fixed residue of operations. As the earlier chemists did not examine these, they did not find any incon- venience in one general term to denote them : but the most slender acquaintance with modern chemistry must show, that it is utterly impracticable to denote, by one general term, all the various matters that remain fixed in certain degrees of heat.' CA'PUT OBSTITUM. The wry neck. Mostly a spasmodic complaint. Ca'put pu'rgia. (A barbarous word, from caput, the head, and purgo, to purge.) Medicines which purge the head. Errhines. Masticatories. Capyri'dion. (From nayrueo;, burnt.) Capyrion. A medicated cake, much baked. Capy'rion. See Capyridion. Ca'rabe. (Persian.) Amber. Ca'rabe fd'nerum. a name given to bitumen. CA'RABUS. A genus of insects of the beetle kind. Two species, the chrysoce- phalus and ferrugineus, have been recom- mended for the toothach. They must be pressed between the fingers, and then rub- bed on the gum and tooth affected. Caraco'smos. a name of the sour mare's milk, so much admired by the Tartars. Caragua'ta. The common aloe of Brazil. Cara'.vna. (Spanish.) Caragna. CaranncB gummi Brtsilis. A concrete resinous juice, that exudes from a large tree, of which we have no particular account. It is brought from New Spain and America, in little masses, rolled up in leaves of flags ; exter- nally and internally it is of a brownish co- lour, variegated with irregular white streaks. When fresh, it is soft and tenacious; but becomes dry and friable by keeping. Pure earanna has an agreeable aromatic smell, especially when heated, and a bitterish slightly pungent taste. It was formerly em- ployed as an ingredient in vulnerary bal- sams, strengthening, discutient, and sup- purating plasters ; but its scarcity has cau- sed it to be forgotten. Ca'ra scHu'Lti (Indian.) Frutcx Indica spinosa. An Indian shrub, like the caper- bush. A decoction of the root proves diu- retic. Ray. Caraway-seed. See Carmn. Ca'rbasus. (K'Ji/sCaa-oc) Scribonius Lar- gus uses this word for lint. CA'RBO. (Charbah, Heb. burnt or dried.) Coal. In medicine and chemistry, it is commonly understood to mean charcoal, and receives its name from its mode of pre- paration, wliich is by burning pieces of Kght wood into a drv black coat. Ca'rbo li'gni. Charcoal. As an external application, powdered charcoal has been recommended in the cure of gangrene, from external causes, and all descriptions of fcetid ulcers. Meat which has acquired a mawkish or even putrid smell, is found to be rendered perfectly sweet, by rubbing it with powder- ed charcoal. It is also used as tooth-powder. CA'RBON. (From carbo, coal.) The chemical name of charcoal. It is the black residue of vegetables which have suffered a complete decoiaposition of their volatile principles by fire. Charcoal is black, brit- tle, sonorous, and light. It is placed among simple bodies, because no experiment has hitherto shown the possibility of decompo- sing it. It exists in the animal, vegetable, and mineral kingdom. When it is required to procure carbon in a state of great purity, it must be dried by strong ignition in a clo- sed vessel. The diamond, when burnt in oxigen gas, forms carbonic acid, like char- coal, and is therefore considered to be of the same chemical nature. CA'RBON, GASEOUS O'XIDE OF. Gaseous oxide of carbon was first described by Dr. Priestley, who mistook it for a hydro- carbonate. With the true nature of it, we have been only lately acquainted. It was first proved to be a peculiar gas, by Mr. Cruikshank, of Woolwich, who made it known to us as such, in April, 1801, through the medium of Nicholson's Journal for that month. Several additional properties of this gas were soon afterwards noticed by Desor- mes, Clement, and others. Gaseous oxide of carbon forms an intermediate substance be- tween the pure hydro-carbonates and car- bonic acid gas ; but not being possessed of acid properties, Mr. Cruikshank has called it, conformably to the rules of the chemical nomenclature, gaseous oxide of carbon, for it consists of oxigeu and carbon rendered gaseous by caloric. Though the gaseous oxide of carbon has some of the properties peculiar to the com- mon hydro-carbonates, the following cha- racteristic properties sufficiently prove that none of those at present known are simila to it. We are, therefore, entitled to con- sider it as a peculiar gas. Properties. — Gaseous oxide of carbon is lighter than common air, in the proportion of 22 to 23. When mingled with common air, and ignited, it does not explode, but burns with a lambent blue flame, and the product is carbonic acid. It is very little absorbable by water : it is void of taste and odour. A mixture of 20 parts of gaseous oxide of carbon and 8 of oxigen gas, fired over mercury by electricity, diminishes to a volume equal to about 18 or 19 parts, which is carbonic acid gas. It contains neither water nor the basis of that fluid. It is ex- ceedingly noxious ; animals die in it in- stantly ; when breathed for a few minutes only, it produces giddiness and faintings. 184 CAR Neither light, heat, nor electricity, have any effect upon it. When equal quantities of gaseous oxide of carbon and hydrogen gas are passed through a red-hot glass tube, the tube is lined with charcoal, water is formed, and an excess of hydrogen makes its escape. If a piece of iron be put into the tube, it is oxidated, but not converted into steel.' Nei- ther nitrogen gas nor sulphur have any action on it even at high temperatures. It is capable of dissolving e minute quantity of charcoal, and increases inbulk. Itdissolves phosphorus, and acquires the property of burning with a yellow flame. The alkalies have no effect on this gas. It is not altered when passed with ammonia through an ignited tube. When the red oxide of mer- cury is heated in it, a commencement of reduction takes place. Neither sulpliuric, nitric, nor nitro-muriatic acids, alter it, when passed with it through a red-hot tube. Four parts of oxigenated muriatic acid gas left with one of gaseous oxide of carbon, decompose it completely. Nitrous gas has no effect upon it. When mixed with sul- phuretted hydrogen gas, and passed through a red-hot tube, sulphur is deposited, and sulphuretted hydrogen gas remains mixed with gaseous oxide of carbon. Methods of obtaining Gaseous Oxide of Carbon. — Gaseous oxide of carbon may be obtained by a decomposition of carbonic acid at high temperatures, by means of various fixed substances v.hich have a consi- derable affiuitj' to oxigen. This may be done by exposing to a strong red heat, a mixture of carbonate of lime or barj'tes, and filings of iron, zinc, kc. It may also be procured by distilling a mixture of charcoal with some of the metallic oxides. The method of obtaining the gaseous oxide of carbon in a state of purity, recom- mended by Mr. Cruikshank, is the follow- ing : 1. Take one part of chalk, previously ex- posed to a low red heat, for about ten minutes, mix it with an equal quantity of perfectly dry filings of zinc ; let the mix- ture be introduced into a retort, and expose it to a heat gradually increased. As soon as the retort becomes of a dull red heat, gas will be disengaged in great abundance. The gas which comes over first is carbonic acid gas, but as soon as the retort becomes thoroughly ignited, pure gaseous oxide of carbon is liberated in a prodigious quantity, which may be collected in tbe usual man- ner over water. In this process, a decomposition of the carbonic acid of the chalk takes place in its nascent state. The zinc robs the carbonic acid of part of Its oxigen at a high tempera- ture, and becomes to a certain degree oxidated. The carbonic acid, by being thus deprived of part of its oxigen, becomes converted into a new infiammable gas, ^vliich is the easeous oxide of carbon. CAR . ] Carbonaceous acid, See^Carbonic acid. \ CARBO'NAS. A carbonate. A neutral salt, formed by the union of carbonic acid with an alkaline, earthy, or metallic base. The carbonates employed in medicine are : 1. The potassse carbonas. . 2. The sodffi carbonas. 3. The creta praeparata, and the testae prffiparatae, w^hich are varieties of carbonate of lime. When the base is imperfectly neutralized by the carbonic acid, the salt is termed a subcai'bonate ; of which kind are employed medicinally : 1. The potassae subcarbonas. 2. The sodse subcarbonas, and the sodte subcarbonas exsiccata. 3. The ammonia subcarbonas, and the liquor ammonia subcarbonatis. 4. The plumbi subcarbonas. 5. The ferri subcarbonas. 6. The magnesise carbonas. Caebo'nas ammo'nije. See AmmonuB sub' carbonas. CARBO'NAS CA'LCIS. Carbonate of lime. Several varieties of this are used in medicine : the purest and best are the creta praeparata, testae preparatae, chelae cancrorum, testaj ovorum, and oculi can- crorum. Carbo'nas fe'kri. See Ferri subcar- bonas. Carbo'nas MAGtfE'sii;. See Magnesia; carbonas. Carbo'nas plumbi. See Plumbi subcar- bonas. Carbonas pota'ss^;. See Potassce car- bonas. Carbo'nas so'd*. See Sodce carbonas. Carbonated hydrogen gas. See Carburetled hydrogen gas. CA~"'RBONIC ACID GAS. Acidum Car- bonicum. Fixed air. Carbonaceous acid. Calcareous acid. Aerial acid. Carbonic acid gas is the first elastic aSriform fluid that was known after common air. We find that the ancients were in some measure acquainted with it. Van Helmont called it the gas of Must, or of the vintage, or ga^ sylveslre. We are indebted to Dr. Black of Edin- burgh for the knowledge of some of th& most remarkable properties of this fluid. In the year 1/55 he discovered the affi- nity between this gas and alkalies : and Bergman, in 1772, proved that it was aa acid. Properties. — Carbonic acid gas is invisi- ble. It extinguishes flame. It is fatal to animal life. It exerts powerful effects on living vegetables. Its taste is pungent and acid. Its energy, as an acid, is but feeble,. - although distinct and certain. Neither light or caloric seem to produce any distinct effect upon it, except that the latter dilates it. It unites with water slowly. These two fluids, after considerable agitation, at CAR CAR 186 last combine, and form a sub-acid liquid. The colder the water, and the greater the pressure applied, the more carbonic acid gas will be absorbed. The water impregnated with it, sparkles upon agitation ; it has a pungent, acidulous taste, and reddens tinc- ture of litmus. Heat again disengages the gas from the water. This gas precipitates lime, strontia, and baryles, from their solu- tions in water. It is greedily attracted by all the alkalies. Its specific weight is to that of atmospheric air, as 1500 to 1000 nearly. It may be poured out of one vessel into an- other. It is not acted upon by oxygen, nor is it altered by any of the simple com- bustible bodies at common temperatures ; but charcoal, iron, and some other metals are capable of decomposing it when assisted by heat ; as is also phosphorus, when united to lime. Methods of obtaining Carbonic ^cid Gas. Of all the gases, carbonic acid gas is that, perhaps, which is diSused in the greatest abundance throughout nature. It is found in three different states : — 1st, In that of gas ; 2dly, In that of mixture ; andSdly, In that of combination. The various processes for obtaining it are the following. 1. Put into a common glass-bottle, or re- tort, a little marble, chalk, or lime-stone, and pour on it sulphuric acid, diluted with about six times its weight of water, an effer- vescence will ensue, and carbonic acid gas will be liberated, which those who have an opportunity may collect over mercury ; but a mercurial apparatus is not absolutely ne- cessary, since the gas may be collected over watei', if it is to be used immediately when procured. In this instance the carbonic acid is dis- engaged from the state of combination, and reduced to the aeriform state. The marble, lime-stone, or chalk, consists of this acid and lime ; on presenting to it sulphuric acid, a decomposition takes place, the sulphuric acid has a greater affinity to the lime than the carbonic acid gas ; it therefore unites to it, and forms sulphate ofTime, disengaging at the same time the carbonic acid in the state of gas, at the temperature of our at- mosphere. Remark. — Carbonic acid gas may, in this manner, be disengaged from all its combina- tions with alkalies ; by using indifferently any other dense acid, possessing a superior affinity to the alkali in the common accept- ation of the word. 2. It may likewise be obtained from the .=ame substances by the action of caloric. For this purpose, reduce marble, or chalk, 1o powder: introduce it into a gun-barrel, which must be placed across a furnace ; adapt a bent tube fo the end of the gun- barrel, and insert it below a receiver in the pneumatic apparatus. Maintain a strong beat, tsll the barrel is brought to a state of 24 ignition, and at that temperature carbonic acid gas will be liberated in abundance. In this case, a decomposition of the mar- ble or carbonate of lime takes place, on account of the action of caloric, which at a high temperature breaks the affinity of the carbonic acid and lime ; it unites with the first, and leaves the limebehindin that state which is generally called quick-lime. 3. Carbonic acid gas may also be obtained by burning charcoal in oxygen gas. Take a bell-glass, filled with oxygen gas, resting inverted in a basin of mercury ; pass up into it some bits of new-made charcoal, with some touch-paper affixed to them ; set firet^o them by means of a lens collecting the sun's rays, and carbonic acid will be produced by the combustion of the char- coal. Carbonic acid gas is often found occupy- ing the lower parts of mines, caverns, tombs, and such other subterraneous places as con- tain materials for producing it. It is called choke, or chalk-damp. The grotto del Cane, near iVaples, has long been famous for the quantity of carbonic acid gas producedthere, which runs out at the opening like a stream of water. The quantity of carbonic acid gas generated in this cavern, is so great, that a dog, or .any other animal, is immediately killed if his nose be thrust into it. The carbonic acid, existing naturally in the state of gas, may be collected by filling bottles with water and emptying them into the atmosphere of this gas; the gas takes the place of the water, and fills the bottles, which must then be corked. Carbonic acid gas is likewise formed da- ring fermentation ; on account of its great weight, it occupies the apparently empty space, or upper part of the vessel in which the fermenting process is going on. It may, in this case, be collected in a manner simi- lar to that above. Carbonic acid gas is also obtained during the reduction of metallic oxides, and during the deflagration of nitrates, with combus- tible bodies. This gas is much esteemed in the cure of typhus fevers, and of irritability and weakness of stomach producing vomit- ing. Against the former diseases it is givea by administering yeast, bottled porter, and the like ; and for the latter it is disengaged from the carbonated alkali by lemon juice in a draught given while effervescing. Carbuncle. See .Anthrax. CARBU'NCULUS. (Dim. of carbc, a burning coal.) A carbuncle. Carbo. Rn- binus verus. Codesella. Erythema gangra- nosum. Granatristum. Pruua. Persicus ignis of Avicenna. An inflammatory tu- mour which soon becomes gangrenous. See ^1nthra.x. CARBL RETTED HYI>ROGEN GAS. Carbonated Hydrogen gas. Heavy in- flammable Mr. Hydro-carbonate. There are two gaseous compounds of carbon and 186 CAR CAK hydrogen in definite proportions, differing materially in specific gravity and other cir- cumstances. 1. Light carburetted hydrogen gas has a fetid odour. It is neither absorbed nor altered by water. It is inflammable, and burns with a denser and deeper coloured flame than hydrogen gas. It is unalter- able by acids or alkalies. Its specific gra- vity is greater than that of hydrogen gas. Its combustion with a due proportion of oxygen gas, is productive of water and car- bonic acid. When passed through melted sulphur, it becomes converted into sulphu- retted hydrogen gas, and charcoal is depo- sited. Electrization dilates it permanently to a little more than twice its original bulk : but when dried the dilatation is much less. The air thus expanded, requires a greater quantity of oxygen to decompose it, than Jlie same quantity of gas not dilated by elec- tricity ; 100 cubic inches of pure light car- buretted hydrogen gas weigh about seven- teen grains. Light carburetted hydrogen gas may be obtained from animal, vegetable, or mineral substances. Nature produces it ready formed in marshes and ditches, on the surface of putrid water, in mines, burying-places, com- mon sewers, and in those situ^itiops where putrid animal and vegetable matters are ac- cumulated. It is also generated in the in- testinal canal of living animals. 1. Light carburetted hydrogen gas may be plentifully procured from most stagnant waters : to do this, fill a wide-mouthed bottle with the water, and keep it inverted therein with a funnel in its neck ;. then, with a stick, stir the mud at the bottom, just under the funnel in the bottle, so as to let the bubbles of air,which rise from the mud, enter into the bottle ; when by thus stirring the mud in various places, and catching the air in the bottle, it is filled, it must be corked under water. 2. It may be also obtained during the distillation of animal and vegetable matter. For instance : Let shavings of wood or saw-dust be put into a retort, and begin the distillation with a gentle heat, increasing it gradually till the retort becomes red hot ; a great quantity of gas will be liberated, which may be cp^ught over water. On examining this gas, it will be found to consist of carbonic acid gas and carburetted hydrogen gas. In order to ob- tain the latter in a state of purity, the whole must be shaken with lime-water, or with a caustic alkaline solution. The carbonic acid gas will be absorbed, and the carburetted hy- drogen gas left behind in a pure state. The production of the gas in this man- ner, Ts the result of a partial analysis of the wood. It proves that wood contains solid hydrogen, carbon and oxygen. When the intensity of the heat has reached a certain degree, a part of the charcoal unites with part of the oxygen, and produces carbo- nic acid, which, by means of caloric, is melted into the gaseous state, and forms carbonic acid gas ; at the same time, a part of the hydrogen of the wood combines with another portion of carbon and caloric, and forms carburetted hydrogen gas, Remark. — The flame of burning wood, &c. is the inflamed carburetted hydrogen gas, liberated on the application of caloric to such bodies. 3. Charcoal has been in general made use of for obtaining light carburetted hydrogen gas. For this purpose, put some moistened charcoal into an earthen retort, apply heat, and increase it till the retort becomes igni- ted; gas will be evolved, consisting partly of carbonic acid gas, and partly of light car- buretted hydrogen gas, which may be sepa- rated as before. In this case a decomposition of the water takes place, by means of the charcoal. The oxygen forsakes its hydrogen, and unites to part of the charcoal, at this temperature, and forms carbonic acid gas, in conjunction with caloric; the liberated hydrogen assisted by caloric, dissolves another portion of the charcoal, and forms with it light carburetted hydrogen gas : but some carbonic oxide is mixed with it. 4. Light carburetted hydrogen gas is also obtained abundantly from the distillation of pit-coal ; and now very extensively used as a substitute for oil in lighting the streets of this metropolis, kc. If. Heavy carburetted hydrogen gas was first brought into notice by a society of Dutch chemists, consisting of Deiman, Troostwyk, Bond, and Laurenburgh. They observed in this gas the particular property, that when it was combined with oxygenated muriatic acid gas, in a certain proportion, the elastic form of both fluids became de- stroyed, and an oil was produced ; for which reason they called it Ohfiant gas. Properties. — Heavy carburetted hydrogen gas is not absorbed or altered by water. Its weight nearly equals that of common air. It has a disagreeable fetid odour, dif- fei-ent from that of light carburetted hydro- gen gas. It burns with a strong compact flame, similar to that of resinous oil. When mixed with oxygenated muriatic acid gas, its bulk is diminished, and an oil is formed. "When the mixture of these two gases is fired, a quantity of charcoal is immediately deposited, in the form of fine soot. Sul- phuric, sulphurous, nitric, and muriatic acids do not act upon it ; neither does ni- trous gas, nor any of the fixed alkalies. Ammonia adds to its volume without occa- sioning any other change. Phosphorus heat- ed in it even to fusion, does not affect it. When made to pass through an ignited glass tube, it does not diminish in volume, but loses the property of forming oil with oxygenated muriatic acid gas. Electric CAK CAR 187 shocks passed through it, dilate, and like- wise deprive it of this property. When passed through a tube with sulphur in fu- sion, sulphuretted hydrogen gas is obtained, and charcoal deposited. When burnt with oxygen gas, or when passed through a red- hot tube, filled with oxide of manganese, carbonic acid gas isformed, as well as water. Preparation. — Heavy carburetted hydro- gen gas is obtained by decomposing alcohol by sulphuric acid, at high temperatures. It is also obtained in abundance when alcohol or ether is passed through a red-hot earthen tube. Sulphuric ether mixed with sulphuric acid, and subjected to heat, also affords it, but in a less pure state. The Dutch chemists observed, that if the vapour of ardent spirit or ether be made to pass through a glass tube, over the compo- nent parts of the earthen tube, namely, alumine and silex, this gas was also pro- duced ; or by passing it through a red-hot tube of pipe-clay. In order to obtain this gas the following method may serve : Let four parts of concentrated sulphuric acid, and one of highly rectified ardent spi- rit, be mingled together gradually in a glass retort; heat will be developed, the mixture will become brown, and heavy carburetted hydrogen gas will be extricated without the application of external heat. When a mo- derate heat is applied, the action is very vio- lent, and the gas is liberated very copiously, and may be received over water. The gas obtained, is always mixed witii a considerable quantity of sulphurous acid gas, from which it may be freed by agitating it in contact with lime-water, or a solution of Remark. — In this operation, the heat ought to be regulated with great care, and the retort holding the mixture ought to be very capacious, otherwise the matter will be forced over into a receiver. The heat of a candle or lamp, is sufficient. Ca'rcarus. Carcaros. (From xapuatpm, to resound.) A kind of fever in which the i)atient has a continual horror and trem- bling, with an unceasing sound in his ears. Ca'kcxs. The Barbadoes nut-tree, the Cataputia. Ca'rcax. (From nAfm, a head.) A spe- cies of poppy, with a very large head. Ca'rcek. Paracelsus means by it, a re- medy proper for restraining the disorder by motions of body and mind, as in curing the chorea Sandi Viti. Carche'sius. (YLttp^na-io;.) A name of some bandages noticed by Galen, and de- scribed by Oribasius. Properly is the top of a ship's mast. CARCINOMA. (From niLfn®', a can- cer.) See Cancer. Carcinos. (Kapwv®', a cancer.) See Cancer. Cardama'ntica. (From n-j-pJaf/.a, the nas- turtium.) A species of sciatica cresses. Cardamele'um. a medicine of no no'p, mentioned by Galen. CARDAMI'NE. (From x.^pJ'ta, the heart ; because it acts as a cordial and strengthener, or from its having the taste of cardamum, that is, nasturtium, or cress.) Cuckoo-flower. 1. The name of a genus of plants in the Linnaean system. Class, Tetr adynamia. Order, Siliquosa. 2. The pharmacopoeial name of the com- mon lady's smock, or cuckoo-flower. See Cardamine pratensis. Cardami'ne PHATE'mis. The systematic name of the plant called cardamine in the pharmacopoeias. Cardamine ; follis pinnalis, foliolis,radicalibussubrotundis, caulinis lance- olati.i of Linnasus. This plant is also called Cardamanlica. Nasturtium aquaticum. Ciili flos. Iberis sophia. It is the flower of this plant which has a place in the materia medica, upon the authority of Sir George Baker, who has published five cases, two of chorea Sancti Viti, one of spasmodic asthma, one of hemiplegia, and a case of spasmodic affections of the lower limbs, wherein the flares cardamines were supposed to have been successfully used. A variety of virtues have been given to this plant, whicii do not de- serve the attention of practitioners. Cardami'nes flo'res. See Cardamine pratensis. CARDAMO'MUM. (From »«/)cri^(jv, and a//&)^(iv : because it partakes of the na- ture, and is like both the cardamum and amomum.) The cardamom seed. CARDAMO'iMUM MA'.IUS. The great- er cardamom seeds, by some called grains of Paradise, are contained in a large, brown, somewhat triangular husk, the thickness of one's thumb, and pyramidal : their virtues are similar to those of the cardamomuvi minus. CARDAMO'MUM MEDIUM. The seeds correspond, in every respect, with the lesser, except in size, they being twice as long, but no thicker than the cardamomum minus. Cardamo'mum mi'nus. See Eleitaria. Cardamomum. Cardamo'mum pipera'tum. The grains of Paradise. Cardamo'mum Siberie'nse. The Ani- sura Indicum. Ca'rdamum. (From tcAfS'tx., the heart; because it comforts and strengthens the heart.) Garden cresses. CA'RDIA. (From «s*/), the heart.) this term was applied by the Greeks to the heart. The superior opening of [he stomach is also so called. CARDI'ACA. (From Ks^cTi*, the Jieart.) 1. Cordials. See Cordials. 2. The pharmacopoeial name of mother- wort. (So named from the supposed relief 18a CAR CAR it gives in faintings and disordei's of the stomach. See Leonurus cardiaca. Cardi'aca confe'ctio. See Confectio aromatica. Cardi'aca pa'ssio. The cardiac passion. Ancient writers frequently mention a dis- order under this name, but the moderns always speak of it as a syncope. Cakdi'acus .mo'rbus. a name by which the ancients called the typhus fever. CAHDIA'LGIA. (From x.-xfi'is., the car- dia, and ctKyo;, pain.) Pain at the sto- mach. The heartburn. Dr. CuUen ranks it as a symptom of dyspepsia. Heart- burn is an uneasy sensation in the stomach, with anxiety, a heat more or less violent, and sometimes attended with oppression, faintness, an inclination to vomit, or a plen- tiful discharge of clear lymph, like saliva. This pain may arise from various and dif- ferent causes; such as flatus ; from sharp humours, either acid, bilious, or rancid; from worms, knawing and veliicating the coats of the stomach ; homacrid and pungent food, such as spices, aromatics, &lc. ; as also Yroui rheumatic and gout^ humours, or surfeits; from too free a use of tea, or watery fluids relaxing the stomach, &c. ; from the natural mucus being abraded, par- ticularly in the upper orifice of the stomach. Cardia'lgia inflammato'ria. Inflam- mation in the stomach. Cardia'lgia spuTiTo'RiA. See Pyrosis. Cardime'lech (From KAfS'iu, the heart, and meleck, Heb. a governor.) A fictitious term in Dolaeus's Encyclojiadia, by which he would express a particular active prin- ciple in the heart, appointed to what we call the vital functions. Cardimo'na. a name for Cardialgia. Cardinal fioivers, blue. See Lobelia. Cardiname'ntum. (From cardo, a hinge.) A sort of articulation like a hinge. CARDIO'GMUS. (From y.!tpJ-Mv, to have a pain in the stomach.) The same as Cardialgia. Also an aneurism in the aorta, near the heart, which occasions pain in the pracordia. Carbio'nchus. (From mpclict, the heart, and oyno;, a tumour.) An aneurism in the heart, or in the aorta near the heart. Cardictro'tus. (From ks/jJ'w, the heart, and Tirfia.a), to pluck.) A delirious motions of bones, or to connect them to- picking of the bed-clothes, a symptom oc- gather, curring in dangerous fevers. CARTILA'GO ANNULARIS. See Car- Ca'rphus. (From -'ixppn, a straw.) In lilago cricoidea. Hippocrates it signifies a mote, or any small CARTILA'GO ARYT^NOIDE'A. See substance. A pustule of the smallest kind. Larynx. Also the herb fenugreek. CARTILA'GO CRICOIDE'A. The cri- Ca'rpia. (From carpo, to pluck, as lint coid cartilage belongs to the larynx, and is is made from linen cloth.) Lint. See situated between the thyroid and arjtenoid Linteurn. cartilages and the trachea; it constitutes, as Carpi'smus. The wrist. it were, the basis of the many annular car- CARPOBA'LSAMUM. (From n^pmc, tilages of the trachea. fruit, and Mi^A/^w, balsam ) See .-imyris CARTILA'GO ENSIFORMIS. Cartila- Gileadensis. Carpolo'gia. See Carphologia. go xiphoidea. Ensiform cartilage. A car- tilage shaped somewhat like a sword or CA'RPUS. {Vi-ctpm;, the wrist.) The dagger, attached to tbe lowermost part of wrist, or carpus. It is situated between the the sternum, just at the pit of the stomach, fore-arm and hand. See Bone. Cartila'go scutifo'rmis. See Thyroid Carrot. See Daucus. cartilage. Carrol, candy. See Athamanta Cretensis. Caktila'go thyboide'a. See Thi/roid car- Cmrot poultice. See Cataplasina danci. Hinge. CAR CAft 191 Cartila GO xiPHoiDEA. See Carttlago cnsiformis. CA'RUI. (Caruia, Arabian.) The ca- raway. See Carum. CA'RUM. (Ka/ioc: so named from Caria, a province of Asia.) The cara- way. 1. The name of a genus of plants in the Linneean system. Class, Pentandria. Or- der, Monogynia. 2. The pharmacopogial name of the cara- way plant. See Carum carui. Ca'rum ca'rui. The 'systematic name for the plant whose seeds are called cara- ways. It is also called Carvi. Cu- minum pratense. Cams. Caruon. The Carum carui of Linneeus. The seeds are •well known to have a pleasant spicy smell, and a warm aromatic taste ; and, on this account, are used for various economical purposes. They are esteemed to be carmi- native, cordial, and stomachic, and recom- mended in dyspepsia, flatulencies, and other symptoms attending hysterical, and hypo- condriacal disorders. An essential oil and distilled water are directed to be prepared from them by the London college. CA'RUNCLE. Caruncula. (Diminu- tive of cnro, flesh.) A little fleshy excres- cence : as the caruncuhe myrtiformes, ca- runculse lachrymales, &.c. CARU'NCULA LACHRTMA'LIS. A long connoidal gland, red externally, si- tuated in the internal canthus of each eye, before the union of the eyelids. It appears to be formed of numerous sebaceous glands, from which many small hairs grow. The hardened smegma observable in this part of the eye is the morning, is separated by this caruncle. Caru'ncul^ cuticui-a'res als.. The nymphae. Caru'ncul/e mamilla'res. The extre- mities of the tubes in the nipple. CARU'NCULA MYRTIFORMES. When the hymen has been lacerated by at- trition, there remain in its place, two, three, or four caruncles, which have received the name of myrtiform Caru'ncul^; papilla'res. The protu- berances within the pelvis of the kidney, formed by the papillous substance of the kidney. Caruncdlo'sa ischu'ria. a suppression of urine, from caruncles in the urethra. Ca'ruon. See Carum. Carus. (Kxpo?: from nxpa., the head, as being the part affected.) Caros. Carosis. 1.- Insensibility and sleepiness, as in apoplexy, but attended with quiet respira- tion. 2. A profound sleep, without fever. A lethargy. 3. The caraway-seed. Ca'rva. The cassia lignea. Carye'don. (From x^xpuu., a nut.) Ca- yudon. A sort of fracture, where the bone is broken into small pieces, like the shell of a cracked nut. Cary'don. See Caryedon. Caryocosti'num. An electuary, named from two of its ingredients, the clove and costus. CARYOPHYLLA'TA. (From k«^w- ^vKKov, the caryophyllus ; so named because it smells like the caryophyllus, or clove July flower.) See Gev.m urbanum. Caryophylloi'des co'rtex. See Laurus Culilawen. C A R Y P H Y'L L U M. (Ka.i>vo!pvxh.ov : from xapuov, a nut, and (pv>j^ov, a leaf ; so named because it was supposed to be the leaf of the Indian nut.) The clove. CARYOPHY'LLUM AROMA- TIC U M. The same. See Eugenia Ca- ryophyllata. Caryophy'llum ru'brum. The clove pink. See Dianthus caryophyllus. CARYOPKY'LLUS. The clove-tree. The name of a genus of plants in the Lin- naean system. Class, Polyandria. Order, Monogynia. See Eugenia Caryophyllata. Caryophy'llcs aroma'ticus America'- Nos. The piper Jamaicencis. Caryophy'llus horte'nsis. The caryo- phyllum rubrum. Caryophy'llus vulg^'ris. The caryo- phyllata. Cauyo'tis. (From K^pvcv, a nut.) Ca- ryota. Galen uses this word to mean a superior sort of dates, of the shape of a nut. CASCARI'LLA. (Dim. of cascara, the bark, or shell. Span.) A name given originally to small specimens of cinchona: but now applied to the bark of the Croton lascarilla; which see. Ca'schu. See Acacia Catechu. Cashew-nut. See Anacardiian occidentale, Cashoo. An aromatic drug of Hindos- tan, said to possess pectoral virtues. Ca'sia. See Cassia. Casmina'ris. The cassumuniar of Ben-> gal. Ca'ssa. (Arab.) The thorax or breast. Cassa'da. Cassava. See Jatropha Ma^ nihot. Ca'ssamum. The fruit of the balsan^ tree. CASSEBOHM, Frederic, a professor of anatomy at Halle in Saxony, published in 1730, a treatise on the difference between the Fcetus and Adult, in which he no> tices the descent of the testicle from the abdomen ; and four years after a very mi- nute and exact description of the ear. He likewise explained in subsequent publica- tions the manner of dissecting the muscles and the viscera : but an early death prevent- ed his completing his design of elucidating the anatomy of the whole body in the same way. CASSERIUS, Julius, was born of humble parents at Placentia in 1545. H« 192 CAS CAS became servant to Fabricius at Padua, Avho observing his talent, first taught him ana- tomy, then made him his assistant, and finally coadjutor in the professorship in 1609. He pursued the study with uncommon zeal, expending almost all his profits in procuring subjects, and in having drawings and prints made of the parts, which he die- covered, or traced more accurately than his predecessors. He employed comparative anatomy, not as a substitute for, but only as a clue to that of the human subject. He published an account of the organs of voice and hearing, Avhich he afterwards extended to the other senses explaining also the uses of these parts. Some years after his death in 1616, the rest of his plates, amounting to 78, with the explanations, were published with the works of Spigelius. CA'SSIA. (From the Arabic katsia, which is from katsa, to tear off ; so called from the act of stripping the bark from the tree.) The name of a genus of plants in the Lit- naean system. Class, Decandria. Order, Monogynia. Cassia and Senna belong to this genus. Ca'ssia Caryophylla'ta. The clove- bark tree. See MyrtiLS Caryophyllaia. Ca'ssia fi'stdla. Cassia nigra. Cas- dafistularis. Ahxandnna. Chaiarxambar. Canna. Cassia solutiv a. Tlai Xiem. Purg- ing cassia. This tree, Cassia Jistula ; foliis quinquejugis ovaiis acuminntis glabns, petio- lis eglandidatis of Linnaeus, is a native of both Indies. The pods of the East India cassia are of a less diameter, smoother, and afford a blacker, sweeter, and more gi-ateful pulp, than those which are brought from the West Indies. Those pods which are the heaviest, and in which the seeds do not rat- tle on being shaken, are commonly the best, xvnd contain the most pulp, which is the part medicinally employed, and to be obtdnied, in the manner described in the pharmaco- poeias. The best pulp is of a bright shining black colour, and of a sweet taste, with a slight degree of acidity. It has been long used as a laxative medicine, and being gen- tle in its operation, and seldom disturbing the bowels, is well adapted to children, and to delicate or pregnant women. Adults, however, find it of little eftect, unless taken in a very large dose, as an ounce or more ; and, therefore, to them this pulp is rarely given, but usually conjoined with some of ■{he brisker purgatives. The officinal pre- paration of this drug, is the confectio cassia; ; it is also an ingredient in the confectio sennee. Ca'ssia fistula'ris. See Cassia fistula. Ca'ssia li'gnea. Cassia bark. See Laurus cassia. Ca'ssia ni'gka. See Cassia fistula. Cassia, purging. See Cassia fistula. Ca'ssia senna. The systematic name of the plant, which affords senna. Senna dhxandrina. Senna itciHca. Senna, or Egyptian cassia. Cassia; foliis sejugis iub- ovatis, petiolis eglandulafis of Linnaeus. The leaves of senna, which are imported here from Alexandria for medicinal use, have a rather disagreeable smell, and a sub- acrid, bitterish, nauseous taste. They are in common use as a purgative. The for- mulse given of the senna by the colleges, are an infusion, a compound powder, a tincture, and an electuary. See Infusum senncE, k.c. Ca'ssia soluti'va. See Cassia fistula. Ca'ssia: arame'htum. The pulp of cassia. Ca'ssije flo'res. What are called cassia flowers in the shops, are the flowei's of the true cinnamon tree, Laurus cinnamo- mum of Linnaaus. They possess aromatic and adstringent virtues, and may be suc- cessfully employed in decoctions, Stc. in all cases where cinnamon is recommended. See Laurus cinnamomum. Ca'ssia pd'lpa. See Cassiafistula. Ca'ssob. An obsolete term for kali. Cassole'ta. Warm fumigations described by Marcellus. Cassonada. Sugar. Cassummc'kiar. (Of uncertain deriva- tion, perhaps Indian.) Casamunar. Cas- mina. Risagon. Bengale Indorum. The root, occasionally exhibited under one of these names, is brought from the East Indies. It comes over in irregular slices of various forms, some cut transversely, others longitudinally. The cortical part is marked with circles of a dusky brown colour: the internal part is paler, and un- equally yellow. It possesses moderately warm, bitter, and aromatic qualities, and a smell like ginger. It is recommended in hysterical, epileptic, and paralytic affections. CASTA'NEA. (zifaviv : from Castana, a city in Thessaly, whence they were brought.) The common chesnut. See Fagus castanea. Casta'nea equi'na. The horse-chesnut. See JEsculus Hippocastammi. Castanea flare albo. Coflfee. CASTELLANUS, Peter, or Du Cha- tel, was born at Grammont in Flanders, 1585. His rapid improvement in the Greek language procured him the professorship, at Lovain, in 1689 ; but he did not graduate in medicine till nine years after. At the same period, he published the lives of eminent physicians in Latin, written in a concise but very entertaining manner, with useful references to the original authorities. He died in 1632. CASTELLU3, Bartholomew, an Ita- lian phj'sician, who practised at Messina about the end of the 16th centuiy. He was author of two works, both for a long time extremely popular, a Synopsis of Me- dicine, and " Lexicon Medicum Graeco- Latinum," in which great learning and judgment are conspicuous. Castle-leod waters. A sulphureous QAT CAI 133 spring in Ross-shire, celebrated for the cure of cutaneous diseases and foul ulcers. Ca'stor fi'eer. The systematic name of the beaver. See Castoreum. Castor. See Castoreum. Castor oil. See Ricinus. Castor, Ri{s-nan. See Castoreum. CASTORE'UM. {Castor irom iiAcrap, the beaver, quas:i yag-cep : from yag-np, the belly : because of the largeness of its belly ; or a castrando, because he was said to castrate himself in order to escape the hunters;) Castoreum russicum. A peculiar concrete substance, called castor, is obtained fromthe C<«/or^&er of Linnasus,or beaver, an amphibious quadruped inhabiting some parts of Prussia, Russia, Germany, &c. ; but the greatest number of these animals is met with in Canada. The name of castweum or castor is given to two bags, situated in the inguinal regions of the beaver, which contain a very odorous substance, soft, and almost fluid when recently cut from the animal, but which dries, and assumes a re- sinous consistence in process of time. The best comes from Russia. This substance has an acrid, bitter, and nauseous taste ; its smell is strong and aromatic, yet at the same time foetid. It is used medicinally, as a powerful antispasmodic in hysterica and hypocondriacal affections, and in con- vulsions, in doses of from 10 to 30 grains. It has also been successfully administered in epilepsy and tetanus. It is occasionally adulterated with dried blood, gum-ammo- niacum, or galbanum, mixed with a little of the powder of castor, and some quantity of the fat of the beaver. Castori'um. See Castoreum. CASTRATION. Celotomia. Orchoto- mia. Achirurgical operation, by which a . testicle is removed from the body. CASTRE'Nsis.(Fromcas, to be useless.) Hippocrates nses this word to signify carelessness and negligence in the at- tendance on and administration to the sick. Catable'ma. (From nnrxCAf^ai, to throw round.) The outermost fillet, which se- cures the rest of the bandages. Catabronche'sis. (From nulet, and /ip^yXK, the throat ; or ica}nCf>oy^i^Uj to swallow.) The act of swallowing. Catacad'ma. (From nctJaxMce, to burn.) A burn or scald. Catacau'sis. (From zttjaznio), to burn.) The act of combustion, or burning. Catacecli'menus. ^ (From iu{laic\tvofj.ai, to lie down.) Keeping the bed, from the •5?nlence of a disease. 25 Caxacecra'aiekus. (From }i%jaLH.ifu.nofjit, to reduce to small particles.) Broken into small pieces. It is used of fractures. Catacera'stica. (From KaOuKifctnu/u^t) to mix together.) Medicines which obtund the acrimony of humours, by mixing with them and reducing them. Catachilde'sis. (From kulIh^xk} aa>, to indulge in delicacies.) _A gluttonous in- dulgence in sloth and delicacies, to the ge- neration of diseases. Catachri'ston. (From Ksijayjiu, to anoint.) An unguent, or ointment." Catachri'sma. An ointment. Cata'clasis. (From x-^^tstxau), to break, or distort.) Distorted eyelids. Ca'tacleis. Cataclefs. (From y.xls., be- neath, and KKiic, the clavicle.) The sub- clavicle, or first rib, which is placed imme- diately under the clavicle. Catacli'nes. (From {taOcuatm,to]ie down.) One who, by disease, is fixed to his bed. Cata'clisis. (From k^akkivm, to lie down.) A lying down. It means also in- curvation. Cataclv'sma. (From kuIoxxv^o), to wash.) A clyster. Cataclv'smus. (From scxlimw^a), to wash.) An embrocation. A dashing of water upon any part. Catacre'mnos. (From axt?*, and Kpujuvt;, a precipice.) Hippocrates means, by this word, a swoln and inflamed throat, from the exuberance of the parts. Catacru'sis. (From H.A]sticpoua), to drive back.) A revulsion of humours. Catadoule'sis. (From yMlcuJ'ovxcu, to enslave.) The subduing of passions, as in a frenzy, or fever. CATiEGiZE'sis. (From actjaiyi^o), to re- pel.) A revulsion or rushing back of hu- mours, or wind in the intestines. Cat^eone'sis. (From Kalajovioi, to irri- gate.) Irrigation by a plentiful aff"usion of liquor on some part of the body. Cata'gma. (From kaIu, and ctyu, to break.) A fracture. Galen says a solution of the bone is called catagma, and elcos is a solution of the continuity of the flesh: that when it happens to a cartilage, it has na name, though Hippocrates calls it catagma. CAf agma'tica. (From nAlA-yfMt., a frac- ture.) Catagmatics. Remedies proper for cementing broken bones, or to promote .a callus. Catago'ge. (From >c-xldL.yoiJ.cu, to abide.) The seat or region of a disease or part. _ Catagyio'sis. (From tcoClnyutow, to de- bilitate.) An imbecility and enervation of the strength and limbs. CATALETSIS. (From KttU\!tjuC^va>, to seize, to hold.) Catoche. Catochus. Congelatio. Detentio. Encatalepsis ; and by Hippocrates aphonia; by Antigenes anaudia; by Cslius Aureliaaus apprchensio, oppressio ; comprehensio. .Ipoplexia catalep- iica of Culjen, Catalepsy. A sodden surij 194 CAT CAT pression of motion and sensation, tlie body decidua are formed in difficult menstrua- remaining in the same posture that it was tions : in some women it always smells in when seized. rank and peculiar ; in others it is inodorous. Dr. Ciillen says he has never seen the The use of this monthly secretion is to ren- catalepsy except when counterfeited ; and der the uterus fit for the conception and nu- is of opinion, that many of those cases re- trition of the foetus; therefore girls rarely lated by other authors, have also been conceive before the catamenia appear, and counterfeited. It is said to come on sud- women rarely after their entire cessation ; denly, being only preceded by some languor but very easily soon after menstruation, of body and mind, and to return by parox- Catana'nce. Succory, ysms. The patients are said to be for some Catani'phthis. (From xalavivlee, to minutes, sometimes (though rarely) for some wash.) Washed or scoured. It is used by hours,deprivedoftheir senses, and all power Hippocrates of a diarrhoea washed and of voluntary motion ; but constantly retain- cleansed by boiled milk, iug the position in which they were first Catantle'ma. (From iialay]\itce, to pour seized, whether lying or sitting; and if the upon.) A lotion by infusion of water, or limbs be put into any other posture during medicated fluids, the fit, they will keep the posture in which Catantle'sis. A medicated fluid. they are placed. When they recover from Catapa'sma. (From a^TetTrna-o-o), to the paroxysm, they remember nothing of sprinkle.) Catapastum. Compersio. Epipas- what passed during the time of it, but are ton. Pasma. Sympasma. ^spersio. Aspergo. like persons awakened out of a sleep. The ancient Greek physicians meant by Catalo'tica. (From K,st7aMaa, to grind this, any dry medicine reduced to powder, down.) Medicines to soften and make smooth to be sprinkled on the body. Their various the rough edges and crust of cicatrices. uses niay be seen in Paul of Egina, lib. vii. Cata'lysis. (KaTaAi/i.a.Tni, below, and ai^oc, the shoulder.) By this word, P. A^gi- neta expresses a method of reducing a lux- ated shoulder, by raising the patient over the shoulder of a strong man, that by the weight of the body, the dislocation may be reduced. Cato'psis. (From KciTOTT-TOfxui, to see clearly.) An acute and quick perception. The acuteness of the faculties which accom- panies the latter stages of consumption. Cato'pter. (From xath, and o7rro/usu, to see, and, by metaphor, to probe.) A probe. An instrument called a speculum ani. Catorchi'tes. (From xstra, and op^i^, the orchis.) A wine in which the orchis root has been infused. Catore'tica. (From jcxto), downwards, and pio), to flow.) Catoteretica. Catoterica. Medicines which purge by stool. Catotere'tica. See Catoreiica. Catulo'tica. (From x.rtTovKm, to cica- trize.) Medicines that cicatrize wounds. Catutki'pali. a name ofthe piper longum. Cac'calis. {From y.^vyMv, a cup : or trom iavnttxi^, the daucus.) Bastard pars- ley, so named from the shape of its flower. Also the wild carrpt. Caucaloi'des. (From caufflfo, and s/di;, a likeness; from its likeness to the flower of the caucalis.) The patella is sometimes so called. CAU'DA. (From cado, to fall ; because it hangs or falls down behind.) A tail. 1. The tail of animals. 2. A name formerly given to the os coc- cygis, that being in tailed animals the be- ginning of the tail. 3. A fleshy substance, projecting from the lips of the vagina, and resembling a tail, ac- cording to Aetius. 4. Manj-^ herbs are also named Cauda, with the aflixedname of some animal, whose tail the herb is supposed to be like ; as cauda equina, horse-tail ; cauda muris, mouse-tail > and in many other instances. Cau'da equi'na. The spinal marrow, at its termination about the second lumbar vertebra, gives ott" a large number of nerves, which, when unravelled, resemble the horse's tail ; hence the name. See also Hippuris vulgaris. Cauda'tio. (From cauda, a tail.) An elongation of the clitoris. CAUL. The English name for the omen- tum. See Omentum. Cadle'don. (From hmkoc, a stalk.) A transverse fracture, when the bone is broken, like the stump of a tree. Cau'liflower. a species of brassica, whose flower is cut before the fructification expands. — The observations which have been made concerning cabbages are appli- cable here. See Brassica capitala. Cauli- flower is, however, a far more delicious vegetable. CAU'LIS. (Kalab. A Chaldean word.) 1. The stem or stalk of a plant. 2. A cabbage. 3. The penis of a man. Cau'lis flo'rida. Cauliflower. Caulo'des. (From zittyAi;?, astern.) The white or green cabbage. Caulo'ton. (From kcluxo;, a stem ; be- cause it grows upon a stalk.) A name given to the beet. Cau'ma. (From unue, to burn.) The heat of the body, or the heat of the atmo- sphere, in a fever. Cac'kga. a name of the areca. Cau'sis. (From kjuoi, to burn.) A burn ; or rather, the act of combustion, or burning. Causo'des. (From Kx/ai, to burn.) A term applied by Celsus to a burning fever. Causo'ma. (From K^tce, lo burn.) An ardent or burning heat and inflammation. A term used by Hippocrates. Caustic alkali. The pure alkalies are so called. See Mkali. Caustic barley. See Cevadilla. CAUSTICS. (Caustica,sc. medicamenia ; from }iMit, to burn ; because they always CEA CEL 199 produce a burning sensation.) See Eschar- otics. Cau'sticum America'num. The cevadllla. Cau'sticum antimokia'le. Muriate of antimony. Cau'sticum commu'ne fo'rtius. See Potassacum cake. Cau'sticum luna're. See Argenti nitras. C A u's u s. (From xum, to burn.) An higiily ardent fever. According to Hip- pocrates, a fiery heat, insatiabale thirst, a rough and black tongue, complexion yel- lowish, and the saliva bilious, are its pecu- liar characteristics. Others also are par- ticular in describing it; but, whether an- cients or moderns, from what they relate, this fever is no other than a continued ardent fever in a bilious constitution. In it the heat of the body is intense ; the breath is particularly fiery ; the extremities are cold ; the pulse is frequent and small ; the heat is more violent internally than exter- nally, and the whole soon ends in recovery or death. Causus endemial. The name given, by Dr. Mosely, to the yellow fever of the West Indies. CAUTERY. (From«c«.0 cein: €ilN former is evidently dispersed throughout the whole body, except the substance of the brain. It makes a bed for the other solids of the body, covers them all, and unites them one to another. The adipose mem- brane consists of the reticular substance, and a particular apparatus for the secretion of oil, and is mostly found immediately un- der the skin of many parts, and about the kidneys. Celoto'mia. (From kxaw, hernia, and 'vif/.vce, to cut.) The operation for hernia. Ce'lsa. a term of Paracelsus, to signify what is called the beating of life in a par- ticular part. CE'LSUS, Aure'lius Corne'lius. It is commonly supposed, that this esteemed an- cient author was a Roman, of the Cornelian family, born towards the end of the reign of Augustus, and still living in the time of Caligula. But these points are not esta- blished upon certain testimony, and it is even disputed whether he practised medi- cine ; though his perfect acquaintance with the doctrines of his predecessors, his accu- rate descriptions of diseases, and his judi- cious rules of treatment, appear to leave little room for doubt on that head. At any rate his eight books, " De Medicina," have gained him deserved celebrity in modern times, containing a large fund of valuable information ; detailed in remarkably ele- gant and concise language. In surgery particularly he has been greatly admired, for the methods of practice laid down, and for describing several operations, as they are still performed. There have been nu- merous editions of his work, and transla- tions of it into the several modern lan- guages. Ceaie'nterium. a crucible. Ce'nchramis, (From u.iyxf-o^t millet.) A grain or seed of the fig. Ce'nchrius. a species of herpes that resembles x.ryo^jioQ, or millet. Ceneangei'a. (From vavoc, empty, and aj^-oc, a vessel.) The evacuation of blood, or other fluids, from their proper vessels. Ceni'gdam. Ceniplnm. Cenigolam. Ce- nipolam. The name of an instrument an- ciently used for opening the head in epi- lepsies. Ceniote'mium. a purging remedy, formerly of use in the venereal disease, supposed to be meixurial. Ceno'sis. (From zm;, empty.) Eva- cuation. It must be distinguished from Catharsis. Cenosis imports a general eva- cuation ; Cathars-is means the eracuation of a particular humour, which offends with respect to quality. CENTAU'REA. (So called from Chiron, the centaur, who is said to have employed one of its species to cure himself of a wound accidentally received, by letting one of the arrows of Hercules fall upon his foot.) The namf> <>f h s^cnus of plants in the Linusean system, of the Order, Polygamia frusianea. Class, Syngenesia. Centau'rea be'hen. The systematic name of the officinal behen album. Jacea orientalis palula. Raphonticoides luiea. The true white behen of the ancients. The root possesses astringent virtues. Centau'rea benedi'cta. The systematic name of the blessed thistle. Carduus bene' didus. Cnicus sylvestris. Blessed or holy thistle. Centaurea benedida ; calycibus ditpli- cato-spinods lanatis involucratis, foliis semi- decurrentibus denticulato-spinosis, of Lin- naeus. This exotic plant, a native of Spain and some of Archipelago islands, ob- tained the name of Benedictus from its being supposed to possess extraordinary me- dicinal virtues. In loss of appetite, where the stomach was injured by irregularitiesy its good effects have been frequently ex- perienced. It is a powerful bitter tonic and adstringent. Bergius considers it as antacid, corroborant, stomachic, sudorific, diuretic, and eccoprotic. Chamomile flowersare nov/ generally substituted for the carduus bene- dictus, and are thought to be of at lease equal value. Cestau'rea calcitra'pa. The systematic name of the calcitrapa. Carduus stellatia- Jacea ramusissima,stellata, rupina. Common star-thistle. Star-knapweed. The plant thus called in the pharmacopoeias, is the Centau- rea calcitrapa; calycibus subduplicato-spinosis, sessilibus ; foliis pinnatifidis, linearibus den- tatis ; caule piloso, of Linnams, every part of which is bitter. The juice, or extract, or in- fusion, are said to cure intermittents ; and the bark of the root, and the seeds, have been recommended in nephritic disorders, and in suppression of urine. It scarcely diifers, in its effects, from other bitters, and is now little used. Centau'rea centau'rium. Rhapo7ilicum vulgare. Centaurium magnum. Cenlaurium majus. Greater centaury. The root of this plant was formerly used as an aperient and corroborant in alvine fluxes. It is now totally discarded from the Materia Medica of this country. Centau'rea cy'anus. The systematic name of the plant which affords the fiores cyani. Cyanus. Blue-bottle. Corn-flower. The flowers of this plant, Centaurea cyanus; calycibus serraiis; foliis linearibus, integerri- mis, infimis dentatis, of Linnaeus, were formerly in frequent use ; but their anti- phlogistic, antispasmodic, cordial, aperient, diuretic, and other properties are now, with great propriety, forgotten. Centau'rea solstiti a'lis. Calcitrapa offi- cinalis. Carduus stellatiis luteus. Carduus solslitialis. Jacea stellata. Jacea lutea capita spinoso minori Leucanthe veterum. St. Bar- naby's thistle. It is commended as an antic- teric, anti-cachetic, and lithontriptic, but is, in reality. Only a weak tonic. Centai7Kioi'de«. The gratiola CEP CEK 201 CENTAU'RIUM. (From K-fldu^oij a Also along-continued pain of the cerebi-uois centaur; so called because it was feigned and its membranes. tliat Chiron cured Hercules's foot, which he CEPHALA'LGIA. (From r.ipxKM, the had wounded with a poisonous arrow, with head, and *x^oc, pain.) Ceplialcea. The it.) Centaury. See Chironia Centaurium. headach. It is symptomatic of very many Centac'rium ma'gnum. } See Centnurea diseases, but is rarely an original disease Centau'rium ma'jus. 5 Centaurium. itself. When _jniild, it is called cephalagia; Centau'ridm mi'nus. See Chironia Cen- when inveterate, cephaleea. When one side iaurium. of the iiead only is affected, it takes the Centau'ry. See Chironia. names of het7iicrania, migrana, hemipagia, Centimo'rbia. (From centum, a hun- and megrim; in one of the temples only, dred, and morbus, a disease.) Nummula- crotep/jos; and that which is fixed to a pointj ria, or moneywort; named from its sup- generally in the crown of the head, is dis- posed efficacy in the cure of a multitude of tinguished by the name of clavus. disorders. Cephala'lgia catarrha'lis. Headachj Centino'dia. (From centum, a hun- with catarrh, from cold, dred, and nodus, a knot.) The herb poly- Cephalalgia inflammato'ria. Phreni- gonum; so called from its many knots, or tis, or inflammation of the brain, joints. Cephala'lgia spasmo'dica. The sick Centi'pedes. (From cen/itm, a hundred, headach. A species of indigestion. and pes, a foot.) Woodlice, named from Caphala'ktica. (From »s4)axj), the head, the multitude of their feet. and apr/^oi, to make pure.) Medicines which Centra'tio. (From centrum, a centre.) purge the head. The concentration and affinity of certain CE'PHALE. (Ksfiaxw.) The head, substances to each other. Paracelsus ex- CEPHALIC VEIN. {Vena cephalica; presses by it the degenerating of a saline so called, because the head was supposed to principle, and contracting a cori'osive and be relieved by opening it.) The anterior exulcerating quality. Hence Centrum Salisis vein of the arm, that receives the cephalic said to be the principle and cause of ulcers, of the thumb. Ce'ntrium. (From Kivrm, to prick.) ('EPHA'LICA. (From Ki* piasters and that of ohit- meals ;, thor;.'.i no very definite rule for this <:(/nf:5'L'; v.r- '\-~. •'-; fac^ eiiheroiver. orobser- Cera'tia. (From xs/i«?, a horn> which its fruit is supposed to resemble.) The si- liqua dulcis. See Ceratonica. Cera'tia diphy'llus. See Courbaril. Cerato-glo'ssus. (From x^a;, a horn, and yxaia-a-ct, a tongue.) A muscle, so named from its shape and insertion into the tongue. See Hyoglossns. Cerato-hyotde'us. (From the os hyoides.) See Stylo-hyoideus. Ceratoi'des. (From xipxlog, the geni- tive of Kspa.;, horn, and nJog, appearance.) See Cornea Cerato-mala'gma. a cerate. Cerato'nia si'li^ua. The systematic name of the plant which affords the sweet pod. Ceratium. Ceratia. Siliqua dulcis. The pods are about four inches in length, and as thick as one's finger, compressed and unequal, and mostly bent ; they contain a sweet brown pulp, which is given in the form of decoction, as a pectoral in asthmatic complaints and coughs. _ CERA'TUM. See Cerate, and Ceratum simplex. Cera'tusi a'lbcm. See Ceralum cetacei. Cera'tum calome'lanos. I);. Calom. 3j. Cerat. calam. ^ss. Misce. Some practitioners are partial to this as a dressing for chancres. Cera'tum cALAMi'N.a:. Formerly called ceratum lapidis culaminaris, and ceralum epuloticum. Calamine cerate. Take of pre- pared calamine, yellow was, of each half a pound ; olive oil, a pint. Mix the oil with the melted wax ; then remove it from the fire, and as soon as it begins to thicken, add the calamine, and stir it constantly, until the mixture becomes cold. A compo- sition of this kind was first introduced under the name of Turner's cerate. Jt is well calculated to promote the cicatrization of ulcers. j?, an old word that signifies pure wine," and y.ipoivw/ui, to mix.) Wine mixed with vvfater. Chali'nos. Chalinus. That part of the cheeks, which, on each side, is contiguous ' to the angles of the mouth. CHALY'BEATE. (Chalybeata, sc. me- dicamenta ; from chalybs, iron, or steel.) Of or belonging to iron. A term given to any medicine into which iron enters ; as chalybeate mixture, pills, waters, &c. CHALY'BEATE WATERS. Any mi- neral water which abounds with iron ; such as the waters of Tunbridge, Spa, Pyrmont, Cheltenham, Scarborough, and Hartfel ; and many others. €hA LYBIS HOBIGO PRjEPARAXA. Se»^ Ferri subcarbonas. CHA'LYBS. (From Chalybes, a people in Pontus, who dug iron out of the earth.) Jlcits. Steel. The best, hardest, finest, and the closest-grained forged iron. As a medi- cine, steel differs not from iron. Cha'lybs tartariza'tus. The ferrum tartarizatum. Cham-eba'lanus. (From x^-l^^^i o" the ground; and ^slkclvo;, a nut.) Wood peas. Earth nuts. CHAMiEBu'xus. (From ^^x[j.iu, on the ground, and -nn/loc, the box-tree.) The dwarf box-tree. Cham^lce'drus. (From %AfJi.cu, on the ground, and KiSpog, the cedar-tree.) Cha- mcEcedrys. A species of dwarf abrotanum. Chamaci'ssus. (From ^J-fj.a.i, on the ground, and kio-7. CHK CH£ 20r Cha'bme. (From '/jt-ifCi, to rejoice.; polypus out of the nose. Fissures in the Charmis. A cordial antidote mentioned feet, or other places, by Galen. Che'l^; cancro'rum. See Cancer. Cha'rpie. (French.) Scraped linen, or Che'lidon. The bend of the arm. lint. CHELIDO'NIUM. ^From ^mJuv, Cha'eta. (Chald.) Paper. The am- the swallow. It is so named from an nios, or interior foetal membrane, was called opinion, that it was pointed out as useful the charta virginta, from its likeness to a for the eyes by swallows, who are said to piece of fine paper. open the eyes of their young by it ; or be- Cha'rtkeux, pod'dre de. (So called cause it blossoms about the time when because it was invented by some friars of swallows appear.) Celandine. A genus of the Carthusian order.) A name of the plants in the Linnaean system. Class, kermes mineral. Polyandria. Order, Monogynia. There is Cha'sme. (From yjum, to gape.) Chas- only one species used in medicine, and that mus. Oscilatien. Gaping. rarely. Chaste tree. The .^gnu^ castus. Chelido'kium ma'jus. Papaver cornicu- Cha'te. The cucamis iEgyptia. latum, lufeitm. Tetterwort, and great celan- Cheek-bone. SeeJugale os. dine. The herb and root of this plant, Che- CHEESE. Caseus. The coagulum of lidonium majus ; peduncuHs umhellatis, of milk. When prepared from rich milk, and Linneeus, have a faint, unpleasant smell, well made, it is very nutritious in small and a bitter, acrid, durable taste, which is quantities : but mostly indigestible when stronger in the roots than the leaves. They hard and ill prepared, especially to weak are aperient and diuretic, and recommended stomachs. in icterus, when not accompanied with in- Cheiloca'ce. (From p^s/Ao?, a lip, and flammatoiy symptoms. The chelidonium X2;'.5i/, an evil.) The lip-evil. A s welling should be administered with caution, as it is of the lips, or canker in the mouth. liable to irritate the stomach and bowels. Ckeime'lton. (From x^f^^, winter.) Of the dried root, from 3ss to 3j is a dose ; Chilblains. of the fresh root, infused in water, or wine. CHEIRA'NTHU S. {From y up, a the dose may be about |ss. The decoction hand, and avSoc, a flower ; so named from of the fresh root is used in dropsy, cachexy, the likeness of its blossoms to the lingers of and cutaneous complaints. The fresh juice the hand.) The name of a genus of plants is used to destroy warts, and films in the ii) the Linnaean system. Class, Tetradyna- eyes ; but, for the latter purpose, it is diluted mia. Order, Siliquosa. The wall-flovifer. with milk. Cheira'nthcs chei'ri. The systematic Chelido'kium mi'nus. See Ranunculus name of the wall-flower. Leucoium luteum. Jicaria. Viola lutea. Common yellow wall-flower. Chelo'ne. (^_!Aa>v».) The tortoise. An The flowers of this plant, Cheiranthus cheiri ; instrament for extending a limb, and so foliislanceolatis, acutis, glabris ; ramis angii- called because, in its slow motions, it repre- latis ; caulefruticoso,oi ij\nn3dus,a.rerecom- sents a tortoise. This instrument is men- mended as possessing nervine and deob- tioiied in Oribasius. struent virtues. They have a moderately Chelo'nion. (From ;tsAa)Vi), the tortoise ; strong, pleasant smell, and a nauseous, bit- so called from its resemblance to the shell ter, somewhat pungent taste, of a tortoise.) A hump, or gibbosity in the Cheira'psia. (From 5^a/), the hand, and back. ci:tto/xm, to touch.) The act of scratching ; CHELTENHAM WATER One of the pai-ticularly the scratching one hand with most celebrated purging waters in England, another, as in the itch. and the reputation of it is daily increas- Chei'ri. {Cheiri, Arab. See Cheiran- ing, as it possesses both a saline and chaly- ihus. beate principle. When first drawn, it is Cheiria'ter. (From 5^s;/i, the hand, and clear and colourless, but somewhat brisk; w7pc?, aphyslcian.) A surgeon whose office has a saline, bitterish, chalybeate taste. It it is to remove maladies by operations of the does not keep, nor bear transporting to any hand. distance ; the chalybeate part being lost by Cheiri'sma. (Yvora o^ufiPoi^Ai, to labour precipitationof theiron.cindin the openairit with the hand.) Handling. Also a manual even turns fcetid. The salts, however, remain, operation. Its heat, in summer, was from 50" to 55° or Cheiri'xis. (From c^jipi^iy.au, to labour 59°,when the medium heat of the atmosphere with the hand. The art of surgery. was nearly 15° higher. On evaporation, it is Cheiroko'mia. (From c/jspovc/xta, to ex- found to contain a calcareous earth, mixed ercise with (he hands.) An exercise men- with ochre and a purging salt. A general tioned by Hippocrate?, which consisted of survey of the component parts of this water, gesticulations with the hands, like our dumb- according to a variety of analyses, show hells. that it is decidedly saline, and couiains much Che'la. (%wj»; forceps; from '^jm, to more salt than most minera! waters. Bv take.) A forked probe, for drawing a fsr the greater part of ihe salts are of a pu'- 208 CHE CHE gative kind, and therefore au action on tne obstruction of the liver. In scrofulous boweh is a constant effect, notwithstanding affections, the sea has the decided pre- the considerable quantity of selenite and ference ; in painful affections of the skin, earthy carbonates which maybe supposed called scorbutic eruptions, which make their to have a contrary tendency. Cheltenham appearance at stated intervals, producing a water is, besides, one of the strongest chaly- copious discharge of lymph, and an abua- beatesweareacquaintedwith.Theironiisus- dant desquamation, in common with other pended entirely bythe carbonic acid.of which saline purgative springs, this is found to gas the water contains about an eighth of bring relief ; but it reqmres to be persevered its bulk ; but, from the abundance of earthy in for a considerable time, keeping up a con- carbonates, and oxide of iron, not much of stant determination to the bowels, and ma- it is uncombined. It has, besides, a slight king use of warm bathing. The season for impregnation of sulphur, but so little as to drinking the Cheltenham water is during be scarcely appreciable, except by very de- the -s^hole of the summer months, licate tests. The sensible effects produced Che'lts. (ji^exw;, a shell.) The breast by this water, are generally, on first taking is so called, as resembling, in shape and it, a degree of drowsiness, and sometimes office, the shell of some fishes, headach, but which soon go off spontane- Chely'sciok. (From ;^5Xwf, the breast.) ously, even previous to the operation on the A dry, short cough, in which the muscles of bowels. A moderate dose acts powerfully, the breast are very sore. and speedily, as a cathartic, without occa- Che ma. A measure mentioned by the sioning griping, or leaving that faintness Greek physicians, supposed lo contain two and languor which often follow the action small spoonsful, of the rougher cathartics. It is principally Che'iiia. Chemistry; which see. on thb account, but partly too from the Chemical appar4'tcs. A generad ex- salutary operation of the chalybeate, and pression, denoting the instruments, vessels^ perhaps the carbonic acid, that the Chel- machinery, furniture, and utensils of a la- tenham water may be, in most cases, per- boratory. severed in, for a considerable length of CHEMISTRY. (^v/y.ti, and sometimes time, uninterruptedly, without producing X'^,uii: rhamia, (rom chama, to hum, Arab, any inconvenience to the body; and dur- this science being the examination of all ing its use, the appetite will be improved, substances by fire.) Chemia. Chimia. Chy- the digestive organs strengthened, and the rnia. The learned are not yet agreed as to Avhole constitution invigorated. A dose of the most proper definition of chemistry, this water, too small to operate directly on Boerhaave seems to have ranked it among^ the bowels, will generally determine pretty the arts. According to Macquer, it is a powerfully to the kidneys. As a purge, science, whose object is to discover the na- this water is drank from one to three pints ; ture and properties of all bodies by their in general, from half a pint to a quart is analyses and combinations. Dr. Black says, sufficient. Half a pint will contain half a it isascience whichteaches,byexperiments, drachm of neutral purging salts, four grains the effects of heat and mixture on bodies ; of earthy carbonates, and selenite, about and Fourcroy defines it a science which one third of a grain of oxide of iron ; to- teaches the mutual actions of all natural gether with an ounce in bulk of carbonic bodies on each other. " Chemistry," says acid, and half an ounce of common air, Jacquin, " is that branch of natural philo- ■with a little sulphuretted hydrogen. Chel- sophy which unfolds the nature of all mate- tenham water is used, with considerable rial bodies, determines the number and benefit, in a number of diseases, especially properties of their component parts, and of the chronic kind, and particularly those teaches us how those parts are united, and called bilious; hence it has been found of by what means they may be separated and essential service in the cure of glandular recombined." Mr. Heron defines it, '-'That obstructions, and especially those that affect science which investigates and explains the the liver, and the other organs connected laws of that attraction which takes place be- with the functions of the alimentary canal, tween the minute component particles of Persons who iiave injured their biliary or- natural bodies. The objects to which the gans, by a long residence in hot climates, attention of chemists is directed, compre- and who are suffering under the symptoms, hend the whole of the substances that corn- either of excess of bile or deficiency of bile, pose the globe. and an irregularity in its secretion, receive CHEMO'SIS. (From ^ofta-, to gape; remarkable benefit from a course of this because it gives the appearance of a gap, or water, judiciously exhibited. Its use may aperture.) Inflammation of the conjunctive be here continued, even during a considera- membrane of the eye, in which the white of ble degree of debility : and from the great the eye is distended with blood, and elevated determination to the bowels it may be em- above the margin of the transparent cornea. ployed with advantage to check the inci- In Cullen"s Zsosology, it is a variety of the pient symptoms of dropsy, and general ophthalmia membranarum, or an inflam:na- anasarca- wbich so often proceed from an tion of the membranes of the eye ■CHE CHE 2D9 XJhenopodio-mo'rus. (From cheiiopodium and morus, the mulberry ; so called because it is a sort of chenopodium, with leaves like a mulberry.) The herb mulbeny-blight, or strawberry-spinach. CHENOPO'DIUM. (From 9;;w, a goose, and tirovg, a foot ; so called from its suppo- sed resemblance to a goose's foot.) The herb chenopody, goose's foot. The name of a genus of plants in the Linnsean system. Class, Peniamlria. Order, Digynia. Chenopo'dium ambrosioi'des. The sys- tematic name of the Mexican tea-plant. Bolrys Mexicana. Bolrys ambrosioides Mexi- cana. Chenopodium Mexicanum. Bolrys Americana. Mexico tea. Spanish tea and Artemisian botrys. A decoction of this plant, Chenopodium ambrosioides ; foliis lanceolatis dentalis, ractmis foliatis simplici- bu^, of Linnaeus, is recommended in para- lytic cases. Formerly the infusion was drunk instead of Chinese tea. Chenopo'dium anthelmi'nticom. The seeds of this plant, Chenopodium anlhelmin- thum ; foliis ovaio-oblongis dentatis, racemis aphyllis, of Linneeus, though in great esteem in America for the cure of worms, are never exhibited in this country. They are pow- dered and made into an electuary, with any proper syrup, or conserve. Chenopo'dium Bo'trys. The systematic name of the Jerusalem oak. Botrys vulga- ris. Botrys. Jlmbrosia. Artemisia chenopo- dium. Atriplex odorata. Alriplex suaveolens. Jerusalem oak. This plant, Chenopodium botrys ; foliis oblongis sinuatis, racemis nudis multifidis, of Linnaeus, was formerly admi- nistered in form of decoction in some dis- eases of the chest; as humoral asthma, coughs, and catarrhs. It is now fallen into disuse. Chenopo'dium bo'nus Henri'cus. The systematic name of the English mercury. Bonus Henricus. Tola bona. Lapaihum unc- tuosum. Chenopodium. English mercury. The plant to which these names are giveu in the pharmacopoeias, is the Chenopodium bo- nus Henricus ; foliis triangulari-sagitiatis,in- iegerrimis, spicis compositis aphyllis axillari- bus, of Linnseus. It is a native of this coun- try, and common in waste grounds from June to August. The young plant differs little from spinach when cultivated ; and in many places the young shoots are eaten in spring like asparagus. The leaves of this plant are accounted emollient, and in this intention have been made an ingredient in decoctions for glysters. They are applied by the com- mon people to flesh wounds and sores under the notion of drawing and healing. Chenopo'dium fce'tidum. See Chenopo- dium vulvaria. Chenopo'dium vulva'ria. The systematic name for the stinking orach. Atriplex foelida. Atriplex olida. Vulvaria. Garosmum. Ra- phex. Chenopodium foetidum. BlitumfcBti- dum. Stinking orach. The very fetid smell of this plant, Chenopodium ; foliis iw 27 tegerrimis rhombeo-ovatis, floribus conglome- ratis axillaribus, of Linnajus, induced phy- sicians to exhibit it in hysterical diseases. It is now superseded by more active prepa- rations, j Ciie'ras. (From ^ea, to pour out.) The struma, or scrofula. Cherefo'lium. See Scandix cerefolium. Che'rmes. (Arab.) A small berry, full of insects like worms: the juice of which was formerly made into a confection, called confectio alkermes, wiiich has been long disused. Also the worm itself. Che'rmes minera'lis. Hydro-sulphuret of antimony. Cherni'bium. Chernibion. In HippO' crates it signifies an urinal. Chero'nia. (From Xupwv, the Centaur.) See Chironia cetitaurium. Cherry. SeeCerasa nigra a.nd Cerasa rubra. Cherry, bay. The Lauro-cerasus. Cherry-laurel. The Lauro-cerasus. Cherry, winter. The Alkekengi. Chervi'llum. See Scandix cerefolium. CHESELDEN, Wmlliam, was born in Leicestershire, 1688. After serving his ap- prenticeship to a surgeon at Leicester, he came to study at St. Thomas's hospital, to which he afterwards became surgeon. Ho began to give lectures at the early age of 22, and about the same period was elected Fellow of the Royal Society. Two yeai>g after, he published his " Anatomical De- scription of the Human body," with some .select cases in surgery, which passed through several editions; in one of which he detailed his success in the operation of lithotomy by the lateral method, as it is termed, which he found not so liable to failure as the high operation. He also gave in the Philoso- phical Transactions, an interesting account of a grown person whom he restored to sight after being blind from infancy ; and furnished some other contributions to the same work. Besides being honourably dis- tinguished by some of the French societies, he was appointed principal surgeon to queen Caroline, to whom he dedicated his splendid work on the bones in 1733. He was four years after chosen surgeon to Chelsea Hos- pital, and retired from public practice, and lived to the age of 64. Chesnut, horse. See JEsculus Hippocas- tanum. Cheu'sis. (From -^iw, to pour out.) Li- quation. Infusion. Cheva'stre. A double-headed roller, applied by its middle below the chin ; then running on each side, it is crossed on the top of the head ; then passing to the nape of the neck, is there crossed ; it then passes under the chin, where crossing, it is carried to the top of the head, &ic. until it is all taken up. CHEYNE, George, was born in Scot- land, 1670. After graduating in medicine, he came to London, at the age of 30, and 210 CHI CHI published a Theory of Fevers, and five years after a work on Fluxions, which procured his election into the Royal Society ; and this was soon followed by his " Philosophi- cal Principles of Natural Religion." Being naturally inclined to corpulency, and indulg- ing in free living, he became, when only of a middle age, perfectly unwieldy, with other marks of an impaired constitution ; against which, finding medicines of little avail, he determined to abstain from all fermented liquors, and confine himself to a milk and vegetable diet. This plan speedily relieved the more distressing symptoms, which led him after a while to resume his luxuries ; but finding his complaints presently return- ing, he resorted again to the abstemious plan ; by a steady perseverance in which he retained a tolerable share of health to the advanced age of 72. In 1722, in a treatise oh the gout, fac.he first inculcated this plan; and two years after greatly enlarged on the sanie subject, in his celebrated "Essay on Health and Long Life." His "English Malady, or Treatise on Nervous Diseases," •which he regarded as especially prevalent in this country, a very popular work, published 1733, contains a candid and judicious narra- tive of his own case. Ciiezana'nce. (From ^sfa), to go to stool, and ava^x.;), necessity.) It signifies any thing that creates a necessity to go to stool ; but. in P. iEgineta, it is the name of an ointment, with which the anus is to be rubbed, for promoting stools. Chi'a. (From Xio;, an island where they were formerly propagated.) A sweet fig of the island of Chio, or Scio. Also an earth from that island, formerly used in fevers. Chi'aci's. (From Xioc, the island of Scio.) An epithet of a collyrium, whose chief ingredient was wine of Chios. Chi'ados. In Paracelsus it signifies the f?ame as furunculus. Ckian ■pepper. See Capsicum. Chian turpentine. See Pistacia Terebin- ihus. Chia'smus. (From ;tw<^a), to form like the letter X, chi.) The name of a ban- dage, whose shape is like the Greek letter X, chi. Chia'stos- The name of a crucial band- age in Oribasius ; so called from its resem- bling the letter X, chi. Chia'stre. The name of a bandage for the temporal artery. It is a double-headed roller, the middle of which is applied to the side of the head: opposite to that in which the artery is opened, and, when brought round to the part affected, it is crossed upon the compress that is laid upon the wound, and then, the continuation is over the coro- nal suture, and under the chin ; then cross- ing on the compress, the course is, as at the firsf, round the hpa'l, &c tT!l tTie whole roller if taken ^ip. Chi'eou. a spurious species of gum- el emi, spoken of by the faculty of Paris, but not known in England. Chi'bur. Sulphur. Chichi'na. Contracted from China chi- nae. See Cinchona. Chi'chos. Chirces. The affectio bovina, or distemper of black cattle. Chicken pox. See Varicella. Chickweed. See Alsine media. CHICOYNEAU, Francis, was born at Montpelier in 1672, the second son of a professor there, who becoming blind, he was appointed to discharge his duties, after tak- ing his degrees in medicine. Having ac- quitted himself very creditably, he was de- puted with other physicians to Marseilles in 1720, to devise measures for arresting the progress of the plague, which in the end almost depopulated that city. The zeal which he evicced on that occasion was re- warded by a pension ; and on the death of his father-in-law, M, Chirac, in 1731, he was appointed to succeed him as first phy- sician to the king ; and received also other honours previously to his death in 1752. He published in 1721, in conjunction with the other physicians, an account of the plague at Marseilles, in which the opinion is advanced, that the disease was not conta- gious : and having received orders from the king to collect all the observations that had been made concerning that disease, he drew up an enlarged treatise with much candour, and containing a number of useful facts, whicii was made public in 1744. CHI'LBLAIN. Pernio. An inflamma- tion of the extreme parts of the body, from the application of cold ; attended with a violent itching, and soon forming a gan^ grenous ulcer. Chi'li, ba'i,samcm de. Salmon speaks, but without any proof, of its being brought from Chili. The Barbadoes tar, in which are mixed a few drops of the oil of aniseed, is usually sold for it. Chiliody'namon. (From %i>Mt, a thou- sand, and Jvvtty.t;, virtue.) An epithet of the herb Polemonium. In Dioscorides, this name is given on account of its many virtues. Chi'lon. (XuKmv.) An inflamed and swelled lip. Chilpela'gca. A variety of capsicum, Chitter pin. A species of capsicum. Chime'thlon. a chilblain. Chi'mia. See Chemistry. Chimia'ter. (From ^vfxta., chemistry, and WT/50?, a physician.) A physician who makes the science of chemistry subservient to the purposes of medicine. Chimo'lea la'xa. Paracelsus means, by this word, the sublimed powder which is separated from the flowers of saline ores. CHI'NA. (So named from the country of China, from whence it was brought.1 See Smilax China CHI CHL ^11 Chi'na c-ai'^£. A name given to the J^eruvian bark. Chi'na occidestalis. Cliina spuria no- dosa. Smilaxpseudo- China. Smilax Indica spinosa. American or West-Indian China. This root is chiefly brought from Jamaica, in large round pieces, full of knots. In scro- fulous disorders, it has been preferred to the oriental kind. In other cases it is of similar but inferior virtue. Chi'na s0ppo'sita. See Senecio. Chinchi'na. See Cinchona. Chinchi'na Caribje'a. See Cinchona CaribcEO. Chinchi'na de Sa'kta Fe. There are se- veral species of bark sent from Santa Fe; bat neither their particular natures, nor the trees which afford them, are yet accurately determined. Chinchi'na Jamaice'nsis. See Cinchona Caribtea. Chinchi'jta ru'bra. See Cinchona ob- longifolia. Chinchi'na de St. Lu'cia. St. Lucia bark. See Cinchona floribunda. Chincough. See Pertussis. Chike'nse. The aurantium sinense, or Chinese orange. Chinese smilax. See Sinilax China. Chi'o torpentine. See Pistacia Terc- binthus. Chi'olf. In Paracelsus it is synonymous with furunculus. Chi'q,ues. a name for the worms which get into the toes of the negroes, and which are destroyed by the oil which flows out of the cashew nut-shell. CHIRA'GRA. (From p^jif, the hand, and cLyfA, a seizure.) The gout in the joints of the hand. See .Arthritis. Chiro'nes. (From ^ap, the hand.) Small pustules on the hand and feet, en- closed in which is a troublesome worm. CHIRO'NIA. (From Chiron, the Cen- taur, who discovered its use.) 1. The name of a genus of plants in the Linnaean system. Class, Pentandria. Or- der, Monogynia. 2. (From -^up, the hand.) An affection of the hand, where it is troubled with ehirones. Chieo'nia Centau'kiu.m. Centaurium minus vulgare. Centaurium parrum. Centaurium minus. Centaury. Chironia ; corollis quinquejidis infundibuliformibus, caule dichotomo, pistillo simplici, of Lin- naeus. This plant is justly esteemed to be the most efficacious bitter of all the medicinal plants indigenous to this country. It has been recommended, by CuUen, as a substitute for gentian, and by several is thought to be a more useful medicine. The tops of the centaury plant are directed for use by the colleges of London and Edin- burgh, and are most commonly given in infusion ; but they may also be taken in powder, or prepared into an extract. CniRo'KicM. (From ^upmv, the Centaur, who is said to have been the first who healed them. A malignant ulcer, callous on its edges, and difficult to cure. Chirothe'ca. (From ^up, the hand, and Tiiny.i, to put.) A glove of the scarf- skin, with the nails, which is brought oft' from the dead subject, after the cuticle is loosened by putrefaction, from the parts under it. CHIRU'RGIA. (From ;»-«£, the hand, and ipyov, a work ; because surgical ope- rations are performed by the hand.) Chi- rurgery, or surgery. Chi'ton. (XnoiV.) A coat, or membrane. Chi'um. (From X,, bile, a«d strengthen them, if the temperature of the »>'E.^. The tendinous the strength must be restored by gentle and cord-like substances which connect the tonics, as the aromatic bitters, calumba, and carnea columnce of tlie ventricles of the the like; with a light nutritious diet: heart to the auricular valves, strong toast and water is the best drink, or CHO'RDyE WILLI'SII. The small fibres a little burnt brandy may be added if there which cross the sinuses of the dura mater. is much languor. Exposure to cold must They are so termed, because Willis first be carefully aroided, particularly keeping described them. the abdomen and the feet W"arm ; and great Chorda'psus. (From ;^op(/'», a cord, and attention is necessary to regulate the bowels, nTnai, to knit.) A sort of painful colic and procure a regular discharge of bile, lest where the intestines appear to be twisted a relapse should happen. It will also be into knots. proper to examine the state of the abdomen, CHORDEE'. (Chorde. French.) A whether pressure give pain at any part, spasmodic contraction of the penis, that because inflammation in the primai vife is sometimes attends gonorrhoea, and is often very liable to supervene, often in an insidious followed by a haemorrhage, manner; should that be the case, leeches, CHO'REA SA'IN'CTI VI'TI. (Chorea, felisteringthe part, and other suitable means, X'F-"^' fi'om %opo;, a chorus, which of old must be promptly resorted to. accompanied dancing. It is called St. Vi- Chole'rica. (From x.0Aip±, the cholera.) tus's dance, because some devotees of St. Medicines which relieve the cholera. Also Vitus exercised themselves so long in dan- a bilious flux of the bowels, without pain or cing, that their intellects were disordered, iever. and could only be restored by dancing Cholice'le. (From ;t5>.«, bile, and ;y^X!), again at the anniversary of St. Vitus.) St. a tumour.) A swelling formed by the bile Vitu.^'s dance. Convulsive motions of the morbidly accumulated in the gall-bladder. limbs, as if the person were dancing. It is Cholo'ma. (From ;t'"A5?, lame, or a genus of disease arranged by Cullen in maimed.) Galen says that, in Hippocrates, ihe cliss nexiroses, and order spasmi. These it signifies any distortion of a limb. In a convulsive motions, most generally, are con- particular sense, if is taken for a halting, or fined to one side, and aifect principally lameness in the leg. the arm and leg. When any motion is at- ^ Chonuroglo'sscs. (From X'-^^P'^^' ^ ^^''" t^napled to be made, various fibres of other tilage,and yMrs-im, the tongue.) A muscle muscles act which ought not; and thus a so named from its insertion, which is in the contrary effect is produced from what the basis or cartilaginous part of the tongue, patient intended. It is chiefly incident to See Hyoglossus. _ young persons of both sexes, and makes its CHONDRO'LOGl. {Chondrologia ; from attack between the age often and fifteen 7/^J>sc, a cartilage, and xcyc;, a dis- occurring but seldom after that of pubertv! course.) A discourse or treatise on carti- By some practitioners it has been cou- rages, sidered rather as a paralytic affection than Chondro-pharyng^'us. (From x'^^P^^> ^^ ^ convulsive disorder, and has been a cartilage, and oumy^, the upper part of thought to arise from a relaxation of the il4 CHO CHR muscles, which, being unable to perform their functions in moving the limbs, shake them irregularly by jerks. Chorea sancti Viti is occasioned by various irritations, as teething, worms, offensive smells, poisons, &c. It arises likewise in conseqneiice of violent affections of the mind, as horror, fear, and anger. In many cases it is pro- duced by general weakness ; and in a few, it takes place from sympathy, at seeing the disease in others. The fits are sometimes preceded by a coldness of the feet .and limbs, or a kind of tingling sensation, that ascends like cold air up the spine, and there is a flatulent pain in the left hypochondrium, with obstinate costiveness. At other times, the accession begins with yawning, stretching, anxiety about the heart, palpitations, nausea, dif- ficulty of swallowing, noise in the ears, giddiness, and pain iu the head and te«th ; and then come on the convulsive motions. Tliese discover themselves at first by a kind of lameness, or instability of one of the legs, which the person draws after him in an odd and ridiculous manner ; nor, can he hold the arm of the same side still for a moment: for if belays it on his breast, or any other part of his body, it is forced quickly from thence by an involuntary mo- tion. If he is desirous of drinking, he uses many singular gesticulations before he can carry the cup to his head, and it is forced in various directions, till at length he gets it to his mouth; when he puts the liquor down his throat in great haste, as if he meant to afford amusement to the by-stand- ers. Sometimes various attempts at running and leaping take place, and at others, the head and trunk of the body are affected with convulsive motions. In many instances, the mind is affected with some degree of fatuity, and often shows the same causeless emo- tions, (such as weeping and laughing,) which occur in hysteria. When this disease arises in children, it usually ceases about the age of puberty ; and in adults, is often carried off by a change from the former mode of living. Unless it passes into some other disease, such as epilepsy, it is hardly attend- ed with danger. The leading indications in the treatment of this complaint are, 1. to obviate the several exciting causes; 2. to correct any faulty state of the constitution, which may appear to give a predisposition ; 3. to use those means, which experience has shown best calculated ;o allay irregular muscular action. Among the sources of irritation, the most common is the state of the bowels ; and the steady, but moderate, use of active cathartics has often a great effect upon the disease, improving the appetite and strength at the same time. Senna, scammony, jalap, k.c. may be exhibited according to circum- stances, often in conjunction with calomel, particularly where the liver is torpid. The general debility usually attending indicates' the employment of tonics, as the cinchona, chalybeates, or sulphate of zinc, which is particularly useful ; and with these cold bathing, not too long continued, may be advantageously conjoined ; also requiring the patient to use muscular exertion, as much as they can readily, will assist materially in the cure. Sometimes in violent cases, and in irritable constitutions, the occasional ex- hibition of opium, or other sedative, may be required, taking care, however, that the bowels are not confined thereby. Occasion- ally too, where the above means are not suc- cessful, the more powerful antispasmodics may be tried, as asther, camphor, musk, he. Electricity also has been by some recom- mended. CHO'RION. (From ;^a/;2*, to escape ; because it always escapes from the uterus ,with the fcBtus.) Shaggy chorion. The external membrane of the foetus in utero. CHO'ROID ME'MBRANE. (Membrana choroidea; from x'^h'^^i *^^^ chorion, and v.S'c^, resemblance.) The second tunic of the eye, lying immediately under the sclerotica, to which it is connected by- vessels. The true knowledge of this mem- brane is necessary to a perfect idea of the iris and uvea. The tunica choroidea com- mences at the optic nerve, and passes for- wards, with the sclerotic coat, to the be- ginning of the cornea trans[)arens, where it adheres veiy firmly to the sclerotic mem- brane, by means of a cellular membrane, in the form of a white fringe, called the ciliary circle. It then recedes from the sclerotica and cornea and ciliary circle, directly downwards and inwards, forming a round disk, which is variously coloured,; hence blue, black eyes, &c. This co- loured portion, reflected inwards, is termed the iris, and its posterior surface is termed uvea. The choroid membrane is highly vascular, and its external vessels are dis- posed like stars, and termed vase vorticosa. The internal surface of this membrane is covered with a black pigment, called the pigment of the choroid membrane. CHO'ROID PLE'XUS. Plexus choroi- deus. A plexus of blood vessels, situated in the lateral ventiMcles of the brain. Cho'roid tu'nic. See Choroid membrane. Chri'sis. (From xP'^t to anoint.) An inunction, or anointing of any part. Christmas rose. See Helleborus niger. Chri'etum. (From ;t'"'-''*'' to anoint.) An unguent, or ointment of any kind. CHRO'MAS, A chromate, or salt, form- ed by the union of earthy, metallic, or alka- line bases, with chromic acid ; as chromate of lead, he. Chromati'smus. (From ;^pa)^.«7/fni, to colour.) The morbid discolouration of any of the secretions, eis of the urine, or blood. CHROME. {Ytom x!'»y-<^) colour; be- CHR cause it is remarkable for giving colour to its combinations.) J^atural History. — This metal, which is extremely scarce, and exists only in combi- nation with oxygen, &.c. was discovered by Vauquelin. He found it in an ore called red-lead ore of Siberia, (ehromate of lead.) The colour of this ore is red, with a shade of yellow ; when reduced to powder, it is of a bright orange. Chrome has likewise been found in combination with oxygen, iron, alumine, and silex, (ehromate of iron and alumine,) in the department of Var, in France. It is met with in irregular masses. Its colour is brown, it has very little metallic lustre. Pontier has lately found chrome combined with csygen and iron, (ehromate of iron,) in a quarry near Gussin in the road to Cavalaire. It sometimes forms large masses. The emerald of Peru and spinel ruby owe their colours to this metal. Properties. — Chrome is obtained in small agglutinated masses of a white colour, in- clining to gra}'; it is very hard, extremely brittle and refractory, and crystaliizable at an elevated temperature, in feathered fila- ments on the surface. Its internal fracture presents in some parts close grains, in otlier parts needles crossing each other. Exposed to the heat of a blow-pipe, it is covered with i lilac-coloured crust, which becomes green on cooling. Heated by the same apparatus with borax, it does not melt ; but a part, after being oxidized, is dissolved in this salt, and communicates to it a very beautiful green colour. Acids have only a weak action on this metal. The nitric is the only acid which produces any remarkable change, it converts it into an oxide. It is capable of combining with three different portions of oxygen, and forming three different oxides. It has not yet been combined with any combustible body. It does not appear to decompose water. It is unalterable by the alkalies. The otherpro- perties of this metal are not yet ascertained, neither are its uses known ; perhaps it may afford beautiful and durable colours to the painter or the enameller- Method of obtaining Chrome. — Chrome is obtained from its native combinations, by decomposing them by the alkaline carbo- nates, precipitating the chromic acid, and heating it strongly in a crucible. The following method is recommended by Vauquelin. Seventy-two parts of chro- mic acid are to be introduced into a charcoal crucible, placed within another of porcelain, filled with charcoal dust. The apparatus is then to be put into a furnace, and subjected to a very strong heat. Metallic chrome ■will then be found in the charcoal crucible. From seventy -two parts, Vauquelin obtained fortV'three of metal. CHRO'xMIC A'CID. This is obtained by decomposing the ehromate of lead by potash, and treating the ehromate of potash CHR 215 with nitric or muriatic acid. It is of a an orange-red colour, and a pungent metallic taste ; very soluble in water, and crystal- lizes by gentle evaporation. CHKO'KIC. (From xP'^vo?, time.) A term applied to diseases which are of long continuance, and mostly without fever. It is used in opposition to the term acute. See ^eute. Chru'psia. (From ^jdc, colour, and o^i;, sight.) Visas coloratus. A disease of the eyes, in which the person perceives ob- jects of a different colour from their natural one. CHRYSA'NTHEMUM. (From fjvfo!, gold, and aLv(iiy.civ, a flower. 1. The name of a genus of plants in the Linnaean system. Class, Syngenesia. Order, Polygamia. Sim- fiower, or marigold. 2. Many herbs are so called whose flowers are of a bright yellow colour. Chrysa'nthemum leuca'sthemusi. The systematic name of the great ox-eye daisv. Bellis major. Bvphthalmum majus. Lcucan- themum vulgnre. Bellidiodes. Consolida media. Ocutus bovis. Ox-eye daisy. Maud- lin wort. The Chrysanthemum lencanthe- mum ; foliis amplexicaulibus, oblongis, su- perne serrati-s, infer?ie denlatis, of Linnceus. The flowers and herb were formerly esteem- ed in asthmatic and phthisical diseases, but have now deservedly fallen into disuse. Chry'se. (From ^va-o^, gold.) The name of a yellow plaster. CriRYSELE'cTRcM. (From 'Xfm; to take away.) The aqua regia is so 216 CRY CIC called, as having the property to dissolve its acescent nature, it somewhat restrains gold. the putrescent tendency of the blood : hence Chyla'ria. (From ;;(UKoc, chyle.) A dis- the dreadful putridity of the humours from charge of a whitish mucous urine, of the starving ; and thus milk is an excellent re- colour and consistence of chyle. medy against scurvy. 3. By its very copious CHYLE. {Xvko;. Chylus.) The milk- aqueous latex, it prevents the thickening of like liquor observed some hours after the fluids, and thus renders them fit for the eating, in the lacteal vessels of the raesen- various secretions. 4. The chyle secreted tery, and in the thoracic duct. It is sepa- in the breasts of puerperal women, under rated by digestion from the chyme, and is the name of milk, forms the most excellent that fluid substance from which the blood is nutriment of all aliments for new-born formed. infants. The chyle is absorbed by the mouths of CHYLIFICA'TION. (From chylus, and the lacteal vessels, which are in the greatest fio, to become.) Chylifactio. The process number in the jejunum and ileum, whilst carried on in the small intestines, and prin- thfi fa?x of the chyme, with the bile, are pro- cipally in the duodenum, by which the chyle pelled into the large intestines. The chyle is separated from the chyme, of the human body smells like milk, has a Ciiyli'sma. (From %uxij;, juice.) An sweetish taste, a white colour, and a con- expressed juice. sistence thinner than blood and milk. Its CHYLOPOE'TIC. (Chylopoeticus ; from specific gravity is lighter than that of the X"^"^, chyle, and (ya>, to pour out.) Fu- and vegetable food : thus the cream of the sion, or the reduction of solid bodies into chyle is formed of carbon and hydrogen ; fluid by heat. and the cheese of the chyle, from the car- Chy'tlon. (From o(yic, to pour out.) An bon and azote of both animal and vegetable anointing with oil and water, substances. Ciba'lis ei'stula. An obsolete term tor The chyle is mixed with the albuminous the oesophagus, and gelatinous lymph in the thoracic duct, Ciba'tio. (From cibus, food.) In che- which receives them from the lymphatics, mistry, it means incorporation : also the The uses of the chyle are, 1. To supply taking of food, tlie matter from which the blood and other Ci'bur. An obsolete term for sulphur, liuids of our body are prepared ; from which CICATRISA'NTIA. (Cicatrisantia, sc. Huids the solid "parts are formed. 3. By remedia; from wa^r/co, to skin over.) Such ClC crc •2U applications as dispose wounds and ulcers to dry up and heal, and to be covered with a skin. CICA'TRIX. (From cicatrico, to Ileal up or skin over.) A seam or scar upon the skin after the healing of a sore or ulcer. CrCER. (A plant so called. The Cicerones had their name from this pulse, as the Pisones had from the pisum or pea, and the Lentuii from the lens or lentil.) 1. The name of a genus of plants in the Linnsan system. Class, Diadelphia. Order, Decandria. The vetch. 2. The pharmacopoeial name of the com- mon cich or ciches. Ci'cER arie'tinom. The systematic name of the cicer plant. Erebinthus. Cicer arietinum ; foliss serraiis, of Linnaeus. The seeds have been employed medicinally, but are now fallen into disuse. In some places they are toasted, and used as coffee ; and in others, ground into a flour for bread. The colour of the aritlus of the seed is sometimes white, red, or black ; hence the distinction into cicer album, rubrum, and nigrum. Ci'cERA. (From cicer, the vetch.) A small pill of the size of a vetch. Ci'cERA ta'rtari. Small pills composed of turpentine and cream of tartar, of the size of a vetch. CICHO'RIUM. (Originally, according to Pliny, an Egyptian name, and adopted by the Greeks. It is written sometimes Ki^opitcv : whence Horace has cichorem, lavesque malvcE. : sometimes YLiyjipiov, or K/- Xo>P"v. It is supposed by some to have this name, tirdLpct to Sia tccv yjn^im iuhv, from its creeping through the fields. Others derive it from iu-)(iai, invenio ; on account of its being so readily found, or so common.) Succory. 1. The name of a genus of plants in the Linnsan system. Class, Syngenesia. Order, Polygamia mqualis. 2. The pharmacopoeial name of the wild cichory. See Cichorium intybus. Cicho'rium ENDi'viA. The systematic name of the endive. Endivia. Endiva. En- dive. This plant, Cichorium endivia ; fiori- bus solitariis, pedunndaiis ; foliis inlegris, crenatis, of Linnaeus, is an extremely whole- some salad, possessing bitter and anodyne qualities. Cicho'rium i'ntvbus. The systematic name of the wild succory. Cichorium. Succory. This plant, called also Cichoreum, Cichorium sylvtslre vel officinarum, is the Ci- chorium intybus ; floribus geminis, sesdlibus ; foliis runcinatis, of Linnagus. It belongs to the same family with the garden endive, and by some botanists has been supposed to be the same plant in its uncultivated state; but the endive com- monly used as salad is an annual, or at most a Mfnnial plant, and it'! nareiit is"no\r known to be the cichorium endivia. Wild succory or cichory, abounds with a milky juice, of a penetrating bitterish taste, and of no remarkable smell, or particular flavour : the roots are more bitter than the leaves or stalks, and these much more so than the flowers. By culture in gardens, and by blanching, it loses its bitteruess, and may be eaten early in the spring in salads. The roots, if gathered before the stem shoots up, are also eatable, and when dried may be made into bread. The roots and leaves of this plant are stated by Lewis to be very useful aperients, acting mildly and without irritation, tending rather to abate than to increase heat, and which may there- fore be given with safety in hectic and inflammatory cases. Taken freely, they keep the belly open, or produce a gentle diar- rhcea ; and when thus continued for some time, they have often proved salutary in the beginning obstructions of the viscera, in jaundices, cachexies, hypochondriacal and other chronical disorders. A decoction of this herb, with others of the like kind, in whey, and rendered purgative by a suita- ble addition of polychrest salt, was found an useful remedy in cases of biliary calculi, and promises advantage in many complaints requiring what have been termed attenuants and resolvents. The virtues of succory, like those of dandelion, reside in its milky juice : and we are warranted, says Dr. Woodville, in asserting, that the expressed juice of both these plants, taken in large doses frequently repeated, has been found an efficacious re- medy in phthisis pulmonalis, as well as the various other afl^ections above-mentioned. The milky juice may be extracted by boiling in water, or by pressure. The wild and the garden sorts are used inditferently. If the root is cut into small pieces, dried, and roasted, it resembles coifee, and is some- times a good substitute for it. Ci'chory. See Cichorium intybus. Ci'chory, icild. See Cichorium intybus. Cicinde'la. (A dim. of candela : i. e. a little candle ; so called from its light.) The glow-worm. Some think them anodyne, others lithontriptic, though, as the editor of Motherby's Dictionary justly observes, pro- bably neither. Cici'nu-m otEUM. (From xw/, the ricinus.; An oil, obtained by boiling the bruised seeds of the Jalropha curcas of Linnaeus. It is somewhat similar in its properties to castor oil. See Ricinus. Ci'cLA. A name for the beta alba. CICU'TA. [Quasi ctecuta, blind ; because it destroys the sight of those who use it. Cicuta signifies also the internode, or space between two joints of a reed ; or the hollow stem of any plant which the shepherds used for making their rural pipes. Est mihi dis- paribus septem conjuncta cicntis jlslula. — Virgil.) Hemlock. ■?. THp ir-tme of a s;enu? of plants in 1h^- as CL\ cirs Linna?an system. Class, Pentclndr-ia. Or- der, Digynia. 2. The name, in most pharmacopoeias, of the common hemlock. See Conium. Cicu'ta aq,ua'tica. See Cicuta virosa. Cicd'ta viro'sa. Cicuta aquafica. Cicu- {aria virosa. Sium majus alterum angusti- foUum. Sium erucce folio. Long-leaved water hemlock and cowbane. This plant, Cicu'a virosa ; umbdlis oppositifoliis; ptliolis marginatis obtusis, of Linnajus, is seldom employed medicinally in the present day. It is an active poison, and often eaten by mistake for the wild smallage, the Apiwm graveolens of Linnajus ; when it produces tremors, vertigo, a violent burning at the stomach, epilepsy, convulsions, spasms of the jaw, a flowing of blood from the ears, tumefaction of the abdomen, and death. Cicuta'kia (Cicutaria ; from cicuta, hemlock.) Bastard hemlock. See Cheero- phylluni sylvestre. Cicuta'kia aq.ua'tica. A name for the phellandrium aquaticum. Cicuta'ria viRo'sA. See Cicuta virosa. Cido'nium. See Pyrus cydonia. ei'LIAE, LI'GAMENT. (From cili- vm, the eyelid.) Ligamentum ciliare. The circular portion that divides the choroid membrane from the iris, and which adheres to the sclerotic membrane. It appears like a white circular ring. See Choroid mem- brane. Cilia're ligame'ktum. See Choroid membrane. Cilia'rjs Mu'scci-rs. That part of the musculus orbicularis pii!pebrai*ura which lies nearest the cilia, considered by Riolan as a distinct muscle. CI'LIUM. (From cileo, to move about.) The eyelid or eyelash. Ci'liarv pro'cesses. The white folds at the margin of the uvea in the eye, covered with a black matter, which proceed from the uvea to the crystalline lens, upon which they lie. Ci'llo. (From cilium, the eyelid.^ One who is affected with a spasm or trembling of the eye-lids. CiLLo'sis. (From et7ai?n, the eyelid.) A spasmodic trembling of the eyelids. Ci'mex. (From v.ny.ru, to inhabit ; so called because they infest houses.) The wall-louse or bug. Cimex domesticus. Six or seven are given inwardly to cure the ague, just before the fits come on, and have the same effect with every thing nauseous and disgusting. Cimo'lia a'i.ba. (From Kijua>Koc\ Cimo- lus, an island in the Cretan sea, where it is procured.) Tobacco-pipe clay. Its virtues are similar to those of the bolar earths ; but it is never administered medicinally. Cimo'lia pcrpitrk'scens. Fullers-earth. A bolar earth, of a grayish-brown colour. Cl'N4-cl'^A;. Sea Cinchona. Cx'y.'E. sE'jinN". See -ArtcwTsia santomcj. CITvARA. (iProm zivaj, to xao've ; quiaf movet ad venerem xel vrinam.) Artichoke. ^ 1. The name of a genus of plants in the Linnaean system. Class, Syngenesia. Order, Polygamia cequalis. 2. The pharmacopceial name for the com- mon artichoke. See Cinara scolymus. Ci'ffARA sco'lvbics. The Systematic name of the artichoke, called in the pharmaco- poeias Alcocalum. Articocalus. Jlrtischocas Imvis. Cosivs nigra. Carduas sativus non spinosus. Cinara hortensis. Scolymus sati- vus. Carduus domesticus capite majore. Carduus altilis. Cinara ;foliissubspinosis pin- natis indivisisque, calycinis squamis ovatis, of Linnaeus. A native of the southern parts of Europe, but cultivated here for culinary purposes. The leaves are bitter, and afford, by expression, a considerable quantity of juice, which, when strained, and mixed with an equal quantity of white wine, has been given successfully in dropsies, in the dose of 3 or 4 table-spoonsful every night and morn- ing, but it is very uncertain in its operation. CINCHO'iNA. (Geoffroy states that the use of this bark was first learned from the following circumstance : — Some cinchona trees being thrown by the winds into a pool of water, lay there till the water became so bitter, that every body refused to drink it. However one of the neighbouring inhabi- tants being seized with a violent paroxysm of fever, and finding no other water to quench his thirst, was forced to drink of this, by which he was perfectly cured. He after- wards related the circumstance to others, and prevailed upon some of his friends, who were ill of fevers, to make use of the same remedy, with whom it proved equally suc- cessful. The use of this excellent remedy, however, was very little known till about the year 1638, when a signal cure having been performed by it on the Spanish viceroy's lady, the Countess del Cinchon, at Lima, it came into general use, and hence it was dis- tinguished by the appellation of cortex cin- choncE, andpulvis comitisscs, or the Countess's powder. On the recovery of the Countess, she di,stributed a large quantity of the bark to the Jesuits, in whose hands it acquired still greater reputation, and by them it was first introduced into Europe, and thence called cortex, or piilvis jesuiticus, pulvis pa- trum ; and also Cardinal del Lugo's powder, because that charitable prelate bought a large quantity of it at a great expence, for the use of the religious poor at Rome.) 1. The name of a genus of plants in the Linnaean system. Class, Pentandria. Or- der, Monogynia. Cinchona, or Feruviau bark-tree. 2. The pharmacopceial name of several kinds of barks ; called also Cortex. Cortex china, china or chinchina ; kina kina, or kinkina ; and quina quina, or qninquinci. The trees affording which, grow wild in the hilly parts of Peru ; the bark i's strlppeti CIN cm 216 t'l-om the branches, trunk and root, and drietl. Three kinds of it are now in use. contain. A saturated solution of ammonia is also a powerful solvent; vinegar , is less so even than water. By distillation, water „. , , , . , a- J ii • • • .1 's slightly impregnated with the flavour of The plant which affords this species IS the bark ; it is doubtful whether any essentia iJincnona cordijolia ot Zea : the Cinchona ^jj ^.^^ ^^ obtained. Cortex cinchona cordifoha;. officinalis oi Linnaeus : the Cinchona macro carpa of Willdenow. Heart-leaved cin chona. The bark of this tree is called t/eZ/oit' bark, The action of menstrua on the red bark is nearly the same, the solutions only being considerably stronger, or containing a larger quantity of resinous matter and of the as- (because it approaches more to that colour tringent principle than either of the others do,) is in flat pieces, jj^^ analysis of the yellow bark, shows not convoluted like the pale nor dark-co- Uj^t its active principles are more conccn- loured like the red ; esternally smooth, in- Crated than in either of the others, affording ternally of a light cmnamon colour, friable ^o water, alkohol, &c. tinctures much and fibrous ; has no peculiar odour different stronger both in bitterness, and astringencv, irora the others, but a taste incomparably especially in the former principle. ' more bitter, with some degree of astrm- ^ F^om the general analysis of these barks, S^"^y- it appears that they consist of nearly the same proximate principles, which vary in their proportions ; the most active compo- nent parts are the resin, extractive matter, and the gallic acid, and these in combina- tion probably constitute the tonic quality of bark. In the best pale bark, this active mat- ter amounts to about one-eighth. The red bark has been considered as su- CORTEX CINCHONA LANCIFOLI^. This species is obtained from the Cin- diona lancifolia of Zea. Lance-leaved cin- chona. This is the Quill edb ark, wh\ch comes in s.iiall quilled twigs, breaking close and smooth, friable between the teeth, covered with a rough coat of a brownish colour, in- ternally smooth and of a light brown ; its taste is bitter and slightly astnngent ; flavour periorto the pale, the yellow isreprescnted, slightly aromatic, with some degree of fPParently with justice, as being more ac- mustiness. ^'"^^ ^''^" either of the others. The effects of Peruvian bark, are those of CORTEX CINCHONA OBLONGiFOLiffi. a powcrful and permanent tonic, so slow This kind is procured from the Cinchona in its operation, that its stimulating pro- ohlongifolia of Zea. Oblong-leaved cin- perty is scarcely perceptible by any altera- chona. This bark is the red bark : it is in tion in the state of the pulse, or of the tem- large thick pieces, externally covered with perature of the body. In a large dose, it a brown rugged coat, internally more smooth occasions nausea and headach ; in some and compact, but fibrous ; of a dark-red habits it operates as a laxative ; in others jjolour ; taste and smell similar to that of it occasions costiveness. It is one of those the cinchonm lancifolia cortex, but the taste medicines, the efficacy of which, in removing rather stronger. disease, is much greater than could be ex- Froro the general analysis of bark, it pected, a priori, from its effects on the sys- appears to consist, besides the woody mat- tem in a healthy state. ter which composes the greater part of it. Intermittent fever is the disease, for the of gum, resin, gallic acid, of very small cure of which bark was introduced into portions of tannin and essential oil, and of practice, and there is still no remedy which .several salts having principally lime for equals it in power. their basis. Seguin also supposed the ex- The disputes respecting the mode of ad- istence of gelatin in it, but without suffi- ministering it are now settled. It is given cient proof. Cold water infused on pale as early as possible, with perhaps the previ- bark for some hours, acquires a bitter taste, ous exhibition of an emetic to evacuate the with some share of its odour ; when assist- stomach ; it is repeated in the dose of one ed by a moderate heat, the water takes up scruple or half a drachm every second or more of the active matter ; by deccotion, third hour, during the interval of the pa- a fluid, deep-coloured, of a bitter styptic roxysm; and it may even be given during the taste, is obtained, which, when cold, depo- hot fit, but it is then more apt to excite nausea, sits a precipitate of resinous matter and In remittent fever it is given with equal gallic acid. By long decoction, the virtues freedom, even though the remission of the of the bark are nearly destroyed, owing fever may be obscure. to the oxygenation of its active matter. In some forms of continued fever which Magnesia enables water to dissolve a larger are connected v.nth debility, as in typhus, portion of the principles of bark, as does cynanche maligna, confluent small-pox, &ic. lime, though in an inferior degree. Alkohol it is regarded as one of the most valuable is the most powerful solvent of its active remedies. It may be prejudicial, however, matter. Brandy and other spirits and in those diseases where the brain, or its wines afford also strong solutions, in pro- membranes are inflamed, or where there is portion to the quantity of alkohol they much ii-'ritatron, marked by subfultlis tRncff- m ci> CL\ iiura, and convulsive motions ot the extre- mities ; and in pure typhus it appears to be less useful in the beginning of the disease thnn in the convalescent stage. Even in fevers of an opposite type, where there are marks of inllammatory action, particularly in acute rheumatism, bark has been found useful after blood-letting. In erysipelas, in gangrene, in extensive suppu- ration a;id venereal ulceration, the free use of bark is of the greatest advantage. In the various "forms of passive hamor- vhagy, in many other diseases of chronic debility, dyspepsia, hypochondriasis, pa- ralysis, rickets, scrofula, dropsy, and in a variety of spasmodic affections, epilepsy, chorea, and hysteria, it is administered as a powerful and permanent tonic, either alone, or combined with other remedies suited to the particular case. Its usual dose is half a drachm. The only inconvenience of a larger dose is its sitting uneasy on the stomach. It may therefore, if necessary, be frequently re- peated, and in urgent cases may be taken to the extent of an ounce, or even two ounces in twenty four hours. The powder is more effectual than any of the preparations ; it is given in wine, in any spirituous liquor : or, if it excite nausea, combined with an aromatic. The cold in- fusion is the least powerful, but most grate- ful ; the decoction contains much more of the active matter of the bark, and is the preparation generally used when the pow- der is rejected ; its dose is from two to four ounces. The spirituous tincture, though containing still more of the bark, cannot be extensively used on account of the men- struum, but is principally employed, oc- casionally, and in small doses of two or three drachms as a stomachic. The extract is a preparation of considerable power, when properly prepared, and is adapted to those cases, where the remedy requires to be con- tinued for some time. It is then given in the form of pill, in doses of from five to fifteen grains. Bark" is likewise sometimes given in the form of enema ; one scruple of the extract, or two drachms of the powder, being dif- fused in four ounces of starch mucilage. The decoction is also sometimes applied as a fomentation to ulcers. Cincho'na Carib^'a. The systematic name of the Cariba?an bark-tree. It grows in Jamaica, where it is called the sea-side beech. According to Dr. Wright, the bark of this tree is not less efficacious than that of the cinchona of Peru, for which it will prove an useful substitute ; but by the ex- periments of Dr. Skeete, it appears to have less astringent power. Cincho'na floribd'nda. The systematic name of the plant which affords the Saint Luce bark : — floribits paniculatis glabris, fcamlis fvrblnath Ir^ribxts. foliis eflipticis acuminalis glabris; it has an adsiringeni; bitter taste, somewhat like gentian. It is recommended in intcrmittcnts, putrid dysen- tery, and dyspepsia : it .should always be joined with some aromatic. Dr. Withering considers this bark as greatly inferior to that of the other species of this genus. In its recent state it is considerabl)- emetic and cathartic, properties which in some degree it retains on being dried ; so that the sto- mach does not bear this bark in large doses, and in small ones its effects are not such as to give it any peculiar recommendations. Cincho'ka officina'lis. The name of the officinal Peruvian bark. See Cinchona. Cincho'na Sa'ncta Fe. Several species of cinchona have been lately discovered at Sancta Fe, yielding barks both of the pale and red kind ; and which, from their sensible qualities, are likely upon trial to become equally useful with those produced in the kingdom of Peru. Cincho'na ru'bra. See Cinchona. Cincho'na fla'va. See Cinchona. Cinci'nnus. The hair on the temples. See Capillus. Cincle'sis. (From yjyKXi^ce, to move.) Cinclismus. An involuntary nictitation or winking. Vogel. Cineea'rium. (From cinis, ashes.) The ash-hole of a chemical instrument. Ci'NEKEs. (plur. of a??f«, ashes.) Ashes. CI'NERES CLAVELLA'TI. Clavella- ius ; from chnius, a w-edge. The name of cineres clavellati originated from the little wedges or billets into which the Avood was cut to make potash.) See Potassa. Ci'nekes Ku'ssici. See Potassa imfura. CINERI'TIOUS. (From cinis, ashes.) Of the colour of ashes. A name applied to the cortical substance of the brain, from its resemblance to an ash-colour. CiNERi'xiuM. (From cinis, ashes.) A cupel or test ; so named from its being commonly made of the ashes of vegetables or bones. Cine'rulaji. A name for spodium. Cine'tcs. An epithet formerly applied to the diaphragm. Cikgula'ria. (From cingulum, a girdle; because it grows in that shape.) The ly- copodium. Ci'ngulum. (From cingo, to bind.) A girdle or belt about the loins. Ci'ngulum mercuria'le. A mercurial girdle, called also cingulum sapienticE, and cingulum sluUiticE. It was an invention of Rulandus's ; different directions are given for making it, but the following is one oi the neatest ; "Take three drachms of quick- silver ; shake it with two ounces of lemon- juice until the globules disappear ; then separate the juice, and mix with the extin- guished quicksilver, half the white of an egg; gum-dragon finely powdered, a scru- ple ; and spread the whole on a belt ot flannel.." • CiH CiGULVM. Sa'ncti Joha'skis. a name of the artemisia. Cinifica'tum. a name for calcinatum. CI'NNABAR. (Pliny says the Indians call by this name a mixture of the blood of the dragon and elephant, and also many substances which resemble it in colour, par- ticularly the minium ; but it now denotes the red sulphuret of mercury.) See Hydrargyri sulphuretum rubrum. Cinna'baris facti'tia. See Hydrargyri sulphuretum rubrum. Cinna'baris kati'va. See Hydrargyri sulphurelum rubrum. Cinna'baris Gr/eco'rum. The sanguis draconis and cinnabar. CINNAMO'MUM. (From kinamon, Arab.) Cinnamon. See Laurus Cinna- momum. Cinquefoil. See PotenliUareptans. Ci'oN. (Kioiv, a column, from wa, to go.) The uvula was formerly so named from its pyramidal shape ; also an enlargement of the uvula. Cio'nis. (From wav, the uvula.) Adiseased enlargement and painful swelling of the uvula. CIRCaE'A. (From Circe, the enchan- tress ; so named from the opinion, that it Avasusedby Circe in her enchanted prepara- tions.) Enchanter's nightshade. 1, The name of a genus of plants in the Linnaean system. Class, Diandria. Order, Monogyjiia. 2. The name in some pharmacopoeias for the CirccEa lutetiana, which is now fallen wholly into disuse. CIRCOCE'LE. (xifc-oHnXii : from mca-cc, varix, or a dilatation of a vein, and xxaj), a tumour.) Varicocele. A varicose distention and enlargement of the spermatic veins ; and whether considered on account of the pain, or on account of the wasting of the testicle, which now and then follows, it may truly be called a disease. It is frequently mistaken for a descent of a small portion of omentum. The uneasiness which it oc- casions, is a kind of pain in the back, gene- lally relieved by suspension of the scrotum. It has been resembled to a collection of earthworms. It is most frequently confined to that part of the spermatic process, which is below the opening in the abdominal ten- don; and the vessels generally become rather larger as they approach the testes. There is one sure method of distinguishing between a circocele and omental hernia ; place the pa- tient in an horizontal posture, and empty the swelling by pressure upon the scrotum ; then put the fingers firmly upon the upper part of the abdominal ring, and desire the pa- tient to rise ; if it is a hernia, the tumour cannot reappear, as long as the pressure is continued at the ring : but if a circocele, the swelling returns with increased size, on account of the return of blood into the ab- domen being prevented by the pressure. ri'Rros. (From kicksc. a circle. ■> A ring. CIK 221 It is sometimes used for the sphincter musele- which is round like a ring. CIRCULA'TION. (Circrdafio ; from dr~ culo, to compass about.) A vital action performed by the heart in the following manner : the blood is returned by the de- scending and ascending vense cavae into the right auricle of the heart, which, when dis- tended, contracts and sends its blood into the right ventricle ; from the right ventricle it is propelled through the pulmonary artery to circulate through, and undergo a change in, the lungs, being prevented from return- ing into the right auricle by the closing of the -valves, which are situate'd there for that purpose. Having undergone this change in the lungs, it is brought to the left auricle of the heart by the four pulmonary veins, and from thence it is evacuated into the left ven- tricle. The left ventricle, when distended, contracts, and throws the blood through the aorta to every part of the body, to be re- turned by the veins into the two venae cavse. It is prevented from passing back from the left venti'icle into the auricle by a valvular apparatus ; and the pulmonary artery and aorta at their origin are also furnished with similar organs, to prevent its returning into the ventricles. — (See Heart.) It is by means of this important action, that every part of the body lives, becomes warm, and is nou- rished, the various secretions are separated, and the chyle converted into blood. In the foetus the blood passes from the umbilical vein, partly into the vena porta?, and partly- through the canalis venosus, into the ascend- ing cava. The lungs being contracted, a very small quantity circulates through them, and the greater part floAvs through ihe fora- men ovale and canalis arteriosus to the left side of the heart, and into the aorta, and is carried back by the umbilical arteries to the placenta. Cjrcci.a'tor. (From circulo, to compass about.) A wandering practiser in medicine^ A quack. A mountebank. Circolato'rium. (From circulo, to move round.) A chemical digesting vessel in which the fluid performs a circulatory mo- tion. CI'RCULUS. (Dim. of circus, a cir- cle.) A circle or ring. Any part of the body which is round or annular, as circulus oculi. A round chemical and chirurgical instrument sometimes called abbreviatorium by the old chemists. Ci'rculus arterio'sus i'ridis. The ar- tery which runs round the iris and forms a circle, is so termed. Ci'rculus quadru'plex. A bandage. Circumcaula'lis. a name of the adnata of the eye CIRCUMCrSION. (Cireumcisio, from circumcido, to cut about.) The cutting off the prepuce from the glans penis ; an an- cient custom, still practised among the Jew-, ^■iH CIS €iS ■ CIRCUMFLE'XUS. {CiTcximJttxvi.e, sc. -iTtusculus.) Tensor palati of Innes. Cir- cumflexus palati jnollis of Albinus. Sphe- no-salpingo-staphilimis, seit staphilinus exter- nus of Winslow. Musculus tubee nuvce of Valsalva. Palaio-salpingeus of Douglas. Pterigo-staphylinus of Cowper, and Petrosal- pingo-staphilin of Dumas. This muscle arises from the spinous process of the sphe- noid bone, behind the foramen ovale, which transmits the third branch of the liftb pair of nerves ; from the Eustachian tube, not far from its osseous part ; it then runs down along the pterygoideus internus, passes over the hook of the internal plate of the ptery- i^oid process by a round tendon, which soon spreads into a broad membrane. It is in- serted into the velum pendulum palati, and the semilunar edge of the os palati, and ex- tends as far as the suture which joins the two bones. Generally some of its posterior fibres join with the constrictor pharyngis superior, andpalato-pharyngaeus. Its use is to stretch the velum, to draw it downwards, and to the side towards the hook. It hath little effect upon the tube, being chiefly connected to its osseous part. CiRCUMGyRA'Tio. (From drcumgyro, to turn round.) Circumgyration, or the turning a limb round in its socket. Circumli'tio. (From circumlino, to anoint all over.) A medicine used as a general unction or liniment to the part. Circumossa'lis. (From circum, about, and 05, a bone.) Surrounding a bone as the periosteum does ; or surrounded by a bone. Ci'rcus. {rjfZ'jc: : from carka, to sur- yound. Chald.) A circle or ring. A circular bandage, called also plinthius ]aqneus. Cirne'sis. (From yjpvuo), to mi.x.) An union of separate things. , Ci'rsium arve'nse. (From -Mfs-o;, a vein or swelling of a vein, v.'hich this herb was supposed to heal.) The cardaus heemor- fhoidalis. Cirsoce'le. See Circocele. Cirsoi'des. (From y.ipan system. Class, PoJyandria. Order, Mono- gynia. The Cistus. CisTus cRETictJS. Cistus ladanifera. Cis- thorus. Cissarus. Dorycinium. The sys- tematic name of the plant from which the ladanum of the shops is obtained ; called also Labda7mm. This resinous juice ex- udes upon the leaves of the Cistus crcLicus; arborescens extipulatus, foliis spatulato-ovatis pttiolatis enerviis scabris,calycimslanceolaiis; of Linnajus, in Candia, where the inhabitants collect it by lightly rubbing the leaves with leather, and afterwards scraping it off, and forming it into irregular masses for exporta- tion. Three sorts of ladanum have been described by authors, but only two are to be met with in the shops. The best, which is very rare, is in dark-coloured masses, of the consistence of a soft plaster, and growing still softer on being handled ; the other is in long rolls, coiled up, much harder than the preceding, and not so dark. The first has commonly a small, and the last a large ad- mixture of fine sand, without which they cannot be collected pure, independently of designed abuses : the dust blown on the plant by winds, from the loose sands among which it grows, being retained by the tena- cious juice. The soft kind has an agi-eeable smeli, and a lightly pungent bitterish taste : the hard is much weaker. Ladanum was formerly much employed internally as a pec- toral and adstringent in catarrhal affections, dysenteries, and several other diseases ; at present, however, it is wholly confined to external use, and is an ingredient in the stomachic plaster, emplaslrum ladani. Ci'sTus hc'milis. a name of parnassia or white liverwort. Ci'sTUs l.\da>'i'feb'>.. See CisHis Crefi- CIT Ci STti3 LE DON. A naiBC of LeduQi pa- lustre. See Rosmarinus. CITE'SIUS (CiTOis,) Frakcis, of Poi- tiers in France, who, after graduating at Montpelier in 1596, and practising a few years in his native city, went to Paris, and acquired great celebrity, being made physi- cian to Cardinal Richelieu. He published a treatise on Colica Pictonum, which was much esteemed, noticing its termination in paralysis of the extremities. He also gave an account of a girl who had fasted for three years; but in this case appears to have been imposed upon. In another jjublication he advocates repeated bleeding, as well as pur- ging, in small-pox, and other fevers of an inflammatory type. He died in 1652, at the advanced age of 80. Ci'tharus. (From niBups., a harp.) The treast is sometimes so named from its shape. Citra'go. (From citrus, a citron, so called from its citron-like smell.) Citra- ria. Melissa or baum. CI'TRAS. {-atis, foera. : form citrus, the lemon.) A citrate. A salt formed by the union of the citric acid, or acid of le- mons, with different bases; as citrate of ammonia citrate of potash. Ci'trea. See Citrus medica. Cl'TREUM. (From citrus.) The citron- tree. See Citrus medica. CI'TRIC A'CID. Acidum cilricum. The acid of lemons. The citric acid may be obtained pure in concrete crystals, by the following method : Saturate boiling lemon- juice with pulverised chalk. The acid forms with lime a salt that is scarcely soluble, and the mucilaginous and extractive sub- stances remain dissolved in the supernatant liquor ; the precipitate is to be well washed v/ith lukewarm water ; it is then to be treated with as much sulphuric acid as would have been requisite to saturate the chalk, diluted in ten parts of water : and this mixture is to be boiled for a few minutes. Afterwards, it must be cooled and filtered ; the sulphate of lime remains on the filter, and the liquor affords a crystallized acid by evaporation. Citrina'tio. Complete digestion. Citri'mjla. (A dim. of citrus.) A small citron. Citron. See Citrus medica. Citrul, Sicilian. See Cucurbita cifruUus. Citru'llus. See Cucurbita Citrutlus. CI'TRUS. 1. The name of a genus of plants in the Linnaean system. Class, Pohj- adelphia. Order, Icosandria. 2. The name of the lemon. See CUnis medica. Ci'trus aura'ntidm. The systematic name of the orange tree. Aurantium. jJuranlium hispalense. Mains aurantia ma- jor. Mains aurantia. Aurardium vulgare. Malus aurantia vulgaris. Mala aureu. Chry- ■•mmelea. JVeranlia. JyJarlianmn pomnm. Fcnna auranHa. Seville orange. This plant CIT' ti23 is the Citrus aurantium petiolis alaiis, foliis acuminatis, of Linnaeus. The China and Seville orange are both only varieties of the same species ; the latter is specified in our pharmacopoeias; and the flowers, leaves, yel- loxo rind andjitice, are made use of for dif- ferent medical purposes. The flowers,/ores naphee, are highly odo- riferous, and are used as a perfume ; they are bitter to the taste; they give their taste and smell both to water and to spirit, but' most perfectly to rectified spirit of wine. The water which is distilled from these flowers, is called aqua floruni naphee. In distillation, they yield a small quantity of essential oil, which is called oleum vel ex- sentia neroli : they are brought from Italy and France. Orange flowers were, at one time, said to be an useful remedy in con- vulsive and epileptic cases; but experience has not confirmed the virtues attributed to them. The leaves have a bitterish taste, and yield, by distillation, an essential oil ; indeed, by rubbing them between the fingers and the thumb, they manifest considerable fragrance. They have been applied for the same pur- poses as the flowers, but without success. The yellow rind of the fruit, freed from the white fungous part, has a grateful aro- matic flavour, and a warm, bitterish taste. Infused in boiling water, it gives out nearly all its smell and taste ; cold water extracts the bitter, but very little of the flavour. In distillation, a light, fragrant, esse'ntial oil rises, without the bitter. Its qualities are those of an aromatic and bitter. It has been employed to restore the tone of the stomach, and is a very common addition to combinations of bitters, used in dyspepsia, It has likewise been given in intermittent?, in doses of a diachm, twice or thrice a day! It is also much celebrated as a powerful remedy^ in menorrhagia, and immoderate uterine evacuations. The juice of Seville oranges is a gr.iteful acid, which, by allaying heat, quenching thirst, promoting various excretions, and diminishing the action of the sanguiferous system, proves extremely useful in both ar- dent and putrid fevers ; though the China orange juice, as impregnated with a larger proportion of sugar, becomes more agree- able, and may be taken in larger quantities. The Seville orange juice is particularly ser- viceable as an antiscorbutic, and alone wHI prevent or cure scurvy in the most appa- rently desperate circumstances. In dys- pepsia, from putrid bile in the stomach, both lemon and orange juice are highly useful. Ci'trus me'dica. The systematic name of ^ the lemon-tree. Limon Limonia maia. Malus 77iedica. Malus limonia acida Citrea mulus. Citrus. The tree which affords the lemon, is the Citrus medica vc- tiolis linearibus, of Linnaus : a native* of the upper .pn.rt of A^ja, b'jt pv-'ib-^ied in 2^4 err CLA Spain, Portugal, and France. The juice, which is much more acid than that of the orange, possesses similar virtues. It is al- ways preferred where a strong vegetable acid is required. Saturated with the fixed ve- getable alkali, it forms the citrate of potash, which is in frequent extemporaneous use in febrile diseases, and by promoting the secretions, especially that of the skin, proves of considerable service in abating the vio- lence of fever. This medicine is also often employed to restrain vomiting. As an an- tiscorbutic, lemon juice has been often taken on board ships destined for long voyages ; but even when well depurated of its mucila- dnous parts, it is found to spoil by long Keeping. To preserve it in purity for a considerable length of time, it is necessary that it should be brought to a highly con- centrated state, and for this purpose it has been recommended to expose the juice to a degree of cold sutScient to congeal the aqueous and mucilaginous parts. After a crust of ice is formed, the juice is poured into another vessel ; and, by repeating this process several times, the remaining juice, it is said, has been concentrated to eight times its original strength, and kept without sutlering any material change for several years. Whytt found the juice of lemons to allay hysterical palpitations of the heart, after various other medicines had been ex- perienced ineffectual : ajid this juice, or that of oranges, taken to the quantity of four or six ounces in a day, has sometimes been found a remedy in the jaundice. The exterior rind of the lemon is a very grateful aromatic bitter, not so hot as orange peal, and yielding in distillation a less quantity of oil, which is extremely light, almost colour- less, and genei'ally brought from the south- ern parts of Europe, under the name of Essence of Lemons. The lemon-peel, though less warm, is similar in its qualities to that of the orange, and is employed with the same iiitentions. The pharraacopceias direct a syrup of the juice, syrupus limonum, and the peel enters into some vinous and aqueous bitter infusions ; it is also ordered to be candied ; and the essential oil is an ingredient in some formula;. The citron-tree is also considered as be- longing to the same species, the Citrus me- dicaof Linngeus. Its fruit is called Cedro- mela, which is larger and less succulent than the lemon ; but in all other respects the citron and lemon trees agree. The citron juice, when sweetened with sugar is called by the Italians ugro di cedro. The Citrus inella rosa of Lamarck, is another variety of the citrus medica of Linnaeus. It was pro- duced, at first, casually, by an Italian's grafting a citron on a stock of a bergamot i)ear-tree ; wliencc the fi uit produced by this Mnion participated botii of the citron-tree and tiie pear-tree. The essence prepared from this (ruit is called essence of berffa- Ci TTA. A voracious appetite. CiTTo'sis. See Chlorosis. Civet-cat. See Zibelhum. CIVE'TTA. (From sebet. Arab.) Ci- vet, an unctuous odoriferous drug now only- used by perfumers. Clap. See Gonorrhma. CLARET. (Claretum ; from clareo, to be clear.) A French wine, that may be given vv^ith great advantage, as a tonic and antiseptic, where red port wine disagrees with the patient ; and in typhoid fevers of children and delicate female^, it is far pre- ferable as a common drink. Clark'tum. See Claret. Also a wine impregnated with spices and sugar, called by some Vinum Hippocraticum. A Clare- tum purgatorium composed of a vinous in- fusion of glass of antimony with cinnamon water and sugar, is mentioned by Schroe- der. CLARIFICA'TIO. The depuration of any thing. Clary. A name for the horminum. Cla'sis. (From jt^aa, to break.) Clasma. A fracture. Clau'stkum. (From claudo, to shut.) Cleithrum gutturis. Any aperture which has a power of contracting itself, or closing its orifice by any means, as the passage of the throat. Cla'ustkum virginita'tis. The hvmen. CLAUSU'RA. (From claudo, to 'shut.) An imperforation of any canal or cavity in the body. Thus clausura uteri is a preter- natural imperforation of the uterus ; clau- sura tubarum Fallopiarum, a morbid imper- foration of the Fallopian tubes, mentioned by Ruysch as one cause of infecundity. Clava'tio. (From clava, a club.) A sort of articulation without motion, where the parts are, as it were, driven in with a hammer, like the teeth in the sockets. See Gomphosis. Clavella'tus. (From clavus, a wedge.) Potash was called cineres clavellati, from the little wedges, or billets, into which the wood was cut to make it. CLA'VICLE. (Dim. oiclavis; so called from its resemblance to an ancient key.) Collar-bone. The clavicle is placed at the root of the neck, and at the upper part of the breast. It extends across, from the tip of the shoulder to the upper part of the sternum ; it is a round bone, a little flattened towards the end, which joins the scapula ; it is scurved like an Italic S, having one curve turned out towards the breast, it is useful as an arch, supporting the shoulders, preventing them from falling forwards upon the breast, and making the hands strong antagonists to each other ; which, v/ithout this steadying, they could not have been. \. The thoracic end, that next the ster- num, or what may be called the inner head of the clavicle, is round and fiat, or but- ton-like ; and it is received into a suitable lionoTv on the npper plei;« of the. ffprnuiT' CLE CLE 2:25 It is not only like other joints surrounded by a capsule or purse ; it is further provided with a small moveable cartilage, which, like a friction-wheel in machinery, saves the parts and facilitates the motions, and moves continually as the clavicle moves. 2. But the (.utward end of the clavicle is flattened, as it approaches the scapula, and the edge of that flatness is turned to the edge of the flattened acromion, so that they touch but in one single point. This outer end of the clavicle, and the corresponding point of the acromion, are flattened and covered with a crust of cartilage ; but the motion here is very slight and (juite insensi- ble ; they are tied firmly by strong liga- ments; and we may consider this as almost a fixed point; for there is little motion of t!ie scapula upon the clavicle : but there is much motion of the clavicleupon the breast, for the clavicle serves as a shaft, or axis, firmly tied to the scapula, upon which the scapula moves and turns, being connected with the trunk only by this single point, viz. the articulation of the clavicle with the breast-bone. Clavi'culus. See Clavicle. Clavi'cula. See Clavicle. Cla'vis. (From claiulo, to shut.) The same as clavicle. CLA'VUS. (A nail.) The sensation resembling the driving a nail into the head. A fixed pain in the forehead, which may be covered by one's thumb, giving a sensa- tion like as if a nail were driven into the part. When connected with hysterics, it is called clavus hystericus. This term is also applied to corns, from their resemblance to the head of a nail ; and to an artificial pa- late, or diseased uterus. Cla'vus hyste'ricus. See Clavus. Cla'vus oculo'rum. a staphyloma, or tumour on the eyelids. Clay. SeeAlumine. Cleavers. See Galium .Sparine. CLEGHORN, George, was born, near Edinburgh in 1716; and after studying in that city, went at the age of 20 to Minorca, as a regimental surgeon. During the 13 years that he spent there, he sedulously stu- died the natural productions of the island. In 1750, coming to London, he published his " Treatise on the Diseases of Minorca," which displays great observation and ability. He then went to Dublin, and gave lectures on anatomy with such success, that he was soon after appointed public professor ; and in 1774, an honorary member of the College of Physicians there. He died in 1789. Clei'dion. Clidion. The epithet of a pastil, described by Galen and Paulus ^gineta ; and it is the name also of an epithem described by Aetius. Cleido'ma. (From Khiid'cw, to close.) A pastil, or troch. Also the clavicula. Ci.EiDOMASToiDE'rs. I'From kku;, the 29 clavicle, and fxitc^.tinc, the mastoid process.) See Sterno-cleido-mastoideiis. Cleisa'gra. (From i;«,'c, the clavicle, and aj//:«, a prey.) The gout in the articu- lation of the clavicles. Clei'thron. (From x.kitiS'a), to shut.) See Clnustnnn. CLE'MATIS. (From k?j)^«*, a tendril ; so named from its climbing up trees, or any thing it can fasten upon with its tendrils.) The name of a genus of plants in the Lin- ncBan system. Class, Polyandria. Order, Polygynia. Cle'matis re'cta. The systematic name of the upright virgin's-bower. Flammula Jovis. Clematis; foliis pinnaiis, foliolis ovato lanceolatis integerrimis, caule erecto^ floribus pentapetalis tetrapetalisque of Lin- naeus. More praises have been bestowed upon the virtue which the leaves of this plant are said to possess, when exhibited internally, as antivenereal, by foreign phy- sicians, than its trials in this country can justify. The powdered leaves are some- times applied externally to ulcers, as aa escharotic. Cle'matis vita'iba. The systematic name of the traveller's-joy. Vitalba. Vior- na. Clematis arthragene of Theophrastus. This plant is common in our hedges, and is the Clematis; foliis pinnaiis, foliolis cordatis scandentibus, of Linneeus. Its leaves when fi-esh produce a warmth on the tongue, and if the chewing is continued, blisters arise. The same effect follows their being rubbed on the skin. The plant has been administered internally to cure lues venerea, scrofula, and rheumatisms, la France, the young sprouts are eaten, when boiled, as hoptops are in this country. Clemati'tis. The same as clematis. Cleo'nis colly'rium. The name of a collyrium described by Celsus. Cleo'nis glu'ten. (An astringent for- mula of myrrh, frankincense, and white of egg- Cle'psydra. (From JiX^rra, to conceal, and uJbp, water.) Properly, an instrument to measure time by the dropping of water through a hole, from one vessel to another; but it is used to express a chemical vessel, perforated in the same manner. It is also an instrument mentioned by Paracelsus, contrived to convey suff"umigations to the uterus in hysterical cases. CLEYER, Andrew, was born at Cas- sel, in the beginning of the 17th century. After studying medicine, he went as phy- sician to Batavia, where he resided several years. He transmitted several interesting communications to the Imperial Academy, of which he had been chosen a member, particularly " An Account of Hydatids found in a Human Stomach," and " Of the Custom of the Indians of taking Opium ;" also descriptions and drawings of Jthe plants indigenous in Java, especially the raoxa- €LI CLU ginseng, and lea-plant. He likewise pub- lished, in 1680, a curious specimen of Chi- nese medicine. Cli'banus. (Quasi K,iKtSa.voc : from y.ct- >.v-/lte, to conceal.) A portable furnace, or still, in which the materials to be wrought on are shut up. CLIFTOIS, Francis, after studying at Oxford, came to London, and was admitted Fellow of the College of Physicians, as well as of the Royal Society, about the year 1730. Two years after he published on ''■ The State of Physic, ancient and modern, with a Plan for improving it :" in which a law is proposed, to compel practi- tioners to send to a public institution descrip- tions of the several cases which come under their care. He was also author of "A plain and sure Way of practising Physic ;" and translated some parts of Hippocrates into English, with notes. Clima'cter. (From x.uy.a^a!,'io proceed gradually.) The progression of the life of man. It Is usually divided into periods of seven years. Cii'max. (From xx<^.<*fa), to proceed.) A name of some antidotes, which, in regu- lar propon-tion, increased or diminished the ingredients of which it was composed, e. g. ]^. Chammdryos ^jjj. Centaurii |jj. Hy- per ici %\. . Climbbxg birlhwort. See Jlristolochia cle- matitis. CLI'NICAL. {Clinicus, from Kxm, a bed.) Any thing concerning a bed: thus clinical lectures, doses, a clinical physician, &.C. ; which mean lectures given at the bed- side, observations taken from patients when in bed, a physician who visits his patients in their bed, &,c. CLI'NOID. (Clinoideus ; from kxivh, abed, and eJ's?, resemblance.) Resembling abed. The four processes surrounding the sella turcica of the sphenoid bone are so called, of which two are anterior, and two posterior. Clinomastoide'us. a con-uption of clei- domastoideus. Cli'ssus. a chemical term denoting mineral compound spirits ; but antimony is considered as the basis clyssi. See Clyssus. Clito'ridis mu'sculus. See Erector ci- toriiiis. CLITORIS. (From kxiuo, to enclose, or hide ; because it is hid by thelabia puden- dorum.) Columella. A small glandiform body, like, a penis in miniature, and, like it, covered ■with a praepuce, or fore-skin. It is situated above the nymphae, and before the opening of the urinary passage of women. Anatomy has discovered, that the clitoris is composed like the penis, of a cavernous substance, and of a glans, which has no perforation, but is like that of the penis, exquisitely sensible. The clitoris is the principal seat of pleasure : during coition it is distended with blood, and jifter the venereal orgasm it becomes flaccid and falls. Instances have occurred where the clitoris was so enlarged as to ena- ble the female to have venereal commerce with others; and, in Paris, this fact was made a public exhibition of to the faculty. Women thus formed appear to partake, in their general form, less of the female cha- racter, and are termed hermaphrodites. The clitoris in children is larger, in proportion, than in full-grown women : it often projects beyond the external labia at birth. Clitori'smus. (From it^ulopi;.) A mor- bid enlargement of the clitoris. CLONIC (From xAcvsa, to move to and fro.) See Convulsion. Clono'des. (From uxovioi, to agitatiE.) A strong unequal pulse. Clove bark. See Myrtus ciryophyllata. Clove sillifiower. )o r.. ,, ^ Clove July flower. \ ^^^ I>'anthus Cwryo- Clove pink. ) plyUus. Clove. See Eugenia Caryophyllata. CLOWES, William, an eminent En- glish surgeon of the 16th century, received his education under George Keble, whose skill he strongly commends. After serving for some time professionally in the navy, he settled in London, and was made surgeon to Christ's and St. Bartholomew's hospitals, and appears to have had considerable practice. In 1586 he was sent to the Low-Countries, to the assistance of the army under the Earl of Leicester ; and on his return was ap- pointed surgeon to the Queen, His works are in the English language, but evince much learning, as well as skill in his pro- fession. The first which he published was on the lues venera, in 1585; in which he notices the increasing frequency of that dis- ease, and states that in five years he had cured above a thousand patients labouring under it at St. Bartholomew's hospital. But his most celebrated publication appeared three years after, on the method of treating wounds of various kinds, the result of ex- tensive experience, sanctioned by references to the most approved writers. He appears to have possessed an enlarged understand- ing, and was very severe on all quacks and impostors ; and he may justly be reckoned among the restorers and improvers of sur- gery in modern times. CLUNE'SIA. (From dunes, the but- tocks.) Proctalgia. An inflammation of the buttocks. Cr.u'PEA ALo'sA. The Linnaean aame for the shad or chad, wijose flesh is by some commended as a restorative. CLU'SIA. (So called in memory of Charles Clusius, an eminent botanist.) The name of a genus of plants in the Lin- naean system. Class, Polyganiia. Order, Monoecia. Balsam^tree. C L U'T I A. (Named after Cluyt, and sometimes spelled cluyiia.) The name of a genus of plants in the Linnaean system. Class, Diotcia. Order, Gynandritt, CO A fcOB Ctu'xiA elothe'ria. The systematic name of the tree which is by some supposed to afford the cascarilla bark. Cluy'tia. See Clutia. Clv'Don. {Y^KuSmv.) A fluctuation and flatulency in the stomach. Clypea'lis. (From clypeus, a shield.) Formed like a shield. Cly'smus. Clysma. (From KXt/f*, to wash.) A glyster. Cly'ssus. Clissus. A term anciently used by the chemists for medicines made by the reunion of different principles, as oil, salt, and spirit, by long digestion ; but it is not now practised, and the term is almost lost. Cly'ssus antimo'sit. Clysms mineralis. A weak acid of sulphur. Cly'ster. (Clysterium. (Ffom xA.t/f*, to cleanse.) A glyster. Cne'mia. Any part connected with the tibia. CneModactyl^'us. (From mufiti, the tibia, and J'mCIvm;, a finger, or toe.) A muscle whose origin is in the tibia, and whose insertion is in the toes. Its office is to elevate the toes. See Extensor longus digitorum pedis. CiiE'sis. (From tcvau, to scratch.) Cne*- ma. Cnesriws. A painful itching. CKicilje'on. (From mix.o;, cnicus, and sxa/ot», oil.) Oil made of the seeds of cnicus. Its virtues are the same with those of the ricinus, but in an inferior degree. Cni'cus. (From waa, to scratch.) The plant used by Hippocrates by this name, is supposed to be the carthamus; but modern botanists exclude it from the species of this plant. Cni'cus sylve'stris. The Ccntaurea bt- nedicta. Cni'dII CO'cCI. ) o t-v I It „ , ^ , } See Daphne Meztreum. CNI DIA GftANA. ^ ^ Cnido'sis. (From icv/J», the nettle.) An itching sensation, such as is perceived from the nettle. A dry ophthalmy. Cnipo'tes. An itching. Cni'smos. See Cnesis. Cny'ma. (From kvom, to scrape, or grate.) In Hippocrates it signifies a rasure, puncture, or vellicatlon : also the same as cnesmos, or cnesis. COAGULA'NTIA. (From coagulo, to incrassate, or curdle.) Such medicines as coagulate the blood and juices flowing from it. CO AG UL ABLE LYMPH. Lym- pha coagulabilis. Called also fibrin, being a principal constituent of muscular fibres. It is a component part of the blood. It maybe obtained in considerable quantities, by stirring the blood about with a stick, when it adheres to its sides. In certain diseased actions it is separated from the blood, and is often found in very consi- derable quantities in the circumscribed ca- vities of the bodv. It has neither ta,«te nor smell ; it always possesses a v^^hite and opaque colour; is of a glutinous coiisistence, and, if dried by a gentle heat, becomes horny. The same name has aI?o been given to that part of the serum, which coagulates when heated, and which is of an albuminous nature. See JJlbumen. COAGULA'TION. (Coagulaiio : from con, and ago, to drive together.) The sepa- ration of the glutinous or viscid particles, contained in any fluid, from the more thin and not coagulable particles : thus, when milk curdles, the coagulable particles form the curd ; and when acids are thrown into any fluid containing coagulable particles, they form what is called a coagulum. COA'GULUM. A term apptied frequent- ly to blood and other fluids, when they assume a jelly-like consistency. Coa'gulum alu'mini.s. This is made by beating the white of eggs with a little alum, until it forms a coagulum. It is re- commended as an efficacious application to relaxations of the conjunctive membrane of the eye. Coalte'rn^; febres. (From con, and alternus, alternate.) Fevers mentioned by Bellini, which he describes as two fevers affecting the same patient, and the pa- roxysm of one approaching as that of the other subsides. Coarcta'tio. (From coardo, to straiten.) The contraction or diminution of any thing. Applied to the pulse, it means a lessening in number. Coarticula'tio. (From con, and articu- latio, an articulation.) That sort of articu- lation which has manifest motion. COBALT. Cadmia metallica. A metal that has never been found pure in nature. We meet with it almost always either in the state of an oxide, alloyed with other metals, in the form of a sulpburet, or com- bined with an acid. Cobalt in the state of an oxide forms the black cobalt ore. This ore is found in Ger- many, either in powder of a black or gray colour, or in compact masses. In the last form, it exhibits at its fracture rose-coloured spots. There are several varieties of this ore. Cobalt, alloyed Avith other metals, forms the dull white cobalt ore. In this ore, which occurs either amorphous or crystallized, cobalt is united to iron and arsenic. The colour of this ore, when fresh broken, is white or bluish-gray, sometimes with a shade of red. It has a metallic lustre. Its texture is compact. Cobalt, united to sulphur, forms the white cobalt ore. It is met with in masses, or crystallized in cubes, dodecahedra, and octahedra. Its colour is a tin-white, sometimes reddish-yellow. Cobalt in the state of oxide, combined with arsenic, acid forms (he red cobalt dre, ar»e- niate of cobalt. It is found ' in masses of various shapes. Its colour is red,^ inclining to orange. il2B coc coc Cobalt, when in a pure state, U of a steel- Fic&s Indue grana. Scarabceolits hemisplucri- gray colour, with a tinge of red, and a fine cms. Cochinelifera cochinilla. Coccus America- dose grain. It has a granulated fracture, nus. Cochinelle. Coccus Indicus tinclorius. and is easily broken and pulverized. Its Cochineal. The female of a species of iusect specific weight is between 7.700 and 7.811. called Coccus cadi, tiiat is found on, and It requires a very intense heat for its fusion, collected in South America, from the nearly equal to that necessary to melt cast Opuntia, or Indian fig-tree. It possesses iron. When heated in contact with the air, stimulating qualities, and is ordered by the it oxidizes before fusion. Phosphorus renders College in the tinctura cardamomi composita, it very fusible, and converts it into a phos- and tinctura cinchonm composita; but, most phuret. It unites to sulphur with difficulty, probably, merely on account of the beautiful but very well with the alkaline sulphiirets red colour which it imparts to them, by fusion. When alloyed with metals it COCCYGE'US. (Coccygeus, sc. muscu- renders them granulated, rigid, and brittle, lus ; from kokxu^ : because it is inserted It is attacked by the greater number of the into the coccyx.) Ischio-cocigien of DamaiS. acids, and unites with the boracic acid. A muscle of the os coccygis, situated within Its solutions in different acids become the pelvis. It arises tendinous and fleshy, green when heated; and from this property, from the spinous process of the ischium, it is used as an ink, w4iich, when written and covers the inside of the sacro-Lschiatic with on paper, is invisible, but becomes ligament ; from this narrow beginning it visible when gently heated, and disappears gradually increases to form a thin fleshy when cold. It takes fire in oxygenated belly, interspersed with tendinous fibres, muriatic acid gas. It colours glass of a It is inserted into the extremity of the os fine blue. It unites with platina, gold, iron, sacrum, and nearly the whole length of the nickel, copper, and arsenic, by fusion ; os coccygis, laterally. Its use is to support but silver, lead, bismuth, and mei-cury, and move the os coccygis forwards, and to refuse to unite with it in the dry way. tie it more fii-mly to the sacrum. In its purest state, it is not only obedient to CO'CCYGIS OS. (From xc)o«/|, the the magnet, but, if we may trust to the ac- cuckoo, whose bill it is said to represent.) curacy of some experiments made by Kohl Cauda. Ossis sacri acumen. Coccyx. This and Wenzel, it may even receive a niagne- bone is a small appendage to the point of tical attractive power. the sacrum, terminating this inverted co- Mtrate of potash oxidizes cobalt readily, lumn with an acute point, and found in It detonates by the blow of a hammer very different conditions in the several when mixed with oxygenated muriate of stages of life. In the child, it is merely potash. It produces fine colours in porcelain, cartilage, and we can find no point of enamels, artificial gems, Lc. bone : during youth, it is ossifying into COBHAM WATERS. Weak saline pur- distinct bones, which continue moveable ging waters. upon each other till manhood ; then the CO'BRA DE CAPE'LLO. (From separate bones gradually unite with each cobra, the head, or covering, Span.) Cro- other, so as to form one conical bone, talus horridus of Linna:-us. The rattle with bulgings and marks of the pieces of snake ; the stone out of whose head is said which it was originally composed ; but to be an antidote to the poison of venomous still the last bone continues to move upon animals. the joint of the sacrum, till, in advanced Co'cCA cni'dia. See Daphne mesereum. years, it is at last firmly united; later in Cocca'kiuim. (From mnxov, a berry.) women than in men, with whom it is often A very small pill. fixed at twenty or twenty-five. It is not, COCCIiNE'LLA. (Dim. from coccus, a like the os saci"um, flat, but of a roundish berry ; from its resemblance to a berry.) form, convex without, and concave in- See Coccus cacti. wards; forming with the sacrum the lowest Cocco-ba'lsamum. Tlie fruit of the true part of the pelvis behind. It has no holes balsam. like the sacrum ; has no communication Coccogni'dia. Grana aiidia. Cocci cnidli. ^vith the spinal canal, and transmits no The seeds of the Daphne mezcrevm are so nerves ; but points forwards to support the termed. They are violently purgative. See lower parts of the rectum ; thus it contracts Daphne mescre^im. the lower opening of the pelvis, so as to Co'ccos. See Daphne mesereum. support effectually the rectum, bladder, and Co'ccui,! I'ndi aroma'tici. The piper womb; and yet continues so moveable in Jamaicense. women, as to recede in time of labour, al- CO'CCULUS I'NDICUS. (Dim. of lowing the head of the child to pass, xoxitof, aberiy.) See Menispermum cocculus. CO'CCYX. (Kohkv^, the cuckoo.) See Co'ccuM ea'phicum. Anaraeforchermes. Coccygis os. Also the part in which the os CO'CCUS. The name, in entomology, coccygis is placed. of a tribe of 'insects. Co'chia. (From icop^sLsi, to turn or make Co'ccus ca'cti. The systematic name of round.) An ancient name of some oflicinal the cochineal animal Coccinella. CocciiiiUa. pills. coc coc 229 Co'ehineal. See Coccus cacti. CO'CHLEA. (From »o;t*f«, lo turn round.) A cavity of the internal ear, re- sembling the shell of a snail, in which are observed, the modiolus, or nucleus, extend- ing from its basis to the apex, the scala iym- pani, scala vestibuli, and spiral lamina. Co'cHLEA terre'stris. See Limax. COCHLEA'RE. (From cocMea, a cockle, whose shell its bowl represents.) A spoon- ful. In prescriptions it is sometimes ab- breviated thus, coch. Cochleare magnum, is a table-spoon ; cochleare medium, a des- sert or pap spoon ; and cochleare minimum, a tea-spoon. COCHLEA'RIA. (From cochleare, a spoon ; so called from its resemblance.) The name of a genus of plants in the Lin- naean system. Class, Tetradyriamia. Order, Siliculosa. Cochlea'ria armora'cia. The syste- matic name of the horse-radish. Raphanus rusticanus. £rmoracia. Raphanus marinus. Raphanus sylvestris. Horse-radish. The plant which affords this root is the Cochlearia ar- mor acia; foliis radicalibus lanceolatis crenalis, caulinis incisis, of Linnaeus. Horse-radish has long been received inio the materia medica, and is also well known at our tables. " It affects the organs both of taste and smell with a quick penetrating pungency ; never- theless it contains in certain vessels a sweet juice, which sometimes exudes in littledrops upon the surface. Its pungent matter is of a very volatile kind, being totally dissijmted in drying, and carried off in evaporation, or distillation by water; as the pungency ex- hales, the sweet matter of the root becomes more sensible, though this also is, in a great measure, dissipated or destroyed. It impreg- nates both water and spirit, by infusion, or by distillation, very richly with its active matters. In distillation with water, it yields a small quantity of essential oil, exceedingly penetrating and pungent." Dr. CuUen has mentioned every thing ne- cessary to be known respecting the medicinal virtues of horse-radish, we shall therefore transcribe all that the ingenious professor has written on this subject. " The root of this plant only is employed ; and it affords one of the most acrid substances of this order (Siliquose,) and therefore proves a powerful stimulant, whether externally or internally employed. Externally, it readily inflames the skin, and proves a rubefacient that may be employed with advantage in palsy and rheumatism ; and if its application be long continued, it produces blisters. Taken internally, it may be so managed as to relieve hoarseness, by acting on the fauces. Received into the stomach, it stimulates this, and promotes digestion ; and therefore is properly employed as a condiment with our animal food. If it be infused in water, and a portion of this infusion be taken with a large draught of warm water, it readily proves emetic, and may either be employed by itself to excite vomiting, or to assist the operation of other emetics. Infused in water, and taken into the stomach, it proves stimu- lant to the nervous system, and is thereby useful in palsy, and, if employed in large quantity, it proves heating to the whole body ; and thereby it proves often useful in chronic rheumatism, whether arising from- scurvy or other causes. Bergius has given us a particular method of exhibiting this root, which is, by cutting it down, without bruising, into small pieces ; and these, if swallowed without chewing, may be taken down in large quantities, to that of a table- spoonful. And the author alleges, that, in this way, taken in the morning for a month together, this root has been extremely useful in arthritic cases, which, however, I sup- pose to have been of the rheumatic kind. It would seem, in this manner employed, analogous to the use of unbruised mustard- seed ; it gives out in the stomach its subtile volatile parts, that stimulate considerably without inflaming. The matter of horse- radish, like the same matter of the other siliquose plants carriedinto the blood-vessels^ passes readily into the kidneys, and proves a powerful diuretic, and is therefore useful in dropsy ; and we need not say, that, in this manner, by promoting both urine and per- spiration, it has been long known as one of the most powerful antiscorbutics." Cochlea'ria horte'nsis. Lemon scurvy- grass. Cochlea'ria officina'lis. The systema- tic name of the lemon scurvy-grass. Coch- learia hortensis. This indigenous plant, Cochlearia officinalis ; foliis radicalibus cor- date subrotundis, caulinis oblongi-s subsinuatis, of Linnaeus, is cultivated in gardens for its medicinal qualities. Its expressed juice has been long considered as the most effectual of the scorbutic plants. Cocho'ne. (From xs%aai, to turn round.) Galen explains this to be the juncture of the ischium, near the scat or breech ; whence says he, all the adjacent parts about the seat are called by the same name. Hesychius says, that cochone is the part of the spine which is adjacent to the os sacrum. COCKBURN, William, was born in the latter part of the 17th century. After being some years physician to the navy, he settled in London ; and soon distinguished himself so much, that he was admitted into the College, as well as the Royal Society, and made physician to King William. He published a " Treatise on Sea Diseases," which was often reprinted, and translated into French and German. He referred the scurvy principally to the diet of seamen, and considered fresh provisions as the chief re- medy for it. He wrote also on Alvine Fluxes, on Gonorrhoea, (which he contends may exist independent of syphilis,) and on the Human (Economy ; which latter pub- 33Q CtEL C&P lication was much noticed at the time, but is since superseded by more accurate trea- CO'COS. (So called from the Portu- guese coco, or coquen, the three holes at the end of the cocoa-nutshell, giving it the re- semblance of a monkey's head.) The name of a genus of plants in the Linnaen system. Class, Monoecia. Order, Hexandria. The cocoa-nut tree. Co'cos nucife'ra. The systematic name of the plant, whose fruit is the cocoa-nut. Co'cos butyra'cea. The systematic name of the plant which affords the palm oil, Oleum TpalrtKE, which is prodaced chiefly ■from the fruit of the Cocos kulyracea ; intr- mis, frondibus ftnnatis ; foliolis simplicibus. ■of Linnseus, by bruising and dissolving the -kernels of the fruit in water, without the aid of heat, by which the oil is separated, and rises to the surface, and on being washed two or three times, is rendered fit for use. When brought into this country, it is of the consistence of an ointment, and of an orange- yellow colour, with little taste, and of a strong, though not disagreeable smell. Its ase is confined to external applications in pains, tumours, and sprains ; but it appears to possess very little, if any, advantage over other bland oils. Co'cTiON. (From coquo, to boil.) Con- coction. Digestion. In a medical sense, signifies that alteration, whatever it be, or however occasioned, which is made in the crude matter of a distemper, whereby it is either fitted for a discharge, or rendered harmless to the body. This is often brought about by nature ; that is, by the vis vita;, or the diposition or natural tendency of the matter itself, or else by proper reme- dies, which may so alter its bulk, figure, cohesion, or give it a particular determi- nation, so as to prevent any farther ill ef- fects, or drive it quite out of the body. And, that time of a disease wherein this action is performing, is called its state of coction. Cocd'stu. The name for courbaril. Codoce'i.e. (From kwJisl, a bulb, and jjwXH, a tumour.) A bubo. Coda'ga pala. See Nerium antidysente- ricum. C A connected in such a way that they resist filtered or strained liquor, any attempt towards their removal or se- COLBATCH, John, was born in the paration. It is a species of attraction. See latter part of the 17th century. He prac- Attraclion. tised in London, first as a surgeon and Cohoba'tion. (A term invented by Pa- apothecary, afterwards as a physician, and racelsus.) Cohobatio. Cohobium. Cohoph. had considerable repute. He published se- The ancient chemists use this term to sig- veral works; the first was "A New Li"-ht nify the distillation of a fluid poured afresh of Chirurgery," condemning the use "of upon a substance of the same kind as that tents, and the' injection of acrid substances upon which it was before distilled, and into wounds ; then a treatise, in which most repeating this operation several times, to diseases are described to alkalescency, and make it more efficacious. For this purpose, acids strongly recommended ; this in a sub- the vessel called pelican was employed. sequent publication he applied particularly Co'hol. (Cohol, Heb.) Castellus says to the gout; lastly, he highly extolled the this, word is used in Avicenna, to express misletoe as a remedy for epilepsy and other dry coUyria for the eyes, in fine powder. nervous diseases. ('oi'LiMA. (From notxict, the bowels.) Colcaquahui'tl. An American plant A sudden swelling of the belly from wind, commended in palsies and uterine diso/- Coilosto'mia. (From koiko;, hollow, ders, according to Ray. and s-o^a, the mouth.) A defect of speak- COLCESTRE'NSIS A'QUA. Colchester ing, from the palate, or through the nose. water. This mineral water is of the bitter Coindica'ntia. (From co7i, and indico, purging kind, similar to that of Epsom' to indicate.) Signs, or symptoms, are called but not so strong. ' coindicant, when, besides the usual inciden- CO'LCHICUiVJ. (From Colchis, a city tal appearances, there occur others, as age, of Armenia, where this plant is supposed, habit, season, &.c. to have been common.) 1. The name of a Coi'ra. A name for catechu. genus of plants in the Linnsean system. GOITER, VoLCHER, was born at Gro- Class, Hexandria. Order, Tris;ynia. Mea ningen in 1534. After studying at the dow-saffron. ■232 COL COL 2. The pharmacopceial name of the mea- dow-safifron. See Colchicum autumnale. Co'lchic0m autumna'le. The systematic name of the common meadow-saflron. Col- chicum ;foliisplanis lanceolatis erectis, of Lin- naeus. A native of England. The sensible qualities of the fresh root are very various, according to the place of growth and season of the year. In autumn it is almost inert, but in the beginning of summer highly acrid ; hence some have found it to be a corrosive poison, whilst others have eaten Jt in considerable quantity, without expe- riencing any effect When it is possessed of acrimony, this is of the same nature with that of garlic and some other plants, and is entirely destroyed by drying. The GermaH physicians have celebrated its vir- tues as a diuretic, in hydrothorax and other dropsies ; and in France it continues to be a favourite remedy ; but it is, nevertheless, in this country unsuccessful, or at best a very uncertain remedy. The expressed juice is used, in Alsace, to destroy vermin in the heads of children. The officinal prepara- tions of colchicum are, Syr. Colch. Autum. idin. Pharm. The oxymel colchici of the lormer London pharmacopoeia, is now omit- ted, and the acetum colchici ordered in its i-oom; as the honey may easily b& added ex- temporaneously, if it be thought requisite. (The following is the formula of the present liOndon Pharm. for preparing the acetum Colchici, or vinegar of meadow-saffron ; " Take of fresh meadow-saffron root sliced, '4n ounce ; acetic acid, a pint ; proof spi- rit, a fluid-ounce. Macerate the meadovv- Baffron root in the acid, in a covered glass ^ressel, for twenty-four hours; then press out the liquor and set it by, that the fecu- encies may subside ; lastly, add the spirit to he clear liquor." The dose is from 3ss to ;jss. Co'lchicum illy'ricom. The plant supposed to afford the htrmodactyls. See fiermodadylus. Co'lchicum Zeyla'nicum. See Zedoaria. Co'lcothar viTRi'oLi. ChalcUis. The j-emains of calcined martial vitriol. COLD. A privation of heat. It is no- thing positive, but somewhat of the negative kind. The human body contains within itself, as long as it is living, a principle of Warmth : if any other body, being in contact ^•'ith it, abstracts the heat with unusual ra- bidity, it is said to be cold ; but if it carries off the heat more slowly than usual, or even communicates heat to our body, it is said to ^e hot. i A cold is a popular name also for a ca- tarrh. See Catarrhus. COLD AFFUSION. A process for- nlerly soraelimes practised by physicians, but lately introduced by Dr. Currie, of Liverpool, in the treatment of typhus fever, and which appears to possess an uniformity of success, which we look for in vain in almost any other branch of medical practice. The remedy consists merely in placing the patient in a bathing-tub, or other convenient vessel, and pouring a pailful of cold water upon his body ; after which he is wiped dry, and again put to bed. It should be noted. First, That it is the low contagious fever in which the cold affusion is to be employed. The first symptoms of which are a dull headach, with restlessness and shivering ; pains in the back, and all over the body, the tongue foul, with great prostration of strength ; the headach becoming more acute, the heat of the body, by the thermo- meter, 102° to 105° or more ; genera! rest- lessness, increasing to delirium, particularly in the night. Secondly, Tha,i it is in the early stage of ike disease we must employ the remedy; and generally in the state of the greatest heat and exacerbation. Thirdly, It is affusion, not immersion, that must be employed. Since the first publication of Dr. Currie's work, the practice of affusion has been ex- tended throughout England ; and its efficacy has been established in some stages of the disease, from which the author had originally proscribed the practice of it. One of the cautionary injunctions which had been given for the affusion of cold water in fever, was, never to employ it in cases where the patient had a sense nf chilliness upon him, even if the thermometer, applied to the trunk of the body, indicated a preternatural degree of heat. In his last edition of Reports, how- ever. Dr. Currie has given the particulars of a case of this description, in which the cold affusion was so managed as to produce a successful event. In fevers arising from, or accompanied by ^ topical inflammation, his experience does not justify the use of cold affusion ; though, in a great variety of these cases, the warm affusion may be used with advantage. " And," says he, " though I have used the cold affusion in some instances, so late as the twelfth or fourteenth day of contagious fever, with safety and success, yet it can only be employed, at this advanced period, in the instances in which the heat keeps up steadily above the natural standard, and the I'espiration continues free. In such cases, I have seen it appease agitation and restless- ness, dissipate delirium, and, as it were, snatch the patient from impending dissolu- tion. But it is in the early stages oi fever (let me again repeal) that it ought always to be employed, if possible ; and where, with- out any regard to the heat of the patient, it is had recourse to in the last stage of fever, after every other remedy has failed, and the case appears desperate, (of which I have heard several instances,) can it appear sur- prising that the issue should sometimes be unfavourable ?' COL _ wrOL ' 2SS Numerous communications from vai-ious one, it is by no means the only cause. In practitioners, in the West and East Indies, Devonshire, it certainly more often arises in Egypt and America, also show the effi- from tlie early cyder, made of harsh, unripe cacy of affusion in the raging fevers of hot fruit, and in the West Indies from new countries. rum. The characteristics of this disease are, COLE, William, studied at Oxford, obstinate costiveness, with a vomiting of an and took his degree there in 1666. After acrid or porraceous bile, pains about the practising some time at Bristol, he came to region of the navel, shooting from thence to London,anddistinguishedhimselfby several each side with excessive violence, strong publications on physiology and medicine, convulsive spasms in the intestines, and a which however are too theoretical. The tendency to a paralysis of the extremities. principal are on animal secretion, on apo- It is occasioned by a long-continued costive- plexy, on the cause of fever, on insensible ness ; by an accumulation of acrid bile ; by perspiration, he. He published also a case cold applied either to the extremities, or to of epilepsy, cured, in his opinion, by the the belly itself ; by a free use of unrij>e misletoe. fruits, and by great irregularity in the mode Co'les. (From hmkoc, a stalk.) Colis. of living. From its occurring frequently in The penis. Devonshire, and other cyder counties, it Colewort. See Brassica. has been supposed to arise from an impreg- Co'li de'xtrum ligame'ntubi. Where nation of lead received into the stomach* the mesentery changes its name for that of but this seems to be a mistake, as it is a mesocolon, (nearthe extremity of the ileum,) very prevalent disease in the West Indies the particular lamina, which is turned to the likewise, where no cyder is made, and where right side, forms a small transverse fold, there is only a very small quantity of lead which is thus named. in the mills employed to extract the juice Co'li sini'strdm ligame'ktum. It is a from the sugar-canes. One or other of the contraction of the mesocolon, a little below causes just enumerated, may justly be said the left kidney. always to give rise to this species of CO'LICA. (From neoxcv, colon, the colic, name of one of the intestines.) The colic. The disease comes on gradually, with a The appellation of colic is commonly given pain at the pit of the stomach, extending to all pains in th^ abdomen, almost indiscri- downwards to the intestines, accompanied minately ; but, from the different causes with eructations, slight sickness at the sto- and circumstances of this disorder, it is mach, thirst, anxiety, obstinate costiveness differently denominated. When the pain and a quick contracted pulse. After a short is accompanied with a vomiting of bile, or time, the pains increase considerably in vio- with obstinate costiveness, it is called a lence, the whole region of the belly is highly bilious colic: if flatus causes the pain, that painful to the touch; the muscles of theab- is, if attended with temporary distention, domen are contracted into hard irregular relieved by the discharge of wind, it takes knots or lumps ; the intestines themselves the n&me of flatulent or windy colic ; when exhibit symptoms of violentspasm, insomuch accompanied with heat and inflammation, it that a glyster can hardly be injected, from takes the name of inflammatory colic, or the powerful contraction of the sphincter enteritis. When this disease arises to a ani ; and t^ere is constant restlessness, with violent height, and is attended with obsti- a frequent vomiting of an acrid or porra- nate costiveness, and an evacuation of fajces ceous matter, but more particularly after by the month, it is called passio iliaca, or taking either food or medicine, iliac passion. Upon a farther inci-ease of the symptoms Dr. Cullen places this genus of disease in or their not being quickly alleviated, the the class neuroses, and order spasmi ; and spasms become more frequent, as well as defines it pain of the abdomen, particularly violent; the costiveness proves invincible round the umbilicus, attended with vomit- and an inflammation of the intestines en- ing and costiveness. He enumerates seven sues, which soon destroys the patient by species. gangrene. In an advanced stage of the dis- 1. Coma spasmodica, with retraction of ease, it is no uncommon occurrence for the navel, and spasm of the muscles of the dysuria to take place, in a very high degree. ^^||y- ,. . The dry belly-ache is always attended 3. Lohca ptctonum. This is called from with some degree of danger ; but which is the place where it is endemial, the Foictou, ever in proportion to the violence of the the Surinam, tiie Devonshire colic ; from symptoms, and the duration of the disease Its victims, the plumbers' and the painters' Even when it does not prove fatal, it is too colic ; from its symptoms, the dry belly- apt to terminate in palsy, and to leave be- ache, the nervous and spasmodic colic. It hind it contractions of the hands and feet A *f-®" ^^*'''''"<^*^*i ^° the poison of lead, with an inability in their muscles to perform and this is undoubtedly the cause, when it their office; and in this miserable state of occurs to glaziers, painters, and those em- existence, the patient linirers out many ployed in lead works; but. (hongh this is wretched vears- '' '' ' 3Q 234 fJOL eoL Dissections of this disease usually show the same morbid appearances as in common colic, only in a much higher degree ; name- ly, irregular contractions and distention of the intestines, often with marks of inflam- mation. 3. Colica stercorea, which happens from obstinate and long-continued costiveness. 4. Colica accidentalis, called also cholera sicca, from acrid undigested matters. 5. Colica meconialis, in infants, from a retention of meconium. 6. Colica callosa, with a sensation of a stricture in some part of the colon, and frequently of previous flatulence,, gradually passing off; the habit costive, or faeces li- quid, and in small quantity. 7. Colica calculosa, from calculi formed in the intestines, attended with a fixed hard- ness in some part of the abdomen. It is distinguished by the previous discharge of calculi. 8. Colica flatulenfa may be added to these species. It is distinguished by a sudden fulness, with pain and constipation, relieved by a discharge of wind from the mouth or anus. The colic is distinguished from inflam- mation of the intestines by the pain being wririging, and not of a burning kind; by the apasmodic contraction of the abdominal muscles ; by the absence or trifling degree of fever; by the state of the pulse, and by the diminution of pain upon pressure, which increases it in enteritis. The flatulent and inflammatory colic are thus disthiguished from each other: — In the flatulent colic, the pain comes on by fits, flies from one part of the bowels to another, and is much abated by a discharge of wind, either upwards or downwards ; but in the inflammatory colic the pain remains equable, and lised and settled in one spot; the vomitings are severe, and frequently bilious ; the belly is obstinately bound, and the pulse quick and feverish. The colic should be distinguished from a fit of the gravel ; stones passing through the ureters ; rheumatic pains in the muscles of the belly ; a beginning dysentery ; the blind piles ; and from a stone passing through the gall-duct. Gravel in the kid- neys produces often colic pains, not easily distinguishable ; but when stones pass through the uveters, the testicle on that side is often retracted, the leg is benumbed, a pain shoots down the inside of the thigh ; symptoms occasioned by the stone passing through the ureter over the spermatic chord, or the sacro-sciatic nerve. Rheumatic pains in the muscles of the belly rarely aJfect so accurately the umbilical region, but dart in various directions to the chest, or to the pelvis, and are attended with sore- ness, not confined to the abdomen. A beginning dysentery differs little from colic. The pain from the blind piles is confined to the rectum : and that from a stone in the gall-duct, is felt in the pit of the sto- mach, occasionally shooting through the body to the back. The treatment of this disease must vaiy • according to its form : but the leading in- dications are, 1. To obviate inflammation. 2. To relax the spasm, and relieve the pain attending. 3. To remove local irri- tation, especially by evacuating the alvine contents. 4. By various prophylactic mea- sures to guard against a relapse. — 1. The chief danger arising from inflammation, supervening, it may be prudent to anticipate this, where the habit and strength will allow, by taking away an adequate quantity of blood from the arm, or more generally by leeches to the abdomen, but especially where any sign of inflammation appears, this plan becomes necessary, followed by a hot bath, or fomentations, a blister to the abdomen, &.c. as detailed under enteritis. 2. The means already noticed may serve to relax spasm also, though not requisite in slight cases, besides the various antispasmodic remedies, as cether, assafcetida, Ike. ; like- wise aromatics, or spirituous liquors, will often by their stimulus on the stomach afford relief in flatulent colic, though their use is sometimes hurtful; but by far the most 1)0 werful remedy is opium in adequate quantity, which is best regulated in severe attacks, by giving divided doses at short intervals till ease is obtained. 3. Local irritation may sometimes be relieved by chemical remedies, as antacids, particularly magnesia, iic. ; but for the most part the evacuation of the intestines should be at- tempted, when the pain is relieved. To prepare for this calomel, may be given in conjunction with the opium, and when the patient has been some time at ease, this may be followed up by castor oil, sulphate of magnesia, or other mild laxative, repeated till the desired effect be produced ; or where these do not presently operate, some more active cathartics, as the compound extract of colocynth, jalap, he. should be tried. If the stomach be irritable, the effervescing saline draught may enable it to retain them ; and clysters will often assist the articles taken by the mouth, particularly where there are indurated fajces. In very obsti- nate cases, an injection of tobacco smoke has often succeeded in procui-ing evacua- tions : also putting the feet for some time into cold water, or pouring this on the abdomen and lower extremities. Some- times it has been necessary to remove foecal accumulations mechanically per anum. 4. Ihe great liability of this complaiut to return renders it necessary for some time after,carefullyto regulate the diet, to attend to the state of the bowels, as well as of the liver, to avoid the several causes, especially cold, maintaining the function of the skin by suitable clothing, exercise, &c. In the COL COL 235 colica pictonum, stimulant aperients, as the Peruvian balsam, mustard, &,c. steadily persisted in, will mostly effect a complete cure ; and mercury has been by some highly extolled ; by others, astringents, especially alum, though certainly somewhat objec- tionable, as liable to confine the bowels. Co'lica accidenta'lis. Colic from cru- dities in the bowels. Co'lica ARXE'raA sini'stra. The lower mesenteric artery. Co'lica arte'ria supe'rior. The upper mesenteric artery. Co'lica bilio'sa. Colic from excess of bile. Co'lica calculo'sa. Colic from stony matters in the intestines. Co'lica callo'sa. Colic from hardened and obstinate strictures. Co'lica Damnonio'rum. Colic peculiar to Devonshire. See Colica. Co'lica febrico'sa. Colic with fever. Co'lica flatule'nta. Colic from wind. Co'lica graviua'rum. Colic in pregnant women. Co'lica hyste'rica. Hysteric colic. Co'lica lacta'ntium. Colic peculiar to nurses. Co'lica Lappo'nica. Colic peculiar to Laplanders. Co'lica meconia'lis. Colic from me- conium in infants. Co'lica mesente'rica. Colic from dis- eased mesentery. Co'lica nervo'sa. The nervous colic. . Co'lica pancrea'tica. Colic from dis- eased pancreas. Co'lica phlogi'stica. Colic with in- Sammation. Co'lica pi'ctonum. See Colica. Co'lica pitcito'sa. The spasmodic colic. Co'lica pletho'rica. The inflammatory colic. Co'lica plumbario'rum. The^colic of lead-workers. Co'lica pulsa'tilis. The inflammatory colic. Co'lica saturni'na. The Devonshire colic. See Colica. Co'lica scirrho'sa. The colic from scirrhous tumours. Co'lica spasmo'dica. The spasmodic colic. Co'lica sterco'rea. Colic from retained fasces. Co'lica ve'na. A branch of the upper mesenteric vein. f Co'lica ve'na re'cta. The vein of the colon. Co'lica vermino'sa. The colic from worms. Co'lice. The colic. Cohfo'rmis. (From cola, a strainer, and forma, a likeness ; so called from its having many perforations, like a strainer.) Coliforme os. A name formerly given to the OS cribrosum Colv PHiPM. (From xaKov, a limb, and 1^1, strongly.) A kind of bread given to WTCStiers. It was made of flour and bran together, and was thought to make men athletic. Co'lis. Tjie same as coles. Colla'psus. (From collabor, to shrink down.) A wasting or shrinking of the body, or strength. Collate'jsna. a specific vulnerary. Collatera'les. So Spigelius calls the erectores penis, from their collateral order of fibres. Colle'tica. (From MXhtL, glue.) Con- glutinating medicines. CoLLi'ciiE. (From colligo, to collect.) The union of the ducts, which convey the humours of the eyes from the puncta la- chrymalia to the cavity of the nose. CoLLi'cuLUM. (Dim. of collis, a hill.) The nympha, or prominency, without the vagina of women. Colliga'men. (From colligo, to tie to gether.) A ligament. COLLINS, Samuel, was born in the early part of the 17th century. After stu- dying at Cambridge and Oxford, he went to the Russian court as physician, and con- tinued there nine years. On his return, he was made Fellow of the College of Physi- cians in London. He afterwards published a history of the Court of Russia, and in 1685 a system of anatomy, treating of the body of man, animals, and plants, with nu- merous plates. The comparative anatomy, to which Dr. Tyson greatly contributed, was much admired, though now superseded by other publications. Colliquame'ntcm. (From colliqueo, to melt.) A term first made use of by Dr. Harvey, in his application of it to the first rudiments of an embryo in generation. COLLI'QUATIVE. (From colliqueo, to melt.) Any excessi%'e evacuation is so called which melts down, as it were, the strength of tiie body ; hence colliquative perspiration, colliquative diarrhoea, &e. CoLLi'sio. (From collido, to beat to- gether.) A contusion. Co'llix. (From xoxov, food.) A troch, or lozenge. Collobo'ma. (From KoKXetce, to glue together.) The growing together of the eye- 1 ids. Collo'des. (From kokaci, glue.) Glu- tinous. Co'llum. (From kwmjc, a member, as being one qi the chief; or dim. of columna as being the pillar and support of the head.) The necK COLLUTORIUM. (From colluo, to wash.) A gargarism or wash for the mouth. COLLU'VIES. (From colluo, to cleanse.) Filth. Excrement. The discharge from an old ulcer. Co'llykis. {KoKKvpt;, a little round cake ; 23© coi €0L so called froM its likeness to a cake.) A bump, or knob, which rises after a blow. COLLY'RIUM. (From KceXva,, to check, and povc, a deflusion ; because it stops the defluxion.) Any medicine was formerly so called which was applied with that intention. The term is now only given to fluid applications for the eyes, or eye-waters. Colobo'ma. (From aoAXcta, to glue to- gether.) The growing together of the eye- lids : also the want of a particular member of the body. Colobo'mata. In Celsus this word is expressed by curia. Both the words sig- nify a deficiency in some part of the body, particularly the ears, lips, or alae of the nostrils. Coloca'sia. (From kckov, food, and xd^ee, to adorn; so called from its use as a food, and the custom of wearing its flowers in wreaths.) The faba ^Egyptia. eOLOCY'iSTHlS. (From luekcv, the colon, and Kma<, to move ; because of its great purging powers.) See Cucitnm colo- eynthis. Colo'mbo- See Calumba. CO'LON. (Colon, li, neut. Kaxsv, quasi wiMv ; from sc/aoc, hollow; so called trom its capacity, or from its generally being found empty, and full of wind in dissection.) The greater portion of the large intestine is so called. It proceeds towards the liver, by the name of the ascending portion of the colon ; and having reached the liver, forms a transverse arch across to the other side. The colon then descends, forming what is termed its sigmoid flexure, into the pelvis, where the gut is called rectum. See In- iestines. Colopho'nia. (Ko^cK^oiv/a, the city from whence it was first brought.) Resina nigra. The black resin which remains in the retort, after distilling the common resin with a strong fire. Paracelsus seems to mean by it what is now prescribed by the name of ierebinthina coda : but the ancients, and particularly Galen, seemed to understand by it a soft kind of mastich, from Chio, probably the same as our Chio turpentine. CoLo'sTRUM. (From x'jKov, food, or KoKKu/uau, to agglutinate ; so called, either because it is the first food of the young, or from its being at that time peculiarly glu- tinous.) The first milk iu tijc breasts after delivery, according to some authors ; but Bartholine applies it to an emulsion made by the solution of turpentine with the yolk of an egg. COLOT, Germain, a French surgeon of the 15th century, appears to have been the first of the profession who practised Lithotomy, that opei-ation having been previously in the hands of itinerant prac- titioners. He acquired great celebrity by his skill; and was much in favour with Lewis iX.j who granted him a pension. Several of his descendants in successioa enjoyet! great reputation as lithotomists. COLOT, Francis, the last of them, left a treatise, published in 1727, describing the method of operating with the greater appa- ratus, the invention whereof he ascribes to John de Romanis, an Italian physician, about two centuries before. But this has long been superseded by the lesser appa- ratus, which Mr. Sharp attributes to another I'rench surgeon, Mons. Foubert. Colotoi'des. (From naixec'n;, a lizard, and iiS'o;, likeness.) Variegated like the skin of a lizard. Hippocrates applied it to the excrements. Coloqui'ntida. See Cucumis colocynthis. Colpoce'le. (From kokttoc, the vagina, and x))A«, a tumour.) A hernia forced into the vagina. CoLPOPTo'sis. (From mxtoc, the vagina, and 'zz-iTTTO), to fall down.) A bearing down of the vagina. ColVs-foot. See Tussilago. CO'LUBER. {(iuod colit umbram, be- cause it delightest in the shade.) A genus of animals in the Linnaean arrangement, of which there are many species. Co'luber be'rus. The systematic name of the viper. Vipera. This viviparous reptile, Coluber berus of Linnifius, possesses the power of forming a poisonous fluid in little bags near its teeth. The flesh is perfectly innocent, and often taken by the common people against the king's evil, and a variety of disorders of the skin. Experience evinces it to be an ineificacious substance. Colubri'na vikginiana. See ^ristolochia Serpentaria. CoLUBRiNUM Li'oNUM. (Colubriuus, from coluber; so called from the snake-like con- tortions of its roots.) This species of snake- wood is brought from America. It is solid, ponderous, acrid, extremely bitter, and in- odorous ; its bark is of a ferruginous colour, covered with cineritious spots. Co'lumbine. See Aqailegia. CoLu'iMBA. See Calumba. Coldmbo'be. See Calumba. Colume'lla. (Dim. of columna, a co- lumn.) See_ Uvula, and Clitoris. COLU'MBIUM. Mr. Hatchett describes the ore from which this metal is obtained, as being of a dark brownish-gray extern nally, and more inclining to an iron-gray internally ; the longitudinal fracture, he found, lamellated ; and the cross frac- ture had a fine grain. Its lustre was vitre- ous, slightly inclining, in some parts, to metallic; moderately hard and very brittle. The colour of the streak, or powder, was dark chocolate-brown. The particles were not obedient to the magnet. Its specific gravity, at a temperature of 65° Fahr., Mr. Hatchett found to be 5.918. A series of accurate experiments, made by its discoverer, prove that this ore consists of iron, combined with a neyr metallic acid. COM COM 231 Which constitutes more than three-fourths gains its former state. But when a comhusti' of the whole. ble body is heated to a certain degree, in the The smallness of the quantity Mr. Hat- open air, it becomes on a sudden intensely chett had to operate upon, has hitherto hot, and at last emits a copious stream of prevented us from seeing the metal in its caloric and light to the surrounding bodies, metallic state J but the accuracy with which During this emission, Ihe burning body the properties of its acid have been investi- gradually wastes away. It either disappears gated, leave no doubt of its being different entirely, or its physical properties become from any of the acidifiable metals hitherto totally altered. The principal change it known. suffers, is that of being no longer capable of Columella'ris. (From coZwiJieZte, a little combustion. If either of these phenomena, column.) A name of the dens caninus. namely, the emission of heat and light, and COLU'MNA. A column, or pillar. Ma- the waste of substance, be wanting, we do ny parts of the body, which in their shape not say that a body is undergoing combus- or ofl5ce resemble columns, are so named; tion,or that it is burning. It follows, there- as columnae carneae, fee. fore, that every theory of combustion ought Colu'mwa na'si. The lowest and fleshy to explain the following facts : partof the nose, which forms a part of the 1. Why a burning body is consumed, and septum. its individuality destroyed. Colu'mna o'ris. a name for the uvula. 2. Why, during the progress of this altera- Colu'mn.s ca'rne^. Columns cordis, tion, heat and light are emitted. See Heart. For the elucidation of these objects, La- Colu'riom. (n*/!2t TO MKK<].v Tov pouv : voisier's theory has laid down the following because it prevents a defluxion.) A tent to laws : thrust into a sore, to prevent a defluxion of 1- Combustion cannot take place without humours. the presence of oxygen, and is more rapid CO'MA. (From xa, or luai, to lie down.) in proportion to the quantity of this agent, A propensity to sleep. This word anciently in contact with the inflamed body, meant any total suppression of the powers 2. In every act of combustion, the oxygen of sense ; but now it means a lethargic present is consumed. drowsiness. The coma vigil is a disease 3. The w^eight of the products of every where the patients are continually inclined body after combustion, corresponds with to sleep, but cannot. the weight of the body before combustion, Co'ma so.mnole'ntdm. Is when the pa- ;?/(« that of the oxygen consumed, tient continues in a profound sleep ; and, 4. The oxygen absorbed by the combus- when awakened, immediately relapses,with- tible body may be recovered from the com- out being able to keep open his eyes. pound formed, and the weight regained CO'MATA. (Kai//t«T«.- from coma.) A will be equal to the weight which disap- diminution of the powers of voluntary mo- peared during the combustion, tion, with sleep, or the senses impaired. It 5. In every instance of combustion, light is an order of the class neuroses of Cullen's and heat, or fire, are liberated. Nosology. 6. In a limited quantity of air, only a _ COMATOSE. Haring a strong propen- certain quantity of the combustible body sity to sleep. can be burnt. COMBU'STIO (From com6uro, to burn.) 7. The air, wherein a body has been A burn, or scald. burnt, is rendered unfit for continuing com-- COMBUSTION. (From comfiwro, to burn.) bustion, or supporting animal life. i Burning. Among the various operations of Though every case of combustion requires I chemistry, none acts a more conspicuous that light and heat should be evolved, yet j part than combustion; and in proportion this process proceeds very differently in' to its utility in the science, the necessity different circumstances; hence the terms' of thoroughly investigating its nature and ignition, or glowing heat ; inflammation, mode of action, becomes more obvious to oraccension; and rfcfonah'on, or explosion the philosophical chemist. Ignition takes place when the combustible Lavoider's Theory of Combustion. ''°S '' "°i '" """ aeriform state. T • • wu r ,. . . . Charcoal, pyrophorus, fee. furnish instan- Lavoisier s theory of combustion is found- ces of this kind ed upon the absorption of oxygen by a com- It seems as if the phenomenon of glowinr bi^tible body. , ^ ., , „ , ^vas peculiar to those bodies which rlquire I Taking this for granted, it follows that considerable quantity of caloric, to become combustion is only the play of affinity be- converted into the gaseous state tween oxygen, the matter of heat, and a The disengagement of caloric and li-ht combustible body is rendered more evident to the senses i When an incombustible body (a brick for the act of instance) is heated, it undergoes no change, Inflammation, or accension. Here the except an augmentation of bulk and tempe- combustible substances are more easily con- raturc;and when left to itself, it soon re- verted into an elastic or aSriform state 238 COiM COM Flame, therefore, consists of the inflamma- ble matter in the act of combustion in the gaseous state. When all circumstances are favourable to the complete combustion of the products, the flame is perfect; if this is uot the case, part of the combustible body capable of being converted into the gaseous state, passes through the luminous flame un- burnt, andexhibits the appearance of smoke. Soot, therefore, always indicates an imper- fect combustion. Hence a common lamp smokes, an Argand's lamp yields no smoke. This degree of combustion is very accu- rately exemplified in the Flame of Candles. — When a candle is first lighted, which must be done by the application of actual flame, a degree of heat is given to the wick, sufficient to destroy the affinity of its constituent parts ; part of the tallow is instantly melted, volatilized, and burnt. As this is destroyed by combustion, another portion melts, rises, and supplies its place, and undergoes alike change. In this way combustion is maintained. The tallow is liquified as it comes into the vicinity of the flame, and is, by the capillary attraction of the wick, drawn up to supply the place of what is burnt; the unmelted tallow, by this means, forms a kind of cup. The congeries of capillary tubes which form the wick is black, because the charcoal of the cotton becomes predominant, the circum-ambient air is defended by the flame from oxidizing it ; it therefore remains, for a considerable time, in its natural state ; but when the wick, by the continual con- sumption of tallow, becomes too long to support itself in a perpendicular position, its upper extremity projects nearly out of the cone of the flame, and there forms a support for an accumulation of soot, which is pro- duced by the imperfect combustion. A can- dle, in this situation, affords scarcely one- tenth of the light it can otherwise give, and tallow candles, on this account, require con- tinual snuffing. But if the candle be made of wax, the wick does not long occupy its place in the middle of the flame ; its thinness makes it bend on one side, when its length is too great for its vertical position; its extremity comes then into contact with the air, and is completely burnt, or decomposed, except so much of it as is defended by the continual afflux of the melted wax. This small wick, therefore, performs the office of snuffing itself. The difficult fusibility of wax enables us to use a thinner Avick for it than can be used for tallow, which is more fusible. But wax being a substance which contains much more oxygen than tallow, or oil, the light it affords is not so luminous. Detonation is an instantaneous combus- tion, accompanied with a loud report; it takes place in general when the compounds resulting from the union of two or more bodies, occupy much more or less space than the substances did before their union , a great impulse is therefore given to the surrounding air, or else a vacuum is formed, and the air rushing in from all sides to fill it up is the cause of the report. A mixture of oxygen and hydrogen gases detonates very loud. Gunpowder, fulmi- nating gold, silver, and mercury ; oxyge- nated muriate of potash ; and various other explosive compounds, are capable of pro- ducing very loud detonations. With respect to the disengagement of light and caloric. By the older chemists, it was universally supposed that the light and heat emitted during combustion, proceeded from the inflammable body ; and this opinion would indeed appear unquestionable, while the composition of the atmosphere was imper- fectly known. The l)urning body appeared luminous and felt hot, and no other agent was supposed to be concerned ; the conclu- sion that the light and heat were evolved from the burning substance, was, therefore, unavoidable. But when the nature of the atmosphere was ascertained, and when it became evident that part of the air was ab- sorbed during combustion, the former con- clusion fell to the ground ; for when two bodies exert a mutual action on each other, it becomes apriori equally probable that the products may be derived from either of them ; consequently, the light and heat evolved might proceed either from the one or the other. Whether they proceed from the atmosphere, or from the combustible body, they must be separated at the part where the combination takes place ; that is, upon the surface of the burning body itself ; and consequently it appeared luminous and heated, while the air being invisible escaped observation. When the laws of heat became known, at least when it was ascertained that bodies contain at the same temperature, and in equal quantities, either of mass or bulk, une- qual quantitiesof heat,the conclusion became probable, that the caloric evolved in com- bustion proceeded rather from the oxygen gas of the atmosphere, than from the com- bustible body ; since the former contains a much larger quantity than the latter. The caloric evolved was therefore supposed to be derived from the condensation oi the oxygen gas in the new combination into which it entered. Though approaching to the truth, this explanation is not strictly true. It is not merely from the oxygen gas being condensed that the caloric is evolved, because, in many cases of combustion, the product still exists in the gaseous state, and in others, the quantity of caloric evolved bears no pro- portion to the degree of condensation. Phi- losophers ascribed this to a change of capa- city ; for, in diff"erent bodies, the dilference in the proportion of the capacities before COM ^OM 239 and atter combustion, is by no means uni- nor the results arising from them, are the form • and hence the difference in the quan- same. That a distinction therefore should tities 'of caloric extricated in various cases be made between these processes is obvious; of combustion. and it is on this account that Dr. Thomson This beino- premised, it remains to explain has oiFered a theory, which considers this the origin of the light emitted during com- subject in a new point of view, and which bustion"; for although we take it for granted bids fair to enable us to estimate the pheno- that the'caloric is evolved from the oxygen mena of combustion much better than has gas, we cannot infer that the light has the hitherto been done, same origin. According to Dr. Thomson's theory, all It is very probable that light is a consti- the bodies concerned in combustion are tuentpart of inflammable bodies ; for it is either, 1. Combustibles.— 2. Supporters of frequently evolved in combinations when combustion. — 3. Incombustibles. the oxygen is merely transferred from one I. Combustible bodies are those sub- inflammable substance to another. In those stances which are said, in common language, cases it must proceed from the inflammable to burn. During the combustion, they body The accension of oils by the affusion appear to emit light and heat, and, at the of acids, the combustion of metals in the same time, gradually waste away. When same way furnish instances of the kind. this change has reached its maximum, the It seems therefore, probable that the process of combustion is at an end. light is der'ived from the inflammable sub- The class of combustibles is very nume- ^tance- and that the oxygen, combining with rous ; but all the bodies belonging to it the bases of these substances, disengages the may be sub-divided into three sets, namely ; lltr\n 1. Simple combustibles. 2. Compound *It may be concluded then, that light en- combustibles. 3. Combustible oxides, &c. I ters into the composition «f ^1} 7^"^^^^^^^^^^^ simple Combustibles. bodies ; but as we are unable to separate r the light, so as to obtain these bodies pure, 1. Sulphur. we treat of them as simple bodies. 2. Phosphorus. According to this theory, the combustion 3. Diamond, or Carbon. of phosphorus in oxygen gas, is therefore, the 4. Hydrogen gas. effect of a double affinity. The basis of 5. All the metals. the oxygen gas unites with the phosphorus, Q. Boron. to form phosphoric acid ; and the light dis- , r^ , .-ki engaged from the phosphorus, together with Compound Combustibles. the heat of the oxygen gas, produces the Tlie compound combustibles consist - containedin them, and on the proportion in bustibles. They maybe arranged under tlfe which it is united to caloric. five following heads : Such is the theory of combustion of La- 1. Sulphurets. voisier, modified by Gren, Leonardi, and 2. Phosphurets. Richter. 3. Carburets. 4. Alloys. ' Thomson's Theory of Combustion. 5. Sulphuretted, phosphurelted, and cir- Though the preceding theory of combus- buretted hydrogen. : lion is simple and beautiful, it appears, from The combustible oxides are either simple, what we are now going to state, to be by no having a single base, or compound, having, means completely satisfactory. more than one base. All the simple com- U has misled chemists, by confining the bustible oxides are by combustion convei^ed term combustion to the act of oxygenation, into acids. j and considering that all bodies, during their The compound combustible oxides ar^ by combustion, combine with oxygen, without far the most numerous. i at the same time recollecting that this lat- II. The supporters of combustion are ter effect may take place without any of bodies which are not of themselves, strictly the phenomena usually attendant on com- speaking, capable of undergoing combustion,^ bustion ; and that, though certainly all but which are absolutely necessary for the combustion pre-supposes the combination process ; for no combustible body can burn of oxygen with a base, yet this combination unless some one or other of them be pre- may be, and repeatedly is, effected where sent. Whenever they are excluded, com- no combustion can possibly take place, bustion ceases. All the supporters of com- Nothing can be more evident than the bustion known at present are oxygen, chlo- difference which, in numberless instances, rine,iodine, and the compounds which/these prevails between the act of oxygenation in form with each other, and with azote, bodies and that of combustion, inasmuch There are indeed certain substancfes be- as neither the phenomena attending on, sides these, which possess nearly tbnj same 240 COM COM properties; these shall be afterwards euu- bustibles would not be acted on by simplt merated under the title of partial supporteis. supporters. ni. The INCOMBUSTIBLE BODIES are nei- Thus phosphorus burns in air at the com- ther capable of undergoing combustion raon temperature ; but it does not burn in themselves, nor of supporting the combus- oxygen gas, unless its temperature be raised. tion of those bodies that are; they are Thus also oils burn rapidly when mixed with therefore not immediately connected with nitric acid. Nitrous gas and nitrous oxide combustion ; though most of them appeal- to constitute exceptions to this rule, be the results of that process. Azote, the None of the produri* of combustion are alkalies earths, k,c. come under this'divi- combustible, according to the definition of gjon. combustion here given. This want of com- Some of the alkalies and earths possess bustibility is not owing to their being satu- certain properties in common with com- rated with oxygen ; for several of them are bustibles, and are capable of exhibiting capable of combining with an additional phenomena somewhat analogous to com- dose of it. But, during this combination, bustion ; which will be described afterwards no caloric or light is ever emitted ; and the under the title of semi-combustion. compound formed differs essentially from a In every case of combustion, there must product of combustion ; for by this additional therefore be present a combustible body, and dose of oxygen, the product is converted into a supporter of combustion. During com- a supporter. Hence we see that combustion bustion, the combustible always unites with ought not to be confounded with the combina- the supporter. It is this combination which tion of a body with oTtygen, as was done for- occasions the apparent waste and alteration of merly. the combustible. The new compoundthus Combustion, indeed, cannot take place formed is a product of combustion. Eveiy without the combination of oxygen or other product of combustion is either, 1. an acid, supporter ; but oxygen may combine with or 2. an oxide, he. It is true, indeed, that bodies in different proportions without the other bodies sometimes make their appear- phenomena of combustion ; ruA the product ance during combustion, but these will be obtained by combustion is capable of be- found, upon examination, not to be products, coming converted into a supporter oi com- nor to have undergone combustion. bustion; for instance, if lead be melted, Thus one of the two characteristic marks and kept so for some time, it becomes co- ivhich distinguish combustion, namely, the vered with a gray pellicle or oxide of lead, a apparent ivaste and alteration of the combus- product consisting of oxygen and lead ; but iible body, has been fully explained. For if this oxide is suffered to be heated longer, the explanation of it we are indebted to it absorbs an additional quantity of oxygen, Xavoisier, as stated before. and becomes converted into a yellow pow- But though the combination of the com- der, called yellow oxide of lead. If this bustible with oxygen, or other supporter, be yellow oxide be again exposed to heat, it a constant part of combustion, yet the faci- absorbs still more oxygen, and becomes lity with which combustibles burn is not converted into rerf oxide o/Zearf. When the proportional to their apparent affinity for supporters thus formed by the combination oxygen. of oxygen with products, are made to sup- Phosphorus, for instance, burns more port combustion, they do not lose all their readily than charcoal ; yet charcoal is capa- oxygen, but only the additional dose which ble of abstracting oxygen from phosphorus, constituted them supporters. Of course they and of course has a greater affinity for it. are again reduced to their original state of Some of the combustible oxides take fire products of combustion. Hence it follows, more readily than some of the simple com- that they owe their properties as supporters, bustibles; alkohol, ether, and oils, are ex- notto the w/ioZe of the oxygen which they ceedin<'ly combustible, whereas all the me- contain, but to the additional dose which tals require very high temperatures when constituted them supporters. Wemaythere- the supporter is air. fore call them partial supporters, indicating This greater combustibility of combusti- by the term; that part only of their oxygen ble oxides is probably owing to the weaker is capable of supporting combustion, and affidty by which their particles are united, not the whole. HeLce they are more easily separated than All the partial supporters with which we faottogeneous particles, and of course com- are acquainted, contain a metallic basis ; for bine more readily with oxygen ; those sim- metallic oxides are the only products at pie combustibles which melteasiIy,orwhich present known, capable of combining with are ia the state of elastic fluids, are also very an additional dose of oxygen. It is a Hiir- combustible, because the cohesion between cumstance highly deserving attention, that their particles is easily overcome. when metals are capable of combining with It is owing to the same inferiority in the several doses of oxygen, the product, or coheaon of heterogeneous particles, that oxide formed by combustion is seldom or ^ome of the compound supporters occasion never that which contains a maximum of ■Lombastion in cii cuinstances when the com- oxygen COxM COM :24i TIius it is evident that several of the pi:o« ducts of combustiou are capable of com- bining with oxygen. The incomhuslibilily of products, therefore, is not owing to their toanl of affinity for oxygen, but (o some other cause. No product of combustion is capable of mpporling combustion. This is not occa- sioned by any want of affinity to combusti- ble bodies ; for several of them are capable of combining with an additional dose of their basis. But by this combination, they lose their properties as products, and are converted into combustibles. The process, therefore, differs essentially from combus- tion. Thus phosphoric acid, a product of combustion, is capable of combining with an additional dose of phosphorus, and form- ing phospliorous acid a combustible body. When this last acid is heated in contact with a supporter, it undergoes combustion ; but it is only the additional dose of the combus- tible which burns, and the whole is con- verted into phosphoric acid. Hence we see that it is not the whole basis of these com- pounds which is combustible, but merely the additional dose. The compounds, therefore, formed by the union of a product and com- bustible, may be termed partial combustibles ; indicating by the name, that a part only of the base is capable of .undergoing combus- tion. Since the products of combustion are capable of combining with o.^ygen, but iieverexhibit the phenomena of combustion, except when they are in the state of partial combustibles, combustible bodies must con- tain a substance which they lose in burning, and to which they owe their combustibility; for, after they have lost it, they unite to oxygen ivithout exhibiting the phenomena of combustion. Though the products of combustion are not capable of supporting combustion, they not unfrequently part with tlieiroxygen just as supporters do, give it out to com'/nslibles, and convert thrm into products ; but during t 'lis process, no heat norlightis everevolved. Water, for instance, gives out its oxygen to iron, and converts it into the black oxide, a product. Thus we see that the oxygen of products is capable of converting combus- tibles into products, just as the oxygen of supporters ; but during the combination of the last only^ are heat and light emitted. The oxygen of supporters then contains something which the oxygen of products wants. Whenever the whole of the oxygen is ab- stracted from products, the combustibility of their base is restored as completely as before combustion; but no substance is capable of abstracting the whole of the oxygen, except a combustilAe, or a partial combustible. Wa- ter, for instance, is aproduct of combustion, whose base is hydrogen. To restore the combustibility of the hydrogen, we have only to mix water with iron or ?;irc filings. and an acid ; the metal is oxidized, and the hydrogen gas is evolved as combu.stible as ever. But no substance, except a combus- tible, is capable of separating hydrogen gas from water, by combining with its oxygen. Thus we see that combustibles are capable of restoring the combustibility of the bases of products ; but they themselves lo^ their combustibilit}^ by the process, and are con- verted into products. Combustibility, there- fore, may be thrown at pleasure from one body to another. From tiiese fads it is obvious that the products of corabiistioi) may be formed with- out combustion ; but in these cases a new combustible is always evolved. Tiie process is merely an interchange of combustibility ; for the combustible is converted into apro- duct only by means of a product. Both the oxygen and tlie base of the product iiaving undergone combustion, have lost something which is essential to combustion. Tlit: pro- cess is merely a donbie decomposition. The productyields its oxygen to the combustible, while at the same time the combustible gives out sometliing to the base of the product ; the combustibility of that base then is re- stored by the loss of its oxygen, and by the restoration of something which it receives from the other combustible thus converted, into a product. There is indeed another method of foi^ni- ing the products of combustion without ac- tual combustion in certain cases ; but the j'henomeiia are much more consplicated. This method is to expose them to the ac- tion of some of the supporters dissolved in ^vater ; especially nitric acid. Thus most of the metallic oxides may be formed without combustion by the action of that acid on the metals. But, in that case, a new sup- porter is always evolved, namel}'-, nitrous gas; ammonia, a new combustible, is also usually formed ; and, not unfrequently, the product is converted into a partial supporter. JN'o supporter can be produced by combus- tion, or by any equivalent process. As several of the supporters consist of oxygen combined with a base, it follows as a con- sequence, that oxygen may combine with a base without losing that ingredient, which occasions combustion. The act of combi- nation of oxygen witli abase, therefore, is by no means the same with combustio)!. Jf w'e take a view of tiie different support- ers, we shall lind that all of them wliich can be obtained artificially, are procured either from other supporters orby the agency of electricity. I. Oxygen oas may be procured from nitric acid, and from several of the partial supporters, as the black oxide of manga- nese, the red oxides of lead and of mercury. The action of heat is always necessary ; but the process is very different from com- bustion. II AiK, as far as is knoiv.T at pi'esent, 31 ii42 mM .COM cannot be formed artificially. The gas in- deed, which comes over during part of the usual distillation of nitrate of potash and sulphuric acid, to obtain nitric acid, resem- bles air very closely. But it is obtained fl'om a supporter. III. NiTiious OXIDE has hitherto been only procured from nitrous gas and nitric acid (in nitrate of ammonia.) both of which are supporters. IV. WiTKOus GAS can only be procured by the decomposition of nitric acid, a sup- porter. V. OxYMURiATie ACjD,or Chlorine, can be formed by the action of muriatic acid on the black oside of mangauese, the red osides of lead, iron, or mercury ; all of which are partial supporters VI. Nitric acid is formed spontaneously upon the surface of the earth, by processes with which we are but imperfectly acquaint- ed ; but which certainly have no resemblance to combustion. Its oxygen is probably fur- nished by the air, Avhich is a supporter : at least, it has been observed, that nitrogen and oxygen, at high temperatures, are ca- pable of forming nitric acid. This formation of nitric acid by means of electricity, has been considered as a combus- tion, but for what reason it is not easy to say : the substance acted upon is not a com- bustible with a supporter, but a supporter alone. Electricity is so far from being equivalent to combustion, that it sometimes acts in a manner diametrically opposite ; un- burning, if we may use the expression, a substance which has already undergone com- bustion, and converting a product into a eombuslible and a supporter. Thus it de- composes water, and converts it into oxygen and hydrogen gas ; therefore it must he capable of supplying the substances which the oxygen and combustible lose when they combineby combustion, and form a product. Several of the supporters and partial sup- porters are capable of combining with com- bustibles, vrithout undergoing decomposi- tion, or exhi!)iting the phenomena of combus- tion. In this manner, the yellow oxide of gold combines with ammonia; the red oxide of mercury with oxalic acid ; and oxymuria- tic acid with ammonia. Thus also nitrate of potash may be combined, or at least inti- mately mixed with several combustible bo- dies, as in gunpowder, fulminating powder, &c. In all these com.pounds. the oxygen of the-supporter and the combustible retain the ingredients which rcndertliem susceptible of combustion ; hence the compound is still combustible. And in consequence of the intimate combination of the component parts, the least alteration is apt to destroy the equilibrium which subsists between them; the consequence is, combustion and the formation of a new compound. Hence these compounds burn with amazing facility, tiot onlv whf»n heafed. but when tritui-ated. ot struck smartly with a hammer. Thej have therefore received the name of detona- ting or fulminating bodies. Thus we have fulminating gold, fulminating mercury, ful- minating powder, &.c. Such are the properties of the combusti- bles, the .supporters, and the products ; and such the phenomena wliich they exliibit when made to act upon each other. If we compare together the svpporters and the products, we shall find that they resemble each other in many respects. Both of them contain oxygen, or other supporter; as an essential constituent part ; both are capable of converting combustibles into products ; and several of both combine with combustibles and with additional doses of oxygen. But they differ from each other in their effects on combustibles. The for- mer only produce combustion ; whereas the products convert combustibles into pro- ducts without combustion. IS'ow, as the ulti- mate change produced upon combustibles by both these sets of bodies is the same, and as thesubstance which combines with the com- bustibles is in both cases the same, oxygen for instance, we must conclude that this oxygen in the supporters contains something which the oxygen of the products wants., something which separates during the pas- sage of the oxygen from the product to the combustible, and occasions the combustion, or emission of lire, v^'hich accompanies this passage. The oxygen of supporters then contains some ingredient which the oxygen of products wants. Many circumstances concur to render it probable that this ingre- dient is caloric. The comlnislihies and the products also resemble each other. Both of them con- tain the same or a similar base ; both fre- quently combine with combustibles, and likewise with oxygen ; but they differ essen- tially in the phenomena: which accompany their combination with oxygen. In the one case, Jire is emilled ; in the other, not. It' We recollect that no substance but a com- bustible is capable of restoring combustibili- ty to the base of a product, and that at its doing so it always loses its own combustibili- ty ; and if we recollect farther, that the base of a product does not exhibit the phenome- na of combustion even when it combines with oxygen, we cannot avoid concluding, that all combtistibles contain an ingredient which they lose vihen converted into pro- ducts, and that this loss contributes to the fire which makes its appearance during the con- - version. Many circumstances contribute to render il probable that this ingredient is light. If we suppose that the oxygen of sup- porters contains caloric as an essential in- gredient, and that light is a component part of all combustibles, ^he phenomena of com- bustion above enumerated, numerous and intricate as they are, admit of an easy and obvious explanation, The component parts t,OAt COM m !«f the oxygen of supporters are tw'o ; naaie* ly, 1. a base, 2. caloric. The component .parts of combustibles are likewise two ; namely, 1. a base, 2. light. During com- bustion, tlie base of the oxygen combines with the base of the combustible, and forms the prodiict ; while, at the same time, the caloric of the oxygen combines with the light of the combustible, and the compound flies off in the form of lire. Thus combus- tion is a double decomposition ; the oxy- gen and combustible divide themselves each ■into two portions, which combine in pairs ; tlie one compound is tlie produd, and the other the fire., which escapes. Hence the reason that the oxygen of pro- ducts is unfit for combustion. Jt wants its caloric. Hence the reason that combustion does not take place when oxygen combines with products, or with the base of support- ers. These bodies contain no light. The caloric of the oxygen of course is not sepa- rated, and no fire appears. And this oxy- gen still retaining its caloric, is capable of producing combustion whenever a body is presented which contains light, and whose base has an afiinity for oxygen. Hence also the reason why a combustible alone can re- store combustibility to the base of a product. In all such cases, a double decomposition takes place. The oxygen of the product com- bines with the base of the combustible, %vhile the light of the combustible combines with the base of the product. But the application of this theory to all the different phenomena described above, is so obvious, that it is needless to give any more examples. Let us rather inquire, with the author, into the evidences which can be brought forward in its support. As caloric and lig'it are always emitted -during combustion, it follows that they must have previously existed in the com- bustible, the supporter, or in both. That the oxygen of the supporters con- tains either one or both of these substances; follows incontrovertibly from a fact ali-eady mentioned, namely, that the oxygen of pro- ducts will not support combustion, while ;<:», a liquid measure amongst tiie Athenians.) A term applied by auatomiats to several parts oC Mt2 CUN COiN the body, as the hollow of the eai'j the spongy bones of the nose, far.. Co'NCHA ACRi'cpLa:. See Jluricula. Co'^CHA ac'ris. The hollow part of the cartilage of the outer ear. Co'nchjE NA'RitrM. {Concha, a shell ) The turbinated portion of the ethmoid bone, and the inferior spongy bones of the nose, which are covered by the Schneiderian membrane, are so termed. Co'nchus. (From aoyxyi, a shell ; so named from their likeness to a shell.) The cranium, and the cavity of the eye. Concfde'ntia. (From concido, to decay ) A decrease of bulk in the whole or any part of the body. A diminution of a tumour. Concoagula'tio. (From con- and con- guio, to coagulate togethar.) The coagu- lation or crystallization of dift'erent salts, first dissolved together in the same fluid. CoNco'cTio. (From roncoquo, to digest.) Digestion. That operation of nature upon morbid matter which renders it iit to be separated from the healthy fluids. Cose REM a'tio. (From con, and cremo, to burn together.) The same as calcina- tion. CONCRE'TION. (From concresco, to grow together.) 1. The condensation of any fluid sub- stance into a more solid consistence. 2 The growing together of parts which, in a natural state, are separate. Concu'rsus. (From concurro, to meet together.) The congei-ies or collection of symptoms which constitute and distinguish the particular disease. CONCU'SSION. (From conctitio, to shake together ) Concussion of the brain. Various alarming symptoms, followed some- limes by the most fatal consequences, are found to attend great violence offered to the head ; and upon the strictest exami- nation, both of the living and the dead, neither fissure, fracture, nor extravasation of any kind can be discovered. The same symptoms andthe same events aremet with, whentlie head has received no injury at all ab exierno, but has only been violently shaken ; nay, when only the body, or gene- .ral frame, has seemed to have sustained the violence. The symptoms attending a con- cussion, are gen£i'ally in proportion to the degree of violence which the brain itself has sustained, and which, indeed, is cogniza- ble only by the symptoms. If the concussion be very great, all sense and power of motion are immediately abolished, and death fol- lows soon ; but between this degree and that .slight confusion (or stunning, as it is called,) which attends most violences done to the head, there are many shades. The following is Mr. Abernethy's description of the symp- toms of concussion, and whicli, he is of '•pinion, may be properly divided into three stages. The fir?l is, that state of ins^iBSJbility and deraugement of the bodily povvrava. spring from it. Under the most depending Convo'lvulus jala'pa. The systematic part of the slope, they fix a shell, or some name of the jalap plant. Jalapium. Mechoa- other convenient receptacle, into which the canna nigra. Jalap. The plant is thus de- milky juice gradually flows. It is left there scribed by Linnaeus. Convolvulus jalapa . about twelve hours, Avhichtime is sufficient caule volubili ; foliis ovatis, subcordatis, obtu- for draining off the whole juice; this, how- l's, obsolete repandis, subtus villosis ; pedun- ever, is in small quantity, each root affording culis unifloris. It is a native of South but a very few drachms. This juice from America. In the shops, the root is found the several roots is put together, often into both cut into slices and whole, of an oval (he leg of an old boot, for want of some ■shape, solid, ponderous, blackish on the out- more proper vessel, where, in a little time, side; but gray within, and marked with it grows hard, and is the Kenuine scam- 254 CON CON mony. The smell of scammony is rather unpleasant, and the taste bitterish and slightly acrid. The diflferent proportions of gum and resin, of which it consists, have been variously stated ; but, as proof spirit is the best menstruum for it, these substan- ces are supposed to be nearly in equal parts. It is brought from Aleppo and Smyrna in masses, generally of a light shining gray colour, and friable texture; of rather an unpleasant smell, and bitterish and slightly acrid taste. The scammony of Aleppo is by far the purest. That of Smyrna is ponder- ous, black, and mixed with extraneous matters. Scammony appears to have been well known to the Greek and Arabian phy- sicians, and was exhibited internally as a purgative, and externally for the itch, tinea, fixed pains, Stc. It is seldom given alone, but enters several compounds, which are administered as purgatives. Convo'lvulus se'pium. Convolvulus ma- jor albus. The juice of this plant, Convol- vulus sepium ; foliis sagittatis posUce trunca- tis pedunculis tetragonis, unifloris, of Lin- naeus, is violently purgative, and given in dropsical affections. A poultice of the herb, made with oil, is recommended in white swellings of the knee joint. Convo'lvulus soldane'lla. The syste- matic name of the sea convolvulus. Brasdca marina. Kpaf^^yi ^nLkao-a-tdi. Convolvulus ma- ritimus. Soldanella. Soldanella. This plant, Convolvulus soldanella ; foliis reniformibus, pedunculis unifloris, of Linnaeus, is a native of our coasts. The leaves are said to be a drastic purge. It is only used by the com- mon people, the pharmacopoeias having now substituted more safe and valuable remedies in its place. Convo'lvulus Syri'acus. A name for the scammonium. Convo'lvulus turpe'thum. The systema- tic name of the turbith plant. Turpethum. The cortical part of the root of a species of convolvulus, brought from the East Indies, in oblong pieces : it is of a brown or ash co- lour on the outside, and whitish within. The best is ponderous, not wrinkled, easy to break, and discovers to the eye a large quantity of resinous matter. When chewed, it at first imparts a sweetish taste, which is followed by a nauseous acrimony. It is considered as a purgative, liable to much irregularity of action. CONVULSION. {Convulsio; from con- vello, to pull together.) Hieranosos. Dis- tentio nervorum. Clonic spasm. A diseased action of muscular fibres, known by alter- nate relaxations, with violent and involun- tary contractions of the muscular parts, without sleep. Cullen arranges convulsion in the class neuroses, and order spasmi. Convulsions are universal or partial, and have obtained different names, according to the parts affected, or the symptoms ; as the rtsus sardonicus, when the muscles of the face are affected ; St. Vitus's dance, when the muscles of the arm are thrown into in- voluntary motions, with lameness and rota- tions. The hysterical epilepsy, or other epi- lepsies, arising from different causes, are convulsive diseases of the universal kind : the muscles of the globe of the eye, throw- ing the eye into involuntary distortions in defiance of the direction of the will, are in- stances of partial convulsion. The muscles principally affected in all species of convul- sions, are those immediately under the di- rection of the will ; as those of the eyelids, eye, face, jaws, neck, superior and inferior extremities. The muscles of respiration, act- ing both voluntarily and involuntarily, are not unfrequently convulsed ; as the dia- phragm, intercostals, Sic. The more imme- diate causes of convulsions are, 1. Either mental affection, or any irritating cause ex- citing a greater action in the arterial system of the brain and nerves. 2. An increase of nervous energy, which seems to hold pace or be equi-potent with the increased arterial energy excited in the brain. 3. This in- creased energy conveying its augmented effects, without the direction of the will, to any muscles destined to voluntary motion, over irritates them. 4. The muscles, irri- tated by the increased nervous energy afid arterial influx, contract more forcibly and involuntarily by their excited vis insita, 60B- jointly with other causes, as long as tbe increased nervous energy continues. 5. Thi* increased energy in the nervous system may be excited either by the mind, or by a:h3r acrimony in the blood, or other stimuli sufficiently irritating to increase the arterial action, nervous influence, and the vires in- sita of muscles. 6. After muscles have been once accustomed to aot involuntarily, and with increased action, the same causes can readily produce the same effects on those organs. 7. All parts that have muscular fibres may be convulsed. 8. The sensations in the mind most capable of producing con- vulsions, are timidity, horror, anger, gr^at sensibility of the soul, Stc. Convu'lsio abdo'mjnis. Convulsion of the muscles of the belly. Convu'lsio cani'na. A wry mouth. Convu'lsio cerea'lis. Cereal convulsioA is a singular disorder of the spasmodic con- vulsive kind, not common to this country, but mentioned by Cartheuser under this title, from the peculiar tingling and formi- cation perceived in the arms and legs. Mo- tus spasmodicus of Hoffman. It is endemial in some places in Germany, but more a rural than urbanical disorder, said to arise from the use of spoiled corn. Convu'lsio clo'nica. Convulsion with alternate relaxation. Convu'lsio gkavida'kum. Convulsion of pregnant women. Convu'lsio iiabitoa'lis. The chorea Sancti Viti. COP COP 23^ Conth'lsio hemito'tohos. Convulsion approaching to tetanus. Convu'lsio ab inani'tione. Convulsion from inanition. Convu'lsio i'ndica. Tetanus. Convu'lsio intermi'ttens. Convulsion occurring in paroxysms. Convu'lsio nephra'lgica. Convulsion from stones in the kidneys. Convu'lsio ab onanismo. Convulsion from self-pollution. Convu'lsio rapha'nia. Spasmodic pain- ful disease of the joints. Convu'lsio to'nica. Common or per- manent convulsion. Convu'lsio u'teri. Abortion, CONY'ZA. (From xovtc, dust ; because its powder is sprinkled to kill fleas in places vsrhere they are troublesome.) The name of a genus of plants in the Linnaean system. Class, Syngentda- Order, Polygamiasuper- flua. There is some difficulty in ascertaining the plants called conyzas by the older prac- titioners ; they are either of the genus cor- nyza, inula, gnaphalium, erigeron, or chry- socoma. Cony'za a;THio'picA. The plant so called is most probably the chrysocoma comaurea of Wildenow, a shrub which grows wild about the Cape of Good Hope, and is culti- vated in our green-houses, because it flowers the greater part of the year. Coky'za cceku'lea. The Erigeron acre of Linnajus answers to the description of this plant. Cony'za ma'jor. Supposed \o be the inula viscosa of Linnaeus. Coky'za me'dia. See Inula dysenterica. Cony'za ma'jor vulga'ris. The Inula dysenterica. Con/za mi'nor. The Inu'la pulicaris of Linnaeus answers to the description given of this plant in most books. Its chief use is to destroy fleas and knats. Conyza minor flore globoso. This is the inula pulicaris of Linnaeus. Cooperto'ria. (From co operio, to cover over. Cartilago thyroidea. Called also abicum. Coo'sTRUM. The centre of the diaphragm. COPATBA. (Copaiba, -ee, fcem. from copal, the American name for any odori- fe^ous gum, and iba, or iva, a tree.) The name given by the College of Physicians of London to the balsam of copaiva. Balsa- mum Braziliense. Balsamumcopaihm. Balsa- mum de copaibu. Balsamum capivi. Copaiba is a yellow resinous juice, of a Oioderately agreeable smell, and a bitterish biting taste, very permanent on the tongue. The tree which affords it is the Copaifera officinalis of Linneeus. It is obtained by making deep incisions near its trunk, when the balsam immediately issues, and, at the proper season, flows in such abundance, that sometimes in three hours, twelve pounds have been procured. The older trees afl!brd the best balsam, and yield it two or three times in the same year. The balsam supplied by the young and vigorous trees, which abound with the most juice, is crude and watery, and is, therefore, ac- counted less valuable. While flowing from the tree, this balsam is a colourless fluid ; in time, however, it acquires a yellowish tinge, and the consistence of oil ; but, though by age it has been found thick, like honey, yet it never becomes solid, like other resinous fluids. By distillation in water, the oil is separated from the resin ; and, in the former, the taste and smell of the balsam are concentrated. If the operation is care- fully performed, about one-half of the bal- sam rises into the receiver, in the form of oil. The balsam unites with fixed and vola- tile oils, and with spirit of wine. It is given in all diseases of the urinary organs when no inflammation is present. In gleets, and in gonorrhoea, it was once a favourite reme- dy, but is now disused. In diseases of the kidneys it is still employed, though less frequently than usual ; and in haemorrhoids it is occasionally trusted. The dose is from 20 to 30 drops, twice or three times a day, mixed with water, by means of an egg, or any mucilage. The balsam of copaiva is occasionally adulterated with turpentine, but its virtues are not greatly injured by the fraud. Copaiva. See Copaiba. COPAI'FERA. (From Copaiva, the In- dian name, and /ero, to bear.) The name of a genus of plants in the Linnaean sys- tem. Class, Decandria. Order, Monogynia. Copai'fera officina'lis. "The systema- tic name of the plant from which the Co- paiva balsam is obtained. COPAL. (The American name of all clear odoriferous gums.) Gum copal. This resinous substance is imported from Guinea, where it is found in the sand on the shore. It is of a yellow colour, faintly glistening, imperfectly transparent, and apt to break with a conchoidal fracture. It is tasteless, and, while cold, inodorous. It is used, dissolved in rectified spirit of wine, in laxi- ties of the gums, with the same views as mastich. Cope'lla, See Cupel. Co'pher a name for camphor. Co'pHos. (K&)pof , dumb.) Deaf or dumb. Also a dulness in any of the senses. COPHO'SIS. (From k«(s«, deaf.) A difficulty of hearing. It is often sympto- matic of some disease. See Dysecoea. COPPER. (Cuprium, i. neut. quasi ecs Cyprium ; so named from the island of Cy- prus, whence it was formerly brought.) A metal found in the earth, in various states. It Is found native, (native copper,) possessing the red colour, malleability, and many of its other properties ; it is, however, not quite pure, but generally mixed with a minute portion of gold, or silver. 256 COP con This ore is found of an indeterminate figure, in solid and compact masses ; in crystals, mostly cubical; sometimes in plates and threads, which assume a variety of forms. It then is flexible. It has much jnetallic lustre. It is found in many parts of Europe. Copper ores are very numerous. Copper combined with oxygen, forms oxide of copper, of a red or sometimes black colour. United to carbonic acid, it constitutes the blue and green copper ores, {mountain blue, mountain green,) &c. The compact ore of this kind is tenaedmalachite. It generally exhibits a very line grass-green, emerald-green, or apple- green colour. It is found in solid masses of an indeterminate shape. It has often a beau- tiful sattin-like appearance, or silky lustre. Copper also exists mineralized by the muriatic acid, sulphuric acid, arsenic acid, &c. Copper mineralized with sulphur is called vitreous copper ore. Its colour is generally lead-gray. Combined with sul- phur and iron, it forms all the vaVieties of copper pyrites. Mineralized with sulphur, arsenic, iron, and zinc, it constitutes the brown or blendose copper ores, of which there are many varieties. Copper mines are abun- dant in Britain, Germany, &ic. Properties of Copper. — Pure copper is of a rose-red colour, very sonorous, very tena- cious, ductile, and malleable ; of a conside- rable compactness ; moderately hard and elastic. Its texture is granulated, and sub- ject to blisters. It crystallizes in quadrila- teral pyramids. Its specific gravity is be- tAveen 7.788 and 8.584. When rubbed it emits a disagreeable odour. It melts at 27° of Wedgwood's pyrometer. At a higher temperature, it burns with a beau- tiful green flame. It is a good conductor of caloric, of electricity, and of galvanism. Exposed to the air it becomes brown, and at last green, by absorbing carbonic acid. When heated, it turns blue, yellow, violet, and brown. It readily fuses with phospho- rus and unites to sulphur, when finely divided by mere trituration. It does not decompose water at the temperature of ignition. It is acted on by the greater number of the acids. IVitric acid acts on copper with great vehe- mence. Sulphuret of potash combines with it in the dry and in the humid way. It is capable of alloying with the greater number of the metals. With zinc it forms the com- pound metals called brass, pinchbeck, and others : with tin it forms bell-metal and bronze. It unites to the earths merely in vitrification. Liquid ammonia causes it to oxidize quickly when air is admitted. It decomposes muriate of ammonia, and red sulphuret of mercury, by heat. It is poi- sonous to the human constitution. Method of obtaining Copper. — Copper is procured frtun its ores, by different processes, according to llie nature of those ores. If they contain much sulphur, after being pounded and washed, they are roasted in the open air to dispel the sulphur. Th© ore is afterwards roasted once or twice more, and is melted jin an open fire into a mass, called a mat of copper. In this state it still contains a large quantity of sulphur, which the workmen continue to expel by repeated roastings and fusion, till the metal acquires a certain degree of purity, and is called black copper, which is somewhat mal- leable, but still contains sulphur, iron, and in general some other impurities. In order to get entirely rid of these, the copper is hastily fused with three times its weight of lead. The lead unites with the copper, and expels the iron ; and the rest of the metals which happen to be mixed with the copper are thus expelled. The copper is afterwards refined by keeping it heated in crucibles for a considerable time, so that it may throw up all the foreign substances it still contains in the form of scoriae. It is examined from time to time by immersing iron rods into it, which become covered with a small quantity of copper, and its purity is judged of by the brilliant redness of these speci- mens. Co'ppF.RAs. A name given to blue, green, and white vitriol. Coprago'ga. (From kc^t^oc, dung, and nyce, to bring away.) Copragogum. The name of a gently purging electuary, men- tioned by Rulandus. Coprie'mesis. (From naTt-poc, excre- ment, and ijuac, to vomit.) A vomiting of fajces. Coprocri'tica. (From x.ovpc;, excre- ment, and Kpno), to separate.) Mild ca- thartic medicines. Copropho'ria. (From KOTrpo;, excre- ment, and ipo/Js&), to bring away.) A purg- ing. Co'pRos. (KoTrpo;.) The faeces, or excre- ments. Coprosta'sia. (From KCTrpo;, faeces, and t^'if^i, to remain.) Costiveness, or a con- striction of the belly. Copta'hiom. (Ko;r73, a small cake.) Coptarium. A medicine in the shape of a very small cake, directed for disorders of the aspera arteria and lungs, and for many other intentions, by the ancients. Co'pTE. (Ko3-7», a small cake.) It was the form of a medicine used by the ancients; also a cataplasm generally made of vegeta- ble substances, and applied externally to the stomach, and internally on many occa- sions. Co'pula. {Quasi compula; from eom~ pello, to restrain.) A name for a liga- ment. Coqce'nt/a. (From coquo, to digest.) Medicines which promote concoction. COR. {Cordis, neut.) 1. The heart. See Heart. 2. Gold. 3. An intense fire. COR COR 237 CoRACiNE. (From Ksp*f, a crow ; so named from its black colour.) A name for a lozenge, quoted by Galen from Asclepi- COR ACOBRACHIALIS. (From KopsL^, a crow, and ^px^iov, the arm.) Coraco-humeral of Dumas. Coraco-hra- chicBus. A muscle, so called from Its origin and insertion. It is situated on the humerus, before the scapula. It arises, tendinous and fleshy, from the forepart of the coracoid process of the scapula, adhering, in its descent, to the short head of the biceps ; inserted, tendi- nous and fleshy, about the middle of the internal part of the os humeri, near the origin of the third head of the triceps, called brachialis externus, where it sends down a thin tendinous expansion to the internal condyle of the os humeri. Its use is to raise the arm upwards and for- wards. CORACO-HYOIDE'US. Coraco-hyoideus, sc. musculus, K'ypaxo-uotdouos : from nopa.^, a crow, and vouJn;, the bone called hyoides.) See Omo-hyoideus. CO'RACOID. (Coracoid eus ; from xo/>a|^, a crow, and s/Jo?, resemblance ; because it is shaped like the beak of a crow.) A name given to a process on the upper and anterior part of the scapula. Coral. See Corallium. CORALLI'NA. (Dim. of corallium; from nopn, a daughter, and «a.c, the sea ; because it is generated in the sea.) Muscus maritimus. Corallina officinalis. Gorallina alba. See coralline, and white worraseed. A marine production, resembling a small plant without leaves, consisting of numerous brittle cretaceous substances, friable betwixt the fingers, and crackling between the teeth. Powdered, it is administered to children as an anthelmintic. Coralu'na corsica'na. Ilelmintho-cor- ton. Conferva helmintho-cortos. Corallina rubra. Corallina tnelito-croton. Lemitho- corlon. Corsican worm-weed. Fucus hel- mintho-corton of De la Tourrette. This plant has gained great repute in destroy- ing all species of intestinal worms. Its virtues are extolled by many ; but impar- tial experimentalists have frequently been disappointed of its efficacy. The Geneva Pharmacopoeia directs a syrup to be made of it. Coralli'na melito-co'rton. See Coral- lina corsicana. Coralli'na ru'bra. See Corallina cor- sicana. Coralline. See Corallina. Coralline, Corsican. See Corallina Cor- sicana. Cora'llium a'lbum. A hard, white, cal- careous, brittle substance; the nidus of the Madrepora oculata. Class, Vermes. Order, Litkophyta. It is sometimes exhibited as an absorbent earth. . 3S CORA'LLIUM RU'BRUMo (From xo^fl, a daughter, and a\;, the sea ; so named because it is generated in the sea.) Acmo. Jizur. The red coral is mostly employed medicinally. It is a hard, brittle, calcareous substance, resembling the stalk of a plant, and is the habitation of the his nobilis. Class, Vermes. Order, Zoophyta. When powdered, it is exhibited as an ab- sorbent earth to children ; but does not appear to claim any preference to common chalk. Corallode'ndron. (From %of!fSKi!iv, co- ral, and lieviipov, a tree ; resembling in hard* ness and colour a piece of coral.) The coral-tree of America; antivenereal. Coralloi'des se'ptfoil. Tooth or coral- wort ; corroborant. Coralloi'des fu'ngus. (From u.opaM'joVg coral, and ado;, likeness.) Erolylus. Cla- varia coralloides of Linnseus. It is said to be corroborant and astringent. Co'rchoron. (From Kopn, the pupil of the eye, and Kopeai, to purge ; so called be- cause it was thought to purge away rheum from the eyes.) The herb pimpernel, or chickweed. Co'rda. See Chordee. COR DA TY'MPANL The portio dura of the seventh pair of nerves, having entered the tympanum, sends asmall branch to the stapes, and another more considerable one, which runs across the tympanum from behind forwards, passes between the long leg of the incus and the handle of the mal- leus, then goes out at the same place where the tendon of the anterior muscle of the malleus enters. It is called corda tym- pani, because it crosses the tympanum as a cord crosses thft bottom of a drum. Dr. Monro thinks, that the corda tympani is formed by the second branch of the fifth pair, as well as by the portio dura of the seventh. CO'RDiE WILLI'SIL See Dura mater. CORDIALS. Medicines are generally so termed, which possess warm and stimu- lating properties, and that are given to raise the spirits. Co'rdia my'xa. Sebestina. The syste- matic name of the Sebesten plant. Sebesten. Sebsten. The dark blaclc fruit of the cordia ; foliis ovatis, supra glabris ; corym- bis lateralibus ; calycibus decemstriatis of Linnaeus. It possesses glutinous and ape- rient qualities, and is exhibited in form of decoction in various diseases of the chest, hoarseness, cough, difficult respiration, &c. Cordine'ma. (From Kctpn, the head, and Jiveo), to move about.) A headach attended with a vertigo. Cordo'lidm. (From cor, the heart, and dolor, pain.) A name formerly applied to cardialgia or heart-burn. CORDUS, Valerius, was born in 1515, of a Hessian family. After studying in 268 eoPv COB some of the German universities, he tra- erful in obviating the griping that senna isf veiled through Italy, chiefly engaged in very ready to produce." botanical researches. He died at the early Coria'non. See Coriandrum. age of 29, leavino; several works ; a " His- Co'ris. (From Jif/pa, to cleave, or cut; tory of Plants," many of them never before so called because it was said to heal wounds.) described ; " Annotations on Dioscorides ;" The herb hypericum. a JNuremberg Dispensatory, &.C. Co'ris lu'te a. Corisltgitimaeretiea: The Co'KE. (Kci/>».) The pupil of the eye. hypericum saxatile, or bastard St. John's Core'mata. (From x.opia>, to cleanse.) Avort. Medicines for cleansing the skin, Co'ris monspelie'nsis. This plant is in- Coriander. See Coriandrum. tensely bitter and nauseous, but apparently, CORIA'NDRUM. (From KOfu, a pu- an active medicine, and employed, it is said, pil, and ctvxp, a man ; because of its round- with success in syphilis, ness, like the pupil of a man's eye ; or pro- CORK. The bark of the Q,uercus suber bably so called from tcopt;, cimex, a bug, of Linnaeus, formerly employed as an as- because the green herb, seed and all, stinks tringent, but now disused. It affords an acid, intolerably of bugs.) Coriander. CORN. Clavus: A hardened portion of 1. The name of a genus of plants in the cuticle, produced by pressure; so called Linnaean system. Class, Pentandria. Or- because a piece can be picked out like a com der, Digynia. of barley. Corns are sometimes connected 2. The pharmacopoeial name of the offi- with the periosteum. cinal coriander. See Coriandrum sativum. Cornachi'ni pu'lvis. Scammony, anti' Cori'amdrum sati'vum. The systematic mony, and cream of tartar. name of the plant called eorfanrfrum in the CORNARIUS, John, was born in Up- pharmacopoeias. Cassibor. Corianon. The per Saxony, in the year 1500. According Coriandrum fnictibus globosis, of Lin- to Haller his real name was Haguenbot, or naeus. This plant is a native of the Hanbut. He is said to have been led to South of Europe, where, in some places, the study of medicine from the delicacy of it is said to grow in such abundance as fre- his own constitution. He graduated at Pa- quently to choke the growth of wheat and dua, after attending several other universi- other grain. From being cultivated here ties. Besides translating Hippocrates, and as a medicinal plant, it has for some time some other Greek writers into Latin, he was become naturalized to this country, where author of several works on medicine ; and it is usually found in corn fields, the sides is said to have had an extensive practice. of roads, -and about dunghills. Every part He died in 1558, leavings a son, Diomede, of the plant, when fresh, has a very offen- who succeeded him, and was afterwards sive odour, but, upon being dried, the seeds professor of medicine at Vienna, and phy- have a tolerably grateful smell, and their sician to Maximilian II. taste is moderately warm and slightly pun- CORNARO, Lewis, of a noble Vftne- gent. They give out their virtue totally to tian family, was born in 1467. Having rectified spirit, but only partially to water, impaired his constitution by a debauched In distillation with water, they yield a and voluptuous life, and brought on at last small quantity of a yellowish essential oil, a severe illness, on recovering from this, at which smells strongly and pretty agreeably the age of more than 40, he adopted a strict, of the coriander. abstemious regimen, limiting himself to Dioscorides asserts, that the seeds, when twelve ounces of solid food, and fourteen of taken in a considerable quantity, produce wine, daily ; which quantity he rather di- deleterious effects ; and, in some parts of minished in the latter part of his life. He Spain and Egypt, where the fresh herb is carefully avoidedalsotheextremesofheator catenas a cordial, instances of fatuity, le- cold, with all violent exercise; and took care thargy, &c. are observed to occur very to live in a pure dry air. He thus preserved frequently ; but these qualities seem to have a considerable share of health and activity to been unjustly ascribed to the coriander; and the great age of 98. His wife, by whom he Dr. Withering informs us, that he has had an only child, a daughter, when they known six drachms of the seeds taken at were both advanced in years, survived him, once, without any remarkable effect. These and aitained nearly the same period. When seeds, and indeed most of those of the um- he was 83, he published a short treatise in belliWous plants, possess a stomachic and commendation ©f temperance, which has carminative power. They were directed in been repeatedly translated, and printed in the infusum amarum, the infusum sennse every country of Europe. He then states tartarizatum, and some other compositions himself to have been able to mount his of the pharmacopoeias; and, according to horse, without assistance, from any rising Dr. CuUen, the principal use of these seeds ground. He wrote three other discourses rs, " that, infused along with senna, they on similar subjects at subsequent periods, more powerfully correct the odour and taste the last only three years before his death. of this than any other aromatic that I have The best English translation is s^aid to be employed? smd are? I believe, equally pow- that of 1779. ■CQR COR 25y CG'RNEA OPA'CA, The sclerotic membrane of the eye is so called, because it is of a horny consistence, and opake. See Sclerotic coat. CORNEA TRANSPA'RENS. Sclero- tica ceratoides. The transparent portion of the sclerotic membrane, through which the rays of light pass, is so called, to distinguish it from that which is opake. See Sclerotic coat. Corne'sta. Ajjhemical retort. Cornflower. See Centaurea Cyanus. CoRNi'cuLA. (From conm, a horn.) A cupping instrument, made of horn. Corniccla'ris. (From cornu, a horn.) Shaped like a horn ; the coracoid process. CoRN-SALLAD. This is the Valeriana la- casta of Linnaeus, .It is cultivated in our gardens, and eaten among the early sailads. It is a very wholesome succulent plant, pos- sessing antiscorbutic and gently aperient virtues. CO'RNU AMMO'NIS. Cornu arietis. When the pes hippocampi of the human brain is cut transversely through, the cor- tical substance is so disposed as to resemble a ram's horn. This is the true cornu am- monis, though the name is often applied to the pes hippocampi. CO'RNU ARI'ETIS. See Cornu am- tnonis. CO'RNU. Cornu cervi. Hartshorn. The horns of several species of stag, as the cer- vus alces, cervus dama, cervus elaphus, and ctrvus taranda, are used medicinally. Boil- ed, they impart to the water a nutritious jelly, which is frequently served at table. Hartshorn jelly is made thus ; — Boil half a pound of the shavings of hartshorn, in sis pints of water, to a quart ; to the strained liquor add one ounce of the juice of lemon, or of Seville orange, four ounces of moun- tain wine, and half a pound of sugar ; then boil the whole to a proper consistence. The chief use of the horns is for calcination, and to afford the liquor volalilis cornu cervi and sub-carbonate of ammonia. Co'RHu ce'rvi'calcina'titji. See Cornu iistum. Co'rnu u'stum. Burn pieces of harts- horn in an open fire, till they become tho- roughly white ; then powder, and prepare them in the same manner, as is directed for chalk. Burnt hartshorn shavings possess absorbent, antacid, and adstringent proper- ties, and are given in the form of decoction, as a common drink in diarrhoeas, pyrosis, &c . CO'RNUA. Warts. Horny excrescences, which mostly form on the joints of the toes. Similar diseased productions have been known to arise on the head, and other parts. Co'rnua u'terj. Plecte7ice. In compa- ff rative anatomy, the horns of the womb ; the womb being in some animals triangular, and its angles resembling horns. CoRNUMu'sA. A retort. CO'RNUS. 1. The name of a genus of plants in the Linnaean system. Class, Te- trandria. Order, Monogynia. 2. The pharmacopceial name of the cor- nel-tree. Cornus sanguinea of Linnaeus. The fruit is moderately cooling and astrin- gent. Cornu'ta. (From cornu;- from its re- semblance lo a horn.) A retort. Coro'na cilia'ris. The ciliar ligament. CORONA GLA'NDIS. The margin of the glans penis. Coro'na imperia'lis. A name for crown- imperial. The Turks use this plant as an emetic. The whole plant is considered poisonous. Coro'na re'gia. The melilotus. Coro'na so'lis. Sun-flower. Called also chimalati. The Helianthus annuus of Lin- naeus. It has been noticed as heating, and an agreeable food. The seeds are made into bread. Coro'na ve'neris. Venereal blotches on the forehead are so termed. CORONAL SUTURE. (From coro- na, a crown, or garland ; so named because the ancients wore their garlands in its di- rection.) Sutura coronalis. Sutura arcualis. The suture of the head, that extends from one temple across to the other, uniting the two parietal bones with the frontal. Corona'rius stoma'chicus. Part of the eighth pair of nerves. CORONARY VESSELS. Vasa corona- ria. The arteries and veins of the heart; also others belonging to the stomach. The term coronary is here given from corona, a crown, surrounding any part in the man- ner of a crown. CORONARY LIGAMENTS. (From co- rona, a crown.) Ligaments uniting the radius and ulna. The term^ ligamentum coronarinm is also applied to a ligament of the liver. CORO'NE. (Ko/iavj), a crow ; so named from its supposed likeness to a crow's bill.) The acute process of the lower jaw-bone. CORONOID. {Coronoideus ; from Kojtce- VII: a crow, and eiS'og, likeness.) Processes of bones are so called, that have any re- semblance to a crow's beak, as coronoides apophysis ulncB, coronoides apophysis maxilla. CoRONo'pus. (From nopttvit, a carrion crow, and Toui, foot ; the plant being said to resemble a crow's foot. See Plantago. CO'RPORA ALBICA'NTIA. Corpora albicantia Willisii. CO'RPORA CAVERNOSA CLITO- RIDIS. Two hollow crura, forming the clitoris. CO'RPORA CAVERNO'SA PE'NIS. Two spongy bodies that arise, one from eai:h ascending portion of the ischium, and form the whole bulk of the penis above the urethra, and terminate obtusely behind its glans. See Penis. CO'RPORA FIMBRIA'TA". The 260 COK ecjjR flattened terminations of the posterior crura of the fornix of the brain, vrhich turn round into the inferior cavity of the lateral ven- tricle, and end in the jiedts hippocampi. Co'rpora lobosa. Part of the cortical part of tlje kidney. Co'rpoea nerveo-spongio'sa. The coi-- pora cavernosa penis. Co'rpora nervo'sa. The corpora ca- vernosa clitoridis. CORPORA OLIVA'RIA. The two external prominences of the medulla ob- longata, that are shaped somewhat like an CO'RPORA PYRAMID ALIA. Two in- ternal prominences of the medulla oblon- gata, which are more of a pyramidal shape than the former. CO'RPORA QUADRIGE'MINA. See Tuhercula quadrigemina. CO'RPORA STRiA'TA. So named from their appearance. See Cerebrim. CO'RPUS ANINULA'RE. A synonym of pons Varolii. See Pons Varolii. CO'RPUS. The body. Many parts and substances are also distinguished by this name ; as corpus callosmn, corpus hiteum, &c. See also Body. CO'RPUS CALLO'SUM. Commissura magna cerebri. The white medullary part joining the two hemispheres of the brain, and coming into view under the falx of the dura mater when the hemispheres are drawn from each other. On the surface of the corpus callosum two lines are conspicuous, called the raphe. Co'rpus glandulo'sum. The prostate gland. CO'RPUS LU'TEUM. The granulous papilla which is found in that part of the ovarium of females, from whence an ovum has proceeded ; hence their presence de- termines that the female has been impreg- nated ; and the number of the corpora lutea corresponds with the number of impregna- tions. It is, however, asserted by a modern writer, that corpora lutea have been detected in young virgins, where no impregnations could possibly have taken place. Co'rpus muco'sum. See Rele mucosum. CO'RPUS PAMPINIFO'RME. (Pampi- niformis; from pamphius, a tendril, and forma, likeness, resembling a tendril.) Corpus pyramidale. Applied to the sper- matic chord, and thoracic duct ; also to the plexus of veins surrounding the spermatic artery in the cavity of the abdomen. Co'rpus reticula're. SeeRetemucosrum. CO'RPUS SESAMOIDE'UM. A little prominence at the entry of the pulmonary artery. CO'RPUS SPONGIOSUM URE- THRjE. Substantia spongiosa urethra. Corpus spongiosum penis'. This substance Airiginates before the prostate gland, £ur- ;:o!)nds the urethra, and forms the bulb; then proceeds to the end of the eorpbra cavernosa, and terminates in the glans penis^ which it forms. ( o'rpus vARico'suBi. The spermatic chord. Coera'go. (From cor, the heart ; itbeing supposed to have a good effect in comfort= ing the heart.) See Borago. Co'rre. (From itupo!, to shave.) The temples. That part of the jaws where the beard grows, and which it is usual to shave. CORROBORANTS. (Corroborantia, sc. 7nedicamenta.) Medicines, or w^hatever gives strength to the body, as bark, wine, beef, cold bath, &.c. See Tonics. Corrosive sublimate. See Hydrargyri oxy- murias. CORROSIVES. (Corrosiva, sc. medica- menta ; from corrodo, to eat away.) See EschfiTotzcs CORRUGATOR SUPERCI'LII. (From corrugo, to wrinkle.) Musculus supercilii of VVinslow. Musculus frontalis veru^, sell corrugator coiterii of Douglas, and Cutanea sourcillier of Dumas. A small muscle situated on the forehead. When one muscle acts, it is drawn towards the other, and projects over the inner canthus of the eye. When both muscles act, they pull doAvn the skin of the forehead, and make it wrinkle, particularly between the eye-brows. CO'RTEX. {-ticis, m. or {.) This term is generally, though improperly, given to the Peruvian bark. It applies to any rind, or bark. Co'rtex akgeli'n^. The bark of a tree growing in Grenada. A decoction of it is recommended as a vermifuge. It excites tormina, similar to jalap, and operates by purging. Cortex angustu'ra. See CusparicB. Co'rtex antiscorbu'ticus. Thecanella alba. Cortex aroma'tictjs. Tlie canella alba. Co'rtex eela-aye. See Bela-aye cortex. Co'rtex cane'll^ MALABA'RiciE. See Luurus cassia. Co'rtex cahdina'lis de Lu'go. The Peruvian bark was so called, because the Cardinal Lugo had testmonials of above a thousand cures performed by it in the year- 1653. Co'rtex ce'rebri. The cortical sub- stance of the brain. Co'rtex chi'sje re'gius. See Cinchona. Co'rtex chi'n^ suriname'nsis. This bark is remarkably bitter, and preferable to the other species in intermittent fevers. Co'rtex CHiNCHi'Na;. See Cinchona. Co'rtex eluthe'ri.*;. See Crolon ca^- carilla. Co'rtex geoffboy'^ jamaice'ksisj See Geoffroya Jarnaicensis. Co'rtex la'vola. The bark bearing this name is supposed to be the produce of the COR Cot Hree which affords the anisum stellatum. Its virtues are similar. Co'RTEX magella'nicus. Scc Winttra aromatica. Co'rtex biassoy. The produce of New Guinea, where it is beaten into a pulta- ceous mass with water, and rubbed upon the abdomen to allay tormina of the bowels. It partakes of the smell and flavour of cin- namon. Co'rtex pa'trori. The Peruvian bark. Co'rtex Peruvia'ncjs. See Cinchona. Co'rtex Peruvia'nds fla'vds. See Cinchona. Co'rtex Peruvia'nus ru'ber. See Cin- chona. Co'rtex pocgerkb«. This bark is sent from America ; and is said to be servicea- ble in diarrhceas, dysenteries, and hepatic fluxes. Co'rtex qua'ssi^. See Q,uassia. Co'rtex wintera'nus. See Winitra aromatica. CO'RTICAL. Cineritious substance. The external substance of the brain is of a darker colour than the internal, and sur- rounds the medullary substance, as the bark does the tree ; hence it is termed cortical. See also Kidneys. Cortu'sa. The plant self-heal; bear's ear ; sanicle. It is expectorant. Co'ru cana'rica. a quice-like tree of Malabar; it is antidysenteric. CO'RYLUS. (Derivation uncertain ; according to some, from Kxpua., a walnut.) 1. The name of a genus of plants in the Linnaean system Class, Montecia. Order, Polyandria. 2. The pharmacopceial name of tlie hazel- tree. See Corylus avtllana. Co'ryltjs ave'llana. The hazel-nut tree. The nuts of this tree are much eaten in this country ; they are hard of digestion, and often pass the bowels very little altered ; if, however, they are well chewed, they give out a nutritious oil. An oil is also obtained from the wood of this tree, Corylus avtllana stipulis ovatis, obtusis, of Linnaus : which is etficacious against the toothach, and is said to kill worms. Co'rvphe. (Kopufm) The vertex of the head. The inner parts of the nails. CORY'ZA. (Coryza, Kopv^si-. from a«pa, the head, and fs*, to boil.) An increased discharge of mucus from the nose. See Catarrh. Cory'za catarrha'lis. a catarrh from cold. Cory'za febrico'sa. A catarrh with fever. Cory'za PHLEGMAjroRRHA'ciA. A ca- tarrh, with much discharge of mucus. Cory'za purule'.nta. A catarrh, with discharge of matter. ' Cory'za varjolo'sa. A catarrh accom- panying small-pox. Cory'za virule'nta. A catarrh, with discharge of acrid mucus. Coscu LiA. The grains of kermes. COSME TIC A term applied to rerae» dies against blotches and freckles. Co'sMOs. Rythmus. A regular series. In Hippocrates it is the order and series of critical days. Co'ssis. Cossi. A worm that breeds in wood : also a little tubercle in the face, like the head of a worm. Co'ssuM. A malignant ulcer of the nose mentioned by Paracelsus. CO'STA. (.^ custodiendo; because the ribs surround and defend the vital parts.) A rib. The ribs are four and twenty in number, twelve on each side of the thorax. See Ribs. Co'sta pulmona'ria. Costa herba. A name of tlie herb hawkweed. Costo-hyoide'us. (From casta, a rib, and hyoideus, belonging to the hyoidal bone.) A muscle so named from its origin and in- sertion. See Omo-hyoideus. CO'STUS. (From /fcas/a, Arabian.) The name of a genus of plants in the Linnaean system. Class, Monandria. Order, Mono- gynia. Co'sTifs ama'rus. See Costus arabicus. Co'sTus ara'bicus. Costus indicus, uma- rus, dulcis, orientalis. Sweet and bitter costus. The root of this tree, Costus ara- bicus of Linnaeus, possesses bitter and aro- matic virtues, and is considered as a good stomaciiic. Formerly there were two other species, the bitter and sweet, distinguished for use. At present, the Arabic only is known, and that is seldom employed. It is, however, said to be stomachic, diaphoretic, and diuretic. Co'sTus coRTico'sus. Tlic canella alba, Co'sTus horto'rum mi'nor. The agera- tum. Co'sTus ni'gra. The artichoke. Co'style. (KoTvkn, the name of an old measure.) The socket of the hip-bone. Cotaro'niuivi. a word coined by Para- celsus, implying a liquor into which all bodies, and even their elements, may be dissolved. Co'tis. (arfom jcot7«, the head.) The back part of .-ct head ; sometimes the hol- low of the neck. Co'tola fce'tida. (Cotula, dim. of co*, a whetstone, from the resemblance of its leaves to a whetstone ; or from koIvkh, a hol- low.) Stinking chamomile. See Anthemis cotula. COTYLOID CAVITY. (Cotyloides ; from KOTuM, the name of an old measure, arid iidcc, resemblance.) The acetabulum. See Innominatum os. Cotyroi'des. See Cotyloid cavity. COUt HING. A surgical operation that con.sists in removing the opaque lens out of the axis of vision, by means of a needle, con- structed for the purpose. There are two couching needles, which now seem to be preferred to all others ; the one used bv Mr. 202 GOtV Hey, and that employed by Professor Scarpa. Couch-grass. See Triticum repem. COUGH. Tussis. A sonorous con- cussion of the thorax, produced by the sud- den expulsion of the inspired air. Co'cM. The meadow-saffron. COUNTER-OPEM>G. Contra apertu- ra. An opening made in any part of an abscess opposite to one already in it. This is often done in order to 'afford a readier egress to the collected pus. Cotrp DE soLEiL. (French.) An erysi- pelas, or apoplexy, or any affection produ- ced instantaneously from a scorching sun. Cou'rap. (Indian.) A distemper very common in Java and other parts of the East Indies, where there is a perpetual itch- ing and discharge of matter. It is a herpes on the axilla, groins, breast, and face. Cou'rbaril. The tree which produces the gum anime. See^nime. Couro'ndi. An evergreen tree of India, said to be antidysenteric. CouROY moe'lli. A shrub of India, said to be antivenomous. Cou'scors. An African food, much used about the river Senegal. It is a compo- sition of the flour of millet, with some Sesh, and what is there called lalo. Covola'm. The Cratava marmelos of Linnaeus, whose fruit is astringent whilst unripe ; but when ripe of a delicious taste. The bark of the tree-strengthens the sto- mach, and relieves hypochondriac languors. Coiohage. See Dolichos. Cow-itch. See Dolichos. COWPER, William, was born about the middle of the 17th century, and became distinguished as a surgeon and anatomist in this metropolis. His first work, entitled " Myotomia Reformata," in 1694, far ex- celled any Avhich preceded it on that subject in correctness, though since surpassed by Albinus. Three years after, he published at Oxford " the Anatomy of Human Bodies," with splendid plates, chiefly from Bidloo ; but forty of the fitrures were from drawings made by himself; ^c- added also some ingenious and useful aaytomical and surgical observations. Havinglieen accused of plagiarism by Bidloo, he wrote an apo- logy, called " Eucharistia ;" preceded by a description of some glands, near the neck of the bladder, which have been called by his name. He was also author of several communications to the Royal Society, and some observations inserted in the anthro- pologia of Drake. He died in 1710. C O W P E R' S GLANDS. (Couperi glandidcB ; named from Cowper, who first described them.) Three large muciparous glands of the male, two of which are situated before the prostate gland under the accele- rator muscles of the urine, and the third more forward, before the bulb of the ure- thra. They excrete a fluid- similar to that 1!M-9riiSc7, the hem of a garment; from iLfi/ji.axe, to hang down, and TTii-ov, the ground.) A relaxation of the uvula, when it hangs down in a thin, long membrane, like the hem of a garment. CRASS.AME'IS'TUM. (From erases, thick.) See Blood. Cra'sscla. (From crassus, thick ; so named from the thickness of its leaves.) See Sedum telephiv.m. CRATiE'GUS. (From y.pdCli?, strength: so called from the strength and hardness of its wood.) The wild service-tree, whose virtues are astringent. Crati'cula. (From crates, a hurdle.) The bars or grate which covers the ash-hole in a chemical furnace. CRATON, John, called also Craff- theim, was born at Breslaw in 1519. He was intended for the church, but preferring the study of medicine, went to graduate at Padua, and then settled at Breslaw. But after a few years he was called to Vienna, and made physician and anlic counsellor to CHI cm 263 the Emperor Ferdinand I. : which offices also he held under the two succeeding em- perors, and died in 1585. His works were numerous ; the principal are, "A Commen- tary on Syphilis;" " A Treatise on Conta- gious Fever ;" another on "Therapeutics ;" and seven volumes of Epistles and Consulta- tions. Cream of tartar. See Patassm supertar- tras. C R E M A'S T E R. (From K^^*ai, to suspend.) A muscle of the testicle, by which it is suspended, and drawn up and compressed, in the act of coition. It arises from Poupart's ligament, passes over the spermatic cord, and is lost in the cellular membrane of the scrotum, covering the testicles. Cre'mn0s. (From itfu/xvo;, a precipice, or shelving place.) The lips of an ulcer are so called. Also the labium pudendi. CRE'MOR. Cream. Any substance floating on the top, and skimmed off. CRE'PITUS. (From crepo, to make a noise.) A pufF or little noise : the crack- ling made by the joints when there is a de- fect of synovia. Cre'pitcjs lu'pt. See Lyeoperdon bo- vista. Cress, water. See Sisymbrium nastur- tium. CRE'TA. Carbonas calcisfriabilis. Chalk. Carbonate of lime. Pure chalk' is a neutral compound of carbonic acid and lime. See Creta praparata Cre'ta pr^para'ta. Take of chalk a pound ; add a little water, and rub it to a fine powder. Throw this into a large vessel full of water ; then shake them, and after a little while pour the still turbid liquor into another vessel, and set it by that the pow- der may subside ; lastly, pouring off the water, dry this powder. Prepared chalk is absorbent, and possesses antacid qualities: it is exhibited in form of electuary, mixture, or bolus, in pyrosis, cardialgia, diarrhoea, acidities of the primae viae, rachitis, crusta lactea, Sic. and is said by some to be an antidote against white arsenic. Cretaceous acid. See Carbonic acid. Crete, dittany of. See Origanum dictam- nus. CRIBRIFO'RMIS. (From cribrum, a sieve, and forma, likeness ; because it is perforated like a sieve.) See Ethmoid bone. CRI'CO. Names compounded of this word belong to muscles which are attached to the cricoid cartilage. CRI'CO-ARYT^^NOIDE'US LA- TER A'L I S. Crico-lateri arithenoidien of DumEis. A muscle of the glottis, that opens the rima by pulling the ligaments from each other. CRrCOARYT.a:NOIDE'US POSTI'- CUS. Crico creti arithenoidien of Du- mas, A muscle of the glottis, that opens the rima gloitidis a little, and by pulling back the arytaenoid^iartilage, stretches the ligament so as to make it tense. Cri'co-pharynge'us. See Constrictor pha- ryngis inferior. CRI'CO-THYROIDE'US. Cricothyroi- dien of Dumas. The last of the second layer of muscles between the os hyoides and trunk, that pulls forward and depresses the thyroid cartilage, or elevates and draws backwards the cricoid cartilage. CRICOI'DES. (From npi-Mc, a ring, and iJ'oc, resemblance.) A round ring like car- tilage of the larynx is called the cricoid. See Larynx. Crimno'des. (From mfxvm, bran.) A term applied to urine which deposits a sediment like bran. Crina'tus. (From »^«ov, the lily.) A term given to a suffumigation mentioned by P. jEgineta, composed chiefly of the roots of lilies. Cri'nis. The hair. See Capillus. Crinomy'ron. (From nfivov, a lily, and fjivfov, ointment.) An ointment composed chiefly of lilies. CRINO'DES. (From crinis, the hair.) Comedones. Collections of a sebaceous fluid in the cutaneous follicles upon the face and breast, which appear like black spots, and when pressed out, look like small worms, or, as they are commonly called, maggots. Crio'genes. An epithet for certain troches, mentioned by P. .iEgineta, and which he commends for cleansing sordid ulcers. Cripso'rchis. (From apuvJa, to conceal, and op^i;, a testicle.) Having the testicle concealed, or not yet descended into the scrotum. CRI'SIS. (From icpivm, to judge.) The judgment. The sudden change of symp- toms in acute diseases, from which the re- covery or death is prognosticated or judged of Crisp atu'ra. (From crispo, to curl) A spasmodic contraction, or curling of the membranes and fibres. CRI'STA. (Quasi cerista; from xiftnc, a horn, or carista ; from x^pa., the head, as being on the top of the head.) Anything which has the appearance of a crest, or the comb upon the head of a cock, as crista clitoridis, the nympha. Also a tubercle about the anus ; so called from its form. CRI'STA GA'LLI. An eminence of the ethmoid bone, so called from its re- semblance to a cock's comb. See Ethmoid bone. Cri'thamum. See Crithmum. Crithe'rion. (From Kpivoo, to judge.) The same as crisis. Cri'the. (KpiSn.) Barley. A stye or tumour in the eyelid, in the shape and of the size of a barley-corn. CRI'THMUM. CFrom Kptva,, to secrete ; 264 CRO CRO so named from its supposed virtues in pio- moting a discharge of the urine and menses.) Samphire or sea-fennel. Cbi'thmum mari'timum. The Linnsnan name of the sa'iiphire or sea-fennel. Crith- mum. It is a low perennial plant, and grows about the sea-coast in several parts of the island. It has a spicy aromatic fla- vour, which induces the comcon people to use in as a pot-herb. Pickled with vinegar and spice it makes a wholesome and elegant condiment which is in much esteem. Critho'des. (From nftQn, barley, and vSoi, resemblance.) Resembling a bar- ley-corn. It is applied to small protube- rances. CRI'TICAL. Determining the event of a disease. Many physicians have been of opinion, that there is something in the nature of fevers which generally determines them to be of a certain duration, and therefore, that their terminations, whether salutary or fatal, happen at certain periods of the disease, rather than at others. These periods, which were carefully marked by Hippocrates ; are called critical days. The critical days, or those on which we suppose the termination of continued fevers espe- cially to happen, are the third, fifth, seventh, ninth, eleventh, fourteenth, seventeenth, and twentieth. Crocidi'xis. (From x.poKiS't^ai, to gather wool.) A fatal symptom in some diseases, where the patient gathers up the bed- clothes, and seems to pick up substances from them. Cro'cinum. (From uponog, saffron.) Oil of saffron, or a mixture of oil, myrrh, and saffron. Croco'des. CFrom Kpono;, saffron f so called from the quantity of saffron they contain.) A name of some old troches. Crocoma'gma. (From icpoKo?, saffron, and fACL-y/xtt, the thick oil or dregs.) A troch made of oil of saffron and spices. C R O'C U S. (KpoKo? of Theophrastus. The story of the young Crocus, turned into this flower, may be seen in the fourth book of Ovid's Metamorphoses. Some derive this name from KpMyi, or xposuc, a thread ; whence the stamens of flowers are called u.pox.iS'i;. Others, again, derive it from Coriscus, a city and mountain of Cilicia, and otheis* from crokin, Chald.) Saffron. 1. The name of a genus of plants in the Linnaean system. Class, Triandria. Order, Monogynia. Saffron. 2. The pharmacopoeial name of the pre- pared stigmata of the Crocus sativus, spa- tha univalvi radicali, corollm tubo longissimo of Linnaeus. Saffron has a powerful, pe- netrating, diffusive smell, and a warm, pun- gent, bitterish taste. Many virtues were formerly attributed to this medicine, but little confidence is now placed in it. The Edinburgh College directs a tincture, and that of London a syrap of this drug. 3. A term given by the older chemists to several preparations of metallic substances, from their resemblance; thas, crocus martis, crocus veneris. Cro'cos antimo'nii. Crocus metallorum. This preparation is a sulphuretted oxide of antimony. It possesses emetic and drastic cathartic powers, producing a violent dia- phoresis afterwards. Cro'cus Germa'nicus. See Carthamus. Cro'cus I'ndicus. See Curcuma. Crocus ma'rtis. Green vitriol exposed to fire till red. Cro'cus metallo'rum. See Crocus anti' monii. Cro'cus officina'lis. See Crocus sati- vus. Cro'cus sarace'nicus. See Carthamus. Cro'cus sati'vcs. See Crocus. Cro'cus ve'nkris. Copper calcined to a red powder. Cro'maiyon. (Tlapa. to t«? icopa.( fAVUVf because it makes the eyes wink.) An onion. Commyoxyre'gma. (From xpofx/mvov, an onion, o^u?, acid, and pnyvv/uti, to break out.) An acid eructation accompanied with a taste resembling onions. CROONE, William, was born in Lon- don, where he settled as a physician, after studying at Cambridge. In 1659 he was chosen rhetoric professor of Gresham Col- lege, and soon after register of the Royal Society, which then assembled there. In 1662 he was created doctor in medicine by mandate of the king, and the same year elected fellow of the Royal Society, and of the College of Physicians. In 167f> he was appointed lecturer on anatomy to the Company of Surgeons. On his death in 1684 he bequeathed tbem 100?. ; his books on Medicine to the College of Physi- cians, as also the profits of a house, for Lectures, to be read annually, on Muscular Motion ; and donations to seven of the col- leges at Cambridge, to found Mathematical Lectures. He left several papers on philo- sophical subjects, but his only publication was a small tract " De Ratione Motus Mus- culorum." Crota'phica arte'ria. The tendon of the temporal muscle. Crotaphi'tes. {Crotaphites, sc. musculus; from Kpola(pQ(, the temple.) See Tempo- ralis. Crota'phium. (From »polia>, to pulsate ; so named from the pulsation which in the temples is eminently discernible.) Crotaphos. Crotaphus. A pain in the temples. Cro'taphos. See Crotaphium. Cro'taphus. See Crotaphium. CROTCHET. A curved instrument with a sharp hook to extract the foetus. CRO'TON. (From Hpolem, to beat.) 1, An insect called a tick, from the CjRU jiQlse it makes by beating its head against wood; 2. A name of the ricinus or castor-ou- berry, from its likeness to a tick. 3. The name of a genus of plants in the Linneean system. Class, Mono tela. Order, Monadelphia. Ceo'ton benzo'e. Gum-Benjamin was formerly so called. Cko'ton cascaki'lla. The systematic name of the plant which affords the Casca- i-illabark. Cascarilla. Chocarilla. Elutheria. Eluteria. The tree that affords the cascarilla bark, is the Croton cascarilla of Linmeus. The bark comes to us in^uills, covered upon the outside with a rough, whitish matter, and brownish on the inner side ; exhibiting, when broken, a smooth, close, blackish- brown surface. It has a light agreeable smell, and a moderately bitter taste, accom- panied with a considerable aromatic warmth. It is a very excellent tonic, adstringent, and stomachic, and is deserving of a more gene- ral use than it has hitherto met with. Cro'ton lacci'ferum. The systematic name of the plant upon which gum-lac is deposited. Cro'ton ti'glium. The name oi the tree which affords the pavana wood, and tiglia seeds. 1. Lignum pavancB. Lignum pavanum. Lignum moluccemc. Croton ; foliis ovaiis glabris acuminalis serratis, cuule arboreo of *Linn£eus. The wood is of a light spongy texture, white within, but covered with a grayish bark ; and possesses a pungent, caus- tic taste, and a disagreeable smell. It is said to be useful as a purgative in hydropical complaints. 2. Grana tiglia. Grana iilli. Grana iiglii. The grana tilia are seeds of a dark gray co- lour, the produce of the Croton tiglium of Linnaeus, in shape very like the seed of the riciiius communis. They abound with an oil which is far more acrid and purgative than castor-oil. Cro'ton tiscto'rium. The systematic name of the lacmus plant. Bezetta cmrulea. This plant yields the Succus heliotropii. Lacmus seu tornce. Lacca ccerulea. Litmus. It is the Croton tinctorium ; foliis rhomheis repandiS) capsuli^ pendulis, caule herbaceo, of Linnaeus. It is much used by chemists as a test. Croto'ne. (From kooIov, the tick.) A fungus on trees produced by an insect like a tick ; and by metaphor applied to tumours and small fungous excrescences on the peri- osteum. Croup. See Cynanche. Crou'sis. (From «,fc,vce, to beat, or pul- sate.) Pulsation. Crou'smata. (From apet/a, to pulsate.) Rheums or defiuxions from the head. Crowfoot. See Ranunculus. Crowfoot cranesbill. See Geranium pra- CRUCIAL. Some parts of the body are 34 CRU 265 so called when they cross one another, as the crucial ligaments of the thigh. Crucia'lis. Cross-like. Mugweed or crosswort. CRUCIBLE. (Crucibulum, from crucio, to torment ; so named, because, in the lan- guage of old chemists, metals are tormented in it, and tortured, to yield up their powers and virtues.) A chemical vessel made mostly of earth to bear the greatest heat. They are of various shapes and composition. Cru'ditas. (From crudus, raw.) It is applied to undigested substances in the sto- mach, and humours in the body unprepared, for concoction. CRUICKSHANK, V/illiam, was bora at Edinburgh, in 1746. He was intended for the church, and made great proficiency in classical learning ; but, showing a par- tiality to medicine, he was placed with a surgeon at Glasgow. In 1771, he came to London, and was soon after made librarian to Dr. William Hunter; and, on. the se- cession of Mr. Hewson, became assistant, and then joint lecturer in anatomy, with the Doctor. He contributed largely to enrich tlie Museum, particularly by his curious in- jections of the lympathic vessels. He pub- lished, in 1786, a work on this subject, which is highly valued for its correctness. In 1795, he communicated to the Royal Society an Account of the Regeneration of the Nerves ; and the same year published a pamphlet on Insensible Perspiration ; and in 1797, an Account of Appearances in the Ovaria of Rabbits in different Stages of Pregnancy. He died in 1800. Cru'nion. (From k/jiuw?, a torrent.) A medicine mentioned by Aetius, and named from the violence of its operation as a diu- retic. CRU'OR. The red part of the blood. See Blood. CRURA. The plural of crus, a leg or root ; applied to same parts of the body from their resemblance to a leg or root : thus crura cerebri, crura cerebelli, the crura of the diaphragm, &.c. &c. Cru'ra clito'ridis. See Clitoris. Cru'ra medd'llje oBLONGA'TiE. The roots of the medulla oblongata. CRUR^'US. (From crus, a leg ; so named because it covei-s almost the whole foreside of the upper part of the leg or thigh.) Cruralis. A muscle of the leg, situated on the fore-part of the thigh. It arises, fleshy, from between the two tro- chanters of the OS femoris, but nearer the lesser, firmly adhering to most of the fore- part of the OS femoris ; and is inserted, tendinous, into the upper part of the pa- tella, behind the rectus. Its use is to assist the vasti and rectus muscles in the extension of the leg. CRURAL. Belonging to the crus, leg, or lower extremity. CRURAL HERMA. Fenjorsl hernia. 26^ CilY cue A tumour under the groin, and in the upper part of the thigh, arising from a protrusion of part of an abdominal viscus under Pou- part's ligament. See Hernia eniralis. Cruka'lis. See Cruraus. Cru'sta. a shell ; a scab ; the scum or surface of a fluid. CRU'STA LA'CTEA. A disease that mostly attacks some part of the face of infants at the breast. It is known by an eruption of broad pustules, full of a glu- tinous liquor, which form white scabs when they are ruptured. It is cured by mineral alteratives^ Cru'sta villo'sa. The inner coat of the stomach and intestines has been so called. Cru'st0la. (Dim. of crastay a shell.) An ecchymosis, or discoloration of the flesh from a bruise, where the skin is entire, and covers it over like a shell. Crcstumina'tdm. (From Crustuminum, a town where they grew.) 1. A kind of Catherine pear. 2. A rob or electuary made of this pear and apples boiled up with honey. Crymo'jdes. (From k/>uoc, cold.) An epi- f liet for a fever, wherein the external parts are cold. Crypso'rciiis. (From >t.pv?r]a>, to conceal, and cif%" the ammoniated copper, wrapped up in bibulous paper, by a gentle heat. In this process the carbonic acid is expelled from the ammonia, which forms a triple compound with the sulphuric acid and oxide of copper. This preparation is much milder than the sulphate of copper. It is found to produce tonic and astringent effects on the human body. Its principal internal use has been in epilepsy, and other obstinate spasmodic diseases, given in doses of half a grain, gradually increased to five grains or more, two or three times a day. For its external application, see Cupri arn- moniati liquor. Cu'PBUM vitriola'tl'm. Sco Cvpri Sul- phas. Cu'ra. avena'cea. a decoction of oats and succory roots, in which a little nitre and sugar were dissolved, was formerly used in fevers, and was thus named. Cd'rcas. The Barbadoes nut; a drastic purge. Cu'RCUEio. (Fromkarkarah. Heb.) The throat ; the aspera ai-teria. Cd'rcum. The large celandine ; deob- struent. CURCU'MA. (From the Arabic curcum, ovhercum.) Turmeric. 1. The name of a genus of plants in the Linnaean system. Class, Monandria. Or- der, Mo'iiogynia. 2. The pharmacopoeial name of the tur- meric tree. See Curcuma longa. Curcu'ma lo'nga. The turmeric plant. Curcuma ; foliis lanceolatis ; nervis laterali- bus numeressimis of Linnasus. Crocus Indi- CVS. Terra marita. Camiacorus radice croceo. Curciima rotunda. Mayella. Kua kaha of the Indians. The Arabians call every root of a saffron colour by the name of curcum. The root of this plant is im- ported here in its dried state from the East Indies, in various forms. Externally it is of a pale yellow colour, wrinkled, solid, ponderous, and the inner substance of a deep saffi'on or gold colour : its odour is somewhat fragrant ; to the taste it is bitter- ish, slightly acrid, exciting a moderate de- gree of warmth in the mouth, and on being chewed it tinges the saliva yellow. It is an ingredient in the composition of Cicrri/ powder, is valuable as a dyeing drug, and furnishes a chemical test of the presence of Tincorabined alkalies. It is nowyer^? seldom 210 cus iiy.c used medicinally, but retatas a place in our Co'spis. (From cuspa, ChaM. a shell, pharmacopoeias. or bone,, with Which spears were formerlv- Curcu'ma ro'tunda. See Curcuma pointed.) The glans penis was so callei], longa. iVom its likeness to the point of a spear. CU'RMI. (From Kipam, to mix.) Ale. Also a bandage. A drink made of barley, according to Di- Cu'stos o'culi. An instrument to fix the oscorides. eye during an operation. Currants. See Rihes. Guta'mbuli. (From culis, the skin, and Cu'rsuma. Curtuma. The Ranuncu- atnbulo, to walk.) Cutaneous worms; scor- lusficariaoiL'innmas. _ butic itching. Curva'torco'ccygis. a muscle bending Cuta'neus mu'sculus. The platysma the coccyx. myoides. Cuhsu'ta. (Corrupted from cassuta, ka- CUTANEOUS. (From cutis^ the skin.) sulh Arab.) The root of the Gentiana Belonging to the skin. purpurea of Linnaeus. CUTICLE. (Culicula, dim. of cutis, the CUSCU'TA. (According to Linnaeus, a skin.) Epidermis. Scarf-skin. A thin, corruption from the Greek Kcta-JIccc, or pellucid, insensible membrane, of a white KaJ^uluc, which is from the Arabic Chessuih, colour, that covers and defends the true or Chasuth.) Dodder. skin, with which it is connected by the 1. The name of a genus of plants in the hairs, exhaling and inhaling vessels, and Linneean system. Class, Tetrandria. Or- the rete mucosum. tier Difynia. CU'TIS. (-tis, foem.) Derma. The 2. The pharmacopceial name of dodder of true skin. A thick, fibrous, vascular, and Ihyme. See Cuscuta Epithymum. nervous membrane, that covers the whole Ccscu'ta epithv'mum. The systema- external surface of the body, and is the tic name of dodder of thyme. Epitky- seat of the organ of touch, as also of exhala- mum. Cuscuta. Dodder of thyme. A tion, and inhalation. parasitical plant, possessing a strong dis- CU'TIS ANSERl'NA. (Anstrina ; from agreeable smell, and a pungent taste, very anser, a goose.) The rough state the skin durable in the mouth. Two kinds are re- is^ sometimes thrown into from the ac- commended in melancholia, as cathartics, tion of cold, or other cause, in which it viz. Cuscuta epithymum; foliis scssilibus, looks like the skin of the goose. quinqulfidis, bracieis obvallatis, and cuscuta CU'TIS VE'RA. The true skin under the curopesa ; fioribus sessilibus o{ Linndsus. ^ cuticle. Cuscu'ta Europ^e'a. The systematic Cy'anus. (Kuavo?, cerulean, or sky-blue ; name of a species of dodder of thyme. See so called from its colour.) Blue-bottle. Cuscuta Epilhymum. See Centaurea. CUSPID A'i'US. (From CM52""s, a point.) Cy'ar. (From xsa, to pour out.) The See Teeth. J'P of a vessel. The eye of a needle ; and CUSPA'PJA. The generic name given by the orifice of the internal ear, from its like- Messrs. Humboldt and Bonpland to thfc ness to the eye of a-needle. tree from which we obtain the Angustura Cya'sma. Spots on the skin of pregnant bark. women. Cuspa'ria febri'fuga. This is the tree Cyathi'scus. (From nuctSo;, a cup.) The said to yield the bark called angustura. hollow part of a j^robe, formed in the shape Cortex cvspariaT A bark imported from of a small spoon, as an ear-picker. Angustura in South America. Its external Cy'bitos. See Cubitus. appearances vary considerably. The best is Cy'bitum. See Cubitus. not fibrous, but hard, compact, and of a Cy'situs. See Cubitus. yellowish-brown colour, and externally of a Cyboi'des. See C^iboides. whitish hue. When reduced into powder, Cv'ceum. {From iiu>cM!, to mix.) Cy- it resembles that of Indian rhubarb. It is ceon. A mixture of the consistence of pap. very generally employed as a febrifuge, to- Cy'cima. (From KVKdm, to mix.) So nic, and adstringent. While some deny its called from the mixture of the ore with virtue in curing intermittents, by many itis lead, by which litharge is made, preferred to the Peruvian bark ; and it has CY'CLAMEN. (From whkoc, circular; been found usefi;l in diarrhoea, dyspepsia, either on account of the i-ound form of the and scrofula. It was thought to be the leaves, or of the roots.) Cyclamen, bark of the Brucea antidysenterica, or fer- 1. The name of a genus of plants in the ruginea. Willdenow suspected it to be the Linnasan system. Class, Pewfanina. Order, J/nfg?iaZia/;ZMnnen; but Humboldt and Bon- AJonogynia. pland, the celebrated travellers in South 2. The pharmacopceial name of the sow- America, have ascertained it to belong to bread. a tree not before known, and w-hich they Cy'ci.amen Edrop^'um. The systematic promise to describe T^y'the nam-? of Citsparia name of the Jirthaniia, or sow-bread. fcbrifuva. Cycli'sctjs. (From nvx-Xor. a circle.) An CYN CYN instrument in the form of a half moon, for- merly used for scraping rotten bones. Cycu'sMUS. (From KVKhog, a circle.) A lozenge. Cyclopho'ria. (From kvk\o;, a circle, and (ptpo), to bear.) The circulation of the blood, or other fluids. CycjLo'pioN. (From y.vKKoce, to surround, and ohf) the eye.) The white of the eye. Cy'clos. a cii'cle. Hippocrates uses this word to signify the cheeks, and the orbits of the eyes. Cy'clus metastncri'ticus. It is a long protracted course of remedies, persisted in with a view of restoring the particles of the body to such a state as is necessary to health. CYDOxMUM MA'LUW. (From Cydon, a town in Crete, where they grew.) The quince. See Pyrus Cydonia. Cye'ma. (From avo), to bring forth.) Parturition. Cyli'chnis. (From xua/^, a cup.) A gallipot or vessel of any kind to hold medi- cines in. Cyllo'sis. (From mXKia>, to make lame.) A tibia or leg bending outw^'Js. Cyli'ndrus. (From kvkiu, to roll round.) A cylinder. A tent for a wound, equal at the top and bottom. Cy'lus. (From kukkccd, to make lame.) In Hippocrates, it is one affected with a liind of luxation, which bends outwards, and is hollowed inward. Such a defect in the tibia is called Cyllosis, and the person to whom it belongs, is called by the Latins Varus, which terra is opposed by Valgus. Cymato'des. Is applied by Galea and some others to an unequal fluctuating pulse. Cy'jiba. (From >ujy.Qo^, hollow.) A boat, or pinnace. A bone of the wrist is so called, from its supposed likeness to a skiff. Cymina'lis. Gentian. Cy'minum. See Cuminuin. CYNA'NCHE. (From mw, a dog, and Ay&(ce, to suffocate, or strangle ; so called from dogs being said to be subject to it.) Sore throat. A genus of disease in the c\kss pyrexia, and ordev phltgmasicE of Cul- len. It is known by pain and redness of the throat, attended with a difficulty of swallow- ing and breathing. The species of this disease are : — 1. Cynanche trachealis ; called also by some cynanche laryngea. Siiffocatio stridula angina perniciosa. Asthma infantum. Cy- nanche stridula. Morbus strangulalorius. Catarrhus suffocatious Barbadensis. Angina polyposa sive membranacea. The croup. A disease that mostly attacks infants, who are suddenly seized with a difficulty of breathing and a Grouping noise : it is an inflammation of the mucous membrane of the trachea that induces the secretion of a v^sry tenacio-js coa^ulable Ivmph, which lines the trachea and bronchia, and impedes respiration. The croup does not appear to be contagious, whatever some phj'sicians may think to the contrary ; but it some- times prevails epidemically. It seemSf however, peculiar to some families ; and a child having once been attacked, is very liable to its returns. It is likewise pecu- liar to young children, and has never beeu known to attack a person arrived at the age of puberty. The application of cold seems to be the general cause which produces this disorder, and therefore it occurs more frequently in the winter and spring, than in the other seasons. It has been said, that it is most prevalent near the sea-coast ; but it is fre- quently met with in inland situations, and particularly those which are marshy. Some days previous to an attack of the disease, the child appears drowsy, inactive, and fretful ; the eyes are sornewhut suf- fused and heavy ; and there is a cough, Avhich, from the first, has a peculiar shrill sound ; this, in the course of two days, be- comes more violent and troublesome, and likewise more shrill. Every fit of coughing agitates the patient very much ; the face is flushed and swelled, the eyes are protube- rant, a general tremor takes place, and there is a kind of convulsive endeavour to renew respiration at the close of each fit. As the disease advances, a constant difficulty of breathing prevails, accompanied sometimes with a swelling and inflammation in the tonsils, uvula, and velum pendulum palati; and the head is thrown back, in the agony of attempting to escape suffocation. There is not only an unusual sound produced by the cough, (something between the yelping and barking of a dog,) but respiration is performed with a hissing noise, as if the trachea was closed up by some slight spongy substance. The cough is generally diy ; but if any thing is split up it has either a purulent appearance, or seems to consist of films resembling portions of a membrane. Where great nausea and frequent retchings prevail, coagulated matter of the same nature is brought up. With these symptoms, there is much thirst, and uneasy sense of heat over the whole body, a continual inclination to change from place to place, great restless- ness, and frequency of the pulse. In an advanced stage of the disease, re- spiration becomes more stridulous, and is performed with still greater difficulty, be- ing repeated at longer periods, and-with greater exertions, until at last it ceases en- tirely. The croup generally proves fatal by suf- focation, induced either by spasm affecting the glottis, or by a quantity of matter blocking up the trachea or bronchia; but when it terminates in health, it is by a re- solution of the inflammation, by a ceasing of ihe spasms, and by a fi-ee espcctoration of the matter exuding from the ti'achea, cSieck to perspiration. " It principally at- or of the crusts formed tliere. tacks those of a full and plethoric habit, and The disease has, in a few instances, ter- is chiefly confined to cold climates, occu'r- minated fatally within twenty-four hours ring usually in the spring and autumn; after its attack ; but it more usually hap- whereas the ulcerated sore throat chiefly pens, that where it proves fatal, it runs on attacks those of a weak irritable habit, and to the fourth or fifth day. Where consi- is most prevalent in warm climates. The derable portions of the membranous films, foi-mer differs from the latter likewise in not formed on the surface of the trachea, are being contagious. In many people there thrown up, life is sometimes protracted for seems to be a particular tendency to this a day or two longer than would otherwise disease ; as from every considerable appli- have happened. cation of cold it is readily induced. Dissections of children who have died of An inflammatory sore throat discovers the croup, have always shown a preternatural itself by a difficulty of sivallowing and membrane,lining the whole internal surface breathing, accompanied by a redness and of the upper part of the trachea, which may tumour in one or both tonsils, dryness of always be easily separated from tlie proper the throat, foulness of the tongue, lanci- membrane. There is likewise usually found nating pains in the parts affected, a fre- a good deal of mucus, with a mixture of quent but difficult excretion of-'mucus^ pus, in the trachea and its ramifications. and some small degree of fever. As the The treatment of this disease must be disease advances, the difficulty of swallow- conducted on the strictly antiphlogistic ing and breathing becomes greater, the })lan. It will commonly be proper, Avhere speech is very indistinct, the dryness of the the patient is not very young, to begin by throat and thirst increase, the tongue swells taking blood from the arm, or the jugular and is incrusted with a dark fur, and the vein ; several leeches should be applied pulse is full and frecjuent. In some cases, along the forepart of the neck ; it will a few white, (uioughy spots are to be ob- ihen be right to give a nauseating emetic, served on the tonsils. If the inflammation ipecacuanha with tartarized antimony, or proceeds to such a height as to put a total with squill in divided doses ; this may be stop to respiration, the face will become followed up by cathartics, diaphoretics, di- livid, the pulse will sink, and the patient gitalis, &c. : large blisters ought to be ap- will quickly be destroyed, plied near the affected part, and a discharge The chief danger arising from this species kent up by savine cerate, or other stimulant of quincy is, the inflammation occupying dressing. Mercury, carried speedily to sali- both tonsils, and proceeding to such a de- vation,has in several instances arrested the gree as to prevent a sufficient quantity of progress of the disease, when it appeared nourishment for the support of nature from proceeding to a fatal termination. As the being taken, or to occasion suffocation ; but inflammation is declining, it is very im- this seldom happens, and its usual ter- portant that free expectoration should take mination is either in resolution or suppu- place ; this may be promoted by nauseating ration. When proper steps are adopted, it medicines, by inhaling steam, and by sti- will in general readily go off by the former, mulating gargles ; for which the decoction Where the disease has proved fatal by of seneka is particularly recommended, suflfocation, little more than a highly in- Where there is much wheezing, an occa- flamed state of the parts affected, with some sional emetic may relieve the patient consi- morbid phenomena in the head, have been derably : and under symptoms of threaten- observed on dissection. in» suffocation, the operation of broncho- This is usually a complaint not requiring tomy has sometimes saved life. Should fits very active treatment. If, however, the in- of spasmodic difficulty of breathing occur flammation run high, in a tolerably strong in the latter periods of the disease, opium and plethoric adult, a moderate quantity ioined with diaphoretics -would be most of blood should be drawn from the arm, likeh' to do good. oi" the jugular vein ; but still more fre- 2. Cynanche tonsillaris. The inflammatoiy quently leeches will be required ; orscari- nuincy called also angina inflammatoria. fying the tonsils may afford more effectual In this 'complaint, the inflammation princi- relief. An emetic will often be very bene- pally occupies the tonsils ; but often extends ficial, sometimes apparently check the pro- through the whole mucous membrane of gress of the complaint : likewise cathartics the fauces, so as essentially to interrupt the must be employed, diaphoretics, and the speech, respiration, and deglutition of the general antiphlogistic regimen. A blister patient. to the throat, or behind the neck, sometimes The causes which usually give rise to has a very excellent effect : but in milder it are, exposure to cold, either from sudden cases, the linimentum ammonias, or other viciss'itudes of weather, from being placed rubefacient application, applied every six in a partial current of air, wearing damp or eight hours, and wearing flannel round linen, sitting in wet rooms, or getting wet the throat, may produce a sufficient delermi- in the' feet; all of which may give a sudden nation from the part affected. The u?e of CfS CFN 273 proper gargles generally contributes mate- rially to the cure : if there be much tension and pain in the fauces, a solution of nitrate of potas I will be best; otherwise dilute acids, a weak solution of alum, &c. Should the disease proceed to suppuration, warm emol- lient gargles ought to be employed, and perhaps similar external applications may be of some service : but it is particularly im- portant to make an early opening into the abscess for the discharge of the pus. When deglutition is prevented by the tumefaction of the tonsils, it is recommended to exhibit nutritious clysters ; and when suffocation is threatened, an emetic, or inhaling ether, may cause a rupture of the abscess, or this may be opened ; but if relief be not thereby obtain- ed bronchotomy will become necessary. 3. Cynmiche pharyngea. This species is so called when the pharynx is chiefly affected. Dr. Wilson, in his Treatise on Febrile Dis- eases, includes in his definition of cynanche tonsillaris, that of cynanche pharyngea. These varieties of cynanche differ consider- ably when they are exquisitely formed. But the one is seldom present in any considerable degree without being attended with more or less of the other. Dr. Cullen declares, indeed, that he never saw a case of true cy- nanche pharyngea ; that is, a case in which the inflammation was confined to the pha- rynx ; it constantly spread in a greater or less degree to the tonsils and neighbouring parts. Besides, the mode of treatment is, in almost every instance, the same in both cases. And if we admit the cynanche pha- ryngea to be a distinct variety, we must ad- mit another, the cynanche ffisophagea ; for inflammation frequently attacks the oesopha- gus, and is sometimes even confined to it. 4. Cynanche paroiiclta. The mumps. A swelling on the cheek and under the jaw, extending over the neck, from inflamma- tion of the parotid and other salivary glands, rendering deglutition, or even respiration, sometimes dilficult, declining the fourth day. Epidemic and contagious. The disease is subject to a metastasis oc- casionally, in females to the mammae, in males to the testes ; and in a few instances repelled from these parts it has affected the brain and even proved fatal. In general, however, the disease is without danger, and scarcely calls for medical aid. Keeping a flannel over the part, and the antiphlogistic Ki3gimen, with mild laxatives, will be "suffi- cient. Should the mamma, or the testes, be affected, more active evacuations may be necessary to prevent the destruction of those organs, bleeding general and topical, &c. but avoiding cold applications, lest it should be driven to the brain. And where this part is unfortunately attacked, besides the means explained under Phrenitis, it may be useful to endeavour to recall the inflammation to its former seat by warm fomentations, stimu- lant liniments, fee 35 5. Cynanche maligna. The malignant, putrid, or ulcerous sore throat. Called also cynanche gangrcEuom. Angma ulcerosa. Fe- bris epidemica cum angina ulcusculosa. An- gina epidemica. Angina gangrainosa. Angina suffocaliva. Angina maligna. This disease is readily to be distinguished from the in- flammatory quincy, by the soreness and specks which appear in the fauces, together with the great debility of the system, and small fluttering pulse, which are not to be observed in the former. In the inflamma- tory sore throat there is always great diffi- culty of swallowing, a considerable degree of tumour, with a tendency in the parts af- fected to suppurate, and a hard, full pulse. Moreover in the former affection the disease is seated principally in the mucous mem- brane of the mouth and throat; whereas in the latter the inflammation chiefly occupies the glandular parts. The putrid sore throat often arises from a peculiar state of the atmosphere, and so becomes epidemical ; making its attacks chiefly on children, and those of a weak re- laxed habit. It is produced likewise by con^ tagion, as it is found to run through a whole family, when it has once seized any person in it ; and it proves often fatal, particularly to those in an infantile state. It appears, however, that under this head two different complaints have been includ- ded ; the one, especially fatal to children, is an aggravated form of scarlatina ; the other, a combination of inflammation of the fauces with typhus fever: the former is perhaps al- ways, the latter certainly often, contagious. See Scarlatina and Typhus. Cynanche a degluti'tis. Quincy from hard substances swallowed. Cyna'nche a dysente'kia. Quincy from dj'senfery. Cyna'nche angino'sa. The inflamma'- tory quincy. Cyna'nche arthri'tica. Quincy from gout. Cvna'nche epide'mica. The cynanche maligna. Cyna'nche gangr^no'sa. The cynanche maligna. Cyna'nche hepa'tica. Quincy from a disease of the liver. Cyna'nche larynge'a. The cynanche trachealis. Cyna'nche mali'gna. See Cynanche. Cyna'nche parotide'a. See Cynanche. Cyna'nche phartnge'a. See Cynanche. Cyna'nche prune'lea. Common sore throat. Cyna'nche purpuro-parotide'a. A cy- nanche maligna, or malignant sore throat. Cyna'nche stri'dula. The croup. See Cynanche. Cyna'nche thv'mica. Sore throat from an enlargement of the thyroid gland. Cyna'nche tonsili.a'ris. See Cynanche. Cyna'nche trachea'h^ See Ciptanche :>74 CYJS CYS Cyna'schE ulcero'sa. The malignant sore throat. Cyna'nchica. (From Kvyayx>f, the quincy.) Medicines which relieve a quincy. Cynanthro'pia. (From auav, a dog, and avflfmTrcc, a man.) It is used by Bellini, De Morbis Capitis, to express a particular kind of melancholy, when men fancy them- selves changed into dogs, and imitate their actions. Cy'nara sco'lymus. See Cinara. Cy'nchkis. (Kuyxw-) A vessel of any kind to hold medicines in. Cynocra'mbe. (From nvwv, a dog, and xf,nf/.C>,, cabbage : a herb of the cabbage tribe, with which dogs are said to physic themselves.) See Mercurialis perennis. Cyno'ctanum. (From maiv, a dog, and iClwoj, to kiU.) A species of aconitum, said to destroy dogs if they eat it. Cynocy'tisis. (From Micev, a dog, and Hulia-is, the cytisus; so named because it was said to cure the distemper of dogs.) The dog-rose. See Rosa canina. Cynode'ctos. (From nvm, a dog, and J«tava), to bite.) So Dioscorides calls a per- son bit by a mad dog. Cynode'smion. (From ttvuv, a dog, and Jto, to bind ; so named because in dogs it is very discernible and strong.) A ligature by which the prepuce is bound upon the glans. Sometimes it signifies the lower part of the prepuce. Cynodo'ntes. (KuvccTcVTff : from ayav, a dog, and oJou?, a tooth.) The canine teeth. CYNOGLO'SSUM. (From xjjuv, a dog, and yxaiiTa-a., a tongue ; so named from its supposed resemblance.) Hound's tongue. 1. The name of a genus of plants in the Linnzean system. Class, Pentandria. Or- der, Monogynia. 2. The pharmacopcEial name of the cyno- glossum officinale. Cynoglo'ssumofficina'le. The systematic name for hound's tongue. Cynoglossum. Lin- gua canina. Cynoglossum staminibus corolla brevioribus ; foliis lato lanceolatis, tojnentosis, stssilibus, of Linnaeus. It possesses narcotic powers, but is seldom employed medicinally. Acids are said to counteract the ill effects from an overdose more speedily than any thing else, after clearing the stomach. Cyno'lophus. (From kuccv, a dog, and AC?oc, a protuberance ; so called because in dogs they are peculiarly eminent.) The as- perities and prominences of the vertebrae. Cynoly'ssa. (From xvaiy, a dog, and >,vTn, madness ) Canine madness. CYNOMO'RIUM. The name of a genus of plants in the Linnsean system. Class, Monacia. Order, Monandria. Cykomo'rium cocci'neum. The syste- matic name of the fungus rnelitensis. Fun- gus meliteniis. This is improperly called a fungus, it being the CynomoTium coccineum of Linnaeus, a small plant which grows only on a little rock adioining Malta. A drachm of the powder is given for a dose in dysen» teries and haemorrhages, and with remarka- ble success. Cynore'xia. (From auaiv, a dog, and cpi^ii, appetite.) A voracious or canine appetite. See Bulimia. Cyko'sbatos. See Cynosbatus. CYNO'SBATUS. (From ati/av, a dog, and ^cOo;, a thorn ; so called because dogs are said to be attracted by its smell.) The dog-rose. See Rosa canina. Cynospa'stum. (From nvm, a dog, and a-jTiue, to attract.) See Rosa canina. Cyopho'ria. (From ts^a, a foetus, and , to bear.) Gestation. The pregnancy of a Avoman. Cypari'ssus. See Cupressus. CYTERUS. (From jwa-a^oc, a little round vessel, which its roots are said to re- semble.) Cyperus. The name of a genus of plants in the Linnaean system. Class, Triandria. Order, Monogynia. Cy'perus lo'ngus. The pharmacopceial name of the English galangale. Cyperus longus ; culmo triquetro folioso, umbellafoliosa supra-decomposiia ; pedunculis nudi^, spicis aUernis,o{ Linna;us. The smell of the root of this plant is aromatic, and its taste warm, and sometimes bitter. It is now totally fallen into disuse. Cy'perus ROTc'jrDcs. This species, the round cyperus, Cyperus rotundus ; culmo tri- quetro subnudo, umbella decomposita ; spicis alternis linearibus, of Linnaeus, is generally preferred to the former, being a more grate- fully aromatic bitter. It is chiefly used as a stomachic. Cypho'ma. (From mjttIoi, to bend.) A gibbosity, or curvature of the spine. Cypho'sis. An incurvation of the spine. Cypress spurge. See Esula minor. Cy'prinum o'leum. Flowers of cypress, ca1amu5, cardamoms, &.c. boiled in olive oil. CY'pRruM. (From Ku^r^oc, Cyprus, an island where it is said formerly to have abounded.) Copper. CYPRUS. The eypress-tree, or Eastern privet ; so called from the island of Cyprus, where it grew abundantly. Cy'pselis. (From ku-\,i>ji, a bee-hive.) The aperture of the ear ; the ear-^vax. Cyrcite'sis. (From jiwpxvao), to mix.) A mixture, or composition. Cyrto'ma. (From z>.flo;, curved.) An unnatural convex tumour ; tympanites. Cyrtono'sus. (From Kuplo;, curved, and vca-o;, a disease.) The rickets, or curved spine. Cy'ssarcs. (From Kva-o(, the anus) The intestinum rectum is so called, because it reaches to the anus. Cysso'tis. (From xys-o;, the anus.) An inflammation of the anus. Cysteoli'thus. (From >i-j^ic, the bladder, and ?.<95!:, a stone.) The stone ia the blad- der. CYS tl'Z Cy'sthus. (Kvfio;.) The anus. CYSTIC. Belonging to the urinary or gall bladder. Cystic duct. Ductus cystirAis. The membranous canal that conveys the bile from the hepatic duct into the gall-bladder. .Cy'stica. (From kutic, the bladder.) Re- medies for diseases of the bladder. Cy'stides. (From aug-i;, a bag.) En- cysted tumours. Cystiphlo'gia. (From xvth, the blad- der, and a^.rycc, to burn.) An inflammation in the bladder. Cystirrha'gia. (From »ur;c, the blad- der, and pnywfjLi, to burst forth.) A dis- charge of blood from the bladder. CY'STIS. (Kt/5-K, a bag.) The bladder; any receptacle of morbid humours. See Urinary bladdtr. CY'STIS CHOLE'DOCHA. See Gall- bladder. CY'STIS FE'LLEA. See Gall-bladder. CYSTITIS. (From y.vTi;, the bladder.) Inflammation of the bladder. A genus of disease arranged by Cullen in the class ^py- rexice, and order plilegmasice. It is known by great pain in the region of the bladder, attended with fever and hard pulse, a fre- quent and painful discharge of urine, or a suppression, and generally tenesmus. This is rarely a primary disease, and when it occurs, the above character of it will readily point it out. There is frequently also nausea and vomiting, and, in some cases, delirium. It most generally arises in consequence of inflammation of the adjacent parts, or from calculi in the bladder. The treatment is very similar to that of jXepfiritis ; which see. When suppression of urine attends, the catheter must be occasionally introduced. CYSTOCE'LE. (From Kvg-n, the blad- der, and y^fji, a tumour.) An hernia form- ed lay the protrusion of the urinary bladder. Cystoli'thicus. (From kv<^i;, the blad- der, and >./Soc, a stone.) A suppression of urine from a stone in the bladder, is called ischuria cystolithica. Cystophle'gicus. (From !{,v-t;,the blad- der, and fi'/.i-yct, to burn.) A suppression of urine from an inflammation of the bladder^ was formerly called ischuria cystophlegica. Cystophlegma'tica. (From Kt/r/c, the bladder, and cxi-yy^A, phlegm.) A suppres- sion of urine, from too much matter or mucus in the bladder, was called ischuria cystopblegmatica. Cystopro'ctica. (From y.vg-i;, the blad- der, and tstiiokIc;, the anus, or rectum.) A suppression of urine, caused by wind, in- flammation of the rectum, hardened faeces, k.c. is called ischuria cystoproctica. Cystopto'sis. (From kuti;, the bladder, and ■■nriTrlai, to fall.) A protrusion of the inner membrane of the bladder, through the urethra. Cystospa'sticus. (From kutic, the blad- der, and (r^raa-^at, a spasm.) A suppression of urine, from a spasm in the sphincter of the bladder, was called ischuria cystospas- tica. Cystospy'icus. (From jcutic, the bladder, and 'ZF-jov, pus.) A suppression of urine, from purulent matter in the bladder, was called ischuria cystospyica. Cystothromeoi'des. (From Kurn, the bladder, and Bf^o/uCof, a coagulation of blood.) \ suppression of urine, from a concretion of grumous blood in the bladder, was called ischuria cystothromboides. CYSTOTO'xMIA. (From Kyr«, the blad- der, andli/uvai, to cut.) The operation of cutting or piercing the bladder. CvTHioN. An eye-wash. Cy'ti.nos. (From Kva, to produce ; so called from its fecundity.) The bud or llowerofthe pomegranate. • Cy'tinus hypoci'stis. The plant from wliose fruit the succus hypocistidis is obtain- ed. See Hypocislis. Cyti.so-geni'sta. Commoa broom. See Spartium . CvzEMER. A painful swelling of the wrists. Cyzice'ncs. a plaster for wounds of the nerves. D. JLJ'. This letter signifies vitriol in the old chemical alphabet. Dacne'rus. (From JaJMa, to bite.) Biting. Pungent. An epithet for a sharp coUyrium, or eye-wash, composed of burnt copper, pepper,, cadraia, myrrh, and opium. Dacpv'hitjm. (From rjaHev, a tear.'i The inspissated juice of scammony. It is in small drops, and therefore called a tear. Dacrygelo'sis. (From onicpuai, to weep, and yiKcue, to laugh.) A species of insanity, in which the patient weeps and laughs at- the same time. Dacryo'des. (From Jaupvce, to weep.) Asaniou? ulcer. A weeping sore. DAP DAP Dacryo'm^. (From i^oLupvo!, to weep.) A closing of one or more of the puncta lachry- malia, causing an effusion of tears. Dactvle'thra. (From iode, and generally reduces it, where the periosteum only is affected ; and that it sel- dom fails of removing those enlargements of the periosteum which have not yielded during the administration of mercury. That some instances of success, in cases like these, may have fallen to the share of those who made the assertion, it would not become me to deny ; but I have met with few such agreeable evidences of the etticacy of this medicine. I have given the mezere- um in the form of a simple decoction, and also as an ingredient in compound decoctions of the woods, in many cases, where no mercury had been previously employed, but never with advantage to a single patient. I have also tried it, in numerous instances, after the completion of a course of mercury; yet, with the exception of two cases, where the thickened state of the periosteum was removed during the exhibition of it, 1 never saw the least benefit derived from taking this medicine. In a few cases of anomalous pains, which I supposed were derived from irregularities during a mercurial course, the mezereum was of service, after I had tried the common decoction of the woods without success, but even in this description of cases, I have always found it a very uncer- tain remedy. 1 have made trial of this ve- getable in a great number of scrofulous eases, where the membranes covering the bones were in a diseased state, and I am not sure that one single patient obtained any evident and material benefit from it. The late Dr. Cullen, whose reports may justly claim attention from all medical men, when treating of the mezereum, in his Ma- teria Medica, says, " I have frequently em- ployed it in several cutaneous affections, and sometimes with success." It were to have been wished, that the professor of medicine had specified what those diseases of the skin were, in which the mezereum was some- times employed with success ; for, if I ex- cept an instance or two of lepra, in which the decoction of this plant conferred a tem- porary benefit, I have very seldom found it possessed of medicinal virtue, either in sy- philis, or in the sequelaj of that disease, in scrofula, or in cutaneous afifections. Indeed the mezereum is of so acrimonious a nature, often producing heat and other disagreeable sensations in the fauces, and, on many oc- casions, disordering the prima? viae, that J do not often subject my patients to the cer- tain inconveniences which are connected with the primary effects of this medicine, as they are rarely compensated by any other important and useful qualities. Daphnel^'on. (From Sa-ifn, the laurel, and sxawov, oil.) The oil of bay-berries. Daphni'tis. (From tTa^vx, the laurel.) A sort of cassia resembling the laurel. ■Daphnoi'des. (From Sxifw^ the laurel, and acfcc, a likeness.) The herb spurge laurel. Da'rsin. (From darsin, Arab.) The grosser sort of cinnamon. Da'rsis. (From S'tpce, to excoriate.) An excoriation. DA'RTOS. (From cTe^a, to excoriate ; so called from its raw and excoriated ap- pearance.) The part so called, under the skin of the scrotum, is by some anatomists considered as a muscle, although it appears to be no more than a condensation of the cellular membrane lining the scrotum. It is by means of the dartos that the skin of the scrotum is corrugated and relaxed. DARWIN, Erasmus, was born at EI- ton in Nottinghamshire, in 1731. After studying at Cambridge and Edinburgh, and becoming doctor of medicine, he went to settle at Litchfield. He had soon after the good fortune to succeed in the cure of a gentleman in the neighbourhood, who was so ill of a fever, as to have been given over by the physician previously in attendance : this speedily procured him very extensive practice. He soon after married, and by his first wife had three sons, of whom only one survived him. At the age of 50, he married again, and removed to Derby, where he continued until his death in 1802, leaving six children by his second wife. The active life he led, and his very temperate habits, preserved his health and faculties in a great degree unimpaired. He distinguished him- self more as a poet, than by professional improvements ; though he certainly suggest- ed some ingenious methods of practice ; but warned by preceding examples, he avoided publishing any material poem, till his medical fame was thoroughly established. His "^ Botanic Garden," and " Zoonomia," are well known, but they have long ceased to be popular : and the philosophy of the latter work, which advocates materialism, is justly censured. He communicated to the College of Physicians an account of his successful use of digitalis in dropsy, and some other diseases, which was published in their Transactions. His son Charles, w ho died while studying at Edinburgh, ob- tained a gold medal by an Essay on the dis- tinction of Pus and Mucus ; and left another unfinished on the Retrograde Action of the Absorbents : which were published after his death by his father. Dasy'mna. (From J^as-u;, rough.) A' scabby roughness of the eyelids. Da'sys. (Aao-uc, rough.) A dry, parched tongue. DifjScult respiration. Date plum, Indian. See Diospyrus lotus. Dale. See Dactylus. DATU'RA. (Blanchard says it is deri- ved from the Indian word datiro, of which he knows not the meaning.) The name of a genus of plants in the Linnaean system. Class, Pentandria. Order, Monogynia. Datura stramo'nium. The systematic name of the thorn-apple. Stramonium. DiUray. Barryo coccahn. Solamim mania 278 DAU OEa cum of Dioscorides, and Stramoniura spino- .lum of Gerard. Solanum fatidum of Bau- hin. Stramrnoniummajus album. Common thorn-apple. Datura stramonium ; pericar- piis spinosis erectis ovatis, foliis ovatis glabris, of Linnseus. This plant has been long known as a powerful narcotic poison. In its recent state it has a bitterish taste, and a smell somewhat resembling that of poppies, especially if the leaves be rubbed between the fingers. Instances of the deleterious effects of the plant are numerous, more par- ticularly of the seed. An extract prepared from tne seeds is recommended by Baron Stoerck in maniacal, epileptic, and convul- sive affections ; and is said by some to suc- ceed, while in the hands of others, it has failed. In this country, says Dr. Woodville, we are unacquainted with any practitioners whose experience tends to throw light on the medical character of this plant. It ap- pears to us, continues Dr. Woodville, that its effects as a medicine are to be referred to no other power than that of a narcotic. And Dr. Cullen, speaking on this subject, says, " I have no doubt that narcotics may be a remedy in certain cases of mania and epilepsy ; but I have not, and I doubt if any other person has, learned to distinguish the cases to which such remedies are properly adapted. It is therefore that we find the other narcotics, as well as the stramonium, to fail in the same hands in which they bad in other cases seemed to succeed It is this consideration that has occasioned my neg- lecting the use of stramonium, and therefore prevented me from speaking more precisely from my own experience on this subject." The extract of this plant has been the preparation usually employed from one to ten grains and upwards a day ; but the pow- dered leaves, prepared after the manner of those of hemlock, would seem to be more certain and convenient. Greding found the strength of the extract to vary exceedingly; that which he obtained from Ludwig was much more powerful than that which he had of Stoerck. Externally, the leaves of stra- monium have been applied to inflammatory tumours and burns, and it is said with suc- cess, and of late, the dried leaves have been smoked as a remedy in asthma ; but it does not appear that they hav^e been more effica- cious in this way than tobacco. DAU BENTON, Lewis Maky, was born in Burgundy, 1716. Having become doctor of medicine attheage of 24, he went to Paris, and being very zealous inthestudy of comparative anatomy, the office of keep- er of the royal cabinet of natural history was procured for him by the celebrated M. de Buffon. He contributed materially to enrich the splendid work of that eminent naturalist, by furnishing the anatomy both of man and animals. He was a member of several distinguished societies, among others of the Royal Academy of Sciences at Pa- ris, to which he made some useful commu- nications. Having escaped the revolution- ary horrors in France, he was chosen, in 1799, a member of the Conservative Se- nate ; but he died towards the end of the same year. Dauci'tes vi'num. Wild carrot-seeds steeped in must. DAU'CUS. (A^ro Tov Jmuv, from its re- lieving the colic, and discussing flatulen- cies.) The carrot. 1. The name of a genus of plants in the Linnaean system. Class, Pentandria. Or- der, Digynia. 2. The pharmacopceial name of the gar- den carrot. See Daucus carota. Dak'cus axsa'ticus. The oreoselinum prattnst of Linnasus. Dad'cus a'nnuus mi'nor. The caucalis anikriscus of Linnaeus. Dau'cus caro'ta. The systematic name of the carrot plant. Daucus. Daucus syl- vestris. Pastinaca sylvestris temiifolia offici- narum. The cultivated root of the Daucus carota ; seminibus hispidis, petiolis subtus ner- vosis of Linneeus, scraped and applied in the form of a poultice, is an useful application to phagedenic ulcers, and to cancers and putrid sores. The seeds, which obtain a place in the materia medica, have a light aromatic smell, and a warm acrid taste, and aie esteemed for their diuretic qualities, and for their utility in calculous and nephritic complaints, in which an infusion of three spoonsful of the seeds in a pint of boiling water, has been recommended ; or the seeds may be fermented in malt liquor, which re- ceives from them an agreeable flavour, re- sembling that of lemon-peel. The boiled root is said by many to be difficMlt of di- gestion ; but this is the case only when the stomach is weak. It contains a considerable quantity of the saccharine principle, and is very nutritious. Dau'cus cre'ticus. See yithamatUa Cre- tensis. Dau'cus sati'vus. A variety of the daU' cus carota, whose seeds are preferred by some practitioners. Dau'cus SEPRi'muii. Common chervil. Dau'cus sylve'stris. Wild carrot, or bird's nest. The seeds of the wild plantare said to be more efiicacious than those of the garden carrot ; they possess demulcent and aromatic qualities, and are given, in infusion, or decoction, in calculous cons- plaints. Dead nettle. See Latnium album. Deadly iiightshade. See Jltrqpa Bella- donna. DEAFNESS. It is occasioned by any thing that proves injurious to the ear, as loud noises from the firing of cannon, vio- lent jcolds, particularly affecting the head, inflammation orulceration of the membrane, hard wax, or other substances interrupting sounds : too great a dryness, or too much DEC DEC 379 moisture in the parts ; or by atony, debility, or paralysis of the auditory nerves. In some instances it ensues in consequence of pre- ceding diseases, such as fever, syphilis, fee. and in others it depends upon an original defect in the structure or formation of the ear. In the last instance, the person is usually not only deaf but likewise dumb. See Paracusis. Dearticula'tio. (From de, and articu- lus, a joint.) Articulation admitting evident motion. Deascia'tio. (From de, and ascio, to chip, as with a hatchet.) A bone splintered on its side. Decamy'ron. (From SixA, ten, and fjLv^ov, an ointment.) An aromatic ointment men- tioned by Oribasius, containing ten in- gredients. Decide'ntia. (From decido, to fall down.) Cataptosis. Any change prolonging acute diseases. DECI'DUA. (Decidua, sc. memhrana ; from decido, to fall down.) Membrana deci- dua. A very thin and delicate membrane or tunic, which adheres to the gravid uterus, and is said to be a reflexion of the chorion, and, on that account, is called decidua re- flexa. The tunica decidua comes away after delivery, in small pieces, mixed with the lochia. Decima'nus. (From decern, ten, and mane, the morning.) Returning every tenth day, applied to some erratic fevers. Decli'vis. (From de, and clivis, a hill.) Declining, descending. A name of an ab- dominal muscle, because of its posture. DECO'CTUM. (From decoquo, to boil.) A decoction. Any medicine made by boil- ing in a watery fluid. In a chemical point of view, it is a continued ebullition with water, to separate such parts of bodies as are only soluble at that degree of heat. The following are among the most approved de- coctions. Deco'ctubi a'lbubi. See Mistura Cornu usli. Deco'ctum a'loes compo'situm. Com- pound decoction of aloes. Take of extract of liquorice, half an ounce ; subcarbonate of potash, two scruples ; extract of spiked aloe powdered, myrrh powdered, saffron stig- mata, of each a drachm ; water, a pint. Boil down to twelve fluid ounces, and strain ; then add compound tincture of car- damoms, four fluid ounces. This decoction, now first introduced into the London Phar- macopoeia, is analogous to an article in veiy frequent use, invented by the late Dr. De- valingin, and soldunderthe name of beaume de vie. By the proportion of tincture which is added, it will keep unchanged for any length of time. Deco'ctum AtmJE'jE. Decoction of marsh mallows. Take of dried marsh mal- low roots, §iv ; raisins of the sun stoned, ?j.j ; water- tbyij. Boil to five pounds ; place apart the strained liquor, till the faeces have subsided, then pour off the clear part. This preparation, directed in the Edinburgh Pharmacopoeia, maybe exhibited as a com- mon drink in nephralgia, and many diseases of the urinary passages, with advantage. Deco'ctom anthe'midis. See Decoctum chamcetneli. Deco'ctum astra'gali. Take of the root of the astragalus excapus, ^j; distilled water, ft)jjj. These are to be boiled, till only a quart of fluid remain. The whole is to be taken, a little Avarmed, in the course of 24 hours. This remedy was tried very exten- sively in Germany, and said to evince very powerful effects, as an antisyphilitic. Deco'ctum bard a' .n.^:. Take of bardana root, |vj ; of distilled water, Jbvj. These are to be boiled till only two quarts remain. From a pint to a quart in a day is given, in those cases where sarsaparilla and other re- medies that are called alterative are suppo- sed to be requisite. Deco'ctum cHAMiEME'Li. Chamomile de- coction. Take of chamomile flowers, ?) ; caraway seeds, ^ss ; water fbv. Boil fifteen minutes, and strain. A very common and excellent vehicle for tonic powders, pills, &.C. It is also in very frequent use for fo- mentation and clysters. Deco'ctum ciNCHo'siE. Decoction of cinchona, commonly called decoction of Peruvian bark. Take of lance-leaved cin- chona bark bruised, an ounce; %vater, a pint. Boil for ten minutes, in a vessel slightly covered, and strain the decoction while hot. According to the option of the practitioner, the bark of either of the other species of cinchona, the cordifolia,or2/e/Zou', or the oblongifolia, or red, may be substi- tuted for the lancifolia, or quilled ; which is here directed. The way of administering the bark is very general, as all the other preparations may be mixed with it, as ne- cessity requires. It is a very proper fo- mentation for prolapsus of the uterus and rectum. Deco'ctum co'rnu. See Mistura Cornu. Deco'ctum cTDo'NiiE. Mucilage seminis cydonii raali. Mucilago seminum cydoniorum. Decoction of quince seeds. Take of quince seeds, two drachms ; water, a pint. Boil over a gentle fire for ten minutes, then strain. This decoction, in the new London Pharmacopoeia, has been removed from among the mucilages, as being less dense than either of the others, and as being em- ployed in larger doses, like other mucilagi- nous decoctions. In addition to gum, it contains other constituent pai'ts of the seeds, and is, therefore, more apt to spoil than common mucilage, over which it possesses no other advantages, than that it is more grateful, and sufl^ciently thin, without fur- ther dilution, to form the bulk of any liquid medicine. Its virtuesare demulcent. .Toined SgO DEC iJEC with syrup of mulberry, and a little boras, the skin is very tender and ii-ritable, if it is useful against aphthae of the mouth and should be diluted with an equal quantity of fauces. water. Deco'ctum da'phnes meze'rei. Decoc- Oeco'ctum ho'rdei. Decodum hordei tion of mezereon. Take of the bark of me- distichi. Aqua hordeata. Take of pearl zereon root, ?jj; liquorice root bruised, jss ; barley, ^jj ; water, four pints and a half, water, fbjjj- Boil it, with a gentle heat, First wa.-^h away any adhering extraneous down to two pounds, and strain it. From substances with cold water ; next, having four to eight ounces of this decoction may poured upon the barley half a pint of water, be given four times a day, in some obstinate boil for a few minutes. Let this water be venereal and rheumatic affections. It ope- thrown away, and add the remainder of rates chiefly by perspiration. the water boiling ; then boil down to two Deco'ctum dulcama'r^. Decoction of pints and strain. Barley water is a nutri- woody nightshade. Take of woody night- tive and softening drink, and the most pro- shade stalks, newly gathered, §j ; distilled per of all liquors in inflammatory diseases, water, Jbjss. These are to be boiled away It is an excellent gargle in inflammatory to a pint, and strained. The dose is half an sore throats, mixed with a little nitre, ounce to two ounces, mixed with an equal Deco'ctum ho'rdei compo'situm. De- quantity of milk. I he remedy is employed cocium pectorale. Compound decoction of in inveterate cases of scrofula ; in cancer barley. Take of decoction of barley, two and phagedcjena ; in lepra and other cuta- pints; figs sliced, ^jj ; liquorice root, sliced neous affections ; and in anomalous local and bruised, |ss ; raisins stoned, ?jj ; water, diseases, originating in venereal lues. a pint. Boil down to two pints and strain. Deco'ctum Geoffrje'^: ine'rmis. De- From the pectoral and demulcent qualities coction of cabbage-tree plant. Take of bark of this decoction, it may be administered of the cabbage-tree, powdered, ^j ; water, as a common drink in fevers and other Jbjj. Boil it, with a gentle fire, down to one acute disorders, in catarrh, and several alfec- pound, and strain. This is a powerful an- tions of the chest. thelmintic. It may be given in doses of one Deco'ctum ho'rdei cum gu'mmi. Barley table spoonful to children, and four to water, Jbjj 5 gum arab. |j. The gum is adults. If disagreeable symptoms should to be dissolved in the barley decoction arise from an over-dose, or from drinking whilst warm. It then forms a suitable dilu- cold water during its action, we must im- ent in strangury, dysury, &.c. for the gum, mediately purge with castor-oil, and dilute finding a passage into the bladder in an un- with acidulated drinks. altered state, mixes with the urine, and pre- Deco'ctum guai'aci officina'lis com- vents the action of its neutral salts on the po'situm. Decodum lignorum. Compound urinary canal. decoction of guaiacum, commonly called Deco'ctum Liche'nis. Decoction of decoction of the woods. Take of guaiacum liverwort. Take of liverwort, one ounce ■, raspings, ^jjj ; raisins stoned, ^jj ; sassafras water, a pint and a half Boil down to a root, liquorice, each ^j ; water, ftx. Boil pint, and strain. The dose is from ^j to |iv. the guaiacum and raisins, with the water, Deco'ctum lobe'li^;. Take a handful over a gentle fire, to the consumption of one ofthe roots of the lobelia syphilitica; dis- half ; adding, towards the end, the sassafras tilled water, fbxjj. These are to be boiled and liquorice. Strain the liquor without in the usual way, till only four quarts re- expression. This decoction possesses stimu- main. The very desirable property of curing lant and diaphoretic qualities, and is gene- the venereal disease has been attributed to rally exhibited in rheumatic and cutaneous this medicine ; but it is not more to be de- diseases, which are dependent on a vitiated pended on than guaiacum, or other vegetn- state of the humours. It may be taken by ble substances, of which the same thing has itself, to the quantity of a quarter of a pint, been alleged. The effects of this decoction twice or thrice a day, or used as an assistant are purgative ; and the manner of taking it, in a course of mercurial or antimonial alte- as described by Swediaur, is as follows: — ratives ; the patient, in either case, keeping The patient is to begin with half a pint twice warm, in order to promote the operation of a day. The same quantity is then to be taken the medicine. four times a day, and continued so long as Deco'ctum helle'bori a'lbi. Decoc- its purgative effect is not too considerable, tion of white hellebore. Take of the root of When the case is otherwise, it is to be dis- white hellebore powdered, by weight, ^j; continued for three or four days, and then water, two pints ; rectified spirits of wine, had recourse to again till the cure is cora- Zjj by measure. Boil the water, with the pleted. As this is a remedy on the old loot, to one pint ; and the liquor being cold system, and not admitted into our pharma- and strained, add to it the spirit. This de- copoeias, little confidence ought to be placed coction, in the last London Pharmacopoeia, in it. is called decoctum veratri. It is a very Deco'ctum Lusita'nicum. Take of sliced efficaciousapplication,externally,asa wash, sarsaparilla, lignum sassafras, lignum san- 5a tinea capitis, lepra, psora, &c. When talum rubrnm. officinal lignum guaiactira. DEC DEF 23 X of each one ounce and a half ; of the root of mezereon, coriander seed, of each half an ounce ; distilled water, ten pounds.. These are to be boiled till only half the fluid re- mains. The dose is a quart or more in a day. - " Take of sliced sarsaparilla, lignum san- talurn rubruin, lignum santalum citrinitm, of each gjss ; of the root of glycyrrhiza and mezereon, of each 3.)j 5 of lignum rhodii, officinal lignum guaiacum, and lig- num sassafras, of each |ss ; of antimony, 3 j ; distilled water, Ifcv." These ingredients are to be macerated for twenty-four hours, and afterwards boiled, till the fluid is re- duced to half its original quantity. From Gne to four pints are given daily. The late Mr. Hunter notices this and also the following formula, in his Treatise on the Venereal Disease. " Take of sliced sarsaparilla, of the root of China, of each |j ; walnut peels dried, sx ; antimony, |jj ; pumice-stone, pow- dered, gj ; distilled water, ifes- The pow- dered antimony and pumice-stone are to be tied in separate pieces of rag, and boiled along with the other ingredients." This last decoction is reckoned to be the genuine Lisbon diet drink, whose qualities have been the subject of so much encomium. Deco'ctum ma'i,vm compo'situm, De- coctum fro enemate. Decodum commmie pro clystere. Compound decoction of mal- lows. Take of mallows dried, an ounce ; chamomile flowers dried, half an ounce ; water, a pint. Boil for a quarter of an hour, and strain. A very excellent form for an emollient clyster. A variety of me- dicines may be added to answer particular indications. Deco'ctum meze'rei. See Decodum daphnes meserei. Deco'ctum papa'veris. Docodum pro fomento. Fetus communis. Decoction of poppy. Take of white poppy capsules bruised, "^W ; water, four pints. Boil for a quarter of an hour, and strain. This pre- paration possesses sedative and antiseptic properties, and may be directed with advan- tage in sphacelus, fee. Deco'ctum pro ene'mate. See Decoc- turn malvcB compositum. Deco'ctum pro fome'nto. See Decoc- ium pap averts. Deco'ctum que'rcus. Decoction of oak bark. Take of oak bark, ^j ; v/ater, two pints. Boil down to a pint, and strain. This astringent decoction has lately been added to the Lond. Pharm. and is chiefly used for external purposes. It is a good re- •medy in prolapsus ani, and may be used also in some cases as an injection. Deco'ctum sarsapari'll^. Decoction of sarsaparilla. Take of sarsaparilla root, sliced, §iv ; boiling water, four pints. Ma- cerate for four hours, in a vessel lightly covered, near the fire ; then take out the 36 sarsaparilla and bruise it. After it is bruised, put it again into the liquor, and macerate it in a similar manner for two hours more ; then boil it down to two pints, and strain. This decoction is much extolled by some practitioners, in phthisis, and to restore the strength after a long course of mercury. Deco'ctum sarsapari'll^ cojipo'situm. Compound decoction of sarsaparilla. Take of decoction of sarsaparilla, boiling, four pints ; sassafras root sliced, guaiacum wood shavings, liquorice root bruised, of each an ounce ; mezereon root bark, 3jjj. Boil for a quarter of an hour, and strain. The al- terative property of the compound is very great ; it is generally given after a course of mercury, where there have been nodes and indolent ulcerations, and with great benefit. The dose is from half a pint to a pint in twenty-four hours. Deco'ctum se'neg^. Decoction of se- nega. Take of senega root, gj ; water, two pints. Boil down to a pint, and strain. This is now first introduced into the Lond; Pharm. as being a useful medicine, espe- cially in affections of the lungs, attended with debility and inordinate secretion. Deco'ctum u'lmi. Decoction of elm bark. Take of fresh elm bark bruised, four ounces ; water, four pints. Boil down to two pints, and strain. This may be emplov- ed with great advantage as a collyi-ium "in chronic ophthalmia. It is given internally in some cutaneous eruptions. Deco'ctum vera'tri. See Decoctum, hellebori albi. Decolla'tio. (From «?eco??o, to behead.) The loss of a part of the skull. DECOMPOSITION. A separation of parts. See Aiialysis. Decortication. (From de, from, and cortex, bark.) The stripping of any thing of its bark, husk, or shell : thus almonds, and the like, are decorticated, that is, de- prived of their pellicle, when ordered for medicinal purposes. DECREPITATION. (From decre-po, to crackle.) A kind of crackling noise, which takes place in bodies when heated : it is pe- culiar to some kinds of salts ; as muriate of seda, &c. DECUSSATION. (From decutio, to di- vide.) When nerves or muscular fibres cross one another, they are said to decussate each other. Decusso'rium. (From decusso, to divide.) An instrument to depress the dura mater, after trepanning. Defensi'va. (From defendo, to preserve.) Cordial medicines, or such as resist infec- tion. DE'FERENS. (From defero, to convey ; because it conveys the semen to the vesi- culae seminales.) See Vas deferens. DEFLAGRATION. (From deflagro, to burn.) Calcination. A chemical term, chiefly employed to express the burnins: or 'DEL DEM eettJHg fire to any substance ; as nitre, s.ul- tic name of the consolida regalis. Calca- phur fcc. trippa. Many virtues are attributed to this DEFLUXiON. (From rfe^wo, to run off.) plant. Delphinium consolida ; nectariis mo- Befiuxio. A falling down of humours from nophyllis, caylesuhdiviso, oi IjmvidiViS,. The a superior to an inferior part. Many wri- ters mean nothing more by it than inflam- mation. DEGLUTITION. (From deglutio, to swallow down.) A natural action, by which the masticated bole or a fluid is con- flowers are bitter, and a water distilled from them is recommended in ophthalmia. The herb has been administered in calculous cases, obstructed menses, and visceral dis- eases. Delphi'nium staphisa'gkia. The sys- veyed from the mouth into the fauces, and tematic name of stavesacre. Staphisagria. from thence through the oesophagus into the Staphis. Pedicularia. Stavesacre. Del- stomach. phinuni staphisagria ; nectariis tetraphyllis De'gmus. (From cJ'^tKW, to bite.) A biting petalobrevioribns,foliispalmaiis,lobisobiusis, pain in the orifice of the stomach. of Linnasus. The seeds, which are the only DEIDIER, Akthony, was son of a sur- parts directed for medicinal use, are usually o-eon of Montpelier. Having graduated in imported here from Italy ; they are large, medicine in 1691, he was six years after made rough, of an irregular triangular figure, and professor of chemistry. In 1732, being ap- of a blackish colour on the outside, but pointed physician to the Galleys, he went yellowish within ,; their smell is disagree- to Marseilles, where he died in 1746. He able, and somewhat fetid ; to the taste they published, among many other works on dif- are very bitter, acrid, and nauseous. It was ferent branches of medicine, " Experiments formerly employed as a masticatory, but is on the Bile, and the Bodies of those who now confined to external use, in some kinds died of the Plague," which occurred while of cutaneous eruptions, but more especially he was at Marseilles. He states that he for destroying lice and other insects ; hence tried mercurial inunctions, but they had no by the vulgar it is called louse-wort, effect on the disease. There are three De'lphys. AiKipvg. The uteras, or puden- volumes of consultations and observations dum muliebre. by him deserving of perusal. The rest of De'lta. (The Greek letter, A.) The his works are scarcely now refen-ed to. external pudendum muliebre is so called, Deje'ctio alvi'ka. Discharge of excre- from the triangular shape of its hair. ment by stool. DELTOI'DES. (From ^iXTct, the Greek Dejecto'ria. (From dejicio, to cast out.) letter A, and nSo?, a likeness ; shaped like Purging medicines. the Greek delta.) Sous-acro-mio-clavi-hu- Deino'sis. (From Suvgco, to exaggerate.) meral of Dumas. A muscle of the supe- An enlargement of the supercilia. rior extremity, situated on the shoulder. i^ Delachrymati'va. (From de, and la- It arises exactly opposite to the trapezius, chryma, a tear.) Medicines Avhich dry the from one-third part of the clavicle, from eyes, first purging them of tears. the acromion and spine of the scapula, Dela'psio. (From rfe?a6o?-, to slip down.) and is inserted, tendinous, into the middle A falling down of the anus, uterus, or intes- of the os humeri, w'hich bone it lifts up di- tjnes. rectly ; and it assists with the supraspinatus DELETERIOUS. (Dekterins : from and coracobrachialis in all the actions of ff«xsa', to hurt or injure.) Those substances the humerus, except the depression ; it are so called which are of a poisonous being convenient that the arm should be nature. raised and sustained, in order to its moving DELIQUESCENCE. Deliquation, or the on any side, gradual melting down of crystallized salts, Deme'ktia. (From de, and mens, wlth- from exposure to the air. out mind.) Madness. Delirium. Absence. Deli'^uiuh a'nibii. ( Deliquium ; fvom of intellect. delingv.o, to leave.) See Syncope. DEMULCENTS. (Deimdceniia, sc. vie- DELI'RIUM. (From deliro, to rave.) A dicamenta ; from demulcto, to soften.) Me- febrile symptom, consisting in the persons dicines suited to obviate and prevent the acting or talking unreasonably. It is to be action of acrid and stimulant matters ; and carefully distinguished from an alienation that not by correcting or changing their of the mind, without fever. acrimony, but by involving it in a mild and Deloca'tio. (From de, from, and locus, viscid matter, which prevents it from acting a place.) A dislocation, or putting any part upon the sensible parts of our bodies, or by out of its proper place. covering the surface exposed to their ac- DELFHl'NIUM. (From ^ix^r.'c?, the dol- tion. phiu.) Larkspur ; so called from the like- Where these substances are directly ap- ness of its Sower to the dolphin's head, plied to the parts affected, it is easy to per- The name of a genus of plants in the Lin- ceive how benefit maybe derived from their naean system. Class, Folyandria. Order, application. But where they are received Trigynia. by the medium of the stomach, into the cir- Dr.LpniSnuM ^on'^o'ltpa. The svstpuia- firlBtip':; svsrem. it l'ia,s been supposed that DEiV DEP 2S3 lliey can be of no utility, as they must lose tiiat viscidity oa which their lubricating qua- lity depends. Hence it has been concluded that they can be of no service in gonorrhoea, and some similar affections. It is certain, however, says J. Murray, in his Elements of Materia Medica and Pharmacy, that many substances which undergo the process of di- gestion are aftewards separated, in their entire state, from the blood, by particular secreting organs, especially by the kidneys ; and it lis possible, that mucilaginous sub- stances, wliich are the principal demulcents, may be separated in this manner. There «an be no doubt, however, but that a great share of the relief demulcents afford, in irritation or inflammation of the urinary passages, is owing to the large quantities of water in which they are diffused, by which the urine is rendered less stimulating from dilution. In general, demulcents may be considered merely as substances less stimu- lating than the fluids usually applied. Catarrh, diarrhcea, dysentery, calculus, and gonorrhosa, are the diseases in which demul- cents are employed. As they are medicines of no great power, they may be taken in as large quantities as the stomach can bear. The particular demulcents may be re- duced to the two divisions of mucilages and expressed oils. The principal demulcents are, the acacia vera, astragalus, tragacantha, linum usitatissimura, althaea officinalis, mal- va sylvestris, glycyrrhiza glabra, cycas cir- cinalis, orchis mascula, maranta arundina- cea, triticum hybernum, ichthyocolja, olea Europaja, amygdalus communis, cetaceum, and cera. Dendroli'banus. (From JivJpov, a tree, and oxiCxvog, frankincense.) The herb rose- mary, or frankincense-tree. DENS. (Dens, -lis, m. Quasi edens ; from edo, to eat, or from o6w;, oJovlog.) A tooth. See Teeth. Many herbs have this specific name, from their fancied resemblance to the tooth of some animal ; as dovs leonis, the dandelion ; dens canis, dog's tooth, he. Dens leonis. See Leontodon Taraxa- cum. Denta'gra. (Deniagra, oJovruypu. : from cER BES the skull are forced inwards by fEactuFe, they are said to be depressed. DEPRESSOR. (From deprimo, to press down.) Several muscles are so termed, be- cause they depress the part on which they act. Depre'ssor a'l^ na'si. See Depressor labii superiorii alizque nasi. DEPRESSOR A'NGULI ORIS. Triangularis of Winslow. Depressor labio- rum communis of Douglas. Depressor labio- rum of Cowper. Sous-viaxillo-labial of Dumas. A muscle of the mouth and lip, situated below the under lip. It arises, broad and fleshy, from the lower edge of the lower jaw, near the chin; and is in- serted into the angle of the mouth, which it pulls dowuAvards. DEPRESSOR LABII INFERIO'RIS. Quadralus of Winslow. Depressor labii inferioris proprius oi Douglas and Cowper. Mentonier labial of Dumas. A muscle of the mouth and lip, that pulls the under lip and skin of the side of the chin downwards, aud a little outwards. DEPRESSOR LABII SUPERIO'RIS ALjE'QUE NA'SI. Depressor alee, nasi of Albinus. Incisivus medius of AVinslow. Depressor labii superioris prop7'ius of Douglas. Constrictores alarum 7iasi, ac depressores labii superioris of Cowper. Maxilloalveoli nasal of Dumas. A muscle of the mouth and lip, situated above the mouth, that draws the upper lip and ala nasi downwards and backwards. It arises, thin and fleshy, from the superior maxillary bone, immediately above the joining of the gums, with the two incisor teeth and cuspidatus ; from thence it runs upwards, and is inserted into the upper lip and root of the ala of the nose. DePRE'sSORLa'bU SUPERIO'rIS PRO'PRIUS. See Depressor labii superioris alceqiie nasi. Depre'ssor labio'rum commu'njs. See Depressor angidi oris. Depre'ssor o'culi. See Redus inferior oculi. De'primens. See Rectus inferior oculi. Depura'stia. (From depuro, to make clean.) Medicines which evacuate impurities. DEPURATION. The freeing a liquor or solid body from its foulness. Depurato'rius. (From de, and purus, pure.) It is applied to fevers, which termi- nate in perspiration. De'ris. (Aiii; : from ciipm, to excoriate.) The skin. DERIVATION. (From derivo, to drain off.) The doctrines of derivation and revulsion, talked of by the ancients, are now, in their sense of the terms, Avholly exploded. Derivation means the drawing away any disease from its oi'iginal seat to another part. De'rma. (As^/ust.) The skin. Dermato'des. (From Js^^jt, skin, and sfuof, a likeness.) Resembling skin, or lea- ther, in its consistence. It is applied to the d:.Ti-a mater. DERMATOLO'GIA. (From Ji^ju^^, the skin, and M-yo;, a discourse.) A dis- course or treatise on the skin. De'rtron. (From J«;/c, skin.) The omentum, or peritonaeum, is so named, from its skin-like consistence. DESAULT, Peter, was a native of Bourdeaux, where he graduated, and be- came distinguished as a practitioner in me- dicine about the beginning of the last cen- tury. He was author of some popular and useful dissertations on medical subjects. In syphilis he maintained that a cure could be effected without salivation ; and in calculous complaints by the patient drinking the Bare- ges water, this being also injected into the bladder ; but it probably merely palliated the symptoms. He exposed also some of the prevailing errors concerning hydrophobia ; as that the patient barked like a dog, and had a propensity to bite ais attendants. The precise period of his death is not men- tioned. DESAULT, Peter Joseph, was chief surgeon to. the H6tel-Dieu at Paris. He published several numbers of a surgical journal in 1791, fee; also jointly with M. Chopart, in 1794, " A Treatise on Chirm'- gical Diseases, and the Operations required in their Cure ;" which is allowed to have considerable merit. He attended the young King of France, Lewis XVII., in the Tem- ple ; and died under suspicious circumstan- ces shortly before his royal patient in 1795- Descenso'rium. (From descendo, to move downwards.) A vessel in which the distilla- tion by descent is performed. Desce'nsus. (From descendo, to move downwards.) The same chemists call it a distillation per descensum, by descent, when the fire is applied at the top and round the vessel, whose orifice is at the bottom. DESICCATI'VA. (From desicco, to dry up.) Such medicines as, being applied outwardly, dry up the humours and moist- ure running from a wound. Desipie'ntia. (From desipio, to dote.) A defect of reason. Symptomatic phrenzy. De'she. (From ^ia>, to bind up.) A ban- dage, or ligature. Desrii'dion. (From J'icr/un, a handful.) A small bundle, or little bandage. De'smos. (From Jea, to bind up.) A bandage. An inflammatory stricture of a joint, after luxation. DESPUMATION. (From despumo, to clarify.) The clarifying- a fluid, or sepa- rating its foul part from it. DESQUAMATION. (From desquamo, to scale off.) The separating of lamina?, or scales, from a bone. Exfoliation. Desquamato'kiusi. (From desquamo, to scale ofi".) A trepan, or instrument, to take a piece out of the skull. Destilla'tios. See Dislillation. Desuda'tio. (From desudo, to sweat much.) An unnatural and morbid sweatin?-. DIA VL\ 285 Dete'ntio. (From deiineo, to slop, or hinder.) Epilepsy is so called, froai the suddenness with which the patient is seized. DETERGENTS. (From detergo, to wipe away.) Medicines which cleanse and remove sach viscid humours as adhere to and obstruct the vessels. Also such appli- cations as clear away foulness from ulcers. DETONATION. (From detono, to make a noise.) Explosion. Detra'ctor. (From detraho, to draw.) Applied to a muscle, whose office is to draw the part to which it is attached. De'trahens quadra'tus. See Flatysma myoidts. DETRU'SOR URI'N^. (From detrudo, to thrust out.) The name of a muscle whose office is to squeeze out the urine. The muscular coat of the urinary bladder was formerly so called. Deu'teri. (From S'sfliooi, second ; be- cause it is discharged next after the fcetus.) The secundines, or after-birth. Deuteropa'thia. (From S^iulipoc, second, and 'o-uSog, a suffering.) An affection or suf- fering by , consent, where a second part .suffers, from consent, with the part origin- ally affected, as where the stomach is dis- turbed through a wound in the head. DEVENTER, Henry, was born in Hol- land, towards the end of the 17th century. He took a degree in medicine, but his prac- tice was principally in surgery, and at last almost confined to midwifery. He distin- guished himself much by his improvements in this art, as well as by his mechani- cal inventions for obviating deformities in children. He publishgd some obstetrical works several years prior to his death, which occurred in 1739; after which appeared a Treatise on the Rickets in his native lan- guage, of which Haller makes favourable mention. DeviVs dung. See Ferula assafcetida. Diabe'bus. (From (TwCsoOioa), to strength- en ; so called, as affording the chief support to the foot.) The ankle-bone. DIABE'TES. (From J^m, through, and i2Mva>, to pass.) An immoderate flow of tirinc. A genus of disease in the class neu- roses, and order spasmi of Cullen. There are two species of this complaint : 1. Dia- betes insipidus, in which there is a super- abundant discharge of limpid urine, of its usual urinary taste. 2. Diabetes mellitus, in which the urine is very sweet, and contains a great quantity of sugar. Great thirst, with a voracious appetite, gradual emaciation of the whole body, and a frequent discharge of urine, containing a large proportion of sac- charine and other matter, which is voided in a quantity even exceeding that of the aliment or fluid introduced, are the characteristics of this disease. Those of a shattered con- stitution, and those who are in the decline of life, are most subject to its attacks. It not unfrequently attends on hysteria, hypochon- driasis, dyspepsia, and asthma ; but it is always much milder when symptomatic, than when it appears as a primary affection. Diabetes may be occasioned by the use of strong diuretic medicines, intemperance of life, and hard drinking ; excess in venery, severe evacuations, or by any thing that tends to produce an impoverished state of the blood, or general debility. It has, how- ever, taken place in many instances, with- out any obvious cause. That which immediately gives rise to the disease, has ever been considered asobscm'e, and various theories have been advanced on the occasion. It has been usual to consider diabetes as the effect of relaxation of the kidneys, or as depending on a general colli- quation of the fluids. Dr. Richter, pro- fessor of medicine in the university of Goet- tingen, supposes the disease to be generally of a spasmodic nature, occasioned by a sti- mulus acting on the kidneys ; hence asecretio uucta urinm, and sometimes perversa, is the consequence. Dr. Darwin thinks that it is owing to an inverted action of the urinary branch of the lymphatics ; which doctrine, although it did not escape the censure of the best anatomists and experienced physiolo gists, met, nevertheless, with a very favour- able reception, on its being first announced. The late Dr. Cullen offered it as his opinion, that the proximate cause of this disease might be some fault in the assimila- tory powers, or in those employed in con- verting alimentary matters into the proper animal fluids, which theory has since beer; adopted by Dr. Dobson, and still later by Dr. Rollo, surgeon-general to the royal artillery. The liver has been thought, by some, to be the chief source of the disease; but diabetes is hardly ever attended with any affection of this organ , as has been proved by frequent dissections; and when observed, it is to be considered as acci- dental, Tiie primary seat of the disease is, how- ever, far from being absolutely determined in favour of any hypothesis yet advanced ; and, from the most attentive consideration of all the circumstances, the weight of evi- dence appears to induce the majority of practitioners to consider diabetes as de- pending on a primary affection of the kidneys. Diabetes sometimes comes on slowly and imperceptibly, without any previous dis- order ; and it now and then arises to a con- siderable degree, and subsists long without being accompanied with evident disorder in any particular part of the system ; the great thirst which always, and the voracious appetite which frequently occur in it, be- ing often the only remarkable symptoms; but it more generally happens, that^a con- siderable affection of the stomach precedes the coming on of the disease ; and that, in its progress, besides the symptoms already t>IA mA ihentioned, there is a great dryness in the skin, with a sense of weight in the kidneys, and a pain in the ureters, and the other uri- nary passages. Under a long continuance of the disease, the body becomes much emaciated, the feet cedematous, great debility arises, the pulse is frequent and small, and an obscure fever, with^all the appearance of hectic, prevails. The urine in diabetes, from being at first insipid, clear, and colourless, soon ac- quires a sweetish or saccharine taste, its leading characteristic : and, when sub- jected to experiment, a considerable quan- tity of saccharine matter is to ^be extracted from it. In some instances, the quantity of urine is much greater than can be accounted for from all the sources united. Cases are re- -corded, in Avhich 25 to 30 pints were dis- <;liarged in the space of a natural day, for many successive weeks, and even months ; and in which the whole ingesta, as was said, did not amount to, half (he weight of the urine. To account for this overplus, it has been alleged that water is absorbed from tlie air by the surface of the body ; as also that a quantity of water is compounded in the lungs themselves. Dissections of diabetes have usuallyshown the kidneys to be much affected. In some instances, they have been found in a loose iJabby state, much enlarged in size, and of a pale ash colour ; in others, they have been discovered much more vascular than in a healthy state, approaching a good deal to what takes place in inflammation, and containing, in their infundibula, a quantity of whitish fluid, somewhat resembling pus, but without any sign of ulceration whatever. At the same time that these appearances have been observed in thei» interior, the veins on their surface were found to be much fuller of blood than usual, form- ing a most beautiful net-woi'k of vessels, the larger branches of which exhibited an absorbent appearance. In many cases of dissection, the whole of the mysentery has been discovered to be much diseased, and its glands remarkably enlarged ; some of them being very hard, and of an irregular texture ; others softer, and of an uniform spherical shape. Many of the lacteals have likewise been seen considerably enlarged. The liver, pancreas, spleen, and stomach, are in general perceived to be in a natural state ; Vtfhen they are not so, the occurrence is to be considered as accidental. The blad- der, in many cases, is found to contain a considerable quantity of muddy urine. A great variety of remedies has been pro- posed for this disease ; but their success is generally precarious, or only temporary, at least in the mellitic form of the complaint. The treatment has been generally conducted on the principles of determining the fluids to other outlets, particularly tlie skin, and of increasing the tone of the kidneys. Dia- phoretics are certainly very proper remeditfj especially the combination of opium with ipecacuanha, or antimonials, assisted by the warm bath, suitable clothing, and perhaps i-emoval to a milder climate : in the insipid -form of diabetes, this plan has sometimes effected a cure ; and it appears that the large use of opium has even the power of correcting, for the time, the saccharine qua- lity of the urine. Cathartics are hardly of service, farther than to keep the bowels regular. Tonics are generally indicated by obvious marks of debility ; and if the patient be troubled with acidity in the primffi vise, alkaline medicines will be properly joined with them, preferring those which have no diuretic power. Astringents have been highly extolled by some practitioners, but do not appear likely to avail, except those which pass oflf by the urine, as uva ursi ; or the milder stimulants, which can be directed to the kidneys, as copaiba. Sic. may correct the laxity of those organs, if the disease de- pend on this cause. The tinctura lyttte must be used with great caution, and its efficacy is not well established : and blisters to the loins can only be useful as counter-irritants, though not the most suitable. Frequent friction, especially over the kidneys, wearing a tight belt, and gentle exercise, may assist the recovery of the patient ; and when the function of the skin is restored, using the bath gradually of a lower temperature, will tend greatly to obviate its suppression after- wards. It is likewise highly important to regulate the diet, especially in the mellitic diabetes. Dr. Rollo first pointed out the advantage derivedfrom restrictingthe patient to a diet principally of animal food, avoiding especially those vegetables which might af- ford saccharine matter, the urine becoming thereby of a more healthy quality, and di- minishing in quantity : but unfortunately the benefit appears but temporary, and the plan is not persevered in without distress to the patient. The same gentleman recommended also the sulphuret of potash, and still more the hydrosulphuret of ammonia ; but they are very nauseous medicines^ and of doubt- ful efficacy. Another plan of treating the disease has been more recently proposed, namely, by bleeding, and other antiphlogis- tic measures ; and some cases of its success have been recorded : but farther experience is certainly required, before we should be justified in relying much upon it. Diabe'tes hyste'ricds. Large discharge of urine in hysterical women. Dia'bolus metallo'rum. Tin. Diabo'tanum. (From S'm, and ^orctvn, a herb.) A plaster made of herbs. Diaca'dmias. (From Sta., and jiscT/zw, cadmia.) The name of a plaster whose basis is cadmia. DIA DIA 2^'i Diacalami'nthes. (From J^a, andaaX^- ^fl'9«, calamint.) The name of an antidole, whose chief ingredient is calamint. Diaca'kcinum. (From (fw!-, the_ laurel-tree.) A drawing-plaster in which were bay-berries. DiADEJiA. (From imSne, to surround.) A diadem or bandage to put round the head. Diade'xis. (From A/x^a.\ce, to in- terrupt.) An intermission. Also a space left between a bandage. Diali'banum. (From tf^a, and x/fav:'/, frankincense.) A medicine in which frank- incense is a chief ingredient. Dia'loes. (From S'ia, and aAc«, the aloe.) A medicine chiefly composed of aloes. Dialthjj'a. (From cf/a, and axbcua., the mallow.) An ointment composed chiefly of mallows. DIA'LYSIS. (From Sttt>.vce, to dis- solve.) A solution of continuity, or a de- struction of parts. DIA'LYSES. (An order in the class locales of Cullen's nosology. Dialy'tica. (From uia.).-ju, to dissolve.) Medicines which heal wounds and fractures. Diamargari'ton. (From dia., and /jutp- yafiltQ, pearl.) An antidote in which pearls are the chief ingredient. DiAMAssE'iiiA. (From J/a, and iy.io-crofj.at, to chew.) A masticatory, or substance put into the mouth and chewed to excite a dis- charge of the saliva. Dia'mbra. (From ^ta., and Ay.Cp^, am- ber.) An aromatic composition in which ■vvas ambergris. Diame'lon. (From om, and ^«?.cv, a quince. A composition in which ai-e quinces. DiAMi'syos. (From oi«, and /JLio-v, misy.) A composition in which misy is an ingredient. DIAMOND. The diamond, which was well known to the ancients, is principally found in the western peninsula of India, on the coast of Coromandel, in the king- doms of Golconda and Visapour, in the island of Borneo, and in the Brazils. They are generally found bedded in yel- low ochre, or in rocks of free-stone, cr quartz, and sometimes in the beds of run- ning waters. When taken out of the earth, they are incrusted with an exterior earthy covering, under which is another, consisting of carbonate of lime. In the Brazils, it is supposed that dia- monds might be obtained in greater quanti- ties than at preset, if the sufficient working of the diamond-mines was not prohibited, in order to prevent that diminution of their commercial value, which a greater abun- dance of them might occasion. Brazilian diamonds are, in commercial estimation, inferior to the oriental ones. In the rough, diamonds are worth two pounds sterling the carat, or four grains, provided they are without blemish. The expense of cutting and polishing amounts to about four pounds more. The value however is far above what is now stated when they become considerable in size. The usual method of calculating the value of diamonds is b}- squaring the number 'if carats, and then m'Jitiplying the amount by the price of a single carat : thus sup- posing one carat to be 21. a diamond of 8 carats is worth 128/. being 8K8X2. The famous Pigot diamond weighs 18S l-8th grains. Physical Properties of Diamond. Diamond is always crystallized, but some- times so imperfectly, that at first sight it might appear amorphous. The figure of diamond, when perfect, is an eight-sided prism. There are also cubical, flat, and round diacaonds. It is the oriental diamond which crystallizes into octohedra, and ex- hibits all the varieties of this primitive figure. The diamond of Brazil crystallizes into dodecahedra. The texture of the diamond islamellated, for it may be split or cleft with an instru- ment of Avell-tempered steel, bj"^ a swift blow in a particular direction. There are however some diamonds which do not ap- pear to be formed of lamince, but of twisted and interwoven fibres, like those of knots in wood. These exceed the others gi'eatly in hardness, they cannot be cut or polished, and are therefore called by the lapidaries diamonds of nature. The diamond is one of the hardest bodies known. It resists the mosthighly-tempered steel file, which circumstance renders it necessary to attack it with diamond powder. It takes an equisite and lasting polish. It has a great refractive power, and hence its lustre, when cut into the form of a regular solid, is uncommonly great. The usual colour of diamonds is a light gray, often inclining to yellow, at times lemon colour, violet, or black, seldomer rose-red, and still more rarely green or blue, but more fre- quently pale brown. The purest diamonds are perfectly transparent. The coulourless diamond has a specific gravity which is in proportion to that of water as 3.512 to 1.000, according to Brisson. This varies however considerably. When rubbed it becomes positively electric, even before it has been cut by the lapidary. Diamond is not acted upon by acids, or ,by any chemical agent, oxygen excepted ; and this requires a very great increase of temperature to produce any effect. The diamond burns by a strong heat, with a sensible flame, like other combustible bodies, attracting oxygen, and becoming wholly converted into carbonic acid gas during that process. It combines with iron by fusion, and con- verts it, like common charcoal, into steel ; but diamond requires a much higher tempe- rature for its combustion than common char- coal does, and even then it consumes but slowly, and ceases to burn the instant its temperature is lowered. It is considered by modern chemists as pure crystallised carbon. See Carbon. Diamo'ron. (From cl/:t, and /Mepov, a mulberry.^ A preparation of mulberries. DIA DIA 28» DiAMo'scHUM. (From Jia, and fA.i, to through.) A purging. It is distinguished preserve.) Medicines which resist putrefac- by frequent stools with the natural excre- tion or prevent infection. ment, not contagious, and seldom attended Dia'physis. (From J'w^yft), to divide.) An with pyrexia. It is a genus of disease in interstice or partition between the joints. the class neuroses, and order spasmi of Cul- DiAPissELiE'uM. (From (T/ot, and OTs-ijsxaiov, len, containing the following species the oil of pitch, or liquid pitch.) A compo sition in which is liquid pitch. Dia'plasis. (From Jia^rKaitrace, to put to- gether.) The replacing a luxated or frac- tured bone in its proper situation. 1. Diarrhoea crapulosa. The feculent diarrhoea, from crapuhis, one who overloads his sto- mach. 2. Diarrhcea biliosa. The bilious, from an increased secretion of bile. 3. Diarrhcea mucosa. The mucous, from a Diapla'sma. (From 6ix7rKcif/ut, to dis- pose.) Any particular state of the body : thus, in inflammatory fever, there is an inflamma- tory diathesis, and during putrid fever, a pu- trid diathesis. Diathe'smus. (From SiaBea, to run through.) A rupture through which some fluid escapes. DiATRAGACA'NTHtJM. (From Sm, and rpn- y»Kav9a., tragacanth.) A medicine composed of gum-tragacanth. Dia'trium. (From J^ia, and Ipu;, three.) A medicine comjjosed of three simple in- gredients. Diaxyla'loics. (From cT/a, and ^uKaxoi, the lignum aloes.) A medicine in which is lignum aloes. Diazo'ma. (From S'la^amv/ui, to surround ; because it surrounds the cavity of the tho- rax.) The diaphragm. DiAZo'sTEK. (From J/alavi'i/^/, to surround; because when the body is girded, the belt usually lies upon it.) A name of the twelfth vertebra of the back. Dicente'tcm. (From cTw, and }t.iilia>, to stimulate.) A pungent stimulating colly- rium. Dichaste'res. (From J'i%a.^ai, to divide, because they divide the food.) A name of the foreteeth. Dichophy'ia. (From Six^, double, and ?u», to grow.) A distemper of the hairs, in which they split and grow forked. DlCliOl'IC. (Dicroticu^, sc. pulsus; from tl/c, twice, aod kkuu, to strike.) A term given to a pulse in which the artery rebounds after striking, so as to convey the sensation of a double pulsation. Dictamni'tes. (From (r/x7*^voc, dhtany.) A wine medicated with diilany. DICTA'MNUS. (From Dictamnm, a city iQ Crete, on whose mountains it grows.) The name of a genus of plants in the Linnjean system. Class, Decandria. Order Monogy- nia. Dittany. Dicta'mnus a'lbus. White fraxinella, or bastard dittany. Fraxinella. Didamnus alhus; foliis pinnatis, caule simplici, of Lin- nfflus. The root of this plant is the part directed for medicinal use ; when fresh, it has a moderately strong, not disagreeable smell. Formerly it was much used as a stomachic, tonic, and alexipharmic, and was supposed to be a medicine of much efficacy in removing uterine obstructions and de- stroying worms ; but its medicinal powers became so little regarded by modern physi- cians, that it had almost entirely fallen into disuse, till Baron Stoerck brought it into notice, by publishing several cases of its success, viz. in tertian intermittents, worms (lumbrici,) and menstrual suppressions. In all these cases, he employed the powdered root to the extent of a scruple twice a-day. He also made use of a tincture, prepared of two ounces of the fresh root digested in 14 ounces of spirit of wine ; of this 20 to 50 drops two or three times a-day, were success- fully employed in epilepsies, and, when joined with steel, this root, we are told, was of great service to chlorolic patients. The dictamnus undoubtedly, says Dr. Woodville, is a medicine of considerable power; but notwithstanding the account of it given by Stoerck, who seems to have paid little atten- tion to its modus operandi, we may still say with Haller " nondum autem vires pro dig7ii- tate exploraius es/," and it is now fallen into disuse. Dicta'mnus cre'ticus. See Origanum didamnus. DiBYnm'A. (From itS'u/ji.cQ, double.) A cataplasm ; so called by Galen, from the double use to which he put it. Di'dymi. (From S'lSvy.oi;, double.) Twins. An old name of the testicles, and two emi- nences of the brain, from their double pro- tuberance. Diecbo'lium. (From J";*, and iKQaKKw, to cast out.) A medicine causing an abor- tion. Diele'ctrok. (From Sict, and ikuClfiov, am- ber.) A name of a troche, in which amber is an ingredient. DIEMERBROECK, Isbrand, was born near Utrecht, in 1609. After graduating at Angers, he went to Nimegiien in 1636, and for some years continued freely attend- ing those, who were ill of the plague, which raged with great violence, and of which he subsequently published an account. This obtained him much credit ; and in 1642, he was made professor extraordinary in me- dicine at Utrecht; when he gave lectures on that subject, as well as on anatomy, which rendered hrm very popular. He re- ceived al o other distinctions at that univer- sity, and continued in high esteem till his mQ DIG 293 death in 1674. He was author besides of a system of anatomy, and several other works in medicine and surgery ; part of which were published after his death by his son, especially his treatise on the measles and small-pox. Diervi'lla. (Named in honour of Mr. Dierville, who first brought it from Arcadia.) See Lonicera diervilla. DIET. DioBta. The dietetic part of medicine is no inconsiderable branch, and seems to require a much greater share of regard than it commonly meets with. A great variety of diseases might be removed by the observance of a proper diet and regimen, without the assistance of medi- cine, were it not for the impatience of the sufferers. However, it may on all occa- sions come in as a proper assistant to the cure, which sometimes cannot be performed without a due observance of the non natu- rals. That food is, in general, thought the best and most conducive to long life, which is most simple, pure, and free from irrita- ting qualities, and such as approaches near- est to the nature of our own bodies in ^a healthy state, or is cajiable of being easiest converted into their substa;ice by the vis vitae, after it has been duly prepared by the art of cookery ; but the nature, composition, virtues, and uses of particular aliments can never be learnt to satisfaction, without the assistance of practical chemistry. DIET DRINK. An alterative decoc- tion employed daily in considerable quanti- ties, at least from a pint to a quart. The decoction of sarsaparilla and mezereon, the Lisbon diet drink, is the most common and most useful. DIETETICS. That part of medicine which considers the way of living with relation to food, or diet, suitable to any particular case. DiExoDos. (From Jist, and i^oJoc, a way to pass out.) Diodos. In Hippocrates it means evacuation by stool. DiFFLA rio. (From difflo, to blow away.) Perspir-.^iion. DIGA'STRICUS. (Digaslricus, sc. muse. from c)if, twice, and ysta-Tit^, a belly.) BivenUr maxillce of Albinus. Mantoido- hygeiiien of Dumas. A muscle so called from its having two bellies, situated exter- nally between the lower jaw and os hyoides. Jt arises by a fleshy belly, from the upper part of the processus mastoideus, and de- scending, it contracts into a round tendon, which passes through the stylohyoideus, and an annular ligament which is fasiened to the OS hyoides : then it grows fleshy again, and ascends towards the middle of the edge of the lower jaw, where it is inserted. Its use is to open the mouth by pulling the lower jaw downwards and backwards ; and when the jaws are shut, to raise the larynx, and consequently the pharynx, upwards, as in deglutition. Digere'ntja. (From digero, to digest.) Medicines which promote the secretion of proper pus in wounds and ulcers. DIGESTION. [Digestio, from digero, to dissolve.) 1. An operation in which such matters as are intended to act slowly on each other, are exposed to a slow heat, continued for some time. 2. The change that the food undergoes in the stomach, by which it is converted into chyme. The circumstances necessary to effect a healthy digestion of the food are, 1. A certain degree of heat of the stomach. 2. A free mixture of saliva with the food in the mouth. 3. A certain quan- tity of healthy gastric juice. 4. The na- tural peristaltic motion of the stomach. 5. The pressure of the contraction and re- laxation of the abdominal muscles and dia- phragm. From these circumstances, the particles of the food are softened, dissolved, diluted, and intimately mixed into a soft pap, called chyme, which passes through the pylorus of the stomach into the duo- denum. The fluid, which is termed gastric juice, is separated by the minute arteries opening into the cavity of the stomach. See Gastric Juice. From various experi- ments of physiologists, it is ascertained that the gastric juice reduces the aliments into an uniform pap or paste, even out of the body ; that it acts in the same manner after death ; and that it is the chief agent in the process of digestion. Animals only are invested with organs of digestion ; every one, from man to the poly- pus, presents an alimentary canal differently formed ; the existence of a digestive appa- ratus, then, could be given as an essential character of animal life. In man, this consists of a long canal extending from the mouth to the anus, into which open the excretory ducts of various glands, situated in the vicinity, that secrete liquors, neces- sary to alter, liquefy, and animalise alimen- tary matter. It would be nseless to recapitulate the hypotheses formed to explain digestion ; they may be reduced to cociion, fermenta- tion, trituration, 'putrefaction, and maceration of the food received into the cavity of the stomach. Physiologists are generally agreed, at present, in considering digestion in the stomach as a solution of the aliment by the gastric juice. This liquid, copiously poured on the internal surface of the sto- mach, when this viscus is irritated by the presence of food, is the production of ar- terial exhalation ; it is neither an acid nor alkali, and seems to be of a nature nearly analogous to saliva ; the gastric juice pos- sessing great solvent properties, penetrates into the alimentary matter on all sides, separates and divides its particles, combines with if, changes its composition, and im- presses qualities very different from those 594 DIG DIG it possessed before this mixture. In fact, if a mouthful of wine or food be returned from the stomach some minutes after it has been received, the odour, taste, and all the qualities, both physical and cbemical, of these substances, are so altered, that we can with difficulty distinguish them ; and vinous liquors, more or less acid, are no longer susceptible of spirituous fermentation. The energy of ti^e power of the gastic juice, perhaps exaggerated by some physiologists, is sufficient to reduce to a soft mass the hardest bones, on which certain animals subsist : it is very probable that its chemical composilion is different and variable, and that it is acid, alkaline, or saponaceous, according to the nature of the aliment. Although gastric juice is the most powerful agent of digestion in the stomach, i(s dis- solvent power has need of assistance from the action of several secondary causes, as heat which seems to augment and concen- trate itself in the epigastric region. So long as the exertion of the stomach continues, there is a sort of intestine fermentation, which should not however be, in the full sense, compared to the motion by which fer- mentative and putrescent substances are de- composed ; there is also a moderats and peristaltic motion of the muscular fibres of the stomach which press the aliment on all sides, and perform a slight trituration; while the gastric moisture softens and macerates the food before it is dissolved ; if may then be affirmed that the process of digestion is at the same time chemical, vital, and me- chanical ; the authors, therefore, of various theories to explain this function, have erred by attributing to one cause only, as heat, fermentation, putrefaction, irituration, ma- ceration, and the gastric juice, that which is the aggregate result of all those causes united. The aliment remains a greater or less lime in the stomach, agreeably to the facility or difficulty of the necessary changes taking place. Gosse, of Geneva, has proved on himself, that the animal and vegetable fibre, the white of an egg boiled, white and ten- dinous parts, paste kneaded with butter, sebaceous substances, and those things which are not fermented, or very little fermentative, make greater resistance to the gastric juice, than the gelatinous "parts of vegetables and animals, fermented bread, Sic. that the latter class of substances require only an hour for their complete dissolution, while the diges- tion of the former was not completed at the end of several hours. During the time of digestion, both orifices of the stomach are closed ; no gas, disen- gaged from the aliment, ascends through ihe oesophagus, unless in cases of bad di- gestion : slight chills are felt ; the pulse becomes quicker and stronger, and the pow- ers of life seem diminished in some organs, to be carried to the seat of the digestive process. The parietes of the siomach sooli; begin to act : their circular fibres contract in different parts of its extent ; these peri- staltic oscillations, at first vague and uncer- tain, become more regular, and are directed from above downwards, from left to right, that is, from the cardia towards the pylorus ; its longitudinal fibres also contract, and thus approximate both terminations. In these different motions, the stomach becomes pa- rallel with the pylorus, and the angle formed by the duodenum is almost totally oblitera- ted, which renders the passage of food easier. It has been remarked, that digestion proceeds better during sleep, when we lie on the right side than on the left, and this difference has been attributed to the compression made by the liver on the stomach. It should rather be considered, that on the right side, the passage of food is accelerated by its own gravity, the situation of the stomach is natu- rally oblique, from left to right, and becomes more so in consequence of changes induced by food. The aperture of the pylorus is furnished with a muscular ring, covered by a dupli- cature of mucous membrane ; this kind of sphincter keeps it closed during the time of digestion in the stomach, and does not give passage to the aliment until it has undergone a very material alteration. The pylorus, possessing a peculiar and extremely delicate sensibility, may be considered as a sort of vigilant sentinel, that prevents any thing from passing that has not suffered proper changes. Many authors quoted by Haller, have been well aware that the food did not pass from the stomach successively in the same manner as it was received, but agree- ably to its greater or less facility of diges- tion. It would appear that there is a real se- lection of food in the stomach, for those aliments that admit of an easy digestion are directed towards the pylorus, which gives passage to them : while, on the contrary, such as are not sufficiently digested are not permitted to pass, but kept back in the sto- mach. This delicate feeling, which we at- tribute to the pylorus ; this exquisite sense, by which it exerts a kind of choice on the food that passes through, may be perhaps objected to; pieces of money, however, or other extraneous indigestible bodies, remain a longer or shorter time in the stomach be- fore they go into the intestines, and present themselves several different times at the orifice of the pylorus, and do not get through till after it has been accustomed to their contact. It is the same with the gastric sys- tem as whh a secreting gland ; and in the same manner the commencement of excre- tory ducts, possessed of a sort of elective sensibility do not receive the secreted liquor before it has undergone necessary prepara- tions in the glandular parenchyma ; so the pylorus, which may be considered the ex DIG DIG 295 cretory duct of the stoinacb; does not admit the food nor suffer it to pass into the intes- tines, until it has been sufficiently elabo- rated by the action of this organ. In proportion as the stomach becomes empty, tiie spasm of the skin ceases, a mo- derate heat succeeds the shiverings, the pulse becomes more evident and elevated, the quantity of insensible perspiration increases ; digestion then produces a genera! motion, analogous to a feverish paroxysm ; and this digestive fever, described also by the an- cients, is most easy to be observed in women of great sensibility. Nothing positive can be established on the duration of digestion in the stomach. The aliments go out of the stomach with more or less celerity, in pro- portion as they offer a greater or less resist- ance to those powers which serve to dissolve them, and agreeably to the energy and strength of the stomach and activity of the gastric juice ; five hours, however, may be considered the ordinary time of their pre- sence. The action of the parietes of the stomach ceases when this viscus is entirely liberated from the aliments that were in its cavity, but not before ; the gastric juice, the secretion of which is not augmented by any stimulus, is no longer poured out by its arteries ; and the parietes, which come into contact with each other, are only lubricated by the mucus copiously secreted by its internal coat. DIGESTIVES. {Digesliva, sc. tnedica- menta ; fi-om digero, to dissolve.) A term applied by surgeons to those substances which, when applied to an ulcer or wound, promote suppuration : such are the ceralum resincejlavce, unguenluin elemi, warm poul- tices, fomentations, &c. DiGESTi'vuM SAL sy'lvii. See Polassa Murias. DIGIT A'L I S. (From digitus, a fin- ger ; because its flower represents a finger.) l.The name of a genus of plants in the Linnaean system. Class, Didynamia. Ot- der, ^ngiospermia. Fox-glove. 2. The pharmacopoeial name of the com- mon fox-glove. See Digitalis purpurea. Digita'lis P0RPURKA. The systematic name of the fox-glove : — Digitalis calycinis foliolis ovatis acuiis, corollis oblusis, labia su- periore inlegro, of Linnaus. The leaves of this plant have a bitter nauseous taste, but no remarkable smell ; they have been long used externally to ulcers and scrofulous tumours with considerable advantage. When properly dried, their colour is'a lively green. They ought to be collected when the plant begins to blossom, to be dried quickly be- fore the fire, and preserved unpowdered. Of all the narcotics, digitalis is that which diminishes most powerfully the actions of the system ; and it does so without occasioning any previous excitement. Even in the most moderate dose, it diminishes the force and frequency of the pulse, and, in a large dose,^ reduces it to a great extent, as from 70 beats to 40 or 35 in a minute, occasioning, at the same time, vertigo, indistinct vision, violent and durable sickness, with vomiting. In a still larger quantity, it induces convul- sions, coldness of the body, and insensibility ; symptoms which have sometimes terminated fatally. As a narcotic, fo-s-glove has been recommended in epilepsy, insanity, and in some acute inflammatory diseases. Lately it has been very extensively employed in phthisis, and the beneficial effects which it produces in that disease, are probably owing to its narcotic power, by which it reduces the force of the circulation through the lungs and general system. It is administered so as to produce this effect. One grain of the powdered leaves, or ten drops of the satu- rated tincture, may be given night and morning. This dose is increased one half every second day, till its action on the sys- tem becomes apparent. As soon as the pulse begins to be diminished, the increase of dose must be made with more caution ; and, whenever nausea is induced, it ought rather to be reduced, or, if necessary, intermitted for a short time. If the sickness become urgent, it is best relieved by stimulants, par- ticularly large doses of brandy, with aro- matics. The tincture has been supposed to be the best form of administering digitalis, when the remedy is designed to act as a narcotic : it is also more manageable in its dose, and more uniform in its strength, than the dried leaves. Besides its narcotic effects, digitalis acts as one of the most certain diuretics in drop- sy, apparently from its power of promoting absorption. It has frequently succeeded where the other diuretics have failed. Dr. Withering has an undoubted claim to this discovery ; and the numei-ous cases of drop- sy related by him, and other practitioners of established reputation, afford incontestible evidence of its diuretic powers, and of its practical importance in the cure of those disorders. From Dr. Withering's extensive experience of the use of the digitalis in dropsies, he has been able to judge of its success by the following circumstances : — : "It seldom succeeds in men of great natu- ral strength, of tense fibre, of warm skin, of florid complexion, or in those Avith a tight and cordy pulse. If the belly in as- cites be tense, hard, and circumscribed, or the limbs in anasarca solid and resisting, we have but little hope. On the contrary, if the pulse be feeble, or intermitting, the countenance pale, the lips livid, the skin cold, the swollen belly soft and fluctuating, the anasarcous limbs readily pitting under the pressure of the finger, we may expect the diuretic effects to follow in a kindly man- ner." Of the inferences which he deduces, the fourth is, " that if it (digitalis) fails, there is but little chance of any other medicine 296 DIG DIO succeeding." Although the digitalis is now generally admitted to be a very powerful diuretic, yet it is but justice to acknowledge that this medicine has more frequently failed than could have been reasonably expected from a comparison of the facts slated by Dr. Withering. The dose of the dried leaves in powder, is from one to three grains twice a d£^y. But if a liquid medicine be pre- ferred, a drachm of the dried leaves is to be infused for four hours, in halt a pint of boiling water, adding to the strained liquor an ounce of any spirituous water. One ounce of this infusion, given twice a day, is a medium dose. It is to be continued in these doses till it either acts upon the kid- neys, the stomach, the pulse, (which, as has been said, it has a remarkable power of low- ering,) or the bowels. The administration of this remedy re- quire.s to be conducted with much caution. Its effects do not immediately appear ; and when the doses are too frequeat, or too quickly augmented, its action is concentrated so as to produce frequently the most violent symptoms. The general rules are, to begin with a small dose, to increase it gradually, till the action is apparent on the kidneys, stomach, intestines, or vascular system ; and immediately suspending its exhibition, when its effects on any of these parts take place. The symptoms arising from too large. a doie of digitalis are, extreme sickness, ver- tigo, indistinct vision, incessant vomiting, and a great reduction of the force of the circulation, terminating sometimes in syn- cope, or convulsions. They are relieved by frequent and small doses of opium, brandy, aromatics, and strong bitters, and by a blister applied to the region of the sto- mach. Digi'tium. (From digitus, a finger.) A contraction of the finger-joint. A parony- chia, or whitlow, or other sore, upon the finger. DI'GITUS. (From digero, to direct.) A finger. Di'gitus ma'nus. a finger. The fingers and thumb in each hand consist of fourteen bones, there being three to each finger, and two to the thumb ; they are a little convex and round towards the back of the hand, but hollow and plain towards the palm, except the last, where the nails are. The order of their disposition is called first, second, and third phalanx. The first is longer than the second, and the second longer than the third. What has been said of the fingers, applies to the toes also. Di'gitus pe'dis. A toe. See Digitus manus. DiGLo'ssuM. (From 61;, double, and yxuo-irct, a tongue ; so called because above its leaf there grows a lesser leaf, like two tongues.) The laurus Alexandrina. Galen speaks of a man born with two tongues. DiGNo'Tio. (From dignosco, to distin- guish.) See Diagnosis. DiHa;'MATON. (From S'tet, and eufnt, blood.) An antidote in which is the blood of many animals. Diha'lon. (From tfiA, and ctxc, salt.) A plaster prepared with salt and nitre, adapted to foul ulcers. Dii'PETEs. (From Zsuc, ^loc. Heaven, and tsnyfio), to fall : i. e. falliugas rain.) An epithet applied by Hippocrates to semen, when it is discharged like a sudden shower of rain. DiLATATio. (From dilato, to enlarge.) Dilatation, or enlargement. Diastole. DILA'TOK. (From dilato, to enlarge.) The name of some muscles whose office is to open and enlarge parts. Dilato'res ala'rcm ^A'sI. See Levator labii superioris. Dilato'rium. (From dilato, to enlarge.) A surgical instrument for enlarging any part. A speculum oris. Dill. See Anelhum. DILUENTS. {Diluenlia, so. medica- menta ; from diluo, to wash away.) Those substances which increase the proportion of fluid in the blood. It is evident that this must be done by watery liquors. Water is, indeed, properly speaking, the only diluent. Various additions are made to it, to render it pleasant, and frequently to give it a slightly demulcent quality. But these are not sufficiently important to require to be noticed, or to be classed as medicines. Diluents are merely secondary remedies. They are given in acute inflammatory dis- eases, to lessen the stimulant quality of the blood. They are used to promote the action of diuretics in dropsy, and to favour the operation of sweating. Di'nica. (From li'tvo;, giddiness.) Me- dicines which relieve a giddiness. Di'nos. (From S'tvio), to turn round.) A vertigo, or giddiness. Dio'cRES. The name of a lozenge. Di'oDos. (From S'm, and ctfo?, the way through.) Evacuation by stool. Dicesa'nthes. (From J/a, and otvavdu, the flower of the vine.) A remedy said to be good for cholera, in which was the flower of the vine-tree. Dio'gmus. (From S'ioikm, to persecute.) A distressing palpitation of the heart. DIONIS, Peter, was born about the middle of the 17th century, and educated to the practice of surgery. He was appointed to read the lectures in anatomy, &c. in the royal gardens at Paris, instituted by Lewis XIV., and after this, surgeon to the queen, and other branches of the royal family, which offices he held, with great credit, to his death in 1718. His first publication gave an account of a woman who died in the sixth month of pregnancy, of what he con- sidered to be a ruptured uterus : but as he states that there were tvvo uteri, it is sus- pacted that the ruptured part Ivas one of the fallopian tubes much enlarged. He afterwards gave a useful epitome of anato- my, which was very favourably received, passed through several editions, and was even translated into the Tartar language, by order of the Emperor of China. His next work, a course of surgical operations, ob- tained still more celebrity, which it even now in some degree retains, especially as commented upon by Heister. Besides these, a dissertation on sudden death, and a trea- tise on midwifery, were published by this author. DioNYSi'scus. (From Aosition of which there are vetches. DioRRHo'sis. (From \orivm ; from dispendo, to distribute.) Mntidotarium. A book which treats of the composition of medicines. DISSE'CTION. (From disseco, to cut asunder.) The cutting to pieces of any part of an animal, or vegetalyle, for the purpose of examining its structure. Dis.-k'ptum. (From dissepio, to enclose round.) The diaphragm, or membrane, which divides the cavity of the thorax from the abdomen. Dissolve'ntia. (From dissolvo, toloosen.) Medicines which loosen and dissolve morbid concretions in the body. . In chemistry, it means menstrua. Dissolu'tos. (From dissolvo, to loosen.) Loose. An epithet applied to the dysentery, or niorbus dissolulus. Diste'ntio. (From distendo, to stretch out.) Distention, or dilatation. A con- vulsion. DisTi'cHiA, See Dislichiasis. DiSilCHl'ASIS. (From fiartxta.: from cT/;, double, and rtx.'^) a row. {Districhiasis. Disiichia. A disease of the eyelash, in which there is a double row of hairs, the one row growing outwards, the other inwards towards the eye. DISTILLATION. (From dislillo, to drop Utile by little.) Alsacta. Caiastagmos. A chemical process, very similar to evapora- tion, instituted to separate the volatile from the fixed principles, by means of heat. Distillatory vessels are either alembics or retorts ; the former consist of an inferior vessel, called a cucurbit, designed to contain the matter to be examined, and having an upper part fixed to it, called the capital, or head. In this last, the vapours are conden- sed by the contact of the surrounding air, or, in other cases, by the assistance of cold water surrounding the head, and contained in a vessel called the refrigeratory. From the lower part of the capital proceeds a tube, called the nose, beak, or spout, through which the vapours, after condensation, are, by a proper figure of the capital, made to flow into a vessel called the receiver, which is usually spherical. These receivers have diff"erent names, according to their figure, being called mattrasses, balloons, &c. Re- torts are a kind of bottle of. glass, pottery, or metal, the bottom being spherical, and the upper part gradually diminishing into a neck, which is turned on one side. PlSTO'RTiON, (¥vovs\distorqueo,\ found any of them very efficacious. The semen daucisylvestris has been commended as a diuretic ; but its powers as such are not very remarkable. In like manner some of \heplant(E stellatce have been commended as diuretics; but none of them deserve our notice, except the rubia tinctorium, the root of which passes so much by the kidneys, as to give its colour to the urine. Hence it may fairly be supposed to stimulate the se- cretories ; but Dr. Cullen found its diuretic powers did not always appear, and never to any considerable degree ; and as, in brute animals, it has always appeared hurtful to the system, he does not think it fit to be employed to any extent in human diseases. The bardana, lilhospermum, ononis, aspara- gus, enula campana, are all substances which seem to pass, in some measure, by the kid- neys ; but their diuretic powers are hardlv worth notice. The principal articles included by Dr. Cul- len, in his catalogue of diuretics, are dulcB- mara, digitalis, scilla; some of the ailiacea} and siliquosee ; the balsams and resins ; can- tharides, and the diuretic salts. Divapora'tio. Evaporation. Divarication. The crossing of any two things : thus when the muscular or tendinous fibres intersect each other at different angles, they are said to divaricate. ' Divekso'rium. (From'divnsor. fo resort^ to'.") The recep;?c!?!!!T!j t'^vH liOi) DPfc POB. DIVEKTrCULUM. A mairormation or nion.) An opinion founded on reason and diseased a|)pearanc.e of a pari, in which a experience. port ion goes out of (he regular course; and DO'LICllOS. (From J'oxi^oc, long: so ihereby forms a diverticulum, or deviation called from its long shape.) 1. The name from the usual course. It is generally ap- of a genus of plants in the Linnaean system, plied to the alinienlary canal. Class,. Diadelphia. Order, Decandria. DivEHTi'cuLUM Ntj'cKii. The opening 2. The pharmacopceial name of the covv- tbrough which the round ligaments of the hage. See Dolichos pruriens. uterns pass. IS'uck asserted (hat it remained Do'lichos so'ja. The plant which af- open a long time after birth; to these open- fords (he soy. It is much cultivated in Ja- ings he gave the name of diverticula. pan, where it is called daidsu : and where Divi'nus. a pompous epithet of many the pods supply their kitchens with various compositions, from their supposed eicel- productions ; but tlae two principal are, a lence. sort of butter, termed miso, and a pickle Divu'lsio. (From divello, to pull asun- called sooju. der.) Urine vvitl) a ragged and uneven sedi- Do'lichos pru'riens. The systematic ment. name of (he cowhage. Doliclios. Dolichos DociMASTic ART. Ars docimaslica. The pnirkns;volubilis,legumi7nbusracemosis,val- art of examining fossils, in order to discover vulis sabcarinalis hirtis, pedunculis Itrnis, oi what metals, Sic. they contain. Linnicus. The pods of this plant are co- Dock cresses. See Lapsann. vered with sharp hairs, which are the parts Dock, sour. See Riimex aceiosa. employed medicinailyin form of electuary, as Dock, water. See Rumex hydrolapal/ium. anthelmintics. The manner in which these Dodder of Ihipne. See Vuscula epilhy- hairy spicula act, seems to be purely mechani- rtium. <;al : (or neither the tincture, nor the decoc- DoDitCAi a'ctvlus. (from Jjixfeiio,. twelve, tion, possesses (he least anthelmintic power, and SeuiluAoi, a finger ; so named because its Do'lok facie'i. See Tic douloureux. length is about the breadth of twelve fin- DOKO'MCUM. (From doro'agi, Arab.) gers.) The duodenum, an intestine so called. Leopard's bane. See Jlrnica. It must be observed, that a( the time (his Doko'nicum geuma'nicum. See Arnica. name was given anatomy consisted in (he Doro'nicum pardalia'nches. Ths sys- disseclion of bru(e3;and the length was tematic name of the Roman leopard's bane, (ht'refore probably adjudged from the gut of See Doronicum romanum. some aiiim«I, ntid not" of man. Doro'nicum roma'num. Roman leopard's Dodecapha'rmacum. (From J'uJiKa, bane. Doronicum f)ardalia7ickes ; fuliis cor- twelve, and ^*p/x«jiiv, a n)edicine.) Anoint- datis, oblusis, denliculalis ; radicalibus pttio- ment consisting of twelve ingredients, for laiis ; eaulinis amplexicaulibus, of Linnaeus, which reason it was called the ointment of The root of this plant, if given in a full dose, the twelve apostles. possesses poi-sonous properties; but instances DoDKCATHEON. (From cTaJ'ati, twelve, are related of its efficacy in epileplical and and IStt/xi, to put.) An antidote consisting other nervous diseases, of twelve simples. PO'RSAL. Belonging to the back. DODONtI'.US, Kembertus, (or Dodo- Dorsa'lesne'bvi. The nerves which pass ENS,) was born at Mechlin in J517. He out from the vertebrffi of the back, became pliysician to two succeeding em- Do'rsi spina 'lis. See Sphtalis dorsi. perors, and in 1582 was appointed professor DOKSTE'NIA. (Named in honour of Dr. of physic in the newly-founded iJniversity Dorsten.) The name of a genus of plants in of Leyden; the duties of which he per- the Linna3an system. Class Tetrandria. Or- formed with credit till his death three years der, Monogynia. after. His fame at |)resent chiefly rests on Dorste'nia contraye'rva. The syste- his botanical publications, [jarticularly ids matic name of the plant which affords the '' Pem)ilades," or 80 books uf the hist or}' of conlrayerva root. Contrayerva. Drakena. plants. The " Frngum Historia," '• Meiba- Cyperus longus, odorus, peruanus. Bezoardica rium Belgicum," &ic. are of much inferior radix. merit. The contrayerva was first brought into Dog-rose. See Rosa canlna. Europe about the year 1581, by Sir Francis Dog's hane, Svkian. This plant, M- Drake, whence its name Drakena. It is clipias Syriaca of Linnaeus, is particularly the root of a small plant found in Peru, poisonous to dogs, and also to the human and other parts of the Spanish West Indies. species. Boiling appears to destroy the Dr Houston observes, that the roots of poison in (lie young shoots, which are then different species of dorstenia are promis- said to be esculent, and flavoured like aspa- cuously gathered and exported for those of ragus, the contrayerva, and, as all the species bear Dog's-grass. See Trlticum repens. a great resemblance to each other, they are Dog's-mercury. See Alercurialis perennis. generally used for medical purposes in this Dog-stones. See Orchis mascula. country. The tuberous parts oi these roots DO'GMA. (From tfoww, to be of opt- are the strongestj and should be chosen for DOij DRA 301 wstj. They have, an agreeable aromatic smell; a rough bitter, penetrating taste; and when chewed, they give out a sweetish kind of acrimony. It is diaphoretic and antiseptic ; formerly used in low nervous fevers, and those of the malignant kind; though taken treely,it does not produce much heat. It is, however, now seldom used, though, with the Peru- vian bark in decoction, it is occasionally employed in ulcerated sore throats, as a gargle. Dr. Culien observes, that this and ser- pentaria are powerful stimulants ; and both have been employed in fevers in which de- bility prevailed. However, he thinks, wine may always supersede the stimulant powers of these medicines ; and that debility is bet- ter remedied by the tonic and antiseptic powers of cold and Peruvian bark, than by any stimulants. By the assistance of heat, both spirit and water extract all its yirtues ; but they carry little or nothing in distillation ; extracts made by inspissating the decoction, retain all the virtues of the root. The London College forms the com{)ound powder of contrayerva by combining five ounces of contrayerva root with a pound and a half of prepared shells. This pow- der was formerly made up in ball?, and called lapis contrayerva, emjiloyed in the decline of ardent fevers, and through the whole course of low and nervous ones. The radix serpentaria; virginiensis, in all cases, may be substituted for the contra- yerva. Dorste'nia Drake'na. The syslemaliu name for one sort of the contrayerva. Dorste'nia Hoosto'nh. See Dorstenia contrayerva. Do'thien. a name for the furunculus. Dove'ri pu'lvis. See Pubis ipecacuanha; cemposiius. Duvt's fool. The geranium columbi- nura. DOUGLAS, James, M. D. was born in Scotland in 1676. After completing his education, he came to London, and applied himself diligently to the study of anatomy and surgery, which he both taught and prac- tised several years with success. Haller has spoken very highly of his preparations, to showthe motionsof the joints, and the struc- ture of the bones. H(f patronized the cele- brated William Hunter; who a.ssisled him .shortly before his death in 1742. He was leader of Anatomy to the Company of Sur- geons, and a Fellow of the Royal Society, to which he made several communications. He published, in 1707, a more correct de- scription of the muscles than had before appeared ; eight years after, a tolerable ac- count of preceding anatomical writers ; in 1726, a History of the lateral Operation for the Stone ; and in 1730, a verj' accurate Description of the Peritoneum, &c. DOUGLAS, John, brother of the pre- ceding, was surgeon to the Westminster In- firmary, and author of several controversial pieces In one of them, called " Remarks on a late pompous Work," he censures, with no small degree of severity, CheseFden's Anatomy of the Bones ; in another, he cri- ticises, with equal asperity, the works of Chamberlen and Chapman ; and in a third, he decries the new forceps of Dr. Smellie, He also wrote a w-ork on the high operation for the stone, which he practised ; a Disser- tation on the Venereal Disease ; and an Account of the Efficacy of Bark in stopping gangrene. DRA'BA, (From Sfxaa-ce, to seize ; so called from its sudden effect upon the nose of those who eat it.) 1. The name of a genus of plants in the Linnsean system. Class, Teir adynamia. Order, Siliculosa. 2. A name of the lepidium, or Arabian mustard, and Turkey cresses. Dra'co sylve'stris. See Achillea Plar- 7J lie fit DRACOCE'PHALUM. (From J>axa.ip a dragon, aad mi^Ahn, a head.) The name of a genus of plants in the Linnaean sys- tem. Cldss, Didynamia. Order, Gymnosper- mia. Dkacoce'phalum canarie'nse. The syte- matic name of the balm of Gilead. Molda- vica. Melissa Turcica. Turkey-balsam. Ca- nary balsam. Bal.sam of Gilead. This plant, Diacocephalum moldavica ; Jloribus verlicel- latis, bradeis lanceolatis,serraluris capillaceis of Linnaeus, affords a fragrant essential oil,, by distillation, known in Germany by the iiameof oleuynsyricE. The whole herb abounds with an aromatic smell, and an agreeable taste, joined with an aromatic flavour ; it is recommended to give tone to the stomach and nervous system. Draconis sa'nguis. See Calamus ro- tarig. Draco'ntium. (From cTpajc^v, a dragon ; so called because its roots resemble a dra- gon's tail.) See .Srum dracunculus. DRACU'NCULUS. (From S^p^mv, a serpent.) The Guinea worm ; called also vermiculus capillaris. These animalcules are common in both Indies, in most parts of Africa, occasionally at Genoa, and other hot countries. These worms resemble the common worm, but are much larger; com- monly found in the legs, but sometimes in the muscular part of the arras. They prin- cipally affect children, and their generation is not unlike that of the broad worms of the belly; hence their name tape-worm. While they move under the skin, they creatp no trouble; but, in length of time, the place near the dracunculus suppurates, and the animal puts forth its head. If it be drawn, it excites considerable uneasiness, especially if drawn so forcibly as to break it; for the part left within creates intolerable piain. 30:2 DKO mic Thesa worms are of different lengtiis. Jnthe Edin. Med. Essays, mention is made of one that was three yards and a half in length. Dr.4.saca'ktha. See Asiragalus. Dragant gum. See .Astragalus. Dragon's blood. See Calamus rotang. Dragon's wort. See Arum dracunculus. DRAKE, James, M. D. Fellow of the College of Physicians, and of 'the Royal So- ciety, published, in 1707, "A new System of Anatomy;" which, though taken princi- pally from Cowper, being on a reduced plan, and more within the reach of students, was pretty favourably received. In the third edition, it was styled " Anthropologia Nova." In abscesses, of the antrum masillare, he advised drawing one of the molar teeth, fo let out the matter. The description of the internal nostrils, and of the cavities entering them, is new ; as are also the plates of the abdominal viscera. Drahf.'na. See Dorsienia conlrayerva. DRA'STICA. (Drasiica, sc. medicamenia, cSfistcrTDco!, active, brisk ; from tice his previous resolution of giving his pro> fessional services only gratuitously ; in whicia he steadily persevered during the remaining sixteen years of his life, though in 1721 he lost the third part of his property by tije South-sea scheme. Dung, devil's. See Ferula asafalida. Duo. (At;*, two.) Some compositiobs consisting of two ingredients, are distin- guished by this term, as piiulae ex duobus.; DUODE'NUM. (From duodenus, cc|n- sisting of twelve ; so called because it vyas supposed not to exceed the breadth of twelve fingers; but as the ancients dissected only animals, this does not hold good in the hu- man subject.) The first portion of the small intestines. See Intedines. j Duplica'na. (From duplex, double.) A name of the double tertian fever. j DU'KA MA'TER. (From durus, hardj and mater, a mother ; called dura, y-om its comparative hardness with the pia m\iter, and mater, from its being supposed t0 be the source of all the other membranes.) Dura mejiinx. Dermalodes. A thick and somewhat opaque and insensible membrane, formed of two layers, that surrounds and defends the brain, and adheres strongly to the internal surface of the cranium. It has three considerable processes, the falci- form, the tentorium, and the septum cere- belli; and several sinuses, of which the longitudinal, lateral, and inferior longitudinal, are the {)rii)cipal. Upon the external suifface of the dura mater, there are little boles, from which emerge fleshy-coloured pai;ill», and which, upon examining the skull-cap^ will be found to have corresponding foveae. These are the external glaadulas Pacchioni, They are in number from ten to fifteen on each side, and are chiefly lateral to the course of the longituJinal sinus. The ar- teries which supply this membrane with vessels for its own nourishment, for tlijat of the contiguous bone, and for the perpetual exudation of the fluid, or halitus rather, which moistens or bedews its internal sur- face, may be divided into anterior, middle, and posterior. The first proceeds frora the ophthalmic and ethmoidal branches; the second from the internal ma&illary and su-. perior pharyngeal; the posterior frors the occipital and vertebral arteries. The principal artery of the dura mater, named, by way of distinction, the great ar- tery of the dura mater, is derived froiji the internal maxillary ortery, a branch <^ the S04 BYS DY-B external carotid. It is called the Spiaalis, or spheno-spinalis, from its {passing into the head through the spinous hole of the sphenoid bone, or meninga media, from its relative situation, as it arises in the great middle fossa of the skull. This artery, though if sometimes enters the skull in two branches, usually enters in one considerable branch, and divides, soon after it reaches the dura mater, into three or four branches, of which the anterior is the largest ; and these spread their ramifications beautifully wpon the dura mater, over all that part which is opposite to the anterior, middle, and posterior lobes of the brain. Its larger 'trunks run upon the internal surface of the parietal bone, and are sometimes for a con- siderable space buried in its substance. The extreme branches of this artery extend so as Jc inosculate with the anterior and posterior arteries of the dura mater; and through the l)ones, (chiefly parietal and temporal bones,) they inosculate with the temporal and occipital arteries. The meningeal artery has been known to become aneurismal, Bnd distended at intervals; it has formed an aneurism, destroying the bones, and causing epBepsy. Do'ra me'ninx. Before the time of Ga- len, the term meninx was common to all the membranes of the body ; afterw ards it was appropriated to those of the brain. See Dura mater. JDwale. See Atropa belladonna. Dwarf, elder. See Sambucus ebulus. Dyo'ta. (From , two, and ouj, oi]o;, an ear.) A chemical instrument with two ears, or handles. DYS.S:STHE'SIA. (From Jt;?, difficulty, and aiirBeLvofxau, to feel or perceive.) Impair- ed feeling. DYSjESTHE'SI^. An order in the clas3, locales of Dr. Cu lien's Nosology, containing those diseases, in which the senses are depraved, or destroyed, from a defect of the external organs. Dvsanago'gos. ("From ¥S DYS 305 povesj the Wood is (hereby thiovvn from biit when they are more moderate, it is the exterior vessels upon the interior, so as often protracted to a considerable length oi to give rise to dysenteries. time, and so goes off at last by a gentle An attack of dysentery is sometimes pre- perspiration, diffused equally over the whole ceded by loss of appetite, eostiveness, fla- body ; the fever, thirst, and griping then tulency, sickness at the stomach, and a ceasing, and the stools becoming of a natu- slight vomiting, and comes on with slight ral colour and consistence. When the dis- chills, succeeded by heat in the skin, and ense is of long standing, and has hecomL> frei^uency of the pulse. These symptoms habitual, it seldom admits of an easy cure : are in general the forerunners of the griping and when it attacks a person iahourino- and increased evacuations which afterwards under an advanced stage of scurvy, or pnl- occur. monary consumption, or whose constitution When the inflammation begins to occupy has been much impaired by any other dis- the lower part of the intestinal tube, the order, it is sure to prove fatal. It sometimes stools become more frequent, and less appears at the same time with autumnal abundant ; and, in passing through the in- intermittent and remittent fevers, as has been flamed parts, they occasion great pain, so observed, and is then more complicated and that every evacuation is preceded by a difScultto remove, severe griping, as also a rumbling noise. Upon opening the bodies of those -who The motions vary both in colour and con- die of dysentery, the internal coat of (he sistence, being sometimes composed of intestines (but more parliculary of the colon frothy mucus, streaked with blood, and at and rectum) appears to be affected with other times of an acrid watery humour, inflammation and its consequences, such as Hike the washings of meat, and with a very ulceration, gangrene, and contractions, fetid smell. Sometimes pure blood is void- The peritonseum and other coverings of (he ed ; BOW and then lumps of coagulated abdomen, seem likewise, in many instances, snucus, resembling bits of cheese, are to be to be affected by inflammation, observed in the evacuations, and in some in- In the treatment of the acute dysentery, stances a quantity ofpiu'ulent matter is passed, when not arising from contagion, but at- Sometimes what is voided consists merely tended by considerable pyrexia and pain, of a mucous matter, without any appear- in persons of a strong and full habit, it will ance of blood, exhibiting that disease which be right to commence by a moderate vente- is known by the name of dysenteria alba, section ; but in general leeches to the ab- or morbus mucosus. domen will abstract a sufficient quantity|Of Whilst the stools consist of these various blood, followed by fomentations, or (he matters, and are voided frequently, it is warm bath, which may produce a powerful seldom that we can perceive any natural determination to the surface as well as coun- faeces among them, and when we do, they teract spasm; also blisters or rubefacients appear in small hard balls, called scybala, should not be neglected. With regard to which being passed, the patient is sure to internal remedies, a brisk emetic will often experience some temporary relief from the be adviseable, particularly where the tongue griping and tenesmus. is very foul, the stomach loaded, or marks It frequently happens, from the violent of congestion in the liver appear : it mav efforts which are made to discharge the also by inducing diaphoresis materially irritating matters, that a portion of the gut check the violence of the symptoms, nav is forced beyond the verge of the anus, sometimes cut short the disease at once. which, in the progress of the disease, The next object is effectually to clear out proves a troublesome and distressing symp- the bowels : for which purpose calomel, torn ; as does likewise the tenesmus, there joined with opium in quantity snfBcient to being a constant inclination to go to stool, relieve the pain may be given, and followed without the ability of voiding any thing, up by castor oil, neutral salts, &,c. till they except perhaps a little mucus. operate. In the mean time mucilaginous More or less pyrexia usually attends with demulcents may help to moderate the irri- the symptoms which have been described, tation. When the bowels have been tho- throughout the whole of the disease, where roughly evacuated, it will be important (o it is inclined to terminate fatally ; and is procure a steady determination to the sur- either of an inflammatory or putrid ten- face, and the compound powder of ipeca- dency. In other cases, the febrile state cuanha is perhaps the best medicine ; as- whoUy disappears after a time, while the sisted by warm clothing, friction, exercise, properdysenteric symptoms probably will be &c. Should the liver not perform its office of long continuance. Hence the distinction properly, the continued use of mercury into acute and chronic dysentery. maybe necessary; to restore the strength, When the symptoms run high, produce and relieve dyspeptic symptoms, tonics and great loss of strength, and are accompanied antacids will be useful, with a mild nutri- with a putrid tendency and a fetid and in- tious diet; and great care must be taken voluntary discharge, the disease often ter- to obviate accumulation of faeces. In the niinates fatally in the course of a few days ; chronic form of (he disea:ie: demulcents and 39 306 DYS DYS sedatives niay be freely eiupioycd by the a great length of time, without any aggra- mouth or in the form of clyster ; the bowels vation or remission of the symptoms, may be occasionally relieved by rhubarb, Great grief and uneasiness of mind, in- or other mild aperient ; mercury should be tense study, profuse evacuations, excess ia cauliouily employed, where the discharge venery, hard drinking, particularly of spi- of bile is indicated, or if that cannot be rituous liquors, and of tea, tobacco, opium, borne, nitric acid may be tried ; and besides and other narcotics, immoderate repletion, great attention to regimen, as in the decline and over distention of the stomach, a de- of acute dysentery, mild astringents, with ficiency in the secretion of the bile, or tonics, fee. may contribute materially to the gastric juice, and the being much exposed recovery of the patient. to moist and cold air, when without exer- DrsEPULo'Ticus. (From Jj/c, with diffi- cise, are the causes which usually occasion culty, and iTrvxcn, to cicatrize.) Dysepu- dyspepsia. lotus. An inveterate ulcer difficult to be A long train of nervous symptoms gene- healed, rally attend on this disease, such as a loss Bysh^morrho'is. (From Jt/c, with dif- of appetite, nausea, heart-burn, ilatulency, ficulty. and ci/uc^poi;, the piles.) Suppres- acid, foetid, or nidorous eructations, a sion of bleeding piles. gnawing in the stomach when empty, a DYSLO'CHIA. (From Jt/c, difficulty, sense of constriction and uneasiness in the and ?.c^ict, the lochia.) A suppression of throat, with pain in the side, or sternum, the lochia. so that the patient at times can only lay on DYSMENORRH.E'A. (From ovc, with his right side; great costiveness, habitual difficulty, and fj.nvcpcioia, the menses.) A chilliness, paleness of the countenance, Ian- difficult or painful menstruation, accompa- guor, unwillingness to move about, low- nied with severe pains in the back, loins, and ness of spirits, palpitations, and disturbed bottom of the belly. sleep. Dvso'des. (From Ju;, bad, and c^a;, to The number of these symptoms varies in smeli.) A bad smell. Fcstid. Hippocrates different cases, with some, being felt only in applies it to a fcetid disorder of the small part; in others, being accompanied even intestines. Also the name of a malagraa with additional ones, equally unpleasant, and acopon in Galen and Paulus JEgineta. such as severe transient pains in the head DYSO'PIA. (From W'\x. Cerxmien avrium, A waxy secretion found in the meatus auditorios externus, into whicii it is separated by the glands around that canal. Eaton's styptic. French brandy highly impregnated with calcined green vitriol. A remedy for checking hasmorrhages. Eau-ie-luce. See Spiriius ammonies succinalus. Eau-de-rabel. This is composed of one part of sulphurous acid to three of rectified spirit of wine. It is much used in France, when diluted, in the cure of gonoirhceas, leucorrhcea, &.c. Ebel. The seeds of sage, or of juniper. Ebe'num. Indian ebony. It is supposed to be ophthalmic. Ebe'smech. a name in Langius for quicksilver. Ebi'scus. The hibiscus, or marsh mal- low. Ebriega'tum. (From ebrio, to be drunk.) By this term Paracelsus expresses loss of sense by drunkenness. Ebrieca'tum cffiLE'STE. By this term Paracelsus means (hat kind of enthusiasm which is affected by many heathen priests. Ebsemech. a name for quicksilver. EBULLITION. (From ebullio, to bub- ble up.) EbuUitio. Boiling. This consists in the change which a fluid undergoes from a state of liquidity to that of an elastic fluid, in consequence of the application of heat, which dilates and converts it into vapour. E'BULUS. (From ebullio, to make boil ; so called because of its supposed use in purifying the humours of the body.) See Sambucus ebulus. Ecbo'lica. (From iY.Qa.Kis.ai, to cast out.) Medicines which were formerly said to cause abortion. Ecbo'lios. (From m-Caxkon, to cast out.) Miscarriage. Ecbra'smata. (From szfoA^a;, to be very hot.) Ecchymata. Painful fiery pim- ples in the face, or surface of the body. Ecbra'smus. (From i:iCpx^ce, to become hot.) Fermentation. EcsyRso'MATA. (From nc, and Bufo-a., the skin.) Protuberances of the bones at (he joints, which appear through the skin. Eccatha'rtica. (From ixKxQatpce, (o purge outwards.) According to Gorraeus, eccathartics are medicines which open the pores of the skin ; but in general (hey are understood to be deobstruents. Sometimes expectorants are thus called, and also pur- gatives. Ecchylo'ma. (From nc, and x.vKo;,jaice.) An extract. Ecchy'mata. (From sy.;i(ya>, to pour out.) See Ecbrasmata. ECCHYMO'MA. CE^xv/^cey-^ : from si^^iw, to pour out.) Ecchymosis. Some- times called crustula and sugillatio. Ex- travasation. A black and blue swelling, either from a bruise or spontaneous extra- 310 ECH ECP vasatlon of blood. A genus of disease ia the class locales, and order tumorcs of Cullen. EcchtiiIo'ma arteeio'sum. The false aneurism. EccHYMo'sis. See Ecchymoma. E'ccLisis. (From uutKivo), to turn aside.) A luxation or dislocation. E'ccoPE. (From iiiM7r]ci), to cut off.) The cutting off any part. Ecco'PEUs. (From mx-mlcc, to cut otf.) An ancient instrument, the raspatory, used in trepanning. Eccopro'tica. (From a:, and KCTrpo;, dung.) Opening medicines, whose opera- tion is very gentle j such as manna, senna, kc. Eccrirocri'tica. (From ai>ipivit>, to se- crete, and Kpim, to judge.) Judgments formed from the secretions. Eccrinolo'gia. Eccrinologlca. (From -cx.zppo), to secrete, and xoyo^, a discourse.) The doctrine of secretions. E'ccRisis. (From atzcjvai, to secrete.) A secretion of any kind. EccYMo'sis. See Ecchymoma. E'cDORA. (From iKJiou, to excoriate.) An excoriation : and particularly used for an excoriation of the urethra. Ecdo'ria. (From ix.Jipa>, to excoriate.) Medicines which excoriate and burn through the skin. EcHECo'LtoN. (From s^a;, to have, and y.iKXct, glue.) Echecollum. Any topical glutinous remedy. EcHETRo'sis. So Hippocrates calls the white briony. Echini'des. In Hippocrates it is men- tioned as what he used for purging the woml» with. EcHiKOPHTHi'tMiA. (From 5;^/i'£;;, a hedge-hog, and 0(pSa^A/ut*, an inflammation of the eye.) An infiammation of the hairy part of the eyelids, where the hairs bristle out like the quills of an echinus, or hedge- hog. Echikopo'dium. (From iyj\"^;, a hedge- hog, and TTou;, a foot ; so named because its flowers resemble the foot of an urchin.) A species of broom, or genista. Echi'nops. (From ^x.'''^^} ^^ beset with prickles.) Crocodilion. Acanlhalruca, Sea- biosa carduifolia. Sphcerocepkala elatior. Echinopus. Globe thistle. Echinops spfiee- rocephalus of Linnffius. It is raised in our gardens. The root and seeds are moderately diuretic, but not used. Ecui'kopcs. See Echinops. E'CHIUM. (From i^tg, a \iper; so called because it was said to heal the stings of vipers.) The name of a genus of plants in the Linncjan system. Class, Ftntandria. Order, Monogynia. Viper's bugloss. E'ckium iEcYPTi'AcuK. Wall bugloss : vulnerary, sudorific. E'cEos. (ii^/'^-, soiir.d.) In Hirinocrates it signifies the same as the tinnitus auriura or noise in the ears. E'cHYsis. (From i/ya, to pour out.. A fainting, or swooning. Ecla'mpsia. (From sx.^«ua-&;, to shine.) See Eclampsis. E C L A'M P S I S. (From iK>.ct./A7r&<, to shine.) Eclampsia. It signifies a splen- dour, brightness, elfiiigence, flashing of light, scintillation. It is a flashing light or those sparklings which strike the eyes of epileptic palients. Cojlius Aurelianus calls them circuit ignei, scintillations, or fiery circles. Though only a symptom of the epilepsy, Hippocrates puts it for epilepsy itself. Ecle'ctica. (From iM.Tya:, to seleci., Archigenes and some others selected from all other sects what appeared to them to be the best and mostralional ; hence they were called Eclectics, and their medicine Ecleclic jiiedicine. Ecle'ctos. (From a,Kuy_a>, to lick up.) A linctus, or soft medicine to be licked un. Ecle'gma. (From wae/;^;^, to lick.) 'is a form of medicine made by the incorpo- ration of oils with syrups, and which is to be taken upon a liquorice stick ; the same a? Liiicius. E'CLisis. (From szAf*, to dissolve.) A.n universal faintness. Ecma'gma. (From iKfAtta-a-m, to form together.) A m.ass of substances kneaded together. Ecpepie'menos. (From inTn^ai, to pi'sss out.) An epithet far ulcers with protubc- ratinglips. Ecphra'ctic. (From iK!ppAa-, to fall out.) 1. A luxation of a bone. 2. The exclusion of the secundines. 3. Speaking of corrupt parts, it signifies a falling off. 4. An hernia in the scrotum. 5. A falling down of the womb. Ecpy'cTiCA. (From iKTrvKa^u, to con- dense.) Incrassants. Medicines that render the fluids more solid. Ecpye'ma. (From i-t, and wov, pus.) A copious collection of pus or matter, from the suppuration of a tumour. Ecre'gma. (From iKj>»yvvfAt, to break.) A rupture. Ecre'xis. (From iKp»yvufAC, to break.) A rupture. Hippocrates expresses by it a rup- ture or laceration of the womb. Ecrhy'thmos. (From at, and pyS^oc, harmony.) A term applied to the pulse, and signifies that it is disorderly or irregu- lar. E'cROE. (From mpiai, to flow out.) An efflux, or the course by which any humour which requires purging is evacuated. Ecruelles. The French name for scro- fula. E'cRirsis. (From ac/issi), to flow out.) In Hippocrates it is an efflux of the semen be- fore it receives the conformation of a fcetus, and therefore is called an efflux, to distin- gui.sh it from abortion. Ecsarco'ma. (From m, and irpteoa-i; : from aClilfufioi)^ (o miscarry.) A miscarriage. Ectro'tica. (From exlilpcea-xai, to mis- carry. Edyrotica. Medicines which cause abortion. EcTYLo'TiCA. See Ectillotica. Ectvro'tica See Eriroiica. Ecze'ma. (From sk^sd, !o boil out.) Ec- sesma. A hot painful eruption, or pustule. Mr. Pearson calls the erythema mercurialcj, eczema mercuriale. Ede'lphus. Prognosis from the nature of elements. E'dera trifo'lia. The poisou-tree of America. E'des. a name for amber. Ede'ssenum. Pelarium. An eye-water of Iragacanth, arable, acacia, opium, &c. E'detz. Amber. E'dic. Edich. Edir. An old name for iron. E'dra. a fracture ; also the lower part of the rectum. Eddlcoea'ntia. (From edulco, to make sweet.) Edulcoranls. Sweeteners. Medi- cines which absorb the vicious humours of tfae body, sweeten the fluids, and deprive them of their acrimony. EFFERVESCENCE. (From effervesco, to grow hot.) Efftrvesctntia. That agitation which is produced by mixing substances to- gether, which cause the evolution of a gas. A small degree of ebullition. E'ffides. An old name for ceruss. E'ffila. Freckles. EFFLORESCENCE. (From effloresco, to blow as a flower.) Efflorescenlia. 1. A preternatural redness of the skin. 2. In chemistry, it means that phenome- non which takes place upon crystals, pro- ducing a white powder when exposed to air. EFFLU'VIUM. (From effluo, to spread abroad.) See Contagion. Effracto'ra. (From effringo, to break down.) Ecpiesma. A species of fracture, in which the bone is much depressed by the blow. EFFUSION. (From effundo, to pour out.) Effusio. In surgery, it means the escape of any fluid out of the vessel, or viscus, natural- ly cuntaining it, and its lodgment in another cavity, in the cellular substance, or in the substance of parts. Effusion also sometimes signifies the natural secretion of fluids from the vessels ; thus surgeons frequently speak of the coagulable lymph being eiFused on dilferent surfaces. Ege'ries. (From egero, to carry out.) Egestio. An excretion, or evacuation. "egg. Ovum. The eggs of poultry are chiefly used as food : the "different parts are likewise employed in pharmacy and in me- dicine. The calcined shell is esteemed as an absorbent. The oil of the egg is softening, and is used externally to burns and chaps. The yelk of the egg renders oil miscible KLA- ELk 313 with water, and is triturated with Ibe same view with resinous and other substances. Kaw eggs have been much recommended as a popular remedy for jaundice. Egrego'rsis. (From s^.p-.i-yccio}, to •watch.) A watchfulness. A morbid want of sleep. Ejacula'htia. CFrom ejaculo, to cast out.) Ejaculutoria. The vessels which con- vey the seminal matter secreted in the testi- cles to the penis. These are the epididymis, and the vasa deferentia ; the vesiculie semi- nales are the receptacles of the semen. Eje'ctio. (From ejicio, to cast out.) Excretio. The discharging of humours or excrements. Ei'lamis. (From nMce, to involve.) A membrane involving the brain. Eile'ma. (From «A£a, to form convolu- lions.) In Hippocrates, it signifies painful convolutions of the intestines from flatulence. Sometimes it signifies a covering. Vogel says, it is a fixed pain in the bowels, as if a nail was driven in. Ei'leon. (From vKiO), to wind.) Gor- ra3us says it is a name of the intestinum ileum. Ei'leos. (From nxii>, to form convolu- tions.) The iliac passion. Ei'sBOLE.) From n;, into, and /2a>j.u), to cast.) It signifies strictly an injection, but is used to express the access of a distemper, or pf a particular paroxysm. Ei'sPNOE. (From ii;, into, and josai, to breathe.) Inspiration of air. Ela ca'lli. An Indian cathartic shrub, the Euphorbia neriifolia of Linnaeus. El^a'gnon. (From i}.Aiov, oil, and cvyvs;, chasle.) The agnus castus was formerly so called. Eljeo'sieli. (From 6A«;:v, oil, and /uiAt, honey.) A sweet purging oil, like honey. El5:osa'ccharum. (From e?Mcv,oi\, and .it7'7av,smal!er,beingthe .<;ma, to draw, becnuse of its magnetic power.) A property which certain bodies possess when rubbed, healed, or otherwise excited, whereby they attract remote bodies, and frequently emit sparks or streams of light. The ancients first observed this pro- perty in amber, which they called ehcirum, and hence arose the word electricity. The etlicacy of electricity in the cure of several diseases has been supported by many very respectable authorities, especially in para- lytic diseases. It considerably augments the circulation of the blood, and excites the action of the absorbents. Electro'des. (From itxaClpov, amber.) An epithet for stools which shine like amber. Elk'ctrum minera'j.e. The tincture of metals. It is made of tin and copper, to which some add gold, and double its quan- tity of martial regulus of antimony metled together; from these there results a metallic mass, to which some chemists have given the name of ehcirum minerale. This mass js pov.dered and detonated with nitre and charcoal to a kind of scoria ; it is powdered again whilst hot, and then digested in spirit of wine, whence a tincture is obtained of a fine red colour. ELECTUA'RIUM. An electuary. The London Pharmacopoeia refers those articles which were formerly called electuaries to confections. Electua'rium astimo'nii. 15;. Electuarii sennae, ^j ; guniaci gnmmi, hydrargyri cum sulphure, antimonii ppti. sing, ^ss; syrupi simplicis q. s. misce. Of this electuary, from a drachm to about two drachms is given twice a day, in those cutaneous diseases which go under the general name of scorbu- tic. It is usually accompanied with the decoctions of elm bark orsarsaparilla. Electda'kium CA'ssia?. See Confectio cassia;. Electua'rium ca'techu. Confeclio Ja- ponica. ElecUiarv of catechu, commonly called Japonic confeclion. Take of -mimo- sa catechu, four ounces; kino, three ounces; cinnamon, nutmeg, each one ounce; opium diffused in a sufficient quantity of Spanish white wine one drachm and a half; syrup of red roses boiled to the consistence of honey, two poimds and a quarter. deduce the solids to powder, and, having mixed them ^vith the opium and syrup, make them into an electuary. A very useful astringent, and perhaps the jaost efficacious vray of giving the catechu to advantage. Ten scru- ples of this electuary contain one grain of opium. ElECTDa'RIUM CINCHO'NiE CUM Na'TRO. P; natri ppti 3jj ; pulveris cinchonae unc; raucilaginis gummi arabici q. s. misce. In this composition mucilage is preferred to syrup OD account of its covering the taste of the bark much more advantageously. It should, for this purpose, however, be made thin, otherwise it will increase the bulk of the electuary too much. This remedy will be found an excellent substitute for the burnt sponge, whose pow- ers as a remedy in scrofula, are known solely to depend on the proportion of na- tron contained in it. The dose is two drachms, twice or thrice a day. Electua'rium opia'tum. See Confectio opii. Eleli'sphacos. (From iMKi^o), to dis- tort, and a-paao;, sage : so named from the spiral coiling of its leaves and branches.) A species of sage. Ele'mbrat. An obsolete term for alka- line sabs. ELEMENTS. Radicafs: First prin- ciples. Substances which can no further be divided or decomposed by chemical analysis. However, though many substances cannot be decomposed by the chemist into consti- tuent parts, this does not demonstrate them to be simple. Though they are as yet not decomposed, it does not follow that they are undecomposable ; as, perhaps, neither our senses nor our instruments will ever reach those substances which by their nature ad- mit of no sort of decomposition. But un- til sufficient proofs are given of their com- pound nature, sound philosophy requires us to consider them as simple bodies. It is not necessary, that the parts should have been actually separated from one another. Some substances are presumed to be com- pound from analogy; thus oxygen gas is considered as consisting of caloric end oxy- gen, though this last has never been exhibited in a separate state. Tlie ancients reckoned only four elensenis, fire, air, water, and earth; all of which are at present acknow- ledged to be compound. Bui on the other hand we have formed a much more nume- rous list : light, caloric, oxygen, azote, hy- drogen, carbon, boron, sulphur, phosphorus, the meials, and the metallic buses of the earths, and fixed alkalies. Whether to these sliould be added the magnetic and electric fluids, with chlorine, fluorine and iodine, is not yet determined. E'LEMF. (It is said this is the Ethi- opian name.) Gum elemi. The parent plant of this resin is supposed to be the Amyris ehmifcra, which see. E'lemi umgue'ntdm. See Unguentum ehmi compositum. Elemni'fera cukass.*.'vica a'ebor. Th"? gum elemi-tree. ELE £LE 315 EtE'NGi. A tree of Malabar. Cardiac. Eleochrv'sum. (From «x;o?, the sun, and ^ua-o;, gold ; so called from their shin- ing yellow appearance.) Goldilocks. See Gnaphalium Slcechas. Eleoseli'nom. (From ixo;, a lake, and ^ixtvov, parsley.) See Apium. Elepha'ntia. (From £X«?ac, an ele- phant ; so called from the great enlargement of the body in this disorder.) A species of anasarca. Elepha'ntia a'rabum. In Dr. Cullen's nosology it is, synonymous with elephan- tiasis. The term is however, occasionally confined to this disease when it affects the feet. ELEPHANTIASIS. (From s\«?*?, an elephant ; so named from the legs of peo- ple affected with this disorder growing scaly, rough, and wonderfully -large, at an advanced period, like the legs of an ele- phant.) Ehphas. Elephantia. Lazari morbus vel malum. Phcsniceus morbus. A disease that attacks the whole body, but mostly affects the feet, which appear some- what like those of the elephant. It is known by ihe skin being thick, rough, wrinkly, unctuous, and void of hair, and mostly without the sense of feeling. It is said to be contagious. Cullen.makes it a genus of disease in the class cachexicc, and order im- pttigines. Elephantiasis has generally been supposed to arise in consequence of some slight at- tack of fever, on the cessation of which the morbid matter falls on the leg, and occasions a distention and tumefaction of the limb, which is afterwards overspread with uneven lumps, and deep fissures. By some au- thors it has been considered as a species of leprosy ; but it often subsists for many years without being acco?iipanied with any of the symptoms which characterize that disease. It sometimes comes on gradually, without much previous indisposition ; but more ge- nerally, the person is seized with a coldness and shivering, pains in the head, back, and ioirts, and some degree of nausea A slight fever then ensues, and a severe pain is felt in one of Ihe inguinal glands, which, after a short time, becomes hard, swelled, and inflamed. No suppuration, however, ensues ; but a red streak may be observed running down the Ihigh from the swelled gland to the ieg. .'is the inflammation in- creases in all the parts, the fever gradually abates, and perhaps, after two or three days continuance, goes off. It, however, returns again at uncertain periods, leaving the leg greatly swelled with varicose turgid veins, the skin rough and rugged, and a thickened raembrana cellulosa. Scales appear also on the surface, which do not fall off, but are enlarged by the increasing thickness of the membranes ; uneven lumps, with deep fis- sures, are formed, and the leg and foot be- come at last of an enormous size. A person may labour under this disease many years, without finding much alteration in the general health, except during the con- tinuance of the attacks ; and perhaps the chief inconvenience he will experience is the enormous bulky leg which he drags about with him. The incumbrance has, indeed, induced many who have laboured under this disease to submit to an amputation ; but the operation seldom proves a radical cure, as the other leg frequently becomes affected. Hilary observes, that he never saw both legs swelled at the same time. Instances where they have alike acquired a frightful and prodigious size, have, however, frequent ly fallen under the observation of other physicians. Elepbanti'jtum emplastrdm. A plaster described by Oribasius. Celsus describes one of the same name, but very different in qualities. E'lephas. (Ex»<^i;, (he elephant.) The disease called elephantiasis; also aquafortis. Ele'rsna. An obsolete term for black lead. Ele'smatis. An old term for burnt lead. Ele'ttari pri'mum. The true amo- mum. ELETTA.'RIA. (From eZe/fflW.) This is a new genus of plants formed by Dr. Ma- ton, to which the lesser cardamom is referred. Class, Monandrla. Order, Monogynia. Eletta'ria cardamo'mum. " CarJamo- mum minus. Lesser or officinal cardamom. Jimomum repens, or le cardamome de la cote de Malabar, of Sonnerat. Elettaria car- damomum, of Maton, in Act. Soc. Lin. The seeds of this plant are imported in their capsules or husks, by which they are preserved, for they soon lose a part of their flavour when freed from this covering. On being chewed, they impart a glowing aro- matic warmth, and grateful pungency; they are supposed gently to stimulate the stomach, and prove cordial, carminative, and antispasmodic, but without that irritation and heat which many of the other spicy aromatics are apt to produce. Simple and compound spirituous tinctures are preoared from them, and they are ordered as a'spicy ingredient in many of the officinal compo'- sitions. Eleuthe'ria bark. See Croton casca rilla. Eleuthe'ria co'rtex. See Croton cos- carilia. Eleva'tio. (From devo, to lift up.) Ele- vation. Sublimation. ELEVATOR. (From elevo, to lift up.) A muscle is so called whose oflSce is to lift up the part to which it is attached. Also a chirurgical instrument, elevatorium, with which surgeons raise any depressed portion of bone, but chiefly those of the cranium. ElEVA'tOR La'eII INFERIO RIS PRO'pEIITS See Levator labii inferioris. 316 s.i:& ELY ELEVA'TQR ItA'BlI superio'ris puq'priijs. See Levator labii superioris alce^ue nasi. -Eleva'tor iABio'Rusi. See Levator an- guli oris. Eleva'tor na'si ala'rum. Muscles of tiie a.]iB of the nose. Eleva'tor o'culi. See Rectus superior &cuH. Eleva'tor pa'lpebre superi'oris. See Levator palpebra superioris. Eleva'tor sca'puljE. See Levator sca- pulcE. Elevato'rium. (From elevo, to lift up.) An instrument to raise a depression in the skull. Eli'banum. See Juniperus lycia. Elichry'scm. (From nhioQ, the sun, and ^pva-o;, gold ; so called from their shining yellow appearance.) See Gnaphalium Stce- chas. Eli'drion. Mastich ; a mixture of brass. Eli'gma. An old name for a linctus. Elioseli'num, See Eleoselinum. Elithroi'des. The vaginal coat of the testicle. Elixa'tio. (From elixo, to boil.) The act of seething, or boiling. ELI'XIR. (From elekser, an Arabic word signifying quintessence.) A term formerly applied to many preparations simi- lar to compound tinctures. It is now very little employed. Elixir of health. Elixir salutis. A term formerly applied to what is now called compound tincture of senna. See Tinctura senna. Eli'xir parego'ricum. Paregoric elixir. SeeTinctura camphorcp, composita. En'xiR proprieta'tis. A preparation of aloes. Eli'sir sa'crum. A tincture of rhubarb and aloes. Eli'xir salu'tis. See Tind. Smnce. Eli'xir stoma'chicum. Stomachic elixir. See Tinctura gentiance composita, Elixiva'tio, (From elixo, to boil, or from lixivium, lie.) The extraction of a fixed salt from vegetables, by an affusion of water. Elle'eoruh. See Htlleborus and Vera- trum. Elm. See Ulmus. ElSii'nthes. (From umu, to involve, from its contortions.) Worms. Elm-leaved sumach. See Rhus coriaria. Elo'des. (From saoj, a swamp.) A term given to a sweating fever, from its great moisture. Elonga'tio. (From elongo, to lengthen out.) An imperfect luxation, where the ligament is only lengthened, and the bone not put out of its socket. ELOY, Nicholas Francis Joseph, was born at Mons in 1714, and died in 1788, having practised as a physician with great ability and humanity. He had the honour of attending Prince Charles of L,orraine. He was a man of extensive learning, ana j- notwithstanding his professional avocations, was author of several publications. The principal of these, an Historical Medical Dictionary, was originally in two octavo volumes; but in 1778 it appeared greatly improved and enlarged in four volumes quarto. An Introduction to Midwifery ; a Memoir on Dysentery ; Reflections on the Use of Tea; and a Medico-Political Tract on Coffee ; were likewise written by this author. The latter work procured him the reward of a superb snuff-box from the estates of Hainaull, inscribed "Exdono Patriae." ELUTRIATION. (From elutrio, to cleanse.) Washing over. It is the pour- ing a liquor out of one vessel into another} in order to separate the subsiding matter from the clear and fluid part. Elu'vies. (From duo, to wash out.) The effluvium from a swampy place. Also the humour discharged in fluor albus. Eluxa'tio. (From eluxo, to put out of joint.) A luxation, or dislocation. Elymagro'stis. (From ixuf/.o;, the herb panic, and a.ypa>g-i;, wild.) Wild panic. Ely'mus. (ExufACic) The herb panic. ELYOT, Sir Thomas, was born of a good family in Suffolk, about the beginning of the sixteenth century. After studying at Oxford, and improving himself by tra- velling, he was introduced at court; and Henry VIII. conferred upon him the ho- nour of knighthood, and employed him in several embassies. He distinguished him- self in various branches of learning, as well as by patronising learned men ; and was generally beloved by his cotemporaries for his virtues and accomplishments. He died in 1546, and was buried in Cambridge- shire, of which he had been sheriff. Among other studies, he was partial to medicine, and made himself master of the ancient au- thors on that subject, though he never exer- cised the profession. He published a work about the year 1541, called "The Castell of Health," which was much admired, even by some of the faculty : in this he is a strong advocate for temperance, especially in sexual pleasures. He also notices, that catarrhs were much more common, than they had been forty years before ; which he a-scribes chiefly to free living, and keeping the head too much covered. He also wrote and translated several other works, but not on medical subjects. ELYTROCE'LE. (From ixvrpov, the vagina, and xnyot, a tumour.) A hernia in the vagina. Elytroi'des. {Ely Ir aides ; from ixvrfnv, a sheath, and yJcc, form.) Like a sheath. The tunica vaginalis is so called by some writers, because it includes the testis like a sheath. Ely'tron. (From iwai, to involve.) The vagina. A sheath. The membranes which IvMB involve the spinal marrow are called elytra, Emargina'tio. (From emargino, to cleanse Ihe edges.) The cleansing of the edges of wounds from scurf and filth. Emascula'tus. (From emasculo, to ren- der impotent.) Having the testicles in the belly, and not fallen into the scrotum. Emba'mma. (From s^aCajrTcc, to im- merge in.) A medicated pickle to dip the food in. E'bibole. (From ijutCdWa, to put in.) The reduction or setting of a dislocated bone. E'mbolum. (From i/mSoLKXce, to cast out ; so named because it ejects the semen.) The penis. Embre'gma. (From i/jiSfitxa>, to make wet.) A fluid application to any part of the body. EMBROCA'TIO. (From s//f/>s;t®> to moisten or soak in.) Embroche. An em- brocation. A fluid application to rub any part of the body with. Many use the term, however, as synonymous with liniment. The following embrocations are noticed in the Pharmacopoeia Chirurgica. Embroca'tio alu'uinis. g; Aluminis 3jj. Aceti, spiritus vinosi tenuioris, sing, fbss. For chilblains and diseased joints. Embroca'tio ammo'ni-e. J^. embroca- tionis ammonias acetatis ^jj. Aquae am- monia puree 3jj- For sprains and bruises. Embroca'tio ammo'nle acetatis ca'm- phora'ta. P; solutionis saponis cum cam- phora, aqua) ammoniae acetatas sing. ^j. Aquas ammoniee puree |ss. For sprains and bruises. It is also frequently applied to disperse chilblains which have not suppu- rated. It is said to be the same as Steer's opodeldoc. Embroca'tio amho'ni.^ aceta'tis. f^ aquae ammoniae acefatae. Solutionis sapo- nis sing, 2J ^^- For bruises with inflam- mation. Embroca'tio cantha'ridis cum ca'ji- PHORA. I^ tinct. cantharidis. Spiritus cam- phoras sing, ^j M. This may be used in any case in which the object is to stimulate the skin. The absorption of cantharides, how- ever, may bring on a strangury. E'mbroche. See Etnbrocatio. E'MBRYO. (From i/y.Cpva,, to bud forth.) The f(Eius in tdero is so called before the fiflh month of pregnancy, be- cause its growth resembles that of the bud- ding of a plant. Embbyothla'stes. (From i/uCpvov, the foetus, and B\auo, to break.) Embryoredes. A crotchet, or instrument for breaking the bones of a dead foetus to promote its deli- very. EMBRYO'TOMY. (From i/^Sp., pnd pediluvia : the constitu- tions to which these are more especially suited are the delicate, the weak, and the irritable. Emme'nia. (From iv, in, and f^nv, a month.) The menstrual fius. E M O'L L I E N T S. (Emollientia, sc. medicamenta : from emolUo, to soften.) Those substances which possess a power of relaxing the living and animal fibre, without producing that efrect from any mechanical action. The dififerent articles belonging to this class of medicines may be comprehended under the following orders : 1. Humectant emollients, as wann water, and tepid vapours, which are fitted for the robust and those in the prime of life. 2. Relaxing emollients, as althcea, malva, k.c. These may be employed in all consti- tutions, while, at the same time, they do not claim a preference to others from any parti- cular habit of body. 3. Lubricating emollients, as bland oils, fat, and lard. The same observation will bold of this order as was made of the last mentioned. 4. Monic emollients, as opium and pedi- luvia : these are applicable to any constitu- tion, but are to be preferred in habits where the effects of this class are required over the system in general. Empei'ria. (From sv, and is-ap*, to en- deavour.) Professional experience. Emphero'mends. (From sm^mw, to bear.) Urine, or other substance, which has a sedi- ment. Emphka'ctica. (From i/ji<^pa.rl the pores. E xM P L AS T R D M. (From iu7rxA(raa>, to spread upon.) A plaster. Plasters are composed of unctuous substance>, united either to powders or metallic oxiiles, Sic. Tiiey ought to be of such a consistence as not to stick to the fingers when cold, but to become soft, so as to be spread out, in a moderate degree of heat, and in that of the human body, to continue tenacious enough to adhere to the skin. They owe their consistence either to metallic oxides, especially those of lead, or to wax, resin, &.C. They are usually kept in rolls wrapped in paper, and s])read, wh.en wanted for use, upon thin leather; if the plaster be not of itself sutuciently adhesive, it is to be sur- rounded at its margin by a boundary of resin plaster. Empla'strum ammoni'aci. Take of pu- rified ammoniacum, five ounces ; acetic acid, half a pint. Dissolve the ammoniacum in the acid, then evaporate the liquor in an iron vessel, by means of a water-bath, con- stantly stirring it, until it requires a proper EMP EMP 31& consistence. This plaster is now first intro- duced info the London Pharmacopoeia; it adheres well to the skin, without irritating it, and without producing inconvenience by its smell. EMPLA'sTRnii ammoni'aci cum htdra'r- GYRO. " Take of purified ammoniacum, a pound ; [turified mercury, three ounces ; sulphurated oil, a fluid drachm." Rub the mercury with ihe sulphurated oil until the globules disappear ; then add by degrees the ammoniacum, previously melted, and mix the whole together. This composition is said to possess resolvent virtues ; and the piaster is recommended with this view to be applied to nodes, tophs, indurated glands, and tu- mours. Empla'strum asafce'tid^:. Emplastrum antihystericum. Plaster of asafcetida. Take of plaster of semi-vetrified oxide of lead, asafcetida, each two parts ; galbanum, yellow wax, each one part. This plaster is said to possess anodyne and antispasmodic virtues. It is, therefore, occasionally directed to be applied to the umbilical region in hysterical CEjes. Empla'strum cantha'ridis. See Em- plastrum lyllce. Empla'strum CE'Ras. Wax plaster. Em- flastrum allrahens. Take of yellow wax, prepared suet, of each three pounds ; yellow resin, a pound. Melt them together and strain. This is a gently drawing preparation, calculated to promote a moderate discharge from the blistered surface, with which inten- tion it is mostly used. Where the stronger preparations iriitate, this will be found in general lo agree. Empla'strum cu'mini. Cumin plaster. " Take of cumin-seeds, caraway-seeds, bay- berries, of each three ounces ; dried pitch, three pounds ; yellow wax, three ounces." Having melted the dried pitch and wax together, add the remaining articles pre- viously powdered, and mix. A warm sto- machic plaster, which, when applied to the stomach, expels flatulency. To indolent scrofulous tumours, where the object is to promote suppuration, this is an efficacious plaster. Empla'strum Ga'lbani compo'situm. Com;inund ti;)lbanum plaster, formerly call- ed emplastrum lilhargyri romposiluin and diachylon magnum cum gummi. 'Take of galbanum giim resin purified, eight ounces ; lead plaster, three pounds ; common turpen- tine, ten drachms ; resin of the spruce fir, three ounces. Having melted the galbanum gum resin with the turpentine, mix in first ^ the powdered resin of Ihe spruce fir, and P then the lead plaster, previously melted by a slow fire, and mix the whole. This plaster is used as a warm digestive and suppurative, calculated to promote maturation of indo- lent or scirrhous tumours, and to allay the pains of sciatica, arthrodynia, &,c. Ebtpla'strum hydra'fgyki. iMercurial plaster. Emplastrum, lithargyri cum hydrar- gyro. " Take of purified mercury, three ounces; sulphurated oil, a fluid drachm; lead plaster, a pound." Rub the mercury with the sulphurated oil, until the globules disappear ; then add by degrees the lead plaster, melted, and mix the whole. Empla'strum la'dam compo'situm. Take of soft iabdanum, three ounces ; of frankin- cense, one ounce ; cinnamon and expressed oil of mace, each half an ounce ; essential oil of mint, one drachm : add to the frank- incense, melted first, the Iabdanum a little heated, till it becomes soft, and then the oil of mace ; afterwards mix in the cinnamon with the oil of mint, and beat them together into a mass, in a warm mortar, and keep it in a vessel well closed. 'This may be used with the same intentions as the cumin-pjas- ter, to which it is in no way superior, though composed of more expensiTe mate- rials. Formerly, it was considered as a very elegant stomach plaster, but is now disused. Empla'strum litha'rgyri. See EmplaS" trum plumhi. Empla'strum litha'rgyri compo'situm, See Emplndrum Galbani compusitum. Empla'strum litha'rgyri cum resi'na. See Emplastrum resince. Empla'strum Lyttee. Blistering-fly plas- ter. Emplastrum cantharidis. Emplastrum vesicatorium. Take of blisterine flies, in very fine powder, a pound ; wax plaster, a pound and a half; prepared fat, a f)ound. Having melted the plaster and fat together, and removed them from the fire, a little before they become solid sprinkle in the blistering flies, and mix the whole together See Blister and Lyita. Empla'strum o'pii. Plaster of opium. " Take of hard opium, powdered, half an ounce; resin of the spruce fir, powdered, three ounces ; lead plaster, a pound." Having melted the plaster, mix in the resin of the spruce fir and opium, and mix the whole. Opium is said to produce somewhat, 4hough in a smaller degree, its specific eflTect when applied externally. Empla'strum pi'cis compo'situm. Com- pound pitch plaster. Emplastrum picis Bur- gundicce. " Take of dried pitch, two pounds; resin of spruce fir, a pound ; yellow resin, yellow wax, of each four ounces ; expressed oil of nutmegs, an ounce." Having melted together the pitch, resin, and wax, add first the resin of Ihe s|)ruce fir, then the oil of nutmegs, and mix the whole together. From the slight degree of redness this sti- mulating application produces, it is adapted to gently irritate the skin, and thus relieve rheumatic pains. Applied to the temples, it is sometimes of use in pains of the head. EwPLASTPtUM plu'mbi. Lead plaster. Emplaslrum lithargyri. Emplastrum coW'. mu7ie. Diachylon simplex, "Take of semi' 320 EJVIP vitreous oxide of lead, in very fine powder, five pounds ; olive oil, a gallon ; water, two pints." Boil them with a slow fire, con- stantly stirring until the oil and litharge unite, so as to form a plaster. Excoriations of the skin, slight burns, and the like, may be covered with this plaster: but it is in more general use, as a defensive, where the skin becomes red from lying a long time on the part. This plaster is also of great import- ance, as forming the basis, by addition to which many other plasters are prepared. Empla'strum resi'nje. Resin plaster. Emplastrum adhcesivum. Emplastrum lithar- gyri cum resini. '' Take of yeliow-resin, half a pound; lead plaster, three pounds. Having melted the lead plaster over a slow fire, add the resin in powder, and mix." The adhe- sive, or sticking plaster, is chiefly used for Iceeping on other dressings, and for retaining the edges of recent wounds together. Empla'strum sapo'nis. Soap plaster. Take of hard soap sliced, half a pound ; lead plaster, three pounds. Having melted the plaster, mix in the soap ; then boil it down to a proper consistence. Discutlent properties are attributed to this elegant ?)laster, with which view it is applied to ymphatic and other indolent tumours. It forms an admirable defensive and soft appli- cation, spread on linen, to surround a frac- tured limb. Empla'strum thu'ris compo'sitcm. Com- pound frankincense plaster. Take of frank- incense, half a pound ; dragon's blood, three ounces; litharge plaster, two pounds. To the melted lead plaster, add the rest powder- ed. This plaster is said to possess strength- ening, as well as adhesive powers. By keep- ing the skin firm, it may give tone to the ralaxed muscles it surrounds, but cannot, in any way, impart more strength than the com- mon adhesive plaster. Empnkumato'sis. (From ev, in, and tsnite, to blow.) An inflation of the stomach, or any other viscus. Empo'rium. (From i/A.7rcpm, to negotiate.) A mart. The brain is so called, as being the place where all rational and sensitive trans- actions are collected. E'fiiPRiON. (From sv, and '^■fiim, a saw.) Serrated. An epithet of a pulse, in which the artery at ditferent times is unequally dis- tended. EMPROSTHO'TONOS. (From s^s-^off-Ssi^, before, or forwards, and Tuvce, to draw.) A clonic spasm of several muscles, so as to keep the body in a fixed position and bent for- ward. Cullen considers it as a species of tetanus. See Tetanus. E'mptysjs. (From ifxTrl-joo, to spit out.) A discharge of blood from the mouth and fauces. EMPYE'MA. (From iv, within, and ^uov, pus.) A collection of pus in the cavity of the thorax. It is one of the terminations of pleuriti?. Tliere is reason for belie^'in::; EMU that matter is contained in the cavity of the chest, when, after a pleurisy, or inflam- mation in the thorax, the patient has a difficulty of breathing, particularly on lying on the side opposite the aifected one ; and when an cedematous swelling is externally perceptible. Empye'mata. (From ey, and imjov, pus.) Suppurating medicines. EMPYREU'MA. (From ifx'Trv^ivw, to kindle, from Truf, fire. The oflFensive smell that distilled waters and other substances receive from being exposed too much to fire. EMPYREUMA'TIC. (Empyreumatica ; from ifjL'Tvpiuce, to kindle.) Smelling as it were burnt ; thus empyreuroatic oils are those distilled with a great heat, and im- pregnated with a smell of the fire. EMU'LGENT. (Emulgeniia ; from emul- geo, to melt out ; applied to the arteries and veins which go from the aorta and vena cava to the kidneys, because the ancients suppos- ed they strained, and, as it were, milked the serum through the kidneys.) The vessels of the kidneys are so termed. The emul- gent artery is a branch of the aorta. The emulgent vein evacuates its blood into the ascending cava. Emu'lsio amy'gdal.e commc'nis. Almond emulsion. Take of almonds, one ounce; water, two pounds and a half. Beat the blanched almonds in a stone mortar, gradu- ally pouring on them the water ; then strain off the liquor. It possesses cooling and de- mulcent properties. Emu'lsio ara'bica. This is made in the same manner as the almond emulsion, only adding while beating the almonds, two ounces of gum arabic. This cooling and demulcent emulsion, ordered in the Edin- burgh Pharmacoposia, may be drank ad libi- tum to mitigate ardor urinae, whether from the venereal virus or any other cause. In difficult and painful micturition, and stran- gury, it is of infinite service. Eftiu'Lsio camphora'ta. "Take of cam- phor, one scruple ; sweet almonds, blanched, two drachms ; double refined sugar, one drachm ; water, six ounces." This is to be made in the same manner as the common emulsion. It is calculated for the stomachs of those who can only bear small quantities of camphire. EMU'LSION. {Emulsio ; from emulgeot to milk.) A soft and somewhat oily medi- cine, resembling milk. Emulsion, almond. See Emulsio amygdo' Im communis. Emulsion, Arabic. See Emulsio ara j hica. Emulsion, camphorated. See Emulsio camphorata. Emulsio7i of asafcetida. See Mistura asafatidee. Emulsion of gum-ammoniac. See Mish'-^ rit ammomnci E.\C ENC 321 EMU'NCTORY. (From emungo, to drain •off.) The excretory ducts of the body are so termed ; thus the exhaling arteries of the skin constitute the great emunctory of the body. En^e'ma. (From «v, and aufJLn, blood.) Enmmos. So Hippocrates and Galen call such topical medicines as are appropriated 1o bleeding wounds. EnjEork'ma. (From iv, and ttiapice, to lift up.) The pendulous substance which floats in the middle of the urine. « Ena'mel. See Teelli. Enanthesis. (From ei', and aLvlaun, to meet.) The near approach of ascending and descending vessels. ENARTHRO'SIS. (From sy, in, and tf/i6/!oy, a joint.) The ball and socket-joint. A species of diarthrosis, or moveable con- nexion of bones, in which the round head of one is received into the deeper "cavity of another, so as to admit of motion in every direction ; as the head of the os femoris with the acetabulum of the os innoininatum. See ^^rliculation. ENCA'NTHIS. (From s>, and Kavdc.;, the angle of the eye.) A disease of the caruncu- lalachrymalis, of which there aretvvospecies. Encanthis benigna, and Encanihis maligna seu invelerata. The encanthis, at its commencement, is nothing more than a small, soft, red, and sometimes rather livid excrescence, which grows from the caruncula lachrymalis, and, at the same time from the neighbouring semilunar fold of the conjunctiva. This excrescence on its first appearance, is com- monly granulated, like a mulberry, or is of a ragged and fringed structure. Afterwards when it has acquired a certain size, one part of it represents a granulaied tumour, while the rest appears like a smooth, whitish, or ash-coloured substance, streaked with va- ricose vessels, sometimes advat»cirig as far over the conjunctiva, covering the side of the eye next to the nose, as where the cornea and sclerotica unite. The encanthis keeps up a chronic oph- tbalmy, impedes the action of the eyelids, and prevents, in particular, the complete closure of the eye. Besides, partly by com- pressing and partly by displacing the ori- fices of the puncta lachrymalia, it obstructs the free passage of the tears into the nose. The inveterate encanthis is ordinarily of a very considerable magnitude ; its roots ex- tend beyond the caruncula lachrymalis and semilunar fold to the membranous lining of one or both eyelids. The patient experiences very serious inconvenience from its origin and interposition between the commissure of the eyelids, which it necessarily keeps asunder on the side towards the nose. Sometimes the disease assumes a cancerous malignancy. This character is evinced by the dull red, and, as it were, leaden colour of the ejcrescence ; bv its exceeding hard- . ' 41 ness, and the lancinating pains which occur in it, and extend to the forehead, the whole eye-bail and the temple, especially when the tumour has been, though slightly, touched. It is also shown, by the propensiiy of the excrescence to bleed, by the partial ulce- rations on its surface, which emit a fungous substance, and a thin and exceedingly acrid discharge. Encatale'psis. (From ev, and ititlct.ka.fx- 0u.m, to seize.) A catalepsy. Encathi'sma. (From «v, and naBi^ai, to sit in.) A semicupium. A bath for half the body. Encad'ma. (From &, in, and jcmw, to burn.) Eneausis. A pustule produced from a burn, Encau'sis. (From sv, and Kcua>, to burn.) A burn or scald. EiNCEFHALOCE'LE. (From tvionp-xxcv, the brain, and Knxyi, a tumour.) A rupture of the brain. ENCE'PHALON. (From iv, in, and ks?j£W), the head.) Encephalum. By some writers the cerebrum only is so called ; and others express by this term the contents of the cra- nium. Ence'kis. (From ev, and nnpo;, wax.) A roil of wax for making plasters. Ekceko'sis. (From ev, and Knpoce, to wax.}- The covering of a plaster with wax. Enchara'xis. (From », and o^a.i>!*.-;^w», to infuse,) Injections for the eyes and ears. Enchymo'ma. (From ej, and ^vct, to pour in.) In the writings of the ancient physi- cians, it is a word by which they express that sudden effusion of blood into the cuta- neous vessels, which arises from joy, anger, or shame ; and in the last instance is what we usually call blushing. Enchymo'sis. (Ej.9^u^»(r«.) Blushing ; also an extravasation of blood, which makes the part appear livid. Thus, but improperly, it is synonymous with Ecchymosis. E'nchysis. See Enchyma. Encly'sma. (From w, and nhv^ai, to cleanse out.) A clyster. Escffi LiuM. (From iv, within, and «'.;>./*, the belly.) The abdominal viscera. 322 ENE ENS EscoLPi'sMus. (From tytuMrtit, to insinu- ate.) An uterine injection. Encra'iNIUm. (From w, within, and x^*- viov, the skull. 'J'he cerebrum : the ubole toDtents of tlie skuiJ. Encrasi'cholus. (From », in, xy:*f, the head, and ;;t^oA«, liiie ; because it is said to have the gall in its head.) The anchovy. E'ncris. EyKfi^. Acakeof meal, oil, and honey. E'wcyMON. (From «c, and kvw, to conceive.) Pregnancy. E'nctsis. (From w, and «/*, to bring forth.) Parturition. ENCY'STED. A term applied to those tumours which consist of a fluid or other matter, enclosed in a sac or cyst. Ency'stis. (From e/, in, and nug-tc, a bag.) A wen. A bard tumour. ENDE'MIC. (Etidtjnicus ; from en, in, and J'nfjLOi, people.) A disease is so termed that is peculiar to a certain class of persons, f)T country ; thus struma is endemial to the inhabitants of Derbyshire and the Alps; scur- vy to seafaring people ; and the plica polo- nica is met witb in Poland. E'ndksis. (From iv, and J'tec, to tie up.) A ligature. A bandage. Endive. See Cichorium. ENDI'VTA. (Quasi eundovia, quiapassim nascilur ; named from the quickness of its growth.) See Cichorium. E'ndosis. (From sy, and fi^m/xi, to give.) A remission, particularly of febrile dis- orders. Enella'gmencs. (From ctaKKa.'rla), to in- terchange.) An epithet applied to the union of the joints of the vertebrae. E'NE.VjA. (Enema, -matis, neut. from &t»(u, to inject.) Injection. A clyster. A well-known form of conveying both nourishment and medicine to the system, under certain morbid circumstances. The former takes place where obstruction of the passage to the stomach is so great as to render access to that organ impossible, such as occurs in lock-jaw, diseased oesophagus, &c. By these means the body can be sup- ported for a few weeks, while an attempt is made at efifecling a cure. It is composed, in such cases, of animal broths, gruels made of farinaceous seeds, mucilages, &c. As a form of medicine, clysters are no less useful ; and, according to the intention with which they are prescribed, they are either of an emollient, anodyne, or purgative nature. The following forms are in general use. E'NKMi aro'dynum. Take of starch jelly, half a pint ; tincture of opium, forty to sixty drops. iMix. The whole to be in- jected by means of a pewter clyster-syringe, in cases of dysentery or violent purging, and pain in t!)ebov\els. E'nema ANTisPASMo'mcuM. Take of tinct.of assafcetida, half an ounce; tincture of opiumr forty drops, gruel, half a pint. Mix. For spasmodic affections of the bowels. E'nema laxati'vum. Take of Epsom salt, two ounces ; dissolve in three quarters of a pint of warm gruel, or broth, with ah ounce of fresh butter, or sweet oil. E'nema NicoiiA'Na;. Take of the infa- sion of tobacco from a half to a whole pint. Employed in cases of strangulated hernia,. E'nema ku'trizns. Take of strong beef tea, twelve ounces; thicken with harts- hoBn shavings, or arrow root. E'nema 'Terebi'nthin.e. Take of com- mon turpentine, half an ounce ; the yelk of one egg, and half a pint of gruel. The turpentine being first incorporated with the egg, add to them the gruel. This clyster ib generally used, and with great good effect, in violent fits of the stone. Ekerei'sis. (From evipaS'it, to adhere to.) A compression. A tight ligature. E'NERGY. (Energia ; from ivifyiw, to act.) Action. "The degree of force exer- cised by any power : thus, nervous energy, muscular energy, &c. Eheure'sis. See Enuresis. Engala'ctdm. (From a, and yeiKu, milk ; so called because it is eaten by nurses to increase their milk.) The herb saltwort. Engastrimy'thus. (From «v, in, ytrupt the belly, and /uivQeo/jiat, to discourse.) A ventriloquist ; one who appears to speak from bis belly. Engiso'ma. (From ryyi^ai, to approach.) Camarosis. An instrument for making the parts of the broken clavicle meet. Also a fracture of the cranium. English Mercury. See Mercurialis. Englotto-ga'%tor. (From ev, yxairln, the tongue, and ^r«/, the belly.) A ven- triloquist. Engompho'sis. (From &, and ycfx^a, a nail.) Tb.Ht species of articulation which resembles a nail, driven into wood, as a tooth in its socket. Engo'nios. (From w, and yitvttt, an angle.) The flesure, or angle made by the bending of a joint. Eni'xum Parace'lsi. The caput mor- tuum of tbe distillation of nitric acid, or supersulphate of potash. Enkeapha'rmacdm. (From mm, nine, and ^ctp/ji.auiov, a medicine.) A medicine composed of nine simple ingredients. Enneaphy'llxtm. (From svvet, nine, and 9uK\ov, a leaf; because its flower con- sists of nine leaves.) A name for hellebo- raster, or bear's foot. Enry'thmus. (From tv, and pv^f^os, number.) A pulse in some respect regular. Ess ma'ktis. a name anciently given to the oxide of iron, which arises in subli- mation, with twice its, quantity of sal-ammo- niac. Medical practice does not at present place this preparation in a higher rank of estimation than other oxydes of iron ;nt E.NT 323 Ens pri'mum sola're. Antimony. Ens rE'NEEis. The ens martis is in naany dispensatories called by this name. E'NSiFORM. (Ensiformis, sc. cariilago ; from ensis, a sword, and forma, resemblance.) Sword-like. A term applied to a cartilage. See Cartilago ensiformis. Ensta'ctubi. (From sv, and g-*^*; lo in- still.) A liquid medicine, which is applied stillatim, or drop by drop. Enta'tica. (From ivluvee, to strain.) Provocatives : medicines which excite ve- nereal inclination. E'ntera. (From tvlo!, within.) The bowels. Hippocrates calls by this name the bags in which were formerly enclosed medi- cines for fomentations. Enterade'nes. (From tvlifov, an in- testine, and at/ui, to put in.) Anti-inflammatory styptics. E'nthlasis. a contusion with the im- pression of the instrument by which it ha[i- pened. ENTROTIUM. (From si-, and -rpw*, to turn.) A disease of the eyelids, occasioned by the eyelashes and eyelid being inverted towards the bulb of the eye. Entypo'sis. (From ivlvTrou, to make an impression.) The acetabulum, or concave bone of the shoulder. E'NULA CAMPA'NA. (A corruption oi henula, or Helenium, from Helene, the island where it grew. See Inula Hele- nium. £^D'LON. (From «/, and cvaov, the gums.) The internal flesh of the gums, or that part of them which is within the mouth. ENURE'SIS. (From tvovpiai, to make Water.) An incontinency or involuntary flow of urine. This disease usually pro- ceeds either from relaxation or a paralytic alfection of the sphincter of the bladder, induced by various debilitating causes, as too free a use of spirituous liquors, manu- Stupration, and excess in venery ; ,or it arises from compression on the bladder, from a diseased state of the organ, or from Some irritating substance contained in its cavity. It is arranged in the class locales, and order apocenoses of Cullen, and contains two species: — 1. Enureds atonica, the sphincter of the b!add«-r having !os' its lone from some previous disease : 2. Enuresis ab irritations, vel compressione vesicce, from an irritation or compression of the bladder. Epacjia'siicps. From im, and eui/*ti.^ci)f to increase.) It is applied to fever which is still increasing in malignity. Epa'cme. (From tTritJtfjin^ai, to increase.) The increase, or exacerbation of a disease. Epago'gium. (From iVAym, to draw over.) The praepuce, that pait of the penis which is drawn over the glans, according to Dioscorides. Epanadido'ntzs. (From sravitdiiJai/uit, to increase.) A term applied to fevers which continue to increase in their degree of heat-. Epanadiplo'sis. (From wrxvAJiTTKoai, to reduplicate.) The reduplication of a fit of a semitertian fever ; that is, the return of the cold fit before the hot fit is ended. Epana'stasis. (From eirt, and etvts-n/ut, to excite.) A tubercle, or small pustule upon the skin. Epancylo'tus. (From «r;, and ttyKuKo;, crooked.) A sort of crooked bandage in Oribasius. Epa'kma. (From iTraupai, to elevate.) Eparsis. Any kind of tumour, but fre- quently applied to the parotis. Epa'rsis. See Eparma. Epasma'stica fe'bris. a fever is so called by Bellini, and others, while it is in its increase. Epe'kcranis. (From sot, sy, in, and upavia)/, the skull.) The name of the cere- bellum. Epheb.e'um. (From €5r/, and «£», the groin.) The hair upon the pubes. E'phedra. (From iipi^oy.M, to sit upon.) Epkedrana. The buttocks. Also a specieB of horse-tail. Ephe'drana. See Ephedra. Ephe'lcis. (From im, upon, and exKoc, an ulcer.) The crust of an ulcer; hardened purulent expectoration. EPHE'LIS. (From ezri, and >,?joc, the sun ) A broad, solitary, or aggregated spot, attacking most commonly the face, back of the hand, and breast, from exposure to the sun. EPHEMERA. (From sot, upon, and XjMs^a, a day.) A fever which begins, is perfectly formed, and runs through its course in the space of twelve hours. EPHEME'RIDES. (From i?,>iiuipt;, an almanack ; so called because, like the moon's age, they may be foretold by the almanack.) Diseases which return at particular times of the moon. Ephia'ltes. (From (, to heat.) Epialos. An ardent fever, in which both heat and cold are felt in the same part at the same time. Galen defines it to be a fever in which the patient labours tinder a preternatural heat and a coldness at the same time. The ancient Latins call it Quercera. Epi'bole. (From e!riCAKKm, to press upon.) The night-mare, or ephialtes. Epica'nthis. (From s^r/, and xavflsf, the angle of the eye.) The angle of the eye. Epica'rpium. (From kt/, upon, and icaf,- 7rc;, the vvrist.) A topical medicine applied to the wrist. Epica'uma. (From stti, and nxKe, to burn.) Encauma. Epicausis. A burn, or scald. Epicau'sis. See Epicauma. Epi'ceras. (From srt, and Ks/ia?, a horn ; so called because its pods are shaped like a horn.) The herb fsenugreek. Epiceea'stica. (From evr:, and xs/iav- vu/uit, to mix.) Medicines which, by mix- ing with acrimonious juices, temper them and render them less troublesome. Emol- lients. Epicheire'sis. (From ar/, and pi^ap, the hand.) A manual operation. Epi'cholus. (From im, and a gut.) The mesentery. Epicho'rios. (From er/, upon, and %ofa., a region.) The same as epidermis. Eric(E'Lis. (From «r/, upon, and MtKii;, the eyelid.) The upper eyelid. Epico Lie. {Epicolica ; from sr/, upon, and KaKov, the colon.) Upon the colon. That part of the abdomen which lies over the head of the ccecum and the sigmoid flexure of the colon, called the epicolic region. Epi'coPHO'sis. (From esr/, and xa>fo;, deaf.) A total deafness. EPICRA'NIU.VJ. (From «r/, and -^pxvtov, the cranium) The common integuments, aponeurosis, and muscular expansion which lie upon the cranium. Epicra'nius. See Occipito- frontalis. Epi'crasis. (From «7-<, and Kepa.vvv/A.t, to temper.) A critical evacuation of bad hu- mours, an attemperation of bad ones. When EPl 32& a cure is performed in the alterative way, it is called per Epicrasin. Epi'cRisis. (From eot, and xptvee, to judge from.) A judgment of the termination of a disease from present symptoms. Epicte'sium. (From «r/, about, and iilug, the pubes.) The parts above and about the pubes. Epicye'ma. (From sri, upon, and x.uee, to conceive.) Epicyesis. Superfcelation. Su- perimpregnation. Epicye'sis. See Epicyema. EPIDE'MIC. {Epidemicus; from «r^, up- on, and Sif/.®', the people.) A contagious disease is so termed, that attacks many peo- ple at the same season, and in the same place ; thus putrid fever, plague, dysentery, &c. are often epidemic. EPIDE'NDRUM. (From m, upon, and (Tsyd/jcii, a tree ; because all this genus of plants grow parasitically on the trunk or branches of trees.) The name of a genus of plants in the Linnaean system. Class, Gynandria. Order, Monandria. Epide'ndrum vanilla. The systematic name of the vanelloe plant. Vanilla. Banilia. Banilas. Aracus aromnticus. The vanelloe is a long,flatlish pod, containing,under a wrink- led brittle shell, a reddish brown pulp, with small shining black seeds. The plant which affords this fruit is the Epidendrum vanilla; scandens, foliis ovato oblongis nervosis sessili- bus caulinis, cirrhis spiralibus of Linnaeus. Vanelloes have an unctuous aromatic taste, and a fragrant smell like that of some of the finer balsams heightened with musk. Al- though chiefly used as perfumes, they are said to possess aphrodisiac virtues. Epi'deris. (From sr/, and d'ifia.g, the skin.) The clitoris. EPIDE'RMIS. (From iiri, upon, and i-iff^a, the true skin.) The scarf-skin. See Cuticle. Epi'desis. (From sot, upon, and Sue, to bind.) A bandage to stop a discharge of blood. Epide'smus. (From im, upon, and ^ta, to bind. (A bandage by which splints, bolsters, he. are secured. EPIDI'IDYMIS. (From ^tti, upon, and Muf4o;, a testicle.) A hard, vascular, oblong substance, that lies upon the testicle, formed of a convolution of the vas deferens. It has a thick end, which is convex, and situated posteriorly ; and a thin end, which is rather flat, and situated inferiorly. The epididymis adheres to the testicle, by its two extremities only, for its middle part is free, forming a bag, to which the tunica vaginalis of the tes- ticle is attached. Epi'dosis. fFrom i^rM-a^^j^i, to grow upon.) A preternatural enlargement of any part. Epi'drome. (From imSpe^uo}, to run upon.) An afflux of humours. EPIGA'STRIC. (Epigastricus, iTrtycta-Tfii- KOi ; from s?r/, upon, or above, and >-as-x?, the $20 EPI EPI stomach.) That part of the abdomen that lies over the stomach, is called the epigastric region ; it reaches from the pit of the sto- mach to an imaginary line above the navel, supposed to be drawn from one extremity of the last of the false ribs, to the other. Its sides are called hypochondria, and are cover- ed by the false ribs, between which lies the epigastrium. EPIGA'STRIUM. From bt/, upon, or above, and yas-ip, the belly.) The re- gion or part immediately over the sto- mach. Epigenne'ma. (From t^iynofAcu, to ge- nerate upon.) Epigenesis, The fur on the tongue. An accessory symptom. Epigenne'sis. See Epigennema. Epigino'mena. (From i^iyivo/xcti, to suc- ceed Of supervene,) Galen says, they are those symptoms which naturally succeed, or may be expected in the progress of a disease ; but Fogsius says, they are acces- sions of some other affection to diseases, which never happen but in stubborn and malignant diseases. EpiGLo'siiUM. (From «r/, upon, and •yxua-a-st, the tongue ; so called because a lesser leaf grows above the larger in the shape of a tongue.) The Alexandrian laurel. EFIGLO'TTIS. (From «r/, upon, and yxcerrt;, the tongue.) The cartilage at the root of the tongue that falls upon the glottis or superior opening of the larynx. Its figure is nearly oval ; it is concave poste- riorly, and convex anteriorly. Its apex or superior extremity is loose, and is always elevated upwards by its own elasticity. While the back of the tongue is drawn backwards in swallowing, the epiglottis is put over the Sperture of the larynx, hence it shuts up the passage from the mouth into the larynx. The base of the epiglottis is fixed to the thyroid cartilage, the os hyoides, and the base of the tongue, by a strong ligament. Epiglo'ttum. (From iTriyxonrlt^, the epi- glottis, which it resembles in shape.) An in- strument mentioned by I'aracelsus for ele- vating the eyelids. Epiglou'tis. (From ot/, upon, nniyxou- loc, the buttocks.) The superior parts of the buttocks. Epigo'natis. (From «r/, upon, and yovv, the knee) The patella or knee-pan. Epigo'nides. (From kt;, and yovu, the knee.) The muscles inserted into the knees. Epi'goncm. (From iTrtytvo/jiai, to proceed upon.) A superfcetation. Epile'mpsis. See Epilepsy. Epile'ntia. Corrupted from epilepsia. EPILEPSY. (From e7n\ct/ui0Avce, to seize upon ; so called, from the suddenness of its attack.) It is also called falling sickness, from the patient suddenly fulling to the ground on an attack of this disease. By the ancients it was termed, from itsaffecting the mind, the most noble part of the rational creature, the sacred disease. It consists of convulsions with sleep, and usually froth issuing from the mouth. It is a genus of disease in the class neuroses, and order spas- mi of Cullen, and contains three species : 1. Epilepsia cerebralis ; attacking suddenly without manifest cause, and not preceded by any unpleasant sensation, unless perhaps some giddiness or dimness of sight. 2. Epi- lepsia sympathica ; without manifest cause, but preceded by a sensation of an aura as- cending from some part of the body to the head. 'S. Epilepsia occasionalis ; arising from manifest irritation, and ceasing on the remo- val of this. The last comprehends several varieties : 1. Epilepsia traumatica, arising from an injury of the head : 2. Epilepsia a dolore, from pain : 3. Epilepsia verminosa, from the irritation of woruis : 4. Epilepsia a ve- neno, from poisons : 5. Epilepsia exantke- matica, from the repulsion of cutaneous eruptions ; 6. Epilepsia a crudilale venlri- culi, from crudities of the stomach : 7. Epittpsia ab inanifione, from debility : 8. Epilepsia ul&rina, from hysterical affections : 9. Epilepsia ex onanismo, from onanism, &c. Epilepsy attacks by fits, and after a cer- tain duration goes off, leaving the person most commonly in his usual state; but sometimes a considerale degree of stupor and weakness remain behind, particularly where the disease has frequent recurrences. It is oflener met with among children than grown persons, and boys seem more sub- ject to its attacks than girls. Its returns are periodical, and itsparo.xysms commence more frequently in the night than in the day, being somewhat connected with sleep. It is a disease sometimes counterfeited, in order to extort charity or excite compas- sion. Epilepsy is properly distinguished into sympathic and idiopathic, being consider- ed as sympathic, when produced by an af- feciion in some other part of the body, such as acidities in the stomach, worms, teething, &c. as idiopathic when it is a primary dis- ease, neither dependent on nor proceeding from any other. The causes which give rise to epilepsy, are blows, wounds, fractures, and other in- juries, done to the head by external violence, together with lodgments of water in the brain, tumours, concretions and polypi. Violent affections of the nervous system, sudden frights, fits of passion, great emo- tions of the mind, acute pains in any part, worms in the stomach or intestines, teeth- ing, the suppression of long accustomed evacuations, too great emptiness or reple- tion, and j^oisons received into the body, are causes which like>vise produce epilepsy. Sometimes it is hereditary, and at others it depends on a predisposition arising from a £PI EPI 32'7 mobility of the sensorium, which is occa- sioned eillier by plethora, or a state of de- bility. An attacli of epilepsy is now and then preceded by a heavy pain in the head, dim- ness of sight, noise in the ears, palpitations, flatulency in the stoinach and intestines, weariness, and a small degree of stupor, and in some cases, there prevails a sense of something like a cold vapour or aura arising up to the liead ; but it more generally hap- pens that the patif-nt falls down suddenly without much previous notice ; his eyes are distorted or turned so that only the whites of fht-m can be seen ; his lingers are closely clinched, and the trunk of his body particular- ly, on one side, is much agitated ; he foams at the mouth, and thrusts out his ton.-.ue, which often suffers great injury from the muscles of the lower jaw being affected ; he loses all sense of feeling, and not unfrequently voids both urine and faeces involuntarily. The spasms abating he recovers gradually ; but on coming to himself feels very languid and exhausted, and retains not the smallest recollection of what has passed during the fit. When the disease arises from an heredi- tary disposition, or comes on after the age of puberty, or where the fits recni- frequently, and are of long duration, it will be very difficult to effect a cure : but when its attacks are at an early age, and occasioned by worms, or any accidental cause, it may in general be removed with ease. In some cases, it has been entirely carried off by the occurrence of a fever, or by the appearanee of a cutaneous eruption. It has been known to terminate in apoplexy, and in some instances to produce a loss of the powers of the ciind, and to bring on idiotism. Thie appearances usually to be observed on dissection, are serous and sanguineous effusion, a turgid tense state of the vessels of the brain without any effusion, a dila- tation of some particular part of the brain, excrescences, polypi, and hydatids adhering to it, and obstructing its functions, and likewise ulcerations. During the epileptic paroxysm in general, iittle or nothing is to be done, es<;ept using precauiions, that the patient may not injure himself; and it will be prudent to remove any thing which may compress the veins of the neck, to obviate congestion in the head. Should there be a considerable determination of blood to this part, or the patient very plethoric, it may be proper, if you can keep him steady, to open a vein, or the temporal artery ; and in weakly constitutions the most powerful iintispasmodics might be tried in the form of clyster, as they could hardly be swallowed : but there is very seldom lime for such measures. In the intervals ihe treatment consists: 1. In obviating the several exciting causes : 2. In correcting any observable predisposition : 3. In the use of those means, which are most likely to break through the habit of recurrence. I. The manner of fulfilling Ihe first indi- cation requires little explanation; after an injury to the head, or where there is disease of the bone, an operation may be necessary, to remove irritation from the brain ; in children teething, the gums ought to be lanced : where the bowels are foul or wurms suspt-cted, active purgatives should be exhi- bited, &.C. In those instances, in which the aura epileptica is perceived, it has been re- commended to destroy Ihe part, where it originates, or divide the nerve going to it, or correct the morbid action by a blister, Sic. ; such means would certainly be proper when there is any disease discoverable in it. Making a tight ligature on the limb above has sometimes prevented a fit ; but perhaps only through the medium of the imagination. II. Where a plethoric state appears to lay the foundation of the disease, which is often the case, the patient must be re- stricted to a low diet, frequent purges exhibited, and the other excretions kept up, and he should take regular moderate exer- cise, avoiding whatever may determine the blood to the head ; and to counteract such a tendency, occasional cupping, blisters, issues, &c. may be useful, as well as the shower bath ; but in urgent circumstances, the lancet ought to be freely used. If oh the contrary, there are marks of inanition and debility, a generous diet, with tonic medi- cines, and other means of strengthening the system, will be proper. The vegetable tonics have not been so successful in this disease as the metallic preparations, particu- larly the sulphate of zinc, the nitrate of silver, and the ammoniated copper, but this cannot perhaps be so safely persevered in ; where the patient is remarkably exsanguious, cha- lybeates may answer better ; and in obsti- nate cases the arsenical solution might have a cautious trial. In irritable constitutions sedatives are indicated, as digitalis, opium, k.^. : but the free use of opium is restricted by a tendency to congestion in the head. Where syphilis appears to be concerned, a course of mercury is proper ; in scrophu- lous habits, bark, with soda and sea-bathing ; and so on. III. The third division of remedies comes especially in use, where the fits are frequent, or where their recurrence can be anticipated : emetics will often prevent them, or a full dose of opium ; also other powerful antis- pasmodics, as aether, musk, valerian, Sjc. : or strong odours, and in short any thing producing a considerable impression on the system. Bark taken largely might perhaps be more successful on this principle. The disease has sometimes been cured, especially when originating from sympathy, by in- spiring fear or horror ; and many frivolaus charms may no doubt have taken effect through the medium of the imadnation. 828 EPI EPI Also long voyages have removed it| whicb might especially be hoped for at the age of puberty, particularly if a considerable change in the mode of life were made in other re- spects ; those who had lived indolently being obliged to exert themselves, the diet properly adapted to the state of the system, &c. EPILO'BIUM. (From «r/ xo^au toy, a violet or beautiful flower, growing on a pad.) The name of a genus of plants in the Linnsean system. Class, Octandria. Order, Monogynia. EpiLOBiuM angustifo'lium. Rosc-bav- willow herb. The young tender shoots cut in the spring, and dressed as asparagus, are little inferior to it- Epime'dium. The plant barren-wort. Epimo'rius. (From mi, and /ahjiu, to divide.) A term applied to an unequal pulse. Epimy'lis. {From kw^ and fAu>ji, the knee.) The patella or knee bone. EpiNENEc'cus. (From efn-ivwa, to nod or incline.) An unequal pulse. Epino'tium. (From «rt, upon, and v®7oc, the back.) The shoulder blade. Epiny'ctis. (From stti, and vu|, night.) A pustule, whicb rises in the night, form- ing an angry tumour on the skin of the arms, hands, and thighs, of the size of a lupine, of a dusky red, and sometimes of a livid and pale colour, with great inflamma- tion and pain. In a few days it breaks, and sloughs away. 'Epipa'ctis. (From e^riTraxloai, to coagu- late.) A plant mentioned by IJioscorides .: and so named, because its juice was said to coagulate milk. Epiparoxy'smus. (From «r/, upon, and ^nfo^va-fjLOi, a paroxysm.) An unusual fre- quency of febrile exacerbation. Epipa'stdm. (From «r/, upon, and ttao-- a-oo), to sprinkle.) Any powdered drug sprinkled on the body. Epipe'chys. (From wri, above, and 5rj)5^uc, the cubit.) That part of the arm above the cubit. Epiphlogi'sma. (From st;, upon, and <^\oyt^m, to inflame.) Violent inflammation, or burning heat in any part, attended with pain, tumour, and redness : also a name given by Hippocrates to the shingles. EPI'PHURA. (From mi'^im, to carry forcibly.) The watery eye. An involun- tary flow of tears. A superabundant flow- ing ot a serous or aqueous humour from the eyes. A genus of disease in the class locales, and order apocenoses, of Cullen. The humour which flows very copiously from the eye in epiphora, appears to be furnished, not only by the lachrymal gland, but from the whole surface of the conjunc- tive membrane, Meibomius's glands, and the carunciila lachrymalis ; which increased and morbid secretiosi may be induced from any stimulus seated between the globe of the eye and lids, as sand, acrid fumes, and the like ; or it may arise from the stimulus of active inflammation ; or from the acri- mony of scrofula, measles, small pox, &,c. or from general relaxation. The disease may also arise from a more copious secretion of tears, than the puncta lachrymalia can absorb, or as is most common, from an ob- struction in the lachrymal canal, in con- sequence of which the tears are prevented from passing freely from the eye into the nose. EPI'PHYSIS. (From ea-/, upon, and pune, to grow.) ABy portion of bone grow- ing upon another, but separated from it by a cartilage. Epipla'sma. (From ivi, upon, ana vKtta-iru, to spread.) A poultice ; also a name for an application of wheat meal, boiled in hydrelaeum, to wounds. EPIPLOCE'LE. (From «rwxoov, the omentum, and wtxw, a tumour.) An omen- tal hernia. A rupture produced by the protrusion of a portion of the omentum See Hernia. EpiPLocoMi'sTES. (From ffriTrxoov, the omentum, and Ko/jtt^a, to carry.) One who has the omentum morbidly large. Epipiloic APPENDAGES. See AppendicultE epiploic(B. K P I P L O I'T I S. (From eri^Koov, the omentum.) An inflammation of the pro- cess of the peritoneum, that forms the epiploon or omentum. See Peritonitis. IOpiploo'mphalon. (From 6?rt7rxoov, the omentum, and o/xiptt\oc, the navel.) An omental hernia protruding at the navel. EPI'PLOON. (From sTriTrxcoe, to sail over, because it is mostly found floating, as it were, upon the intestines,) See Omen' turn. EPIPLOSCHEOCE'LE. (From em- WA.OOV, the omentum, c3-;i(iov, the scrotum, and Kxpj), a tumour or hernia.) A rupture of the omentum into the scrotum, or a scrotal hernia containing omentum. Epipo'lasis. CFrom eTrtvoxa^m, to swim on the top.) A fluctuation of humours. A species of chemical sublimation. Epipo'ma. (From wr/, upon, and Trmixn., a lid.) An instrument to cover the shoulder in a luxation. Epiporo'ma. (From i.ni'Xtt^, to har- den.) An indurated tumour in the joints; a callous concretion, a tophus, a tophaceous callus molesting the joints. Epipty'xis. (From i7ri7rluer<7ie, to close up.) A spasmodic closing of the lips. Epipyre'xis. (From stti, and iru/JsrVo), to be feverish.) A rapid exacerbation in a fever. Epirige'sis. (From sot, and piyio), io become cold.) An unusual degree of cold, or repetition of rigors. Epi'rrhoe. (From iTiri, upon, and /jsjb, to flow.) A.i influx or atflux of humours to any part. Episarci'kium. (From st;, uj)on: and EPl EPt 329 '^j the flesh.) An anasarca, or dropsy spread between the skin and flesh. EPISCHE'SIS. (From ct/o-^^so., to re- strain.) A suppression of excretions. It is an order in the class loacles of Cullen's Nosology. Epi'schium. (From im,\ipon,nndi9-^iov, the hip-bone.) The os pubis. Episcopa'lis. (From episcopus, a bish- op or mitred dignitary.) Resembling a Epista'gmus. (From tr/, and raf»j to trickle down.) A catarrh. Epistaphyh'nus. (From im, and g-^t^uyju'i See Uvula. EPFSTA'XIS. (From sT/r«fa, to distil from.) Bleeding at the nose, wilh pain, or fulness of the head. A genus of disease ar- ranged by Cullen in the class pi/rexi^E, and order hiemorrhagicE . Persons of a sanguine and plethoric habit bishop's milre. it is applied to a valve and not yet advanced to manhood, are at the orifice between the left auricle very liable to be attacked with this coni- and ventricle of the heart called the mitral plaint : females being much less subject to valve. it than males, particularly after nienslrua- Epispa'smus. (From ima-Trsue, to draw tion. together.) A quick inspiration of the Episfasis comes on at times without any breath. previous warning; but at others, it is pre- EPISPA'STICS. (Epispaslica, sc. me- ceded by a pain and heaviness in the bead, tUcamenta, from etr/s-^ita), to draw together.) flushing in the face, heat and itching in the Those substances which are capable, when nostrils, a throbbing of the temporal arte- applied to the surface of the body, of pro- ries and a quickness of the pulse. In some ducing a serous or puriform discharge, by instances a coldness of the feet, and shiver- exciting a previous state of inflammation, ing over the whole body, together wilh a cos- The term, though comprehending likewise tive belly, are observed to })recede an attack issues and setons, is more commonly re- of this haemorrhage. stricted to blisters — those applications, This complaint is to be considered as of lit- which, exciting inflammation on the skin, tie consequence, vx hen occurring in young occasion a thin serous Quid to be poured persons, being never attended with any dan- from the exhalants, raise, the cuticle, and ger ; but when it arises in those who are ad- form the appearance of a vesicle. This vanced in life, flows profusely and returns effect arises from their strong stimulating frequently, it indicates too great fulness of power, and to this stimulant operation and the vessels of the head, and not unfrequent- the pain they excite, are to be ascribed ly precedes apoplexy, palsy, k.c. and, there- the advantages derived from them in the fore, in such cases, it is to be regarded as a treatment of disease. The evacuation they dangerous disease. When this haemorrhage occasion is too inconsiderable to have any arises in any putrid disorder, it is to be con- material etfect. sidered as a fatal symptom. It is a princijile sufficiently established In general, we need not be very anxious with regard to the living system, that where to stop a discharge of blood from the nose, a morbid action exists, it may often be particularly where there are marks of fulness removed by inducing an action of a diff"erenl of the vessels of the head : but if it occurs kind in the same or neighbouring part, under a debilitated state of the system, or On this principle is explained the utility becomes very profuse, means must be em- of blisters in local inflammation and spas- ployed to suppress it. These are chiefly modic action, and it regulates their applica- of a local nature ; applying pressure to the tion in pneumonia, gastritis, hepatitis, phre- bleeding vessels, introducing astringents iiitis, angina, rheumatism, colic, and spasnio- into the nostrils, as solutions of alum, sui- dic affections of the stomach; diseases in phate of zinc, sulphate of copper, fcc. apply- vvhich they are employed with the most ing cold to the head, or to some very sen- marked advantage. sibie part of the skin, us in the course of A similar principle exists with respect to the spine, &c. At the same time the patient pain ; exciting one pain often relieves an- should be kept in the erect position. If other. Hence blisters often give relief in the hemorrhage be of an active character, toothach, ,and some other painful aflTec- the antiphlogistic regimen should be care- tions. fully observed ; the patient kept cool and Lastly, blisters, by their operation, com- quiet ; the saline cathartics, refrigerants, municate a stimulus to the whole system, as nitrate of potash and the acids, digitalis, and raise the vigour of the circulation, diaphoretics, k.c. administered internally ; Hence, in part, their utility in fevers of the and blood may be taken from the temples typhoid kind, though in such cases they by leeches, or even from the arm, if the pa- are used with still more advantage to obviate tient be very plethoric. Sometimes, after or remove local inflammation. the failure of other means, closing the pos. Episphje'ria. (From im, and trjioupn, a terior as well as anterior outlets from the sphere ; so called from the spherical shape nose, and preventing the escape of the of the brain.) The windings of the exterior blood for some time mechanically, has been surface of the brain ; or the winding vessels successful; and this might be particularly upon it. proper, where it was discharged copiouflv 42 330 EPS ERA into (he fauces, so as to endanger suflbca- tion, on (he patien( falling asleep. E P ! S T H O'T O N S. (From i7rt^9iv, forwards, and Tiivce, to extend.) A spas- modic affection of muscles drawing the body forwards. See Tetanus. Episto'mion. (From itti, upon, and ?-ofxet, a mouth.) A stopper for a bottle. Also a vent-hole of a furnace, called the register. Epistro'phalus. (From utti, upon, and rpiipm, to turn about.) It is applied to the first vertebra of the neck, because it turns about upon the second as upon an axis, which therefore was so called by the ancients. Some, though improperly, called the second thus. It is also written Epistrophea and Epislrophis. Epi'strophe. (From iTri'^fi^m, to invert.) An inversion of any part, as when the neck is turned round. Also a return of a dis- order which has ceased. EPl'STROPHEUS. (From iTrKfo^aa,, to turn round, because the head is turned upon it.) Epistropheus. The second cervical A'ertebra. See Dentatus. Epi'sTKOPHis. See Epislrophalus. Epi'tasis. (From tm, and ts/v*, to ex- tend.) The beginning and increase of a paroxysm or disease. EPITHELIUM. The cuticle on the red part of the lips. Epithe'ma. (From s;t/, upon, and t^i^im, to apply.) A term sometimes applied to a lotion, fomentation, or some external ap- plication. Epithema'tium. The same. A plaster. Epi'thesis. (From im, and tiBujui, to cover, or lay upon.) The rectification of crooked limbs by means of instruments. EPITHY'MUM. (From im, upon, and 6u/A.o(, the herb thyme.) See Cuscuta Epi- thymum. Epo'de. (From art, over, and toi'ti, a song.) Epodos. The method of curing distempers by incantation. Epom'is. (From em, upon, and eey.oc, the shoulder.) The acromion, or upper part of the shoulder. Epobipha'lium. (From iTrt, upon, and c/u^ttKo;, the navel.) An application to the navel. EPSOM SALT. A purging salt for- merly obtained by boiling dovi^n (be mineral water found in the vicinity of Epsom in Surrey. It is at present prepared from sea water, which, after being boiled down, and the muriate of soda separated, deposits numerous crystals, that consist chiefly of sulphate of magnesia, and seld in the shops under the name of sal catharticus amarus, or bitter purging salt. See Magnesim Sul- phas. FPSOM WATER. j3qua Epsomerms. This water evaporated to dryness leaves a residuum, the quantity of which has been eEtimated from an ounce and a half in the gallon, to five drachms and one scruple. Of the total residuum, by far the greater part, about four or five-sixths, is sulphate of magnesia mixed with a very few muriates, such as that of lime, and probably mag- nesia, which render it very deliquescent, and increase the bitterness of taste, till pu- rified by repeated crystallizations. There is nothing sulphurous or metallic ever found in this spring. The diseases in which it is employed are similar to those in which we use Sedlitz water. There are many other of the simple saline springs that might be enumerated, all of which agree with that of Epsom, in containing a notable pro- portion of some purging salt, (which, for the most part, is either Epsom or Glauber's salt; or often a mixture of both,) such as Aclon, Kilburne, Bagnigge Wells, Dog and Duck, St. George's Fields, Sic. EPU'LIS. (From tTrt, and cvxa, the gums.) A small tubercle on the gums. It is said somelimes to become cancerous. EPULO'TICS (Epulolica, sc. mcdi- camenia ; from i^ouxoee, to cicatrize, A term given by surgeons to those applications which promote the formation of skin. EQUISE'TUM. (From egmis, a horse, and seta, a bristle ; so named from its re- semblance to a horse's tail. 1. The name of a genus of plants in the Linnaean system. Class, Cryptogamia. Or- der, Filices. 2. The pharmacopoeciai name of the CaU' da equina. See Hippuris vulgaris. Equise'tum arve'jjse. See Hippuris vuh gar is. E'q,uus a'sinus. The systematic name of the animal called an ass; the female affords a light and nutritious milk. Exa'nthemds. (From up, the spring, and ctvflSjCtof, a flower ; so called because it flowers in the spring.) A sort of chamo- mile. ERASIS'TRATUS, a celebrated Greek physician, said to have been born in the island of Ceos, and to have been the most distinguished pupil of Chrysippus, of the Cnidian school. He was the first, in con^- junction with Herophilus, to dissect human bodies, anatomy having been before studied only in brutss; but the Ptolemies having allowed them (o examine malefactors, they were enabled to make many important dis- coveries. Celsus notices a very improbable report, that they opened the bodies of those persons alive, to observe the internal mo- tions : they could hardly then have main- tained, that the arteries and left ventricle, do not naturally contain blood, but air only. The works of Erasistratus, which were nu- merous, are lost ; but, from the account of Galen, he appears to have very accurately described the brain, which he considered as the common sensoriura ; also the heart and large vessels; and pointed out the office of the liver and kidneys; but he supposed di- ERl :ru 331 geslion performed by trituralion. He ima- gined inflammation and fever to arise from the blood being forced through the minute veins into the corresponding arteries. He was averse from blood-letting, er the use of active medicines, but sometimes employed mild clysters ; trusting, however, principally to abstinence, and proper exercise. Being tormented with an ulcer in the fool, at an extreme old age, he is said to have termi- nated his existence by poison. Erate'va ma'rmelos. The fruit of this plant, a native of several parts of India, is about the size of an orange, and covered with a hard bony shell, containing a yellow viscous pulp, of a most agreeable flavour ; this is scooped out, and being mixed with sugar and orange, is brought to the tables of the grandees rn India, who eat it as a great delicacy. It is also esteemed as a sovereign remedy against dy.'»entery. Erebi'nthds. (BpsC/vfloc) The vetch. ERECTOR CLITO'RIDES. First mus- cle of the clitoris of Douglas. Isckioca- vernoms of Winslow, and Ischio-clitoridien of Dumas. A muscle of the clitoris that draws it downwards and backwards, and serves to make the body of the clitoris more tense, by squeezing the blood into it from its crus. It arises from the tubero- sity of the ischium, and is inserted into the clitoris. ERECTOR PE'NIS. Ischio-cavernoms of Winslow, and Ischio-caverneux of Du- mas. A muscle of the penis that drives the urine of semen forwards, and, by grasp- ing the bulb of the urethra, pushes the blood towards the corpus cavernosum and the glans, and thus distends them. It arises from the tuberosity of the ischium, and is inserted into the sides of the cavernous sub- stance of the penis. ERETHI'SMUS. (From ipiSi^a,, to excite or irritate.) Increased seqsibility and irri- tability. It is variously applied by modern writers. Mr. Pearson has described a state of the constitution produced by mercury acting on it as a poison. He calls it the mercurial erethismus, and mentions that it is charac- terized, by great depression of strength, anxiety about the praecordia, irregular action of the heart, frequent sighing, trembling, a small, quick, sometimes, intermitting pulse, occasional vomiting, a pale contracted coun- tenance, a sense of coldness ; but the tongue is seldom furred, nor are the vital and natural functions much disturbed. In this state any sudden exertion will sometimes prove fatal. Ergaste'rium. (From tpyov, work.) A laboratory ; that part of the furnace in which is contained the matter to be acted upon. ERl'CA. '(From ipuna, to break ; so named from its fragility, or because it is broken into rods to make besoms of.) The name of a genus of plants in the Lin- najan system. Class, Odandria. Order, Monogynia. Heath. Erice'rum. (From s/ia»), heath.) A medicine in which heath is an ingredient. Eri'gerum. (From up, the spring, and y^m, old ; so called, because in the spring it ha.s a white blossom like the hair of an old man.) See Senecio vulgaris. ERO'SION. (From erodo, to gnaw off.) Erosio. This word is very often used in the same sense as ulceration, viz. the for- mation of a breach or chasm in the sub- stance of parts, b}' the action of the ab- sorbents. EROTIA'NUS, the author of a glossary, containing an explanation of the terms ia Hippocrates, lived in the reign of Nero. The work was printed at Venice, in 1566; and also annexed to FoSsius's Edition of Hippocrates. Erotoma'nia. (From spai?, love, and fj^AVM, madness.) That melancholy, or mad- ness, which is the effect of love. \ E'rpes. (Fvom ifiTToi, to creep ; so named from their gradually increasing in size.) The shingles, or herpes. ERRATIC, (Errnticus, from erro, to v/ander.) Wandering. Irregular. A term occasionally applied to pains, or any disease which is not fixed, but moves from one part to another, as gout, rheumatism, &c. E'RRHINE. (Errhina, sc. medicameiiia : ifpivx, from sv, in, and piv, the nose.) B)' errhines are to be understood those medi- cines which, when topically applied to the internal membrane of the nose, excite sneez- ing, and increase the secretion, independent of any mechanical irritation. The articles belonging to this class may be referred to two orders. 1. Sternutalary errhines, as nieotiana, hel- Uborus, euphotbium, which are selected, fop the torpid, the vigorous, but not plethoric ; and those to whom any degree of evacua- tion would not be hurtful. 2. Evacuating errhines, as asarum, &c. which are calculated for the phlegmatic and infirm. E'rror lo'ci. Boerhaave is said to have introduced this term, from the opinion that the vessels were of different sizes, for the circulation of blood, lymph, and serum, and that when the larger sized globules were forced into the lesser vessels, they became wbstructed by an error of place. But this opinion does not appear to be well grounded. Eru'ca. (From erugo, to make smooth, so named from the smoothness of its leaves ; or from uro, to burn, because of its biting quality.) See Brassica. Erd'ca sylve'stris. The wild rocket. Brassica erucastrum of Linnaeus. See Brassica. ERUFTIOJS^. A discolouration, or spots on the skin, as the eruption of small poX; measles, neltle-rash. &.L-. 332 ERT ERY ERUPTIVE DISEASES. A term nearly synonymous with cutaneous dis- eases. Eruthe'ma. (From s^suSa, to make red.) A fiery red tumour, or pustules on the skin. E'RVUM. (Quuii Mrvum, a field, be- cause it grows wild in the fields ; or from truo, to pluck out, because it is diligently plucked from corn.) The tare. 1. The name of a geims of plants in the Linnaean system. Class, Diadelphia. Order, Decann'ria. 2. The pharmacopceial name of tare. See Ervum Ervilia. Er'vum er'vilia. Orobus. The plant ordered bytliis name is the Ervum ervilia: f;ermlnibus undato plicaiis, foliis impnripin- iiatis, of Linnaeus. In times of scarcity, the seeds have been made into bread, which is not the most salubrious. The meal was formerly among the resolvent remedies by way of poultice. E'kvum lens. The systematic name of the lentil. Lens, t^ay.-.t of the Greeks. Ervum Itns pedunculis subbifloris ; seminibus compressis, convtxis, of Linnasus. There are two varieties ; the one with large, the other small seeds. They are eaten in many places as we eat peas, than which they are more flatulent, and more difficult to digest. A decoction of these seeds is used as a lotion to the ulcerations after small pox, and, it is said, with success. ERY'NGIUM. (From ipuyyuvee, to eruc- tate.) Eryngo, orseaholly. 1. The name of a genus of plants in the Linncean system. Class, Pentandria. Order, Digynia. 2. The pharmacopceial name of the sea Lolly. See Eryngium marilimum. Ertsgium MARiTiMUM. The systematic name of the sea holly or eryngo. Eryn- gium : — foliis radicalibus mbrolundis, plicaiis spinosis, capilulis pedunculatis, palels tricus- fiidaiis, of Linnaeus. The root of this plant js directed for medicinal use. It has no parti- cular smell, but to the taste it manifests a grateful sweetness ; and, on being chewed for some time, it discovers a light aromatic warmth, or pungency. It was formerly cele- brated for its supposed aphrodisiac powers, but it is now very rarely employed. Ery'ngium campe'stre. The root of this plan!, £r^ng;'u»i camp e sir e ; foliis radi- calibus, amplexicaulibus, pinnalC'fanceolatis, of LinnjEus, is used in many places for that of the sea eryngo. See Eryngium. Eryngo. See Eryngium. Eryngo, sen. See Eryngium. Eryngo leaved lichen. See Lichen islan- dicus. EKY'SIIVIUM. (From epvoo, to dravr, so called from its power of drawing and pro- ducing blisters ; olhers derive it a-zo tou ipoKuv, bectiu'e the leaves are much cut ; others from ifnifjiov, precious.) i'. The irBine of a genus of plants \n the Linnaian system. Class, Telradynamia. Order, Siliquosa. 2. The pharmacopceial name of the hedge mustard. See Erysimum officinale. Ery'simum allia'ria. The systematic name of Jack in the hedge. Mliaria, Sauce- alone, or stinking hedge-mustard. The plant to which this name is given, in the pharmacopoeias, is the Erysimum alliaria ; foliis cor datii, oi Linnaeus; it is sometimes exhibited in humid asthma and dyspncea, with success. Its virtues are powerfully diaphoretic, diuretic, and antiscorbutic. Ery'simum barbare'a. The systematic name of the barbarea of the shops. Barba- rea. The leaves of this plant, Erysimum barbarta : — foliis lyralis, exiimo subrotundo of Linnffius, may be ranked among the antiscorbutics. They are seldom used ia practice. Ery'simum officina'le. The systematic name of the hedge mustard. Erysimum. This plant ; Erysimum siliquis spicos. adpressis, foliis runcinalis, of Linneeus, was for- merly much used for its expectorant and diuretic qualities, which are now forgotten. The seeds are warm and pungent, and very similar to those of mustard in their sensible effects. ERYSI'PELAS. (From f/^^o), to draw, and i7roti, the liver ; because it was said to be useful in diseases of the liver.) 1. The name of a genus of plants in the LiiHiffian system. Class, Syngenesia. Ordevj Polygamia cBqnalis. 2. The pharmacopoeial name of the Eu- patoriurn cannabinum; which see EuPATo'RiiJM ara'bicum. See Eupato- rium cannabinum. Eupato'rtusi canna'binuih The sys- tematic name of the hemp agrimony. Eu- patoriurn. Eupalorium .frabicum. This very bitter and strong smelling plant, is the Eupalorium foliis digitalis, of Linnasus. lis juice proves violently emetic and purgative, if taken in suflicient quantity, and promotes the secretions generally. It is recommended in dropsies, jaundices, agues, &c. and is in common use in Holland, among the iower orders, as a purifier of the blood ia old ulcers, scurvy, and anasarca. Eupato'rium me'sues. See Achillea age- raium. Eupe'psia. (From =u, well, and 7ri7r}u). to concoct. A good digestion. Eupe'ptic. (Eupeptica; from rj, good, and TTiTrlce, to digest.} Substances are so called that are easy to digest. EUPHO'RBIA. The name of a genus of plants in the Linnasan system. Class, Dodecandria. Order, Trigynia Eupho'rbia ANTiqoo'RUM. Tlie Lin- nsean name of a plant supposed to produce the Euphorbium. EuPHo'fbIA CiSAKJF.'.NSI*. lil ibs CV.. H3S EVU LUD "burn tapidly. After every thing is cold, invert the mcutli of the eudiometer-tube into a basin of water, and withdraw the cork. The water will ascend in propor- tion to the loss of oxygen gas the air has sustained, and thus jts quantity may be ascertained. Analogous to this is 5. Seguin's Eudwneler, Which consists of a glass tube, of about one inch in diameter, and eight or ten inches high, closed at the upper extremity. It is filled with mercury, and kept inverted in this fluid in the mercurial trough. A small bit of phosphorus is introduced into it, which on account of its specific gravity being less than that of mercury, will rise up in it to the top. The phosphorus is then melted by means of a red-hot poker, or burning coal applied to the outside of the tube. When the phosphorus is liquified, small portions of air destined to be exa- lained, and which have beeH previously tpeasured in a vessel graduated to the cubic inch, or into grains, are introduced into the tube. As soon as the air which is sent up reaches the phosphorus, a combustion •will take place, and the mercury will rise again. The combustion continues till the end of the operation ; but, for the greater exactness, Mr. Seguin directs the residuun^ fo be heated strongly. When cold, it is in- troduced into the graduated vessel to ascer- tain its volume. The diiference of the two volumes gives the quantity of the oxygen gas contained in the air subjected to ex- amination. 6. BerthoUtCs Eudiomeler. Instead of the rapid combustion of phos- phorus, Berthollet, has substituted its spon- taneous combustion, which absorbs the oxy- gen of atmospheric air completely : and, when the quantity of air operated on is small, the process is accomplished in a short time. Bertholiet's apparatus consists of a narrow graduated glass tube, containing the air to be examined, into which is introduced a cylinder, or stick of phosphorus, supported upon a glass rod, while the tube stands in- verted in water. The phosphorus should be nearly as long as the tube. Immediately after the introduction of the phosphorus, white vapours are formed which fill the tube ; these vapours gradually descend, and become absorbed by the water. When no more while vapours appear, the process is at an end, for all the oxygen gas which was present in the confined quantity ef air, has nnited with the phosphorus ; the residuum is the quantity of nitrogen of the air sub- mitted to examination. This eudiometer, though excellent of the kind, is nevertheless not absolutely to be d^peuded upon; for, as soon as the absorp- tion of oxygen is completed, the nitrogen gas exercises an action upon the phosphorus, and thus its bulk becomes increased. It has been ascertained, that the volume of nitro- gen gas is increased by l-40lh part ; con- sequently the bulk of the residuum, dimi- nished by 1-40, gives us the bulk of the ni- trogen gas of the air examined ; which bulk, subtracted from the original mass of air, gives us the proportion of oxygen gas con- tained in it. The same allowance must be made in the eudiometer of Seguin. 7. Davy's Eudiomtter. Until very lately, the preceding pro- cesses were the methods of determining the relative proportions of the two gases which compose our atmosphere. Some of these methods, though very in- genious, are so extremely slow in their action, that it is difficult to ascertain the precise time at which the operation ceases. Others have frequently involved inaccura- cies, not easily removed. The eudiometer of Davy is not only free from these objections, but the result it offers \s always constant ; it requires little address, and is very expeditious; the apparatus is portable, simple, and convenient. Take a small glass tube, graduated into one hundred equi-distant parts ; fill this tube with the air to be examined, and plunge it into a bottle, or any other conve- nient vessel, containing a concentrated so- lution of green muriate or sulphate of iron, strongly impregnated with nitrous gas, All that is necessary to be done, is to move the tube in the solution a little backwards and forwards ; under these circumstances, the oxygen gas contained in the air will be ra- pidly absorbed, aiid condensed by the nitrous gas in the solutioB, in the form of nitrous acid. N. B. The state of the greatest ab- sorption should be marked, as the mixture afterwards emits a little gas which would alter the result. This circumstance depends upon the slow decomposition of the nitrous acid (formed during the experiment,) by the oxide of iron, and the consequent pro- duction of a small quantity of aeriform fluid (chiefly nitrous gas ;) which, having no afBnity with the red muriate, or sulphate of iron, produced by the combination of oxygen, is gradually evolved and mingled with the residual nitrogen gas. However, the nitrous gas evolved might be abstracted by exposing the residuum to a fresh so- lution of green sulphate or muriate of iron. The impregnated solution with green muriate, is more rapid in its operation than the solution with green sulphate. In cases when these salts cannot be obtained in a state of absolute purity, the common sul- phate of iron of commerce may be employed. One cubic ineh of moderately impregnated EL'G solution, is capable of absorbing five or six cubic inciies of oxygen, in common pro- cesses ; but the same quantity must never be employed for more than one experi- ment. Id all these different methods of analy- sing air, it is necessary to operate on air of a determinate density, and to take care that the residuum be neither more con- densed nor dilated than the air was when first operated on. If these things are not attended to, no dependance whatever can be placed upon the result of the ex- periments, bow carefully soever they may have been performed. It is, therefore, ne- cessary to place the air, before and after the examination, into water of the same temper- ature. If this, and several other little cir- cumstances have been attended tO;, for in- stance, a change in the height of the baro- ' meter, &.c. we find that air is composed of about 0.21 of oxygen gas, and 0.79 of ni- trogen gas by bulk. But as the weight of these two gases is not exactly the same, the proportion of the component parts by weight will differ a little ; for as the specific gra- vity of oxygen gas is to that of nitrogen gai as 8 to 7 nearly, it follows that 100 parts of air are composed hy weight of about 76 ni- trogen gas, and 24 oxygen gas. The air of this metropolis, examined by means of Davy's eudiometer, was found in all the different seasons of the year to con- tain 0.21 of oxygen ; and the same was the case with air taken at Islington and High- gate ; in the solitary cells in Cold bath fields prison, and on the River Thames. But the quantity of water contained in a given bulk of air from these places, differed considerably. EUGALENUS, Severinds, a physician of Doccum, in Friesland, known chiefly as the author of a treatise on the scurvy, in 1604, which once maintained a considerable character ; but the publication of Dv. Lind, pointing out his numerous errors, has en- tirely superseded it. EUGE'NIA. (So named by Micheli, la comjiliment to Prince Eugene of Savoy, who sent him from Germany almost all the plants described by Clusius.) The name of a genus of plants in the Linnaean system. Class, Icosandria. Order, Monogynia. Euge'nia caryophylla'ta. The syste- matic name of the tree which affords the clove. Caryophyllus aromaticus : It grows in the East-Indies, the Moluccas, &c. The clove istheunexpanded flower, or rather the calyx} it has a strong agreeable smell, and a bit- terish, hot, not very pungent, taste. The oil of cloves, commonly met with in the shops, and received from the Dutch, is highly acrimonious and sophisticated. Clove is accounted the hottest and most acrid of the arnmatics ; and by acting as a powerful stimulant to the muscular fibres, may, in some cases of atonic gout, paralvsis, fcc. E(JF 33!i supersede most others of the aromatic class ; and the foreign oil, by its great acrimony, is also well adapted for several external purposes : it is directed by several pharma- copceias, and the clove itself enters many officinal preparations. Epge'nia ja'mbos. The systematic name of the Malabar plum-tree. The Malabar plum, which is the produce of the Eugenia jambos, smells, when ripe, like roses. On the coast of Malabar, where the trees grow plentifully, these plums are in great esteem. They are not only eaten fresh off the trees, but are preserved in sugar, in order to have them eatable all the year. Of the flowers, a conserve is prepared, which is used medi- cinally, as a mild adstringent. Euge'us. (From 6u, well, and ya, the earth ; so called because of its fertility.) The uterus. Eu'le. (From rjxn^ai, to putrefy.) A worm bred in foul and putrid ulcers." EuNu'cHiuM. (From cjviiup^cc, an eunuch : so called because it was formerly said to render those who eat it impotent, like au eunuch.) The lettuce. Eupatoriopha'lacron. (From ivTra- lecptou, agrimony, and tpstKtw.po;, bald. A species of agrimony with naked heads. EUPATO'RIUM. (From Eupator, its discoverer : or quasi, hepaiorimn, from xa-an, the liver ; because it was said to be useful in diseases of the liver.) 1. The name of a genus of plants in (he Liniiffian system. Class, Syngenesia. Order, Pulygamia mqualis. 2. The pharmacopceial name of the £«- palorium caymabinum ; which see Eupato'rium ara'bicum. See Eupato- rium cannabinum. Eupato'rium canna'bikuivi The sys- tematic name of the hemp agrimony. Eu- patorium. Eupatoriuni Jrabicum. This very bitter and strong smelling plant, is the Eupalorium foliis digilalis, of Linnajus. lis juice proves violently emetic and purgative, if taken in sufficient quantity, and promotes the secretions generally. It is recommended in dropsies, jaundices, agues, &c. and is in common use in Holland, among the lower orders, as a purifier of the blood in old ulcers, scurvy, and anasarca. Eupato'rium me'sues. See Achillea age- ratum. Eupe'psia. (From =v, well, and wss-?*. to concoct. A good digestion. Eupe'ptic. (Eupeptica; from rj, good, and ■TT'-Trlce, to digest.) Substances are so called that are easy to digest. EUPHO'RBIA. The name of a genus of plants in the Linnaean system. Class, Dodecandria. Order, Trigynia Eupho'rbia antiquo'rum. The Lin- naean name of a plant supposed to j)roduce the Eiiphorbiitm. Eupho'kbia- ciNAKjr.'.vsi?. la ibe CV. aiu EVV EXA nary islands this species of spurge aftbi'ds the gum euphorbiiim. Eupho'kbia cypari'ssias. The systematic name of tlie cypress spurge. Esula minor. Tilhymalus cyj)arissius. Cypress spurge. This, like most of the spurges, is very acri- monious, inflaming the eyes and oesophagus after touching them. It is now fallen into disuse, whatever were its virtues formerly, which, no doubt, among some others, was tiiat of opening the bowels; for among rustics, it was called poor man's rhubarb. Edpho'rbia ia'thyris. The systematic name of the plant which affords the lesser cataputia seeds. Calaputia minor, the Eu- phorbia lalhyrus ; umbella quadrifida, dicho- ioma, foliis oppositis integerrimis of Linnaeus. The seeds possess purgative properties ; but if exhibited in an over-dose, prove drastic and poisonous ; a quality peculiar to all the ciiphorbicc. Eufho'rbia officina'rum. The syste- matic name of the plant which affords the euphorbium in the greatest abundance. Euphorbium is an inodorous gum-resin, in yellow tears, which have the appearance of being worm-eaten ; said to be obtained from several species of euphorbise, but prin- cipally from the Euphorbia officinarum ; aculalea nuda mullangularis, aculeis germi- ludls, of Linnaeus : it is imported from Ethiopia, Libya, and Mauritania, it con- tains an active resin, and is very seldom em- ployed internally, but, as an ingredient, it enters into many resolvent and discutient plasters. Eupho'rbia pALu'sTRis. The systematic Jiame of the greater spurge. Esula major. The officinal plant ordered by this name in some pharmacopoeias, is the Euphorbia pa- histris; umbella mullifida, bifida, involucellis oralis, foliis lanceolatis, ramis sterilibus, of Linna3us. The juice is exhibited in Russia as a common purge ; and the plant is given, in some j)laces, in the cure of intermittents. Eupho'rbia para'lias. Tilhymalus pa- r alios,, See spurge. Every part of this plant, Euphorbia paralias of Linnaeus, is violently cathartic and irritating, inflaming the mouth and fauces. U is seldom employed in the practice of this country ; but where it is us(;d vinegar is recommended to correct its irritating power. EUPHO'RBIUM. (From Euphorbus, the physician of king Juba, in honour of whom it was named.) See Euphorbia offi- cinarutn. EUPHRA'SIA. (Corrupted from Eu- phrosyne, at/^potruvx from ivippaiv, joyful ; so called because it exhilarates the spirits.) 1. The name of a genus of plants in the Linnaean system. Class, Didynamia. Order, .^ngiospermia. 2. The pharmacopceial name of eye- bright. See Euphrasia officinalis. Euphra'sia officina'lis. The syste- mftic name of llio fve-brrglil. Tiiis beauti- iul little plant. Euphrasia o^ffuinali ; foliis ovatis, linealis, argute denlatis, oi lAnndius, has been greatly esteemed by the commoa people, as a remedy for all diseases of the eyes, yet, notwithstanding this, and the encomiums of some medical writers, is now wholly fallen inlo disuse. It is an ingre- dient in the British herb-tobacco. EUSTA'CHIAN TUBE. Tuba Eus- tachiana. The tube so called was discovered by the great Eustachius. It begins, one in each ear, from the anterior extremity of the tympanum, and runs forwards and in- wards in a bony canal, which terminates with the petrous portion of the temporal bone. It then goes on, partly cartilagi- nous, and partly membranous, gradually becoming larger, and at length ends behind the soft palate. Through this tube the air passes to the tympanum. Euslachian valve. See Valvula Eusiachii. EUSTACHIUS, BARTHOLOMEW, one of the most celebrated anatomists of the 16th century, was born at San Severino in Italy- He studied at Rome, and made himself such a proficient in anatomy, that he was chosen professor of that branch of medicine there, where he died in 1574. He was author of s -veral works, many of which are lost, especially his treatise " De Controver- siis Anatomicorum," which is much re- gretted. He made several discoveries in anatomy ; having first described the renal capsules, and the thoracic duct v also the passage from the throat to the internal ear, named after him the Eustachian tube. A series of copper-plates, to which he alludes in his " Opuscula," were recovered by Lancisi, and published in the beginning of the 18th century. He edited the Lexicon of Erotian with a commentary. Euthypo'ria. (From mdv;, straight, and vop'-j;, a passage.) Eulhyporos. An exten- sion made iu a straight line, to put in place a fracture, or dislocation. EVAPORA'TION. The volatilization of a fluid, by means of heat, w ith access of air, in order to diminish its fluidity, to ob- tain any fixed salts it may hold in solution, or to diminish the quantity of a residuum. In this manner sea water is evaporated, and the salt obtained, and decoctions made into extracts. EvEURi'cuLUM. (From tverro, to sweep away.) A sort of spoon, used to clear the bladder from gravel. EXACERBATION. (From exacerbo, to become violent.) An increase of febrile symptoms. Ex^'RESis. (From i^^tpue, to remove.) One of the divisions ot surgery, adopted by the old surgeons ; the term implies the removal of parts. Exa'lma. (From (^a.KM'j.cu, to leap out.) Hippocrates applies it to the starling ot the ver'cbrs out of their places. EXC Examelo'ma. (From i^a.fjLQh.oai, to mis- carry.) An abortion. ExAMBLo'sis. An abortion. ExANASTOMo'sis. (From e^ctvturlo/uoce, to relax, or open.) The opening of the mouths of vessels, to discharge their con- tents ; also the meeting of the extremities of the veins and arteries. EXANTHE'MA. (From e^uvQim, to spring forth, to bud.) Exanthisma. An eruption of the skin. EXANTHEMATA. (The plural of exanthema.) The name of an order of dis- eases of the class pyrexim in Cullen's No- sology. It includes diseases, beginning with fever, and followed by an eruption on the skin. ExASTHi'sMA. See Exanthema. ExAKTHRo'piA. (From «*, without, and eivSpmToi, a man, i. e. having lost the facul- ties of a man.) A species of melancholy, where the patient fancies himself some kind of brute. Exara'gma. (From i'^a.pa.^la>, to break.) A fracture. Exa'kma. (From ^aufu>, to lift up.) A tumour ; a swelling. Exarte'ma (From i^afsiM, to suspend.) An amulet, or charm, hung round the neck. Exarthre'ma. (From i^ctp&foa>, to put out of joint.) Exarlhronia. Exarlhrosis. A dislocation, or luxation. Exarthro'ma. See Exarthrema. Exarthro'sis. See Exarthrema. ExARTicnLA'xio. (From ex, out of, and cr^jcttto, a joint.) A luxation, the disloca- tion of a bone from its socket. Exci'puLUM. (From excipio, to receive.) A chemical receiver. EXCITABILITY. See Excitement. EXCI'TEMENT. A term introduced info medicine by Dr. Brov/n. Animals, differ from themselves in their dead state, or from any other inanimate matter, in this property alone ; they can be affected by external agents, as well as by certain func- tions peculiar to themselves in such a man- ner, that the phenomena peculiar to the living state can be produced. This pro- position extends to every thing that is vital in nature, and therefore applies to vegetables. The external agents are reducible to heat, diet, and other substances taken into the stomach, blood, the fluids secreted from the body and air. The functions of the system itself, pro- ducing the same effect, are muscular con- traction, sense, or perception, and the energy of the brain in thinking, and in exciting passion and emotion. These affect the sys- tem in the same manner as the other agents ; and they arise both from the other and from themselves. {f the property v;hich distinguishes living from dead mat!er, or the oneratiyn of either EXO 342 of the two sets of powers be withdrawn, life ceases. Nothing else than the presence of these is necessary to life. The property on which both sets of powers act Dr. Brown names Excitability, and the powers themselves exciting powers. The word body, means both the body simply so called, and also as endued with an intellec- tual part, a part appropriated to passion and emotion, or a soul : the usual appellation ia medical writings is system. The effects common to all the exciting powers, are sense, motion, mental exertion, and passion. Their effects being the same, it must be granted, that the operation of all their powers is the same. The effects of the exciting powers acting upon the excitability, Dr. Brown denomi- nates excitement. EXCI'TING CAUSE. Occasional cause. Procatarctic cause. Remote cause. That which, when applied to the body, ex- cites a disease. The exciting, or remote causes of diseases, are either external of internal. EXCORIA'TION, (From excorio, to take off the skin.) Excoriatio. An abra- sion of the skin. E'XCREMENT. (From excerno, to separate from.) The alvine faeces. EXCRESCENCE. (From excresco, to grow from.) Excrescentia. Any pre- ternatural formation of flesh, or any part of the body, as wens, warts, &,c. EXCRETION. (From excerno, to se- parate from.) Excretio. This term is ap- plied to the separation or secretion of those fluids from the blood of an animal, that are supposed to be useless, as the urine, perspi- ration, and alvine faeces. EXFOLIATION. (From exfolio, to cast the leaf.) Exfoliatio. The separation of a dead piece of bone from the living. ExFOLiATi'v0M. (From exfolio, to shed the leaf.) A raspatory or instrument for scraping exfoliating portions of bone. Exi'scHios. (From sf, out of, and iryt- ov, the ischium.) A luxation of the thigh- bone. Exitd'ra. (From exeo, to come from.) A running abscess. E'xiTus. (From exeo, to come out.) A prolapsus, or falling down of the womb or anus. E'xochas. (From eSa, without, and e-^je, to have.) Exoche. A tubercle on the out- side of the anus. E'xocHE. See Exochas. Exocy'sTE. See Exocyslis. Exocy'stis. (From e|*, without, and K.ii;t;, the bladder.) Exocyste. A prolap- sus of the inner membrane of the bladder. EXO'MPHALUS. (From «5, out, and oy.'PdiK-.;, the navel.) Exomphalos. An um- bilical hernia. See Hernia. ExoNcuo'aiA. (From «>, and oyyo;, a tumoirr.) A large prominent tumour. 342 exs EXT EXOPHTHA'LMIA. (From 6^, out, and o94Aftoc, the eye.) A swelling or protrusion of the bulb of (he eye, to such a degree that the eye-lids cannot cover it. It may be caused by inflamnaation, when it is termed exophthalmia inflammaloria ; or from a collection of pus in the globe of (he eye, when it is termed the exophthalmiapundenta; or from a congestion of blood within (he globe of the eye, exophtfialmia sanguinea. EXOSTO'SIS. (From s|, and ocrlcov, a bone.) Hyperostosis. A morbid enlarge- ment, or hard tumour of a bone. A genus of disease arranged by Cullen in the class locales, and order tumores. The bones most frequently affected with extososis, are those of the cranium, the lower jaw, sternum, humerus, radius, ulna, bones of the carpus, (he femur, and tibia. There is, however, no bone of the body, which may not be- come the seat of this disease. It is not uncommon to find the bones of the cranium affected with exostosis, in their whole extent. The ossa parietalia sometimes become an inch thick. The exostosis, however, mostly rises from the surface of the bone, in the form of a hard round tumour ; and venereal exostoses, or nodes, are observed to arise chiefly on compact bones, and such of these as are only superficially covered w itii soft parts ; as, for instance, the bones of the cranium, and the front surface of the tibia. EXPE'CTORANTS. (Expecloraniia, so. medicamenla, from expectoro, to discliarge from the breast.) Those medicines which increase the discharge of mucus from the lungs. The different articles referred to this class may be divided into the foliov»- ing orders: 1. JVauseating expeclorants, as squill, ammoniacum, and garlic, which are to be preferred for the aged and phlegmatic. 2. Stimulating expectorants, as marrubium, which is adapted to the young and irritable, and those easily affected by expectorants. 3. Antispasmodic expectorants, as vesicato- ries, pediluvium, and watery vapours ; these are best calculated for the plethoric and irri- table, and those liable to spasmodic affec- tions. 4. Irritating expectorants, as fumes of tobacco and acid vapours. The consti- tutions to which these are chiefly adapted are those past the period of youth, and those in whom t|iere are evident marks of torpor, either in the system generally, or in the lungs, in particular. EXPIRATION. (From expiro, to breathe.) Expiratio. That part of re- spiration in which the air is thrust out from the lungs. See Respiration. Expre'ssed oils. Such oils as are ob- tained by pressing the substance containing (hem, as olives, which give out olive oil, almonds, &c. Exsucca'tio. (From ex, out of, and succus, humour.) An eccbymosis, or ex- travasation of humours, under the integu- ments. EXTE'NSOR. (From extendo, to stretch out.) A term given to those muscles whose oflice it is to extend any part ; the term is in opposition to flexor. EXTE'NSOR BRE'VIS DIGITO'RUJVi PE'DIS. Extensor brevis of Douglas. Cal- cano phalanginien commune of Dumas. A muscle of the toes situated on the foot. It arises fleshy and tendinous from the fore and upper part of the os calcis, and soon forms a fleshy belly, divisible into four portions, which send off an equal number of tendons that pass over the upper part of the foot, under the tendons of the extensor iongus digilorum pedis, to be inserted into its ten- dinous expansion. Its office is to extend the toes. EXTE'NSOR CA'RPI RADIA'LIS BRE'- VIOR. Radialis exlernus brevior of Albi- nus. Radialis secundus of Winslow. An extensor muscle of the wrist, situated on the fore-arm. It arises tendinous from the external condyle of the humerus, and from the ligament that connects the radius to it, and runs along the outside of the radi- us. It is inserted by a long tendon into the upper and back part of the metacar- pal bone of the middle finger. It assists in extending and bringing the hand back- ward. EXTE'NSOR CA'RPI RADIA'LIS LO'N- GIOR. Radialis exlernus longior of Albi- nus. Radialis exttrnus primus of Winslow. An extensor muscle of the carpus, situated on the fore-arm, that acts in conjunction with the former. It arises thin, broad, and fleshy, from the lower part of the external ridge of the os humeri, above its external condyle, and is inserted by a round ten- don into the posterior and upper part of the metacarpal bone that sustains the fore- fingers. EXTE'NSOR CA'RPI ULNARIS. Ul- nuris exlernus of Albinus and Winslow. It arises from the outer condyle of the os humeri, and (hen receives an origin from the edge of the ulna : its tendon passes in a groove behind the styloid process of the ulna to be inserted into the inside of the basis of the metacarpal bone of the litlle finger. EXTE'NSOR DIGITO'RUM COMMU'- NIS. Cum extemore propria auricularis of Albinus. Extensor digilorum communis ma- 71US of Douglas and Winslow. Extensor di- gilorum communis, seu digilorum tensor of Covvper, and Epichondylo-susphalangeltien commune of Dumas. A muscle situated on the fore-arm, that extends all the joints of the fingers. It arises from the external pro- tuberance of the humerus : and at (he wrist it divides into three flat tendons, which pass under the annular ligament, to be inserted into all the bones of the fore, middle, and ling finger?. EXT EXTENSOR DIGITO'RUM LO'NGUS. See Extensor longus digitorum pedis. Exte'nsor i'kdicis. See Indicator. EXTE'NSOR LONGUS DIGITORUM PE'DIS. Extensor digitorum lo7igus. Ptro- neo tibisus phalangittien commune of Dumas. A muscle situated on the leg, that extends all the joints of the four small toes. It arises from the upper part of the tibia and fibula, and the interrosseous ligament ; its tendon passes under the annular ligament, and then divides into 5ve,four of which are inserted into the second and third phalanges of the toes, and the fifth goes to the basis of the metatarsal bone. This last, Winslovv reckons a distinct muscle, and calls it Fe- roneus brevis. Exte'nsor lo'ngus po'llicis pe'dis. See Extensor proprius pollicis pedis. Exte'nsor ma'gnus. See Gastrocnemius inlernus. Exte'nsor ma'jor po'llicis ma'hus. See Extensor secundi internodii. Exte'hsor mi'kor po'llicis ma'kus. See Extensor primi internodii. EXTE'NSOR O'SSIS METACA'RPI PO'LLICIS MA'NUS. Mdiictor longus pollicis manus of Albinus. Exleruor primi internodii of Douglas. Extensor primus pollicis of Winslow. Extensor primi inter- nodii pollicis of Cowper. Cubito-radisus metacarpien du pouce of Dumas. It arises fieshy from the middle and posterior part of the ulna, from the posterior part of the middle of the radius, and from the interos- seous ligament, and is inserted into the os trapezium, and upper part of ths metacarpal bone of the thumb. Exte'nsor po'llicis pri'sius. See Ex- tensor primi internodii. Este'ksor po'llicis secu'a'dus. See Extensor secundi internodii. EXTE'NSOR PRI'MI INTEKNO'DII. Extensor minor pollicis manus of Albinus. This muscle, and the Extensor ossis mela- carpi pollicis manus, are called Extensor pollicis primus by Winslow. Extensor se- cundi internodii by Douglas. Extensor se- cundi internodii ossis pollicis of Cowper. Cubilo-susphalangien du pouce of Dumas. A muscle of the thumb L-ituated on the hand, that extends the first bone of the thumb obliquely outwards. It arises fieshy from the posterior part of the ulna, and from the interrosseous ligament, and is inserted ten- dinous into the posterior part of the first bone of the thumb. EXTE'NSOR PROPRIUS PO'LICfS PE'DIS. &;e/wor /origu^ of Douglas. Ex- tensor pollicis longus of Winslow and Cowper. Peroneo susphalangien du pouce. of Dumas. An exterior muscle of the great toe, situated on the foot. It arises by an acute, tendinous, and fleshy beginning, some way below the head, and anterior part of the fibula, along which it runs to near its lower extremity, connected to it by a num- EXT 343 ber ©f fleshy fibres, which descend obliquely, and form a tendon, which is inserted into the posterior part of the first and last joint of the great toe. EXTENSOR SECUNDI INTER- NO'DII. Extensor major pollicis manus of Albinus. Extensor pollicis secundus of Winslow. Extensor tertii internodii of Douglas. Extensor internodii ossis pollicis of Cowper. Ctibito susphalangetlien du pouce of Dumas. A muscle of the thumb, situated on the hand, that extends the last joint of the thumb obliquely backwards. It arises tendinous and fleshy from the middle part of the ulna, and interosseous ligament; it then forms a tendon, which runs through a small groove at the inner and back part of the radius, to be inserted into the last bone of the thumb. Its use is to extend the last phalanx of the thumb obliquely backwards. Exte'nsor secu'ndi iNTERNo'Dir i'hdicis pRo'pRius. See Indicator. Exte'nsor ta'rsi minor. See Plantaris.. Exte'nsor ta'rsi sura'lis. See Gastrec ■ ntmius internus. Exte'nsor te'rtii ixterno'dii minimi di'giti. See Abductor minimi digiti ma- nvs. Exte'nsor te'rtii inteuno'dii i'i'dicis. See Prior indicts. Exte'knus ma'llei. See Laxator tym- pani. EXTIRPA'TION. (From extirpo, to eradicate.) Exlirpatio. The complete re- moval or destruction of any part, either by cutting instruments, or the action of caustics. EXTRA'CTiON. (From exlraho, to draw out.) Exlr actio. The taking extra- neous substances out of the body. Thus bullets and splinters are said to be extracted from wounds; stones from the urethra, or bladder. Surgeoni also sometimes apply the term extraction to the removal of tumours out of cavities, as, for instance, to the taking of cartilaginous tumours out of the joints. They seldom speak of extracting any dis- eased original part of the body ; though they do so in one example, viz. the cata- ract. E'XTRACT. (Extractvm; from e.v- Iraho, to draw out.) The generic term extract is used pharmaceutically, in an ex- tensive sense, and includes all those prepa- rations from vegetables which are separated by the agency of various liquids, and after- wards obtained from such solutions, in a solid state, by evaporation of the menstruum. It also includes those substances which are held in solution by the natural juices of fresh plants, as well as those to which some menstruum is added at the time of prepara- tion. Now, such soluble matters are va- rious, and mostly complicated ; so that che- mical accuracy is not to be looked for ii» •344 EXT EXT the application of the term. Some chemists, however, have affixed this name to one pecu- liar modification of vegetable matter, which has been called exlradive, or extract, or extractive principle ; and, as this forms one constituent part of common extracts, and possesses certain characters, it will be proper to mention such of them as may influence its pharmaceutical relation?. The extrac- tive principle has a strong taste, differing in different plants : it is soluble in water, and its solution speedily runs into a state of putrefaction, by which it is destroyed. Repeated evaporations and solutions render it at last insoluble, in consequence of its combination with oxygen from the atmo- sphere. It is soluble in alkohol, but inso- luble in ether. It unites with alumine, and if boiled with neutral salts thereof, pre- cipitates them. It precipitates with strong acids, and with the oxides from solutions of most metallic salts, especially muriate of tin. It readily unites with alkalies, and forms compounds with them, which are soluble in water. No part, however, of this subject has been hitherto sufficiently examined. In the preparation of all the extracts, the London Fharmacopffiia requires that the wa- ter be evaporated as speedily as possible, in a broad, shallow dish, by means of a water- bath, until they have acquired a consistence proper for making pills ; and, towards the end of the inspissation, that they should be constantly stirred with a wooden rod. These general rules require minute and accurate attention, more particularly in the imme- diate evaporation of the solution, whether prepared by expression or decoction, in the manner as well as the degree of heat by which it is performed, and the promotion of it by changing the surface by constant stir- ring, W'hen the liquor begins to thicken, and even by directing a strong current of air over its surface, if it can conveniently be done. It is impossible to regulate the tem- perature over a naked Cre, or, if it be used, to prevent the extract from burning; the use of a water bath is, therefore, absolutely necessary, and not to be dispensed with, and the beauty and precision of extracts so prepared, will demonstrate their supe- riority. EXTRA'CTIVE. See Exlract. Extra'ctum acoxi'ti. Extract of aco- nite. " Take of aconite leaves, fresh, a pound ; bruise them in a stone mortar, sprinkling on a liule water ; then press out the juice, and, without any separation of the sediment, evaporate it to a proper consist- ence." The dose is from one grain to five grains. For its virtues, see Aconilum- Extra'ctum a'loes purjfica'tum. Puri- fied extract of aloes. " Take of extract of spike aloe, powdered, half a pound ; boiling water, four pints. Macerate for three days in a gentle lieat. then strain the solution, and set it by, that the dregs may subside. Four off the clear solution, and evaporate it to a proper consistence."' The dose, from five to XV grs. See Alo?s. Extka'cti-'m anthe'midis. Extract of chamomile, formerly called extracium cha- maemeli. " Take of chamomile flowers, dried, a pound. Water, a gallon. Boil down to four pints, and strain the solution while it is hot, then evaporate it to a pro- per consistence." The dose is x grs. to a scruple. For its virtues, see Anthtviis nohilis. Extra'ctum bellado'ns^. Extract of belladonna. " Take of deadly nightshade leaves, fresh, a pound. Bruise them in a stone mortar, sprinkling on a little water; then press out the juice, and without any previous separation of the sediment, eva- porate it to a proper consistence." The dose is from one to five grains. For its virtues, see £lropa Belladonna. Extra'ctum ciNCHo'?f.€. Extract of bark. " Take of lance-leaved cinchona bark bruis- ed, a pound ; water a gallon. Boil down to six pints, and strain the liquor, while hot. I.'i the same manner, with an equal quantity of water, four times boil down, and strain. Lastly consume all the liquors, mixed to- gether, to a proper consistence. This ex- tract should be kept soft, for making pills, and hard to be reduced to powder." Extra'ctum ciscHo'wiE rf.sino'sum. Re- sinous extract of bark. " Take of lance- leaved cinchona bark, bruised, a pound ; rectified spirit, four pints. iViacerate for four days and strain. Distil the tincture in the heat of a water-bath, until the ex- tract has acquired a proper consistence." This is considered by many as much more grateful to the stomach, and, at the same time, producing all the eS'ects of bark in substance, and by the distillation of i), it is intended that the spirit which passes over shall be collected and preserved. The dose is from ten grains to half a drachm. See Cinchona. Extra'ctum colocy'nthidis. Extract of cnlocynth. " Take of colocynth pulp, a pound ; water, a gallon. Boil down to four pints, and strain the solution while it is hot, and evaporate it to a proper con- sistence. " The dose is from five to thirty grains. For its virtues, see Cucumis colo- cynlhis. Extra'ctum coloc'ynthidis compo'sitcm. Compound extract of colocynth. "Take of colocynth pulp, sliced, six drachms ; extract of spike aloe, powdered, an ounce and a half; scammony gum-resin powdered, half an ounce ; cardamom seeds powdered, a drachm ; proof si>irit, a pint. Macerate the colocynth pulp in the spirit, for four days, in a gentle heat : strain the solution, and add it to the aloes and scammony ; then, by means of a water-bath, evaporate it to a proper ronsistence. constantly stirring and EXT EXT 345 about the end of the inspissation, mix iii the Macerate the jalap root in the spirit for four cardamom seeds." The dose from five to thirty grains. Extra'ctum coNi'i. Extract of hemlock, formerly called succus cicutae spissafus-. •' Take of fresh hemlock, a pound. Bruise it in a stone mortar, sprinkling on a liltle water ; then press out the juice, and, with- out any separation of the sediment, evapo- rate it to a proper consistence." The dose from live grains to a scruple. Extra'ctum EtATE'Rii. Extract of ela- terium. "Cut the ripe, wild cucumbers into slices, and pass the juice, very gently expressed, through a very fine hair sieve, into a glass vessel ; then set it by for some hours, until the thicker part has subsided. Pour off, and throw away the thinner part, days, and pour off the tincture; boil the remaining powder in the water, until it be reduced to two pints; then strain the tinc- ture and decoction separately, and let the former be distilled and the latter evaporated, until each begins to grow thick. Lastly, mix the extract with the resin, and reduce it to a proper consistence. Let this ex- tract be kept in a soft stale, fit for forming pills, and in a hard one, so that it may be reduced to powder." The dose, from ten to twenty grains. For its virtues, see Convol- vulus jalapa. Extra'ctum o'pii. Extract of opium, for- merly called extractum thebaicum. Opium colatum. " Take of opium, sliced, half a pound ; water, three pints. Pour a small which swims at the top. Dry the thicker quantity of the water upon the opium, and part which remains in a gentle heat." The macerate it for twelve hours, that it may be- dose, from half a grain to three grains, come soft ; then, adding the remaining wa- For its virtues, see Momordica Etaterium. ter gradually, rub them together until the Extra'ctum gentia'n.*;. Extract of mixture be complete. Set it by, that the gentian. "Take of gentian root, sliced, faeculencies may subside; then strain the pound ; boiling water, a gallon. Ma- liquor, and evaporate it to a proper consist cerate for twenty-four hours, then boil down to four pints ; strain the hot liquor, and evaporate it to a proper consistence." Dose from ten to thirty grains. See Gen- liana. Extra'ctum glycyerhi'ZjE. Extract of ence. ' Dose, from half a grain to five grains. Extra'ctum papa'veris. Extract of white poppy. " Take of white poppy cap- sules bruised, and freed from the seeds, a pound: boiling water, a gallon. Mace- See Jiquorice. " Take of liquorice root, sliced, rate for twenty-four hours, then boil down a pound ; boiling water, a gallon. Mace- to four pints : strain the hot liquor, and rate for twenty-four hours, then boil down evaporate it to a proper consistence." Sis to four pints; strain the hot liquor, and grains are about equivalent to cne of opium, evaporate it to a proper consistence." Dose, For its virtues, see' Fapaver album. Extra'ctum rhe'i. Extract of rhubarb. " Taks of rhubarb root, powdered, a pound ; proof spirit, a pint ; water, seven pints. Macerate for four days in a gentle heat, then strain and set it by, that the faeculen- cies may subside. I'our off the clear liquor, and evaporate to a proper consistence." from one drachm to half an ounce. Glycyrrhiza. Extra'ctum h^mato'xyli. Extract of logwood, formerly called extractum ligni campechensis. " Take of logwood, pow- dered, a pound; boiling water, a gallon. Macerate for twenty-four hours, then boil down to four pints ; strain the hot liquor, This extract possesses the purgative proper and evaporate it to a proper consistence.' Dose from ten grains to half a drachm. For' its virtues, see Hcemaloxylon campe- chianum. Extra'ctum hu'ihuli. Extract of hops. "Take of hops, four ounces; boiling wa- ter, a gallon. Boil down to four pints ; strain the hot liquor, and evaporate it to a proper consistence." rhis extract is said to produce a tonic and sedative power com- bined. The dose is from five grains to one scruple. See Humulus Lupulus. ties of the root, and the fibrous and eartiiy parts are separated ; it is, therefore a useful basis for pills, as well as given separately. Dose, from ten to thirty grains. See Rheum. Extra'ctum sarsapari'lLj?:. Extract of sarsaparilla. " Take of sarsaparilia root, sliced, a pound ; boiling water, a gallon. Macerate for twenty-four hours, then boil down to four pints ; strain the hot liquor, and evaporate it to a proper consistence." In practice this is much used, to render the Extra'ctum hyoscy'ami. Extract of common decoction of the same root stronger henbane. " Take of fresh henbane leaves, a pound. Bruise them in a stone mortar, sprinkling on a liltle water; then press out the juice, and, without separating the faecu- lencies, evaporate it to a proper consist- ence." Dose from five \o thirty grains. For its virtues, see Hyoscyamus. Extra'ctum jala'ps;. Extract of jalap. '■ Take of jalap-root powdered, a pound ; rectified spirit, lour pints ; water, ten pints. 44 and more efficacious. Dose from ten grains to a drachm. For its virtues, see Smilax sarsaparilla. ExTKA'cTtJM satd'km. See Plumbi sub- acetatis liquor. Extra'ctum tara'xaci. " Take of dan- delion root, fresh and bruised, a pound ; boiling water, a gallon. Macerate fop twenty-four hours; boil down to four pints, and strain the hot liquor ; then evaporate It 346 EYE EYE to a proper consistence." Dose, from ten grains to a drachm. For its virtues, see Leonfodon Taraxacum. EXTRAVASATION. (From extra, without, and vas, a vessel.) Extravasatio. A term applied by surgeons to tiuids, which are out of their jiroper vessels, or recepta- cles. Thus, when bluod is effused on the surface, or in the ventricles (^f the brain, it is said that there is an extravasation. When blood is poured from the vessels into tlie cavity of the peritoneum, in wounds of the abdomen, surgeons call this accident exlravasalion. The urine is also said to be exiravasaled, when, in conse- quence of a wound, or of sloughing, or ulceration, it makes its way into the cel- lular substance or among the - abdominal viscera. When the bile spreads among the convolulions of (he bowels, in wounds of the gail-bladder it is also a species of extravasation. EYE. Oculus. The parts which con- stitute the eye ore divided into external and internal. The external parts are : 1. The eyebrows, or supercilia, which form arches of hair above the orbit, at the lower part of the forehead. Tiieir use is to pre- vent the sweat falling into the eyes, and for moderating the light above. ' 2. The eyelashes, or cilia, are the short hairs that grow on the margin of the eye- lids ; (hey keep external bodies out of the eyes, and snoderale the influx of light. 3. The eyelids, or palpebrcE, of which, one is superior or upper* and the other in- ferior, or under; where they join outwardly, it is called the external canllvis ; inwardly, towards the nose, the t?i/erna/ caw//tMS ; they cover and defend the eyes. The margin of Uie eyelids, which is car- 4ilaginous, is calicd tarsus. In the tarsus, and internal surface of the eyelids, small glands are situated, called glatidtila; Meiboiniance, because Meibouiius discovered them ; they secrete an oily or mucilaginous fluid, which prevents the attri- tion of the eyes and eyelids, and facilitates their motions. 4. The lachrymal glands, or glandulce lachrymales, which are placed near the ex- ternal canthus, or corner of the eyes, in a little fovea of the os frontis. From these glands six or more canals issue, which are called lachrymal ducts, or ductus lachrymales, and they open on the internal surface of the upper eyelid. 5. The lachrymal caruncle, or caruncula lachrymalis, which is situated in the internal angle, or canthus of the eyelids. 6. Puncta lachrymaiia, are two callous orifices orojienings, which appear at the in- ternal angle of the tarsus of the eyelids ; the one in the superior, the other in the / inferior eyelid. 7. The lachrymal ducts or canales larhrymales, are two small canals, which proceed from the lachrymal points into the lachrymal sac. 8. The lachrymal sac, or saccus lachryma- lis, is a membranous sac, which is situated in the internal canthus of the eye. 9. The nasal duct, or ductus 7iasalis, is a membranous canal, which goes from the inferior part of the lachrymal sac, through the bony canal below, and a little behind, into the cavity of the nose, and opens under the inferior spongy bone into the nostrils. 10. The conjunctive membrane, or mem- brana conjunctiva,, which from its white colour, is called also albuginea, or white of the eye, is a membrane which lines the internal superficies of the eyelids, and covers the whole forepart of the globe of the eye ; it is very vascular, as may be seen in inflam- mations. The bulb, or globe of the eye, is com- posed of eight membranes, or coverings, two chambers, or camerce, and three humours, improperly so called The membranes of the globe of the eye, are, /owr in the hinder or posterior part of the bulb, or globe, viz. sclerotica, choroidea, retina, and hyaloidea, or arachnoidea ; four in the fore or anterior part of the bulb, viz. cornea Irnnspartns, iris, urea, and capsule of the crystalline lens. The membrana sclerotica, or the sclerotic or horny membrane, which is the outermost, begins from the optic nerve, forms the spherical or globular cavity, and terminates in the circular margin ot the transparent cornea. The membrana choroidea, or choroides, is the middle tunic of the bulb, of a black co- lour, beginning from the optic nerve, and covering the internal superficies of the scle- rotica, to the margin of the iranspurent cor-, nea. In this place it secedes from the cornea, and deflects transversely and in- wardly, and in the middle forms a round foramen. This circular continuation of the choroidea in the anterior surface is called iris, in the posterior superficies, uvea. The round opening in the centre is called the pitpil, or pupilla. This foramen, or round opening, can be dilated, or contract- ed, by the moving powers of almost invisi- ble muscular fibres. The membrana retina, is the innermost tunic of a white colour, and similar to mu- cus, being an expansion of the optic nerve, chiefly composed of its medullary part. It covers the inward superficies of the cho- roides, to the margin of the crystalline lens, and there terminates. The chambers, or cameree of the eyes are : 1. Camera anterior, or fore-chamber ; an open space, which is formed anteriorly, by the hollow surface of the cornea transpa- rens, and posteriorly, by the surface of the iris. FAB FAB 347 ■2. Camera posterior, that small space which is bounded anteriorly by the tunica uvea, and pupilla, or pupil; posteriorly by the anterior surface of the crystalline lens. Both these chambers are filled with arjiie- ous humour. The humours of the eye, as they are called, are in number three : 1. The aqueous humour, which fills both chambers. 2. The crystalline lens, or humour, is a pellucid body, about the size of a lentil, which is included in an exceedingly fine membrane, or capsula, and lodged in a concave fovea of the vitreous humour. 3. The vitreous humour, is a pellucid, beautifully transparent substance, which fills the whole bulb of the eye behind the crys- talline lens. Its external surface is sur- rounded with a most pellucid membrane, which is called memhrana hyaloidea, or arachnoidea. In the anterior part is a fovea, or bed, for the crystalline lens. The connexion of the bulb is made an- teriorly, fay means of the conjunctive mem- brane, with the inner surface of the eyelids, ov palpchrte ; posteriorly, by the adhesion of six muscles of the bulb and the optic nerve, with the orbit. The optic nerve, or nervus opticus, per- forates the sclerotica and cboroides, and then constitutes the retina, by spreading itself on the whole posterior part of the internal globe of the eye. The muscles by which the eye is moved in the orbit, are six ; much adeps surrounds them, and fills up the cavities in which the eyes are seated. The arteries are the inter- nal orbital, the central, and the ciliary arte- ries. The veins empty themselves into the external jugulars. The nerves are the optic, and branches from the third, fourth, fifth, and sixth pair. The use of the eye is to form the organ of vision. Externally, the globe of the eye and the transparent cornea, are moistened with a most !im()id fluid, called lachrymcE, or tears ; the same pellucid subtile fluid exactly fills all the pores of the transparent cornea; for, deprived of this fluid, and being exposed to the air, that coat of the eye becomes dry, shrivelled, and cloudy, impeding the rays of light. Eye-bright. See Euphrasia. Eye-brow. Supercilium. A layer of short hair, which lies thick upon the inte- guments covering the superior prominent part of the orbit. Eye-lid. Palpebra. The semi-lunar moveable production of the skin which co- vers the eye when shut. It is distinguished into upper and under eye-lid. F. }F« or ft. In a prescription these letters are abbreviations of fiat, or ^a?i/. let it, or them be made; thus/, bolus, let ihe sub- stance or substances prescribed be made into a bolus. Fa'ba. See Bean. Fa'ba cra'ssa. See Sedum telephium. Fa'ba jSgypti'aca. See JVymphma JVe- lumbo. Fa'ba febri'fcga. See Ignatia amara. Fa'ba i'ndica. See Ignatia amara. Fa'ba ma'jor. The Turkey or garden bean. See Bean. Fa'ba mi'nor. Equina frasa. The horse- bean. It diflFers no otherwise from the gar- den bean than in beiag less. Fa'ba pechu'rim. Faba pichurim. Faba pechuris. An oblong oval; brown, and pon- derous seed, supposed to be the produce of a LauTus, brought from the Brazils. Their smell is like that of musk, between it and the scent of sassafras. They are exhibited as carminatives in flatulent colics, diarrhoeas, and djfsenteries. Fa'ba pdrga'trix. See Ricinus. Fa'ba sa'ncti igna'tii. See Ignatia amara. Fa'ba sdi'lla. See Hyoscyamus. Faba'ria. (From faba, a bean, which it resembles.) Orphine. See Sedum tele- phium. FABRICIUS, HiiBONVMtJs, born at Aquapendente in Italy, 1537. He studied at Padua under Fallopius, whom he succeeded as professor of anatomy and surgery there ; which office he held for nearly half a cen- tury with great credit, and died at the ad- vanced age of tighty-two universally re- gretted. The republic of Venice also con- ferred many honours upon him. He is thought to have been the first to notice the valves of the veins, which he demonstrated in 1574. But his surgical works obtained him most reputation ; indeed he has been called the Father of modern surgery. His first publication in 1592 contained five Dis- sertations on Tumours, Wounds, Ulcers, Fractures, and Dislocations. He afterwards 34S FAC FAG added another part, treating of ail the Dis- eases which are curable by manual Ope- ration. This work passed through seventeen editions in different languages. FABRICIUS, James, was born at Ros- tock in 1577. After travelling through dif- ferent part? of Europe, he graduated at Jena, and soon gained extensive practice. Ke was professor of medicine and the mathe- matics at Rostock during forty years, and first physician to the Duke of Mecklenburgh; afterwards went to Copenhagen, and was made physician to the kings of Norway and Denmark, and died there in 1652. He has left several Tracts on Medical Subjects. FABRICIUS, Philip, Conrai', pro- fessor of medicine at Helmstadi, was author of several useful works in anatomy and sur- gery. His first treatise, " Idea Anatomes Practice," 1741, contained some new di- rections, in the Art of Injection, and de- scribed several branches of the Porlio Dura, k.c. In another work he has some good observations on the Abuse of Trepan- ning. FABRICIUS, William, better known by the name of Hildanus, from Hilden, in Switzerland, where be was born in 1560. He repaired to Lausanne, to complete his knowledge of surgery, at the age of twenty- six ; and distinguished himself there by his assiduity, and tlie successful treatment of many difficult casts. He studied medicine also, and went to practise both arts at Payenne in 1605; but ten years after was invited to Berne by the senate, who granted him a pension. In the latter part of his life, severe illness prevented his professional exertrDns, which had procured him general esteem, and high reputation. His death occurred in 1634. His works were written in German, but have been mostly translated into Latin. He published five " Centuries of Observations," which present many cu- rious facts, as also several instruments in- vented by him. FACE. The lower and anterior part of the cranium, or skull. FA'CIAL. Belonging to the face; as facial nerve, &.c. FA'CIAL NERVE. KervMs facialis. Porlio dura of the auditory nerve. These nerves are two in number, and are properly the eighth pair; but are commonly called the seventh, bein^ reckoned with the audi- tory, which is the portio mollis of the se- venth pair. They arise from the fourth ventricle of the brain, pass through the pe- trous portion of the temporal bone to the face, where they form the pes anserinus, which supplies the integuments of the face and forehead. FA'CIES HIPPOCRA'TICA. That par- ticular disposition of the features which immediately precedes the stroke of death Is so called, because it has been so admirably d&scribed by Hippocrate?. Fa'cies ru'bea. See Gutta rosacea^ FACTITIOUS. A term applied to any thing which is made by art, in opposition to that which is native, or found already made in nature. FA'CULTY. Facultas. The power or ability by which any action is performed. F^'CES. The plural of fcEx. The al- vine excretions. F^'CULA. (Diminutive of fs^, to bring.) Medicines which increase the milk. GALACTO'PHOROUS DUCTS. {Galac- tophorus ; from -yst^x, milk, and (fipao, to car- ry, because they bring the milk to the nip- ple.) The excretory ducts of the glands of the breasts of women, which terminate in the papilla, or nipple, are so called. ' GALACTOPOE'TICA. (From yxKA, milk, and ■ttckoi, to make.) Milk-making, an epiihet applied to the faculty of making milk. Galactopo'sia. (From ^axa., milk, and crtvai, to drink.) The method of curing dis- eases by a milk diet. GALA'NGA. (Perhaps its [ndian name.) See Maranla and KtBmpferia. Gala'nga ma'jor. See Kccmpferia Ga- langa. Gala'nga mi'nor. See Maranta Ga- langa. Galangal. See Galanga. Galangal, English. See Cyperus. GALBANUM" (From chalbanah, Heb.) See Babon galbanum. Ga'lbei. Galbeum. A sort of orna- mental and medical bracelets worn by the Romans. Ga'lbulus. (From ga/6wi, yellow.) When the skin of the body is naturally yellow. Ga'lda gc'mmi. This is a gum-resin, 47 mentioned by old writers, but totally forgot in the preseat day, and not to be obtained. Externally, it is of a brown colour, but white within, of a hard lamellated structure, and smells and tastes somewhat like elemi. When burnt it gives out an agreeable odour. It was formerly used as a warm, stimulat- ing medicine, and applied in plasters as a strengthener. Ga'lea. (From yttxn, a cat, of the skin of which it was formerly made.) A helmet. In anatomy, the amnios is so called, because it surrounds the fcetus like a helmet. In surgery, it is a bandage for the head. A species of headach is so called, when it sur- rounds the head like a helmet. GALEANTHRo'pii. (This term seems to be from yM^, a cat, and ctvS/iceTrog, a man.) It is a species of madness, in whicli a person imagines himself to be a cat, and imitates its manners. GA'LEGA. (From ^«x«, milk; so named because it increases the milk of animals which eat it.) The name of agenus of plants in the Linnaian system. Class, Diadelphia. Order, Decandria. 2. The pharmacopceial name of the Rata capraria. See Galegn officinalis. Ga'lkga officina'hs. The systeraali& name of the goats rue. Galtga. Ruta ca- praria. Goats rue. From the little smell and taste af this plant, Galega officinalU ; leguminibus stridis, eredis ; foliolis lanceola- lis, striatis, 7iudis, of Linnaeus, it may be sup- posed lo possess little virtues. In Italy, the leaves are eaten among salads. Ga'legji:. A species of senna. The cfls- sia lora of Linnseus. GALENUS, Claudius, was born at Pergamus, in Asia Minor, in 131. His father, Nicon, having instructed him iii the rudiments of knowledge, sent him to attend the best schools of philosophy. Galen soon displayed his judgment by selecting what appeared most rational from the dif- ferent sects ; but he totally rejected the Epicurean system, which was tLen in f*. §70 GAL sbion. About the age of 17, he began his attachment to the science of medicine, over which he was destined to preside for many centuries with oracular authority. During his youth, he travelled much, that he might converse with the most intelligent physicians of the age, and inform himself concerning the drugs brought from other countries. He resided several years at Alexandria, which was then the great resort of men of science, Hnd the best school of medicine in the world. At the age of 28, returning to his native place, he met with distinguished success in practice ; but four years after he attempted to establish himself at Rome. Here he en- fouiitered much opposition from his profes- sional brethren, who stigmatised him as a theorist, and even as a dealer in magic ; and though he gained the esteem of several men of learning and rank, yet wanting temper and experience, sufficient to maintain a suc- cessful contest with a numerous and popular party, he was obliged to return to Pergamus within five years, under the pretence of avoiding the plague, which then raged at Rome. He was however soon after sent for to attend the Emperors Marcus Aurelius and Lucius Verus, of whom the latter died ; and the former conceived so high an opinion of Galen, that subsequently during his German expedition, he committed his two sons to the care of that physician. These princes were seized with fevers, in which Galen having prognosticated a favourable issue, contrary to the opinion of all his colleagues, and having accordingly restored them to health, he attained an eminence of reputation, which enabled him to defy the power, and finally to ruin the credit, of his former opponents. Jt is not certain whether he continued at Rome till his death, nor at what precise period this occurred ; but Fabricius asserts that he attained the age of 70, which cor- responds to the 7th year of Severus ; and his writings appear to indicate, that he was still in that city in the early part of this em- peror's reign. ' The greatest part of Galen's life was spent in the zealous pursuit of knowledge, and especially of every thing which might have the least connexion with medicine; and he is said to have composed about 750 different essays on such subjects. He appears however to have been too much elated with the consciousness of his superior endowmen(s, and to have behaved rather contemptuously towards his brethren ; which may hjive inflamed their opposition to him. The chief object in his writings appears to be to illustrate those of Hippocrates, which he thought succeeding physicians had mis- understood or misrepresented : in this he has displayed great acuteness and learning, though he has not much increased the stock of practical information. Hisexampletoo had the unfortunate effect of introducing a taste for minute distinctions and abstract specula- tions ; while the diligent observation of na- GAL tnre, which distinguished the father of me- dicine, fell into neglect. We must therefore regret, that the splendour of Galen's talents so completely dazzled his successors, that, until about the middle of the 17th century, bis opinions bore an almost undivided sway. Numerous editions of his works, in the ori- ginal Greek, or translated into Latin, have been printed in modern times. GALE'iXA. (From ^axs;v, to shine.) The name of an ore formed by the combination of lead witl^ sulphur. Gale'nic me'dicine. That practice of medicine which conforms to the rules of Galen, and runs much upon multiplying herbs and roots in the same composition, though seldom torturing them any other- wise than by decoction. It is opposed to chemical medicine, which, by the force of fire, and a great deal of art, fetches out the virtues of bodies, chiefly mineral, into a small compass. Gale'ni0m. (From yAKuvn, galena.) A cataplasm ; in the composition of which was the galena. In Paulus iEgineta it is considered as anodyne. Galeo'bdolon. (From ya.x&t, felis, and 0JoKr,g, crepitus.) See Galeopsis. Galeo'psis. (From hako;, good, and o4«, vision ; so called because it was thought good for the sight ; or from •yxKn, a cat, and o^K, aspect ; the flowers gaping like the open mouth of that animal.) Galeobdolon. Lamium rubrum. Urtica iners magna fceti- dissima. Stachys falida. Hedge nettle. See Lamium album. Galeri'culum aponkuro'ticum. The tendinous expansion which lies over the pe- ricranium. GALIUM. (From ytLXa., milk ; some species having the property of coagulating milk.) 1. The name of a genus of plants in the Linnaean system. Class, Tetrandria. Order, Monogynia. 2. The pharmacopceial name of the herb cheese rennet, or ladies bedstraw. See Ga- lium verum. 3. A name for madder. Ga'lium a'lbum- The greater ladies bed- straw. See Galium, moUugo. Ga'lium apari'ne. The systematic name of the goose-grass. .Sparine. Philanthropus. .ilmpelocarpus. Omphalocarpvs. Jxus. ^spa- rine. Aspcrula. Goose-grass and cleaver's bees. Cleavers Goose-share. HayriflF. This plant, which is common in our hedges and ditches, is the Galium aparine, foliis odoni^ lanceolalis carinatis scabris retrorsum acu- le.alis, geniculis venosis, frudu liispido, of Linnaeus. The expressed juice has been given with advantage as an aperient and diuretic in incipient dropsies; but the cha- racter in which it has of late been chiefly noticed, is that of a remedy against cancer. A tea cup full internally, gradually increased to half a pint, two or three times a day, and the herb applied, in cataplasm, externally. GAL GAL 371 has been said to cure cancers. SucL benifi- cial results are not confirmed by the expe- rience of others. Ga'liom jiollu'go. The systematic name of the greater ladies bedstraw; Galium al- bum. This herb, Galium ; foliisoctonis, ovato- linearibus, subserratis, patentissimis, mucro- nalis, caulejlaceido, ramispatentibus, with its flowers, are used medicinally. Five ounces, or more of the expressed juice, taken every evening upon an empty stomach, is said to cure epilepsy. Ga'lium ve'rum. The systematic name of the true ladies bedstraw, or cheese-ren- net. Galium. The tops of this plant, Ga- lium verum; foliis ocionis, linearibus, sul- catis; ramis Jloriferis, brevibus, of Linnaeus, were long used as an efficacious medicine in the cure of epilepsy, but, in the prac- tice of the present day, they are abandoned. Indeed, from the sensible qualities of the plant, little can be expected. The leaves and flowers possess theproperty of curdling milk; it is on that account styled cheese-rennet. Gall. See Bile. GALL SICKNESS. A popular name for the remitting fever, occasioned by marsh miasmata, in the Netherlands, and which proved so fatal to thousands of the English seldiers after the capture of Walcheren in the year 1809. Dr. Lind informs us, that at Middleburgh, the capita! of Walcheren, a sickness generally reigns towards the lat- ter end of August, or the beginning of September, which is always most violent af- ter hot summers. 1( commences after the rains which fall in the end of July ; the sooner it begins the longer it continues, and it is only checked by the coldness of the wea- ther. Towards the end of August and the beginning of September, it is a continual burning fever, attended with a vomiting of bile, which is the gall sickness. This ferer, after continuing three or four days, inter- mits, and assumes the form of a double ter- tian ; leaving the patient in a fortnight, or perhaps sooner. Strangers, that have been accustomed to breathe a dry, pure air, do not recover so quickly. Foreigners in in- digent circumstances, such as the Scots and German soldiers, who were garrisoned in the adjacent places, were apt, after those fevers, to have a swelling in the legs, and a dropsy ; of which many died. These diseases are the same with the double tertians common vvithin the tropics. Such as are seized with the gall sickness, have at first some flushes of heat over the bodv, a lossof appetite, a white foul tongue, a yellow tinge in the eyes, and a pale colour of the lips. Such as live well, drink wine, and have warm clothes, and a good lodging, do not suflFer so much during ihe sickly season as the poor people ; however, these diseases are not infectious, and seldom prove mor- tal to the natives. Sir John Pringle observes, that the pre- vailing epidemic of autumn, in all marshy countries, is a fever of an intermitting na- ture, commonly of a tertian form, but of a bad kind ; which, in the dampest places and worst seasons, appears as a double tertian, a remitting, or even an ardent (ever. But, however these may vary in their appearance, according to the constitution of the patient and other circumstances, they are all of a similar nature. For though, in the begin- ning of the epidemic, when the heat, or rather the putrefaction in the air, is the greatest, they assume a continued or a re- mitting form ; yet, by the end of autumn, they usually terminate in regular intermit- tents. But although, in the gall sickness, there is both a redundance and a depravation of the bile, still the disease cannot, with jus- tice, be said to originate wholly from that cause. It is certain, however, that the dis- ease may be continued, and the sypmtoms aggravated, by an increased secretion and putrefaction of the bile, occasioned by the fever. In proportion to the coolness of the season, or Ihe height and dryness of the ground, this disease is milder, remits and in- termits more freely, and removes further from the nature of a continued fever. The higher ranks of people in general are the least liable to the diseases of the marshes; for such countries require dry houses, apart- ments raised above the ground, moderate exercise, without labour, in the sun, or even- ing damps ; a just quantity of fermented liquors, plenty of vegetables and fresh meats. Without such helps, not only strangers but the natives themselves are sickly, especially- after hot and close summers. The hardiest constitutions are very little excepted more than others ; and hence the British in the Netherlands have always been subject to fevers. By this disease, the British troops were harrassed throughout the war, from 1743 to 1747. It appeared in the month of August, 1743 : the paroxysms came on in the even- ing, with great heat, thirst, a violent head- ach, and often a delirium. These symp- toms lasted most of the night, but abated in the morning, with an imperfect sweat ; some- times with anjMemorrhage of the nose, or looseness. The stomach, from the begin- ning, was^disordered with a nausea and sense of oppression ; frequently with a bili- ous and oft'ensive vomiting. If evacua- tions were either neglected or too sparingly used, the patient fell into a continued fever, and sometiines grew yellow, as in jaundice. When the season was further advanced, this fever was attended with a cough, rheu- matic pains, and sizy blood. The oiScers being better accommodated than the com- mon men, and the cavelry, who had cloaks to keep them warm, were not so subject to it ; and others who belonged to the army, but lay in quarters, were least of all affected ", 3?2 GAL GAL and the less in proportion to llieir being ex- G-alli'trichis. Corrupted from calliiri-^ posed to heats, night damps, and the other chis, or calliLrichum. fatigues of the service. In this manner did Ga'llicus mo'rbus. The French disease. the remitting fever infest the army for the See Lues venerea. remaining years of (he war : and that ex- Gallina'go. (Diminutive of gcUlus, » actly in proportion to their distance from cock.) L The woodcock. the marshy places, of which we have several 2. An eminence within the prostrate gland notable instances in Pringle's observations GA'LLA. (From Gallus, a river in Bithy nia.) See Quercuscerris. Ga'lla tu'rcica. See Quercus cerris. is called caput gallinaginis, from its fancied resemblance to a woodcock's head. Ga'i.t.hjm. See Galium. GA'LVANISM. A professor of anatomy, GALL-BLADDER. Vesiculafellis. An in the universily of Bologna, named Galvani, oblong menibranous receptacle, situated was one day making experiments on elec- under the liver, to which it is attached in tricity in his elaboratory : near the machine the right hypochondrium. It is composed were some frogs that had been flayed, the of three membranes: a common, fibrous, limbs of wiiich became convulsed every and villous. Its use is to retain the bile time a spark was drawn from the apparatus, which regurgitates from the hepatic duct, Galvani, surprised at this phenomenon, made there to become thicker, more acrid, and it a subject of investigation, and discovered bitter, and to send it through the cystic duct, that metals, applied to the nerves and mus- which proceeds from its neck into the due- cles of these animals, occasioned powerful tus communis choledochus, to be sent on to and sudden contractions, when disposed in the duodenum. a certain manner. He gave the name of GALL-STONES. Biliary concretions, animal electricity to this order of new phe- Hard concrete bodies, of which there are nom^ia, from the analogy that he consider- great varieties formed in the gall-bladder ed existing between these eifects and those of animal bodies. Gall-stones often lie produced by electricity, quiet; so that, until dissection after Jeath, The name animal electricity has been su- some are never known to exist ; but when perseded, notwithstanding the great analogy they are prevented from passing through the that exists between the effects of electricity gall ducts, they obstruct the passage of the and those of Galvanism, in favour of the bile into the intestines, and produce also latter term ; which is not only more applica- many inconvenient symptoms, particularly ble to the generality of the phenomena, but the jaundice. likewise serves to perpetuate the memory of The diagnostics of this disorder are gene- the discoverer, rally very obscure and uncertain : for other In order to give rise to Galvanic eflFects causes produce the same kind of symptoms in animal bodies, it is necessary to establish as those which occur in this disease. The a communication between two points of one usual symptoms are a loss of appetite, a series of nervous and muscular organs. Jn sense of fulness in the stomach, sicknessand this manner a circle is formed, one arch of vomiting, languor, inactivity, sleepiness; which consists of the animal ])arts,-rendered and, if the obsUuction continues for a time, the subject of experiment, while the other there is wasting of the flesh ; yellowness of arch is composed of excitatory instruments, the eyes, skin, and urine ; whiti.-h stools ; a which generally consist of several pieces, pain in the pit of the stomach ; whilst the some placed under the animal parts called pulse remains in its natural state. The pain supporters, others destined to establish a excited by an obstruction of the gall ducts, communication between the latter, are called in consequence of gall-stones passing through condurtcrs. To form a complete Galvanic them, and this not affecting the pulise, is circle, take the ihigh of a frog, deprived of considered as the leading pathognomonic its skin ; detach the crural nerve, as far aS symptom. This pain, in some, is extremely the knee ; put it on a piece of zinc ; put the acute, in others there is onl^j^ slight uneasi- muscles of the leg on a piece of silver ; then ness felt about the region of the liver ; but finish the excitatory arch, and complete the its particular seat is the gall duct,just where Galvanic circle by establishing a communi- it enters the duodenum. In some patients cation by means of the two supporters; by there is no yellowness of the skin ; in others means of iron or copper wire, pewter, or it exists for several months. There is no lead. The instant that the communicators disease more painful than this; in some in- touch the two supporters, a part of the ani- stances; it is as frequent as any other afFec- mal arch formed by the two supporters wilt tion of the liver; it admits of much relief be convulsed. Although this disposition of from medicine, and is not immediately dan- the animal parts, and of Galvanic instru- gerous to the patient. See Icterus. ments, be most favourable to the develop- GA'LLIC ACID. A peculiar acid which mentof the phenomena, yet the composition is extracted from the nut-gall that grows on of the animal and excitatory arch may be the oak. This acid is also found, in a greater much varied. Thus contractions are ob- or less quantity, in all astringent vegetable tained, by placing the two supporters under substances. the nerve, and leaving the muscle out of the GAL GAL 373 circle, which proves that nerves essentially constitute the animal arch. It is not necessary for nerves to be entire in order to produce contractions. They take plake whether the organs be tied or cut through, provided there exists a simple con- tiguity between the divided ends. This proves that we cannot strictly conclude what happens in muscular action, from that which takes place in Galvanic phenomena ; since, if a nerve be tied or divided, the muscles on which this is distributed lose the power of action. The cuticle is an obstacle to Galvanic e£Fects ; they are always feebly manifested in parts covered by it. When it is moist, fine, and delicate, the effect is not entirely interrupted. Humboldt, after having detach- ed the cuticle from the posterior part of the neck and back, by means of two blisters, ap- plied plates of metal to the bare cutis, and, at the moment of establishing a communica- tion, he experienced sharp prickings, accom- panied with a sero-sanguinous discharge. If a plate of zinc be placed under the tongue, and a flat piece of silver on its su- perior surface, on making them touch each other, an acerb taste will be perceived, ac- companied with a slight trembling. The excitatory arch may be constructed with three, two, or even one metal only, with alloys, amalgams, or other metallic or mineral combinations, carbonated sub- stances, &.C. It is observed that metals which are in general the most powerful exciters, induce contractions so much the more as they have an extent of surface. Metals are all more or less excitants ; and it is observed that zinc, gold, silver, pewter, are of the highest rank ; then copper, lead, nickel, an- timony, &c. Galvanic susceptibility, like muscular ir- ritability, is exhausted by too long continued exercise, and is recruited by repose. Im- mersion of nerves and muscles in alcohol and opiate solutions diminishes and even de- stroys this susceptibility, in the same man- ner, doubtless, as the immoderate use of these substances in the living man blnr\ls, and induces paralysis in muscular action. Immersion in oxymuriatic acid restores the fatigued parts, to be again acted on by the stimulus. Animals killed by the repeated discharge of an electric battery, acquire an increase of Galvanic susceptibility ; and this property subsists unchanged in animals de- stroyed by submersion in mercury, pure hy- drogen gas,pzote, and ammonia ; and finally, it is totally annihilated in animals suffocated by the vapour of charcoal. Galvanic susceptibility is extinct in the muscles of animals of warm blood, in pro- portion as vital heat is diss-ipated ; sometimes even when life is terminated in convulsions, contractility cannot be put into action, al- though warmth be not completely gone, as though the vital property were consumed by the convulsion, amidst which the animals had expired. In those of cold blood, on the contrary, it is more durable. The thighs of frogs, long after being separated from every thing, and even to the instant of incipient putrefaction, are influenced by Galvanic sti- muli ; doubtless, because irritability, in these animals, is less intimately connected with respiration, and life more divided among the different organs, which have less occasion to act on each other for the execution of its phenomena. The Galvanic chain does not produce sensible actions (that is, contrac- tions,) until the moment it is completed, by establishing a communication with the parts constituting it. During the time it is com- plete, that is, throughout the whole space of time that the communication remains esta- blished, every thing remains tranquil ; never- theless. Galvanic influence is not suspended: in fact, excitability is evidently increased, or diminished, in muscles that have been long continued in the Galvanic chain, ac- cording to the difference of the reciprocal situation of the connecting metals. If silver has been applied to nerves, and zinc to muscles, the irritability of the latter increases in proportion to the lime they have remained in the chain. By this method, the thighs of frogs have been revivified in some degree, and afterwards became sensible to stimuli, that before had ceased to act on them. By distributing the metals in an in- verse manner, applying zinc to nerves and silver to muscles, an effect absolutely con- trary is observed ; and the muscles that pos- sessed the most lively irritability when placed in the chain, seem to be rendered entirely paralytic if they remain long in this situation. This difference evidently depends on the direction of the Galvanic fluid, determined towards the muscles or nerves, according to the manner in which these metals are dis- posed, and this is of some importance to be known for the application of Galvanic means to the cure of diseases. Galvanic Pile. M. Volla's apparatus is as follows : — Raise a pile, by placing a plate of zinc, a flat piece of wet card, and a plate of silver, successively ; then a second piece of zinc, Sic. until the elevation is several feet high ; for the effects are greater in proportion to its height ; then touch both extremities of the pile, at the same instant, with one piece of iron wire ; at the moment of contact, a spark is excited from the extremities of the pile, and luminous points are often per- ceived at different heights, where the zinc and silver come into mutual contact. The zinc end of this pile appears to be negatively electrified ; that formed by the silver, on the contrary, indicates marks of positive elec- tricity. If we touch both extremities of (he pile, an gaM GAH after haviug dipped our hands into water, or, what is better, a saline solution, a com- motion, followed by a disagreeable pricking in the fingers and elbow, is felt. If we place in a tube filled with water, and hermetically closed by two corks, the extremities of two wires of the same metal which are in contact at the other extre- mity, one with the summit, the other with the base of the pile ; these ends, even when separated only by the space of a few lines, experience evident changes at the instant the extremities of the pile are touched ; the wire in contact with that part of the pile composed of silver becomes covered with bullas of hydrogen gas ; that which touches the extremity formed by zinc, becomes oxidized, or gives ofiF oxygen gas. Fourcroy attributes this phenomenon to the decompo- sition of water by the Galvanic fluid, which abandons the oxygen (o the metal that touches the positive extremity of the pile ; then conducts the other gas invisibly tp the end of the other wire, there to be disen- gaged. Galvanic Trough. This is a much more convenient appara- tus. Plates of two metals, commonly zinc and copper, are fastened together, and ce- mented into a wooden trough, so as to form a number of cells ; or earthen-ware troughs with partitions being procured, the metals, connected by a slip, are suspended over these, so that in each cell, except at the ends, there is a plate of each metal ; then a diluted acid, (usually the sulphuric, nitric, or muriatic, mixed with from twelve to twenty parts of water,) is poured into the trough. It is necessary that the metals be placed in the same order throughout, or one series will counteract another. The zinc end becomes negative, the copper positive ; and the power is in proportion to the num- ber of the series ; and several such troughs may be connected together, so as to form a most powerful apparatus. From the numerous experiment? of Davy, many new and important facts have been es- tablished, and Galvanism has been found one of the most powerful agents in chemis- try : by its influence, platina wire has been melted ; gold, silver, copper, and most of the motals; have easily been burnt ! the fixed alkalies, and many of the earths, have been made to appear as consisting of a metallic base, and oxygen ; compound substances, which were before extremely difficult to de- compose, are now, by the aid of Galvanism, easily resolved into their constituents. Gama'ndra. See Stalagmitis. Gamdik'nse gu'mmi. See Kino. Gamboge. See Stalagmitis. Gambo'gia. See Cambogia and Stalag- mitis. GaMBO'gIUM. > a c: I Gamboi'l'Ea. \ ^*^^ Stalagm.iis. Ga'mma. (From the letter r, gamma, which it resembles.) A surgical instrument for cauterising a hernia. Gamphe'le. (From •ynfji.^og, crooked.) The cheek. The jaw. Ga'ngamon. (From yctyfiifji.n, a fishing- net, which it was said to resemble.) A name of the omentum. Some call the contexture of nerves about the navel by this name. GA'NGLION. {y^yyxtov, a knot.) A knot. 1. In anatomy it is applied to a natural knot-like enlargement, in the course of a nerve. 2. In surgery it is an encysted tumour, formed in the sheath of a tendon, and con- taining a fluid like the white of an egg. It most frequently occurs on the back of the band or foot. GA'NGRENE. {yttyTfatva, from yfam, tO feed upon.) Gnngrena. An incipient mor- tification, so named from its eating away the flesh. Authors have generally distinguished mortification into two stages ; the first, or incifiient one, they name gangrene, which is attended with a sudden diminution of pain in the place affected ; a livid discouloura- tion of the part, which, from being yellow- ish, becomes of a greenish hue ; a detach- ment of the cuticle, under which a turbid fluid is effused ; lastly, the swelling, tension, and hardness, of the previous inflammation subside, and, on touching the part, a crepitus is perceptible, owing to the generation of air in the gangrenous parts. Such is the state to which the term gan- grerie is applied. When the part has be- come quite cold, black, fibrous, incapable of moving, and destitute of all feeling, circu- lation, and life ; this is the second stage of mortification, termed sphacelus. Gangrene, however, is frequently used synonymously with the word mortification. See Morli- Jkation. Ga'rab. An Arabic name for (he disorder called JEgylofs. GAKCi'NI A. (60 called in honour of Dr. Garcin, who accurately described it.) The name of a genus of plants in the Linnaean system. Class, Dodecandria. Order, Mo- nogynia. Gakci'nia mangostana. The systematic name of (he mangosteen tree. The mangos- teen is a fruit about the size of an orange, whiih grows in great abundance on the tree called Garainiamangoslana by Lintia?us, in Java and the Molucca islands. Accordirg to the concurrifig tesfiiEonies of all travellers, it is the most exquisitely flavoured, and the most salubrious of all fruits, it being such a delicious mixture of the tart and sweet. The flesh is juicy, white, almost transpa- rent, and of a more delicate and agreeable flavour than the richest grape. It is eaten in almost every disorder, and the dried bark is used medicinally in dysenteries and te- nesmus, and a strong decoction of it is GAR GAS 37.> much esteemed as a gargle in ulcerated sore throats. Ga'rgale. (■y:if'yaK)i.) Gurgalos. Gar- galismos. Irritation or stimulation. Garga'reon. (Hebreiv.) The uvula, or glandulous body which hangs down into the throat. GA'RGARISM. Gargarismus. A wash for the mouth and throat. GARG,\R1'SMA. (From ynfrxpt^ce, to gargle.) A gargle. GARGARl'SMUM. A gargle or wash for the throat. Ga'rgathum. A bed on which lunatics, &c. were formerly confined. Gargle. See Gargarisma. Garlic. See Allium. GARNET, Thomas, was born in 1766, at Casterton in Westmoreland. After serv- ing his time to a surgeon and apothecary, he went to study at Edinburgh, where he took his degree at twenty-two, and then attended the London hospitals for two years. In 1790 he settled at Bradford, and began to give private lectures on Plii- iosophy and Chemistry; and here he wrote his Treatise on the Horley Green Spa. But in the following year he removed to Knaresborough, and soon after published an Analysis of the different Waters of Har- rowgate, which place he visited during the summer season. About this period he formed the design of going to America ; but while waiting to take his passage at Liverpool, he was solicited to deliver some lectures there, which were so favourably re- ceived, that he was induced to repeat his course at various other places ; and at length the professorship at Anderson's Institution in Glasgow was offered him, where he began lecturing in 1796. Two years after he made a tour to the Highlands, of which he subse- quently published an account. On the formation of the Royal Institution in Lon- don, he was invited by Count Rumford to become the lecturer there ; he accepted the appointment, and the room was crowded with persons of the first distinction and fashion. He then turned his thoughts more seriously to the practice of his profes- sion as likely to afford the most permanent support ; but his prospects were cut short by death about the middle of the year 1802. A posthumous volume, entitled " Zoono- mia," was published for the benefit of his family. Garou bark. See Daphne gfiidium. Ga'rof. (yafov.) A kind of pickle pre- pared of fish ; at first it was made from a fish which the Greeks call Garos; but the best was made from mackarels. Among the tno- derns, garum signifies the liquor in which fish is pickled. Garroti'llo. (From garollar, to bind closely. Span.) A name of the cynanche maligna, from its sense of strangulation, as If the throat were bound with a cord. Garrophy'llus See Eugenia caryopkyl- laia. GAS. (From gascht, a German word which means an eruption of wind.) See Gaz. GA'STRIC A'RTERY. Arleria gastrica. The right or greater gastric artery, is a branch of the hepatic ; the left, or lesser, a branch of the splenic. GA'STRIC JUICE. Succvs gastricus. A fluid separated by the capillary exhaling arteries of the stomach, which open upon its internal surface. The oesophagus also affords a small quantity, especially in the inferior part. Modern philosophers have paid great attention to this fluid, and from their several experiments it is known to pos- sess the following properties : — It is the principal agent of digestion, and changes the aliments into a kind of uniform soft paste : it acts on the stomach after the death of the animal. Its effects show that it is a solvent, but of that peculiar nature that it dissolves animal and vegetable substances uniformly, and without exhibiting a stronger affinity for the one than for the other. Al- though it is the most powerful agent of digestion in the stomach, its dissolvent power has need of assistance from the ac- tion of several secondary causes ; as heat, which seems to augment and concentrate itself in the epigastric region ; and so long as the exertion of the stomach continues, there is a sort of intestine fermentation, (which should nof, however, in its full sense, be compared to the motion by which fer- mentative and putrescent substances are decomposed;) there is also a moderate and peristaltic motion of the muscular fibres of the stomach, which press the aliment on all sides, and perform a slight trituration, while the gastric moisture sofiens and ma- cerates the food before it is dissolved. By many it has been considered merely as a ferment, but this cannot be the case. See Digestion. It is one of the most powerful antisep- tics with which we are acquainted ; and,, from the experiments of Spallanzini^ Sco-> poll, Carminati, and others, its nature ap- pears to be essentially different in the several classes of animals, as they have proved by analysis. The gastric juice of the human subject, when healthy, is inodorous, of a saltish taste, and limpid, like water, unless it be a little tinged with the yellow colour of some bile, that has regurgitated info the stomach. In quantity it is very considera^ ble, as must be evident from the extent of the surface of the stomach, and its conti- nual secretion ; but it is most copious when solicited by the stimulus of food. Besides the properties of this fluid beforementioned, it has others which have induced physicians and surgeons to exhibit it medicinally, it cures dyspepsia and intermittent fever. Ap- plied externally, in form of fomentation or 376 GAS SAS poultice, it cures putrid and scrofulous ulcers in a wonderful manner ; and it is to be re- gretted that its utility is not naore generally known. Gastrinum. Potash. GASTRI'TIS. (From -^*s-«/i, the stomach.) Inflammation of the slomach. A genus of disease in the class pyrexicE, and order phle.g- masicB of Cullen. It is known by pyrexia, anx- iety, heat, and pain in (he epigastrium, in- creased when any thing is taken into the slo- mach, vomiting, hiccup, pulse small and hard, and prostration of strength. There are two species : 1. Gastritis phlegmonodea, with acute pain and severe fever. 2. Gastritis try- ihemalica, v/hen the pain and fever are slighter, with an erysipelatous redness ap- pearing in the fauces. Gastritis is produced by acrid substances of various kinds, such as arsenic, corrosive sublimate, fcc. taken into the stomach, as likewise by food of an improper nature ; by taking large draughts of any cold liquor when the body is much heated by exercise, or dancing ; and by repelled exanlhemaia and gout. Besides these, it may arise from an inflammation of some of (he neighbour- ing parts being communicated to the sto- mach. The erysipelatous gastritis arises chiefly towards (he close of olher diseases, marking the certain appi'oach to dissolution, and be- ing unaccompanied with any marks of gene- ral inflammation, or by any burning pain in the stomach. The symptoms of phlegmonous gastritis, as observed above, are a violent burning pain in the stomach, with great soreness, dis- tension, and flatulency ; a severe vomiting, especially after any thing is swallowed, whether it be liquid or solid ; most distress- ing thirst ; restlessness, anxiety, and a con- tinual tossing of the body, with great debility, constant watching, and a frequent, hard, and contracted pulse. In some cases, a severe purging attends. If the disease increases in violence, symp- toms of irritation then ensue ; there is a great toss of strength, with faintings ; a short and interrupted respiration ; cold, clammy sweats, hiccups, coldness of the extremities, an in- termittent pulse, and the patient is soon cut off. The event of gastritis is seldom favoura- ble, as the person is usually either suddenly destroyed by the violence of the inflamma- tion, or else it terminates in suppuration, ulceration, or gangrene. If the symptoms are very mild, and pro- per remedies have been employed at an early period of the disease, it may, however, terminate in resolution, and that in the course of the tir^i, or, at farthest, the second week. Its termination in suppuration may be known by the symptom's, although mode- rale, exceeding the continuance of this pe- riod, and a remission of pain occurring, whilst a sense of weight and anxiety still remain ; and, on the formation of an abscess, cold shiverings ensue, with marked exacerbations in the evening, which are followed by night sweats, and other symptoms of hectic fever ; and these at length prove fatal, unless the pus is thrown up by vomiting, and the ulcer heals. Its tendency to gangrene may be dreaded, from the violence of its symptoms not yield- ing to proper remedies early in the disease ; and, when begun, it may be known by the sudden cessation of the pain ; by the pulse continuing its frequency, but becoming weaker, and by delirium, with other marks of increasing debility ensuing. Fatal cases of this disease show, on dis- section, a considerable redness of the inner coat of the stomach, having a layer of coa- gulable lymph lining its surface. They likewise show a partial thickening of the substance of the organ, at the inflamed part, the inflammation seldom extending over the whole of it. Where ulceration has taken place, the ulcers sometimes are found to penetrate through all its coats, and sometimes only through one or two of them. The cure is to be attempted by copious and repeated bleedings, employed at an early period of the disease, not regarding the sraallness of the pulse, as it usually becomes softer and fuller after the opera- tion : also several leeches should be applied to the epigastrium, followed by fomenta- tions, or the hot bath ; after which a large blister will be proper. The large intestines may be in some measure evacuated by a lax- ative clyster ; but scarcely any internal medicine can be borne by the stomach, till the violence of the disease is much abated ; we may then try magnesia, or other mild cathartic, to clear out the canal effectually. Where acrid substances have been taken, mucilaginous drinks may be freely exhi- bited, to assist their evacuation and sheath the stomach ; otherwise only in small quan- tity : and, in the former case, according to the nattire of the poison, other chemical remedies may come in aid, but ought never to be too much relied upon. Sbould sup- puration occur, little can be done beyond avoiding irritation, and supporting strength by a mild farinaceous diet, and giving opium occasionally to relieve pain. GASTROCE'LE. (From yets-»p, the sto- mach, and KuKr,, a tumour.) A hernia of the stomach, occasioned by a protrusion of that viscus through the abdominal pa- GASTKOCNE'MIUS. (From ^^s-»/>, the stomach, and uvu/un, the leg.) The name of the muscles which form the calf or belly of the le?. GASTROCNE'MIUS EXTE'RNUS. Ge- mellus. This muscle, which is situated GAS GAZ 377 immediately under the integuments at the back part of the leg, is sometimes called gemellus .- this latter name is adopted by Albinus. Winslow describes it as two mussles, which he calls gaslrocnemii ; and Douglas considers this and the following as a quadriceps, or muscle with four heads, to which he gives the name of extensor tarsi suralis. It is called bi femoro calcanien by Dumas. The gastrocnemius externus arises by two distinct heads. The first, which is the thickest and longest of the two, springs by a strong thick tendon from the upper and back part of the inner condyle of the OS femoris, adhering slrongly to the capsular ligament of the joint, between which and the tendon is a considerable bursa mucosa. The second head arises by a thinner and shorter tenden from the back part of the outer condyle of the os femoris. A little below Ihe joint, their fleshy bellies unite in a middle tendon, and below the middle of the tibia they cease to be fleshy, and termi- siate in a broad tendon, which, a little above the lower extremity of the tibia, unites ivith that of the gastrocnemius internus, to form one great round tendon, sometimes called chorda magna, but more commonly (endo ^chillis. GASTIiOCNE'MIUS INTE'RNUS. Tt. bio peronei calcanien of Dumas. This, which is situated immediately under the last described muscle, is sometimes named soleus, on account of its shape, which resembles that of the sole-fish. It arises by two heads. The first springs by tendi- nous and fleshy fibres from the posterior part of the head of the fibula, and for some way below il. The second arises from an oblique ridge at the upper and posterior part of the tibia, which affords origin to the inferior edge of the popliteus, continu- ing to receive fleshy fibres from the inner edge of the tibia for some way down. This mnscle, which is narrow at its origin, spreads wider, as it descends, as far as its middle ; after which it becomes narrower again, aud begins to grow tendinous, but its fleshy fibres do not entirely disappear till it has almost reached the extremity of the tibia, a little above which it unites with the last-described muscle, to form the tendo Achillis. This thick round chord is inserted into the lower and posterior part of the os calcis, after sliding over a cartilaginous sur- face on that bone, to which it is connected by a tendinous sheath that is furnished with a large bursa mucosa. Both the gastrocnemii have the same use, viz. that of extending the foot, by drawing it backwards and downwards. Gastroco'licus. (From ya.^np, the sto- mach, and xiuAcy, the colon.) A term applied to a vein which proceeds from the stomach to the colon. GASTRODY NIA. (From y^^>,f, the 48 stomach, and t^vvn, pain.) Pain in the stomach. GASTRO-EPIPLOIC ARTERY. Aria- ria gastricoiepiploica. The branch of the greater gastric artery that runs to the epip- loon. GASTRORAPHF. (Gaslroraphe ; from •yxg-itp, the stomach, and /)«.?«, a suture.) The sewinj; of wounds of the abdomen. GASTROTO'MIA. (From j.is'fl/J, the bel- ly, and 'n/xvai, to cut.) The operation of cutting open the belly and uterus, as in the Caesarian operation. GAU'BIUS, Jerome David, a celebra- ted Dutch physician, was a pupil of the illus- trious Boerhaave at Leyden, where he gra- duated in^l725; and about ten years after he became professor there, and taught with great applause for a period of forty years. His reputation was extended all over Eu- rope by several valuable publications, parti- cularly by his " Institutiones Pathologiae Medicinaiis," and his " Adversaria;" which contributed not a little to the improvement both of the theory and practice of medicine. In another work he treated ably of the me- dical regulation of the mind : and he printed also a very elegant little book " De Methodo concinnandi" formulas Medicamentorum." He died in 1780, in the seventy-sixth year of his age. Gaule. See Myrica gnle. GAZ. (From Gascht, German, an erup,- tion of wind.) Gas. Elastic fluid. A&ri- form fluid. By the word gas, we denote a permanently elastic afiriform fluid, or sub- stance which has the appearance of air; that is to say, it is transparent, elastic, pondera- ble, invisible, (oxymuriatic acid gas, and a few others excepted,) and not condensible into a liquid or solid state by any degree of cold hitherto known ; which distinguishes it from a vapour. Some of the gases exist in nature without the aid of art, and may therefore be col- lected ; others on the contrary, are only pro- ducible by artificial means. All gases are combinations of certain sub- stances, reduced to the gazeous form by the addition of caloric. It is, therefore, necessa- ry to distinguish in every gas, the matter of heat which acted the part of a solvent, and the substance which forms the basis of the gas. Gases are not contained in those substan- ces from which we obtain them in the state of gas, but owe their formation to the expan- sive property of caloric. Formation of Gases. The different forms under which bodies appear, depend upon a (;ertain quantity of caloric, chemically combined with them. The very formation of gases corroborates this truth. Their production totally de- pends upon the combination of the parti- 378 GAZ «;iilar substances with caloric ; and though called permanently elastic, they are only so because we cannot so far reduce their tem- perature, as to dispose them to part with it ; otherwise tliey would undoubtedly become Huid or solid. Water, for instance, is a solid substance in all degrees below 32° of Fahrenheit's scale; above this temperature it combines with ca- loric, and becomes a fluid. It retains its liquid state under the ordinary pressure of the atmosphere, till its temperature is aug- mented to 212°. It then combines with a larger portion of caloric, and is converted apparently, 'm\o gas, or at least into elastic vapour ; in which state it would continue, if the temperature of ouratraosphere^|,as above 312°. Gases a.-'e therefore solid substances, between the particles of which a repulsion is established by the quantity of caloric. But as in the gazeous water, or steam, the caloric is retained with but little force, on account of its quitting the water when the vapour is merely exposed to a lower tem- perature, we do not admit steam amongst the class of gases, or permanently elastic aeriform fluids. In gases, caloric is united by a very forcible atfinity, and no diminu- tion of temperature, or increase of pressure, that has ever yet been effected, can separate it from them. Thus the air of our atmos- phere, in the most intense cold, or when very strongly compressed, still remains in the aeriform state ; and hence is derived the es- sential character of gases, namely, that they shall remain aeriform, under all variations of pressure and temperature. In the modern nomenclature, the name of every substance existing in the aeriform state, is derived from its supposed solid base ; and the term gas is used to denote its existence in this state. In order to illustrate the formation of gases, or to show in what manner caloric is combined with tiiem, the following experi- ment may serve. Put into a retort, capable of holding half a pint of water, two ounces of muriate of soda, (common salt ;) pour on it half its weight of sulphuric acid, and ap- ply the heat of a lamp ; a great quantity of gas is produced, which might be collected and retained over mercury. But to serve the purpose of this experiment, let it pass through a glass receiver, having two open- ings, into one of which the neck of the re- tort passes, whilst, from the other, a bent tube proceeds, v.'hich ends in a vessel of water. Before closing the apparatus, let a thermometer be included in the receiver, to show the temperature of the gas. It will be found that the mercury in the thermome- ter will rise only a few degrees ; whereas the water in the vessel which receives the bent tube, will soon become boiling hot. Explanation. — Common salt consists of muriatic acid, united to soda ; on presenting sulphuric acid to this union, a decomposition GAZ takes place, especially when assisted by heat. The sulphuric acid unites by virtue of its greater affinity to the soda, and forms sul- phate of soda, or Glauber's salt ; the muria- tic acid becomes therefure disengaged, and takes the gazeous form in which it is capa- ble of existing at the common temperature. To trace the caloric during this experiment, as was our object, we must remark, that it first flows from the lamp to the disengaged muriatic acid, and converts it into gas ; but the heat thus expended is chemically united, and therefore not appreciable by the thermo- meter. The caloric, however, is again evolved, when the muriatic acid gas is con- densed by the water, with which it forms liquid muriatic acid. In this experiment we therefore trace ca- loric in a chemical combination producing gas; and from this union we again trace it in the condensation of the gas, producing sensible heat. Such, in general, is the cause of the form- ation and fixation of gases. It may be further observed, that each of these fluids loses or suffers the disengagement of differ- ent quantities of heat, as it becomes more or less solid in its new combination, or as that comhination is capable of retaining more or less specific heat. The discovery of aeriform gazeous fluids has occasioned the necessity of some pecu- liar instruments, by means of which those substances may be conveniently collected and submitted to examination. The prin- cipal ones for that purpose are styled the pneumatic apparatus. The Pneumatic Reservoir, or Cistern, Is made either of wood or strong sheet iron, tinned, japanned, or painted. A trough of about two feet long, sixteen inches wide, and fifteen high, has been found to be suffi- cient for most experiments. Two or three inches below its brim, a horizontal shelf is fastened, in dimension about half or one- third part of the width of the trough. In this shelf are several holes: these holes must be made in the centre of a small excavation, shaped like a funnel, which is formed in the lower part of the shelf. This trough is filled with water sufficient to cover the shelf to the height of an inch. The use of this shelf is to support re- ceivers, jars, or bell-glasses, which, being previously filled with water, are placed in- vertedly, their open end turned down upon the above-mentioned holes, through which the gases, conveyed there and directed by means of the funnel-shaped excavations, rise in the form of air-bubbles into the re- ceiver. When the gazeous fluids are capable of being absorbed by water, as is the case with some of them, the trough must be filled with mercury. The price and gravity of this fluid make it an object of convenience GAZ GAZ 379 and economy (hat the trough should be performed, the necessity of the excavation smaller than when water is used. '" the lower part of the shelf mny be readily A mercurial trough is best cut in marble, conceived. It is, as mentioned before, des- free-stoue, or a solid block of wood. A fined to collect the gas uliich escapes from (rough abouttwelve inches long, three inches t'^e vessel, and direct i! in its passage towards wide, and four deep, is sufficient for all pri- the vessel adapted to receive it. Without vate experiments. this excavation, the gas, instead of proceed- ,, ., , ^ „ ,. ^ ,, . . ing to the place of its destination, would be Method of colleclmg Gases and Imnsfernng dispersed and lost, unless the mouth of the them from one vessel lo another. receiving vessel were large. If we are desirous of transmitting air from The vessels, or receivers, for collecting one vessel to another, it is necessary that the the disengaged gases, should be glass cylin- vessel destined to receive it be full of water, ders, jars, or bell-glasses of various sizes j or some fluid heavier than air. For that some of them should be open at both ends, purpose take a wide-mouthed bell-glass, or others should be fitted with necks at the top, receiver ; plunge it under the water in the ground perfectly level; in order that they trough, in order to fill it ; then raise it with may be stopped by ground flat pieces of the mouth downwards, and place it on the metal, glass, slate, Sic. ; others should be shelf of the trough, so as to cover one or furnished with ground stoppers. Some more of the holes in it. should be graduated into culiic inches, and It will now be full of water, and con- sub-divided into decimal or other equi-dis- (inue so as long as the mouth remains be- tant parts. Besides these, common glass- low the surface of the fluid in the cistern ; bottles, tumblers, &c. may be used, for, in this case, the water is sustained in the ri -f^ ■ c n vessel by the pressure of the atmosphere, in Classijicaliori of Gases. the same manner as the mercury is sus- All the elastic aeriform fluids with v^hich tained in the barometer. It may without we are hitherto acquainted, are generally difficulty be imagined, that if common air divided, by systematic writers, into two (or any other fluid resembling common air classes ; namely, those that are respirable in lightness and elasticity) be suffered to and capable of viaintaining combustion, and enter the inverted vessel filled with water, it those that are not respirable, and incapable will rise to the upper part, on account of its "/ maintaining combustion. This division, levity, and the surface of the water will indeed, has its advantage ; but the term res- subside. To exemplify this, take a glass, or pirable, in its physislogical application, has any other vessel, in thatstate which is usually been very differently employed by different called empty, and plunge it into the water writers. Sometimes by the respirability of with its mouth downwards : scarce any of a gas has been meant its power of supporting it will enter the glass, because its entrance life, when repeatedly applied to the blood in is opposed by the elasticity of the included the lungs. At other times all gases have air; but if the vessel be' turned with its been considered respirable which were capa- mouth upwards, it immediately fills, and the ble of introduction into the lungs by volun- air rises in bubbles to the surface. Suppose tary efforts, without any relation to their this operation be performed under one of the vitality. In the last case, the word respira- jars or receivers, which are filled with water, ble seems to us most properly employed, and and placed upon the perforated shelf, the air in this sense it is here used. ' will ascend in bubbles as^before, but, instead Non-respirable gases are those which, of escaping, it will be caught in the upper when applied to the external organs of part of the jar, and expel part of the water respiration, stimulate the muscles of the it contains. epiglottis in such a manner as to keep it In this manner we see that air may be perfectly clos« on the glottis ; thus pre- emptied out of one vessel into another by a venting the smallest particle of gas from kind of inverted pouring, by which means entering into the bronchia, in spite of volun- it is made to ascend from the lower to the tary exertions. upper vessel. When the receiving vessel Of respirable gases, or those which are has a narrow neck, the air may be poured, capable of being taken into the lungs by vo- in a similar manner, through an inverted luntary efforts, only one has the power of funnel, inserted in its mouth. uniformly supporting life, namely, atmos- If the air is to be transferred from a ves- pheric air; other gases, when respired, sel that is stopped like a bottle, the bottle sooner or later impair the health of the hu- raust be unstopped, with its orifice down- man constitution, or perhaps occasion death; wards in the water ; and then inclined in but in different modes, such a manner that its neck may come un- Some gases effect no positive change in the der the perforated excavation of the shelf, b'-ood; animals immersed in it die of a disease The gas will escape from the bottle, and, produced by the privation of atmospheric passing into the vessel destined to receive it, air, analogous to that occasioned by their will ascend in it in the form of bubbles. submersion in water. la whatever manner this operation is Others again produce some jposj^iVe change sso GEL GIv\i in tiie blood, as appears from the experi- ments of Dr. Beddoes and Professor Davy. They seem to render it incapable of supply- ing the nervous and muscular fibres with principles essential to sensibility and irrita- bility. These gases, therefore, destroy ani- mal life on a diiferent principle. It is obvious, therefore, that the above classification is not very precise, but capable of misleading the student without proper explanation. Gaz, asotic. See Niirogen. Gas, carbonic acid. This may be obtained by pouring any acid upon carbonate of lime, which thereby becomes decomposed ; the effused acid combines with the lime, and forms a new neutral salt, and the carbonic acid is disengaged and escapes in the form of a colourless gaz, viz. carbonic acid gaz. See Carbonic acid. Gas hepatic. See Hydrogen gas, sulphu- retted. Gas-hydrogen. Inflammable air. See Hydrogen. Gas, light carbonated hydrogen. See Car- burelted hydrogen gas. Gas, heavy carbonated hydrogen. See Car- bureited hydrogen gas. Gaseous oxide of carbon. See Carbon, gaseous oxide of. Gexso'ma, {From yva-cv, the eaves of the house.) Geison. The prominent parts of the eye-brows, which hang over the eyes like the eaves of a bouse. Gei'son, See Geisoma. Gei-a'sinos. (From yiXaa, to laugh.) An epithet for the four middle fore-teeth, be- cause they are shown in laughter. Gela'smus. (From yixau, to laugh.) The Sardonic laugh. GE'LATINE. Gelly, or jelly. An ani- mal substance soluble in water, but not in alcohol : capable of assuming a well-known elastic or tremulous consistence, by cooling, when the Avater is not too abundant, and liqiiifiable again, by increasing its tem- perature. This last property remarkably distinguishes if from albumen, which be- comes consistent by heat. It is precipi- tated in an insoluble form by tannin, and it is this action of tannin on gelatine that is the. foundation of the art of tanning leather. Jellies are very common in our kit- chens; they may be extracted from all the parts of animals, by boiling them in water. Hot water dissolves a large quantity of this substance. Acids likewise dissolve them, as do likewise more particularly the alkalies. Jelly, which has been extracted without long decoction, possesses most of the characters ot vegetable mucilage ; but it is seldom obtained without a mixture of albumen. Jellies, in a pure state, have scarcely any smell or remarkable taste. By dis- tillation, they afford an insipid and ino- dorous phlegm, which easily putrefies, A stronger heat causes them to swell up, become black, and emit a foetid odour, accompanied with white acrid fumes. An impure volatile alkali, together with em- pyreumatic oil, then passes over, leaving a spongy coal, not easily burned, and containing common salt and phosphate of lime. The jelly of various animal substances is prepared for the use of sea-faring persons under the name of portable soup. The whole art of performing this operation con- sists in boiling the meat, and taking the scum off, as usual, until the soup possesses the requisite flavour. It is then suffered to cool, in order that the fat may be sepa- rated. In the next place, it is mixed with five or six whites of eggs, and slightly boiled. This operation serves to clarify the liquid, by the removal of opaque particles, which unite with the white of egg at the time it becomes solid by the heat, and are conse- quently removed along with it. The liquor is then to be strained through flannel, and evaporated on the water-bath, to the consist- ence of a very thick paste ; after which it is spread, rather thin, upon a smooth stone, then cut into cakes, and, lastly, dried in a stove, until it becomes brittle. These cakes may be kept four or five years, if defended from moisture. When intended to be used, nothing more is required to be done than to dissolve a sutScient quantity in boiling water, which by that means becomes converted into soup. Gela'tio. (From gelo, to freeze.) Freez- ing ; or that rigidity of the body wiiich hap- pens in a catalepsy, as if the person were frozen. Game'llus. (From geminns, double, having a fellow.) See Gastrocnemius and Gemini. GEMINI. Gemelli of Winslow. Part of the marsupialis of Cowper. Ischio spini trochanterien of Dumas. This muscle has been a subject of dispute among anatomists since the days of Vesalius. Some describe it as two distinct muscles, and hence the name it has gotten of gemini. Others con- tend that it ought to be considered as a single muscle. The truth is, that it consists of two portions, which are united together by a tendinous and fleshy membrane, and afford a passage between them to the ten- don of the obturator internus, which they enclose as it were in a purse. These two portions are placed under the glutseus masi- mu3, between the ischium and the great trochanter. The superior portion, which is the short- est and thickest of the two, arises fleshy from the external surface of the spine of the ischium ; and the inferior, from the tube- rosity of that bone, and likewise from (he posterior saero-ischiatic ligament. They are inserted; tendinous and fleshy, into the GEN GEN 8S1 cavity at the root of the great trochanter. Between the two portions of this muscle, and the termination of the obturator inter- ims, there is a small bursa mucosa, connect- ed to both, and to that part of the capsular ligament of the joint which lies under the gemini. This muscle assists in rolling the os fe- moris outwards, and prevents the tendon of the obturator internus from slipping out of its place while that muscle is in action. Gemu'ksa. (From gemo, to groan ; so called from the pain it was said to occasion in walking.) The name of an excrescence between the toes. Genei'as. (From ^w, the cheek.) The downy hairs which first cover the cheek; also the name of a bandage mentioned by Galen, which covers the cheek, and comes under the chin. GENERATION. Many ingenious hy- potheses have been instituted by physiolo- gists to explain the mystery of generation ; but the whole of our knowledge concerning it appears to be built upon the phenomena it affords, and may be seen in the works of Haller, Buffon, Cruickshanks, and Haighton. It is a sexual action, perform- ed in different ways in most animals ; many of them have different sexes and require conjunction : such are the human species, quadrupeds, and others. The females of quadrupeds have a matrix, separated into two cavities, uterus bicornis, and a consi- derable number of teats ; they have no menstrual flux; most of them bear several young at a time, and the period of their gestation is generally short. The genera- tion of birds is very different. The males have a strong genital organ, which is often double. The vulva in the females is placed behind the anus; the ovaries have no ma- trices, and there is a duct for the purpose of conveying the egg from the ovarium into the intestines : this passage is called the oviduct. The eggs of pullets have exhi- bited unexpected facts to physiologists, who examined the phenomena of incubation. The most important discoveries are those of the immortal Haller, who found the chicken perfectly formed, in eggs which were not fecundated. There is no deter- minate conjunction between fishes ; the fe- male deposits her eggs on the sands, over which the male passes, and emits its semi- nal fluid, doubtless for the purpose of fe- cundating them ; these eggs are batched after a certain time. The males of several oviparous quadrupeds have a double or forked organ. Insects exhibit all the va- rieties which are observed in other animals : there are some. Indeed the greater num- ber, which have the sexes in two separate individuals; among others, the reproduc- tion is m-ide either with or without con- junction, as in (he vine-fretter ; one of these iasects, confined alone beneath a glass, pro- duces a great number of others. The or- gan of the male, in insects, is usually armed with two hooks, to seize the female : the place of these organs is greatly varied ; with some it is at the upper pan of the belly, near the chest, as in the female dragon-fly ; in others, it is at the extremity of the an- tenna, as in the male spider. Most worms are hermaphrodite ; each individual has both sexes. Polypi, with respect to gene- ration, are singular animals; they are re- produced by buds or offsets : a bud is se- parated from each vigorous polypus, which is fixed to some neighbouring body, and grows: polypi are likewise found on their surface, in the same manner as branches issue from plants. These are the prin- cipal modes of generation in animals, fn the human species, which engages our at- tention more particularly, the phenomena are as follow : — The mode of congress of the man- with the woman requires no descrip- tion ; but generation does not consist in that aloise : there are certain states or con- ditions requisite for conception to take place. The ovum mu.st have arrived at a state of maturity. There must be such a determination of blood to the uterus, that, together with the venereal stimulus, shall induce an action in the Fallopian tubes, by which the fimbriae grasp the ovum that is to be impregnated. During this state of the parts, the semen virile must be pro- pelled into the uterus, in order (hat its subtle and vivifying portion shall pass alon." the tube to the ovum. Fecundation ha- ving thus taken place, a motion is induced in the vivified ovum, which ruptures the tender vesicle thai contains it; the fimbria of the Fallopian tube then grasp and con- vey it into the tube, which, by its peri- staltic motion, conducts it into the cavity of the uterus, there to be evolved and brought to maturity, and, at the expira- tion of nine months, to be sent into the world. GENERATION, FEMALE ORGANS OF. The parts subservient to generation in a woman are divided into external and in- ternal. The external parts nre the moyis veneris, the labia, ihe perincBum, the clitoris, and the' uymphce. To these may be added the meatus urinarius, or orifice of the urethra. The hymen may be esteemed the barrier between the external and internal parts. The inter- nal parts of generation are the vagina and uterus, and its appendages. GENERATION, MALE ORGANS OF. The parts which constitute the organs of ge- neration in men are the penis, testicles, and vesiculcE seniinales. GEN 10. (From ytyuov, the chin.) Names compounded of this word belong to muscles which are attached to the chin. GENiO-HYO-GLO'SSU3. (Musculus genio-hyo-glossus ; from yivunv, the chip 3$2 GEN GEO vciihg, the OS byoides, and yxsKra-a, the tongue, so called from its origin and inser- tion.) Gemog/ossus of some authors. This muscle forms the fourth layer between the lower jaw and os hyoides. It arises from a rough protuberance in the inside of the raid- tile of the lower jaw ; its fibres run like a fan, forwards, upwards, and backwards, and are inserted into the tip, middle, and root of the tongue, and base of the os hyoides, near its corner. Its use is to draw the tip of the tongue backwards into the mouth, the mid- dle downwards, and to render its back con- cave. It also draws its root and the os hy- oides forwards, and thrusts the tongue out of the mouth. GENIO-HYOIDE'US. (Muscidus genio- hyoidtus ; from ^.-svwcv, the chin , and uonSi;, the OS byoides ; so called from its origin in the chin, and its insertion in the os hyoides.) This muscle constitutes the third layer be- tween the lower jaw and os hyoides. It is a long, thin, and fleshy muscle, arising ten- dinous from a rough protuberance at the inside of the chin, and growing somewhat broader and thicker as it descends back- ward to be inserted by very short tendinous fibres into both the edges of the base of the OS hyoides. It draws the os hyoides for- wards to the ohin. Geniophar^'Nge'os. The constrictor pha- ryngis superior. Ge'nipi a'leum. The plant which bears this name in the pharmacoposias, is the Mr- iemisia rupeslris of Linnaeus ; which see. Ge'nipi ve'rum. The plant directed for medicinal purposes under this title, is the Jlchilka ; foliis pitmaHs, pinnis simplicibus, glabris, pundaiis, of Haller. It has a very grateful smell, and a very bitter taste, and is exhibited in Switzerland in epilepsy, diarr- hffia, and debility of (he stomach. GENI'STA. (From genu, a knee ; so called from the inflection and angularity of its twigs.) 1. The name of a genus of plants in the Linnaian system. Class, Diadel.phia. Order, Decandria. 2. The pharmacopcjial name of the Spar- (iiim scoparium ; which see. Geki'sta canarie'nsis. The systematic name of the tree supposed to yield the Rho- dium lignum ; which see. Geni'sta spiNo'sA i'ndica. Bahel schulli. An Indian tree, a decoction of the roots of which is diuretic. The leaves, boiled asd sprinkled in vinegar, have the same effect, according to Ray. Genita'le. (From gigno, to beget.) The privy member. Gemita'lium. (From genHale, the raem- brum virile ) A disease of the genital parts. Genitu'ra. (From gigno.) The male seed. Also the membrum virile. Ge'non. (From yovu, the knee.) A move- able articulation like that of the knee. Gensing See Ginseng. GEJNTIA'NA. (From Gentius, king of Illyria, who first used it.) Gentian. L The name of a genus of plan's in the Linnaean system. Class, Pentandria. Or- der, Digynia. Gentian. 2. The phRrmacopceial name of the gen- tian roof. See Genliana lulea. Gentia'na a'lea. See Lastrpitium laii- folium. Gentia'na centau'ricm. Lesser cen- taury was lately so called in the Linnaean system, but now chironia centaurium. See Chironia centaurium. Gentia'na lu'tea. The systematic name of the officinal gentian. Genliana rubra. Felwort. The gentian, that met with in the shops, is the root of the Gtntiana lulea ; co- rollis subquinquejidis Totalis verticiUalis, caly- cibus spathaceis, of Linnaeus ; and is import- ed from Switzerland and Germany. It is the only medicinal part of the plant, has little or no smell, but to the taste manifests great bitterness, on which account it is in general use as a tonic, stomachic, antiielmin- tic, antiseptic, emmenagogue, and febrifuge. The officinal preparations of this root are the infusmn genliana; compositum, and linc- lur a genliana composila, of the London Phar- macopceia, and the infusum amarum, vi7vum amarum, tindura amara, of the Edinburgh Pharraacopceia ; and the extradum gentianm is ordered by both. Gentia'na ru'era. See Genliana. GE'iNlJ. The knee. Genu'gra. (From yovu, the knee, and etyf:t, a seizure.) A name in Paracelsus for the gout in the knee. GEOFFRiE'A. Geoffroya. (Named in honour of Dr. Geoffrey.) 1. The name of a genus of plants in the Linnaean sys- tem. Class, Diadelphia. Order, Decan- dria. 2, The pharmacopceial name of the bark of the Geoffroya inermis foliolis lanceolalis of Swartz. The plant is a native of Jamaica, where it is distinguished by the name of cabbage-bark tree, or worm-bark tree. U has a mucilaginous and sweetish taste, and a disagreeable smell. According to Dr. Wright of Jamaica, it is powerfully medi- cinal as an anthelmintic. Geoffroy'a Jamaice'nsis. Tke system- atic name of the bastard cabbage-tree, or Buige-water tree. The bark of the Gtoff- roya Jamaicensis, (inermis foliolis lanceolalis, of Swarz,) is principally used in Jamaica, and with great success, as a vermifuge. Geoffrov'a suriname'nsis. The system- atic name of a tree, the bark of which is esteemed as an anthelmintic. GEOFFROY, Stephen Francis, was born at Paris in 1672. After giving him an excellent general education, his father, who was an apothecary, sent him to study his own profession at Monlpelier j where he attended the several lectures. On his return to Paris,havingalready acquired considerable reputation, he was appointed to attend the Duke de Tallard, on his embassy to Eng- land, in 1698. Here he was very favourably GEK ' GE3 383 received, and elected a member oi t'ue Royal Gera iSiCM sangui'kecm. The systema- Society : and he afterwards visited Holland tic name of the Geranium Sanguinarium. and Italy. His attention was chiefly di- Bloody cranes-bill. Geranium sanguineuin reeled to natural history and the materia of Linnasus. The adslringent virtues as- medica, his father wishing him to succeed cribed to this plant do not appear to be con- to his establishment at Paris: however he siderable. became ambitious of the higher branch of Germander. See Teucrium chammdrys. the professioti, and at length graduated in Germander, water. See Teucrium ScoT' 1704. His reputation rapidly increased ; dium. «nd he was called in consultation even by Geroco'mia. (From T.^ai', an aged person, the most distinguished practitioners. In and no/utai, to be concerned about.) That 1709 he was appointed to the professorship part of medicine which regards the regimen of medicine on the death of Tournefort. and treatment of old age. He then undertook to deliver to his pupils a Gerontopo'go.v. (From yynmv, an old complete History of the Materia Medica, man, and was^^av, a beard ; so called because divided into mineral, vegetable, and animal its downy seed, while enclosed in the calyx^ substances; the first part of which he fin- resembles the beard of an aged man.) The ished, and about half of the second: this herb old man's beard. Purple-flowered was afterwards j)'jblished from his papers, tragopogon. in Latin, in three octavo volumes. In 1712 Gerosto'xon. (From q/e^*!', an old per- he was made professor of chemistry in the son, and ro^ay, a dart.) A small ulcer, like king's garden ; and, 14 years after, dean of the head oi a dart, appearing sometimes in the faculty. In this office he was led into the cornea of old persons. The socket of some active disputes; whence his health, a tooth. naturally delicate, began to decline ; and he Geropo'gos. Hea Gero7dopogon. died in the beginning of 1731. Notwith- Ge'ryon. Quicksilver, standing his illness, however, he completed GESNEPi, Conrad, was born at Za- a work which had been deemed necessary rich in 1516. His father was killed in the by preceding deans, but never accomplished; civil war, and left him in such poverty, that namely, a Pharmacopceia, which was pub- he was obliged to become a servant at Stras- lished under the name of " Code Medica- burgh. His master allowed him to devote mentaire, de la Faculte de Pari*." some time to study, in which he made great Gera'nts. (From y^avo;, a crane; so progress; ond having acquired a little mo- called from its supposed resemblance to an ney, he went to Paris, where he improved extended crane.) A bandage for a fractured rapidly in the classics and rhetoric, and then clavicle. turned his attention to philosophy and me- GERA'NIUM. (From ytpave;, a crane ; dicine. But he was soon compelled to re so called because its pistil is long like the turn to his native country and teach the bill of a crane.) Class, Monadelphia. Or- languages, &c. for a livelihood. This en» der, Decandria. The name of a genus of abled him afterwards to resume his medical plants in the Linnaean system. Geranium, studies at Montpelier, and he graduated at or cranes-bill. Basil in 1540. He then settled in his na- Gera'nidm batrachioi'des. See Gera- live city, where he was appointed professor nirim pralense. of philosophy, which office he discharged Gera'nium columbi'num. Doves feot. with great reputation for 24 years. He had See Geranium rotundifoHum. an early predilection for botany, which led Gera'nium moscha'tum. The adstrin- him to cultivate other parts of natural his- gent property of this plant has induced prac- tory ; he was the first collector of a museum, tilioners to exhibit it in cases of debility and and acquired the character of being the profluvia. greatest naturalist since Aristotle. He also Gera'nium prate'nse. The systematic founded and supported a botanic garden, name of the crow-foot cranes-bill. Geranium had numerous drawings and wooden en- batrachioides. This is the Geranium pralense gravings made of plants, and appears to of Linnaius ; it possesses adslringent virtues, have meditated a general work on that sub- but in a slight degree. jecf. He likewise discovered the only true Gera'kiuji robertia'num. Stinking principles of botanical arrangement in the cranes-bill. Herb robert. This common flower and fruit. Though of a feeble had plant has been much esteemed as an exter- sickly constitution, he traversed the Alps, nal application in erysipelatous inflamma- and even sometimes plunged into the waters tions, cancer, mastodynia, and old ulcers, in search of plants : he also carefully studied but is now deservedly fallen info disuse. their medical properties, and frequently Gera'kium rotu.vdifo'lium. The sys- hazarded his life by experiments on himself • tematic name of the doves-foot. Geranium indeed he was at one time reported to have columbinum. This plant is slightly astrin- been killed by the root of doronicum. His gent. other occupations prevented his entering Gera'nhjm SAKGViNA'Ric^r. Pee Gera- very exiensively into practice, but his en- niarasnnguinmm. larged views rendered him surcessful ; and 384 GLN the profits of his profession enabled him to support the great expense of his favourile pursuits. He gave also many proofs of li- beral and active friendship. He died of the plague in 1565. His chief works are his "Historiae Animaliura," in three folio vo- lumes, with wooden cuts ; and a pharma- copoeia, entitled " De Secretis Remediis Thesaurus," which passed through many editions. GE'UM. 1. The name of a genus of plants in the Linnaean system. Class, Icosandria. Order, Polygynia. 2. The pharmacopceial name of the two following species of this genus. Ge'um rivale. The root is the part directed for medicinal uses. It is inodo- rous, and imparts an austere taste. In America it is in high estimation in the cure of intermittents, and is said to be more effi- cacious tlian the Peruvian bark. Diarrhoeas and hEemorrhages are also stopped by its ex- hibition. Ge'tjm urba'ntjm. The systematic name of the herb bennet, cravens. Cnryophylla- ta. Herba benedicln. Caryophyllus vulgaris. Garyophilla. Janamunda. The root of this plant, Geum urbanum ; fioribus eredis, fruc- iibus globosis vUlosis, aristis ■uncinalis nudis, folmlyratis, of Linnseus, has been employed as a genile styptic, corroborant, and stomach- ic. It has a mildly austere, somewhat aro- matic taste, and a very pleasant smell, of the clove kind. It is also esteemed on the con- tinent as a febrifuge. Giddiness. See Vertigo. Gilead; balsam. See Amyris gileadensis, GILBERT, William, was born at Col- chester in 1540. After studying at Cam- bridge, he went abroad for improvement, and graduated at some foreign university. He returned with a high character for phi- losophical and chemical knowledge, and was admitted into the college of physicians in London, where he settled about the year 1573. He was so successful in his prac- tice, that he was at length made first physi- cian to Queen Elizabeth, who allowed him a pension to prosecute philosophical experi- ments. He died in 1603, leaving his books, apparatus, and minerals to the college of physicians. His capital work on the mag- net was published three years before his death ; it is not only the earliest complete system on that subject, but also one of the first specimens of philosophy founded upon experiments ; which method the great Lord Bacon afterwards so strenuously recom- mended. Gill-go-by-grnund. See Glecomahederacea. Gillijioiver. See Dianlhus caryophyllus. GLN. Geneva. Hollands. The names of a spirit dialilled from malt or rye, v/hich afterwards undergoes the same process a second time, with juniper-berries. This is ihe original and most v.holesome stale of "iLie spirit ; but it is now prepared without GLA : juniper-berries, and is distilled from tur- pentine, which gives it something of a simi- lar flavour. The consumption of this arti- cle, especially in the metropolis, is immense, and the consequences are, as Dr. Willan observes, pernicious to the health of the in- habitants. Ginger. See Zingiber. Gi'kgiber. See Zingiber. Gijtgibra'chium. (From gingiva, the gums, and brachium, the arm.) A name for the scurvy, because the gums, arras, and legs are affected with it. Gingi'dium. A species of Daucus. Gi'ngihil. See Zingiber. Gingipe'dium. (From gingivae, the gums, and pes, the foot.) A name for the scurvy, because the gums, arms, and legs are af- fected. GlNGI'VjfL (From gigno^ to beget, be- cause the teeth are, as it were, born in them.) The gums. See Gums. Gi'iNGLYMUS. (yryyAv/ur,;,'3ihmge:) The hinge-like joint. A species of diarthrosis or moveable connexion of bones, which ad- mits of flexion and extension, as the knee- joint, &c. GraSENG. {Ginseng, Indian.) See Pa- nax quinquefulium. Ginseng root. See Panax quinquefo- lium. GiR. Quick-lime. Gi'rmik. Tartar. Gizzard. The gizzards or stomachs of poultry, with white flesh, have long been considered, in France, as medicinal. They have been recommended in obstructions of the urinary passages, complaints of the bladder, and nephritic pains ; but particu- larly as a febrifuge. Bouillon Lagrange considers its principal substance as oxygen- ated gelatine, with a small quantity of ex- tractive matter. Glabe'lla. (From glabcr, smooth ; be- cause it is without hair.) The space betwixt the eyebrows. GLADi'OLUS. (Dim. of g/acZiui, a sword ; so named from the sword-like shape of its leaf) The name of a genus of plants in the Linnajan system. Class, Triandria. Order, MouogyJiia. Gladi'olus lu'tecs. See Iris pseuda- corus^ Gla'ma. (y?.a.juci..) The sordes of the eye. GLAND. {Glandula; diminutive ofglans, a gland.) A gland is an organic part of the body, composed of blood-vessels, nerves, and absorbents, and destined for the secretion or alteration of some peculiar fluid. The glands of the human body are divided, by anatomists, into difl'erent classes, either accfrding to their structure, or the fluid they contain. According to their fabric, they are distinguished into four classes : 1. Simple glands. GLA GLE 3.85 ■± Compounds of simple glands. whence his family originated; and he was 3. Conglobate glands. so successful in practice, that he was raised 4. Conglomerate glands. to the most honourable offices. He was According to their fluid contents, they physician to the Archbisijop and to the are more properly divided into, 1. Mucous Republic, when he died in 1640. He left glands. 2. Sebaceous glands. 3. Lympha- several works, with plates, containing many tic glands. 4. Salival glands. 5 Lachry- important observations on anatomy, Sic. mal glands. The principal are his " Speculum Chirur- Simple glands are small hollow follicies, gorum," and a Treatise on Issues and Se- covered with a peculiar membrane, and tons. He was very partial to the ase of the having a proper excretory duct, through actual cautery, even in the most common which they evacuate the liquor contained disorders. in their cavity. Such are the mucous glands GLA'NDOLA LACHRYMA'LIS. See of the nose, tongue, fauces, trachea, sto- Lachrymal gUmd. mach, intestines, and urinary bladder, the Gla'ndol^ mvrtifo'rmes. See Carun- sebaceous glands about the anus, and those cidi;)(^m, penny- royal.) Wine impregnated with penny- royal. GLEET. In consequence of the repeat- ed attacks of gonorrhoea, and the debi- lity of the part occasioned thereby, it not (infrequently happens, that a gleet or con- stant small discharge takes place, or remains behind;, after all danger of infection is re- moved. Mr. Hunter remarks, that it dif- fers from gonorrhcea in being uninfedions, and in the discharge consisting of globular particles, contained in a slimy mucus, in- stead of serum. !t is unattended with pain, scalding in making of water, &c. GLF/iNE. (yhnv^.) Strictly signifies the eavity or socket of tite eye; but by some anatomists is also used for that cavity of a bone which receives another within it. GLENOID. {Gknoides ; from yxmn, a cavity, and uJ'oi, resemblance.) The name of some articulate cavities of bones. Gleu'cinu.m. (From yKivKog, must.) An ointment, in the prepitration of which was must. Gleu'xis. (From y/^vnu^, sweet.) A sweet wine. Gli'sckre. To increase gradually, pro- perly as fire does ; but by fthysical wri- ters, is somelimes applied to the natural heat and increase of spirits; and by others to the exacerbation of fevers, which return periodically. GLiscRA'sRi.\. (From yKts-^prtivce, to be- come glutinous.) Lentor. Viscidity. Glischho'cholos. (From yKi'7-^oi^ v'm- eid, and ;tcx«, the bile.) An epithet for bi- lious viscid excrements. GtisoM.v'RGO. While chalk. GLISSON, Fkan'cis, was born in Dor- setshire, 1597. He studied at botli the English universities ; but took his degree of doctor in Cambridge, where he was made regius professor of Physic, which office he held about forty years. He settled however to practise in London, and became a Fellow of the College in 1635 ; four years after Avhicii he was chosen reader of Anatomy, ntid distinguished himself much by his lec- tures " De Moibis Partium," which he was requested to publish. During the civil wars he retired to Colchester, where he prac- tised with great credit ; and was there dur- ing the siege of that town by the Parliament- ary forces. He was one of the members of the society, which, about the year 1645, held weekly meetings in London to promote Natural Philosophy ; and which having re- moved to Oxford during the troubles, was augmented after the Restoration, and be- came nltimatcly the present Royal Society. He was afterwards several years president of the Coltecjp of ('i-v.^u-iaiis. and died at fiie GLO advanced age of eighty. He left the follow- ing valuable works, 1. A Treatise on the Rickets. , 2. The Anatomy of the Liver, which he described much more accurately than any one before, and particularly the capsule of the Vena Portarum, which has since been named after him. 3. A large me- taphysical treatise " De Natura Substantiae Energetica," after the manner of Aristotle. 4. A Treatise on the Stomach, Intestines, Sic. a well arranged and comprehensive work, with various new observations, which came out the year before his death. Glisson's Capsule. See Capmle of Glis- son. GlobaU gland. See Gland. GLOBULA'RIA. (From gZo6M«, a globe ; so called from the shape of its flower.) The French daisy. Globula'ria a'lypubi. The leaves of this plant are used in some parts of Spain in the cure of the venereal disease. It is said to act also as a powerful but safe cathartic. GLOBUS HYSTERICUS. The air rising in the oesophagus, and prevented by spasm from reaching the mouth, is so called by authors, because it mostly attends hyste- ria, and gives the sensation of a ball ascend- ing in the throat. Glo'mer. (A clue of thread.) Mostly applied to glands. Glojierate gland. A gland formed of a glomer of sanguineous vessels, having no cavity, but furnished with an excretory duct ; as the lachrymal and mammary glands. Glossa'gra. (From y\mvo-et, the tongue, and ctyf^i., a seizure.) A rheumatic pain in the tongue. GLO'SSO. (From yxuiriya, the tongue.) Names compounded with this word belong to muscles, nerves, or vessels, from their being attached, or going to the tongue. Glosso-pharynge'al nerves. The ninth pair of nerves. They arise from the pro- cesses of the cerebellum, which run to the medulla si)ina!is, and terminate by nume- rous branches in the muscles of the tongue and pharynx. Glosso-pha'rynge'us. (Musculus glosso- pharpigens ; from yxma-a-ct, the tongue, and papuy^, the pharynx ; so named from its origin in the tongue, and its insertion iti the pharynx.) See Constriclor pharyngeus superior. Glo'sso-staphyli'nus. (Musculus glosso- staphylinus ; from yxcecre-A, the tongue, and Ta.'jfvKii, the uvula ; so , named because it is fixed in the tongue, and terminates at the uvula.) See Constrictor isthmi faucium. Glossoca'tochos. (From '/xaia-a-a, tongue, and nitTi^m, to hold.) An instrument in P. .^gineta for depressing the tongue. A spatula lingnss. The ancient glossocato- dm? was a sort of forceps, one of the blade? GLU GLU of which served to depress the tongue while the other was applied under the chin. GLOSSOCE'LE. (From yxmatt, the tongue, and »«>.», a tumour.) An extrusion of the tongue. Glossocoma. a retraction of the tongue. Glossocomi'on. (From yKu^s-di, a tongue, and xo//.sa), to guard.) By this was for- merly meant a case for the tongue, for a hautboy; but the old surgeons, by meta- phor, use it to signify an instrument, or case, for containing a fractured limb. Glo'tta. {yhmTli, the tongue.) The tongue. GLUCINE. For the discovery of this earth we are indebted to Vauquelin, who found it, in 1795, in the Aigue-marine or beryl, a transparent stone, of a green co- lour, and in the emerald of Peru. It exists combined with silex, alumine, lime, and oxid of iron in the one; and with the same earths, and oxid of chrome, in the other. Jt has lately been discovered in the gadoUnite by Mr. Ekeberg. Its name is taken from the Greek word (yxvKUi) which signifies sweet or saccharine, because it gives that taste to the salts it forms. Glucine is white, light, and soft to the touch. It is insipid, and adheres to the tongue; and is infusible by itself in the fire. Its specific gravity is 2.967. It is soluble in alcalies and their carbonates, and in all the acids except the carbonic and phosphoric, and forms with them saccha- rine and slightly astringent salts. Ft is ex- ceedingly soluble in sulphuric acid used to excess. It is fusible with boras, and forms with it a transparent glass. It absorbs one- fourth of its weight of carbonic acid. It decomposes sulphate of alumine. It is not precipitated by the hydro-sulphurets nor by prussiate of potash, but by all the succi- nates. Its affinity for the acids is interme- diate between magnesia and alumiue. To obtfsin this earth, reduce some beryl to an impalpable powder, fuse i! with three limes its weight of potash, and dissolve the mass in muriatic acid. Separate the silex by evaporation and filtration, and decom- pose the remaining fluid by adding carbo- nate of potash; redissolve the deposit v/hen washed in sulphuric acid, and by mingling this solution with sulphate of posash, alum will be oblained, which crystallizes. Then mis the fluid with a solution of carbonate of ammonia, which must be used in excess ; filter and boil it, and a white powder will gradually fall down, which is glucine. GLO'TTfS. (From yxanln, the tongue.) The super' -r opening of the larynx at the bottom o^ the tongue. GLL'TEAL ARTERY. A branch of the internal iliac artery. GLUTEN. (Quasi gtlulen; from gelo, to congeal.) Glne, Lenlor. See Gluten, animal and vegetable. GLUTEN ANIMAL. This substance constitutes the basis of (he fibres of all the solid parts. It resembles in its properties the gluten of vegetables. GLUTEN, VEGETABLE. If v.'heat flour be made into a paste, and washed in a large quantity of water, it is separated into three distinct substances ; a mucilagi- nous saccharine mailer, which is readily dissolved in the liquor, and may be separa- ted from it by evaporation ; starch, which is suspended in the fluid, and subsides to the bottom by repose ; and gluten, which re- mains in the hand, and is tenacious, very ductile, somewhat elastic, and of a brown gray colour. This glutinous substance is obtained from several vegetables in great abundance, and, when dried, becomes ^ horny mass. It is insoluble both in water and spirit of wine, and, if boiled with the former, it coagulates like the white of aa egg. It burns like horn, and affords the same products by distillation in the dry way. It readily putrifies when kept in a cold and moist place. GLUTE'US MA'XIMUS, (From ykouro?, the buttocks.) Gluteus magnus of Albinus. GluicEus major of Cowper, and Ilio sacro femoral of Dumas. This broad radiated muscle, which is divided into a number of strong fasciculi, is covered by a pretty thick aponeurosis derived from the fascia lata, and is situated immediately nnder the integuments. It arises fleshy from (be outer lip of somewhat more than the posterior half of the spine of the ilium, from the ligamenis that cover (he two posterior spi- nous processes; from the posterior sacro- ischiatic ligament ; and from the outer sides of the OS sacrum and os coccygis. From these origins the fibres of the muscle run towards the great trochanter of the os fe- raoris, where they form a broad and thick tendon, between which and the trochanter there is a considerable bursa mucosa. This tendon is inserted into the upper pari of the tinea aspera, for the space of two or three inches downwards ; and sends oflF fibres to the fascia lata, and to the npper extremity of the vastus esiernuj. This muscle serves to extend the thigh, by pulling it directly backwards ; at the same time it draws it a little outwards, and thus assists in its rotato- ry motion. Its origin from the coccyx see:ns to prevent that bone from .being forced too far i^ackward.". GLUTE'US atE'DlUS. Ilia trochan- lerien of Dumas. The posterior half of this muscle is covered by the gluteus maxi- raus, which it greatly resembles in shape ; but the anterior and upper part of it is co- vered only by the integuments, and by a tendinous membrane which belongs to the fascia lata. It arises fleshy from the outer lip of the antei-ior part of (he spine of the. 3SS GLY ilium, from part of the posterior surface oi that bone, and likewise from the fascia that covers it. From these origins i(s fibres run towards the great trochanter, into the outer and posterior part of which it is inserted by a broad tendon. Between this tendon and the trochanter there is a small thin bursa mucosa. The uses of this muscle are nearly the same as those of the gluteus maximus; but it is not confined, like that muscle, to rolling the OS femoris outwards, its anterior portion being capable of turning that bone a little inwards. As it has no origin from the coccyx, it can have no effect on that bone. GLUTE'US Ml'NIMUSf Glulceus imnor of Albinus and Cowper ; and llio ischfi irochanlerien of Dumas. This, which is likewise a radiated muscle, is situated un- der the gluteus medius. In adults, and especialy in old subjects, its outer surface is usually tendinous. It arises fleshy between the two semicircular ridges we observe on the outer surface of the ilium, and likewise from the edge of its great niche. Its fibres run, in different directions, towards a thick iiat tendon, which adheres to a capsular lig- ament of tiie joint, and is inserted into the fore and u[!per part of the great trochanter. A small bursa viucosa may be observed be- tween the tendon of this muscle and the trochanter. This muscle assists the two for- mer in drawing the thigh backwards and outwards, and in rolling it. It may like- wise serve to prevent the capsular ligament from being pinched in the motions of the joint. Glu'tia. (From yxauTOi, the buttocks.) The two small protuberances in the brain, called flutes. Gldttu'patens. (From glutlus, the throat, and patto, to extend.) An epithet for the stomach, which is an extension of the throat. Glu'tus. (>MuTo;, from yxouc, filthy.) The buttocks. Glyca'sma. (From yxvz-jc, sweet) A sweet medicated wine. Glycypi'cros. (From ywzvc, sweet, and rrijifog, bitter; so called from its bitterish sweet taste.) The woody nightshade. See Solanum Dulcamara. GLYCYRRHI'ZA. (From yj.vnv;, sweet, and fs^a., a root.) 1. The name of a genus of plants in the Linna^an system. Class, Biaddphia. Order, Decandria. 2. The pharmacopceia! name of liquorice. The sweet root of the Glyvyrrhiza glabra, le- guminibus i!;lubri.a.KQV, cot- ton ; so named from its soft downy surface.) 1. The name of a genus of plants in the Linnsean system. Class, Spigenesia. Or- der, Polygamia superflua. 2. The pharmacopceial name of (he herb cotton weed. See GnapUalium dioicutn. Gnapha'lium arena'ricm. The flowers of this plant, as well as those of the gna- phalium stcechas, are called in the pharma- copogias flares tlichrysi. See Gnaphalium stadias. Gnaph-a'lium dioi'cum. The systematic name of the pes cati. Gnaphalium. Cot- ton weed. The flores gnaphalii of the phar- macopceias, called also flores hispididce : seu pedes call, are the produce of the Gnapha- lium dioicum of Linnaeus. They are now quite obsolete, but were formerly used as astringents, and recommended in the cure of hooping-cough, phthisis pulmonalis, and haemoptysis. Gnapha'lium stce'chas. The systematic name of Goldilocks. Elichrysum. Slcechas dlrina. This small downy plant is the Gnaphaiium slcechas of Linnaeus. Th^ flowers are warm, pungent, and bitter, and said to possess aj)erient and corroborant virtues. Gxa'thbs. (From yvaTrlte, to bend; so culled from their curvature.) The jaw, or jaw-bones. Also the cheek. Gni'dius. a term applied by Hippo- crates, and others since, to some medicinal precepts wrote in the island of Gnidos, GonJ'srue. See Galega. GODDAllD, Jonathan, was born at Greenwich in 1617. After studying at Oxford, and (ravelling for improvement, he graduKted at Cambridge, and settled to jiractise in London. He was elected a Fellow of the College of Physicians in 1646, and the following year, appointed lecturer on Anatomy. He formed a So- ciety for Experimental Enquiry, which met at his house ; and he was very assi- duous in promoting its objects. Haying gained considerable' reputation, and sided with the popular parly, he was appointed by Cromwell chief physician to the army. GOL Gt)N 389 and attended him in some of his expeditions. Cromwell then made him warden of Mer- ton College, Oxford, afterwards sole re- presentative of that university in the short Parliament in 1653, and in the same year one of the Council of State. On the Resto- ration, being driven from Oxford, he re- moved to Greshara College, where he had been chosen professor of Physic. Here he continued to frequent those meetings, which gave birth to the Royal Society, and he was nominated one of the first council of that institution. He was an able and con- scientious practitioner; and was induced, partly from the love of experimental chemis- try, but principally from doubting the com- petency of apothecaries, to prepare his own medicines : in which howevtv finding nu- Eierous obstacles, be published " A Dis- course, setting forth the unhappy Condition of the Practice of Physic in London ;" but this was of no avail. Two papers of his ap- peared in the Philosophical Transactions, and many others in Birch's history of the Boyal Society. He died in 1674 of an apo- plectic stroke. GOELICKE, Andeew Offon, a Ger- man physician, acquired considerable repu- tation in the beginning of the eighteenth century, as a medical professor, and espe- cially as an advocate of the doctrines of Stahl. He left several works, which relate principally to the History of Anatomy, &c. particularly the " Historia Medicinae Uni- versalis," which was published in six differ- ent portions between the years 1717 and 1720. Goitre. See Bronckocele. GOLD. Jlurum. A metal found in nature only in a metallic state ; most com- monly in grains, ramifications, leaves, or crystals, rhomboidal, octaheral, or pyra- midal. Its matrix is generally quartz, sand stone, siliceous schistus, &,c. It is found also in the sands of many rivers, par- ticularly in Africa, Hungary, and France, in minute irregular grains, called gold-dust. Native gold, found in compact masses, is never completely pure ; it is alloyed with silver or copper, and sometimes with iron and tellurium. The largest piece of native gold that has been hitherto discovered in Europe, was found in the county of Wick- low, in Ireland. Its weight was said to be twenty-two ounces, and the quantity of alloy it contained was very small. Several other pieces, exceeding one ounce, have also been discovered at the same place, in sand, covered with turf, and adjacent to a rivulet. Gold is also met with in a particular sort of argentiferous copper pyrites, called in Hungary Gdf. This ore is found either massive, or crystallized in rhou)bi;ids, or other irregular quadrangular or polygonal masses. It exists likewise in the sulphu- rated ores of Nagaya in Transylvania. These all contain the metal called tellu- rium. Berthollet, and other French che- mists, have obtained gold out of the ashes of vegetables. Gold-cup. A vulgar name for many spe- cies of Ranunculi. Golden-rod. See Solidago virga auree. Goldilocks. See Gnaphalium stceckas. GOMPHl'ASIS. (From ya/x?,o;, a nail.) Gomphiasmus A disease of the teeth, when tliey are loosened from the sockets, like nails drawn out of the wood. Gomphia'smus. See Gomphiasis. Go'mphioi. (From yofA.(fo^, a nail ; so called bec.iuse they are as nails driven into their sockets.) The denies molares, or gritiding teeth Gompho'ma. See Gomphasis. GOMPHO'SIS. (From yofA^pom, to drive in a nail.) Gomphoma. A species of immoveable connexion of bones, in which one bone is fixed in another, like a nail in a board, as the teeth in the alveoli of the jaws. Gona'lgia. See Gonyalgia. Gona'gra. (From yon, the knee, and ayfo., a seizure.) The gout in the knee. Go'ne. {yovit.) The seed. But in Hip- pocrates it is the uterus. Gongro'na. (From yoyf^oi^ a hard knot.) 1. The cramp. 2. A round tubercle in the trunk of a tree. 3. A hard round tumour of the nervous parts ; but particularly a bronchocele, or other hard tumour of the neck. Gosgt'lion. (From yoyfuKoi, round.) A pill. Gonoi'des. (From yon, seed, and nS'cg, form.) Resembling seed. Hippocrates often uses it as an epithet for the ex- crements of the belly, and for the con- tents of the urine, when there is some- thing in them, which resembles the seminal matter. GONORRHGE'A. (From yon,, the semen, and ^Efi-, to flow ; from a supposition of the ancients, that it was a seminal flux.) A getms of disease in the class locales, and order apocenoses of Dr. Cullen's arrangement, who defines it a preternatural flux of fluid from the urethra in males, with or without libidinous desires. Females however are subject to the same complaint in some forms. He makes four species, viz. 1. Gonorrhcea pura or henigna ; a puri- forni discharge from the urethra, without dysuiia, or lascivious inclination, and not following an impure connexion. 2. Gonorrhaa impura, maligna, syphili- tica, virulenta ; a discharge resembling pus, from the urethra, with heat of urine, Sic. after impure coition, to which often suc- ceeds a discharge of mucus from the urethra, with little or no dysury, called a gleet. Fluor alhus malignns. Blevnorrhogia of 39^0 GON Gi0N Swediaur. In English, a clap, from the old The adjacent parts sympathizing with Prencb word clapises, whicli were public those already affected, the bladder becomes shops, kept and inhabited by single prosti- irritable, and incapable of retaining the tutes, and generally confined to a particu- urine for any length of time, which gives Jar quarter of the town, as is even now the the patient a frequent inclination to make case in several of the great towns of Italy, water, and he feels an uneasiness about In Germany, the disorder is named tripper, the scrotum, perineeum, and fundament, from dripping ; and in French, chaiidpisse, Moreover, the glands of the groins grow from the heat and scalding in making water, indurated and enlarged, or perhaps the testi- No certain rule can be laid down with cle becomes sv^elled and inflamed, in con- regard to the time that a clap will take be- sequence of which he experiences excrutiat- fore it makes its appearance, after infection ing pains, extending from the seat of the has been conveyed. With some persons it coniplaint up into the small of the back; will show itself in the course of three or he gets hot and restless, and a small symp- four days, whilst, with others, there will not tomalic fever arises. be the least appearance of it before the Cx.- Where the parts are not occupied by piration of some weeks. It most usually is much inflammation, few or none of the perceptible, however, in the space of from last-mentioned symptoms will arise, and six to fourteen days, and in a male, begins only a discharge with a slight heat orscald- with an uneasin.iss about the parts of gene- ing in making water will prevail, ration, such as an itching in the glans penis, If a gonorrhoea is neither irritated by and a soreness and tingling sensation along any irregularity of the patient, nor pro- the whole course of the urethra ; soon after longed by the want of timely and proper which, the person perceives an appearance assistance, then, in the course of about a of whitish matter at its orifice, and also fortnight, or three weeks, the discharge, somedegreeof pungency upon makingwater. from having been thin and discoloured at In the course of a few days, the discharge first, will become thick, white, and of a of matter will increase considerably ; will as- ropy consistence j and from having gradu- sume, most probably, a greenish or yellow- ally began to diminish in quantity, will at ish hue, and will become thinner, and lose last cease entirely, together with every in- iis adhesiveness; the parts will also be oc- flammatory symptom whatever; whereas, cupied with some degree of redness and in- on the contrary, if the patient has led a life flammation, in consequence of which the of intemperance and sensuality, has partaken glans will put on an appearance of a ripe freely of the bottle and high-seasoned meats, cherry, the stream of urine will be smaller and has, at the same time, neglected to than usual, owing to the canal iieing made pursue the necessary means, it may then narrower by the inflamed state of its internal continue for many weeks or months; and, membrane, and a considerable degree of on going off, may leave a weakness or gleet pain, and scalding heat will be experienced behind it, besides being accompanied with on every attempt to make water. the risk of giving rise, at some distant pe- Where the inflammation prevails in a very riod, to a constitutional affection, especially high degree, it prevents the extension of the if there has been a neglect of proper clean- urethra, on the taking placeof any erection, liness ; for where venereal matter has been so that the penis is, at that time, curved suffered to lodge between the prepuce and downwards, with great pain, Vi'hich is much glans penis for any time, so as to have occa- increased, if attempted to be raised towards sioned either excoriation or ulceration, there the belly, and the stimnius occasion.^ it often will always be danger of its having been to be erected, particularly when the pKtient absorbed. is warm in bed, and so deprives him of sleep, Another risk, arising from the long con- producing, in some ca^e?, an involuntary tinuance of a gonorrhoea, especially if it emission of semen. has been attended with inflammatory symp- In consequence of the inflammation, it toms, or has been of frequent recurrence, is sometimes happens thyf, at the time of mak- the taking place of one or more strictures ing water, owing to the rupture of some small in the urethra. These are sure to occasion blood vessel, a light liffimorrbage ensues, a considerable degree of difficulty, as well and a small quantity of blood is voided. !n as pain, in making water, and, instead of its consequence of intlanimation, the preftuce being discliarged in a free and iminterrupted likewise h(-romes oOen so swelled at the end, stream, it splits into two, or perhaps is voided that it cannot be drawti back; which symp- drop by drop. Such affections become, torn is called a phimosis; orthat, being drawn from neglect, of a most serious and dange- behind the glans, it cannot be returned, rous nature, as they not unfrequenlly block which is known by the name of paraphimo- up the urethra, so as to induce a total sup- sis. Now and ''hen, from the same cause, pression of urine. little hard swellings arise on the lower sur- Where the gonorrhosa has been of long face of *hp penis, along (he course of the standing, watery excrescences are likewise urethra, and these perhaps suppurate and apt to arise about the parts of generation, form into fistulous sores. owing to the matter falling and lodging GOi\ GOU 391 thereon ; and they not unfrequenliy prove both numerous and troublesome. Having noticed every symptom which usually attends on gonorrhosa, in the male sex, it will only be necessary to observe, that the same heat and soreness in making water, and the same discharge of discolour- ed mucus, together with a slight pain in walk- ing, and an uneasiness in sitting, take place in females as in the former ; but as the parts in women which are most apt to be affected by the venereal poison, are less complex in their nature, and fewer in number, than in men, so of course the former are not liable to many of the symptoms which the latter are ; and, from' the urinary canal being much shorter, and of a more simple form, in them than in men, they are seldom, if ever, incommoded by the taking place ot strictures. With women, it indeed often happens, that all the symptoms of a gonorrhoea are so very slight, they experience no other in- convenience than the discharge, except per- haps immediately after menstruation, at which period, it is no uncommon occurrence for them tc perceive some degree of aggra- vation in the symptoms. Women of a relaxed habit, and such as have had frequent miscarriages, are apt to be afflicted with a disease known by the name of fluor albus, which it is often difJi- cult to distinguish from gonorrhosa viru- lenta, as the matter discharged in both is, in many cases, of the same colour and con- sistence. The surest way of forming a just conclusion, in instances of this nature, will be to draw it from an accurate investigation, both of the symptoms which are present and those which have preceded the discharge : as likewise from the concurring circum- stances, such as the character and mode of life of the person, and the probability there maybe of her having had venereal infection conveyed to her by any connexion in which she may be engaged. Not long ago, it was generally supposed that gonorrhcea depended always upon ul- cers in the urethra, producing a discharge of purulent matter; and such ulcers do, indeed, occur in consequence of a high degree of inflammation and suppuration ; but many dissections of persons, who have died whilst labouring under a gonorrhcea, have clearly shown that the disease may, and fdten does, exist without any ulceration in the urethra, so that the discharge which appears is usually of a vitiated mucus, thrown out from the raucous follicles of the urethra. On open- ing this canal, in recent cases, it usually aj;- pears red and inflamed ; its mucous glands are somewhat enlarged, and its cav'ity is filled with matter to within a small distance from its extremity. Where the disease has been of long continuance, its surface all along, even to the bladder, is generally fiJund pale and relaxed, without anv erosion 3. Gonorrhcea laxormn, libidinosa ; a pel- lucid discharge from the urethra, without erection of the penis, but with renereal thoughts while awake. 4. Gonorrhcea dormienlium oneirogonos. When, during sleep, but dreaming of vene- real engagements, there is an erection of the penis, and a seminal discharge. Gonorrh sure to the vapour of burning spirit, with a view of exciting perspiration, often prac- tised ; as only a moist state of the skin was desired. This treatment was sometimes of singular advantage to those whose heahh had sustained injury from the disease, long confinement, and mercury. The strength increased ; bad ulcers healed ; exfoliations were completed ; and these anomalous symp- toms, which would have been exasperated by mercury, soon yielded to guaiacum. Besides such cases, in which the good ef- fects of guaiacum made it be erroneously regarded, as a specific for the lues venerea, the medicine was also formerly given, by some on the first attack of the venereal dis- ease. The disorder being thus benefitted, a radical cure was considered to be accom- plished : and though frequent relapses fol- lowed, yet, as these partly yielded to the same remedy, its reputation was still kept up. Many diseases also, which got well, were probably not venereal cases. Mr. Pear- son seems to allow, that in syphilitic af- fections, it may indeed operate like a true antidote, suspending for a time, the pro- gress of certain venereal symptoms, and re- moving other appearances altogether ; but he observes, that experience has evinced, that the unsubdued virus yet remains active in the constitution. Mr. Pearson has found guaiacum of lit- tle use in pains of the bones, except when it proved sudorific ; but that it was then in- ferior to antimony or volatile alkali. When the constitution has been impaired by mer- cury and long confinement, and there is a thickened state of the ligaments, or perios- teum, or foul ulcers still remaining, Mr. Pearson says, these effects will often subside during the exhibition of the decoction ; and it will often suspend for a short time, the progress of certain secondary symptoms of the lues venerea ; for instance, ulcers of the tonsils, venereal eruptions, and even nodes. Mr. Pearson, however, never knew one in- stance, in which guaiacum eradicated the virus; and he contends, that its being con- joined with mercury, neither increases the virtue of this mineral, lessens its bad effects, nor diminishes the necessity of giving a cer- tain quantity of it. Mr. Pearson remarks that he has seen guaiacum produce good effects in many patients, having cutaneous diseases, the ozsna, and scrofulous affec- tions of the membranes and ligaments. Guila'ndina bo'nduc. The systematic name of the plant, the fruit of which is called Bonduch indorum. Molucca orbezoar nut. It possesses warm, bitter, and carmi- native virtues. Guila'ndina mori'nga. This plant af- fords the ben-nut and the lignum nephri- ticum. 1. Sen. Glans unguentaria. Ben nux. Balanus myrepsica. Coatis, The oily acorn, or ben-nut. A whitish nut, about the size of a small filberd, of a roundish triangular shape, including a kernel of the same figure, covered with a white skin. It is the fruit of the Guilandina muringa inermis, foliis subpinnaiis, folioHs inferioribus tcrnatis, of Linnaeus. They were formerly- employed to remove obstructions of the primas vise. The oil afforded by simple pressure, is re- markable for its not growing rancid in keeping, or, at least, not until it has stood for a number of years ; and on this account it is used in extricating the aromatic prin- ciple of such odoriferous flowers as yield little or no essential oil in distillation. The unalterabilily of this oil would render it the most valuable substance for cerates, or lini- ments, were it sufficiently common. It is actually employed for this purpose in many parts of Italy. 2. Lignum nephriticum. Nephritic wood. It is brought from America in large, com- pact, ponderous pieces, without knots, the outer part of a whitish or pale yellowish colour, the inner of a dark brown or red. When rasped, it gives out a faint aromatic smell. It is never used medicinally in this country, but stands high in reputation abroad, against difficulties of making urine, nephritic complaints, and most disorders of the kidneys and urinary passages. Guinea-worm. The Gordius medinetisis. GUINTERIUS, John, was born in 1487, at Andernach in Germany. He was of ob- scure birth, and his real name is said to have been Winther. He showed very early a great zeal for knowledge, and at the age of 12 went to Utrecht to study ; but he had to struggle with great hardships, supported partly by his own industry, partly by the bounty of those, who comraisserated his situation. At length, having given striking proofs of fcis talents, he was appointed professor of Greek at Louvain. But his inclination be- ing to medicine, he wen to Paris in 1525; where he was made doctor five years after. He was appointed physician to the king, and practised there during several years; giving also lectures on anatomy. His reputation had reached the north of Europe ; and he received the most advantageous offers to re- pair to the court of Denmark. But in 1537 he was compelled by the religious disturban- ces to retire into Germany. At Strasburgh he was received with honour by the magis- trales, atid bad a chair assigned him by the faculty ; he also practised very extensively and successfully ; and at length letters of nobility were conferred upon him by the emperor. He iiv<^d however only twelve years to enjoy these honours, having died in 1574. His works are numerous, consisting partly of translations of the best ancient physicians, but principally of commentaries and illustrations of them. GUM. The mucilage of vegetable. It is usually transparent, more or less brittle when dry, though difficultly pulverable ; of s'ge GUM GUT an insipid, or slightly saccliaviue taste ; so- luble in, or capable of combining with, wa- ter in ail proportions, to which it gives a gluey adhesive consistence, in proportion as its quantity is greater. It is separable, or coagulates by the action of weak acids ; it is insoluble in alcohol, and in oil ; and capable of the acid fermentation, when diluted with water. The destructive action of fire causes it to emit much carbonic acid, and converts it into coal without exhibiting any flame. Distillation aflords water, acid, a small quantity of oil, a small quantity of ammo- nia, and much coal. These are the leading properties of gums, rightly so called ; but the inaccurate cus- tom of former limes applied tiie terra gum to all concrete vegetable juices, so that in common we hear of gum copal, gum sanda- rach, and other gums, which are either pure resins, or mixtures of resius with the vege- table mucilage. The principal gums are, 1. The common gums, obtained from the plum, the peach, the cherry tree, fcc. 2. Gum arabic, which flows naturally from the acacia in Egypt, Arabia, and e!se\vhere. This forms a clear transparent mucilage with water. 3. Gum Seneca or Senegal. It does not greatly differ from gum arabic: the pieces are lar- ger and clearer ; and it seems to communi- cate a higher degree of the adhesive quality to water. It is much used by calico-printers and others. The first sort of gums are fre- quently sold by this name, but may be known by their darker colour. 4. Gum adragnnt or tragacanth. It is obtained from a small plant, a species of astragalus, grow- ing in Syria, and other eastern parts. It comes to us in small white contorted pieces resembling worm;. It is usually dearer than other gums, and forms a thicker jelly with water. Mr. Willis ha? found, that the root of the common blue bell, hyacinthus non scriptus, dried and powdered, affords a mucilage possessing all the qualities of that from gum arabic. The roots of the vernal squill, white lily and orchis, equally yield mucilage. Lord Dundonald has CKtracted a mucilage also from lichens. Gums treated with nitiic acid afford the saclactic, malic, and osalic acids. Gum-boil. See Parulis. GU'MMA. A strumous tumour on the periosteum of a bone. Gu'mhii ARA'Bicni. See .Acacia vera. Gu'mmi caranx^:. Caranna. Gu'jiMi ceraso'ru:j. The juices wiiich exude from the bark of cherry-trees. It is very similar to gum arable, for which it may be substituted. Gu'mmi chi'bou. A spurious kind of gum elerai, but little used. Gu'mmi coc'kearil. An epithet some- times applied to the juice of the Hymtnaa courbaril. See Mnime. Go MMi EUPHO RBii. See Euphorbia Gumsii ga'lda. See Galda. Gu'mmi gambie'nse. See Kino. Gu'mmi gu'tt.s:. See Sialagmilis, Gu'mmi he'der^. See Hedera helix. Gu'mmi jukiperiscm. See Juniperus com- munis. Gu'mmi klkekusemalo. See Kikekune- malo. Gu'mmi Ki'so. See Kino. Gu'mmi lacca. See Lacca. Gu'mmi my'rrha. See JHyrrha. Gu'mmi resi'na lu'tea. An astriDgen+ gum resin from ISew-Holland. Gu'mmi ru'brum astri'hgeits gambie'hse. See Kino. Gu'mmi sagape'kum. See Sagapenum. Gu'mmi se.negale'sse. See Mimosa Se- 71 egal. Gu'mmi TRAGACA'fiTH.a;. See .Astragalus. GUM-RE'SIN. Crv.mmi-resina. Gum- resins are the juices of plants that are mixed with resin, and an extractive matter, which has been taken for a gummy substanee. They seldom flow naturally from plants, but are mostly extracted by incision, in the form of white, yellow, or red fluids, which dry more or less quickly. Water, spirit of wine, wine or vinegar, dissolve them only in part, according to the proportion they contain of resin or extract. Gum-resins may also be formed by art, by digesting the parts of vegetables containing the gum-resin in diluted alcohol, and then evaporating the solution. For this reason most tinctures contain gum-resin. The principal gum-re- sins employed medicinally are aloes, ammo- niacum, asafoetida, galbanum, gambogia, guaiacum, myrrha, olibanum, opoponax, sagapenum, sarcocolla, scammonium, and styrax. GUMS. Gingivce. The very vascular and elastic substance that covers the alveolar arches of the upper and under jaws^ and embraces the necks of the teeth. GU'TTA. Alunsd. A drop. Drops are uncertain forms of administering medicines. The shape of the bottle or of its mouth, from whence the drops fall, as well as the consistence of the fluid, occasion a consider- able difference in the quantity administered. Gutta is also a name of the apoplexy, from a supposition that its cause was a drop of blood falling from the brain upon the heart. Gu'tta ga'mba. See Sialagmilis. Gutta opa'ca. A name for the cataract. Gu'tta sere'na. (So called by the Ara- b'^aiis.) See Amaurosis. Gu'TTiE xi'gr^. The black drops, occa- sionally called the Lancashire, or the Che- shire drops. A secret preparation of opium, said to be more aclivp than the common tincture, and supposed to be less injurious, as seldom followed by headach. Gu'tta; rosa'ce^:. Ked spots upon the face and nose. ^YM GYN 397 Gu TTUKAL a'rtery. The superior thy- roideal artery. The first branch of the ex- ternal carotid. Gymna'stica. (From yv/uvoi, naked, performed by naked men in the I'ublic games.) A method of curing diseases by exercise, or that part of phvsic which treats of the rules that are to be observed in all sorts of exercises, for the preservation of health. This is said to have been invented by one Herodicus, born at Salymbra, a city of Thrace ; or, as some say, at Leutini in Sicily He was first master of an academy, where young gentlemen came to learn war- like and manly exercises ; and observing them to be very healthful on that account, he made exercise become an art in reference to the recovering of sien out of diseases, as well as preserving them from them ; and called it Gymnastic, which he made a great part of his practice of physic. But Hippo- crates, who was his scholar, blames him sometimes for his excesses with this view. And Plato exclaims against him with some warmth, for enjoining his patients to walk from Athens to Megara, which is about 25 miles, and to come home on foot as they went, as soon as ever they had but touched the walls of the city. GytiM'cjA. (From yvvn, a woman.) It signifit-s the menses, and sometimes the lochia. Gynje'cicm. (From ymti, a woman.) A seraglio ; the pudendum muliebre ; also a name for antimony. Gyn5:coma'nia- (From yuvn, a woman, and fAitviu, madness.) That species of in- sanity that arise* from love. GynjEcoma'ston. (From yuvn, a woman, and ^as-05, a breast.) An enormous increase of the brensts of women. GYNiEcoMY'sTAX. (From yuvyi, a woman, and f^vg-To.^, a beard.) The hairs on the fe- male pudenda. H. If ABE'NA. A bridle. A bandage for keeping the lips of wounds together, made in the form of a bridle. Hacub. a species of carduus. Gundelia tourneforiii of Linnasus ; — the young shoots of which are eaten by the Indians, but the roots are emetic. H.ffiMAGo'GA. (From (tif/.a, blood, and ayce, to bring off.) Medicines which pro- mote the menstrual and haemorrlioidal dis- charges. Hjemalo'pia. (From ai/ua, blood, and e^lo/Acti, to see.) A disease of the eyes, in which all things appear of a red colour. A variety of the pseudoblepsis imaginaria. HiE'MALOPS. (From a/^a, blood, and ft)4j the face.) A red or livid mark in the face or eye. A blood-shot eye. HjEma'nthus. (From m/ma, blood, and cLvBo;, a flower, so called from its colour.) The blood-flower. Hj^MATE'MESIS. (From a/^.=t, blood, and s^sai, to vomit.) Vomilus cruentus. A vomiting of blood.) A vomilin.g of blood is readily to be distinguished from a discharge from the lungs, by its being usually pre- ceded by a sense of weight, pain, or anxiety in the region of the stomach ; bj' its being unaccompanied by any cough ; by the blood being discharged in a very considerable quatitity . V>y its being of a dark colour, and somewhat grumous ; and by its being mixed with the other contents of the stomach. The disease may be occasioned by any thing received into the stomach, which sti- mulates it violently or wounds it ; or may proceed from blows, bruises, or any other cause capable of exciting inflammation in this organ, or of determining too great a flow of blood to it ; but it arises more usually as a symptom of some other disease (such as a suppression of the menstrual, or faaemor- rhoidal flux, or obstructions in the liver, spleen, and other viscera) than as a primary affection. Ha?matemesis is seldom so profuse as to destroy the patient suddenly, and the prin- cipal danger seems to arise, either from the great debility which repeated attacks of the complaint induce, or from the lodgment of blood in the intestines, which by becoming putrid might occasion some other disagreea- ble disorder. The" appearances to be observed on dis- section, where it proves fatal, will depend on the disease of which it has proved symp- tomatic. This hemorrhage, being usually rather of a passive character, does not admit of large evacuations. Where it arises, on the sup- pres>ion of the menses, in young persons, and returns periodically, it may be useful to anticipate this by taking away a few- ounces of blood ; not neglecting proper means to help the function of the uterus, Jn moderate attacks, particularly where the bowels have been confined, the infusion of roses and sulphate of magnesia may be em- ployed : if this should not check the bleed- ing the sulphuric acid may be exhibited 308 H^M BMM more largely, or some of the more powerful astringents and tonics, as alum, linclure of muriate (.f iron, decoction of bark, or super- acelateof lead. Where pain attends, opium should be given freely, taking care thHt the bowels be not constipated ; and a blister to the epigHStrium may be useful. If df-pending on scirrhous tumours, these must be attack- ed by mercury, hemlock, &c. In ail cases the food should be light, and easy of diges- tion ; but more nourishing as the patient is more exhausted. H5;mati'tes. (From aufia, blood, so named trom its property of slopping blood, or from its colour.) Lapis liceniatiies. An elegant iron ore called bloodstone. Finely levigated, and freed from the grosser parts by frequent washings with water, it has been long recommended in haemorrhages, fluxes, uterine obstructions, &.c. in doses of from one scruple to three or four. H^emati'tinus. (From «M^a7i7»c, the blood- stone.) An epithet of a collyrium, in which Tpas the bloodstone. HiEMATOCE'LE. (From a«^.a, blood, and FJitoi, a tumour.) A swelling of ihe scrotum, or spermatic cord, proceeding from or caused by blood. The distinction of the diflferent kinds of liasmatocele, though not usually made, is absolutely necessary toward rightly under- standing the disease ; the general idea, or conception of which, appears to Mr. Pott to be somewhat erroneous, and to have pro- duced a prognostic which is ill founded and hasty. According t>o this eminent surgeon, the disease properly called he- matocele, is of four kinds ; two of which have their seat within the tunica vaginalis testis; one within the albuginea ; and the fourth in the tunica communis or common cellular membrane, investing the spermatic vessels. In the passing an instrument, in order to let out the water from an hydrocele of the vaginal coat, a vessel is someiimes wound- ed, which is of such size, as to tinge the :jluid pretty deeply at the time of its running out ; the orifice becoming close, when the water is all discharged, and a plaster being applied, the blood ceases to flow from thence but insinuates itself partl> into the cavity ot the vaginal coat, and partly into the cells of the darlos ; making sometimes, in the space of a few hours, a tumour nearly equal in size to the original hydrocele. This is one species. It sometimes happens in tapping an hy- drocele, that although the fluid discharged by that operation be perfectly clear ai«d lim- pid, yet in a very short space of time (some- limes in a few hours) the scrotum becomes as large as it was before, and palfiably as full of fluid. If a new puncture be now made, the discharge instead of being limpid (as before) is now either pure blood or very bloody. This is another species : but; like the preceding, confined to the tunica vagC= nalis. The whole vascular compages of the tes- ticle is sometimes very much enlarged, and at the same time rendered so las and loose, that the tumour produced thereby has, to the fingers of an examiner, very much the ap earance of a swelling composed of a mere fluid, supposed to be somewhat thick, or viscid. This is in some measure a de- cf-piion ; but not totally so: the greater part of ihe tumefaction is caused by the loosened texture of the testes ; but there is very frequently a quantity of extravasated blood also. If this be supposed to be an hydrocele, and pierced, the discharge will be mere blood. This is a third kind of haematocele ; and very diflferent in all its circumstances, from the two preceding : the fluid is shed from the vessels of the glandular part of the testicle, and contained within the tunica al- buginea. The fourth consists in a rupture of, and and effusion of blood, from a branch of the spermatic vein, in its passage from the groin to the testicle In which case, the extrava- sation is made into the tunica communis, or cellular membrane, investing the spermatic vessels. Each of these species, Mr Pott says, he has seen so distinetly, and perfectly, that be has not the smallest doubt concerning their existence, and of their difference from each other. HjEMATo'cHTsis. (From a/^«, blood, and X^y 'o pour out.) A haemorrhage or flux of blood. H.iEMATO'DES. (From a<^*, blood, and saToc, apjiearance ;) so oalled from the red colour of its flowers. 1. An old name for the bloody cranes-bill. See Geranium sanguineum. 2. Now applied to a fungus or fleshy ex- crescence, which has somewhat the appear- ance of blood HtEMATO'LOGY. (From a<^o, blood, and Ko-yo;. a discourse ) Hamototogia. The doc- trine of the blood. H^ffiMATOMPHALOCE'LE. (From OffAa, b\o(H\, ciu.^®', ihe navel, and khxh, a tu- mour.) A sriecies of ecchymosis. A tu- mour about the navei, from an extravasation of blood. It is mostly absorbed, but if too considerable, a puncture may be made to evacuate the blood, as in ecchymosis. See Ecchymoma. HjEmatopede'sis. (From nt/ua, blood, and tB-sJka, a leap.) The leaping of the blooii froii' a wounded artery. HjEmato'sis. (From su^a, blood) An haemoirhage or flus of blood. BM VIATO'X YLON. (From M/w.it, blood, and ^uKov, wood ; so called from the red co- lour o( its wood.) The name of a genus of plants in the Linnsean system. Class, Decan- aria. Order, Menogynia. H^MATOXYLOS CAMPECHIA NDM. The syslematic name of the logwood-tree. Ma- tia Zeylonica. The part inserted in the Pharnjacopceia, is the wood, called Hmmat- oxyli lignum, and formerly lignum compe- chense Lignum campechianum. Lignum campescanum Lignum indicum. Lignum sappan. Logwood. The wood of the HcF.maioxylon campechianvm of Linnffius; it is of a solid texture and of a dark red co- lour. It is imported principally as a substance for dying, cut into junks and logs of about three feet in length; of these pieces the lar- gest and thickest are preserved, as being of the deepest colour. Logwood has a sweet- ish sub-adstringent taste, and no remarkable smell ; it gives a purplish red tincture both lo watery and spirituous infusions, and tinges the stools, and sometimes the urine, of the same colour. It is employed medi- cinally as an astringent and corroborant. In diarrhoeas it has been found peculiarly efficacious, and has the recommendation of some of the first medical authorities ; also in the latter stages of dysentery, when the obstructing causes are removed ; to obviate the extreme laxity of the intestines usually superinduced by the repealed de- jections. In the form of deioction the pro- portion is two ounces to 2 fts. of fluid, re- duced by boiling to one. An extract is or- dered in the pharmacopoeias. The dose from ten to forty grains. HiEMATO'XYLUM. From aijuct, blood, and ^u\ov, wood.) The name in some pharmacopoeias for the logwood ; which is so called from its red colour. See Hmmaloxylon campechia- num. H.a:MATU'RIA. (From lUfxu., blood, and oxi^ov, urine.) The voiding of blood with urine. This disedse is sometimes occasioned by falls, blows, bruises, or some violent exertion, such as hard riding and jumping; but it more usually arises, from a small stone lodged either in the kidney or ureter, which by its size or irregularity wounds the inner surface of the part it comes in contact with ; in which case the blood discharged is most usually somewhat coagulated, and the urine deposits a sedi- ment of a dark brown colour, resembling the grounds of coffee. A discharge of blood by urine, when pro- ceeding from the kidney or ureter, is com- monly attended with an acute pain in the back, and some difficulty of making water, the urine which comes away first, being muddy and high coloured, but lowanis the close of its flowing, becoming transparent and of a natural appearance. When the blood proceeds immediately from the blad- der, it is usually accompanied with a sense of heat and pain at the bottom of the belly. The voidins of bloodv uriue is a]\i'9,ys Il^M 399 attended with some danger, parltcularly when mixed with purulent matter. Whea it arises in the course of any malignant dis- ease, it shows a highly putrid state of the blood, and always indicates a fatal termina- tion. The appearances to be observed on dis- section will accord with those usually met with in the disease which has given rise to the complaint. When the disease has resulted from a me- chanical injury in a plethoric habit, it may be proper to take blood, and pursue the ge- neral anliphlogislic plan, opening the bowels occasionally with castor oil, &c. When owing to calculi, which cannot be removed, we must be chiefly content with palliative measures, giving alkalies or acids according to the quality of the urine; likewise muci- laginous drinks and glysters ; and opium, fomentations, &ic. to relieve pain ; uva ursi also has been found useful under these circumstances ; but more decidedly where the haemors-hage is purely passive ; in wbicii case also some of the terebinthate remedies may be cautiously tried ; and means of strengthening the constitution must not be neglected. Hjejuo'dik. (From ntfAoxiiU), to stupify.) A painful stupor of the teeth, caused by acrid substances touching them. HjEmo'ptoe. (From iny.a., blood, and Tclvm, to spit up.) The spitting of blood-. See Hmmoptysis. HAEMOPTYSIS. (From m/uh, blood, and Trlum, to spit.) Hcemoptoe. A spitting of blood. A genus of disease arranged by Cullen in the class pyrexia:, and onler hcB- morrhagice. It is characterized by coughing up florid or frothy blood, preceded usually by heat or pain in the chest, irritation in the larynx, and a saltish taste in the mouth. There are five species of this disease ; 1. Hmmoptysis plelhorica, from fulness of the vessels. 2. Hemoptysis violenta, from some external violence. 3. Hmmoptysis plilhisica, from ulcers corroding the small vessels. 4. Hmmoptysis calculosu, from cal- culous matter in the lungs. 5. Hccmoptysis vicaria, from the suppression of some cus- tomary evacuation. It is readily to be distinguished from hae- matemesis,as in this last, the blood is usually thrown out in considerable quantities ; and is, moreover of a darker colour, more gru- mous, and mixed with the other contents of the stomach ; whereas blood proceeding from the lungs is usually in small quantityj of a florid colour, and mixed with a little frothy mucus only. A spilling of blood arises most usually between the ages of 16 and 25, and may be occasioned by any violent exertion either m running, jumping, wreslling, singing loud, dr blowing wind-instruments ; as likewise by wounds, plethora- weak vessels, hectis 450 HiEM fever, coughs, irregular living, excessive drinking, or a suppression of some accus- tomed discharge, such as the menstrual or hferao'-rhoidal. It may likewise be occa sioneti by breathing air which is too much rarefied to be able properly to expand (he lungs. Persons in whom there is a faulty pro- portion, either in the vessels of the lungs, or in the capacity of the chest, being distin- guished by a narrow thorax and prominent shoulders, or who are of a delicate make and sanguine temperament, seem much pre- disposed to this hemorrhage ; but in these, the complaint is often brought on by the concurrence of the various occasional and exciting causes before mentioned. A spitting of blood is not, however, al- ways to be considered as a primary disease. It is often only a symptom, and in some disorders, such as pleurisies, peripneumonies, and many fevers, often arises, and is the presage of a favourable termination. Sometimes it is preceded (as has already been observed,) by a sense of weight and oppression at the chest, a dry tickling cougb, and some slight difficulty of breathing. Sometimes it is ushered in with shiverings, coldness at the extremities, pains in the back and loins, flatulency, costiveness, and lassi- tude. The blood which is spit up is gene- rally thin, and of a florid red colour; but sometimes it is thick, and of a dark or blackish cast; nothing, however, can be inferred from this circumstance, but that the blood has lain a longer or shorter time in the breast before it \^as discharged. An hsemoptoe is not alleiided with dan- ger, where no symptoms of phthisis jjulmo- nalis have preceded, or accompanied the haemorrhage, or where it leaves behind no cough, dyspnaea, or other affection of the lungs; nor is it dangerous in a strong healthy person, of a spund constitution ; but when it attacks persons of a weak lax fibre, and delicate habit, it may be difficult to remove if. It seldom takes place to such a degree as to prove fatal at once ; but when it dues, the effusion is from some large vessel. The dan- ger, therefore, will be in proportion as the discharge of blood comes from a large ves- sel, or a small one. When the disease proves fatal, in conse- quence of the rupture of some large vessels, there is found, on dissection, a considerable quantity of clotted blood in the lungs, and there is usually more or less of an inflamma tory appearance at the ruptured part. Where the disease terminates in pulmonary con- sumption, the same morbid appearances are to be met with as described under that par- ticular head. lathis hEemonhagc, which is mostly of ihe active kind, the antiphlogistic regimen must be strictly observed ; particularly avoiding heat, muscular exertion, and agi tation of the mind; and restricting the patient to a light cooling, vegetable diet. Acidu- lated drink will be useful to quench the thirst, without so much lirjuid being taken. Where the blood is discharged copiously, but no great quantity has been lost al- ready, it will be proper to attempt lo check it by bleeding freely, if the habit will allow : and sometimes, where there is paiu in (he chest, local evacuations and blislera may be useful. The bowels should be well cleared with some cooling saline cathartic, which may be given in the infusion of roses. Digitalis is also a proper remedy, particularly where the pulse is very quick, from its se- dative influence on the heart and arteries. Antimonials in nauseating doses have some- times an excellent effect, as well by check- ing the force o( the circulation, as by pro- moting diaphoresis ; calomel also migh! be added with advantage ; and opium, or other narcotic, to relieve pain and quiet cough, which may perhaps keep up the bleeding. Emetics have, on some occasions, been suc- cessful ; but they are not altogether free from danger. In protracted cases internal astrinj^ents are given as alum, kino, 8ic. but their effects are very precarious : the super- acetate of lead, however, is perhaps (he most powerful medicine, especially combined with opium, and should always be resorted to in alarming or obstinate cases, though as it is liable to occasion colic and paralysis, its use should not be indiscriminate ; but it acts probably rather as a sedative than astrin- gent. Sometimes the aj}plication of cold water to some sensible part of the body, producing a geiieral refrigeration, will check the bleeding. When tlie discharge is stop- ped, great attention to regimen is still re- quired, to obviate its return, with occasional evacuations : the exercise of swinging, riding in an easy carriage, or on a gentle horse, or especially sailing, may keep^upa salutary determination of the blood to othiaf parts ; an occasional blister may be applied, where there are marks of local disease, or an issue or se- ton perhaps answer better. Should haemop- tysis occasionally exhibit rather the passive character, evacuations must be sparingly used, and tonic medicines will be proper, with a more nutritious diet. H^MORRHA'GIA. (From w^*, blood, and fnyw/j-i, to break out.) A haemorrhagej or flow of blood. HiEMORRHA'GliE. Hsraorrbages, or fluxes of blood. An order in the class ■pyrexim of Cullen's Nosology is so called. It is characterized by pyrexia with a dis- charge of blood, without any external in- jury ; the blood on venajsection exhibiting the huffy coat. The order hcemorrhagm contains the following genera of diseases, viz. epistaxis, haemoptysis, (of which phthi- sis is represented as a sequel,) hseeiorrhois and menorrhagia. H/J:i\i HyEAi 40S tiJEMOFxKUOlDAL ARTERIES .fr- :cri(B luBmorrhoidales. The arteries of the rectum are so called : they are sometimes two, and at other times three in number. \. The upper bsemorrhojdal artery, which is the great branch of the lower mesenteric continued into the pelvis. 3. The middle hasmorrhoidal, which sometimes comes off from the hypogastric artery, and very often from the piidical artery. It is sometimes want- ing. 3. The lower or external hemorrhoidal is almost always a branch of the pudical ar- tery, or (hat artery wiiich s'Of'S to the penis, HiEMOflRHOi'DAL VEINS. Vetm tie- mnrrlwidales. These are two. 1. The exter- nal, which evacuates itself into the vena ilia- ca interna. 2 The internal, which conveys its blood into tlie vena portce. H^:VIO'KRH(>iS. (From M/u.a., blood, and ojffl, to flow.) Aimorrhois. i'iie Piles. A genus of disease in the class pyrexice, and order keemorrhagKZ oi Cullen. They are certain excrescences or tumoiu's arisingabout the verge of the anus, or the inferior part of the intestinum rectum ; when they dis- charge blood, particularly upon the patients going to stool, the disease is known by the name oi bleeding piles ; but when there is no discharge it is called blind piles., The rectum, as well as the colon, is composed of several membranes, connected to each other by ao iptervening cellular substance ; and as the muscular fibres of this intestine always tend, by their contraction, to lessen its cavity, the internal membrane, which is very lax, forms itself into several ru^as or folds. In this construction natcjre respects the use of the part, which occasionally gives passage to or allows the retention of the excrements, the hardness and bulk of which might pro- duce considerable lacerations, if this intes- tine were not ca|)able of dilatation. The arteries and veins subservient to this part are called hasmorrhbidal, and the blood that returns from hence i-- carried to the meseraic veins. The intestinum rectum is particu- larly subject to the haemorrhoids, from its situation, structure, and use, for whilst the course of th« biood is assisted in almost all the other veins of the body, by the dis- tention of the adjacent muscles, and the pressure of the neighbouring parts, the blood in the haemorrhoidal veins, which is to ascend against the natural tendency of its own weight, is not only destitute of these assistances, but is impeded in its passage: for, first, the large excrements which lodge in this intesrine dilate its sides, and the dif- ferent resistances which they form there are so many impediments obstructing the re- turn of the blood ; not in the large veins, for they are placed along the external sur- face of the intestine, but in all the capil- laries which enter into its composition. Se- condly, as often as these large excrements, protruded by others, approach near the ^nus. Jhp\!" M',r.<;cssivo nressure upon the in- ternai coats of the intestine, which they dilate, drives back the blood into the veins, and for so long suspends its course ; the ne- cessary consequence of which is, a disten- tion of the veins in proportion to the quan- tity of blood that fills them. Thirdly, in every effort we make, either in going to stool, or upon any other occasion, the con- traction of the abdominal muscles, and the diaphragm pressing the contents of the ab- domen downwards, and these pressina; upoa the parts contained in the pelvis, another obstruction is thereby opposed to the re- turn of the blood, not only in the large veins, but also in the capillaries, which, be- ing of too weak a texture to resist the im- pulse of the blood that always tends to dilate them, may thereby become varkose. The dilatation of all these vessels is the primary cause of the hemorrhoids ; for the internal coat of the intestine, and the cel- lular membrane which connects that to the muscular coat, are enlarged in proportion to the distention of the vessels of which they are composed. This distention, not being equal in every part, produces separate tu- mours in the gut, or at the verge of the anus, which increases according as the venal blood is obstructed in them, or circulates there more slowly. Whatever, then, is capable of retarding the course of the blood in the hssmor- rhoidal veins, may occasion this disease. Thus, persons that are generally costive.^ who are accustomed to sit long at sloolj and strain hard ; pregnant women, or such' as have had difScult labours; and likewise persons who have an obstruction in their liver, are for the most part afflicted with the piles ; yet every one b-as not the haemor- rhoids, the different causes which are men- tioned above being not common to all, or at least not having in all the same effects. When the hemorrhoids are once formed, they seldom disappear entirely, and we may judge of those within the rectum by those which, being at the verge of the anus, are plainly to be seen. A small pile, that has been painful for some days, may cease to' be so, and dry up; but the skin does not afterwards retain its former firmness, being more lax and wrinkled, like the empty skin of a grape. If this external pile swells and sinks again several limes, we may perceive, after each return, the remains of each pile, though shrivelled and decayed, yet still left larger than before. The case is the same with those that are situated within the rec- tum ; they may happeE indeed never to re- turn again, if the cause that produced them is removed ; but it is probable that the ex- crements in passing out occasion a I'eturn of the swelling, to which the external ones are less liable : for the internal piles make a sort of knots or tumours in the intestine, which straightening the passage, the excre- ments in nassing out, <>cc?«ion irrifatioH* 402 H^ffiM HAE there that are more or less paiuful in pro- portion to the efforts which the person makes in going to stool j and it is thus these tumours become gradually larger. The haemorrhoids are subject to many varia- tions; they may become inflamed from the above irritations to which ihey are exposed, and this inflammation cannot always be re- moved by art. In some, the inflammation terminates in an abscess, which arises in the middle of the tumour, and degenerates into a fistula. These piles are very painful till the abscess is formed. In others, the inflammation terminates by induration of the hemorrhoid, uhich remains in a man- ner scirrhous. These never lessen, but often grow larger. Thisscirrhus sometimes ulcerates, and continually discharges a sanies, which the patient perceives by stains on his shirt, and by its occasioning a very troublesome itching about the verge of the anus. These kinds of haemorrhoids some- times turn cancerous. There are some haemorrhoids, and those of different sizes, "which are covered with so fine a skin as frequ'MUly to admit blood to pass through. This fine skin is only the internal coat of the rectum, greatly attenuated by the vari- cose distention of its vessels. The basmor- rhage may proceed from two causes, namely, either from an excoriation (iroduced by the hardness of the excrements, or from the rupture of the tumefied vessels, which break by their too great distention. In some of these, the patient voids blood almost every time he goes to stool; in others not so constantly. We sometimes meet with men who have a periodical bleeding by the piles, not unlike the menses in women ; and as this evacuation; if moderate, does not "iveaken the conslilulion, we may infer that 3t supplies some other evacuation which na- jure either ceases to carry on, or does not furnish in due quantity ; and hence also we may explain why the suppression of this disciiarge, to which nature had been ac- customed, is frequently attended with dan- gerous diseases. The hffimorrhoids are sometimes distended to that degree as to fill the rectum, so that if the excrements are at ail bard they cannot pass. In this case the txcrements force the hsemorrhoids out of the anus to procure a free passage, consequently the internal coat of the rectum, to which they are connected, yields to extension, and upon examining these patients immediately after having been at stool, a part of the in- ternal coat of that gut is perceived, A difficulty will occur in the return of these, in proportion to their size, and as the verge of the anus is more or less contracted. If the bleeding piles come out in the same manner upon going to stool, it is then they void most blood, because the verge of the anus forms a kind of ligature above them. The treatment of this com- plaint will vary much, according to circum- stances. When the loss of blood is cob- siderable, we should endeavour to stop it by applying cold water, or ice ; or some as- tringent, as a solution of alum, or sulphate of zinc : but a more certain way is making continued pressure on the part. At the same time internal astringents may be given ; joined with opium, if much pain or irri- tation attend. Care must be taken, however, to avoid constipation : and in all cases patients find benefit from the steady use of some mild cathartic, procuring regular loose motions. Sulphur is mostly resorted to for this purpose ; and especially in combination with supertartrate of potash, tamarinds, k.c. in the form of electuary, usually answers very well ; likewise castor oil is an excellent remedy in these cases. Should the parts be much inflamed, leeches may be applied near the anus, and cold saturnine lotions used ; sometimes, however, fomenting with the decoction of poppy will give more relief; where symptomatic fever attends, the anti- phlogistic regimen must be strictly observed, and besides clearing the bowels, antimo- nials may be given to promote diaphoresis. Where the tumours are considerable and flaccid, without inflammation, powerful as- tringent or even stimulant applications will be proper, together with similar internal medicines; and the part should*^ be sup- ported by a compress kept on by a^proper bandage. An ointment of galls is often very useful, with opium to relieve pain; and some of the liquor plumbi subacetatis may be farther added, if there be a ten- dency to inflammation. In these cases of relaxed piles of some standing, the copaiba frequently does much good, both applied locally and taken inlernally, usually keeping the bowels regular ; also the celebrated Ward's paste, a medicine of which the active ingredient is black pepper. Some- times where a large tum'our has been formed by extravasated blood, subsequently hecome organized, permanent relief can only be ob- tained by extirpating this. Ha;MosTA'siA. (From at/xa, blood, and , iTu/Jit, to stand.) A stagnation of blood. HiEMOSTA'TiCA. (From atfxn., blood, and roa- to stop.) Styptics. Medicines which stop haemorrhages. HAEN, AsTHON-s' De, was born in Leyden in 1704, and became one of the distinguished pupils of the celebrated Boer- haave. After graduating at his native place, he settled at the Hague ; where he practised with considerable reputation for nearly 20 years. Baron Van Swieten, being ac- quainted with the extent of his talents, in- vited him to Vienna, to assi.st in the plan of I'eform, which the Empress had consented to support , in the medical faculty of that capital. De Haen accordingly repaired thither in 1754, was made professor of the practice of medicine, and fully answered the expectations which had been formed of him^ HAL HAL 403 He undertook a system of clinical educa- tion, as the best metbod of forming good physicians : the result of this was the col- lection of a great number of valuable ob- servations, which were published in suc- cessive volumes of a work, entitled, '• Ratio Medendi in Nosocoraio Practico," amount- ing ultimately to 16. He left also several other works, as On the Divisio?> of Fevers, &c. and died at the age of 72. He was ge- nerally an enemy to new opinions and inno- vations in practice, which led him into se- veral controversies ; particularly against variolous inouulaiion, and the use of poison- ous plants in medicine : but he exhibited much learning and practical knowledge. Hagiospe'rmum. (From etytoc, holy, and TTrify.a, seed, so called from its re[)uted vir- tues.) Wormseed. Hagio'xylum. (From ayioc, holy, and ^iiXoV) wood, so named because of its medi- einal virtues.) Guaiacum. HAIK. Pili. Cnpilli. T!ie hairs of the human body are thin, elastic, dry fila- ments, arising from the skin. They con- sist of the bulb, situated under the skin, which is a vascular and nervous vesicle ; and a trunk, which perforates the skin and cuticle, and is covered with a peculiar va- gina. The colour of hair varies ; its seat, however, is in the medullary juice. The hair, according to its situation, is differ- ently named ; thus, on the head it is called capilli ; over the eyes, supercilia ; cilia, on the margin of the eyelids; vibriism, in the foramina of the nostrils ; pili auriculares, jn the external auditory passage ; mystax, on the upper lip; and barba, on the lower jaw. Hala'tium. (From nxg, salt.) A clys'er composed chiefly of salt. Hat.che'mia. (From a.?,;, salt, and x^'i to pour out.) The art of fusing salts. Halel^'um. (From «.x<:, salt, and txciiov oil.) A medicine composed of salt and oil. Halica'caeum. (From a\g, the sea, and KccKA^c;, night shade ; so called because it grows upon the banks of the sea.) See Fhysalis alkekcnffi. Ha'lijius. (From atxc, the sea, because of its saltish taste.) Sea-purslane, said to be antispasmodic. Halim'trum. (From «xc, the sea, and y/7o=v, nitre.) Nitre, or rather rock salt. HVLITUS. (From /ja?!fo, to breathe out.) A vapour or gas. HALLER, Albert, was born at Berne, where his father was an advocate, in 1709. He displayed at a very early age extra- ordinary marks of industry and talents. He was intended for the church, but having lost his father when only 13, he soon after determined upon the medical profession. Having studied a short time at Tubingen, he was attracted to Leyden by the repu- tation of Boerhaave, to whom he has ex- pressed his obligations in the most affection- ate terms ; but he took his degree at the former place, when about 17 years of age. He soon after visited F.ngiand and France ; then returning to his native country, first acquired a taste for botany, which he pur- sued witii great zeal, making frequent ex- cursions to the neighbouring mountains. He also composed a '^ Poem on the Alps," and other pieces, which weie received with much applause. Having settled in his na- tive city, about J 730, lie began to give lectures on anatomy, but with indifferent success; and some detached pieces on ana- tomy and botany having gained him con- siderable reputation abroad, he was invited by George li., in 1736, to become pro- fessor ii! tiie uriiveisity, which he had re- cently foujded at Goiiiiigen. He accepted this advantageous offi-r, and though his airivni was rendered melancholy by the loss of a beloved wife, from some accident which occurred in the journey, he commenced at once the duties of his office with great zeal ; he encouraged the most industrious of his pupils to institute an experimental investiga- tion on some part of the animal cecoiiomy, affording them his assistance therein. Hb was likewise himself indefatigable in similar researches, during the 17 years which he spent there, Laving in view the grand reform in physiology, which his writings ultimately effected, dissipating the metaphysical and chemical j.irgon, whereby it was before ob- scured. He procured the establishment of a botanic garden, an anatomical theatre, a sciiool for surgery and for midwifery, with a lying-in-hospital, and other useful institu- tions at that university. He received also many honourable testimonies of his fame, being chosen a member of liie Royal So- cieties of Stockholm and Londo::, mada physician and counsellor to George I J., and ihe Emperor conferred on him the title of Baron ; which however he declined, as it would not have been esteemed in his native country. To this he returned in i75.3, and during'the remainder of his life discharged various important public offices there. He ultiraalely received every testimony of the general estimation in which he was held; the learned societies of Europe, as well as several sovereigns, vying with each other in conferring honours isnon him. His consti- tution was delicate, and impatience of pain or interruption to his studies, led him to use violent remedies when ill ; however by tem- perance and activity he reached an advanced age, having died towards the end of 1777. He was one of the most universally in- formed men in modern times. He spoke with equal facility the German, French, and Latin languages ; and read all the other tongues of Europe, except the Sclavonic ; and there was scarcely any book of repu- tation, with which he was not acquainted. His own works were extremely numerous, on anatomy, physiology, pathology, surgery. i04 HAK botany, &c. besides his poems and political and religious publications. The principal are, 1. His large work on the Botany of Switzerland, in 3 vols, folio, with many plates ; 2. Commentaries on Boerhaave's Lectures, 7 vols, octavo ; 3. Elements of Physiology, 8 vols, quarto, a work of the greatest "merit ; 4. His " Bibliotheca," or Chronological Histories of Authors, with brief Analyses ; 2 vob. quarto on Botany, two on Surgery, two on Anatomy, and four on the Practice of Medicine, displaying an Immense body of research. HALLUCIKA'TIO. (From kaUvciuor, to err.) A depraved or erroneous imagina- tion. . jy HA'LO. (From axoc, an area or cifipe.) The red circle surrounding the m\ip\e, which becomes somewhat brown in old people, and is beset with many sebaceous glands. Halmyro'des. (From aXfAvpos, salted.) A term applied to the humours ; it means acrimonious. U is also applied to fevere which communicate such an itching sensa- tion as js perceived from handling salt sub- stances. Hama'lgama. See Amalgam. HAMPSTEAD WATER. A good cha- iybeate piineral water in the neighbourhood of London. HA'MULUS. (Dim. of hamus, a hook ) Hamns. A term in anatomy, applied to any hook-like process, a." the hamulus of the pterygoid process of the splenoid bone. H a'mus. See Hamulus. HAND. Manus. The hand is compoped of the carpus ^y wrist, metacarpus, and fin- gers. The arteries of the hand are the falm- aryarch and the digital arlerks. The veins are the digital, the cephalic of the thumb, and the snlvaleUa. The nerves are the cu ianeus exlernus and infernus. Habde'sia. See Ldipis Hibernicus. HAKE-i-IP. Lagocheilus. Labia lepo- rina. A tissure or longitudinal division of one or both lips. Children are frequently- born with (his kind of malformation, parti- cularly of the upper lip. Sometimes the portions of the lip, which ought to be united, have a considerable space between them ; in other instances they are not much apart. The cleft ia occasionally double, there being a little lobe;, or small portion of the lip, situated between the two fissures. Every species of the deformity has the same appellation of hare-lip, in consequence of the imagined resemblance which the part has to the upper lip of a hare. The fissure commonly affects only the lip itself. In many cases, however, it extends along the bones of the palate, even as far as the uvula. Sometimes these bones are to- tally wanting ; sometimes they are only di- vided by a fissure. §uch a malfoi'tnation is always peculiarly liAii afflicting. In its least degree, it constaatly occasions considerable deformity ; and when it is more marked, it frequently hinders infants from sucking, and makes it indispen- sable to nourish them by other means. 'A hen the lower li[) alone is affected, which is more rarely the case, the child can neither retain its saliva, nor learn to speak, except with the greatest impediment. But when the fissure peivades the palate, tiie patient not only never articulates perfectly, but cannot masticate nor swallow, except w'ith great difficulty, on account of the food readily getting up into the nose. H.^RMO'ISIA. (From ofce, to fit together.) Harmony. A species of synarthrosis, or immoveable connexion of bones, in which bones are connected together by means of rough margins, not dentiform : in (his man- ner most of the bones of the face are con- nected toficther. HARHJS. Vi Ai.TEB, was born at Glou- cester, about the year 1651. He took the^degree of bachelor of physic at Oxford, but having embraced the Roman Catholic religion, he was made doctor at some French University. He settled in London in 1676, and two j'ears after, to evade the order, that all Catholics should quit the metropolis, he publicly adopted the Protestant Faith. His practice rapidly augmented, and on the ac- cession of William HI. he was appointed his physician in ordinary. He died in 1725. His principal work, " De Morbis Acutis Infantum," is said to have been published at the suggestion of the celebrated Syden- ham : it passed through several editions, lie left also a Trratise on the Plague, and a collection of medical and surgical papers, uhich had been read before the College of Physicians. HAiiUOGATE WATER. The villages j-hilsf thesul|)hure- ous water was cwnfined to external use. At present, however, the latter is employed largely as an internal medicine. The sulphureous springs of Harrogate are four in number, of the same quality, though different in the degree of their powers. This water, when first taken up, appears perfectly clear and transparent, and sends forth a few air bubbles, but not in any quantity. It possesses a very strong sulphureous and fetid smell, precisely like that of a dmip rusty gun barrel, or bilge- water. To the taste it is bitter, nauseous, and strongly saline, which is soon borne without any disgust. In a few hours of ex- posure this water loses its transparency, an4 becomes somewhat pearly, and ratjief HAR HAR 405 s^reenish io (he eye ; its sulphureous sraeli abates, and at last (he sulphur is deposited in the form of a thin film, on the bottom and sides of the vetsei in which it is kt^pt. The volatile productions of this water show carbonic acid, sulphuretted hydrogen, and azotic gas. The sensible effects which this water ex- cites, are often a headacb and giddiness on being first drunk, followed by a purga- tive operation, which is speedy and mild, without any attendant gripes; and this is the only afiparent eflfect the exhibition of this water displays. The diseases in which this water is used are numerous, particularly of the alimentary canal, and irregularity of the bilious secre- tions. Under this water the health, appe- tite, and spirits improve ; and, from its opening etfects, il cannot fail to be useful in the costive habit of hypochondriasis. But the highest recommendation of this ■water has been in cutaneous diseases, and for this purpose it is universally employed, both as an internal medicine, and an ex- ternal application: in this united form, it is of particular service in the most obstinate and complicated forms of cutaneous affec- tions; nor is it less so in states and symp- toms supposed connected with worms, espe- cially with the round worm, and ascarides, when taken in such a dose as to prove a brisk purgative ; and in the latter case also, when used as a clyster, the ascarides being chiefly confined to tiie rectum, and there- fore within the reach of this form of medi- cine. From the union of the sulphureous and saline ingredients, the benefit of its use has been long establisiied in ha;morrhoiual afiFections. A cour.se of Harrogate waters should be conducted so- as to produce sensible e.fects on the bowels ; iiaif a pint taken in tiie morning, and repeated three or four times, will produce il, and its nauseating taste may be corrected by taking a dry biscuit, or a bit of coarse bread after it. The course must be continued, in obstinate cases, a pe- riod of some months, before a cure can be expected. HARTFELL WATER. This mineral water is near Motiat, in Scotland : it con- tains iron dissolved by the sulphuric acid, and is much celebrated in scrofulous ntfec- tioiis, and cutaneous diseases. It is U:ed no less as an e^iernal application, than drank internally. The efiects of this wa- ter, at first, Ri'e some degree ef drowsiness, vertigo, and |)ain in the head, which soon go oiF, and this may be hastened by a slight purge. It produces generally a flow of ijrine, and an increase of appetite. It has acquired much reputation also in old and languid ulcers, where the teslui-e of the dis- eased part is very lax, and the discharge pro- fuse and ill-conditioned. The dose of this water is more limited than that of most of the mineral springs which are used medicinallj'. It is of im- portance in all cases, and es[)ecially in deli- cate and irritable habits- to begin with a ve' ry small quantity, for an over dose is apt to be very soon rejected by tiie stomach, or to occasion griping and disturbance in the in- testinal canal; and it is never as a direct purgative that this water is intended to be employed. Feu patients will bear more than an English pint in the course of the day ; but this qu^intity may be long conti» nued. It is often adviseable to warm the water for delicate stomachs, and this may be done without occasioning any material change in its properties, HARTLEY, David, was born in 170.5, son of a clergyman in Yorkshire. He studied at Cambridge, and was intended for the church, but scruples about subscribing to the 39 Articles led him to change to the medical profession; for which his talents and benevolent disposition well qualified him. After practising in different parts of the country, he settled for some time in~ London, but finally went to Bath, where he died in 1757. He published some tracts concerning the stone^, especially in com- mendation of Mrs. Stephens' medicine, and appears to have been chiefly instrumental in procuring her a reward from Parliament ; yet he is said to have died of the disease after taking above two hundred pounds of soap, the princifial ingredient in that nostrum. Some other papers were also written by him ; but the principal work, upon which his fame securely rests, is a me- taphysical treatise, entitled '• Observations on Man, his Frame, his Duty, and his Ex- pectations." The doctrine of vibration, in- deed, on v.hich he explained sensation, is merely gratuitous ; but his Disquisitions on the Power of Association, and other mental Phenomena, evince great subl'ely and ac- curacy of research. Hartshnrn. See Cormt. Harlshorn shavings. See Corim. Hart's tongue. See Mplenium SchoJo- pendrium. ^ Hurt-wort. See Lnserpitium siler. Hart-wort of Marstitles. See Seseli ler- tuosum. HARVEY, William, the illustrious discoverer of the circulation of the bluod, was born .it Folks'one in Ken!, in 1578. After studying four years at Cambridge, be went abroad at the age of 19, visited France and. Germany, and tiien fixed himself at Padua, which was the most celebrated me- dical school in Europe, where be was cre- ated Doctor in 16132. On returning to England he repeated his graduation at Cam- bridge, and settled in London ; he became a Fellow of the College of Physicians in 1603, and soon after physician to St. Bar- tholomew's Hospital. In 1615, he was ap- pointed Lecturer on Anatomy and Surgery HEA HEA to the College, which was probably the more immediate cause of the publication of his Tand discovery. He appears to have withheld his opinions from the world, until reiterated experiment had confirmed them, and enabled him to prove the whole in detail, with every evidence, of which the snbiect will admit. The promulgation of this important doctrine brought on him the most unjust opposition, some condemning it as an innovation, others pretending that it was known before ;, and he complained, that his practice materially declined afterwards: however he had the satisfaction of living to see the truth fully established. He like- wise received considerable marks of royal favourfrom James and Charles I., to whom he was appointed physician ; and the latter particularly assisted his inquiries concerning generation, by the opportunity of dissectii|g numerous females of the deer kind in dif- ferent stages of pregnancy. During the civil war, when he retired to Oxford, his house in London was pillaged, and many valuable papers, the result of several years labour, destroyed. He published his first work on the circulation iti 1628, at Frank- fort, as tlie best means of circulating his opinions throughout Europe ; after which he found it necessaiy to write two " Exer- citations" in refutation of his opponents. In 1651 he allowed his other great worlv, " De Generatione Animalium" to be made public, leading to tlie inference of the uf:i- versal prevalence of oval generation. In the year following he had the gratification of seeing his bust in marble, vi^ith a suitable inscription recording bis discoveries, placed ia the hall of the College of Physicians by a vote of that body ; and he was soon after chosen President, but declined the otfice on account of his age and infiimities. In return he presented to the College an ele- gantly furnished convocation room, and a museum filled with choice books and surgi- cal instruments. He also gave up his paternal estate of 56 pounds per annum for the institution of an annual feast, at which a Latin oration should be spoken, in com- memoration of the benefactors of the Col- lege, &LC. He died in 1658. A splendid edition of his works was printed in 1766, by the College, in quarto, to which a Latin Life of the author was prefixed, written by Dr. Laurence. Hay, camel's. See Juncus odoratus. HEAD. Caput. The superior part of the body placed upon the neck, containing the cerebrum, cerebellum, and medulla oblong- ata. It is divided into the face and hairy part. On the latter is observed the vertex, or crown of the head ; the sinciput, or fore- part; iheoccipnt, or hinder part. For the former, see Face. For the bones of the head, see Skull. The common integuments of the head are called the scalp. HEARING. Jinditii^. This sense is pla- ced, by physiologists, among the animal actions. It is a sensation by which we hear the sound of sonorous bodies. The organ of hearing is the soft portion of the auditory nerve which is distributed on the vestibule, semicircular canals and cochlea. HEART. Cor. A hollow muscular viscus, situated in the cavit}' of the peri- cardiuvn for the circulation of the blood. It is divided externally into a hast, or its broad part ; a superior and an inferior sur- face, and an anterior and posterior margin. Internally, it is divided into a right and left ventricle. The situation of the heart is oblique, not transverse; its base being placed on the right of the bodies of the ver- tebrae, and its apex obliquely to the sixth rib on the left side ; so that the left ven- tricle is almost posterior, and (he right an- terior. Its inferior surface lies upon the diaphragm. There are two cavities adhe- ring to the base of the heart, from their re- semblance called auricles. The right au- ricle is a muscular sac, in which are four apertures, two of the venaj cavee, an open- ing into the right ventricle, and the open- ing of the coronary vein. The left is a si- milar sac, in which there are five aperturts, viz. those of the four pulmonary veins, and an opening into the left ventricle. The cavities in the iieart are called ventricles: these are divided by a fleshy septum, called septum cordis, into a right atid left. Each ventricle has two or//?t:es; the one auricular, through which the hlood enters, the other arterious, through which the blood passes out. These four orifice.s are supplied with valves, which are named from their re- semblance ; those at the arterious orifices are called the semilunar; those at the ori- fice of the right auricle, tricuspid; and those at the orifice of the left auricle,, nri7r«/. The valve of Eustachius is situated at the termination of the vena cava inferior, just within the auricle. The substance of the heart is muscular, its exterior fibres are longitudinal, its middle transverse, and its interior oblique. The internal superficies of tht! ventricles and auricles of the heart are invested with a strong and smooth mem- brane, which is extremely irritable. The vessels of the heart are divided into common and proper. The commonare, I. The aorta, which arises from the left ventricle 2. The pulmonary artery, which originates from the right ventricle. 3. The four pulmonary veins, which terminate in the left auricle. 4. The two vencE cava, which evacuate them- selves into the right auricle. The proper vessels are, 1. The coronary arteries, which arise from the aorta, and are distribtjted on the heart. 2. The coronary veins, which return the blood into the right auricle. The nerves of the heart are branches of the eighth and great intercostal pairs. The heart of the foetus differs from that of tha adult, in having a foramen orrde, through IlED HE! 4(j7 which the blood passes from the right auri- cle to the left. Heart's ease. See Viola tricolor. Heat. See Caloric. Heat, absolute. This term is applied to the wlioie quantity of caloric existing in a body in chemical union. Hevt, Animal. See Animal heat. Heat, free. If the heat which exists in any substance be from any cause forced in some degree to quit that substance, and lo combine witii those that surround it, then such heat is said to be free, or sensible, until the equilibrium is restored. Heat, latest. When any body is in equilibrium with the bodies which sur- round it with respect to its heat, that quantity \vhich it contains is not percepti- ble by any external sign, or organ of sense, and is termed combined caloric, or latent heat. Heal, sensible. See Heat, free. Heavy carbonated hydrogen gas. See Car- buretted hydrogen gas. HEBERDEN, William, was born in London in 1710, and graduated at Cam- bridge, where he afterwards practised during ten years, and gave lectures on the Materia Medica. During this period he published a- little Tract, entitled " Antitheriaca," condemning the complication of certain ancient Formulaj of Medicines. In 1748 he removed to London, having previously been elected a Fellow of the College of Physicians ; and he was shortly after ad- milted into the Royal Society. He soon rose to considerable reputation and practice in his profession. At his suggestion " the Medical Transactions of the College of Physicians," first appeared in 1768 ; and four other volumes have since been pub- lished at different periods Dr. Heberden contributed some valuable papers to this work, especially on the Angina Pectoris, a disease not before described; and on Chicken Pox, which he first accurately distinguished from Small Pox. Some other papers of his appeared in the Philosophical Transactions. As he advanced in years he began to relax from the fatigue of practice : and in 1782 ha drew up the result of his experience in a volume of " Commentaries," written in elegant Latin. He had ever accustomed himself to take notes by the bedside of the patient, which he arranged every month ; and from these documents he composed his work. He reserved it for publication, how- ever, till after his death, which did not happen till 1801. Hectic fever. (From £?/?, habit.) See fe- rn's heclica- HE'DERA. (From htereo, to stick, because it attaches itself to frees and old walls.) The name of a genus of plants in the Linnajan system. Class, Fentandrla. Order, Monogy- nia. The ivy. He'diska arbo'rea. See Hedcra Helix. Heoera Hii'Lix. Hedera arborea. The ivy. The leaves of this tree have little or uo smell, but a very nauseous taste. Haller in- forms us, that ihey are recummended in Ger- many against the atrophy of children. By the common people of this country they are sometimes applied to running sores, and to keep issues open. The berries were sup- posed by the ancients to have a purgative and emetic quality ; and an extract was made from them by water, called by Quer- cetanus exlraclum purgans. Later writers have recommended them in small doses as alexipharmic and sudorific: it is said, that in the plague at London, the powder of them was given in vinegar, or white wine, with good success. It is from the stalk of this tree that a resinous juice called Gummi hedera:, exudes ver3;' plentifully in waro3 climates. It is imported from the East Indies, though it may be collected from trees in this country. It is brought over in hard compact masses, externally of a reddish-brown colour, internally of a bright brownish yellow, with reddish specks or veins. It has a strong, resinous, agreeable smell, and an adstringent taste. Though never used in the practice of the present day, it possesses corroborant, astringent and antispasmodic virtues. He'dera terre'stris. See Glecoma. Hedge hyssop. See Gratiola. Hedge mustard. See Erysimum offici- nale. Hedge mustard, stinking. See Erysimum Alliaria. He'dra. The anus. Excrement. A frac- ture. Hedyo'smos. Mint. HEISTER, Laurence, was born at Frankfort on the JVlaine, in 16S3. After studying in different German universities, and serving sometime as an army-surgeon, he graduated at Ley den ; and in 1709 was appointed physician general to the Dutch Military Hospital. The next year he be- came professor of anatomy and surgery at Altorf: and having distinguished himself greatly by his lectures and writings, he received in 1720 a more advantageous ap- pointment at Helmstadt, under the Duke of Brunswick, as physician, Aulic counsellor, and professor of Medicine ; in which he con- tinued, notwithstanding an invitation to Piussia from the Czar Peter, till the period of liis death in 1758. He was author of several esteemed works, particularly a Com- pendium of Anatomy, which became very popular, being remarkable for its concise- ness and clearness. His '■ Institutions of Surgery" also gained him great credit ; being translated into Latin, and most of the modern languages of Europe. Another valuable practical work was entitled " Me- dical, Surgical, and Anatomical Cases and Observations." He had some taste for Botany also, which he taught at Helmstadt, 40S HEL HEL and considerably enriched the garden there ; it commonly operates as a cathartic, some- but he anfortunately became an antagonist times as an emetic, and, in large doses, of tlie celebrated Linnaeus, not properly ap- proves hii;hly deleterious, predating the excellence of the system of Helle'borus ni'ger. Melampodium. that eminent nalnralist. Black hellebore, or Christmas rose. Hel- Helco'ma. Ulceration. leborus niger, scapo subbiflore subnudo, fo- Helco'nia. (From ixno;, an ulcer.) An His pedalis, of Linnaaus. The root of this ulcer in the external or niternal superii- exotic plant is the part employed medici- cies of the cornea, known by an excavation nally : its taste, when fresh, is biderish, and oozing of purulent matter from the and somewhat acrid : it also emits a nau- cornea. seous acrid smell 3 but, being long kep). Hilcy'drion. (From «/jiof, an ulcer, and both its sensible qualities and medicinal !/Jai,o, water.) Hdcydrium. A moist ulcer- activity suffer very considerable diminution, ous pustule. The ancients esteemed it as a powerful Helcy'ster. (From t/jiai, to draw.) An remedy in maniacal cases. At present it is instrument for exfi"ictini; the foetus. exhibited principally as an alterative, or, Hele'niu51. (From [lelene, the island when given in a large dose, as a purgative, U'here it grew.) See Imila helenium. It often proves a very powerful ernniena- Helia'nthus tubero'sus. Jerusalem .\r- gogue in plethoric habits, where steel is tiehoke. .Although formerly in estimation ineffectual, or improper. It is also recom- for the table, this plant, HttlanUius tuberosiis mended in dropsies, and some cutaneous of Linna3ii3, is now neglected, it being apt diseases. to produce flatulency tifid dyspepsia. Helviet -flower, ydlorv. See Anihora. Helica'lis MAJOR. Sea Heiicis major. . HELMt'NTHAGOGUES. {Helminthfigo- Helica'lis mi'koii. See He'icis minor. ga : from ixy.iv;, a worm, and a^a>, to drive HK'LICIS M \'JOR. A proper muscle of out.) Medicines which destroy and espel the ear, which depresses llie part of the car- worms. See .^nlhelminlics. tilage of the ear into wliich it is inserted ; HELMINTHI'ASIS. (EKuiy8ia.(ri-, from it lies upon the upper or sharp point of the *\/j^ivq, which signifies any species of worm.) helix, or outward ring, arising from the ifp- A disease in which worms, or the larvas of per and acute part o'f the helix anteriorly, worms, are bred under the skin, or some ex- and passing to be inserted into its cartilage ternal part of the body. It is endemial to a little above the. tragus. Martinique, Westphalia, Transylvania, and- HE'LICIS MI'NOR. A proper muscle of some other places, the ear, which contracts the fissure of the Helminthoco'rtos. See Coralllna cor- ear : it is situated below the helicis major, sicana. upon part of the helix. It arises from the HELMONT, John Baptist Vait, was inferior and anterior part of the helix, and born of a noble family at Brussels in 1-577. is inserted into the crus of the helix, near He exhibited very early proofs of superior {he fissure in the cartilage opposite to the abilities, and soon became conrinced how concha. much hypothesis was ranked under the name Heliotro'pii sd'ccus. See Crotontindo- of science and philosophy in books : he rium. seems to have perceived the necessity of HE'LIX. (Ea/|, from uxm, to turn about.) experiment and induction in the discovery The external circle or border of the outer of real knowledge ; but did not methodize ear, that curls inwards. his ideas sufficiently, to pursue that plarv HELLEBOKA'STER. (From sxxf^o^oj, with its full advantage. After taking his hellebore.) See Helltborus fmlidus. degree at Louvain he travelled during tec Hellebore, black. See Helleborus niger. years, and in this period acquired some Hellebore, while. See Veralrum album. practical knowledge of chemistry. On his HELLE'BORUS. {Ekx^opo; : Ts.pa to tn return in 1609 he married a noble lady of ^5^* iKxtn, because it destroys, if eaten.) large fortune, which enabled him to pursue The name of a genus of plants in the Lin- his researches in the three kingdoms of pffian system. Class, Polyaiidria. Order, nature with little interruption. He declined Polygynia. Hellebore. visiting patients, but gave gratuitous advice Helle'borus albus. See Verairum al- to those, who went to consult him ; and he bum. boasts of having cured several thousands Helle'borus fce'tidus. Helleborasler. annually. He continued his investigations Stinking hellebore, or bear's foot. Helle- with astonishing diligence durhig thirty borus fcetidus, caule multifloro folioso, foliis years, and made several discoveries in che- pedatis, of Linneeus. The leaves of this mislry ; among which were certain articles indigenous plant are recommended by many possessed of considerable activity on the as possessing extraordinary anthelmintic human body. This cenfirmed his oppo- powers. The smell of the recent plant is sition to the Galenical school ; the absurd extremely foetid, and the taste is bitter and hypotheses, and inert practice of which he •remarkably acrid, insomuch that, when attacked with great warmth and ability. fliRwed, it excoriates the montb and fauces. Indeed he contribnled areatly !•■> overUi"'n Hem (iieir influence ; but from a desire (o explain every thing on cliemical principles, he sub- stituted doctrines equally gratuitous or un- intelligible. He published various works from time to time, which brought him con- siderable reputation, and he was repeatedly invited to Vienna ; but he preferred con- tinuing in his laboratory. He died in 1644. Helo'ces. (From 6>.oc, a marsh.) A term applied to fevers generated from marsh miasma. Helo'sis. (From nKm, to turn.) An evejrsioii or turning up of the eyelids. He'lxine. (From iijim, to draw ; so call- ed because it sticks to whatever it touches.) Pellitory of the wall. Hemalo'pia. Corruptly written for has- Eialopia. Hematu'ria. See Hcematuria. HEMERALOPS. (From wf^if^, the day, and m-\,, an eye.) One who can see but in the day-time. HEMERALOTIA. (From «/^«^a, the day, and"*!, the eye.) A defect in the sight, which consists in being able to see in the day-time, but not in the evening- The following is Scarpa's description of this curious disorder. Hemeralopia, or noctur- nal blindness, is properly nothing but a kind of imperfect periodical amaurosis, most commonly sympathetic with the stomach. its paroxysms come on towards the evening, and disajipear in the morning. The disease is endemic in some countries, and epidemic, at certain seasons of the year, in others. At sun set, objects appear to persons affected with this complaint as if covered with an ash-coloured veil, which gradually changes into a dense cloud, which intervenes between the eyes and surrounding objects. Patients with hemeralopia, have the pupil, both in the day and night time, more dilated, and less moveable than it usually is in healthy eyes. The majority of them, however, have the pupil more or less moveable in the day time, and always expanded and motion- less at niglit. When brouglit into a room faintly lighted by a candle, where all the bystanders can see tolerably well, they can- not discern at all, or in a very feeble man- ner, scarcely any one object ; or they only find themselves able to distinguish light from darkness, and at moon-light their sight is still worse. At day -break they recover their sight, which continues perfect all the rest of the day till sun-set. Heuicerau'nios. (From ufAiruf, half, and siiipx, to cut ; so called because it was cut half way down) A bandage for the back and breast. HEMICRA'NIA. (From »fAti7ruf>, the liver, and fuce, to flow.) A diarrhoea, in which portions of flesh, like liver, are voided. HEPATITIS. (From uTratp, the liver.) I/ijlammaiio hepatis. An inflammation of the liver. A genus of disease in the class pyrexiw, andorder phlegmasicB oi CuWen, who defines it " febrile aftection, attended with tension and pain of the right hypochondri- um, often pungent, like that of a pleurisy, but more frequently dull, or obtuse, a pain nt the clavicle and at the top of the shoulder of (he right side ; much uneasiness in lying down on the left side ; difliculty of breath- ing : a dry cough, vomiting, and hic- cough." Hepatitis has generally been considered of two kinds; one the acute, the other chronic. Besides the causes producing other in- flammations, such as the application of cold, external injuries from contusions, blows, &c. this disease may be occasioned by cer- tain passions of the mind, by violent exer- cise, by intense summer heals, by long con- tinued intermittent and remittent fevers, and by various solid concretions in the sub- stance of the liver. In warm climates this viscus is more apt to be affected with in- flammation than perhaps any other part of the body, probably from the increased se- cretion of bile which takes place when the blood is thrown on the internal parts, by an exposure to cold ; or from the bile becoming acrid; and thereby exciting an irritation in the part. The acute species of hepatitis comes on with a pain in the right hypochondrium, extending up to the clavicle and shoulder ; which is much increased by pressing upon the part, and is accompanied with a cough, oppression of breathing, and difficulty of lying on the left side ; together with nausea and sickness, and often with a vomiting of bilious matter. The urine is of a deep saf- fron colour, and small in quantity ; there is loss of appetite, great thirst, and costive- ness, with a strong, nard, and frequent pulse ; and when the disease has continued for some days, the skin and eyes become tinged of a deep yellow. The chronic species is usually accompa- nieU with a morbid complexion, loss of ap- petite and flesh, costiveness, indigestion, flatulency, pains in the stomach, a yellow tinge of the skin and eyes, clay-coloured stools, high-coloured urine, depositing a redjsediment and ropy mucus; an obtuse pain in the region of the liver, extending to HEP the shoulder, and not unfrequently with a considerable degree of asthma. These symptoms are, however, often so mild and insignificant as to pass almost un- noticed ; as large abscesses have been found in the liver, upon dissection, which in the person's life-time had created little or no inconvenience, and which we may presume to have been occasioned by some previous inflammation. Hepatitis, like other inflammations, may end in resolution, suppuration, gangrene, or scirrhus ; but its termination in gangrene is a rare occurrence. The disease is seldom attended with fatal consequences of an immediate nature, and is often carried off by haemorrhage from the nose, or haemorrhoidai vessels, and likewise by sweating, by a diarrhoea, or by an eva- cuation of urine, depositing a copious sedi- ment. In a few instances, it has been ob- served to cease on the appearance of erysi- pelas in some external part. When suppuration takes place, as it gene- rally does before this forms an adhesion with some neighbouring part, the pus is usually discharged by the different outlets with which this part is connected, as by cough- ing, vomiting, purging, or by an abscess breaking outwardly ; but, in some instances^ the pus has been discharged into the cavity of the abdomen, where no such adhesion bad been formed. On dissection, the liver is often found much enlarged, and hard to the touch ; its colour is more of a deep purple than what is natural, and its membranes are more op less aff'ected by inflammation. Dissections likewise show that adhesions to the neigh- bouring parts often take place, and large abscesses, containing a considerable quan- tity of pus, are often found in its sub- stance. The treatment of this disease must be distinguished, as it is of the acute, or of the chronic form. In acute hepatitis, where the symptoms run high, and the constitu- tion will admit, we should, in the begin- ning, bleed freely from the arm ; which it will seldom be necessary to repeat, if car- ried to the proper extent at first : in milder cases, or whtre there is less power in the system, (he local abstraction of blood, by cupping or leeches, may be sufficient. We should next give calomel alone, or com- bined with opium, and followed up by in- fusion of senna with neutral salts, jalap, or other cathartic, to evacuate bile, and (ho- roughly clear ou( (he intestines. When, by these means, the inflammation is mate- rially abated, we should endeavour to pro- mote diaphoresis by suitable medicines, as- sisted by (he warm bath ; a blister may be applied ; and the antiphlogistic regimen is to be duly enforced. But the discharge of bile, by occasional doses of calomel, must not be neglected ; and where the alvine HEl' HER 4U evacuations are deficient in that secretion, it will be proper (o push this, or other mercu- rial preparation, till the mouth is in some measure affected. In India this is the re- medy chiefly relied upon, and exhibited often in much larger doses than appear ad- viseable in more temperate climates. Should the disease proceed to suppuration, means must be used (o support the strength ; a nutritious diet, with a moderate quantity of wine, and decoction of bark, or other tonic medicine : fomenlations or poultices will also be proper to promote the discharge ex- ternally ; but when any fluctuation is per- ceptible, it is better to make an opening, lest it should hurst inwardly. In the chro- nic form of the disease mercury is the re- medy chiefly to be relied upon ; but due caution must be observed in its use, espe- cially in scrofulous subjects. It appears more eflfectual in restoring the healthy ac- tion of the liver, when taken internally : but if the mildest forms, though guarded by opium, or other sedative, cannot so be borne, the ointment may be rubbed in. In the mean time calumba, or other tonic, with antacids, and mild aperients, as rhubarb, to regulate the state of the primaj vice, will be proper. Where the system will not admit the adequate use of mercury, the nilric acid is the most promising substitute. An occa- sional blister may be required to relieve unusual pain; or where this is very limited and continued, an issue, or selon may an- swer better. The strength must be sup- ported by alight nutritious diet ; and gentle exercise with warm clothing, to maintain the perspiration steadily, is important in the convalescent state; more especially a s,_'a voyage in persons long resident in India lias often appeared the only means of resloriiig perfect health. Hepati'tis cv'sTici. Inflammation of (he gall bladder. Hepati'tis paren'chymato'sa. Inflam- mation in the inner substance of the liver. Hepati'tis periton^a'lis. Inflamma- tion in the perilouasum coveriiig the liver. HETATOCE'Lt;. (From j.:ra/;, the liver, and ichxh, a tumour.) An hernia, in which a portion of the liver protrudes through the abdominal ]!arie'es. Hepato'hiuji. The same as Eupato- rium. Hspalule. See Hydrogen gas, sulphu- retted. .Heph^'stias. (From H.'.;, a finger. It !3, however, probably named fiom Her- r.xiis, a river in Asia, upon ^vhose banks it grows, and JaxTu^cc, a date, which it is like.) The root of a species of colchium, not yet ascertained, hut supposed to he the Colchkuni illyricum of Linna;us, of the shape of a heart, flattened on one side, with a furrow on the otlier, of a white co- lour, compact and solid, yet easy to cut oc po^vder, 'J'his root, which has a viscous^ :4i2 HEK HER sweetish, farinaceoHS taste, and no remark- neiai, from its situation, or conlsnts. but able smell, is imported from Turkey. Its from the circumstance of its existing from use is totally laid aside in the practice of the the time of birth. present day. Formerly the roots were es- When the hernial contents lie quietly in teemed as cathartics, which power is want- the sac, and admit of being readily put back ing in (hose that reach this country. into Llie abdomen, it is termed a reducible HE'RIS'IA. (From s/>vc/c, a branch ; from herni : and when they suffer no conslric- its protruding out of its [ilace.) A rupture, lion, yel cannot be put back, owing to ad- Surgeons underr5tand, by the term hernia, hesicns, or their large size in relation to tlie a tumour formed by the protrusion of some aperture, through which they have to pass, of the viscera of the abdomen out of that the hernia is termed irreducible. An in- cavily into a kind of sac, composed of carcerated, or slrangulated hernia, signifies the portion of peritoneum, which is pushed one which not only cannot be reduced, but before them. However, there are certainly suffers constriction: so that, if a piece of some cases which will not be comprehended intestine be protruded, the pressure to which in this definition ; either because the parts it is subjected stops the passage of its con- are not protruded at all, or have no hernial tents onward towards the anus, makes the sac, as the reader will learn in the course of bowel inflame, and brings on a train of most this article. alarming and often fatal consequences. The places in which these swellings most The general symptoms of a hernia, wiiich frequently make their appearance, are the is reducible and free from strangulation, are groin, the navel, the labia pudendi, and the — an indolent tumour at some point of the upper and forepart of the thigh; they do parieies of the abdomen; most frequently also occur at every point of the anterior part descending out of the abdominal ring, or of the abdomen ; and there are several less from just below Poupart's ligament, or else common instances, in which hernial tumours out oi the navel ; but occasionally from va- present themselves at the foram'^n ovale, in rious other situations. The swelling mostly the perineum, in the vagina, at the ischiafic originates suddenly, except in the circum- notch, &.C. stances above related ; and it is subject to a The parts which, by being thrust forth change of size, being smaller w hen the pa- from the cavity, in which they ought natu lient lies down upon his back, and larger rally to remain, mostly produce hernias, are when he stands up, or draws in his breath, either a portion of the omerUum, or a part of The tumour frequently diminishes when the intestinal canal, or both together. But pressed, and grows large again when the l\\Q stomach, the liver, the spleen, uterus, pressure is removed. Its size and tension ovaries, bladder, he. have been known to often increase after a meal, or when the pa- form the contents of some hernial tu- tient is flatulent. Patients with hernia, are mours. apt to be troubled with colic, constipation. From tiiese two circumstances of silu- and vomiting, in consequence of the un- ation and contents, are derived all the differ- natural situation of the bowels. Very of- ent appellations by which hernias are dis- ten, however, the functions of the viscera. tinguished. If a portion of intestine only seem to suffer little or no interruption, lorm.s the contents of the tumour, it is If the case be an tnterocde, and the por- called enterocele ; if a piece of omentum tion of the intestine be small, the tumour is only, epiplocek ; and if both intestine and small in proportion ; but though small, yet, omentum contribute to the formation of a if the gut be distended with wind, inflamedj tumour, it is called entero-epiplocele. When or have any degree of stricture made on it, the contents of a hernia are protruded at it w ill be tense, resist the impression of the the abdominal ring, but only pass as low as finger, and give pain upon being handled, the groin, or labium pudendi, the case re- On the contrary, if there be no stricture, ceives the name o{ bubonocele, or inguinal and the intestine suffers no degree of inflam- hernia ; when the parts descend into the m.Ttion, let the prolapsed piece be of what scrotum, it is called an oscheocele or scrotal length it may, and the tumour of whatever hernia. The crural, or ft?noral hernia, is size, y.?t the tension will be little, and no the name given to that which takes place pain will attend the handling it; upon the below Poupart's ligament. When the bow- patient's coughing, it will feel as if it was els protrude at the navel, the case is named blown info : and, in general, it will be found an exomphalos, or umbilical hernia; and very easily returnable. A guggling noise ventral is the epithet given to the sw filing, is often made when the bowel is ascending, when it occurs at any other promiscuous part If the hernia bean epiplocele, or one of of the front of the abdomen. The congenital the omental kind, the tumour has a more rupture, isa very particular case, in which ihe flabby and a more unequal feel ; it is in ge- protruded visceraarenotcovered with acorn- neral perfectly indolent, is more compres- raon hernial sac of peritoneum, but are sihie, and (if in the scrotum) is more oblong lodged in the cavity of the tunica vaginalis, and less round than the swelling occasioned in contact with the testicle ; and, as must be in the same situation by an intestinal hernia^ pbTious, it is not named, like hernise in ge- and. if the quantity be large, and the patiept HER HER 413 an adult, it is, in some measure, distinguish- neither would it be of any material use in able by its greater weight. practice, it there was." If the case be an e«/ej-o-e;7?/)/oceie, that is, HE'RNI i> CRURA'LIS. Femoral her- one consisting of buth iniesline and omen nia. The parts comf)osing this kind of her- tum, the characteristic marks will be less nia, are always protruded uiider Poupart's clear than in either of the simple cases ; but ligament, Hnd the sv\ elling is situated toward the disease may easily be distinguished from the inner [mrl of the bend of ilie thigh, every oilier one, by any body in the habit of The rupture descends on the side of the making (he examination. femoral artery and vein, between these ves- HE'KNIA CE'REBRI. Fungus cerebri, sels and the os pubis. Females are |)aiticu-- This name is given to a tumour which every larly subject to this kind of rupture in con- now and then rises from the brain, through sequemje of the great breadth of their pelvis, an ulcerated opening in the dura mater, and while in them the inguinal hernia is rare, protrudes tiir^ugh a perforation in the era- It has beeti computed, that nineteen out of niura, made by the previous application of twenty married women, afflicted with hernia, the trephine. have this kind ; but that not one out of an HE'RNIA CONGE'MTA. (So called hundred unmarried females, or out of the because it is, as it were, born with the per- same iiumbt-rof men, hiive this form of the son.) This species of hernia consists in the disease. The situation of the tumour makes adhesion of a protruded portion of intestine it liable to be mistaken for an enlarged or omentutn to the testicle, after its descent inguinal gland ; and many fatal events are into the scrotum. This adhesion takes recoided to have happened from the sur- place while the testicle is yet in the ab.iu- geon's ignorance of the existence of the men. Upon its leavingthe abdomen, it draws disease. A jrland can oidy become enlarged the adhering intestine, or omentum, along t>y the gradual effects of inflammation; the with it into the scrotum, where it forms the swelling of a crural hernia comes on in a hernia congenita. momentary and sudden manner; and when From the term congenital- we might sup- strangulated, occasions (he train of symp- pose that this hernia always cxisled at the loius described in the account of the hernia time of birth. The protrusi(m. however, incarcerata, which symptoms an enlarged seldom occurs till .-ifter this period, on the gland coidd never occasion. Such circum- operation of the usual exciting; causes of stances seem to be suthciently discrimina- hernia in general. The congenital hernia live ; though the feel of the two kinds of does not usually happen till some months swelling is often not in itself enough after birth ; in some instances not till a late to make the surgeon decided in his opinion, period. i\lr Hey relates a case, in which .A femoral hernia may "be mistaken for a a hernia congenita was first formed in a bubonocele, uhen the expanded part of young man, aged sixteen, whose right tesiis the swelling lies over Ponpart's li"amenf. had, a little while before the attack of the As the ta.iis and opei'ation for the first disease, descended into the scrotum, it case ought to be dune differently from those seems probable that, in cases of hernia con- for the latter, the error may lead to very genifa, which actually take place when (he bad consequences. The femoral hernia, .testicle descends into (he scrotum before however, may always be discriminated, by birth, the event may commonly be referred, the neck of the tumour having Poupart's as observed above, to the testicle haviMg con- ligament above it. in the bubonocele, the tracted an adhesion to a piece of intestine, or angle of the pubes is behind and below this of the omentum, in its passage to the ring, part of the sac ; but in the femoral hernia, Wrisberg found one testicle which had not it is on the same horizontal level, a little on passed the ring, adhering, by means of a few the inside of it. slenderfilnments, totheopjentum, justabove Until very lately, the stricture, in cases this aperlure, in an infant that died a few of femoral hernia, was always supposed to days after birth. be produced by the lower border of the ex- Exceptingthe impossibility of feeling the ternal oblique muscle, or, as it is termed, testicle in hernia congeni(a, as we can in Poujjart's ligament. A total change of most cases of bubonocele, (which criterion surgical opinion on this subject has, how- Mr. Samuel Cooper, in his Surgical Die- eve'r, latterly taken place, in consemience tionary, observes Mr. Pott should have of the accurate observations first made in mentioned.) the following account is very 1768, by Gimbernat, surgeon lo the king excellent. " The appearance of a hernia, of S|.ain. In the crural hernia, (says he,) in very early infancy, will always make it the ajicrture through which the parts issue probable that it is of this kind ; but in an is not formed by two bands, (as in the in- adult, there is no reason for supposing his guinal hernia,) but it is a foramen, almost rupture to be of (his sort, but his having round, proceeding from the internal mar- been afflicted with it from his infancy ; (here gin of the crural arch, (PouparCs liga- Js DO external mark or character, whereby ment,) near its insertion into (he bran^ch it can be certainly distinguished from (he of the os pubis, between the bone and the (laz contained in a. common hernial sac; iliac vein, so that in thi.? hernia, (he branch 414 HER HER of the &s pubis, is situated more inlerr.ally Hernia hurnoralis, ■\vitb stoppage of tbe than the intestine, and a little behind ; the discharge, is apt to be attended with stran- vein externally, and behind ; and the in- gury. A very singular thing is, that the in- ternal border of (he arch before. Now it is flararaation raoie frequently comes on wiiea this border which always forms the strangu- the irritation in the urethra is going otf, than lation. when at its height. He'FvNIA FLATCLENTA. A Swelling of the The enlargements of the testicle, from side, caused by air that has escaped through cancer and scrofula, are generally slow in the pleura. their progress : that of an hernia hurnoralis He'FvMa gu'tturis. Bronchoceie, or very quick, tumour of tbe bronchial gland. HERNIA IKCARCERA'TA. Incarce- HE'RNI.\ HUMO'RALIS. Inflamma- rated hernia. Strangulated hernia, or a lio testis. Orchitis. Swelled testicle. A hernia with stricture. Tbe symptoms are a very common symptom, attending a go- swtllidg in the groin, &c. resisting the im- norrlia?a, is a swelling of the testicle, wiiich pressioiis of the fingers. If the hernia be of is only sympathetic, and not venerea!,, the intestinal kind, it is generally painful to because the same symptoms follow every the touch, and the pain is increased by kind of irritation on the urethra, whether coughing, sneezing, or standing upright, produced by strictures, injections, or bou- These are the very first symptoms ; and, if gies. Such symptoms are not similar to they are not relieved, are soon followed by the actions arising from the application others : viz. a sickness at the stomach, a of venereal matter, for suppuration sel- frequent retching, or inclination to vomit, a dom occurs, and, when it does, the matter stoppage of all discharge per anum, attended is not venereal. The swelling and inflam- 'with frequent hard pulse, and some degree luation appear suddenly, and as suddfuily of fever. These are the first symptoms ; disappear, or go from one testicle to the and if they are not appeased l)y (he return othfir. The epididymis remains swelled, of the intestine, that is, if the atiL-mpts made however, even for a considerable time af- for this pur[iose do not succeed, the sickness terwards. becomes more troublesome, the vomiting The first appearance of swelling is gene- more frequent, the pain more intense, the rally a soft pulpy fulness of the bod}' of tension of the bell}- greater, the fever higher, the testicle, which is tender to (he touch ; and a genera! restlessness comes on, which this increases to a hard swelling, accompa- is very terrible to tiear. When this is the nied willi considerable pain. Tbe epididj'- stale of the patient, no time is to be lost ; mis, touards the lo\ver end of the testicle, a very little delay is now of the utmost con- is generally the liardest p^irt. The hard- sequence ; and if the one single remedy ress and swelling, however, often pervade which the disease is now capable of, be not the whole of the epididymis. The spermatic administered immediately, it will generally cord, and especially (he vas deferens, are bafHe every other attempt. This remedy is often thickened, and so:e to the touch, the operation whereby (he parts engaged in Tbe spermatic veins sometimes become va- the stricture may be set tree. If this be ricose. A pain in the loins, and seKse of not now performed, the vomiting is soon weaktiess there, and in the pelvis, are other exchanged for a convulsive hiccough, and a casual symptoms. Colicky pains; uneasi- frequent gulping u;i of bilious matter; the Jiess in tlie stomach and bowels ; flatidency ; tension of the belly, the restlessness and sickness, and even vomiting ; are not un- fever, having been considerably incr<^ased frequent. The whole testicle is swelled, for a few hours, the jiatient s'.iddenly be- and not merely the epididymis, as has been comes perfectlj' easy, the bellj' subsides. l!ie asserted. pulse, from having been hard, full and frr- The inflammation of the fiarf most pro- quent, becomes low, languid, and generally bably arises from its sympaibisiiig vsith the interrui)ted ; and the skin, especially that of urethra. I'he swelling of the testicle com- the limbs, cold and moist ; the eyes have ing on, either removes the pain in making now a languor and glassiness, a lack lustre water, and stipends the discharge, which not easy to be described : the tumour of (he does not return till such swellitig begins to part disai'pears, and the skin covering it: subside; or else the irritation in the urethra, sometimes changes its natural colour for a first ceasing, produces a swelling of the tes- livid hue ; but whether it keeps or loses its tide, which continues (ill the pain and dis- colour, it has an emi>iiysematous feel, a charge return ;. thus rendering it doubtful crepitus to the touch, which will easily be ^vbich is the cause and which the eflecl. conceived by all who have attended to it. Occasionally, however, the discharge has but is not easy (o convey an idea of by become more violen(. though the testicle has words. This crepitus is the too snre in- swelled ; and such swelling lias even been dicator of gangrenous mischief within. In known to occur after the discharge has this state, the gut either goes up sponta- ceased ; yet the latter has returned with neously, or is returned wilh (he smallest violence, and remained as long as (he hei'- degree of pressure ; a discharge is made by nia hurnoralis. stool, and the patient is generally mvx'. HER HER 413 pleased at the ease he finds ; bat this plea- sure is of short duration, for the hiccough and the cold sweats continuing and increas- ing, ivith the addition of spasmodic rigours and subtultus teridinum, the tragedy soon finishes. HE'KNIA INGUIxXA'LIS. Bubonoctle. Inguinal hernia. The fieniia inguinalis is so called because it appears in both sexes at the groin. It is one of the divisions of hernia, and includes all those .hernial in which the parts displaced pass oat of the abdomen througl) the ring, that is, the arch formed by the aponeurosis of the muscn- lus obliquus externus in the groin, for the passage of the spermatic vessels in men, and the round ligament in women. The parts displaced that form the hernia, the part into which they fall, the manner of the hernia being produced, and the time it has continued, occasion great difterences in this disorder. There are three different parts that may produce a hernia in the groin, viz. one or more of the intestines, the epip- loon, and the bladder. That which is formed by one or more of the intestines, was called by the ancients, enterocele. The intestine which most frequently pro- duces the hernia, is the iliuni ; because, being placed in the iliac region, it is nearer the groin than the rest: but notwithstand- ing the situation of the other intestines, which seems not to allow of their coming near the groin, we often find the jejunum, and frequently also a portion of the colon and cECcum, included in the hernia. It must be remembered, that the mesentery and mesocolon are membranous substances, capable of extension, which, by little and little, are sometimes so far stretched by the weight of the intestines, as to escape with the ilium, in this species of hernia. The hi'rnia made by the ejiiploon, is called tpiplocele ; as that caused by the epi[)loon and any of the intestines together, is called enlero epiplocele. The hernia of the blad- der is called cryslocele. Hernia of the blad- der is uncommon, and has seldom been known 1o happen but in conjunction with some of the other viscera. When the parts, having passed through the abdominal rings, descend no lower than the groin, it is called an incomplete hernia; when they fall into the scrotum in men, or into the labia pudendi in women, it is then termed complete. The marks of discrimination between some other diseaiies and inguinal hernia are these : — The disorders in which a mistake may possibly be made, are the clrcocele, bubo, hydrocele, and hernia humoralis, or infla- med testicle. For an account of the manner of distin- guishing circocele from a bubonocele, see Glrcocde. The circumscribed incompressible hard- ness, the situation of the tumour, and its being free from all connexion with the sper- matic process, will sufaciently point out its being a bubo, at least v\ hile it is in a recent state ; and when it is in any degree suppura- ted, he must have a very small share of the luctus eruditus who cannot feel the difference between matter, and either a piece of intes- tine or omentnm. The perfect equality of the whole tumour, the freedom and smallness of the spermatic process above it, the power of feeling the spermatic vessel.s, and the vas deferens in that process ; its being void of pain upon being bandied, the fluctuation of the water, the gradual formation of the swelling, its having begun below and proceeded up\vards, its not being atfecled by any posture or ac- tion of the patient, nor increased by his coughing or sneezing, together with the ab- solute impossibility of feeling the testicle at the bottom of the scrotum, will always, to an intelligent person, prove the disease to be hydrocele. Mr. Pott, however, allows that there are some exceptiotis in which the testicle cannot be felt at the bottom of the scrotum, in cases of hernia, in recent bubonoceles, while the hernia] sac is thin, iias not been long, or very much distended, and the scrotum still pre- serves a regularity of figure, the testicle ma%' almost always be easily felt at the inferior and posterior part of the tumour. But in old ruptures, which have been long down, in which the (|uantity of contents ss large, the sac considerably thickened, and {■he scro- tum of an irregular figure, the testicle fre- quently cannot be feJt ; neither is it in gene- ral easily felt in the congenital hernia, for obvious reasons. In the hernia humoralis, the pain in the testicle, its enlargement, the hardened slate of the epididymis, and the exemption of the spermatic cord from all unnatural fulness, are such marks as cannot easily be mistaken ; not to mention the generally precedinggonor- rhcea. But if any doubt still remains of the true nature of the disease, the progress of it from above downwards, its different state and size in different postures, particularly lying and standing, together with its descent and ascent, will, if duly attended to, put it out of all doubt that the tumour is a true hernia. When an inguinal hernia does not descend through the abdominal ring, but only into the canal for the spermatic cord, it is covered by the aponeurosis of the external oblique muscle, and the swelling is small and un- defined. Now and then, the testicle does not de- scend into the scrotum till a late period. The first appearance of this body at the ring, in order to get into its natural situa- tion, might be mistaken for that of a hernia, were the surgeon not to pay attention to the absence of the testicle from Uie scrotum^ 416 HEH HER and the peculiar sensation occasioned by pressing the swelling. HE'RNIA ISCHIA'TICA. A rapture at ♦he iscbiatic notch. This is very rare. A case, however, which was strangulated, and undiscovered till after death, is related in Mr. A. Cooper's second jiart of his work on hernia. The disease happened in a younp man aged 27. On opening the abdomen, the iliurn was found to have descended on the right side of the rectum into the pelvis ; and a fold of it was protruded into a small sac, which passed out of the pelvis at the ischiatic notch. The intestine was adherent to the sac at two points: the sti'angulaled part, and about three inches on each side were very black. The inlestines towards the stomach, were very much distended with air, and here and there had a livid spot on them. A dark spot was even fomid on the stomach itself, just above the pylorus. Tlie colon was exceedingly contracted, as far as its sigmoid flexure. A small orifice was found in the side of the pelvis, in front of, but a little above the sciatic nerve, and on the forepart of the pyriformis muscle. The sac lay under the glutsus masimus muscle, and iis orifice was before the inlernal iliac artery, below the obturator artery, but above the vein. He'rnia intestina'lis. See Hernia in- giiinalis. He'rnia laciirysia'lis. When the tears pass through the puncta lachrymalia, but stagnate* in the sacculus lachrymalis, the tumour 'is styled hernia lachrymalis with little propriely or precision, li is with equal impropriety called, by Anal, a dropsy of the lachrymal sac. If the inner angle of the eye is pressed, and an aqueous humour flows out, (he dis- ease is the fistula lachrymalis. HK'RsiA MESElNTE'RlCA. Mesente- ric hernia. If one of the layers of the me- sentery be torn by a blow, while the other remains in its natural state, the intestines may insinuate themselves into the aperture and form a kind of hernia. The same con- sequences may result from a natural defi- ciency in one of these layers. Mr. A. Coop- er relates a case, in which all the small in- testines, excet.it the duodenum, were thus circumstanced. The symptoms during life were unknown. HE'RNIA MESOCO'LICA. Mesocolic liernia. So named by Mr. A. Cooper, when the bowels glide between layers of the me- socolon. Every surgeon should be aware that the intestines riiay be Strangulated from the following causes : 1. Apertures in the omen- tum, mesentery, or rnesocolon, through which the intestine prott-udes. 2. Adhesions, leaving an aperture, in which a piece of in- testine becomes confined. 3. Membranous bands at the mouths of hernial sacs, which becoming elongated by the frequent protru- sion and return of the viscera, siinound the intestine, so as to strangulate lliem within the abdomen when returned from the sac. HE'RNIA OMENTA'LIS. Epiplocele. A rupture of the omentum; or a protrusion of the omentum through apertures in the inte- guments of liic belly. Sometimes, accord- ing to Mr. Shnrpe,so large a quantity of the omentum hath fallen into (he scrotum that its weight, drawing the stomach and bowels downvvaids, have excited vomiting, irifiam- tnation, and symptoms similar to those of the bubonocele. HE'RNIA PERINEA'LIS. Perineal her- nia. In men, the parts protrude between the bladder and rectum ; in women, between the rectum and vaginn. The hernia does not project so as to form an external tu- mour; and, in men, its existence can only be distinguished by examining in the rectum. In women, it may be delected both from this part and the vagina. HE'RNIA PHRE'NICA. Phrenic her- nia. The abdoninal viscera are occasion- ally protruded through the diaphragm, either through some of the natural apertures in this muscle, or deficiencies, or wounds and lace- rations in it. The second kind of case is the most frequent. Morgagni furnishes an in- stance of the fir.st. Two cases related by Dr. Macauley, and two others by Mr. A. Cooper, are instances of the second sort. And another case has been lately recorded by the latter gentleman, affording an exam- ple of the third kind. Hildanus, Pare, Petit. Schenck, &.c. also mention cases of phrenic hernia. HE'RNIA PUDENDA'LIS. Pudendal hernia. This is the name assigned by Mr- A. Cooper, to that which descends between the vagina and ramus ischii, and forms an oblong tumour in the labium, traceable within the pelvis, as far as the os uteri. Mr. C. thinks this case base sometimes been mistaken for a hernia of the foramen ovale. HE'RNIA SCROTA'LIS. Hernia oschea- lis. Hernia enter oscheocele. Oscheocele. Pa- racelsus calls it crepatura. When the omen- tum, the intestine, or both, descend into the scrotum, it has these appellations ; when the omentum only, it is called epiploscheocele. It is styled a perfect rupture in contradis- tinction to a bubonocele, which is the same disorder ; but the descent is not so great. The hernia scrotalis is distinguished into the true and false : in the former, the omentum or intestine, or both, fall into the scrotum ; in the latter, an inflammation, or a fluid, causes a tumour in this part, as in hernia humoralis, or hydrocele. Sometimes seba- ceous matter is collected in the scrotum f and this hernia is called steatocele. HE'RNIA THYROIDEA'LIS. Hernia fo- raminis ovalis. Thyroideal hernia. In the anterior and upper part of the obtura- tor ligament there is an opening, through which the obturator arterv. vein, and nerve HER HER 417 proceed, and through which occasionally a piece of omentum or intestine is protruded, covered with a part of the peritoneum, which constitutes ihe hernial sac. HERNIA UMBILICA'LIS. Epiploom- phalon. Omphalocele. Exotnphalos. Om- phalos, and when owing to flatulency, Pneumatomphalos. The exompbalos, or umbilical rupture, is so called from its situ- ation, and has (like other herniee) for ita general contents, a portion of intestine, or omentum, or both. In old umbilical rup- tures, the quantity of omentum is sometimes very great. Mr. Ranby says, that he found two ells and a half of intestine in one of these, with about a third part of the stomach, all adhering together. Mr. Gay and Mr. Nourse found the liver in the sac of an umbilical hernia ; and Bohnius says that he did also. But whatever are the contents, they are originally contained in the sac, formed by the protrusion of the peritoneum. In recent and small ruptures, this sac is very visible ; but in old and large ones, it is broken through at the knot of the navel, by the pressure and weight of the contents, and is not always to be distinguished ; which is the reason why it has by some been doubted whether this kind of rupture has a hernial sac or not. Infants are very subject to this disease, in a small degree from the separation of the funiculus; but in general they either get rid of it as they gather strength, or are easily cured by wearing a proper bandage. It is of still more consequence to get this disor- der cured in females than in males ; that its return, when they are become adult and pregnant, may be prevented as much as possible ; for at this time it often happens, from the too great distention of the belly, or from unguarded motion, when the parts are upon the stretch. Dr. Hamilton has met with about two cases annually for the space of seventeen years, of umbilical hernia, which stricily deserve the name of congenital umbilical hernia. The funis ends in a sort of bag^ containing some of the viscera, which pass out of the abdomen through an aperture in the situation of the navel. The swelling is not covered with skin, so that the contents of the hernia can be seen through the then distended covering of the cord. The dis- ease is owing to a preternatural deficiency in the abdominal muscles, and the hope of cure must be regulated by the size of the malfor- mation and quHntitv of viscera protruded. HE'RIN'IA U'TEIII. Hysterocele In- stances have occurred of the uterus being thrust through the rings of the muscles ; but this is scarcely to be discovered, unless in a pregnant state, when the strugglings of a child would discover the nature of the 53 disease, in that state, however, it could scarcely ever occur. It is the cerexis of Hippocrates. HE'RiNlA VAGINA'LIS. Elylrocek. Vaginal hernia. A tumour occurs within the OS externum of the vagina, it is elastic, but not painful. When compressed, it readily recedes, but is reproduced by cough- ing, or even without this, when the pressure is removed. The inconveniences produced are an inability to undergo much exercise, or exertion ; for every effort of this sort brings on a sense of bearing down. The vagina! hernia protrudes in the space left between the uterus and rectum. This space is bounded below by the peritoneum, which membrane is forced downwards, towards the perinfflum ; but being unable to protrude further in that direction, is pushed towards the back part of the vagina. These cases probably are always intestinal. Some hernise protrude at the anterior part of the vagina. He'rnia vakico'sa. See Circocele. He'rma vento'sa. See Pnemnalocele. HE'RNIA VENTRA'LIS. Hypogas- trocele. The ventral hernia may appear at almost any point of the anterior part of the belly, but is most frequently found between the recti muscles. The portion of intes- tine, fcc. &c. is always contained in a sac made by the protrusion of the peritonasum. Mr. A. Cooper imputes its causes to the dilatation of the natural foramina, for the transmission of vessels to congenital defi- ciencies, lacerations, and wounds of the abdominal muscles, or their tendons. In small ventral hernia3, a second fascia is found beneath the superficial one ; but in large ones the latter is the only one cover- ing the sac. HE'RNIA VESICALI3. Hernia cystica. Cysiocele The urinary bladder is liable to be thrust forth, from its proper situation, either through the opening in the oblique muscle, like the inguinal hernia, or under Poupart's ligament, in the same manner as the femoral. This is not a very frequent species of her- nia, but does happen, and has as plain and determined a character as any other. Hernia'ria. (From hernia, a rupture; so called from its supposed efficacy in curing ruptures.) The name of a genus of plants in the Linnaean system. Class, Pentandria. Order, Digynia. Rupture-wort. Hernia'ria gla'bra. The systematic name of the rupture-wort. Herniaria. This plant, though formerly esteemed as effica- cious in the cure of hernias, appears to be destitute not only of such virtues, but of any olher. It is the Herniaria glabra of Lin- naeus ; has no smell nor taste. HERMO'TOMY (Herniotomia, from hernia, and Tn/t^vai, to cut ) The operation to remove the strangulated part iu cases of incarcerated hernise. 418 HER HEW HE'RPES. (From tfiTrie, to creep; be- cause it creeps and spreads about the skin.) Tetter. A genus o{ disease in the class lo- cales, and order dialyses, of Culien, distin- guished by an assemblage of numerous lit- tle creeping ulcers, in clusters, itching very much, and diiScult to heal, but terminating in furfuraceous scales. Mr. Bell, in his treatise on ulcers, ar- ranges the herpes among the cutaneous ulcers, and says, that all the varieties of im- portance may be comprehended in the four following species: 1. Herpes farinosus, or what may be termed the dry tetter, is the most simple of all the species ; it appears in- diseriminately in different parts of the body, but most commonly on the face, neck, arms, and wrists, in pretty broad spots and small pimples ; these are generally very itchy, though not otherwise troublesome ; and after continuing a certain time, they at last fall in the form of a white powder, simi- lar to fine brah, leaving the skin below per- fectly sound ; and again returning in the form of a red efflorescence, they fall off, and are renewed as before. 2. Herpes pus- tulosus. This species appears in the form of pustules, which originally are separate and distinct, but which afterwards run toge- ther in clusters. At first, (hey seem lo con- tain nothing but a thin watery serum, which afterwards turns yellow, and, exuding over the whole surface of the part affected, it at last dries into a thick crust, or scab ; when this falls off, the skin below frnquently ap- pears entire, with only a slight decree of red- ness on its .surface ; but on some occasions, when the matter has probably been more acrid upon the scab falling off', the skin is found slightly excoriated. Eruptions of this kind apJDear most frequently on the face, behind the ears, and on other parts of the head ; and they occur most commonly in children. 3. Herpes miliaris. The miliary tetter. This breaks out indiscriminately over the whole body ; but more frequently about the loins, breast, peringeum, scrotum, and in- guina, than in other parts. It generally appears in clusters, though sometimes in distinct rings, or circles, of very minute pimples, the resemblance of which to the millet-seed, has given rise to the deno- mination of the species. The pimi)le>r are at first, though small, peifectly separate, and contain nothing but a clear lymph, which in the course of this disease, is ex- creted upon the surface, and there forms into small distinct scales; these, at last, fall off, and leave a considerable degree of in- flammation below, fha! still continues to ex- ude fresh matter, which likewise forms info cakes, and so falls oif as before. The itch- ing, in this species of complaint, is always very troublesome; and the matter dis- charged from the pimples is so tough and viscid, that every thing applied to the part adheres, so as to occasion much trouble and uneasiness on its being removed. 4. Herpes exedens, the eating and corroding tetter ; so called from its destroying or corroding the parts which it attacks, appears commonly, at first in the form of several small painful ulcerations, all collected into larger spots, of different sizes and of various figures, with always more or less of an erysipelatous inflammation. These ulcers discharge large quantities of a thin, sharp, serous matter ; which sometimes forms into small crusts, that in a short time fall off; but most fre- quently the discharge is so thin and acrid as to spread along the neighbouring parts, where it soon produces the same kind of sores. Though tliese ulcers do not, in ge- neral, proceed farther than the cutis vera, yet sometimes the discharge is so very pene- trating and corrosive as to destroy the skin, cellular substance, and, on some occasions, even the muscles themselves. It is this spe- "cies that should be termed the depascent, or phagedenic ulcer, from the great destruction of parts which it frequently occasions. See Phagedizna. He'rpes AMBULATi'vA. A specics of ery- sipelas which moves from one part to an- other. Herpes colla'kis. Tetters about the neck. He'rpes depa'scens. The same as herpes exedens. See Herpes. He'rpes esthio'mekos. Herpes destroy- ing the skin by ulceration. He'rpes faciei. Red pimples common in the faces of adults. He'rpes farino'sus. See Herpes. He'rpes fe'rus. Common erysipelas. He'rpes I'ndica. A fiery, itchy herpes, peculiar to India. He'kpes milia'ris. See Herpes. He'rpes peri'scelis. That species of erysipelas known by the name of shingles. Set- Erysipelas. He'rpu.s pustulo'sds. See Herpes. He'rpes ra'piens. Venereal ulceration in the head. Hi'.'rpes serpi'go. a name given to the cutaneous aSVcsion pO{)u!ar!y called a ring- wcrm. Set' Psoriasis. Til! the recent ob- servations of Dr. VVillari, this disease has not been well discriminated by any author, though it is one with which few practitioners are unacqiiainted. Herpes si'ccos. The dry, mealy tetter round !h;' knees. He'kpes stphili'ticds. Herpes venereus. An hprpeUc venereal eiuption on the skin. He'rpes zo'ster Shingles encircling the body. Set' Erysipelas. Herpetic eruptions. See Herpes. He'rpeton. (From ip^w, to creep.) A creeping pustule, or ulcer. HEWSON, William, was born at Hexham, in 1739. Atter serving an ap- HID illL. -lly prenticesiiip to his lather, he came to Lon- Hidropy'eetus. (From tSpm;, sweat, and don at the age of twenty, and resided with Trupilo;, a fever.) The sweating fever, or Mr. John Hunter, attending also the lee- sickness. See Sudor Jinglicus. tures of Dr. Hunter. His assiduity and Hidro'tica. (From iScooc, sweat.) Me- skill were so conspicuous, that he was ap- dicines which cause per?pa-ation. pointed to superintend the dissecting room, Hidrotopoie'tica. (From ^*o "^^^ed because it seizes a fellow of that body. He began a course passengers as a hawk does its prey.) A sort of lectures alone in 1772, having quitted ^I.^d i-r^.TTui ,t^ Dr. Hunter two years before, and soon be- HIEKA ClUM, (From * to cleanse their eyes.) The name of fever, occasioned by a wound received in ^ S^nus of plants m the Linnaean system. dissecting a morbid body, in the 35tb year of ^'^^s, Syngenesia. Order, Polygamia cequa- his age. ^"- Hawk- weed. Hexapha'rmacom. (From «|, six, and Hiera'cium pilose'lla. The system- <»«/i^ajc3p, a medicine.) Any medicine in the ahc name of the auricula muris. Pilosella. composition of which are six ingredients. Myosohs. Mouse-ear. This common plant, Hibe'rnicus la'pis. See LapU hibernicus. t^i^racium pilosella of Linnaeus, contains a HIBISCUS. (From t2t;, a stork, who is °'"«'' lactescent juice, which has a slight said to chew it, and inject it as a clyster.) degree of astringency. The roots are more The name of a genus of plants in the Lin- po^-erful than the leaves. They are very neean system. Class, Monadelpkia. Order, seldom used in this country. Polyandria. Hiera'culcm. The hieracium, or hawk- Hibi'scus abelmo'schus. The system- weed, atic name of the plant whose seeds are called Hiera'nosos. (From npog, holy, and musk-seed. Abtlmoschus. Granum moschi. voa-oi, a disease ; so called because it was Moschus Arabum. JEgyptia moschata. Ba- supposed to be that disorder which our Sa- 7ma moschata. Jilcea. Mcea Indica. Mcea viour cured in those who were said to be JEgyptinca villosa. Mrelte. Abelmosch. Jlbd- possessed of devils.) The epilepsy, jnws/i;. The seeds of a plant called I he musk- Hiera'ticum. (From wpo?, holy.) A mallow, which have the flavour of musk, poultice for the stomach, so named from its The plant Hibiscus abelmoschus oi Linna3us, supposed divine virtues. is indigenous in Egypt, and in many parts HIGHMORE, Nathaniel, was born at of both the Indies. Tiie best comes from Fordingbridge, in Hampshire, in 1613. Martinico. By the Arabians the seeds are After graduating at Oxford, he settled at esteemed cordial, and are mixed with their Sherborne, where he obtained considerable coffee, to which they impart their fra- reputation in practice, and died in 1684. grance. In this country they are used by He pursued the study of anatomy with the perfumers. zeal, though with limited opportunities of Hi'ccouGH. Hiccup. A spasmodic af- dissection ; and his name has been attached fection of the diaphragm, generally arising to a pari, though not originally discovered from irritation produced by acidity in the by him, namely, the Antrum Maxillare, stomach, error of diet, kc. which had been before mentioned by Cas- HiDROA. (From tS'^ceg, sweat.) A pus- serins. His principal work is " Corporis tular disease, produced by sweating in hot humani disquisitio Anatomica," printed at weather. the Hague in 1651, with figures, chieflyfrom HiDRo CRISIS, (From Jpc, sweat, and Vesalius. He also published two disserta- notvce, to judge.) A judgment formed from tions on Hysteria and Hypochondriasis ; and the sweat of the patient. a history of Generation. Hidro'nosos. (From tSfmg, sweat, and Highmore's antrum. See jjntnim of High' nT-jc, a disease.) The sweating sickness. more. 420 HIP HIP HiGUEE©. The calabash-tree. Fruit said (o be febrifuge. Hii.da'nus. See Fabricius. HiMANTo'sis. (From <^*?, a thong of leather.) A relaxaiinn of the uvula, when it hangs down like a thong. Hi'mas. a relaxation of the uvula. HiN. Hindiscli. Hing. Assafoetida. Hippoca'stanum. ' (From ittttos, a horse, and a^iz-avov, a chesnut ; so called from its size.) Common horse-chesnut. See JEscu- lus. HIPPOCRATES, usually called the father of physic, was born in the island of Cos, about 460 years before Christ. He is reckoned the 18th lineal descendant from ^sculapius, the profession of medicine hav- ing been hereditarily followed in that fa- mily, under whose direction the Coan .school attained its high degree of eminence, and by the mother's side he is said to have descended from Hercules. Born with these advantages, and stimulated by the fame of his ancestors, he devoted himself zealously to the cultivation of the healing art. Not content with the empirical prac- tice, which was derived from his predeces- sors, he studied under Herodicus, who had invented the gymnastic medicine, as well as some other philosophers. But he appears to ha%'e judged carefully for himself, and to have adopted only those principles, which seemed founded in sound reason. He was thus enabled to throw light on the deduc- tions of experience, and clear away the false theories with which medicine had been loaded by those who had no practical know- ledge of diseases, and bring it into the true path of observation, under the guidance of reason. Hence the physicians of the ra- tional or dogmatic sect always acknowledged him as their leader. The events of his life are involved in much obscurity and fable. But he appears to have travelled much, re- siding at different places for some time, and practising his profession there. He died at Larissa, in Thessaly, at a very advanced age, which is variously stated from 85 to 109 years. He left two sons, Thessalus and Draco, who followed the same profes- sion, and a daughter, married to his favour- ite pupil Polybus, who arranged and pub- lished his works ; and he formed many other disciples. He acquired a high repu- tation among his countrymen, which has descended to modern times ; and his opin- ions have been respected as oracles, not only in the schools of medicine, but even in the courts of lavi*. He has shared with Plato the title of divine : statues and tem- ples have been erected to his memory, and liis altars covered with incense, like those of jSIsculapius himself. Indeed, the qualifica- tions and duties required in a physician, were never more fully exempiiQed than in his conduct, nor more eloquently doscribcd than by his pen. He is said to have ad- mitted no one to his instructions without the solemnity of an oath, in which the chief obligations are, the most religious attention to the advantages of the sick, the strictest chastity, and inviolable secrecy concerning matters which ought not to be divulged. Besides these characteristics, he displayed great simplicity, candour, and benevolence, with unwearied zeal in investigating the progress and nature of diseases, and in ad- ministering to their cure. The books attri- buted to him amount to 72, of which, however, many are considered spurious, and others have been much corrupted. The most esteemed, and generally admitted ge- nuine, are the essay " On Air, Water, and Situation," the first and third books of " Epidemics," that on " Prognostics," the " Aphorisms," the treatise " On the Diet in acute Diseases," and that " On Wounds of the Head." He wrote in the Ionic dia- lect, in a pure but remarkably consise style. He was necessarily deficient in the know- ledge of anatomy, as the dissection of human bodies was not then allowed ; whence his Physiology also is, \n many respects, errone- ous : but he, in a great measure, compen- sated this by unceasing observation of diseases, wh<^reby he attained so much skil! in pathology and therapeutics, that he has been regarded as the founder of medical sci- ence ; and his opinions still influence the healing art in a considerable degree. He diligently investigated the several causes of diseases, but especially their symptoms, which enabled him readily to distinguish them from each other ; and very few of those noticed by him are now unknown, mostly retaining even the same names. But he is more remarkably distinguished by his Prognostics, which have been comparatively little improved since, founded upon various appearances in the state of the patient, but especially upon the excretmns. His atten- tion seems to have been directed chiefly to these, in consequence of a particular theory. He supposed that there are four humours in the body, blood, phlegm, yellow and black bile, having dilFerent degrees of heat or coldness, moisture or dryness, and that to certain changes in the quantity or quality of these all diseases might be referred; and farlher, that in acute disorlers a concoction of the morbid humours took place, followed by a critical discharge, which he believed to happen especially on certain days. But he see.ms to have paid little, if any, attention, to the state of the pulse. He advanced an- other opinion, which has since very gene- rally prevailed, that there is a principle, or power, in the system, which he called Na- ture, tending to the preservation of health, and the removal of disease. He, therefore, advised practitioners carefully to observe rkshire, 1732, and bred to the profpssion of a surgeon-apothocary. After serving some time in the navy, he graduated at Edinburgh in 1765. He then settled in London, and was soon after appointed phy- sician to the General Dispensary, the first institution of that kind established in the metropolis. Ab .ut the year 1775 he was elected physician to the Charter-house. In 1807 he died, in consequence of a severe bruise by a fall. Hp was author of several dissertations on scurvy, pnerpi ral fever, fc.c. He also made a series of experiments on the light spontaneously emitted from various bodies, published in the Philosophical Transactions ; and he was one of the edit- ors of the London Practice of Physic. Human body. See Jllan. Hcjmecta'ntia. (From humeclo, to make moist.) Medicines which soften and make moist the solids of the body. HUMERAL ARTERY. (Jrleria hu- meralis.) Brachial artery. The axillary artery, having passed the tendon of the great pectoral muscle, changes its name to the brachial or hum'^ral artery, which name it retains in its course down the arm to the bend, where it divides into the radial and ulnar arteries. In this course it gives off several muscular branches, three of which only deserve attention : 1. The arteria pro- funda superior, which goes round the back of the arm to the exterior muscle, and is often named the upper muscular artery. 2. Another, like it, called arteria profunda inferior, or the lower muscular artery. 3. Ramus anastomoticus major, which anasto- moses round the elbow with the branches of the ulnar artery. HtTMERA'Lis Mc'scDLus. See Deltoides. Hcmera'lis ne'rvus. The cervical nerve. HU'MERI OS. {Humerus; from a,Mcc, the shoulder.) Os humeri. Os brachii. A long cylindrical bone, situated between the scapula and fore-arm. Its upper extremity is formed somewhat laterally and internally, into a large, round, and smooth head, which is admitted into the glenoid cavity of the scapula. Around the basis of this head is observed a circular fossa, d- epest anteriorly and externally, which forms, what is called tile neck of the bone, and from the edge of which arises the capsular ligament, which is farther strengthened by a strong membra- nous expansion, extending to the ufiper edge of the glenoid cavity., and to the coracoid process of ! he scapula ; and likewise by the tendinous expansions of the muscles, inserted into the head of the humerus. This cap.su- lar ligament is sometimes torn in luxation, and becomes an obst cle to the easy reduc- tion of the bone The articulating surface of the head is covered by a cartilage, which is thick in its middle part, and thin towards its edges ; by which means it is more convex in the recent subject than in the skeleton. This upper extremity, besides the round smooth head, affords two other smaller pro- tuberances. One of these, which is the largest of the two, is of an irregular oblong shape, and is placed at the back of the head of the bone, from which it is separated by a kind of groove, that makes a part of the neck. This tuberosity is divided, at its u()per part, into three surfaces; the first of these, which is the smallest and uppermost, serves for the insertion of the supraspinatus muscle ; the second, or middlemost, for the insertion of the infraspinams ; aiid the third, which is the lowest and hindmost, for the insertion of the teres minor. The other smaller tuberosity is s'tuated anteriorly, be- tween the larger one and the head of the humerus, and serves for the insertion of the subscapularis muscle. Between these two tuberosities there is a deep groove for lodg- ing the tendinous head of the biceps bra- chii ; the capsular ligament of the joint af- fording here a prolongation, thinner than the capsule itself, which covers and accom- panies this muscle to its fleshy portion, where it gradually disappears in the adja- cent cellular membrane. Immediately be- low its neck, the os humeri begins to as- sume a cylindrical shape, so that here the body of the bone may be said to commence. At its upper Joart is observed a continuation of the groove for the biceps, which extends diiwnwards, about the fourth part of the length of the bone in an oblique direction. The edges of this groove are continuations of the greater and lesser tuberosities, and serve for the attachment of the pectoralis, latissimus dorsi, and teres major muscles. The groove itself is lined with a glistening substance like cartilage, but which seems to be nothing m( re than the remainsof tendi- nous fibres. A little lower down, towards the external and anterior side of the middle of the bone, it is seen rising into a rough ridge for the insertion of the deltoid muscle. On each side of this ridge the bone is smooth and flat, for the lodgement of the braihialis internus muscle; and behind the middle part of the outermost side of the ridge is a chaiiuel, for the transmission of vessels into the substance of the bone. A little lower down, and near the inner side of the ridge, the e is sometimes seen such an- other channel, which is intended for the same purpose The os humeri, at its lower exiremity, becomes gradually broader and flatter, so as to have this ei)d nearly of a trirfnsuiar shape. The bone, thus expand- ed, affords two surfaces, of which the ante- rior one is the broadest, and somev. bat con- vex ; and the posterior one narrower and smoother. The bone terminates in four large processes, the two outermost of which are called condyles, though not designed for HUM HUN 425 the articulation of the bone. These con'- dyles, which are placed at some distance from each other, on each -Ida of the bone, are rough and irregular protuberances, formed for the insertion of muscles and liga- ments, and difter from each other in size and shape. The external condyle, when the arm is in the most natural position, is found to be placed somewhat forwarder than the other. The internal condyle is longer, and more protuberant than the external. From each of these processes, a ridge is con- tinued upwards, at the sides of the bone. in the interval between the two condyles are placed the two articulating processes, contiguous to each other, and covered with cartilage. One of these, which is the smallest, is formed into a small, obtuse, smooth bead, on which the radius plays. This little head is placed near the external condyle, as a part of which it has been sometimes described The other, and larger process, is composed of two lateral protube- rances and a middle cavity, all of which are smooth and covered with cartilage. From the manner in which the ulna moves upon this process, it has gotten the name of troch- lea, or pulley. The sides of this pulley are unequal ; that which is towards the little head, is the highest of the two ; the other, which is contiguous to the externa! condyle, is more slanting, being situated obliquely from within outwards, so that when the fore- arm is fully extended, it does not form a straight line with the os humeri, and, for the same reason when we bend the elbow, the band comes not to the shoulder, as it might be expected to do, but to the fore- part of the breast. There is a cavity at the root of these processes, on each of the two surfaces of the bone. The cavity on the anterior surfsce is divided, by a ridge, into two, the external of which receives the end of the radius, and the internal one lodges the coronoid process of the ulna in the flexions of the fore-arm. The cavity on the posterior surface, at the basis of the pulley, is much larger, and lodges the olecranon when the arm is extended. The internal structure of the os humeri is similar to that of other long bones. !n new-born infants, both the ends of the bone are cartilaginous, and the large head, with the two tubercles above, and the condyles, with the two arti- culating processes below, become epiphyses before they are entirely united to the rest of the bone. HU'MERUS. (From 4.^«.) Mjiitorium. The shoulder, or joint, which connects the arm to the body. In Hippocrates it is call- ed brachium. Hu'jiiLis. (From humi, on the ground ; so named because it turns the eye down- wards, and is expressive of humility.) See Rectus inferior oculi. HU'MOR. f Ah huvio. from the ground ; 54 because moisture springs from the earth.) A eeneral name for any fluid of the body. HU'MOR VI'TREOS. The vitreous hu- mour of the eye, which lakes its name from the resemblance to melted glass, is less dense than the crj'stalline but more than the aque- ous humour ; it is very considerable in the human eye, and seems to be formed by the small arteries that are distributed in cells of the hyaolid membrane ; it is heavier than common water, slightly albuminous and sali:ie. Humour, Jiqueous. See Aqueous humour of the eye. Humour, Vitreous. See Hamor vilreus. Hdmo-jrs of the kye. They are three in number; the aqueous humour, crystalline lens, and vitreous humour. See Eye. HU'MULUS. (From humus, the ground ; so named because without faclilious support it creeps along the ground.) The name of a genus of plants in the Linnasan system. Class, Dioecia. Order, Pentandria. The hop. Hu'mulus lu'pulus. The systematic name of the hop-plant. Lupulus. Convolvulus perennis. The hop is the floral leaf or bractea of this plant, Humulus lupulus of Linnaeus, that is dried and used in various kinds of strong beer. Hops have a bitter taste, less ungrateful than most of the other .strong bitters, accompanied with some de- gree of warmth and aromatic flavour, and are highly intoxicating. The bop-flower also exhales a considerable quantify of its narcotic power in drying : hence those who sleep in the hop-bouses are with difficulty roused from their slumber. A pillow sfuflTed with these flov/ers is said to have laid our present monarch to sleep when other reme- dies had failed. HUNTER, WrLLiAM, was born in 1718, at Kilbride in Scotland. He was educated for the church at Glasgow; but feeling scruples against subscription, and having become acquainted with the celebrated Cul' len, lie determined to pursue the medical profession. After living three years with that able teacher who then practised as a surgeon apothecary at Hamilton, he went to Edinburgh in November 1740; and in the following summer came to London with a recommendation to Dr. Jaraes Douglas, who engaged him to assist in his dissections, and superintend the education of his son. He was also enabled by that physician's liberality to attend St. George's Hospital, and other teachers ; but death deprived him of so valuable a friend within a year. How- ever he remained in the family, and prose- cuted his studies with great zeal. In 1743, he communicated to the R^tyal Society a paper on the structure and diseases of articulating cartilages, which was much admired. He now formed the design of teaching anatomy- and, after encountering some difficultiesj commenced by giving a course on the ope^ 426 HUN HUN rations of surgery to a society of navy sur- he published a splendid Work; which had ^eons io lieu of Mr. Samuel Sharpe. At occupied him for 24 years previously, " The first he felt considerable solicitude in speak- Anatomy of the Gravid Uterus," illustrated ing in public ; but gradually this wore olF, by plates, admirable for their accuracy, as and he evinced a remarkable facility in ex- well as elegance ; among other improve- pressing himself with pf rspicuity and ele- ments, the membrana decidua reflexa, dis- gance. He gave so mut-h satisfaction that covered by himself, was here first delineated. he was requested- to extend the plan to He drew up a detailed description of the anatomy, which he began accordingly in figures ; which was published after bis death 17-16. His success was considerable, but by his nephew, Dr. Baillie. Another post- having somewhat embarrassed himself at humous publication, deservedly much ad- first by assisting his friends, he was obliged mired, was the " Tv^'o Introductory Lec- to adopt proper caution in lending money ; tures" to his anatomical course. As his which with his talents, industry and econo- wealth increased he formed the noble design Tny enabled him to acquire an ample fortune, of establishing an anatomical school; and In 1748, he accompanied his pupil, young proposed to government, on the grant of a Douglcis, on a tour, and having seen the piece of ground, to build a proper edifice, admirable injections of Albinus at Leyden, and endow a perpetual professorship ; but he was inspired with a strong emulation to this not being acceded to, he set about the excel in that branch. On his return he establishment in Great Windmill-Street, relinquished the profession of surgery, and where he collected a most valuable museum devoted himself to midwifery, to which his of anatomical preparations, subjects of natu- person and manners well adapted him ; and ral history, scarce books, coins, Sic. to having been appointed to the Middlesex and wiiich an easy access was always given. He British-lying-in hospitals, as well as fa- continued to lecture and practise till near voured by other circumstances, he made a the period of his death in 1783. He be- rapid advance in practice. In 1750 he queathed the use of his museum for 30 years obtained a doctor's degree from Glasgow, to Dr. Baillie ; after which it was to belong and was afterwards often consulted as a to the University of Glasgow, physician in cases which required peculiar HUNTER, John, was born ten years anatomical skill. Six years after he was ad- after his brother William. His early edu- raitted a licentiate of the College in Lon- cation was much neglected, and his temper don ; and also a member of the society, by injured, through his mother's indulgence, which the " Medical observations and En- At a proper age he was put under a relation, quiries" were published. He enriched that a carpenter pnd cabinet-maker, who failed work with many valuable communications ; in his business. Hearing at this period of particularly an account of the disease, since his brother's success, he applied to become called Aneurismal Varix, a case of emphy- his assistant, and accordingly came to Lon- sema, with practical remarks, wherein he don in the autumn of 1748. He made such showed the fat to be deposited in distinct proficiency in dissection, that he was capable vesicles; and some observations on the retro- of undertaking the demonstrations in the version of the uterus : and on the death of following season. During the summer he Dr. Fothergill he was chosen president of attended the surgical practice at different that society, in 1762 he published his hospitals; and in 1756 he was appointed " Medical Commentaries," in which he laid house-surgeon at St. George's. He had claim, with much asperity, to several ana- been admitted by his brother to a partner- tomical di.scoveries, especially relative to the ship in the lectures the year before. After absorbent systenijin on-)osition to the second labouring about ten years with unexampled Monro of Edinburgh. He was extremely ardour in the study of human anatomy, he tenacious of his rights in this respect, and turned his attention to that of other animals, would not allow them to be infringed even with a view to elucidate physiology. His by his own brother. It must be very dif- health was so much impaired by these pur- ficuU, and of little importance, to decide suits, that in 1760 he went abroad at such controversies; especial!)' as the prin- surgeon on the staff, and thus acquired a cipal points concerning the absorbeni. system knowledge of gun-shot wounds. On his had been stated as early as 1726, in a work return after three years, he settled in Lon- printed at Paris by M. Noguez. About don as a surgecn, and gave instructions in I he same period, the Queen being pregnant, dissection and the performance of ope- Dr. Hunter was consulted; and two years rations; and he continued with great zeal his after he was appointed her physician extra- researches into comparative anatomy, and ordinary. In 1767 he was chosen a fellow natural history. Several papers were com- of the Koyal Society, to which he com- municated by him to the Iloyal Society, of municated some papers; and in the year which he was elected a member in 1767. following he was appointed by the King About this time, by his brother's interest, professor of anatomy to the Royal Academy he was appointed one of the surgeons at St. on its first institution ; he was also elected George's Hospital ; and his professional Mito the society of Antiquaries, and some reputation was rapidly increasing. In 1771 respectable foreign associations. In 1775 he pubVished the first part of his work on HUX HVD 42) tlie teeth, displaying great accaiacy of re- search : and two years after he began a course of lectures on l\::i principles of surgery. He fell short of liis brother in methodical arrangement, and facility of ex- pressing bis ideas, and indeed adoj)ted a peculiar language, perhaps in part from the deficiency of bis education ; but be certainly brought forward many ingenious specula- tions in physiology and pathology, and sug- gested some important practical improve- ments, particularly the ofieration for popli- teal aneurism, in 1776 he was appointed surgeon-extraordinary to the King ;• and soon after received marks of distinction from several foreign societies. His emoluments increasing, he took a large house in Leices- ter-square, and built a spacious museum, which he continued to store with subjects in comparative anatomy, at a very great ex- pense. The post of Deputy-Surgeon-Ge- neral to the army was conferred upon him in 17S6 ; and in the same year his great work on the venereal disease ap- peared, which will ever remain a monu- ment to his extraordinary sagacity and talent for observation. He also published at liiis period " Observations on the Animal (Eco- Domy," chiefly composed of papers already printed in the Philosophical Transactions. In 1790 he was appointed Inspector-Gene- ral of Hospitals, and Surgeon-General to the army ; when he resigned his lectures to Mr. Home, whose sister he had mari'ied. He had been for two years before labouring under symptoms of organic disease about (he heart, which were aggravated by any sudden exertion, or agitation of his mind; these increased progressively, and in Oc- tober 1793, while at the hospital, being vexed by some untoward circumsiance, ho suddenly expired. He left a valuable treatise on the blood, inflammation, and gun-shot wounds, which was published soon after with a life prefixed, by his broiher-in- law. His museum was directed to be offered to the purchase of Government ; it was bought for 15,000/. and presented to the College of Surgeons, on condition of their opening it to public inspection, and giving a set of lectures annually explanatory of its contents. The [ireparations are ar- ranged so as to exhibit all the gradations of nature, from the simjilest state of animated existence up to man, according to the dif- ferent functions. li comprehends also a large series of entire animals, skeletons of almost every genus, and other subjects of natural history. Hurtsickle. The bluebottle, or ci/anits, is so called because it is troublesome to cut down, and sometimes notches the sickle. HUXHAlM, John, was born about the end of the 17th century, and practised as a physician with considerable reputation, at Plymouth, where he died in 1768. His writings display great learning and talent for observation. He kept a register of the wealiier and prevailing diseases fur nearly thirty years, which was published in Latin in three volumes. He was early elected into the Kr,yal Society, and communicated se- veral papers on pathology tind morbid ana- tomy. But ills fame rests chiefly upon his " Essay on Fevers," which went through several editions ; a dissertation being after- wards added on the nialignHnt sore throat. HYACl'NTHUS. (Said by the poets to be named from the friend of Apollo, who was turned into this flower.) Hare-bells. The roots are bulbous ; the flowers agreeably scented. Galen considered the root as a remedy in jaundice ; it is ranked among the astringents, but of very inferior power. HYALOTDES. (Membrana hyaloides ; from uctKoc, glass, and s.cfit-, likeness.) Mam- brana araclmoidea. Capsule of the vitreous humour. Tlie transparent membrane en- closing the viireous humour of the eye. MYDA'RTHRUS. (Frum uJ'ap, water, and apSp'.]', a joint.) Hydarlhron. Hydar- tkros. Spina venlosa of the Arabian writers, Pihazes and Avicenna. White swelling. The white swelling, in this country, is a peculiarly common and exceedingly terrible disease. The varieties of white swelling are very numerous, and might usefully re- ceive particular appellations. Systematic writers have generally been content w-ith a distinction into two kinds, viz. rheumatic and scrofulous. The last species of the disease they also distinguish info such tu- mours as primarily affect the bones, and then tlie ligaments and soft parts ; and into other cases, in which the ligaments and soft parts become diseased before there is any morbid affection of the bones. These divisions, Mr. Samue! Cooper, in his treatise on the Diseases of the Joints, proves to be not sufficiently compr.'^hensive ; and the propriety of using the term rheu- walic he thinks to be very questionable. The knee, ankle, wrist, and elbow, are the joints most subject to white swellings. As the name of the disease implies, the skin is not at all altered in colour. In some in- stances, the swelling yields, in a certain degree, to pressure ; but it never pits, and is almost always sufficiently firm to make an uninformed examiner believe (hat the bones contribute to tiie tumour. The pain is sometimes vehement from the very first : in other instances, there is hardly the least pain in the begintiing of the disease. In the majority of scrofulous white swellings, let the pain be trivial or violent, it is particu larly s'luated in one part of the joint, viz. either thz centre of the articulaiion, or the head of the tibia, supposing the knee affected. Sometimes (he pain continues without inter- ruption ; sometimes there are intermissions ; and in other instances the pain recurs at regular times, so as to have been called, by some writers, periodical. Almost all au- thors describe the patient as suffering more uneasiness in (he diseased part, when he Is 428 HYD HYD warm, and particularly when he is in this condition in bed. At the commencement of the disease, in .the majority of instances, the swelling is very inconsiderable, or there is even no visible enlargement whatever. In the litlie depres- sions, naturally situated on each side uf the patella, a fulness first shows itself, and gra- dually spreads all over the affected joint. The patient, una!)le to bear the weight of his body on the disordered joint, in conse- quence of the great increase of pain thus created; gets into the habit of only touching the ground with his toes ; and the knt- e being generally kept a litlie bent in this manner, soon loses the capacity of becoming extend- ed again. When white swellings h^ive lasted a while, the knee is almos-t always found in a permanent state of flexion, in scrofu- lous cases of this kind, pain constanily pre- cedes any ap|iearance of swelling ; bul the interval between the two syaiptoms differs ve.'y much in different subjects. The morbid joint, in the course of time, acquires a vast magnitude. Still the inte- guments retain their natural colour, and re- main unaffected. The enlargement of the articulation, however, always seems greater than it really is, in consequence of the ema- ciation of the limb both above and below Ibe disease. An appearance of blue distended veins, and a shining smoothness, are the only al- terations to be noticed in the skin covering the enlarged joint. The shining smooth- ness seems attributable to the distention, which obliterates the natural furrows and wrinkles of the cutis. When the joint is thus swollen, the integuments cannot be pinched up into a fold, as they could in the state of health, and even in the beginning of the disease. As the distemper of the articulation ad- vances, collections of matter form about the part, and at length burst. The ulcerated openings sometimes heal up ; but such ab- scessesare generally followed by other col- lections, which pursue the same course. Jn some cases, these abscesses form a few monthsafterthe first affection of the joii;t; on other occasions, several years elapse, and no suppuration of this kind makes its appearance. Such terrible local mischief must neces- sarily produce constiliiiiona! di~l"urbance. The patient's heahh becomes gradually im- paired ; he loses both his appetite and natu- ral rest and sleep ; his pulse is small and fre- quent ; and r.bslinate debilitating diarrhcea and profuse nocturnal sweats ensue. Such complaints are sooner or later followed by dissolution, unless the constitution be re- lieved in time, either by the amendment or removal of the diseased part. In differ- ent patients, however, the course of the dis- ease, and its effects upon the system., vary very mucli in relation to the rapidity with which they occur. Rlieurnalic white swellings are very dis- tinct diseases from the scrofulous distemper of large joints. In the first, the pain is said never to occur without being attended with swelling. Scrofulous white swellings, on the other hand, are always preceded by a pain, which is particularly confined to one point of the articulation. In rheumatic cases, the pain is more general, and difTused over the « hole joint. With respect to the particular causes of all such while swellings as come within the class of rheumatic ones, little is known. External irritation, either by exposure to damp or cold, or by the application of vio- lence, is often concerned in bringing on the disease ; but very frequently no cause of (his kind can be assigned for the com- plaint. As for scrofulous white swellings, tliere can be no doubt that they are under (he iniliience of a particular kind of cou- siiluiion, termed a Scrofulous or strumous habit. In this sort of temi)erament, every cause capable of exciting inflammation, or any morbid and irritable state of a large joint, may bring such disorder as may end in the severe disease of which we are now speaking. In a man of a sound constitution, an irritation of the kind alluded to might only induce cnmincn healthy inflammation of the affected joint In scrofulous habits, it also seems pro- bable that the irritation of a joint is much more easily produced than in the other con- stitutions ; and no one can doubt that, when once excited in scrofulous habits, it is much more dangerous and difficult of re- moval than in other patients. HYDATID. (Hydatis ; from v^uf, wa- ter.) A very singular animal, formed like a bladder, and distended with an aqueous fluid. These animals are sometimes formed in the natural cavities of the body, as the abdomen and ventricles of the brain, but more frequently in the liver, kidney, and lungs, where they produce diseased actions of (hose viscera. Cullen arranges these affections in the class locales, and order iumores. If the vires naturee medicatrices are not sufficient to effect a cure, the patient mostly falls a sacrifice to their ravages. Dr. Baillie gives the following interesting account of the hydatids, as they are some- times found in the liver : — " There is no gland in the human body in which hydatids are so frequently found as the liver, except tiie kidneys, -.^'htre they are still more com- m.on. liydatids of the liver are usually found in a cyst, which is frequently of con- siderable size, and is formed of very firm materials, so as to give to the touch almo.st the feeling of cartilage. This cyst, when cut into, is obviously laminated, and is mucii thicker in one liver than another. In some livers it is not thicker than a shilling, and in others it is near a quarter of an jncli HYD HYD 429 in thickness. The laminae which compose it are formed of a white matter, and on the inside there is a lining of a pulpy substance, like the coagulable lymph. The cavity of the cyst, I have seen, in one instance, sub- divided by a partition of this pulpy sub- stance. In a cyst may be found one hydatid, or a greater number of them. They lie loose in the cavity, swimming in a fluid ; or some of them are attached to the side of the cyst. They consist of a round bag, which is composed of a while, semi- opaque, pulpy matter, and contain a fluid capable of coagulation. Although the com- mon colour of hydatids be white, yet I have occasionally seen sotne of a ligiit amber colour. The bag of the hydatid consists of two laminse, and possesses a good deal of contractile power. In one hydatid this coat, or bag, is much thicker and more opaque than in another ; and even in the same hydatid, different parts of it will often differ in thickness. On the inside of an hydatid, smaller ones are sometimes found, which are commonly not larger than the lieads of pins, but sometimes they are even larger in their size than a gooseberry. These are attached to the larger hydatid, either at scattered irregular distances, or so as to form small clusters ; and they are also found floating loose in the liquor of the larger hydatids. Hydatids of the liver are often found unconnected with each other ; but sometimes they have been said to enclose each other in a series, like pill- boxes. The most common situation of hy- datids of the liver is in its substance, and enclosed in a cyst ; but they are occasion- ally attached to the outer surface of the liver, hanging from it, and occupying more or less of the general cavity of the abdo- men. The origin and real nature of these hydatids are not fully ascertained ; it is extremely probable, however, that they are a soil of imperfect animalcules. There is no doubt at all, that the hydatids in the livers of sheep :^re animalcules ; they have been often seen to move when ta.ken out of the liver and put into warm water ; and they retain this power of motion for a good many hours after a sheep has been killed. The analogy is great between hydatids in the liver of a sheep and those of the human subject. In both, they are contained in strong cysts, and in both they (Consist of the same white pulpy matter. There is undoubtedly some difference be- tween tliem in simplicity of organization ; the hydatid in the humnn liver being a simple uniform bag, and tli(! hydatid in Jhatofasheep having a neck and moDih appendant to the bag. Tliis difference need be no considerable objection to (he opinion above stated. Life may be con- ceived to be attached to the most simple form of organization. In proof of this, I'ydatids have been found in the brains of sheep, resembling almost exactly those in the human liver, and which have been seen to move, and therefore are certainly known to be animalcules. The hydatids of the human liver, indeed, have not, as far as \ know, been found to move when taken out of the body and put into warm water ; were this to have happened, no uncertainty would remain. It is not diffi- cult to see a good reason why there will hardly occur any proper opportunity of making this experiment. Hydatids are not very often found in the liver, because it is not a very frequent disease there; and the body is alloived to remaii: for so long a time after death, before it is examined, that the hyda- tids must have lost their living principle, even if they were animalcules ; and it ap- pears even more difficult to account for their production, according to the common theory of generation, than for that of intestinal worms. We do not get rid of the difficulty by asserting, that hydatids in the human liver are not living animals, because in sheep they are certainly such, where the difficulty of accounting for their production is pre- cisely the same. HY'DRAGOGUES. (Medicamcniu hij- drngoga ; from ii'uo- water, and n-y-Wy to drive out.) Medicines are so termed which pos- sess the property of increasing the secretions or excretions of the body, so as to cause the removal of water from any of its cavities, such as cathartics, &c. HYDKA'RGYRI NITRICO-O'XYDUM. Nilrico oxydum h)/drargyri. Hydrargyms tiitralus ruber. Mercurius corrosiviis ruber. Mercurius pnecipilaivs corrosivus. Nitric oxide of mercury. Red precipitate. " Take of fiurified mercury, by weight, three pounds: of nitric acid, by weight, a pound and a half: of distilled water -two pints. Mis in a glass vessel, and boil the mixture in a sand-bath, until the mercury be dis- solved, the water also evaj)orated, and a white mass remain. Rub this into powder, and put it info another shallow vessel, then apjily a snoderate heat, and raise the fire gradually, until red vapour shall cease to rise." This preparation is very extensively employed by surgeons as a stimulant and escharolic, Isul its extraordinary activity does not allow of its being given internally. Finely levigated and mixed with common cerates, it is an excellent apjilication to in- dolent ulcers, especially those which remairt after burns and scalds, and those in wlficii the granulations are indolent and flabby. It is also an excellent caustic ap.plication to chancres HY DRARGYRI OXYDUM CINE'^E- UM. Oxydum hydrargyri cinereinn. Oxy- dum hydrargyri nigrtim. The gray or black oxide of mercury has received seferal names. JEthioys per $e. Pulvis mercuriaUs ciyicreus. Mercurius cinereus. Tiirpethum mgrurn. Mercurius vrcrcipilntvs ni'ser 430 HYD HYD " Take of submuriale of mercury, an ounce ; lime-water, a gallon. Boil the submuriafe of mercury in the lime-water, constantly stirrin", unt'l '^ &'^y o^Lide of mercury is separated. Wash this with distilled water, and then dry it." The dose from gr. ii. to s. There are four other preparations of it in high estimation. One made by rubbing mercury with mu- cilage of gum-arabic. Plenk, of Vienna, has written a treatise on the superior effi- cacy of this medicine. It is very trouble- some to make ; and does not appear to possess more virtues than some other mer- curial preparations. Another made by triturating equal parts of sugar and morcury together. The third, composed of honey or liquorice and purified mercury. The fourth is the blue mercurial oint- ment. Ail these preparations possess anthelmin- tic, antisyphilitic, alterative, sialagogue, and deobstruent virtues, and are exhibited in the cure of worms, syphilis, amenorrhcea, dis- eases of the skin, chronic diseases, obstruc- tions of the viscera, &:c- HYDRA'KGYRT O'XYDUM RU'BRUM. Oxydam hytlrargf/ri rubrum. Hydrargyrus calcinatus. Red oxide of murcury. " Take of purified mercury, by weight, a pound. Pour the mercury into a glass naattrass, with a very narrow mouth and broad bottom. Apply a heat of 600° to this vessel, without stopping it, until the mercury has changed into red scales : then reduce these to a very fine powder." The whole process may probably require an exjiosure of six weeks. This preparation of mercury is given with great advantage in the cure of syphi- lis, "its action, however, is such, when given atone, on the bowels, as to require the addition of opium, which totally pre- vents it. It is also given in conjunction with opium and camphire, as a diaphoretic, m chronic pains and diseases of long con- tinuance. It is given as an altnralive and diaphoretic from gr. ss. to ii. every night, joined with i-axnphor and opium, each gr. one-fourth or one-half. It is violently emetic and cathar- tic in the dose of er. iv. to gr. v. HYDRA'RGYRI OXYMU'RIAS. Oxy- murias hydrargyri. Hydrargyrus rnuriahis. Oxymuriate of mercury. " Taice of puri- iied mercury by weight two pounds, sul- phuric acid by weight thirty ounces, dried muriate of soda four pounds. Boil the mer- cury with llie su![)huric acid in a glass ves- sel until the s.ilphato of mercury shall be left dry. Hub this, when it is cold, with the muriate of soda in an earthen-ware mortar : then sublime it in a glass cucurbit, increasing the heat gradually." An extremely acrid and violently poison- ous proparalion. Given inlernally in small doses properly diluted, and never in the form of pill, it possesses antisyphilitic, and alterative vir- tues. Externally, applied in form of lotion, it facilitates the healing of venereal sores, and cures the itch. In gargles for venereal ulcers in the throat the oxymuriafe of mer- cury gr. iii. or iv., barley decoction ftjj., ho- ney of roses ^jj., proves very serviceable ; also in cases of letters, from gr. v. to gr. x. in water ibj.", and for films and ulcerations of the cornea, gr. i.to water ?iv. Mr. Pearson remarks that when the sub- limate is given to cure the primary symp- toms of syphilis, it will sometimes succeed ; more especially, when it produces a consi- derable degree of soreness of the gums, and the common specific etlecls of mercury in the animal system. But it will often fail of removing even a recent chancre ; and where that symptom has vanished during the administration of corrosive sublimate, I have known, says he, a three month's course of that medicine fail of securing the patient from a constitutional affection. The result of ray observations is, that simple mercury, calomel or calcined mercury, are |)repara- tions more to be confided in for the cure of f)rimary symptoms, than corrosive sublimate. The latter will often check the progress of secondary symptoms very conveniently, and 1 think it is peculiarly efficacious in reliev- ing venereal pains, in healing ulcers of the throat, and in promoting the desquamation of erujitions. Y^et even in these cases it never confers permanent benefit ; for new .symptoms will appear during the use of it ; and on many occasions it will fail of atford- ing the least advantage to the patient from first to last. I do, sometimes, indeed, employ this preparation in venereal cases ; but it is either at the beginning of a mercurial course, to bring the constitution under the influence of mercury at an early period, or during a course of inunction, with the intention of increasing the action of simple mercury. I sometimes also prescribe it after the conclu- sion of a course of friction, to support the mercurial influence in the habit, in order to guard against the danger of a relapse. But on no occasion whatever do I think it safe to confide in this preparation singly and un- combined for the cure of any truly venerea! symptom." A solution of it is ordered in the pharma- copoeia, termed Liquor hydrargyri oxymu- riaiis. Solution of oxymuriate of mercury. " Take of oxymuriate of mercury, eight grains •, distilled water, fifteen fluid-ounces ; rectified spirit, a lluid-ounce. Dissolve the oxymuriate of mercury in the water, and add the spirit." This solution is directed in order to faci- litate the administration of divisions of the grain of this active medicine. Half an ounce of it contains one fourth of a grain HYD HYD 43 i of the salt. The dose is from one drachm to half an ounce. HYDRA'RGYRI SUIiMD'RIAS. Sub- murias hydrargyri. Submuriafe of mer- cury. Calomelas. Calomel. " Take of oxymuriate of mercury, a pound ; purified mercury, by weight nine ounces. Rub them together until the metallic globules disappear, then sublime ; take out the sub- limed mass and reduce it to powder, and sublime it in the same manner twice more successively. Lastly, bring it into the state of very fine powder by the same process which has been directed for the preparation of chalk." Submuriafe, or mild muriate of mercury, is one of the most useful preparations of niercmy. As an anti-venereal it is given in the dose of a grain night and morning, its usual determination to the intestines being prevented, if necessary, by opium. It is the preparation which is perhaps most usually given in the other diseases in which mercury is employed, as in affections of the liver, or neighbouring organs, in cutaneous diseases, chronic rheumatism, tetanus, hydrophobia, hydrocephalus, and febrile affections, espe- cially those of warm climates. It is employ- ed as a cathartic alone, in doses from v. to xii. grains, or to promote the operation of other purgatives. Its anthelmintic power is justly celebrated ; and it is perhaps superior to the other mercurials in assisting the operation of diuretics in dropsy- From its specific gravi- ty it ought always to be given in the form of a bolus or pill. HYDRARGYRI SULPHURE'TUM NI- GRUM. Hydrargyrus cum sulphurc. JE,\\\i- op's mineral. " Take of purified mercury, sublimed sulphur, each a pound, by weight. Kub them together till the metallic glo- bules disappear." Some suppose that the mercury is oxidized in this process, but that is not confirmed by the best experiments. The mercury, by this admixture of the sul- phur, is deprived of its salivating power, and may be administered with safety to all ages and constitutions, as an anthelmintic and alterative. HYDRARGYRI SULPHURE'TUM RU- BRUM. Hydrargyrus sulphur atus ruber. Red sulphuret of mercury. Minium purum. Minium Grcecorum. Magues epilepsies. Mzemafor. Amnion. Jlzamar. Vili-uvius calls it anlhrax. A red mineral substance composed of mercury combined with sul- phur. It is either native or factitious. The native is an ore of quicksilver mode- rately compact, and of an elegant striated red colour. It is found in the dutchy of Deuxponts, ia the Palatinate, in Spain, South America, &,c. It is called native vermilion, and cinnabar in flowers. The factitious is thus prepared : " Take of purified mercury, by weight forty ounces ; sublimed sulphur, eight ounces. Having melted the sulphtir over thp fire, mis in the mercurv, and as sjon as the mass begins to swell, remove tiio vessel from the fire, and cover it with con- siderable force to prevent inflammation ; then rub the mass into powder, and sub- lime." This preparation is esteemed a mild mercurial alterative, and given to children in small doses. Hoffman greatly recom- mends it as a sedative and antispasmodic. Others deny that cinnabar taken internally, has any medicinal quality; and their opi- nion is grounded on the insolubility of it in any mensfruum. In surgery its chief and almost only use is in the administration of quicksilver by fumigation. Tims employed it has proved extremely serviceable in vene- rial cases. Ulcers and excrescences about the pudendum and anus in women, are par- ticularly benefitted by it ; and in these cases it is most conveniently applied by placing a red hot heater at the bottom of a night stool- pan, and after sprinkling on it a few grains of (he red sulphuret of quicksilver, placing the patient on the stool. To fumigate ulcers in the throat, it is necessary to receive the fumes on the part affected, through the tube of a funnel. By enclosing the patient naked in a box, it has on some occasions been contrived to fumigate the whole body at once, and in this way the specific powers of the quicksilver have been very rapidly ex- cited. This mode of curing (he lues venerea, is spoken of as confirmed ; and the subject has of late years been revived in a treatise by Sabonette, and by trials made in Bartholo- mew's ho.^pital. Mr. Pearson, from his experiments on mercurial fumigation, concludes, that where checking the progress of the disease sud- denly, is an object of great moment, and where the body is covered with ulcers or large and numerous eruptions, and in ge- neral to ulcers, fungi, and excrescences, the vapour of mercury is an application of great efficacy and utility; but that it is apt to induce a ptyalism rapidly, and great consequent debility, and that for the pur- pose of securing the constitution against a relapse, as great a quantity of mercury must be introduced into the system, by inunction, as if no fumigation had been employed. Hydra'rgyrum. Hydrargyrus. {uJ'pa^yiipoc: from vS(ta, water, and ajtyupo;, silver, so named from its having a resemblance to fluid silver.) See Mercury. HYDRARGYRUS CUM CRE'TA. Mer- cury with chalk. Mercurius alkalizalus. " Take of purified mercury, by weight three ounces; [irepared chalk, five ounces. Kub them together, until the metaliic glo- bules disappear." This preparation is milder than any other mercurial, except the sul- phuret, and does not so easily act upon the bowels ; it is therefore used largely by many practitioners, and possesses alterjtive properties in cutaneou' and venereal f^om- 432 HYD HYD plaints, ill obstruciions of the viscera, or of the prostate gland, given in the dose of 3ss to 3ss, two or three times a day. HYDRA' l-IGYRUM PR^CIPITA'TUM ALBUM. While precipitated mercury. Calx hydrargyri alba. '• Take of osymu- riate of mercury, half a pound ; muriate of ammonia, four ounces; solution of subcar- bonate of potash, half a pint ; distilled water, four pints. First dissolve the iijuri- ate of ammonia, then the oxymuriate of mercury, in the distilled water, and add thereto the solution of subcarbonate of potash. Wash the precipitated powder until it becomes tasteless; then dry it." It is only used externally, iu the form of oint- ment, as an application in some cutaneous atfections. HYDKA'RGYRUM PURIFICA'TUM. Purified mercury. Argtntum rivuni puri- ficatum. " Take of mercury, by weight, six pounds; iron filings, a jiound. Rub them together, and disUl the mercury from an iron retort, by the application of heat to it." Purified quicksilver is someiimes administered in its metallic slate, in doses of an ounce or more, in constipation of the bou'els. HYDRA'RGYRUS ACETA'TUS. Mtr- curius acetalus. Pilults Keyseri. By this preparation of mercury, the celebrated Keyser acquired an immense fortune in curing the venereal disease. It is an ace- late of mercury, and therefore termed liy- drargyri acetas in the new chemical nomen- clature. The dose is from three to five grains. Notwithstanding the encomium .^iven to it by some, it does not appear to be so etBcacious as some other preparations of mercury. HYDRA'RGYRUS PHOSPHORA'TUS. This remedy has been observed to heal inveterate venereal ulcers in a very short time, nay, in the course of a very few days, particularly those about the pudenda. In venereal inflammations of the eyes, chancres, rheumatisms, and chronic eruptions, it has proved of eminent service. Upon the whole, if used with necessarj^ precaution, and in the hands of a judicious practi- tioner, it is a medicine mild and gentle in its operation. The cases in which it deserves the preference over other mercu- rial preparations, are these : in an invete- rate stage of syphilis, particularly in per- sons of torpid insensible fibres ; in cases of exostosis, as well as obstructions in the lym- phatic system ; in chronic complaints of the skin. The following is the formula. R^ Hy- drargyri phosphorati, gr. iv. Corticis cin- namoni in pulverem triti, gr. siv. Sac- chari purif. 35s. Misce. The whole to be divided into eight equal parts, one of which is to be taken every morning and evening, unless salivation takes place, when it ought 'n ?ie discontinued. Some patients, ho\v- ever, will bear from one to two grains of the phosphate of quicksilver, without incon- venience. HYDRA'RGYRUS PRECIPITATUS CI- NE'REUS. Tills preparation is an oxide of mercury, and nearly tlie same with the hydrui-gyri oxydum cinereiim of the London pharmacopoeiii ; it is used as an alterative in cases of pains arising from an admixture of rheumatism with syphilis. It may be substituted for the hydiargyrus suljihuratus ruber, in fumigating ozsena, and venereal ulcerated sore throat on account of its not yielding any vapour offensive to the pa- tient. HYDRA'RGYRUS VITRIOLA'IUS. Tur- pdhum minerale. Mer curias tmtlicus fluvuf.. Sulphas hydrargyri. Formerly this medi- cine was in more general use than in the present day. It is a very powerful and active alterative when given in small doses. Two grains act on the stomach so as to |jro- duce violent vomitings. It is recommended as an errhine in cases of amaurosis. In com- bination with antimony it acts powerfully on the skin. Hydrkljj'uji. (From viae, water, and s/.a/sv, oil.) A mixture of oil and water. Hvdrenteroce'le. (From vS'uf, water, ifiijizv, an intestine, and icuKn, a tumour.) A dropsy of the scrotum, attended with rupture. Hydro'a. (From vJ'crp, water.) A watery pustule. Hydrocarhonale. See Carburelted hydro-' gen gas. HYDROCA'RDTA. (From u%, water, and ojipj^ia., the heart.) Hydrocordis. Hy- drops pericardii, . Dropsy of the heart. Drop- sy of the pericardium. A collection of fluid in the pericardium, which may be either coagulable lymph, serum, ora puriforra fluid. It produces symptoms similar to those of hydrothoras, with violent palpitation of the heart, Snd mostly an intermittent pulse. It is incurable. HYDROCELE. (From uSmp, water, and ji«A«, a tumour.) The term hydrocele, used in a literal sense, means any tumour pro- duced by water ; but surgeons have always confined it to those which possess either the membranes of the scrotum, or the coats of the testicle and its vessels. The first of these, viz. that which has its seat in the membranes of the scrotum, anasarca integumentorum, is common to the whole bag, and to all the cellular substance which loosely envelops both the testes. It is, strictly speaking, only a symptom of a dis- ease, in which the whole habit is most fre- quently more or less concerned, and very seldom afiects the part only. The latter, or that which occupies the coats immediately investing the testicle and its vessels, hydro- cele tunicae viginalis, is absolutely locals very seldom aflFects the common membrane of the scrotum, generally attacks one side HYD HYD 433 Only ; and is frequently found hi persons who are perfectly free from all other com- plaints. The anasarca integunaentcrum retains the itnpression of the finger. The vaginal hy- drocele has an undulating feel. The hydrocele of the tunica vaginalis testis is a morbid accumulation of the water separated on the internal surface of the tu- nica vaginalis, to moisten or lubricate the testicle. From its first appearance, it seldom dis- appears, or diminishes, but generally con- tinues to increase, sometimes rapidly, at others more slowly. In some, it grows to a painful degree of distention in a few months : in others, it continues many years with little disturbance. As it enlarges, it becomes more tense, and is sometimes transparent ; so that if a candle is held on the opposite side, a degree of light is per- ceived through the whole tumour ; but the only certain distinction is the fluctuation, which is not found when the disease is an hernia of the omentum, or intestines, or an inflammatory or a scirrhous tumour of the testicle. Hydroce'le cysta'ta. Encysted hydro- cele of the spermatic cord resembles the common hydrocele ; but the tumour does not extend to the testicle, which may be felt below or behind it, while, in the hy- drocele of the vaginal coat, when large, the testicle cannot be discovered. In this dis- ease also, the penis is not buried in the tumour. Sometimes the fluid is contained in two distinct cells ; and this is discovered by little contractions in it. It is distin- guished from the anasarcous hydrocele by a sensible fluctuation, and the want of the inelastic pitting ; from hernia, by its be- ginning below, from its not receding in an horizontal position, and not enlarging by coughing and sneezing. Hydroce'le funi'culi sper.iia'tici, or hydrocele of the spermatic cord. Anasar- cous hydrocele of the spermatic cord some- times accompanies ascites, and, at other times, it is found to be confined to the cellu- lar substance, in or about the spermatic cord. The causes of this disease may be obstruc- tions in the lymphatics, leading from the part, in consequence of scirrhous affections of the abdominal viscera, or the pressure of a truss applied for the cure of hernia. When the afl^sction is connected with anasarca in other parts, it is then so evi- dent as to require no particular description. When it is local, it is attended with a co- lourless tumour in the course of the sper- matic cord, soft and inelastic to the touch, and unaccompanied with fluctuation. In as erect position of the body, it is of an oblong figure ; but when the body is re- cumbent, it is flatter, and somewhat round. Generally it is no longer than the part of the cord which lies in the groin ; though 5-5 sometimes it extends as far as the testicle, and even stretches the scrotum to an un- common size, ijy pressure, a great part of the swelling can always he made to recede into the abdomen. It instantly, however, returns to its former situation, on the pres- sure being withdrawn. Hydroce LE periton.e'i. Ascites, or com" mon dropsy of the belly. Hydroce'le spijfA'z.is. A watery swell- ing on the vertebrae. Hydrocelo'des ischu'ria. (FvomvScep, water, and y.xxaJ'ii;, attended with tumour.) Applied to a suppression of urine, from a rupture of the urethra. HYDROCE'PHALUS. (From vSa>p, water, and x£?a?.«, the head.) Hydrocepha- lum. Dropsy of the brain. Dropsy of the head. A genus of disease arranged by Cullen, in the class cachexies, and order i«- iumescentice. It is distinguished by authors into external and internal : 1. Hydrocepha- lus externus, is a collection of wafer between the membranes of the brain. 2. Hydroce- phalus inlernus, is when a fluid is collected in the ventricles of the brain, producing di- latation of the pupils, apoplexy, &c. See Apoplexia. It is sometimes of a chronic nature, when the water has been known to increase to an enormous quantity, effecting a diastasis of the bones of the head, and an absorption of the brain. Pain in the head, particularly across the brow, stupor, dilatation of the pupils, nausea, vomiting, preternatural slowness of the pulse, and convulsions, are the pathogno- mic symptoms of this disease, which have been laid down by the generality of wri- ters. Hydrocephalus is almost peculiar to chil- dren, being rarely known to extend beyond the age of twelve or fourteen ; and it seems more frequently to arise in those of a scro- phulous and ricketty habit than in others. It IS an affection which has been observed to pervade families, affecting all or the greater part of the children at a certain period of their life ; which seems to show that, in many cases, it depends more on the general habit than on any local affection, or acci- dental cause. The disease has generally been .supposed to arise in consequence either of injuries done to the brain itself, by blows, falls, &c. from scirrhous tumours or excrescences within the skull, from original laxity or weakness in the brain, or from general debility and an impoverished state of the blood. With respect to its proximate cause, vtvy opposite opinions are still entertained by medical writers, which, in conjunction with the equivocal nature of its symptoms, prove a source of considerable embarrassment to the young practioner. Dr. Beddoes says, he believes it to beloTig ■134 liYD II YD lo inflammation, and that, at an early peiic/d, he should be inclined to bleed as largely as in pneumonia. Dr. Withering ob.serves, that, in a great many cases, if not in all, congestion, or slight inflammation, are the precursors to the aqueous accumulation. Dr. Rush thinks, that, instead of its being considered an idiopathic dropsy, it should be considered only as an effect of a primary inflammation or congestion of blood in the brain. It appears, says he, that the disease, in its first stage, is the effect of causes which produce a less degree of that inflam- mation v\bich constitutes phrenitis ; and that its second stage is a less degree of that effusion which produces serous apoplexy in adults. The former partakes of the npture of the chronic inSammation of Dr. Cullen, and the asthenic inflammation of Dr. Brown. — There are others again who view the sub- ject in a very different light. Dr. Darwin supposes inactivity, or torpor of the absorb- ent vessels of the brain, to be the cause of hydrocephalus jnternus ; but he confesses, in another part of his work, that the torpor of the absorbent vessels may often exist as a secondary effect. Dr. Whytt, wiio has published an inge- nious, treatise on the disease, observes, tlie immediate cause of every kind of dropsy is the same ; viz. such a state of the parls as makes the exlialent arteries throw out a greater quantity of fluids than the absorb- ents can take up. From what he after- Avards mentions, he evidently considers this state as consisting in debility. As many cases are accompanied with an increased or inflammatory action of the ves- sels of the braiu, and others again are ob- served to prevail along with general ana- sarca, it seems rational to allow that hydro- cephalus is, in some instances, the conse- quence of congestion, or slight inflamma- tion in the brain ; and that, in others, it arises either from general debility or topical laxity. In admitting these as incontrovert- ible facts, Dr. Thomas is, at the same time, induced to suppose that the cases of it oc- curring from mere debility are by no means frequent. The great analogy subsisting between the symptoms which arecharacteristic of inflam- mation, and those which form the first stage of the acute species of hydrocephalus, (for the disease, as already observed, has been divided into the chronic and acute by some writers.) together with the good effects of- ten consequent on blood-letting, and the inflammatory appearance which the blood frequently exhibits, seem to point out strong proof of the disease being, in most instances, an active inflammation, and that it rarely occurs from mere debiliiy, as a primary cause. The progress of the disorder has- 1)y some, l-een divided into three stages. When it is accompanied by an increased or inflammatory action of the brain, as not uncommonly happens, its first stage is inark- ed with many of the symptoms of pyrexia, such as languor, inactivity, loss of appetite, nausea, vomiting, parched tongue, hot, dry skin, flushing of the face, headach, throb- bing of the temporal arteries, and quickened pulse ; which symptoms always suflfer an exacerbation in the evenings but towards morning become milder. When it is unaccompanied by any inflam- matory action of the brain, many of these appearances are not to be observed. In these cases, it is marked by a dejection of countenance, loss cf appetite, pains over the eyes, soreness of the integuments of the cranium to the touch, propensity to the bed, aversion to being moved, nausea, and cos- tiveness. The disease, at length, makes a remarkable transition, wliich denotes the commencement of its second stage. The child screams out, without being able to as- sign any cause ; its sleep is much disturbed ; there is a considerable dilatation of the pu- jiils of the eyes, without any contraction on their being exposed to light ; lethargic tor- por, with strabismus, or perhaps double vision ensues, and the pulse becomes slow and unequal. In the third stage, the pulse returns again to the febrile state, becoming uncommonly quick and variable ; and coma, with con- vulsions, ensue. When the accumulatioii of water is very great, and the child youngj the sutures recede a considerable way from each other, and the head, towards the end, becomes much enlarged. When recoveries have actually taken place in hydrocephalus, we ought probably to attribute more to the efforts of nature than to the interference of art. In every instance it is to be regarded as of diflicult cure. An accumulation of water in the ven- tricles of the brain, is one of the most common appearances to be observed on dis- section. In different cases, this is accumu- lated in greater on less quantities. It some- times amounts only to a few ounces, and occasionally to some pints. When the quantity of water is considerable, the forni,x is raised at its anterior extremity, in conse- quence of its accumulation, and an imme- diate opening of conimutiicfition is thereby formed between the lateral ventricles. The water is of a purer colour and more limpid than what is found in the dropsy of the thorax, or abdomen. It appears, however, to be generally of the same nature with the water that is accumulated in these cavities In some instances, the water in hydrocepha- lus, contains a very small proportion of co- agulable matter, and in others it is entirely free from it. When the water is accinnulated fo a very large quantify in the ventricles, the substance H¥D JIYD 43a 01 the brain appears to be a sort of pulpy bag, containing a fluid. The skull, upon such oc- casions, is very mucli enlarged in size, and altered in its shape ; and it appears exceed- ingly large in proportion to the face. On removing the scalp, the bones are found to be very thin, and there are frequently broad spots of membrane in the bone. These ap- pearances are, however, only to be observed where the disease has been of some years continuance. In some cases, where the quantity of wa- ter collected is not great, the substance of ihe brain has appeared to be indurated, and in others softened. At times, the organ has been found gorged with blood ; collections also of a viscid tenacious matter have been discovered in cysls, uponitsexternal surface, and tumours have been found attached to its substance, The treatment must be prompt and active to give a tolerable chance of success. The general indications are, in the first stage, to lessen the inflammatory action, afterwards to promote absorption. Should the patient be about the age of puberty, of a plethoric habit, and the symptoms run high at the beginning, it will be proper to take some blood, especially from the temporal artery, or the jugular vein ; but, if younger, or the disease more advanced, a sutKcient quantity may be v;ithdrawn by leeches, applied to the temples, or in the direction of thesutures. The bowels must then be thoroughly evacu- ated by some active cathartic, as they are usually very torpid, calomel with scammony, or jalap, for example ; and, in the progress of the complaint, this function must be kept up with some degree of activity. For this purpose, calomel may be given in divided doses, or some other mercurial preparation, which may not run off too rapidly, producing mere watery stools, but regularly clear out the bowels, as well as the liver, and promoie the other secretions. Besides mercury is the most powerful remedy in rousing the absorbents, ahd some of the most remarkable cures of this disease, even at an advanced period, have been effected by it : whence it would be adviseable, where the disease was proceeding rapidly, and particularly if the bowels were irritable, to use mercurial fric- tions, that the system might be sooner affect- ed. Another very important step, afterclear- ing the bowels, is to apply some evapora- ting lotion assiduously to the scalp, previous- ly shaved ; and the antiphlogistic regimen should be steadily observed. Diaphoretics will generally be proper, assisted by the warm bath ; and diuretics on some occasions may be useful ; but digitalis, which has been recommended on this ground, seems more likely to avail by lessening arterial action. Blisters may be applied to the temples, be- hind the ears, or to the nape of the neck, each perhaps successively ; and dressed with savine cerate occasionally, to increase tjie discharge, and irritation externally : issues appear not so likely to prove beneficial. Errhines may farther contribute to obviate internal effusion. Electricity has been pro- posed to rouse the absorbents in the second stage ; but its efficacy, and even propriety, is very doubtful. Should the progress of the complaint be fortunately arrested, the strength must be established by a nutritious diet, and tonic medicines; taking care to keep the bowels in good order, and the head cool ; an issue, under these circumstances, may be a very useful remedy. Hydroce'phalus acu'tcs. See Hydro cephalus. Hydroce'phalus exte'rnbs. Water be- tween the brain and its membranes. Hydroce'phalus inte'rnus. Water in the ventricles of the brain. HYDROCO' I'YLE. (From v%, wa- ter, and nolvMjihe cotula.) 1. The name of a genus of plants in the Linnsan sys- tem. Class, Fenlandria. Order, Digij- nia. 2. The name, in some pharmacopoeias, for (he common marsh or water cotula, or penny-wort, wiiich is said to possess acrid qualities. Hydrocy'stis. (From v^a-fi, water, and Kvri;, a vesicle.) An encysted dropsy. HY'DROGEN. {Hydrogtnium ; ii-omvUf, water, and yivo/xAi, to become, or ytn^ce, \o produce, because with oxygen it produces water.) Base of inflammable air. Hydrogen is a substance not perceptible to our sensations in a separate stale; but its existence is not at all the less certain. Though we cannot exhibit it experimenlaliy uncombiued, we can pursue it while it passes out of one combination into another; we cannot, indeed, arrest it on its passage, but we never fail to discover it, at least if we use the proper chemical means, when it presents itself to our notice in the new com- pound. Hydrogen, as it.s name esi)resses, is 0!)e of the constituent elements of water. Its existence was unkcown till lately. It is plentifully distributed in nature, jnid acts a very considerable part in the processes of the animal and vegetable economy. It is one of the ingredients in the varieties of bi- tumen, oils, fats, ardent spirit, ether, and, in fact, all the proximate component jiarls of animal and vegetable bodies. It forms a constituent part "of all animal and vegeta- ble acids. It is one of Ihe constituents of ammonia and of various other compound gases. It possesses so great an affinity for calo- ric, that it can only exist separately in the state of gas : it is consequently impossible to procure it in the concrete or liquid state, independent of combination. Solid hydrogen, therefore, united to ca- loric and liRht, forms htdkogkn iii.is. 436 H¥D Hil:> Pro'periits of Hydrogen Gas. Tliis ^as, which was formerly called in- flammable air, was discovered by Mr. Ca- vendish, in the year 1768, or rather he first obtained it in a state of purity, and ascer- tained ils more important properties, though it had been noticed long before. The famous phijosophical candle attests the antiquity of this discovery. Hydrogen gas, like oxygen gas, is a tri- ple compound, consisting of the ponderable base of hydrogen, caloric, and light. It possesses all the mechanical properties of atmospheric air. It is the lightest substance whose weight we are able to estimate -. when in its purest state, and free from moisture, it is about fourteen times lighter than at- mospheric air. It is not fitted for respira- tion ; animals, when obliged to breathe in it, die almost instantaneously. It is decom- posed by living vegetables, and its basis becomes one of the constituents of oil, re- sin, tc. It is inflammable, and burns ra- pidly W'hen kindled, in conlact with atmos- pheric air, or oxygen gas, by means of the electric spark, or by an inflamed body ; and burns, when pure, with a yellowish lambent flame; but all burning substances are im- mediately extinguished when immersed in it. It is, therefore, incapable of supporting combustion. It is not injurious to growing vegetables. It is unabsorbable by most substances : water absorbs it very sparingly. It is capable of dissolving carbon, sulphur, }ihosphorus, arsenic, and many other bodies. When its basis combines with that of oxygen gas, water is formed ; witii nitrogen, it forms ammonia. It does not act on earthy sub- stances. Method of obtaining Hydrogen Gas. — A ready method of obtaining hydrogen gas consists in subjecting water to the action of a substance which is capable of decomposing this fluid. >. 1. For this purpose, let sulphuric acid, previously diluted with four or five times its weight of water, be poured on iron filings, or bits of zinc, in a small retort, or gas-bottle, called a pneumatic flask, or proof; as soon as the diluted acid comes in contact with the roetal, a violent effervescence takes place, and hydrogen gas escapes without external heat being applied. It may be collected in the usual manner over water, taking care to let a certain portion escape, on account of the atmospheric air contained in the disen- gaging vessels. The production of hydrogen gas in the above way is owing to the decomposition of water. The iron, or zinc, when in contact with this fluid, in conjunction with sulphuric acid, has a greater afi&nity to oxygen than the hydrogen gas ; the oxygen, therefore, unites to it, and forms an oxid of that metal which is instantly attacked and dissolved by the acid ; the other constituent part of the wa- ter, the hydrogen, is set free, which by unit- ing with caloric, assumes (he form of hy- drogeti gas. The oxygen is, therefore, the bond of union between the metal and the acid. The hissing noise or effervescence, ob- servable during the process, is owing to the rapid motion excited in the mixture by means of the great number of air-bubbles quickly disengaged and breaking at the surface of the fluid. We see, also, in this case, that two sub- stances exert an attraction, and are even capa- ble of decomposing jointly a ihird^ which neither of them is able to do singly, ris. ; if we present sulphuric acid alone, or iron or zinc alone, to water, they cannot detach the oxygen from the hydrogen of that fluid ; but, if both are applied, a decomposition is in- stantly effected. This experiment, therefore, proves that the agency of chemical affinity between two or more bodies may lie dormant until it is called into action by the interposi- tion of another body, which frequently ex- erts no energy upon any of them in a sepa- rate state. Instances of this kind were for- merly called predisposing affinities. 3. Iron, in a red heat, has also the proper- ty of decomposing water, by dislodging the oxygen from its combination with hydrogen, in the following manner: — Let a gun-barrel, having its touch-hole screwed up, pass through a furnace, or large crucible perforated for that purpose, taking care to incline the barrel at the narrowest part ; adjust to ils upper extremity a retort charged with water, and let the other extre- mity terminate in a tube introduced under a receiver in the pneumatic trough. When the apparatus is thus disposed, and well lu- ted, bring the gun-barrel to a red heat, and, when thoroughly red-hot, make the water in the retort boil ; the vapour, when passing through the red-hot tube, will yield hydro- gen gas abundantly. In this experiment, the oxygen of the water combines with the iron at a red heat, so as to convert it into an oxid, and the caloric applied combines with the hydrogen of the water, and forms hy- drogen gas. It is, therefore, the result of a double aflinity, that of the oxygen of the water for the metal, and that of its hydrogen for caloric. The more caloric is employed in the ex- periment of decomposing water by means of iron. Sic. the sooner is the water decom- posed. Hydrogen gas combined with carbon, is frequently found in great abundance in mines and coal-pits, where it is sometimes generated suddenly, and becomes mixed with the atmospheric air of these subter- raneous cavities. If a lighted candle be brought in, (his mixture often explodes, and produces the most dreadful efiects. It is called, by miners, fire-damp. It gene- rally forms a cloud in the upper pait of the mine, on account of its levitv, but does not HYD HYD 437 mix there with atmospheric air, unless some agitation takes place. The miners frequently set fire to it with a candle, lying at the same time flat on their faces to escape the violence of the shock. An easier and more safe method of clearing the mine, is by leading a long tube through the shaft of it, to the ash-pit of a furnace ; by this means the gas will be conducted to feed the fire. Sir Humphrey Davy has invented a valu- able instrument, called a safely lamp, which will enable the miners to convey a light into such impure air without risk. This is founded on the important discovery, made by him, that flame is incapable of passing through minute apertures in a metallic substance, which yet are pervious to air : the reason of which appears to be, that the ignited gas, or vapour, is so much cooled by the metal in its passage, as to cease being luminous. Hydrogen gas, in whatever manner pro- duced, always originates from water, either in consequence of a preceding decomposi- tion, by which it had been combined in the state of solid or fixed hydrogen, with one of the substances employed, or from a de- composition of water actually taking place during the experiment. There are instances recorded of a vapour issuing from the stomach of dead persons, which took fire on the approach of a can- dle. We even find accounts, in several works, of the combustion of living human beings, which appeared to be spontaneous. Dr. Swediaur has related some instances of porters at Warsaw, who having drank abundantly of spirit, fell down in the street, with the smoke issuing out of their mouths ; and people came to their assistance, saying they would take fire ; to [)revent which, they made them drink a great quantity of milk, or used a more singular expedient, by causing them to swallow the urine of the by- standers, immediately on its evacuation. However difficult it may be to give cre- dit to such narratives, it is equally difficult to reject them entirely, without refusing to admit the numerous testimonies of men, who were, for the most part, worthy of cre- dit. Citisen Lair has collected ail the cir- cumstances of this nature which he found dispersed in different books, and has re- jected those which did not appear to be sup- ported by respectable tesiimony, to which he has added some others related by persons still living. These narratives are nine in number ; they were communicated to the Philomathic Society, at Paris, and inserted in the bulletin, Thermidor, An. 5, No. 29. The cause of this phenomenon has been attributed to a development of hydrogen gas taking place in the stomachs of these in- dividuals. Cilizpn Lair believes that the bodies of these people were not burned perfectly spontaneously, but it appeared to be owing to some very slight external cause, such as the fire of a candle, taper, or pipe. HY'DROGEN GAS, SULPHURE'T- TED. Sulphuretted hydrogen gas possesses the properties of an acid ; for when ab- sorbed by water, its solution reddens vege- table blues ; it combines also with alka- lies, earths, and with several metallic ox- ides. Sulphuretted hydrogen combined with any base, forms a hydro-snlphuret, which may be also called an hepatule, to distinguish it from an hepar, which is the union of sulphur singly with a base. Sul- phuretted hydrogen gas possesses an ex- tremely offensive odour, resembling that of putrid eggs. It kills animals, and extin- guishes burning bodies. When in contact with oxygen gas, or atmospheric air, it is inflammable. Mingled with nitrous gas, it burns with a yellowish green flame. It is decomposed by ammonia, by oxy-rnuriatic acid gas and by sulphurous acid gas. It has a strong action on the greater num- ber of metallic oxides. Its specific gravity is about 1.18 when pure. It is composed, according to Thomson, of sixteen parts of sulphur, and one of hydrogen. It has the properly of dissolving a small quantity of phosphorus. Sulphuretted hydrogen gas may be ob- tained in several ways : — J. Take dry sulphuret of potash, put it into a tubulated retort, lodged in a sand- bath, or supported over a lamp; direct the neck of the retort under a receiver placed in the pneumatic trough ; then pour gra- dually upon the sulphuret diluted sulphu- ric, or muriatic acid ; a violent efferves- cence will take place, and sulphuretted hydrogen gas will be liberated. When no more gas is produced spontaneously, urge the mixture with heat, by degrees, till it boils, and gas will again be liberated abun- dantly. The water made use of for receiving it, should be heated to about 80° or 90° ; at this temperature it dissolves little of the gas : whereas, if cold water be made use of, a much greater quantity of it is absorbed. Explanation. — Though sulphur makes no alteration on water, which proves that sul- phur has less attraction for oxygen than hy- drogen has, yet if sulphur be united to an alkali, this combination decomposes water wlieneverit comes in contact with it, though the alkali itself has no attraction either for oxygen or hydrogen. The formation of this gas explains this truth. On adding the sulphuret of potash to the water, this fluid becomes decomposed, part of the sulphur robs it of its oxygen, and forms with it sulphuric acid, this gene- rated acid unites to part of the alkali, and forms sulphate of potash. The liberated hydrogen dissolves another part of the sul- phur, and forms with it sulphuretted hydro- gen, the basis of this gas, which is retained 4cJ8 H¥D HYD fey the separated portion of the alkali. The sulphuric or muriatic acid added now CKtri- cates it from the alkali, and makes it fly off' in the form of gas. Diluted muriatic acid seems best adapted for the production of sulphuretted hydrogen gas from alkaline sulphurets. If nitric acid be made use of it must be much diluted. Sulphuric acid yields little gas, unless as- sisted by heat. When the proportion of sulphur in the sulphuret exceeds that of the alkali, the dense sulphuric acid poured upon it emits sulphurous acid gas. All the rest of the acids may be made use of for de- composing the sulphurets. 2. When iron and sulphur are united to- gether, they aiFord a large quantity of sul- phuretted hydrogen gas, on submitting them to the action of heat, in contact with diluted muriatic acid. Melt together, in a crucible, equal parts of iron filings and sulphur ; the product is a black brittle mass, called sulphuret of iron. Reduce this to powder, and put it, with a little water, into a tubulated re- tort ; add diluted muriatic acid, and apply a gentle heat, till no more gas is disen- gaged. The philosophy of this experi- ment is analogous to the former. Part of the oxygen of the water unites to part of the sulphur, and forms sulphuric acid ; another part oxidizes the iron, which, dis- solved by the acid, forms sulphate of iron ; the hydrogen of the water unites to another part of the sulphur, and forms sulphuretted hydrogen, which becomes gaseous by the addition of caloric. 3. Sulphuretted hydrogen gas may also be obtained by healing an alkaline sulphu- ret, with the addition of water, without the aid of an acid. In this case, the water is also decomposed ; its hydrogen unites with part of the sulphur, and forms sulphuretted hydrogen ; the oxygen of the water unites xvith another part of the sulphur, and pro- duces sulphuric acid, whicii joins to the al- kali and forms a sulphate. The sulphuretted hydrogen becomes disengaged by heat in the gaseous form. 4. Sulphuretted hydrogen gas may be ob- tained by passing hydrogen gas through sul- phur, in a state of fusion. For this purpose, put sulphur into a gun- barrel, or Wedgwood's tube, and place it across a furnace; fit to the lower extremity a bent glass tube, v;h!ch goes under a re- ceiver placed in the pneumatic trough, and adapt to the upper extremity a tu- bulated retort, or other apjiaralus proper for producing hydrogen gas. The sul- phur must then be heated, and, when melted, the hydrogen gas evolved must be made to pass over it, which, in this man- ner, will dissolve part of the sulphur, and become converted into sulphuretted hydro- gen gas. ft. It may likewise be procured in the following direct manner : let a small quan- tity of sulphur be enclosed in a jar full Of hydrogen gas, and melt it by means of a burning-glass. This method does not suc- ceed except the hydrogen gas be as dry as possible, for its affinity to sulphur is weak- ened in proportion to its moisture. 6. The method, however, which aflfords it purest, is by treating sulphuret of anti- mony with diluted muriatic acid. The ex- planation is similar to the preceding pro- cesses. HYDROGEN GAS, PBOSPHURE'T- TED. This gas consists of phosphorus dis- solved in hydrogen gas. Properties. — It is the most combustible substance in nature, and it is particularly distinguished from all other gases, by the property of taking fire immediately when brought in contact with atmospheric air. When mixed with oxygen gas, or with oxy- muriatic acid gas, it burns with great vehe- mence. When bubbles of it are suftiered to pass through water, they explode in suc- cession as they reach the surface of this fluid. It has an insupportable odour, simi- lar to that of putrid fish, ft is partly ab- sorbable by distilled water, freed from at- mospheric air, at low temperatures, whicli takes up about one-third of its bulk, and gives it out again without alteration by heat. Water containing atmospheric air decom- poses it, when suffered to stand with it for some time. When exposed to vivid ligiit, it deposits phosphorus in a crystalline form. Methods of obtaining it. 1. Take a small retort; put into it one part of phosphorus and ten of a concen- trated solution of potash, or soda ; make the mixture boil, and receive the liberated gas over mercury ; or, if it be intended for immediate use, it may be collected over water. In this experiment, a decomposi- tion of the water takes place. Its oxygen unites to part of the phosphorus, and forms phosphoric acid, which joins to the potash, and forms phosphate of potash. The libe- rated hydrogen dissolves another part of the phosfshorus, and becomes converted into phosphuretted hydrogen gas. In thus preparing this gas, the body of the retort should be filled as nearly as possible with the mixture, otherwise the first portion of gas which is produced in ilames in the re- tort ; a vacuum is formed, and the water forced up into the retort, which endangers the bursting of it. 2. Phosphuretted hydrogen gas is also ob- tained, if, by a direct ex])osure to a strong heat, we effect a combination of phosphorus and lime, and then throw this compound into water, a great quantity of phosphu- retted hydrogen gas will soon be formed, and may be collected, in the usual manner, over water or mercury. The production of phosphuretted by- utfi H¥l> 439 liro^en gas in this manner, is analogous to thefirst, with the only difference that here the decomposition of the water takes place at common temperatures. 3. Phoaphuretted hydrogen gas may also be obtained, according to Davy, in the fol- lowing manner : — Let water be decomposed in the usual manner, by means of zinc and sulphuiic acid, and add to the mixture a quantity of phosphorus. The hydrogen evolved will dissolve part of the phosphorus; phos- phuretfed hydrogen gas will be produced, and take fire at the surface of the fluid, so long as the decomposition of the waler is made with considerable rapidity. But the gas produced* in this process, burns with a more lambent flame than that obtained in the usual manner, probably on account of containing a larger quantity of hydrogen. The experiment is nevertheless brilliant, for the gas is disengaged in small bubbles, which cover the whole surface of the fluid ; they disengage themselves rapidly, new ones are produced, and the whole fluid re- sembles a well of fire. For the success of this esperimenl, it is essential that the water, during the action of its decomposition, be considerably heated, which may be etfecled by a copious addition of sulphuric acid, and that the phosphorus be present in a considerable quantity. Half a part of phosphorus cut into small pieces, one of granulated zinc, three of concentrated sul- phuric acid, and five of water, answer this purpose exceedingly well. Phosphuretted hydrogen gas is also pro- duced by nature. The air which burns at the surface of certain springs, and forms what are called burning-springs, and the igiies fatui (Jack o'lanterns,) which glide along burying grounds, or places where ani- mal matter is putrefying, consist of hydrogen gas, holding phosjihorus in solution. Hydrogen gnz, light carbonated' See Car- buretted hydrogen gas. Hydrogen gas, heavy, carbonated. See Car- biiretted hydrogen gas. Hydrola'pathum. (From CS'iup, water, and Ka-TraBovy the dock.) See Rumex hydro- lapathuvi. Hydro'meli. (From iiS^p, water, and fMKi, honey.) Mulsuin. Aqua Mulsa. Me- licralum. Braggat. Hydromel. Water im- pregnated with honey. After it is fer- mented, it is called vinous bydrouiel, or mead. HYDROME'TRA. (From ocLp, water, and fJinTpa, the womb.) Hydrops uteri. Dropsy of the womb. A genus of disease in the class cachexies, and order intume- sceniice, of Cullen. It produces a swelling of the hypogastric region, slowly and gradually increasing, resembling the figure of the uterus, yielding to, or fluctuating on, pressure ; Vv'ilhout ischury or preg- r>ancy, Sauvages enumerates seven spe- cies. It must be considered as a very rare disease, and one that can with difficulty be ascertained. Hydro'mpiialum. (From JcL-p, water, and (j^pczAo?, the navel.) A tumour of the navel containing water. Hydro'nosos. (From viwp, water, and voa-og, a disease.) The svv-eating-siskness, called Ephidrosis and Sudor anglicus. Hydropede'sis. From v^.^, water, and ^rjjJow, to break out.) A brcEiking out into a violent sweat. HYDROPHO'BIA. (From t.X.p water, and ^, wa- ter, and o<^Bctxuot, the eye.) Hydrophlhal- mium. There are two diseases, different in their nature and consequences, thus termed. The one is a mere anasarcous or (Edematous swelling of the eyelid. The other, the true hydrophthalmia, is a swelling of the bulb of the eye from too great a collection of the vitreous or aqueous humours. Hvdrophtha'lmium. (From JtTffl^, water, and o'^BaKfAoc, the eye) See HydrophlhaU mia. Hydrophysoce'le. (From vSu^, water, ?U£r«, flatulence, and K«wr, a tumour.) Her- nia, com.bined with hydrocele. Hydeo'pica. (From vS'pu-^,, the dropsy.) Medicines which relieve or cure dropsy. Hydko'piper. (From vStup, water, and •jriTTipt, pepper ; so called from its biting the tongue like pepper, and being a native of marshy places.) See Polygonum hydro- piper. Hydropneumosa'rca. (From 1^4)/), wa- ter, TfvixifjLdL^ wind, and tra/)^, flesh.) A tu- mour of air, water, and solid substances. Hydropoi'des. (From v3f(f\^ a dropsy, and aJ^oc, likeness.) A. term formerly appli- ed to liquid and watery excrements. HY'DROPS. (-7)fs, m. from iSu^, water.) Dropsy. A preternatural collection of se- rous or watery fluid in the cellular sub- stance, or different cavities of the body. It receives different appellations, according to the particular situation in which it is lodged. When it is diffused through the cellular membrane, either generally or partially, it is called anasarC:>: When it is c '■posited in the cavity of the cranium, it is called hydroce- phalus ; when in the chest, hydrothorax, or hydrops pectoris. When in the abdomen, ascites. In the uterus, hydrometraj and within the scrotum, hydrocele. The causes of these diseases are a family disposition thereto, frequent salivations, ex- cessive and long-continued evacuations, a free use of spirituous liquors, (which never fail to destroy the digestive powers.) scirrboi'" HYD H¥D 141 siiies of the itver, spleen, pancreas, mesen- die, in difficult respiration, rbeumalisra, dis- tery, and other abdominal viscera; prece- eases of the skin and glands, ding diseases, as the jaundice, diarrhoea, dy- HYDROTHO'RAX. (From i/f, the flesh.) Water in the cellular during night, when the body is in an hori- membrane. See Anasarca. zontal posture. Along with these symp- Hydrosarcoce'le. (From vS'cep, wafer, toms there is a cough, that is at first dry, B-^p'^, the flesh, and kh?v«, a tumour.) Sar- but which, after a time, is attended with an cocele, with an effusion of water into the expectoration of thin mucus. There is cellular membrane. likewise, a paleness of the complexion, and Hydroseli'num. (From vJ'cep, water, and an anasarcous swelling of the feet and legs, vixtvov, purslane.) A species of purslane together with a considerable degree of thirst, growing in marshy places. and a diminished flow of urine. Under Hydrosulphdre'tum sti'bii ld'teum. these appearances, we have just grounds to See Antimonii sulphuretum prmcipitatum. suspect that there is a collection of water in Hydrosulphure'tum sti'bii ru'brum. the chest ; but if the fluctuation can be per- Kermes mineralis. A hydro-sulphuret of ceived, there can then remain no doubt as antimony formerly in high estimation as to the reality of its presence, an expectorant, sudorific, and antisrasmo- During the progress of the disease, it i? 66 442 HYD HYM no uncommon (hiug for the patient to feel lected in either of the sacs of the pleura, the a numbness, or degree of palsy, in one or operation of paracentesis of the thorax may both arms, and to be more than ordinarily afford relief under urgent symptoms, and, sensible to cold. With regard to the pulse, perhaps, contriball<5 to the recovery of the it is usually quick at iirst, but, towards the patient, end, becomes irregular and intermitting. HYGIE'NE. (From Cyictivce, to be well.) Our prognostic in hydrothorax must, in ge- Hygiesis. Hygeia. Modern physicians have neral, be unfavourable, as it has seldom been applied this term to that division of therapeia cured and, in many cases, will hardly admit v^hich treats of the diet of the sick and the even of alleviation, the difficulty of breathing non-naturals, continuing to increase, until the action of the Hygie'sis. See Hygiene. lungs is at last entirely impeded by the quan- Hy'gra. (From vypoc, hatnld.) Liquid tify*of water deposited in the chest. In some plasters. cases, the event is suddenly faial, but in Hygrempla'strum. (From vypog, moist, others, it is preceded, for a few days previous and if/.Trxa-Tpv, a plaster.) A liquid plas- to death, by a spitting of blood. ter. Dissections of this disease show that in Hygroblepha'ricus. (From vyf>oi, hu- some cases, the water is either collected in mid, and ^XipA^ov^ the eye-lid.) Applied to one side of the thorax, or that there are hy- the emunctory ducts in the extreme edge, or datides formed in some particular part of it ; inner part, of the eye-lid. - but thev more frecjuently discover water in Hygrocirsoce'le. (From vyp^i, moist, both sides of the chest, accompanied by a -Aifo-oi-, a varix, and k«x», a tumour.) Di- collection in the cellular texture and princi- lated spermatic veins, with dropsy of the pal cavities of the body. The fluid is usual- scrotum. 1y of a yellowish colour ; possesses proper- Hygrocolly'rium. (From vyfo^, liquid, ties similar to serum, and, with respect to its and noKKupiov, a collyrium.) Acollyrium corn- quantity, varies very much, being from a few posed of liquids. ounces' to several quarts. According to the HYGRO'LOGY. {Hygrologia ; {vomuyfos, quantity, so are the lungs compressed by it ; a humour or fluid, and hoyo^, a discourse.) and, where it is very considerabIe,:tbey are The doctrine of the fluids, usually found much reduced in size. When HYGRO'MA. {uypaijuct : from vypoc, a universal anasarca has preceded the coUec- liquid.) An encysted tumour, whose tion in the chest, it is no uncommon occur- contents are either serum or a fluid like rence to find some of the abdominal viscera lymph. It sometimes " happens that these in a scirrhous state. tumours are filled with hydatids. Hygro- T'lie treatment of this disease must be malous tumours require the removal of conducted on the same general plan as that the cyst, or the destruction of its secreting of anasarca. Emetics, however, are hazard- surface. ous, and purgatives do not afford so much HYGRO'METER. (Hygromelrum ; from benefit; but the bowels must be kept regu- :>),/ici?, moist,and ^er/iov, a u)easure.) Hydro- lar, and other evacuating remedies may be meter. An instrument to measure the de- employed in conjunction with tonics. Squill grees of moisture in the atmosphere. It a!sa Las been chiefly resorted to, as being expec- means an infirm part of the body, aftected by torant as well as diuretic; but its power is moisture of the ntmosphere. usually not great, unless it be carried so far HYGROSCO'PICS. Substances which as to cause nausea, which cannot usually be have the property of absorbing moisture borne to any extent. Digitalis is more to from the atmosphere. See £tmospltere. be relied upon; but it will be better to con- Hygromy'rum. (From uypos, moist, and join them, adding, perhaps, some form of /uupov, a liijuid olntnieiil.) A li(]uid oinl- rnercury ; and employing at the same time ment. other diuretics, as the supertartrate or ace- Hygropiio'bia. The same as bydro- tate of potash, juniper berries, &,c. Where phobia. febrile symptoms attend, diaphoretics will Hy'le. (ux», matter.) Tiie materia probably be especially serviceable, as the niedica, or matter of any kind which comes pulvis ipecacuanhas compositus, or antimo- under the cognisance of a medical per- nials in small doses ; which last may also son. promote expectoration. Blisters to the HY'MEN. (From Hymen, the god of chest will be proper in many cases, particu- marriage, because this membrane is sup- larly should there be any pain or other posed to be entire before marriage, or co- mark of inflammatory action. Myrrh seems pulation.) The hymen is a thin membrane, to answer better than most other tonics, as of a semilunar or circular form, placed at more decidedly promoting expectoration; or the entrance of the vagina, which it partly the nitric acid may be given, increasing the closes. It has a very diflerent appearance secretion of urine, as well as supporting the in different women, but it is generally, if strength. The inhalation of oxygen gas is not always, found in virgins, and is very slated to have been in some instances singu- properly esteemed the test of virginity, laHy beutficial. Where the fluid is co!- being ruptured in the first act of coition. HYM HYO 443 Tlie remnants of the liymen are called (he confined menses ; as Dr. Denman once caruncula? niyrtiformes. The hymen is saw an instance of inflammation of the also peculiar to the human species. There peritoncsum being immediat'^Iy produced are two circumstances relating to the hy- after the operation, of which the patient men which require medical assistance, it died as in the true puerperal fever. anJ no is sometimes of such a strong ligamentous other reason could be assigned for the dis- (esture, that it cannot be ruptured, and ease. prevents the connexion between the sexes. The caruncu'aB myrtiformes, by their cIoH' It is also sometimes imperforated, wholly gation and enlargement, sometimes become clo:ing the entrance into the vagina, and very painful and troublesome, preventing any discharge from the uterus : Hymenje'a cou'rbarjl. (Hymenma, cor- but both these cases are extremely rare, rupted from anirne, or ardmcca.) The sys- If the hymen be of an unnaturally firm tematic name of the tree which affords (he texture, but perforated, though perhaps resin anirae. See Anime.. ■with a very small opening, the inconvenien- HYO. Kames compounded of this worii cies thence arising will not be discovered belong to muscles which originate from, or before the time of marriage, when they may are inserted info, or connected with the os be removed by a crucial incision made hyoides ; as, Hyo-glossus, Hyo-pharyngeus, through it, taking care not to injure the ad- Genio-hyo-glossus, &,c. joining parts. H YO-GLO'S SU S. Ceralo-glossus of The imperforalion of (be hymen will Douglas and Cowper. Busio-cerato-chott- producc its inconveniences when the per- clro-glossus of Albinus. Hyo-chondro- son begins to menstruate. For the men- glosse of Dumas. A muscle situated at struous fluid being secreted from the ute- the sides between the os hyoides and the rus at each period, and not evacuated, tongue. It arises from the basis, Ijut the patient suffers much pain from the chiefly from the corner of the os hyoides, distention of the parts, many strange symp- running laterally and forwards to the toms and appearances are occasioned, and tongue, which it pulls inwards and down- suspicions injurious to her reputation are wards. often entertained. In a case of this kind, HYOI'DES OS. (vatS'i;: from the for which Dr. Denman was consulted, the Greek letter u, and iiSo;, likeness ; so young woman, who was twenty-two years named from its resemblance.) This bone, of age, having many uterine complaints, which is situated between the root of tlie with the abdomen enlarged, was suspected tongue and the larynx, derives its name to be pregnant, though she persevered in from its supposed resemblance to (iie Greek asserting the contrary, and had never men- letter u, and is, by some writers, described struated. When she was prevailed upon along with the parts contained in the to submit to an examination, the circum- mouth. Ruyseh h^s seen the ligaments of scribed tumour of the uterus was found to the bone so completely ossified, that the os reach as high as the na\-e!, and the external hyoides was joined to the temporal bones parts were stretched by a round soft sub' by anchylosis. In describing this bone, it stance at the entrance of the vagina, in such maybe distinguished into its body, horns, a manner as to resemble that appearance and appendices. The body is the middle which they have when the head of a child and broadest part of the bone, so placed is passing through them ; but there was no that it may be easily felt with the finger in entrance into the vagina. On the follow- the forepart of the throat. It? forepart, ing morning, an incision was carefully which is placed towards the ton£:up, is in-e- made through the hymen, which had a gularly convex, and its inner surface, which fleshy appearance, and was thickened in is turned towards the larynx, i? unequally proportion to its distention. Not less than concave. The cornua, or horns, v,hicli are four pounds of blood, of the colour and flat, and a little bent, are considerably consistence of tar, were discharged ; and longer than the body of the bone, and may the tumefaction of the abdomen was imme- be said to form (he sides of the v. These diately removed. Several stellated inci- horns are thickest near the body of the sions were afterwards made through the di- bone. At the extremity of each is observed rided edges, which is a very necessary part a round tubercle, from which a lieament passes to the thyroid cartilage. The appen- dices, or lesser horns, cornua viinorn, as they are called by some writers, are two small processes, which in their size and shafie are somewhat like a grain of wheat. They rise up from the articulations of the cornua, with the body of the bone, and are of the operation ; and care was taken to pre- vent a re-union of the hymen till the nest period of menstruation, after vrhich she suffered no inconvenience, The blood dis- charged was not putrid or coagulated, and seemed to have undergone no other change, after its secretion, but what was occasioned by the absorption of its more fluid parts, sometimes connected with the styloid Some caution is required when the hy. men cess on each side, by means of a ligaraenl. is closed in those who are in advanced age, It is not unusual to find smnll portions of tin'ess the niembrane be distended by the bone in these ligaments : and Kuvsch, a? we- 444 HYO HYP have already obsen'ed, Las seen them com- Henbane has been used in various spas- pletely ossified. In the fetus, almost the medic and painful diseases, as in epilepsy, whole of the bone is in a cartilaginous hysteria, palpitation, headacb, paralysis, slate, excepting a small point of a bone in mania, and scirrhus. It is given in the form the middle of its body, and in each of its of the inspissated juice of the fresh leaves, horns. The appendices do not begin to the dose of which is from one to two grains ; appear till after birth, and usually re- which requires to be gradually increased, main cartilaginous many years. The os It is sometimes employed as a substitute for hvoides serves to support the tongue, and opium, where the latter, from idiosyncrasy, affords attachment to a variety of muscles, occasions any disagreeable symptom. The some of whicii pcriorm the motions of the henbane also is free from the constipating tongue, while others act on the larynx and quality of the opium. lauces. Hyothyroi'des. (From vcu^i^, the hy- HYOPHARYNGE'US. (From v^uSi;, the oid bone, and 6u/)caJ«c, the thyroid carti- hyoid bone, and actpvy^, the pharynx.) A lage.) A muscle named from its origin in muscle so called from its origin in the os the hyoid bone, and insertion in the thyroid hyoides, and its insertion in the pharynx. cartilage. Hvophtha'lmus. (From vs, a swine, Hypa'ctica. (From v^a.ya>, to subdue.) and cfSaA/ytsf, an eye ; so named from the Medicines which evacuate the faeces, supposed resemblance of its flower to a hog's Hypalei'ptrum. (From varsLKupai, to eve.) Golden starwort ; hog's eye plant. spread upon.) A spatula for spreading oint- 'IIYOSCY'AMUS. (From uc, a swine, ments with. . and ;ty5j^of, a bean ; so named because hogs Hype'lata. (From u^rsxaoi, to move,) eat it as a medicince, or it may be because Cathartics, the plant is hairy and bristly, like a swine.) Hyper^sthe'sis. (From vsrei), and . 1. The name of a genus of plants in the a.iTBxvoiucti, to feel.) Error of appetite, whe- Linnffian system. Class, Pentandria. Or- ther by excess or deficiency. Itissynony- devjMonogynia. mous with Dr. Cullen's orditr oi dysorexics. 2. The pharmacopcEial name of the hen- HYPERCATHA'RSIS. (From v^n^ bane. See Hyosciamus niger. supra, over or above, and x.xia.ifoi, to purge.) Hyoscy'amus al'bus. This plant, a na- Hyperinesis. Hyperinos. An excessive tive of the south of Europe, possesses simi- purging from medicines, lar virtues to the hyoscyamas niger. See Hypercorypho'sis. (From vsnp, above, Hyoscyamus. ' and aopuipit, the vertex.) A prominence, or Hyoscy'amus lc'teds. A species of to- protuberance. Hippocrates calls the lobes bacco. of the liver and lungs Hypercorypkoses. Hyoscy'amus ni'gek. The systematic Hype'rcrisis. (wsripKpiyt; -. from wip, name of henbane, called also Faba suilla. over or above, and Kpivce, to separate.) A .IpoUinaris altercum. Agone. AUtrcangenon. critical excretion above measure ; as when a Common or black henbane. Hyoscyamus fever terminates in a looseness, the humours niger, foliis atnplexicaulibus sinuatis, Jioribus may flow off faster than the strength can scssilibiis of Linnaeus. bear, and therefore it is to be checked. The leaves of this plant, when recent, Hypere'mesis. (From uTnp, in excess, have a slightly fcetid smell, and a mucilagi- and a^sa, to vomit.) An excessive evacua- nous taste ; when dried, they lose both taste tion by vomiting. and smell, and part also of their narcotic Hyperephidro'sis. (From v^tp, excess, pov.er. The root possesses the same quali- and tSpm;, sweat.) Immoderate sweat- ties as the leaves, and even in a more emi- ing. nent degree. HYPE'RICUM. (From dnp, over, and Henbane resembles opium in its action, eiKsov, an image, or spectre ; so named be- more than any other narcotic does. In a cause it was thought to have power over moderate dose, it inc.-eases at first the and to drive away evil spirits.) 1. The strength of the pulse, and occasions some name of a genus of plants in the Linnaean sense of heat, which are followed by dirai- system. Class, Polyadelphia. Order, Po- iiished sensibility and motion ; in some lynndria. St. John's wort, cases, by thirst, sickness, stupor, and dimness 2. The pharmacopreial name of the per- of vision. In a larger quantity, it occasions forated or common St. John's wort, called profound sleep, hard pulse, and sometimes sXsofuga dcemonmii, and androsismum. Hy- fierce delirium, ending in coma, or convul- pericum perforation — Jloribus trigynis, caule sions, with a remarkable diiitation of the ancipiti, foliis obtusis, peHucido-punclatis pupil, distortion of tiie countenance, a weak of Linnasus. This indigenous plant was tremulous pulse, and eruption of petechia, greatly esteemed by the ancients, internally On dissection, gangrenous spots have been iu a great variety of diseases, and externally found on the internal surface of the sto- as an anodyne and discutient, but is now mach. Its baneful effects are best counter- very rarely used. The flowers were for- ncted by a powerful emetic, and by drinking merly used in our pharmacopoeia, on ac- largely of the vegetable acids. ' count of the great proportion of resinous HYP HYP 445 oily matter, in which the medical efficacy of very little. Or a slight purging, when it is that plant is supposed to reside, but are now a disorder. omitted. Hypocau'strum. (From yjrs, under, Hype'riccm pekfora'tcm. The system- and k-moi, to burn.) A stove, or hot-house, alic name of the St. John's wort. See Hy- or any such-like contrivance ; or place to pericum. sweat in, or to preserve plants from cold Hype'ricum saxa'tile. Hypericoides. Co- air. ris lutea. Coris legitima crelica. Bastard St. Hypocerchna'leon. (From t/^rs and .John's wort. The seeds are said to be m^'^vo;, an asperity of the fauces.) A stri- diuretic, emmenagogue, and powerfully an- dulous kind of asperity of the fauces, tispasmodic. , Hypocheo'menos. (From tjTro, under, Hyperi'na. (From v7n^, in excess, and and -^jai; to pour.) One who labours under mce, to evacuate.) Medicines which purge a calaract. excessively. Hyperine'sis. See Hyp tr catharsis. Hyperi'ngs. See Hypercaiharsis. Hypero'a. (From u5rs/), above, and ^ov the top of a house.) The palate Hypochloro'sis. (From wo, and x^-'^' puiTi;, the green sickness.) A slight degree of chlorosis. HYPOCHO'NDPJAC EE'GIOIN'S. (Re- gioncs hypochondriacm ; from hvo, under, and Hyperopharynge'os. (From vn-if, above, ^ov^^o^, a cartilage.) Hypochondria. The and ip^puy^, the pharynx.) A muscle named from its situation above the pha- rynx. Hyperosto'sis. (From vTrep, upon, and cg-iov, a bone.) See Exostosis. spaces in the abdomen that are under the cartilages of the spurious ribs on each side of the epigastrium. HYPOCHONDRPASIS. (From vmx^'V- (fp/«x2c, one who is hipj)ed.) Hypochoyidriacus Hypero'um. (From vTrip, above, and wov, morbus. Jiffedio hypochondriaca. Passio hy- the roof, or palate.) A foramen in the upper pochondriaca. The hypochondriac affection, part of the palate. Vapours, spleen, &c. A genus of disease in Hyperoxymuriate of potash. See Murias t!ie class nturoses, and order adynamim, of hyperoxygenalus potassce . Cullen, characterized by dyspef)sia ; lan- Hyperoxymdriatic acid. This is oxymu- guor, and want of energy; sadness and fear, riatic acid combined with an additional from uncertain causes ; with a melancholic quantity of oxygen. It exists in the salts temperament, called hyper-oxymuriates. The state of mind peculiar to hypochon- Hypersarco'ma. (From v^rip, in excess, driacs is thus described by Cullen : — '' A' and fsip^, flesh.) Hypersarcosis. A poly- languor, listlessness, or want of resolution pus in the nose. A fleshy excrescence. A and activity, with respect to all underta- polypus. kings ; a disposition to seriousness, sadness, Hypersarco'sis. See Hypersarcoma. and timidity, as to all future events, and ap- Hyperydro'sis. (From vsrip, in excess, prehension of the worst or most unhappy and uJ'a>p, water.) A great distension of any state of them ; and, therefore, often upon part, from water collected in it. slight grounds, an apprehension of great Hype'xodos. (uTTiicJo; : from v^o, under, evil. Such persons are particularly alten- and s|ocfbc, passing out.) A flux of the live to the state of their own iiealth, to every belly. the smallest change of feeling in their bo- Hypno'bates. (From vnnae,, sleep, and dies; and from any unusual sensation, per- /Sa/va, to go.) Hypnobatasis. One who walks haps of the slightest kind, they apprehend in his sleep. See Oneirodynia. great danger, and even death itself. In re- Hypnolo'gia. (From wwv^.^, sleep, and spect to these feelings and fears, there is As^oc, a discourse.) A dissertation, or di- commonly the most obstinate belief and per- fections for the due regulation of sleeping suasion." He adds, that it is only when and waking. the state of mind just described is joined Hypnopqie'tica. (From u-zj-voj, sleep, and with indigestion, in either sex, somewhat iiroKaD, to cause.) Medicines which procure advanced in years, of a melancholic tempe- sleep. See .Anodynes. rament, and a firm and rigid habit, that the Hypno'tics. (Hypnoiicn, sc. medicnmen- disease takes the name of Hypochondriac- ta, v7rvanu±; from :>5rvo;, sleep.) See .^no- ism. dynes. The seat of the hypochondriac passion is HYPOiE'M.\. (From vtto, under, and in the stomach and bosvels ; for first these eufjict, blood ; because the blood is undei- the parts are disordered, then the others suffer cornea.) An effusion of red blood into the from the connexion. chambers of the eye. Hypocaro'des. (From visro, and xapoc, a carus.) Hypocarolhis. One who labours under a low dc°:ree of carus. The causes are, sorrow, fear, or excess of any of the passions ; too long continued watching; irregular diet. Those habitu- ally disponed to it, (and these causes have Hypocatha'rsis. (From u^raj, under, and little effect in other constitutions,) have ge- xA^aupco, to purge.) It is when a medicine nerally a sallow or brown complexion, and does not work so much as expected, or Dut a down-cast look : a rigidity of the solids 446 Hl'P HYP and torpor of the nervous s_v=tetn. What- ever may occasion nervous disorders in gi;- neral, may be the cause of this in parti- cular. The signs of this complaint are so various, (hat to describe them is to describe almost every other disease ; hut, in general, there is an insurmountable indolence, dejected spi- rits, dread of death, costiveness, a slow and somewhat difficult inspiration, flatulencies in the primfe viae, and various spasmodic affections. It is seldom fatal ; but if neg- lected, or improperly treated, may bring on incurable melancholy, jaundice, madness, or vertigo, palsy, and apoplexy. On dissections of hypochondriacal persons, some of the abdominal viscera, (particularly the liver and spleen) are usually found con- siderably enlarged. In some few instances, effusion and a turgescencc of the vessels have been observed in the brain. This being a disease of a mixed descrip- tion, the treatment must be partly corpo- real, partly mental ; but it has been too often neglected, as merely imaginary, and their complaints met by argument or rail- lery, which, however, can only weaken their confidence in the practilioner. It may be very proper to inform them, that their disorder is not so dangerous as they sup- pose, and may be removed by suitable reme- dies; but to tell them they ail nothing, is absurd. In reality, medicine is ofien of much service ; and though others have been cured chiefly by amusements, country air, and exercise, it by no means follows, that their disorder was only in the imagination. In so far as dyspeptic symptoms appear, these must be encountered by the remedies pointed out under that head ; antacids, aperients, &c. Sometimes emetics, or dras- tic cathartics, have produced speedy relief ; but they are too debilitating to be often employed. The bowels will be better regu- lated by milder remedies, as castor oil, senna, aloes, (unless they are subject to haemorrhoids,) and the like: and magnesia may at the same time correct acidity ; but if the liver be torpid, some mercurial pre- paration will be of more avail. Flatulence and spasmodic pains may be relieved by aromatics, etijer, the foetid gum. resins, musk, valerian, fcc. ; but severe and obsti- nate pain, or high irritation, will be best at- tacked by opium, it is important, however, to guard against the patient getting into the habitual use of this remedy. Occasionally mild tonics appear useful, especially clialy^ beate waters ; and tepid bathing, with fric- tion, gentle exercise, and warm clothing, are important to keep up the function of the skin. The diet should be light, and suffi- ciently nutritious; but moderation must be enjoined to those, who have been accus- tomed to indulge too much in the luxuries of the table ; and, in all cases, those articles ivbich are are?rpnt. fiafulent. or difficult of digestion must be avoided. Malt liquors do not usually agree so VA'ell as wine or spirits, considerably diluted ; but these stimuli should never be alioxved unnecessarily. The mental treatment required will be such as is calculated to restore the strength, and correct the aberrations of the judgment. When any false association of ideas occurs, the best mode of removing it is, by keeping up a continued train of naturally associated impressions of superior force, which may amuse the mind, and moderately exercise, witliout exhausting it. A variety of litera- ry recreations and diversions, especially in the open air, with agreeable company, will be therefore adviseabie ; frequently changing the scene, taking them to watering places, and adopting other expedient?, to prevent them from dwelling too much upon their own morbid feelings. HYPOCHO'iNDRIUM. (From y^o, under, and yJ:,^■S^flO(, a cartilage.) That part of the body which lies under the cartilages of the spurious ribs. Hypo'ciiYMA. (From firs, and yyce, to pour; because the ancients thought that (he opacity proceeded from something running under the crystalline humour.) Hypochysis. A cataract. Hypoci'stis. (From utto, under, and wrcc, the cistus.) A plant called by Linna!us Asarnm hypocstit, a parasitical plant, grow- ing in warm climates, from the roots of the cistus. The juice, succus hypocislidis, is a mild astringent, of no particular smell nor flavour. It is seldom used. Hypocle'pticum. (From wo, under, and KAs^-T®, to steal.) A chemical vessel for se- parating liquors, particularly the essential oil of any vegetable from the water; and named because it steals, as it were, the water from the oil. # HYPocoE'LO^f. (From vzro, under, and Koi\ov, a cavity.) The cavity under the lower eye-lid. Hypocopho'sis. Copkosis, but in a less degree. Hypocra'nium. (From vtto, under, and KfAvm, the skull.) A kind of abscess, so called because seated under the cranium, between it and the dura mater. Hypodei'ris. In Rufus Ephesius, it is the extremity of the forepart of the neck. Hypode'rihis. (From vtto, under, and Si^fj-o., the skin.) The cuticle under the clitoris, which covers it like a prepuce. The clitoris. Hypo'desis. (From vn-j, under, and ^ia, to bind.) An underswathe, or bandage. Hypode'ssius. a bandage like the for- mer. HYPO'GALA. (From vno, under, and yuKsi, milk ; because it is a milk-like effu- sion, under the cornea.) A collection of while humour, like milk, in the chambers of the eye. There are two species of this disease ; the one- takes p!f>ce, it is said, HiT HYF 447 li'Oin a (lepositiou of the tailii, as is some- times observed in women who suckle ; the other from a depression of the milky cata- ract. HYPOGASTRIC ARTERIES. See Iliac ttTtCTIGSt HYPOGASTRIC RE'GION. Regio hy- pogastrica ; from utto, uader, and yctTup, the stomach.) The region of the abdomen that reaches from above the pubes to within three lingers' breadth of the navel. HYPOGA'STRIUM. (From utto, under, and ytg-iip, the stomach.) The lower region of the forepart of the belly. Hypogastroce'le. (From viroyoLg-piov, the hypogastrium, and »«>.«, a tumour.) A tumour, or hernia, in the hypogastric re- gion. HypoGLo'ssis. (From utto, under, and j/Xacrcrsi, ihe tongue.) The under part of the tongue, which adheres to the lower jaw. Hypoglo'ssus. (From vTro, under, and y}Ms-(Tct, the tongue.) A nerve which goes to the under part of the tongue. Hypoglg'ttides. (From wo, under, and yxa>Tlai, the tongue.) They are a kind of medicine to be held under the tongue until they are dissolved. Hypoglu'tis. (From t/ra, under, and yKowrog, the nates.) It is the fleshy part under the nates towards the thigh. Some say it is the flexure of the coxa, under the uates. Hvpo'mia. (From vtt^, under, and a/uo?, shoulder.) In Galen's Exegesis, it is the part subjacent to the shoulder. Hypo'nomos. (From wa-ovojuo;, a phage- denic ulcer.) A subterraneous place. A deep phagedenic ulcer. Hypope'dium. (From vtto, under, and a-ous, the foot.) Al^gataplasm for the sole of the foot. Hypo'phora. (From u7rcofji.A{, to be carried or conveyed underneath.) A deep tistulous ulcer. Hypophtha'lmion. (From uttc, under, and o'^Bcty.fAc,;, the eye.) The pari under the eye which is subject to swell in a cachexy, or dropsy. Hypo'fhysis. (From vtto, under, and (puw, to produce.) A disease of the eyelids, when the hairs grow sa much as to irritate and of- fend the pupil. HYPO'PYUM. (From ijtto, under, and Tuov, pus ; because the pus is under the cor- nea.) Hypopion. Pyosis. Msctssus oculi. An accumulation of a glutinous yellow fluid, like pus, which takes place in the anterior chamber of the aqueous humour, and fre- quently also in the posterior one, in conse- quence of severe, acute ophthalmy, particu- larly the internal species. This viscid matter of the hypopyum, is commonly called pus ; but Scarpa con- tends, that it is only coagulating lymph. The sympioms portending aa eitro.vasatioa of coagulabie lymph in the eye, or an hy- popyum, are the same as those which occur in the highest stage of violent acute oph- thalmy, viz. prodigious tumefaction of the eyelids ; the same swelling, and redness as in chemosis ; burning heat and pain in the eye ; pains in the eye-brow, and nape of the neck ; fever, restlessness, aversion to the faintest light, and a contracted slate of the pupil. Hypori'nion. (From uwo, under, and f>ty, the nose.) A name for the parts of the upper lip below the nostrils. Hyposa'rca. (From vtto, under, and o-Ap^y flesh.) Hyposarcidios. An anasarca, in. Dr. Cullen's iVosology, it is synonymous with Physconia. HYPosPADia;'os. (From vTro, under, and cTTritce, to draw.) The urethra terminating under Ihe glans. Hypospathi'smus. (From vtto, under, ando-5rst9/),a spatula.) The name of an ope- ration formerly used in surgery, for remo- ving defluxions in the eyes. It was thus na- med from the instrument with which it was performed. Hypospha'gma. (From ya-o, under, and er, to kill.) Aposphagma. An extrava- sation of blood in the tuacia adnata of the eye, from external irijury. Hyposple'nia. (From varo, under, and aTTKm, the spleen.) A small tumour of the spleen. Hyposta'phyle. (From u:7-o, and ^clc^vkh, the uvula.) Relaxation of the uvula. Hipo'stasis. (From v^tTnut, to sub- side.) A sediment, as the sediment in urine. Hypo'thenae. (From vtto, under, and 8ivctf>, the palm of the hand.) A muscle which runs on tl:e inside of the hand. Also that part of the hand which is opposite to the palm. HYPO'THESIS. a system of general rules, founded partly on fact and partly on conjecture. A theory explains every fact : an hypothesis explains only a certain num- ber of facts, leaving some unaccounted for and others in opposition to it. Hypo'theton. (From vtto, under, and Ti^-riy.t, to put.) A suppository, or medi- cine introduced into the rectum, to procure stools. Hypo'xylgn. (From us-o, and ^y\iv, wood.) A species of duvaria, which grows^ under old wood. Hypozo'ma (E'rom vtto, and ^ar/u/^.i, to bind round.) Tiie diapiiragm. Hypsiglo'ssus. (From v-liKoitSi;, the hyp- siloid bone, and yxces-Tct, the tongue.) A muscle named from its origin in the os hyoi- des, and its insertion in the tongue. Hvpsiloi'des. A name of the Os Hy- oidtis ; ahooiilniBasibglGss us muscle. See Hyoglossus. HvFriA's.iio?. (Froia vitIm^v. to lie with , 44S UV'S HYS Ihe face upu-ards.) A supine decubiture, or a nausea, with inclination to vomit. Hypu'lus. (From vtto, under, and ot/A«, a cicatrix.) An ulcer which lies under a cica- trix. Hyssop. See Hyssopxis. Hyssop, hedge. See Gratibla. Hyssopi'tes. (From vipa>, to anoint.) One who undertakes to cure distempers by external unction and friction -. Galen makes men- tion of such in his time, particularly one Diotas; and Pliny informs us, that this practice was first introduced by Prodicus of Selymbria, who was a disciple of jEscuIa- pius. lATROCHY'Micrs. (From «*T/;o?, a physician, and ;H;,yi«-, a physician, and puj-;:, nature.) An epithet bestowed on some writings which treat of physical sub- jects with relation to medicine. IBH'RIS. (So named from Iberia, the place of its natural grou th.) 1. The name of a genus of plants in the Linnffian system. Class, Tdradynmnia. Or-; der, Siliculusa. 2. The pliarraacopcsial name of the Scia- tica cresses. See Lepidiumiberis. Ibika'ce. See Guaiacum. IciF.iE'uM. A wild species of liquorice found in Brasii. isiRA pita'nga. Logwood. I'uis. 101; was a bird much like our kinsgfisher, taken notice of i>y the Egyp- tians, because when it was sick, it used to inject with its long bill the water of the Nile into its fundament, whence Langius, Hb. ii. ep. ii. says they learned the use of clysters. [B!'.acr5. /'From t^i;. tbfj'slork. who Wd-: .said to chew it and inject it as a ciy,?(er.) Marshmallow. Ibi'xoma. From i^itko;, the mallov,-. and /|ac, glue ; so named from its having a glu- tinous leaf, like the mallow.) The soap-tree, or Soponaria ./irbor. ICE. Glncies. Water made solid by the application of cold. It is frequently applied l)y surgeons to resolve external infiammalory diseases. rCHOK. {'^X'^?-) -^ i\i'in, aqueGu;,»ind acrid discharge. I'cTHY'A. {lx^us.y a fish-hook j from tyjiu',, a fish.) The skin of the Squatina, or monk-fish ; also the name of an instru- ment like a fish-hook, for extracting the foetus. ICHTIIYOCO'LLA. (From /;^>,-, a Ssh, and K9A\i, glue.) Colla pi.tci'mi. Isinglas.?. Fish-glue. A substance, partly gelatinous, and parti)' lymphatic, which is prepared by rolling up the air-bladder of the Jlcipenser shirio of Linnajus, and several other fishes, and drying it in the air, after it has been twisted into the form of a short cord, as we receive it. it affords a viscid jelly by ebulli- tion in'water, which is used in medicine as an emollient in disorders of the throat, intes- tines, &c. ICHTKYO'SFS. (From ixSuu., the scale of a fish ; from the resemblance of the scaies to those of a fish.) A gf.nus of disease of the second order of Di: Wil- lan's diseases of tiie skiti. The characteris- tic of ichthyosis is a peimanently harsh, dry, scaly, and, in some cases, almost horny texture of the integuments of the body, unconnected with internal disorder. Pso- riasis and Lepra differ from this a.f^""t!Qn 452 ICT ICT n being but partially diffusei], and in bavliig deciduous scales. The arrangem-eiit and distribution of the scales in ichthyosis are peculiar. Above and below the olecranon on the arm, says Dr. Willan, and in a simi- ],\r situation with respect to the patella on the thigh and leg, they are small, rounded, prominent, or papillary, and of a black co- lour; some of the scaly papilla; have a short, narrow neck, and iiroad irregular Jops. On some part of the extrenailies, and on the trunk of the body, the scales are flat and large, often placed like tiling, or in tiie same order as scales on the back of a fisii; but, in a few cases, (hey have appeared se- parate, being intersected by whitish furrows. There are usually in this complaint a dryness and roughness of the soles of the feet ; sometimes a thickened and brittle state of the skin in the palms of the hands, with large painf.il fissures, and, on tlie face, an appearance of the scurf rather than of scales. The inner part of the wrists, the hams, the inside of the elbow, the fujTOW along the spine, the inner and upper part of the thigh, are perhaps the only portions of the skin always exempt from liie scaliness. Patients affected with ichthyosis are occasionally much harassed with inflamed pustules, or with large painful boils on different parts nf the body : it is also remarkable, that they never seem to have the least perspi- ration or moisture of the skin. This disease did not, in any case, appear to Dr. Willan to have been transmitted herediiarily ; nor was more than one child from the same pa- rents aflected with -t. Dr. Willan never met with an instance of the horny rigidity of the integuments. Ichthyosis cornea, im- peding the motion of the muscles or joints. It is," however, mentioned by authors as afi'ecting the lips, prepuce, toes, fingers, &c. and sometimes as extending over nearly the whole body. Icteri'tia. (From ic/crus, the jaundice.) An eruption of yellowish spots. Also a j'ellow discolouration of the skin, without levers. I'CTEFJJS. (Named from its likeness to the plumage of the golden thrush, of %vhich Pliny " relates, that if a jaundiced person looks on one, the bird dies, and the patient recovers.) Morbus arcuatus, or nrqualus. Auriga. Morbus regius. Morbus lestoii. The jaundice. \ genus of disease in the c\ass cachexice, and ovdei- impetigines, of Cullen ; characterized by yellowness of the skin and eyes ; fa?ces white, and Hrine of a high colour. There are six species: — 1. Icterus calculosus, acute jiain in the epi- gastric region, increasing after eating; gall- fclones pass by slool. 2. Icterus spasmodicus, without pain af- ter spasmodic diseases and passions of the ijiind. 3. Jcfenis mvcosns, without eKher pain, gall-stones, or spasm, and relieved bytlie discharge of tough phlegm by stool. 4. Icterus hepaticuSjirota an indaraVwn ita the liver. •5. Icterus gravidarum, from pregnancy, and disappearing after delivery. 6. Icterus infantum, of infants. It takes place most usually in consequence of an interrupted excretion of bile, from an obstruction in (he ductus communis chole- dochus, which occasions its absorption into the blood-vessels. In some cases it may, however, be owing to a redundant secretion of the bile. The causes producing the first of these are, the presence of biliary calculi in the gall- bladder and its ducts ; spasmodic eonstric- tion of the ducts themselves ; and, lastly, the pressure made by tumours situated in adja- cent parts ; hence jaundice is often an at- tendant symptom on a scirrhosity of the liver, pancreas, oic. and frequently likewise on pregnancy. Chronic bilious affections are frequently hroughf on by drinking freely, but more par- ticularly by spirituous liquors ; hence they are often lo be (observed in the debauchee and the drinker of drams. 'J'hey are like- wise freijiieritly met with in those v."bo lead aseden!i;iy life ; and who indulge much in anxious thoughts. A slight degree of jaundice often pro- ceeds from the redundant secretion of the bile, and a bilious habit is therefore con- stitutional to some people, but more par- ticularly to those who reside long in a warni climate. By attending to the various circum- stances and symptoms which present them- selves, we shall in general be able to as- certain, with much certainty, the real na- ture of the cause which has given rise to the disease. We may be assured by the long con- tinuance of the complaint, and by feeling the liver and other parts externally, whe- ther or not it arises from any tumour in this vijcus, or the pancreas, mesentery, or omentum. Where passions of the mind induce the dis- ease, withotit any hardness or enlargement of the liver, or adjacent parts, and wilhout any appearance of calculi in the fa3ces, or on dissection afier death, we are naturally induced to conclude (hat the disorder was owing to a spasmodic affection of the biliary ducts. Where gall-stones are lodged in the ducts, acute lancinating pains will be felt in the region of the parts, which will cease for a time, and then return again ; great irrita- tion at the stomach and frequent vomiting will attend, and the patient will experience an aggravation of the pain after eating. Such calculi are of various sizes, from a pea to that of a .walnut ; and, in some cases, are voided in a considerable number, being IGT IDl iS3 tiketiie galiofa yellowish, brownish, or green colour. The jaundice comes on with languor, in- activity, loathing of food, flatulency, acidi- ties in the stomach and bowels, and costive- ness. As it advances in its progress, the skin and eyes become tinged of a deep yel- low ; there is a bitter taste in the mouth, with frequent nausea and vomiting; the urine is very high-coloured ; the stopis are of a gray or clayey appearance, and a dull obtuse pain is felt in the right hypochon- drium, which is much ajrijravatcd by pres- sure with the fingers. Where the pain is very acute, the pulse is apt to become hard and full, and other febrile symptoms to attend. The disease, when of long continiiancp, snd proceeding from a chronic affection of the liver, or other neighbouring viscera, is often attended with anasarcous swellings, and sometimes with ascites : also scorbutic symp- toms freqnently supervene. Where jaundice is recent, and is occasion- f.ii by concretions obstructing the biliary ducts, it is probable that, by using proper means, we may be able to effect a cure; but where it is brought on by tumours of the neighbouring parts, or has arisen in conse- quence of other diseases attended with sym;)- toms of obstructed viscera, our endeavours will most likely not be crowned with success. Arising during a state of pregnancy, it is of Utile consequence, as it will cease on jiartu- rition. On opening the bodies of those who die of jaundice, the yellow tinge appears to pervade even the most interior part of the body ; it is diffused throughout the whole of the cel- lular membrane, in the cartilages and bones, and. even the substance of the brain is co- loured with it. A diseased state of the liver, gallbladder, or adjacent viscera is usually to be met with. The Icterus infantum, or yellow gum, is a species of jaundice whicli, for the most part, affects all children at or soon after, their ))irth, and which usually continues for some days. It has generally been supposed to arise from the meconium, impacted in the in- testines, preventing the flow of bile into them. The effects produced by it, are languor, itjdolen.ce, a yellow tinge of the skin, and a tendency to sleep, which is sometimes fallal, where the child is prevented from sucking. The indications in this disease are, 1. To palliate urgent symptoms. 2. To remove the cause of obstruction to the passage of the bile into the duodenum ; this is the essential part of the treatment; but the means will vary according to circum- stances. When there are appearances of inflammation, of which perhaps the jaun- dice is symptomatic, or both produced by a gaii-stone, the means explained under the head of hepatitis will be proper. If there be severe spasmodic pain, as is usual when a gall-stone is jias^ing, the liberal use of opium and the warm bath will probably relieve it. After which, in all instances, where there is reason for supposing an obstructing cause within the duct, a nauseating emetic, or brisk cathartic, would be aiost likely to force it onward : emetics, however, are hardly advisable, except in recent cases without inflammation ; and calomel, seeming to promote the discharge of bile more than other cathartics, may be given in a large dose with, or after the opium. Several reme- dies have been recommended, on the idea that they may dissolve gall-stones; which, however, is hardly probable, unless they should have advanced to the end of the com- mon duct : the fixed alkalies, a;ther with oil of tm-pentine, raw eggs, &c. come under this head ; though the alkalies may be cer- tainly beneficial by correcting acidily, v.'hich usually results from a deficient supply of bile to the intestines ; and possibly alter the secretion of the liver so much as lo prevent the formation of more concretions. When the complaint arises from scirrhous tumours, mercury is the remedy most likf^ly to afford relief, particularly should the liver itself be diseased : but it must be used with proper caution, and hemlock, or other narcotic, may sometimes enable the system to bear it better. Where this remedy is precliidfid, nitric acid promises to be the best substitute; ' the taraxacum appears by no means so much lo be depended upon. In all tedi- ous cases the strength must be supported by the vegetable bitters or other Ionics, and a nutritious diet, easy of digestion : there is often a dislike of animal food, and a craving for acids, which mostly may be indulged : indeed, when scorbutic symp- toms attended, the native vegetable acids have been sometimes very serviceable. The bowels must be kept regular, and the other secretions promoted, to get i-id of the bile diffused in liie system ; as well as to obviate febrile or inflammatory action. When accumulations of hardened faces induce the complaint, or in the icterus infantum, cathartics may be alone suffi- cient to afford relief: and, in that of preg- nant females, we must chiefly look to the period of delivery. i'cTERTjs a'leus. The while jaundice. The chlorosis, or green-sickness, is sometimes thus called. I'cTDs. A stroke or blow. Hence ictus soils, means a stroke of the sun, or that affec- tion which takes place from too great an in- fluence of the sun's heat. It signifies also the pulsation of an artery, and the sting of a bee, or other insect. Idje'vs. (Frona «r», a mountain in Phr'y- gia, their native place.) A name of the peony, and blackberry. 044 ILE ILI Idiocra'sia. See Idiosyncrusia. iDlOPA'THIC. (Idiopathiciis ; from /six, peculiar, and ct^Sjc, an affection.) A dis- ease which does not depend on any other disease, in which respect it is opposed to a symptomatic disease, wiiic.li is dependant on another. IDIOSY'NCRASY. {Idiosyncntda ; from ft)';5f, peculiar, <7-jt, witii, and Kfi^tTH, a tem- perament.) A jiecu'.iarity of constitution, In which a person is affected by certain agents, which, if applied to a hundred other persons, would produce no effect : thus some people cannot see a finger bleed with- out fainting ; p.nd thus violent inflammation is induced on the skin of some persons b_v substances That are perfectly innocent to others. Idiotro'pia. (From tS^io;, peculiar, and TjHTra; to turn.) The same as Jdiosyn- crasiu. Igka'tia ama'ra. The systeraalic name of the plant which affords St. Ignatius's bean. Fahaindica. Faba sancli ignalii. Fahafebri- fujjia. These lieans are of a roundish figure. very irregular and uneven, about the size of a middling nutmeg, semitransparent, ana of a hard, horny texture. They have a very bitter taste, and no considerable smell. They are said to be used in the Philippine islands in all diseases, acting as a vomit and purga- tive. Infusions are given in the cure of inter- mittents, fcc. Igna Tii fa'ea. > ggg 7 ,^;-^ c,„^^„_ Ignatius s bean. 5 I'g5is ca'lidus. a hot fire : so some call a gangrene : also a violent inflamma- tion, just about to degenerate into a gan- grene. I'g>"I3 fri'gidus. a cold fire. A spha- celus hath been thus called, because the parts that are so effected become as cold as the surrounding air. I'gnis pe'rsiccs. a name of the erysi- pelas, also of the tumour called a carbun- cle. ' I'gnis rotje. Fire for fusion. It is when a vessel which contains some matter for fusion is surrounded with live, i e. red hot coals. I'gnis sa'cer. A name of erysipelas, and of a species of Herpes. I'gnis sapie'xN'tium. I'gnis sylva'ticus. tigo. I'gnis vola'grics. tigo. I'gnis tola'ticds. Heat of horse-dung. A name of the Impe- A name of the Trr.pe- Ses Erysipelas. I'kanra'dix. a somewhat oval, oblong, -compressed root, brought from China. It is extremely rare, and wuuld appear to be the root of some of the orchis tribe. I'laphis. a name in Myrepsus for the burdoch. I'lech. By this word, Paracelsus seems to mean a first principle. Ilei'dos. In the Spagyric language it is the elementary air. I'i.EON crue'ntcm. Hippocrates de- scribes it in lib. De Intern. Affect. In Ibis disease, as well as in the scnrvy, the breath is fetid, the gums recede from the teeth, haemorrhages of the nose happen, and sometimes there are ulcers in the legs, but the patient can move about his business very Avell. I'LEUM. (From iskue, to turn about ; from its convolutions. Ileum inlestinum. The last portion of the small intestines, about fifteen hands' breadth in length, whicli terminates at the valve of the csecum. See Inteslines. I'LEX. (The name of a genus of plants ii the Linna3an system. Class, Telran- dria. Order, Teiragynia.) The holly. The two following species possess medicinal pro- perties. I'lex aquifo'lium. The systematic name of the common holly, .iquifolimn. Theleaves of this plant, Ilex aqui folium ; foUis oralis aciilis sptnosis, of Linneeus, hLivebeen known tu cure intermitlent fevers; and an infusion of the leaves, drank as a tea, is said to be a preventive against the gout. I'lex ca'ssine. Cassina. This tree grou's in Carolina; theleaves resemble those of senna, blackish when dried, with a bitter taste, and aromatic smell. They are considered as stomachic and stimulant. They are some- times used as expectorants; and when fresh are emetic. Ilia. (The plural of He, s;?^i.) The flanks, or that part in which are enclosed the small intestines ; also the small inteslines. I'LIAC ARTERIES. Arterice, iliaca;. The arteries so called, are formed by the bifurca- tion of ihc aorto, near the last lumbar verte- bra. They are divided into internal and e.r- icrnal The hiieninl iliac, also called the hy- pogastric artery, is distributed in the fcetus Inio six, and in the adult into five branches, which are divided abmit the pelvis, viz. the little iliac, the gluteal, the ischiatic, the pu- dical, and the obliiralory ; and in the fcetus the umbilical. The. external iliac proceeds out of the pelvis through Poupart's ligament, to form the fernoial artery. ILIAC PA'SSION. (E/XS5C, ixsos, eh.uk, is described as a kind of nervous colic, whose sent is the ilium.) Passio iliaca. Volvulus. Miseren mei. Convol- vulus. Chordapsus. Tormeutum. A vio- lent vomi'.ing, in wi:tch the fjecal portion of the food is voided by the mouth. See Colica. I'LIAC RE'G10?s. The side of the abdo- men. belwetMi tije rib? and the hips. ILI ACUS I.M K'RNUS. Iliacus of Wins- low, liiaro Irachaidcn of Dumas. _ A thick, broad, and radiated muscle, which is situated in the pelvis, upon the inner sur- face of the ilium. It arises fleshy from the inner lip of the ilium; from most of the hoi- ILL IMP 455 low parti and likewise from the edge of that bone, between its anterior superior spinous process and the acetabulum. It joins witii the psoas magnus, where it begins to become tendinous, and passing under the ligamen- tum Falopii, is inserted in common with that muscle. The tendon of this muscle has been seen distinct from that of the psoas, and, in some subjects, it has been found di- vided into two portions. The iliacus inter- nus serves to assist the psoas magnus in bending the thigh, and in bringing it directly forwards. Ili'adum. Iliadus. It is the first matter of all things, consisting of mercury, salt, and sulphur. These are Paracelsus's three prin- ciples. His iliadus is also a mineral spirit, which is contained in every element, and is the supposed cause of diseases. iLfA'sTER. Paracelsus says it is the oc- cult virtue of nature, whence all things have their increase- Ili'ngos. (Ikiyycc '■ from tkty^, a vortex.) A giddiness in which all things appear to turn round, and the eyes grow dim. Ili'scus. Avicenna says, it is madness caused by love. rLiUM OS. (From ilia, the small in- testines ; so named because it supports the ilia.) The haunch bone The superior portion of the os innominatum, which, in the fcEtus, is a distinct bone. See Innomi- nalum os. Ille'cebra. (From etkecu, to turn ; be- cause its leaves resemble worms.) See Se- dum acre. ILLI'CIUM. (Illiciu/ri, ah illiciendo, de- noting an enticing plant, from its being ve.ry fragrant and aromatic.) The name of a genus of plants in the Linnaean system. Class, Polyandria. Order, Polygynia. Illi'cium anisa'tusi. Yellow flowered aniseed-tree. The systematic name of the plant, the seeds of which are called the star aniseed. Jlnisum stellalum. Anisum sinense. Semen badian. They are used with the same views as those of tiie Pimpinella unisnm. Thesame tree is supposed to furnish the aro- matic bark called cortex anisi stsUali, or cor- tex lavola. Illo'sis. (From axo;, the eye.) A dis- tortion of the eyes. Illutame'ntum. An ancient form of an external medicine, like the Ceroma, with which the limbs of wrestlers, and others de- lighting in like exercises, were rubbed, especially after bathing ; an account of which may be met with in Baclius De Thermis. Illuta'tio. (From in, and lutmn, mud.) lilulation. A besmearing any part of the body with mud, and renewing it as it grows dry, with a view of heating, drying, and discussing. It was chiefly done with the mud found at the bottom of mineral ^nrinj?- I i.f.vs. (From tKxog, the eye.) A persan who squints, or with distorted eyes. I'lvs. (From ihuc, mud.) The fajces of wine. Also an epithet for sediment in stools, which resemble faeces of wine ; also the sediment in urine, when it resembles the same. Imeeci'llitas oculo'rum. Celsus speaks of the Jfyctalopia by this name. Imbibi'tio. (From imbibo, to receive into.) In chemistry it is a kind of cohoba- tion, when the liquor ascends and descends upon a solid substance, till it is fixed there- with. Imme'rsus. a term given by Bartholine, and some other anatomists, to the Subscapu' laris muscle, because it was hidden, or, as it were, sunk. Impa'tiens. (From in, not, and pallor, to suffer ; because its leaves recede from the hand with a crackling noise, as impa- tient of the touch.) A species of persi- caria. IMPERATOTilA. (From im^^ero, to over- come ; so named because its leaves extend and overwhelm the lesser herbs which grow near it.) 1. The name of a genus of plants in the Linneean system. Class, Penlandria. Order, Monogynia. 2. The pharmacopoeial name of the Im- peraloria oslruildum of Linnaeus ; which see. Imperato'ria ostku'thiuji. The syste- matic name of the master-wort. Imperalo- ria. Magistranlia. The roots of this plant are impoiled from the Alps and Pyrenees, notwithstanding it is indigenous to this island ; they have a fragrant smell, and a bitterish pungent taste. The plant, as its name imports, was formerly thought to be of singular eflScacy ; and its great success, it is said, caused it to be distinguished by the name of divinum remedium. At present, it is considered merely as an aromatic, and consequently is superseded by many of that class which possess superior qualities. IMPETl'GINES. (The plural of impeti' go ; from impeto, to infest.) An order in the class cachexia; of Cullcn, the genera of which are characterized by cachexia, deforming the externai parts of the body with tumours, eruptions, &.C. IMPETI'GO. This affection, as described by authors, is a disease in which several red, hard, dry, prurient spots arise in the face and neck, and sometimes all over the body, and disappear by furfuraceous or tender scales. I'mpia he'rba. (From in, not, and plus, good ; because it grows only on barren ground.) A name given to cudweed. Implicated. Celsus, Scribonius, and some others, call those parts of physic so, which have a necessary dependence on one another; but the term has been more signifi- cantly applied, by Bellini, to fevers, where two at atinae afflict a person, either of thf 456 L\C IND same kind, as a double tertian ; or, of differ- ent kini)s, as an'intermitfent tertian, and a quotidian, called a Semitertian. Implu'vium. (From impluo, to shower upon.) The shower-bath. An embroca- tion. IMPREGNA'TION. See Conception and Generation. Inanj'tio. (From inanio, to empty.) Inanition. Applied to tlie body, it means evacuation ; applied to the mind, it means a defect of its powers. [ncanta'tion. fncantatio. Licantamen- turn. A way of curin» diseases by charms, defended by Paracelsus, Helmonf, and some other cliemical enthusiasts. Ince'ndium. (From incendo, to burn.) A burning fever, or sometimes any burning heat. Ince'nsio. The same as Tncendium. Also a hot inflammatory tumour. Incerni'culum. (From incerno, to sift.) A strainer, or sieve. In anatomy, it is a name for the pelvis of the kidney, from its oiEce as a strainer. Incide'ntia. (From incido, to cut.) ^Z- ierantia. Medicines supposed to cut viscid bumours. JNIedicines were formerly so called which consist of pointed and sharp particles, as acids, and most salts, which are said to incide or cut the phlegm, when they break it so as to occason its discharge. Incinera'tio. (From incinero, to reduce to ashes.) Incineration. The reducing of any thing to ashes by fire. Ikcisi'vus infe'rior. See Lavator labii inferioris. iNcisi'vtJS latera'lis. See Lavator labii superioris alcegue nasi. Incisi'vus me'dius. See Depressor labii superioris akeque nasi. Jnciso'ricm. (From incido, to cut.) A table whereon a patient is laid for an opera- tion. iNciso'Riuai fora'men. a name of the foramen, which lies behind the dentes inci- sores of the upper jaw. INCISORS. ( Dentes incisores ; from in- cido, to cut, from their use in cutting the food.) The four front teelh of both jaws are so called, because they cut the food. See Teelh. Incontijje'ntia. (From in and conlineo, to contain.) Inability to retain the natural evacuations. Iscrassa'ntia. (From incrasso, to make thick.) Medicines thickening the fluids. I'NCUBUS. (From incubo, to lie upon ; because the patient fancies that something lies upon his chest.) See JVight-mare, and Oneirodynia. INCUS. (A smith's anvil, from incudo, to smite upon ; so named from its likeness in shape to an anvil.)' The largest and strongest of the bones of the ear in the tympanum. It is divided into a body and nvo (-rijra. Us bodv if situated auteriorlv. is rather broad and thick, and has two etai- nerices and two depressions, both covered with cartilage, and intended for the recep" tion of the head of (he malleus. Its shorter crus extends no farther than the cells of the mastoid apophysis, lis longer crus, together with the manubrium of the malleus, to which it is connected by a ligament, is of the same extent as the shorter ; but its ex- tremity is curved inwards, to receive the os orbiciilare, by the intervention of which it is united with (he stapes. I'NDEX. (From indico, to point out ; be- cause it is generally used for such purposes.) The fore-finger. Indian arrow-root. See Maranta. Indian cress. See Tropmolum majus. Indian date-plum. The fruit of the Diospyrus lotus of Linnaeus. When rij;e, it has an agreeable taste, and is very nutri- tious. Indian leaf. See Laurus Cassia. Indian pink. See Spigelia. INDIAN RUBBER. The substance known by (he names Indian Rubber, Elas- tic gum, Cayenne resin, Cautchuc, and by the French Caoutchouc, is prepared from the juice of the Siphonia elastica ; — foliis ternalis elliplicis inlegerrimis sublus cauis longe peliolatis. Suppl. plant. The manner of obtaining this juice is by making incisions through the bark of the lower part of the trunk of the tree, from which the fluid rcsiu issues in great abundance, appearing of a milky whiteness as it flows into the vessel placed to receive it, and into which it is conducted by means of a tube or leaf fixed in the incision, and supported with clay. On exposure to the air, this milky juice gradually inspissates into a soft, reddish, elastic resin. It is formed by the Indians in South America into various figures, but is commonly brought to Europe in that of pear-shaped bottles, which are said to be formed by spreading the juice of the Sipho- nia over a proper mould of clay ; as soon as one layer is dry, another is added, unlil the bo!tle be of the thickness desired. It is then exposed to a thick dense smoke, or to a fire, until it becomes so dry as not to stick to the fingers, when, by means of cer- tain instruments of iron, or wood, it is ornamented on the outside with various figures. This being done, it remains only to pick out the mould, which is easily eifected by softening it with water. Indian rubber may be subjected to the aetion of some of the most powerful menstrua, without suffer- ing the least change, while its pliability and elasticity are eminently peculiar to itself. Its proper menstruum is known to some persons in England, who keep it a profound secret, and prepare the gum into beautiful catheters, bougies, syringes, pessa- ries, &c. Indian wheal. See Zea mays. Ivdia'^a RA'fji.v, Ipecacuarih!!. iNF INF 457 isDiCA CAMo'TES. Potatoes. I'NDICANS. Indicant. The proxi- mate cause of a disease, or that from which the indication is drawn. Indicating days, are the same as criti- cal days. INDICATION. {Indicatio; from in- dico, to show.) An indication is that which demonstrates in a disease what oug^ht to be done. It is three-fold : preservative, which preserves health ; curative, which expels a present disease ; and vital, which respects the powers and reasons of diet. The scope from which indications ai'e taken, or determined, is comprehended in this distich : Ars, alas, regio, complexio, virtus, Mos et symptama, repletio, tempus et usus. INDICA'TOR. (From indico, to point ; so named from its office of extending the index, or fore-finger.) Extensor indicis of Cowper. Extensor secundi tnternodii indicis proprius, zulgo indicator of Douglas, and Cubito-sus plialangettien de Vindix of Dumas. An extensor muscle of the fore- finger, situated chiefly on the lower and posterior part of the fore-arm. It arises, by an acute fleshy beginning, from the middle of the posterior part of tJie ulna, its tendon passes under the same ligament with the extensor di gi to I'um communis, with part of which it is inserted into the posterior part of the fore-finger. I'ndicum li'gnuji. Logwood. TwDicus. Sweet and bitter costus. I'jVDicus Mo'RBrs. The venereal disease. INDI'GENOUS. {Morbus indigenus; indigenaab indu, i. e. in etgeno, i. e.gigno, to beget.) Applied to diseases which are peculiar to any country. Ijidura'ntia. (From induro, to haj'den.) Medicines which harden. Indu'sium. (From induo, to put on.) A shirt. Also the name of the amnios, from its covering the foetus like a shirt. Ine'sis. (From ivom, to evacuate.) Ine- thus. An evacuation of the humours. INFECTION. See Contagion. Infernal. A name given to a caustic, lapis infemalis, from its strong burning property. Infibula'tio. (Tvovninfibulo, to button together.) An impediment to the retrac- tion of the prepuce. INFLAMMABLE. Chemists distin- guish by this term such bodies of the mine- ral kingdom only as burn with facility, and flame in an increased temperature. INFLAMMATION. {Inflammatio ; fvom injlammo, to ham.) Pklogosis. Phleg- masia. A genus of disease in the class pyrexia, and order phlegmasim, of CuUen, This disease is characterized by heat, pain, redness, attended with more or less of tumefactioa and fever. Inflainniation is di- vided into two species, viz.' phlegmonous and erysipelatous. Besides this division, inflammation is either acute or chronic, local or general, simple or complicated with other diseases. Phlegmonous inflammation is known by its bright red colour, tension, heat, and a circumscribed, throbbing, painful tume- faction of the part ; tending to suppuration. Phlegmon is generally used to denote an inflammatory tumour, situated in the skin, or cellular membrane. When the same disease afi"ects the viscera, it is usually call- ed phlegmonous inflammation. Erysipelatous inflammation is considered as an inflammation of a dull red colour, vanishing upon pressure, spreading une- qually, with a burning pain, the tumour scarcely perceptible, ending in vesicles, or desquamation. This species of inflamma- tion admits of a division into erythema, when there is merely an afiection of the skin, with very little of the whole system ; and erysipelas, when there is general af- fection of the system. The fever attending erysipelatous inflam- mation is generally synochus, or typhus, excepting when it affects very vigorous habits, and then it may be synocha. The fever attending phlegmonous inflam- mation is almost always synocha. Persons in the prime of life, and in full vigour, with a plethoric habit of body, are most liable to the attacks of phlegmonous inflammation ; whereas, those advanced in years, and those of a weak habit of body, irritable, and lean, are most apt to be attacked with erysipe- latous inflammation. Phlegmonous inflammation terminates in resolutiati, suppuration, gangrene, and scir- rhus, or induration. Resolution is known to be about to take place when the symptoms gradually abate ; suppuration, when the inflammation does not readily yield to proper remedies, the throbbing increases, the tumour points ex- ternally, and rigors come on. Gangrene is about to take place when the pain abates, tlie pulse sinks, and cold perspirations come on. Scirrhus, or induration, is known by the imflammatiou continuing a longer time than usual ; the tumefaction continues, and a considerable hardness remains. This kind of tumour gives little or no pain, and, when it takes place, it is usually the sequel of in- flammation affecting glandular parts. It somedmes, however, is accompanied with lancinating pains, ulcerates, and becomes cancerous. Erythematous inflammation terminates in resolution, suppuration, or gangrene. The symptoms of inflammation are account- ed for in the following way : The redness arises from the dilation of the small vessels, which become sufficiently large to admit the red particles in large cuantities ; it appears al":o tc occur, in some 458 INF INF cases, from the generation of new vessels. The swelling is caused by the dilatation of the vessels, the plethoric state of the arte- ries and veins, the exudation of coagula- ble lymph into the interstices of the cellu- lar membrane, and the interruption of ab- sorption. In regard to the augmentation of heat, as the thermometer denotes very little in- crease of temperature, it appears to be ac- counted for from the increased sensibility of the nerves, which convey false impressions to the sensorium. The pain is occasioned by a deviation from the natural state of the parts, and the unusual condition into which the nerves are thrown. The tlirobbing de- pends on the increased action of the arte- ries. Blood takeu from a person labouring un- der active inflammation, exhibits a yellow- ish white crust on the surface ; this is de- nominated the buffy coriaceous, or inflam- matory coat. This consists of a layer of co- agulable lymph, almost destitute of red par- ticles. Blood, in this state, is often termed sizy. The colouring part of the blood is its heaviest constituent : and, as the blood of a person labouring under inflammation is longer coagulating than healthy blood, it is supposed that the red particles have an op- portunity to descend to a considerable depth from the surface before they become en- tangled. The buSy coat of blood is gene- rally the best criterion of inflammation ; there are a few anomalous constitutions in ^hich this state of blood is always found; but these are rare. The occasional and exciting causes of in- flammation are very numerous ; they, how- ever, may generally be classed under ex- ternal violence, produced either by me- chanical or chemical irritation, changes of temperature, and stimulating foods. Fever often seems to be a remote cause ; the in- flammation thus produced is generally con- sidered as critical. Spontaneous inflamma- tion sometimes occurs when no perceptible cause can be assigned for its production. Scrophula and syphilis may be considered as exciting causes of inflammation. With regard to the proximate cause, it has been the subject of much dispute. Galen considered phlegmon to be produced by a superabundance of the humour sanguineus. Boerhaave referred the proximate cause to an obstruction in the small vessels, occa- sioned by a viscosity or lentor of the blood. CuUen and others attributed it rather to an affection of the vessels than a change of the fiaids. The proximate cause, at the present pe- riod, is generally considered to be a mor- bid dilatation, and increased action of such arteries as lead and are distributed to the inflamed part. Infiammation of fhe brain. See PJire- nilis. Infiammation of the bladder. See Cysiiiis, Inflammation of the eyes. See Ophthalmia, Inflammation of the intestines. See En- teritis. Inflammation of the kidneys. See J^e- phritis. Inflammation of the liver. See Hepatitis. Inflammation of the lungs. See Pneu- monia. Inflammation of the peritonaum. See Peritonitis. Inflammation of the pleura. See Pleu- ritis. Inflammation of the stomach. See Gas- tritis. liflammation of the testicle. See Hernia humoralis. Inflammation oftheuterus. See Hysteritis. Iwfla'tio. (From inflo, to pufl"up.) A windy tumour, or swelling. See Emphy- sema. Inflati'va. (From inflo, to puff up with wind.) Medicines or food which cause flatulence. INFLUE'NZA. (The Italian word for influence.) The disease is so named be- cause it was supposed to be produced by a peculiar influence of the stars. See Catarrhus d contagio. INFRASCAFULA'RIS. (From infra, beneath, and scapula, the shoulder-blade.) A muscle named from its position beneath the scapula. INFRASPINA'TUS. (From infra, be- neath, and spina, the spine.) INFUNDI'BULUM. (From infundo, to pour in.) 1. A canal that proceeds from the vuh'a of the brain to the pituitary gland in the sella turcica. 2. The beginnings of the excretory duct of the kidney, or cavities into which the urine is first received, are called infundi- bula. INFUSION. (Jnfusum; from infuMo, to pour in.) Infusio. A process that con- sists in pouring water of any required de- gree of temperature on such substances as have a loose texture, as thin bark, wood in shavings, or small pieces, leaves, flowers, &c. and suff'eringit to stand a certain time. The liquor obtained by tlie above process is called an infusion. The following are among the most approved infusions. Infu'sum anthe'midis. Infusion of ca- momile. " Take of camomile-flowers, two drachms ; boiling water, haK a pint. Ma- cerate for ten minutes, in a covered ves- sel, and strain.' ' For its virtues, see An- themis nobilis. Infu'sum armora'cle compo'situm. Compound infusion of horse-radish. " Take of fresh horse-radish root, sliced, mustard- seeds, bruised, of each one ounce ; boiling water, a pint. Macerate for two hours, in a covered vessel, and strain ; then add compound spirit of horse-radish, a fluid ounce." See Cochlearia armoracia. INF ING 459 ^NFtr'stTM aura'ntii coMPo'siTCM. Com- pound infusion of orange-peel. " Take of orange-peel, dried, two drachms ; lemon- peel, fresh, a drachm ; cloves, bruised, half a drachm ; boiling water, half a pint. Ma- cerate for a quarter of an hour, in a co- vered vessel, and strain." See Citrus au- rantium. liVFT/suM cahj'mb.e. lufusiou of ca- lumba. " Take of calumba-root, sliced, a drachm ; boiling water, half a pint. Mace- rate for two hours, in a covered vessel, and strain." See Calumba. InFu'sUM CARYOPflTLLo'RUM. Infusion of cloves. " Take of cloves, bruised, a drachm; boiling water, half a pint. Mace- rate for two hours, in a covered vessel, and strain." See Eugenia caryoj)hyllala. Ijvfu'sum cascari'll^. Infusion of cas- carilla, " Take of cascarilla bark, bruised, half an ounce ; boiling water, half a pint. Macerate for two hours, in a covered vessel, and strain." See Croton cascarilla. Infu'sum ca'techu compositum. Com- pound infusion of catechu. "Take of ex- tract of catechu, two drachms and a half; cinnamon bark, bruised, half a drachm ; boiling water, half a pint. Macerate for an hour, in a covered vessel, and strain." See Acacia catechu. Infu'sum cincho'n^. Infusion of cin- chona. " Take of lance-leaved cinchona bark, bruised, half an ounce ; boiling wa- ter, half a pint. Macerate for two hours, in a covered vessel, and strain." See Cin- chona. Inft/sum cuspa'rijE. Infusion of cus- paria. " Take of cusparia bark, bruised, two drachms ; boiling water, half a pint. Macerate for two hours, in a covered ves- sel, and strain." See Cusparia ftbrifuga. Infu'sum digita'lis. Infusion of fox- glove. " Take of purple fox-glove leaves, dried, a drachm ; boiling water, half a pint. Macerate for four hours, in a co- vered vessel, and strain ; then add spirit of cinnamon, half a fluid ounce." See Digi- talis. Inft/sum gentia'n^compo'sititih. Com- pound infusion of gentian. " Take of gen- tian-root, sliced, orange-peel, dried, of each a drachm ; lemon-peel, fresh, two drachms ; boiling water, twelve fluid ounces. Mace- rate for an hour, in a covered vessel, and strain." See Gentiana. Infu'sum li'jvi. Infusion of linseed. " Take of linseed, bruised, an ounce ; li- quorice-root, sliced, half an ounce ; boiling ■water, two pints. Macerate for two hours, near the fire, in a covered vessel, and strain." See Linum usitatissimum. Infu'sum atTA'ssi^. Infusion of quas- sia. " Take of quassia wood, a scruple ; boiling water, half a pint. Macerate for two hours, and strain." See Quassia amara. Infu'sum rhe'i. Infusion of rhubarb. " Take of rhubarb-root, sliced, a drachm ; boiling water, half a pint. Macerate for two hours, and strain." See Rheum. Infu'sum ro's^. " Take of the petals of red rose, dried, half and an ounce ; boiling water, two pints and a half; dilute sulphu- ric acid, three fluid drachms ; double-refined sugar, an ounce and a half. Pour the water upon the petals of the rose in a glass vessel ; then add the acid, and macerate for half an hour. Lastly, strain the infusion, and add the sugar to it." See Rosa Gallica. Infu'sum se'nnjE. Infusion of senna. " Take of senna-leaves, an ounce and a half; ginger-root, sliced, a drachm ; boiling water, a pint. Macerate for an hour, in a covered vessel, and strain the liquor." See Cassia senna. Infu'sum simarou'e^e. Infusion of si- raarouba. " Take of Simarouba-bark, bruised, half a drachm ; boiling water, half a pint. Macerate for two hours, in a cover- ed vessel, and strain." See Quassia sima- rouba. Infu'sum taba'ci. Infusion of tobacco. " Take of tobacco-leaves, a drachm ; boiling water, a pint. Macerate for an hour, in a covered vessel, and strain." See Kicotiana. INGENHOUZ, John, was born at Bre- da, in 1730. Little is known of his early- life ; but in 1767 he came to England to learu the Suttonian method of inoculation. In the following year he went to Vienna, to inoculate some of the imperial family, for which service he received ample honours ; and shortly after performed the same opera- tion on the Grand Duke of Tuscany ; when he returned to this country, and spent the remainder of his life in scientific pursuits. In 1779 he published " Experiments ou Vegetables," discovering their great power of purifying the air in sunshine, but in- juring it in the shade and night. He was also author of several papers in the Philo- sophical Transactions, being an active member of the Royal Society. He died ia 1799. Inglu'vies. The claw, crop, or gorge of a bird. Also gluttony. INGRASSIAS, John Philip, was bora in Sicily, and graduated at Padua in 1537, with singular reputation ; whence he was in- vited to a professorship in several of the Italian schools : but he gave the preference to Naples, where he distinguished himself greatly by his learning and judgment- At length he returned to his native island, and settled at Palermo, where he was also highly esteemed ; and in 1563 made first physician to that country by Philip II. of Spain, to whom it then belonged. This office ena- bled him to introduce excellent regulations into the medical practice of the island ; and when the plague raged there in 1575, the judicious measures adopted by him arrested its progress : whence the magistrates de- creed him a large reward, of which, how- 460 IXX !NN ever, he only accepted a part, and applied that to religious uses. He died in 1580, at the age of 70. He cultivated anatomy with great assiduity, and is reckoned one of the improvers of that art, especially in regard to the structure of the cranium, and the or- gan of hearing. He is said also to have dis- covered the seminal vesicles. He publish- ed several works, particularly an account of the plague ; and a treatise " De Tumoribus praeter Naturam," which is chiefly a com- mentary on Avicenna, but is deserving of notice, as containing the first modern de- scription of Scarlatina, under the name of Rossalia ; and perhaps the first account of varicella, vdiich he called crystalli. But his principal work was published by his nephew in 1603, entitled, " Commentaries on Ga- len's Book concerning the Bones." IwGRAViDATiON. (From ingravidor, to be great with child.) The same as impreg- nation, or going with child. I'NGUEN. (-inis, n.) The groin. The lower and lateral part of the abdomen, above the thigh. . Inguinal ligament. See Pouparfs liga- ment. Inguinal hernia. See Hernia. IwHUMATioN. (From inhumo, to put into the ground.) The burying a patient in warm or medicated earth. Some chemists have fancied thus to call that kind of diges- tion which is performed by burying the ma- terials in dung, or in the earth. I'nion. (From «, a nerve ; as being the place where nerves originate.) The occi- put. Blancard says it is the beginning of the spinal marrow ; others say it is the back part of the neck. Injacula'tio. (From injaculor, to shoot into.) So Helmont calls a disorder which consists of a violent spasmodic pain in the stomach, and an immobility of the body. INJE'CTION. (From injicio, to cast into.) A medicated liquor to throw into a natural or preternatural cavity of the body by means of a syringe. INNOMINA'TA ARTE'RIA. The first branch given ofi" by the arch of the aorta. It soon divides into the right carotid and right subclavian arteries. INNOMINA'TUM OS. {Innominatus ; from in, priv. and nomen, a name ; so call- ed because the three bones of which it ori- ginally was formed grew together, and formed one complete bone, which was then left nameless.) A large irregular bone, situated at the side of the pelvis. It is di- vided into three portions, viz. the iliac, is- chiatic, and pubic, which are usually de- scribed as three distinct bones. The 03 ilium, or haunch-bone, is of a very irregular shape. The lower part of it is thick and narrow ; its superior portion is broad and thin, terminating in a ridge, called the spine of the ilium, and more <5ommonly known by the name of the haunch. This spine rises up like an arch, being turned somewhat outward, and from this appearance, the upper part of the pel- vis, when viewed together, has not been improperly compared to the wings of a phaeton. This spine, in the recent subject, appears as if tipped with cartilage ; but this appearance is nothing more than tlie tendinous fibres of the muscles that are in- serted into it. Externally, this bone is un- equally prominent, and hollowed for the at- tachment of muscles ; and internally, at its broadest fore-part, it is smooth and concave. At its lower part, there is a considerable ridge on its inner surface. This ridge, which extends from the os sacrum, and cor- responds with a similar prominence, both on that bone and the ischium, forms, with the inner part of the ossa pubis, what is called the brim of the pelvis. The whole of the internal surface, behind this ridge, is very unequal. The os ilium has likewise a smaller surface posteriorly, by which it is articulated to the sides of the os sacrum. This surface has, by some, been compared to the human ear, and, by others, to the head of a bird ; but neither of these com- parisons seem to convey any just idea of its form or appearance. Its upper part is rough and porous ; lower down it is more solid. It is firmly united to the os sacrum by a cartilaginous substance, and like- wise by very strong ligamentous fibres, which are extended to that bone from the whole circumference of this irregular surface. The spine of this bone, which is originally an epiphysis, has two considera- ble tuberosities, one anteriorly, and the other posteriorly, which is the largest of the two. The ends of this spine too, from their projecting more than the parts of the bone below them, are called spinal processes. Before the anterior spinal process, the spine is hollowed, where part of the Sartorius muscle , is placed ; and below the posterior spinal process, there is a very large niche in the bone, which, in the recent subject, has a strong liga- ment stretched over its lower part, from the OS sacrum to the sharp-pointed process of the ischium ; so that a great hole is formed, through which pass the great sciatic nerve and the posterior crural vessels under the pyriform muscle, part of which is likewise lodged in this hole. The lowest, thickest, and narrowest part of the ilium, in conjunction with the other two por- tions of each os innominatum, helps to form the acetabulum for the os fe- moris. The OS ischium, or liip-bone, which is the lowest of the three portions of each os innominatum, is of a very irregular figure, and usually divided into its body, tuberosity, and ramus. The body, exter- nally, forms the inferior portion of the ace- tabulum, and sends a sharp-pointed process INN INN 461 backwai'ds, called the spine of the ischium. This is the process to which the ligament is attached, ■which was just now described as forming a great foramen for the passage of the sciatic nerve. The tuberosity is large and irregufar, and is placed at the inferior part of the bone, giving origin to several muscles. In the recent subject, it seems covered with a cartilaginous crust ; but this appearance, as in the spine of the ilium, is nothing more than the tendinous fibres of the muscles that are inserted into it. This tu- berosity, which is tlie lowest portion of the trunk, supports us when we sit. Between the spine and the tuberosity is observed a sinuosity, covered with a cartilao^inous crust, which serves as a pulley, on which the obturator muscle plays. From the tu- berosity, the bone becoming narrower and thinner, forms the ramus, or branch, which passing forwards and upwards, makes, with the ramus of the os pubis, a large hole, of an oval shape, the foramen magnum ischii which affords, through its whole circumfe- rence, attachment to muscles. This foramen is more particularly noticed in describing the OS pubis. The OS pubis, or share-bone, which is tlie smallest of the tliree portions of the os inno- minatum, is placed at the upper and fore part of the pelvis, where the two ossa pubis meet, and are united to each other by means of a very strong cartilage, which constitutes what is called the symphysis pubis. Each os pubis may be divided into its body, angle, and ramus. The body, which is the outer part, is joined to tlie os ilium. The angle comes forward to form the symphysis, and the ramus isathin apophysis, which, uniting with the ramus of the ischium, forms the foramen magnum ischii, or thyroideum, as it has been sometimes called, from its resem- blance to a door or shield. This foramen is somewhat wider above than below, and its greatest diameter is, from above down- wards, and obliquely from within outwards. In the recent subject, it is almost completely closed by a strong fibi-ous membrane, called the obturator ligament. Upwards and out- wards, where we observe a niche in the bone, the fibres of this ligament are sepa- rated, to allow a passage to the posterior crural nerve, an artery, and vein. The great uses of this foramen seem to be to lighten the bones of the pelvis, and to afford a convenient lodgment to the obturator muscles. The three bo'^es now described as constituting the os innominatum on each side, ail concur to form the great acetabu- lum, or cotyloid cavity, which receives the head of the thigh-bone ; the os ilium and os ischium making each about two- fifths, and the os pubis one-fifth, of the cavity. This acetabulum, which is of con- siderable depth, is of a spherical shape. Its brims are high, and, in the recent subject, it is tipped with cartilage. These brims, however, are higher above and externallv than they are internally and below, where we observe a niche in the bone (namely the ischium), across which is stretched a ligament, forming a hole for the trans- mission of blood-vessels and nerves to the cavity of the joint. The cartilage which lines the acetabulum, is thickest at its cir- cumference, and thinner within, where a little hole is to be obser\'ed, in which is placed the apparatus that serves to lubri- cate the joint, and facilitate its motions. We are Likewise able to discover the im- pression made by the internal ligament of the OS femoris, which, by being attached both to this cavity and to the head of the OS femoris, helps to secure the latter in the acetabulum. The bones of the pelvis serve to support the spine and upper parts of the body, to lodge the intestines, urinary bladder, and other viscera ; and likewise to unite the trunk to the lower extremities. But, besides these uses, they are destined, in the female subject, for other important purposes ; and the accoucheur finds, in the study of these bones, the foundation of all midwifery knowledge. Several eminent writers are of opinion, that, in difficult par- turition, all the bones of the pelvis undergo a certain degree of separation. It has been observed likewise, that the cartilage uniting the ossa pubis is thicker, and of a more spongy texture, in women than in men, and therefore more likely to swell and enlarge during pregnancy. That many instances of a partial separation of these bones, during labour, have happened, there can be no doubt ; such a separation, however, ought by no means to be considered as an uniform and salutary work of nature, as some wri- ters seem to think, but as the effect of dis- ease. But there is another circumstance, in regard to this part of osteology, which is well worthy of attention ; and this is, the different capacities of the pelvis in the male and female subject. It has been observed, that the os sacrum is shorter and broader in women than in men ; the ossa ilia are also found more expanded : whence it hap- pens, that in women the centre of gravity does not fall so directly on the upper part of the thigh as in men, and this seems to be the reason, why, in general, they step with less firmness, and move their hips for- wards in walking. From these circumstan- ces also, the brim of the female pelvis is nearly of an oval shape, being considerably wider from side to side, than from the sym- physis pubis to the os sacrum ; whereas, in man it is- rounder, and every where of less diameter. The inferior opening of the pel- vis is likewise proportion ably larger in the female subject, the ossa ischia being more separated from each other, and the foramen ischii larger, so that, where the os ischium and OS pubis are united together, they form a greater circle ; the os sacrum is also more hollowed, though shorter, and the os coc- cygis more looselj' connected, and therefore 462 JNO INO capable of a greater degree of motioa than in men. Innomina'ti ne'rvi. a name of the fifth pair of nerves. INOCULATION. The insertion of a poison into any part of the body. It was mostly practised with that of the small-pox, because we had learnt, from experience, that, by so doing, we generally procured fewer pustules, and a much milder disease, than when the small-pox was taken in a natural way. Although the advantages were evident, yet objections were raised against inoculation, on the notion that it exposed the person to some risk, when he might have passed through life, without ever taking the disease naturally ; but it is obvious that he was exposed to much great- er danger, from the intercourse which he must have with his fellow-creatures, by taking the disorder in a natural way. It has also been adduced, that a person is liable to take the small-pox a second time, when produced at first by artificial means ; but such instances are very rare, besides not be- ing sufiiciently authentic. We may conj e c- ture that, in most of those cases, the matter used was not variolous, but that of some other eruptive disorder, such as the chick- en-pox, which has often been mistaken for the small-pox. However, since the disco- very of the preventive power of the cow- pock, small-pox inoculation has been rapid- ly falling into disuse. See Variola vaccina. To illustrate the benefits arising from inoculation, it has been calculated that a third of the adults die who take the disease in a natural way, and about one-seventh of the children ; whereas, of those who are in- oculated, and are properly treated after- wards, the proportion is probably not great- er than one in five or six hundred. Inoculation is generally thought to have been introduced into Britain from Turkey, by Lady Mary Wortley Montague, about the year 1721, whose son had been inocu- lated at Constantinople, during her resi- dence there, and whose infant daughter was the first that underwent the operation in this country. It appears, however, to have been well known before this period, both in the South of Wales and Highlands of Scot- land. Mr. Mungo Park, in his travels into the interior of Africa, found that inoculation had been long practised by the negroes on the Guinea coast ; and nearly in the same manner, and at the same time of life, as in Europe. It is not clearly ascertained where inocu- lation really originated. It has been ascri- bed to the Circassians, who employed it as the means of preserving the beauty of their women. It appears more probable that ac- cident first suggested the expedient among difierent nations, to whom the small-pox had long been known, independently of any intercourse with each other ; and what adds to the probability of this conjecture is, that in most places where inoculation can be traced back, for a considerable length of time, it seems to have been practised chief-- ly by old women, before it was adopted by regular practitioners. Many physicians held inoculation in the greatest contempt at first, from its supposed origin ; others again discredited the fact of its utility ; while others, on the testimony of the success in distant countries, believed in the advantages it afforded, but still did not think themselves warranted to recom- mend it to the families they attended ; and it was not until the experiment of it had been made on six criminals (all of whom recovered from the disease, and regained their liberty,) that it was practised, in the year 1726, on the royal family, and after- wards adopted as a general thing. To insure success from inoculation, the following precautions should strictly be at- tended to, 1. That the person should be of a good habit of body, and free from any disease, apparent or latent, in order that he may not have the disease and a bad constitution, or perhaps another disorder, to struggle with at the same time. 2. To enjoin a temperate diet and proper regimen ; and, where the body is pletho- ric, or gross, to make vise of gentle purges, together with mercurial and antimonial medicines. 3. That the age of the person be as little advanced as possible, but not younger, if it can be avoided, than four months. 4. To choose a cool season of the year, and to avoid external heat, either by expo- sure to the sun, sitting by fires, or in warm chambers, or by going too warmly clothed, or being too much in bed. 5. To take the matter from a young subject, who has the small-pox in a favour- able way, and who is otherwise healthy, and free from disease ; and, when fresh matter can be procured, to give it the pre- ference. Where matter of a benign kind cannot be procured, and the patient is evidently in danger of the casual small-pox, we should not, however, hesitate a moment to inocu- late from any kind of matter that can be procured ; as what has been taken in malig- nant kinds of small-pox has been found to produce a very mild disease. The mildness or malignity of the disease appears, therefore, to depend little or not at all on the inoculating matter. Vario- lous matter, as well as the vaccine, by be- ing kept for a length of time, particularly in a warm place, is apt, however, to un- dergo decomposition, by putrefaction ; and then another kind of contagious material has been produced. In inoculating, the operator is to make the slightest puncture or scratch imaginable in the arm of the person, rubbing that part of the lancet which is besmeared with mat- INT INT 463 tcr repeatedly over it, by way of insuriiig the absorption ; and in order to prevent its being wiped off, the shirt sleeve ought not to be pulled down until the part is perfectly dry. A singular circumstance attending inocu- lation is, that when this fails in producing the disease, the inoculated part nevertheless sometimes inflames and suppurates, as in cases where the complaint is about to follow; and the matter produced in those cases, is as fit for inoculation as that taken from a person actually labouring under the disease. The same happens very frequently in in- oculation for the cow-pox. If, on the fourth or fifth day after the operation, no redness, or inflammation, is apparent on the edge of the wound, we ought then to inoculate in the other arm, in the same manner as before ; or, for greater certainty, we may do it in both. Some constitutions are ii?/^'^Dable of hav- ing the disease in any form. O'hers do not receive the disease at one time, however freely exposed to its contagion, even though repeatedly inoculated, and yet receive it afterwards by merely approaching those labouring under it. On the coming on of the febrile symp- toms, which is generally on the seventh day in the inoculated small-pox, the pa- tient is not to be suffered to lie a-bed, but should be kept cool, and partake freely of antiseptic cooling drinks. See Variola. INOSCULA'TION. (From in, and osculum, a little mouth.) The running of the veins and arteries into one another, or the interunion of the extremities of arteries and veins. INSA'NIA. (From in, not, and sanus, sound.) Insanity, or deranged intellect. A genus of disease in the class neuroses, and order vesaniw, characterized by erro- neous judgment, from imaginary percep- tions or recollections, attended with agree- able emotions in persons of a sanguine tem- perament. See Mania. Inse'ssus. (From insideo, to sit upon.) A vapour-bath, over which the patient sits. Insi'dians. (From insidior, to deceive.) A name for diseases which betray no pre- vious symptoms, but are ready to break out by surprise. Insipie'ntia. (From in, and sapientia, wisdom.) A low degree of delirium, with- out fever. Ijtsola'tio. (From in, upon, and sol, the sun.) A disease which arises from a too great influence of the sun' s heat upon the head. INSPIRA'TION. (From in, and spiro, to breathe.) The act of drawing the air into the lungs. See Respiration. INTERCO'STAL A'RTERIES. Jlrte- ri(B inter costales. The arteries which run between the ribs. The superior intercostal artery is a branch of the subclavian. The other intercostal arteries are given off from thp cLOftcL INTERCO'STAL MU'SCLES. Inter- costales externi et interni. Between the ribs on each side, are eleven double rows of muscles. These are the intercostales externi and interni. Galen has very properly ob- served, that they decussate each other like the strokes of the letter X. The intercos- tales externi arise from the lower edge of each superior rib, and, running obliquely downwards and forwards, are inserted into the upper edge of each inferior rib, so as to occupy the intervals of the ribs, from as far back as the spine to their cartilages ; but from their cartilages to the sternum, there is only a thin aponeurosis covering the in- ternal intercostales. The intercostales in- terni arise and are inserted in the same manner as the external. They begin at the sternum, and extend as far as the an- gles of the ribs, their fibres running ob- liquely backwards. These fibres are spread over a considerable part of the inner sur- face of the ribs, so as to be longer than those of the external intercostals. Some of the posterior portions of the internal intercos- tals pass over one rib and are inserted into the rib below. Verheyen first described these portions as separate muscles, under the name of infra costales. Winslow has adopted the same name. Cowper, and after him Douglas, call them costarum depressores proprii. These distinctions, how- ever, are altogether superfluous, as they are evidently nothing more than appendages of the intercostals. The number of these por- tions varies in different subjects. Most commonly there are only four, the first of which runs from the second rib to the fourth, the second from the third rib to the fifth, the third from the fourth rib to the sixth, and the fourth from the fifth rib to the seventh. The internal intercostals of the two inferior false ribs are frequently so thin, as to be with difiiculty separated from the external ; and, in some subjects, one or both of them seem to be altogether wanting. It was the opinion of the an- cients, that the external intercostals serve to elevate, and the internal to depress the ribs. They were probably led to this opinion, by observing the different direc- tion of their fibres ; but it is now well known, that both have the same use, which is that of raising the ribs equally during inspiration. Fallopius was one of the first who ventured to call in question the opi- nion of Galen on this subject, by contend- ing that both layers of the intercostals serve to elevate the ribs. In this opinion he weis followed by Hieronymus Fabricius, our countryman Mayow, and Borelli. But, towards the close of the last century, Bayle, a writer of some eminence, and professor at Toulouse, revived the opinion of the ancients by the following arguments;— He 464 INT INT observed, that the oblique direction of the fibres of the internal intercostals is such, that, in each inferior rib, these fibres are nearer to the vertebrae than they are at their superior extremities, or in the rib imme- diately above ; and that, of course, they must serve to draw the rib downvi^ards, as towards the most fixed point. This plau- sible doctrine was adopted by several emi- nent writers, and, amongst others, by Ni- choUs, Hoadley, and Schreiber ; but aboA'e all, by Bamberger, who went so far as to assert, that not only the ribs, but even the sternum, are pulled downwards by these muscles, and constructed a particular in- strument to illustrate this doctrine. He pretended likewise, that the intervals of the ribs are increased by their elevation, and diminished by their depression; but he allowed that, while those parts of the inter- nal intercostals that are placed between the bony part of the ribs pull them downwards, the anterior portions of the muscle, which are situated between the cartilages, concur with the external intercostals in raising them upwards. These opinions gave rise to a warm and interesting controversy, in which Hamberger and Haller were the principal disputants. The former argued chiefly from theory, and the latter from experiments on living animals, which demonstrate the fallacy of Hamberger' s arguments, and prove, beyond a doubt, that the internal in- tercostals perform the same functions as the INTERCOSTAL NERVE. J^ervus inter costalis, Great intercostal nerve. Sym- pathetic nerve. The great intercostal nerve arises in the cavity of the cranium, from a branch of the sixth and one of the fifth pair, uniting into one trunk, which passes out of the cranium through the carotid canal, and descends by the sides of the bodies of the vertebrae of the neck, thorax, loins, and os sacrum : in its course, it receives the small accessory branches from all the thirty pair of spinal nerves. In the neck, it gives oif three cervical ganglions, the upper, middle, and lower; from which the cardiac and pulmonary nerves arise. In the thorax, it gives off the splanchnic or anterior intercos- tal, which perforates the diaphragm, and forms the semilunar ganglions, from which nerves pass to all the abdominal viscera. They also form in the abdomen ten peculiar plexuses, distinguished by the name of the viscus, to which they belong, as the coeliac, splenic, hepatic, superior, middle, and lower, mesenteric, two renal, and two sper- matic plexuses. The posterior intercostal nerve gives accessory branches about the pelvis and ischiatic nerve, and at length terminates. INTERCO'STAL VEINS. The inter- costal veins empty their blood into the vena azygos. Interct'hrejs-t fevers. Those which happen in certain seasons only, are called stationary : but others are called, by Syden- ham, intercurrents. Ikte'rcus. (From inter, between, and cutem, the skin.) A dropsy between the skin and the flesh. See Anasarca. Isterde'stiitm. (From inter, between, and dens, a tooth.) The intervals between teeth of the same order. Iwterdi'gitum. (From inter, between, and digitus, a toe, or finger.) A com be- twixt the toes, or wart betwixt the fingers, Ijvterf^mi'wefm. (From inter, be- tween, and fcemen, the th:^h.) The peri- nasum, or space between the anus and pu- dendum. Interlu'mius mo'rbus. (From inter, between, and luna, the moon ; because it was supposed to affect those who were bom in the wane of the moon.) The epilepsy. -^.Intermittent fever. See Febris intermit- tens. f- IwTERNU'NTii Di'ES. (From internuncio, to go between.) Applied to critical days, or such as stand between the increase of a disorder and its decrease. INTERO'SSEI MA'NUS. (Interos- seus musculus ; from inter, between, and OS, the bone.) These are small muscles situated between the metacarpal bones, and extending from the bones of the carpus to the fingers. They are divided miointernal and external ; the former are to be seen only on the palm of the hand, but the latter are conspicuous both on the palm and back of the hand. The interossei interni are three in number. The first, which Albinus names posterior indicis, arises tendinous and fleshy from the basis and inner part .of the metacarpal bone of the fore-finger, and like- wise from the upper part of that which sup- ports the middle finger. Its tendon passes over the articulation of this part of these bones with the fore-finger, and, uniting with the tendinous expansion that is sent ofl" from the extensor digitorum communis, is inserted into the posterior convex surface of the first phalanx of that finger. The se- cond and third, to which Albinus gives the names of prior annularis, and interosseus auricularis, arise, in the same manner, from the basis of the outsides of the metacarpal bones that sustain the ring-finger and the little finger, and are inserted into the out- side of the tendinous expansion of the ex- tensor digitorum communis that covers each of those fingers. These three muscles draw the fingers into which they are inserted, to- v/ards the thumb. The interossei externi are four in number ; for among these is included the small muscle that is situated on the out- side of the metacarpal bone that supports tile fore-finger. Douglas calls it extensor tertii internodii indicis, and Winslow semi interosseus indicis. Albinus, who describes it among the interossei, gives it the name of prior indicis. This first interosseus extei'- INT iST 465 BUS arises by two tendinous and fleshy por- tions. One of these springs from the upper half of the inner side of the first bone of the thumb, and the other from the hga- meats that unite the os trapezoides to the metacarpal bone of the fore-finger, and likewise from all the outside of this latter bone. These two portions unite as they descend, and terminate in a tendon, which is inserted into the outside of that part of the tendinous expansion from the extensor digitorum communis that is spread over the posterior convex surface of the fore-finger. The second, to which Albinus gives the name of prior medii, is not quite so thick as the last described muscle. It arises by two heads, one of which springs from the inner side of the metacarpal bone of the fore-finger, chiefly towards its convex sur- face, and the other arises from the adjacent ligaments, and from the whole outer side of the metacarpal bone that sustains the mid- dle finger. These two portions unite as they descend, and terminate in a tendon, which is inserted, in the same manner, as the preceding muscle, into the outside of the tendinous expansion that covers the pos- terior part of the middle finger. The third belongs likewise to the middle finger, and is therefore named posterior medii by Albi- uus. It arises, like the last-described mus- cle, by two origins, which spring from the roots of the metacarpal bones of the ring and middle fingers, and from the adjacent ligaments, and is inserted into the inside of the same tendinous expansion as the pre- ceding muscle. The fourth, to which Al- binus gives the name of posterior annularis, differs from the two last only in its situation, which is between the metacarpal bones of the ring and little fingers. It is inserted into the inside of the tendinous expansion of the extensor digitorum communis, that covers the posterior part of the ring-finger. All these four muscles serve to extend the iingers into which they are inserted, and likewise to draw them inwards, towards the thumb, except the third, ov posterior medii, which, from its situation and insertion, is calculated to pull the middle finger out- wards. INTERO'SSEl PE'DIS. These small muscles, in their situation between the me- tatarsal bones, resemble the interossei of file hand, and, like them, are divided into internal and external. The interossei pedis intemi are three in number. They arise tendinous and fleshy from the basis and in- side of the metatarsal bones of the middle, the third, and the little toes, in the same manner as those of the hand, and they each terminate in a tendon that runs to the in- side of the first joint of these toes, and from thence to their upper surface, where it loses itself in the tendinous expansion that is sent off from the extensors. Each of these three muscles serves to drRw the toe into which it is inserted towards the great toe. ~The m- terossei externi are four in number. The first arises tendinous and fleshy from the outside of the root of the metatarsal bone of the great toe, from the os cuneiforme inter- num, and from the root of the inside of the metatarsal bone of the fore-toe. Its tendon is inserted into the inside of the tendinous expansion that covers the back part of the toes. The second is placed in a similar manner between the metatarsal bones of the fore and middle toes, and is inserted into the outside of the tendinous expansion on the back part of the fore-toe. The third and fourth are placed between the two next metatarsal bones, and are inserted into the outside of the middle and third toes. The first of these muscles draws the fore-toe in- wards towards the great toe. The three others pull the toes, into which they are m- serted, outwards. They all assist in ex- tending the toes. Interpella'ttjs mo'rbtjs. (From inter' pello, to interrupt.) In Paracelsus, it is a disease attended with irregular or uncertain paroxysms. Interpola'ttjs di'es. (From interpolo, to renew.) In Paracelsus, these are the days interpolated betwixt two paroxysms. Ijvterscapc'lium. (From inter, be- tween, and scapula, the shoulder-blade.) That part of the spine which lies between the shoulders. Interse'ptitm. (From inter, between, and septum, an inclosure.) The uvula and the septum narium. INTERSPINA'LES CO'LLI. (Inter- spinales musculi ; from inter, between, and spina, the spine.) The fleshy portions be- tween the spinous processes of the neck, that draw these processes nearer to each other. INTERSPINA'LES DO RSI ET LUM- BO'RUM. These are rather small tendons than muscles, that connect the spinal and transverse processes. INTERTRANSVERSA'LES LUMBO'» RUM. Four distinct small bundles of flesh, which fill up the spaces between the trans- verse processes of the vertebrae of the loins, and serve to draw them towards each other. INTERTRI'GO. (From infer, between, and tero, to rub.) An excoriation about the anus, groins, axilla, or other parts of the body, attended with inflammation and moisture. It is most commonly produced by the irritation of the urine, from riding, oi' some acrimony in children. INTE'STINES. (Intcstina; from intus, within.) The convoluted membranous tube, that extends from the stomach to the anus ; receives the ingested food, retains it a certain time ; mixes with it the bile and pancreatic juice; propels the chyle into the lacteals,^nd covers the faces with mucus, is so called. The intestines are 4£6 INT INU situated in the cavity of the abdomea, and are divided into the small and large, which have, besides their size, other circumstances ol distinction. The small intestines are supplied inter- nally with folds, called valvulcE connivtntes, and have no bands on their external surface. The large intestines have no folds internally, and are supplied externally with three strong muscular bands, which run parallel upon the surface, and give the intestines a saccated appearance ; and they have also small fatty appendages, called appendiculm epiploica. The first portion of the intestinal tube, for about the extent of twelve fingers' breadth, is called the duodenum ; it lies in the epigastric region ; makes three turnings, and between the first and secoad- flexure re- ceives, by a common opening, the pancreatic duct, and the ductus communis choledochus. It is in this portion of the intestines that chylification is chiefly performed. The re- maining portion of the small intestines is distinguished by an imaginary division into the jejunum and ileum. The jejunum, which commences where the duodenum ends, is situated in the umbi- lical region, and is mostly found empty ; hence its name : it is every where covered "\vith red vessels, and, about an hour and a half after a meal, with distended lacteals. The ileum occupies the hypogastric region and the pelvis ; is of a more palhd colour than the former, and terminates by a trans- verse opening into the large intestines, which is called tlie valve of the ileum, valve of the coscum, or the valve of Tulpius. The beginning of the lai'ge intestines is firmly tied down in the right ihac region, and for the extent of about four fingers' breadth is called the ccecum, ha^-ing adhe- ring to it a worm-like process, called the processus cceci vermiformis, or appendicula ccEci vermiformis. The great intestine tnen commences colon, ascends towards the liver, passes across the abdomen, under the stomach, to the left side, where it is con- torted hke the letter -S, and descends to the pelvis : hence it is divided in this course into the ascending portion, the transverse arch, and the sigmoid flexure. When it has reached the pelvis, it is called the rectvjm, from whence it proceeds in a straight line to the anus. The intestinal canal is composed of three membranes, or coats ; a common one from the peritoneum, a muscular coat, and a villous coat, the villi being formed of the fine terminations of arteries and nerves, and the origins of lacteals and lymphatics. The intestines are connected to the body by the mesentery ; the duodenum has also a peculiar connecting cellular substance, as have likewise the colon and rectum, by "whose means the former is firmly accreted to the back, the colon to the kidneys, and the latter to the os coccygis, and, in woraeu^ to the vagina. The remaining portion of the tube is loose in the cavity of the abdo- men. The arteries of this canal are branches of the superior and inferior mesenteric, and the duodenal. The veins evacuate their blood into the vena portae. The nerves are branches of the eighth pair and intercostals. The lacteal vessels, which originate princi- pally from the jejunum, proceed to the glands in the mesentery. Intrica'tus. (From intrico, to entangle; so called from its intricate folds.) A muscle of the ear. Intri'nseci. (From intra, within, and secus, towards.) Painful disorders of the internal parts. Istroce'ssio. (From introcedo, to go in.) Depressio. A depression or sinking of any part inwards. INTUS SUSCE'PTION. (Jntus-susceptio and intro-susceptio ; from intus, within, and suscipio, to receive.) A disease of the intestinal tube, and most frequently of the small intestines ; it consists in a portion of gut passing for some length within another portion. I'ktybtjs. (From i?i, and tuba, a hollow instrument, so named from the hollowness of its stalk.) See Cichorium Endivia. I'NULA. (Contracted or corrupted, from helenium, >i\iviov, fabled to have sprung from the tears of Helen.) 1. The name of a genus of plants in the Linnseaa system. Class, Syngenesia. Order, Poly- gamia saperflua, 2. The herb elecampane. Inula, common. See Inula helenium. Inula dysente'rica. The systematic name of the lesser inula. Conysa media. This indigenous plant, called in some foreign pharmacopoeias Arnica Suedensis, Arnica spuria, and Conyza, is thus described by Linnseus : — Inula: — foliis amplexicaulibuSf cordato oblongis ; caule v^illoso, panieulato ; squamis calycinis, setaceis. It was once considered as possessing great antidysenteric virtues. The whole plant is to the taste acrid, and at the same time rather aromatic. It is now fallen into disuse. i'lfCLA hele'niujH. The systematic name of the elecampane. Enula campana. Helenium. Common inula, or elecampane. Inula helenium ; foliis amplexicaulibus ora- lis rugosis subtus tomentosis, calycum squa- mis ovatis, of Linnseus. This plant, though a native of Britain, is seldom met with in its wild state, but mostly cultivated. The root, which is the part employed medicinal- ly, in its recent state, has a v^^eakerand less grateful smell than when thoroughly dried; and kept for a length of time, by which it is greatly improved, its odour then approach- ing to that of Florentine orris root. It was formerly in high estimation in dyspepsia, pulmonary affections, and uterine obstruc- tion?, but is now fallen into disuse. IQU IRl 461 ImrSTiO!?. (From in and uro, to burn.) St is sometimes used for hot and dry sea- sons ; but most commoQly by surgeons for the operation of the cautery. Inverecu'ndum OS. (From in, not, and verecundus, modest.) A name of the os frontia, from its being regarded as the seat of impudence. Inversion of the uterus. See Uterus retro- version of. INVOLU'CRUM. (From in, and volvo, io wrap up ; because parts are enclosed by it.) A name of the pericardium ; abo aname of other membranes which cover any part. Io'des, (From ;sc, verdigris.) Green matter thrown off by vomiting. IODINE. This substance appears to have been discovered in the year 1811, by M. Courtois, a manufacturer of saltpetre at Paris ; but for the investigation of its properties we are chiefly indebted to Gay Lussac and Sir Humplu'y Davy. It is obtained from kelp, evaporating the solution of this to separate the greater part of the common salt, then adding sulphuric acid, and boiling for some time, to get rid of the remaining muriatic acid, or any sulphuret- ted hydrogen, present, finally mixing with the residue, in a small retort, a quantity of the black oxide of manganese, equal to the sulphuric acid employed, and applying heat, a violet vapour arises, which is to be con- densed in a proper receiver. It appears in scales of a grayish black colour, with the metallic lustre, nearly five times the weight of water. It has an acrid taste, and an odour like that of chlorine, but much weaker : it cigrees also in destroying vege- table colours, though more slowly. It melts a few degrees above the boiling point, and volatilises about 350. It is very sparingly soluble in water, but more so in alcohol, or sulphuric ether. In most of the compounds, which it forms with other substances, it bears a strong analog}' to chlorine. With starch it combines into a compound of a fine blue colour, which affords the means of de- tecting the most minute quantity of it. It appears to exist in various marine plants, besides that from which kelp is usually ob- tained. I'oifis. (From , to restrain and oupov, the urine.) A suppression of urine. A genus of disease in the class lo- cales, and order epMc/tese5, of Cullen. There are four species of ischuria : 1. Ischuria renalis, coming after a dis- ease of the kidneys, with a troublesome sense of weight or pain in that part. 2. Ischuria ureterica, after a disease of the kidneys, with a sense of pain or unea- siness in the course of the ureters. 3. Ischuria vesicalis, marked by a fre- quent desire to make water, with a swell- ing of the hypogastrium, and pain at the neck of the bladder. 4. Ischuria urethralis, marked by a fre- quent desire to make water, with a swell- ing of the hypogastrium, and pain of some part of the urethra. "^Vhen there is a frequent desire of miking 472 ISC IXI watei', attended with much difficulty ia voiding it, the complaint is called a dysury, or strangurj' ; and when there is a total suppression of urine, it is known by the name of an ischury. Both ischuria and dysu- ria are distinguished into acute, when ari- sing in consequence of inflammation ; and chronic, when proceeding from any other cause, such as calculus, &c. The causes which give rise to these dis- eases, are an inflammation of the urethra, occasioaed either by venereal sores, or by a use of acrid injections, tumour or ulcer of the prostrate gland, inflammation of the bladder or kidneys, considerable enlarge- ments of the heemorrhoidal veins, a lodge- naent of indurated faeces in the rectum, spasm at the neck of the bladder, the ab- sorption of cantharides applied externally, or taken internally, and excess in drinking either spirituous or vinous liquors ; but particles of gravel sticking at the neck of the bladder, or lodging in the urethra, and thereby producing irritation, prove the most frequent cause. Gouty matter falling on the neck of the bladder, will sometimes occasion these complaints. In dysury there is a frequent inclination to make water, attended with a smarting pain, heat, and difliculty in voiding it, to- gether with a sense of fulness in the region of the bladder. The symptoms often vary, however, according to the cause which has given rise to it. If it proceeds from a cal- culus in the kidney, or ureter, besides the aflfections mentioned, it will be accompa- nied with nausea, vomiting, and acute pains in the loins and region of the ureter and kidney of the side affected. When a stone in the bladder, or gravel in the ure- thra, is the cause, an acute pain will be felt at the end of the penis, particularly on void- ing the last drops of urine, and the stream of water will either be divided into two, or be discharged in a twisted manner, not un- like a cork-screw. If a scirrhus of the prostrate gland has occasioned the suppres- sion or difficulty of urine, a hard, indolent tumour, unattended with any acute pain, may readily be felt in the perinseum, or by introducing the finger in ano. Dysury is seldom attended with much danger, unless by neglect, it should termi- nate in a total obstruction. Ischury may always he regarded as a dangerous com- plaint, when it continues for any length af time, from the great distension and oftea consequent inflammation which ensue. In those cases where neither a bougie nor a catheter can be introduced, the event, in all probability, will be fatal, as few patients will submit to the only other means of draw- ing ofl" the urine before a considerable de- gree of inflammation and tendency to gan- grene have taken place. Isinglass. See Ichthyocolla. Isla'ndicus Mu'scus. See Lichen islrni' dicus. Iso'cHRONOs. (From «ro?, equal, and X.povf?> time.) Preserving an equal distance of time between the beats ; applied to the pulse. Iso'cRATES. (From to-og, equal, and H.ifttv\ivfM, to mix.) Wine mixed with an equal quantity of water. Iso'DROMUS. (From is-o;, equal, and (T/JOyMOf, a course.) The same as Isochronos. Isopy'rum. (Fromo?, a hare, and irofAct, the mouth ; so called because the upper lip is divided in the middle like that of a hare. The hare-lip. Lakeweed. See Polygonum hydropiper. La'mac. Gum-arabic. Lambdaci'smus. a defect in speech, ■which consists in an inabiUty to pronounce certain consonants ; or that stammering or difficulty of speech, called Psellismus Lal- lans, that is, when the letter L is pronounced too liquid, and often in the place of R. LAMBDOIDAL SUTURE. Sutura Lambdoidalis ; from A, and s/cTsc, resem- blance ; because it is shaped like the letter A.) Occipital suture. The suture that unites the occipital bone to the two parietal bones. Lameiti'vum, (From larabo, to lick up.) A linctus or medicine to be licked up. Lame'lla. (Dim. of Zamina, a plate of metal.) The thin pla:tes or gills of a mush- room. LA'MINA. (From iXcta,, to beat off.) A bone, or membrane, or any substance re- sembling a thin plate of metal. The lap ot the ear. LA'MIUM. (From Lamium, a moun- tain oi Ionia, where it grew, or from lama, a ditch, because it usually grows about ditches and neglected places.) The name of a genus of plants in the Linuaean system. Class, Didynamia. Order, Gymnospermia. The nettle. La'mium a'lbum. Urtica mortua. Arch- angelica. Dead nettle. White archangel nettle. Uterine haemorrhages and flour al- bus are said to be relieved by infusions of this plant, from whose sensible qualities very little benefit can be expected. La'mpsana. See Lapsana. LANCE'TTA. (Dim. of lancea, a spear.) A lancet. An instrument used in plilebotomy. LANCISI, John Maria, was born at Rome m 1654. He was intended for the church, but a taste for natural lustory led him to the study of medicine, which he pursued with great ardour, and took hi^ degree at the age of 18. After some minor appointments, which enabled him to display his talents and acquirements, he was ap- pointed professor of anatomy in 1684; and continued his duties for 13 years with great reputation. He was made ph}'sician to three succeeding popes, and attained the age of 65. He had great knowledge of mankind, with very engaging manners ; and his zeal for the advancement of medicine was extreme and unceasing. He collected a library of above 20,000 volumes, which he devoted to the use of the public, and par- ticularly of medical students : it was opened four years before his death. He left a con- siderable number of works, several of which were printed, others remain in manu- script in that library. His more important publications are a treatise, *' De Subitancis Mortibus;" "The Anatomical Plates of Eustachius, with a preface and notes, in folio;" and a dissertation, "De noxiis Paludum Effluviis," referring intermit- tents to the marsh miasmata, printed in 1717. After his death, a treatise " De Motu Cordis et Aneurysmatibus," and a collec- tion of cases from his manuscript, were given to the public. LANGRISH, Browne, a physician of the last century, distinguished himself as an advocate for the mechanical theories of phy- siology and medicine, which he supported by numerous experiments. He had the merit of ascertaining several interesting facts in respect to the nature of the circula- ting powers. He died m London in 1759, His publications are, " A New Essay on Muscular Motion, &c." "Modern Theory of Physic ;" " Physical Experiments upo)a Brutes;'' and " Croonian Lectures on Muscular Motion." Lao'nica cura'tio. A method of curing the gout, by evaporating the morbid matter by topical applications. Lapa'ctica. (From xa^*f«, to evacu- ate.) Purgative medicines. La'para. (From Ka,7ra.^a>, to empty ; so named from its concave and empty ap- pearance.) The flank. Laparoce'le. (From Ktvjra.^a.-, the flank, and K«^«, a rupture.) A rupture through the side of the belly. La'pathitm. (From Kctvct^ad, to evacu- ate ; so nsmied because it purges gently.) The dock. La'pathum aceto'sum. See Rumex acetasa. La'pathum actj'tum. See Rumex acu~ tus. La'pathum Ae-iiA'TicuM. See Rumex hydrolapathum. La'pides cawcro'p.tjm:. See Cancer. IjAPide'll^m, Lapidellus, (From fe- 4U2 LAK LA'l pis^ a slone.) The name of a kind of spoon, formerly used to take out small stones rnd fragments from the bladder. Lati'lli cancro'rum. Crab's stones, commonly called crab's eyes. See Can- cer. La'pis ee'zoar. See Besoar. La'pis c^ru'leus. See Lapis lazuli, La'pis calamina'ris. See Calamine. La'pis calca'refs. Lime-stone. Hard carbonate of lime. La'pis ct'anus. See Lapis lazuli. La'pis h^emati'tes. See Hcematites. La'pis hibe'rnicits. Tegula hibemica. Ardesia hibemica. Hardesia. Irish slate. A kind of slate, or very hard stone, found in different parts of Ireland, in a mass of a bluish black colour, ■which stains the hands. When dried and powdered, it is pale, or of a whitish blue, and, by keeping, grows black. In the fire it yields a sulphureous gas, and acquires a pale red colour, with additional hardness. It is occasionally pow- dered by the common people, and taken in spruce beer, against inward bruises. La'pis hy'stricis. See Bezoar hystricis. La'pis inferna'lis. An old name for the caustic potash. See Potassafusa. La'pis la'ztjli. Lapis cyanus. Azure stone. A combination of siles, the blue fiuate of lime and sulphate of lime, and iron. This singular mixture forms a stone, of a beautiful opaque blue, which it preserves in a strong beat, and does not suffer any alte- ration by the contact of air. It was formerly exhibited as a purgative and vomit, and given in epilepsy. La'pis malace'nsis. See Bezoar hysr tricis. La''pis porci'ntts. See Bezoar 'hystricis. La'pis si'mi^. See Bezoar simice. La'ppa ma'jor. See Arcliumlappa. La'psaita. (Aa4«i'«> from Lampsacus, the town near which it flourished ; or from hctvA^ce, to evacuate ; because it was said to relax the bowels.) Lampsana. J^'apiwn, Papillaris herba. Dock-cresses. Nipple- wort. This plant, Lapsana communis of Linnaeus, is a lactescent bitter, and nearly similar in virtues to the cichory, dandelion, and endive. It has been employed chiefly for external purposes, against wounds and ulcerations, whence the name of nipple- wort and papillaris. LA'auEtrs gu'tturis. A malignant in- flammation of the tonsils, in which the pa- tient appears as if he were suffocated with a noose. La'reasoit. Antimony. Larch-tree. See Pinus larix. LARD. The English name of hog's fat, when melted down. Hog's lard, adeps suilla, forms tlie base of many unguents, and is often eaten by the poor instead of but- ter. LARYNGOTOMY (From M?uy^, Ihc larynx, and nfAvoj, to cut.) See Broneho^ tomy. LARYNX. (^Larynx, -gis. f. Am^'jy^, a Greek prim.) A cartilaginous cavity, situa- ted behind the tongue, in the anterior part of the fauces, and lined with an exquisitely sensible membrane. It is composed of the annular or cricoid cartilage, the scutiform or thyroid, the epiglottis and two arytsenoid cartilages. The superior opening of the larynx is called the glottis. The laryngeal arteries are branches of the external caro- tids. The laryngeal veins evacuate their blood into the external jugulars. The nerves of the larynx are from the eighth pair. The use of the larynx is to constitute the organ of voice, and to serve also for respira- tion. Lasci'vus. (From lacio, to ensnare ; upon account of its irregular motions.) An epithet used by Paracelsus for the chorea sancti viti. La'ser. (A term used by the Cyreniaas.) The herb laser-wort, or asafostida. LASERFi'TIUM. {Lac serpitium, al= luding to its milky juice.) The name of a genus of plants in the Linnsean system. Class, Pentandria. Order, Digynia, Laserpi'tium chiro'nium. Panax, Hercules' allheal or wound- wort. The seeds and roots of this plant are warm, and similar in flavour and quality to those of the pars- nep. The roots and stalks have a much stronger smell, which resembles that of opo- ponax, and Boerhaave relates, that on wounding the plant in the summer, he ob- tained a yellow juice, which being inspissa- ted a little in the sun, agi'eed perfectly in both respects with that exotic gum resin. Laserpi'tium latifo'lifm. The sys- tematic name of the white gentian. Gentia- na alba. The root of this plant, Laserpitiwn latifolium, foliis cordatis, inciso-serratis, of Linnseus, possesses stomachic, corroborant, and deobstruent virtues. It is seldom used. Laserpi'tium si'ler. The systematic name of the heart- wort. Seseli. Siler mon~ tanum. Sermountain. The seeds and roots of this plant, which grows in the southern parts of Europe, are directed as officinals. They have an agreeable smell, and a warm, glowing, aromatic taste ; and, though ne- glected in tills country, do not appear to be deservedly so. LATERAL OPERATION. One mode of cutting for the stone is so called. LATERAL SINUSSES. The bifur- cation and continuation of the longitudinal sinus of the dura mater. They commence about the middle of the tentorium, one passing along each horizontal crucial spine, within the tentorium, and round to the fo- ramen lacerum in basi cranii, where the internal iugular vein begins, Theic use is LAT LAU 4fiS to carry the blood from the brain into the internal jugulars, which return it to the heart. La'tex. (Latex, quod in venis terra lateat.) Water, or juice. A term some- times applied to the blood, as being the spring or source of all the hiunours. LATERITIOUS SEDMENT. {Late- ritius, from later, a brick.) A term ap- plied to the brick-like sediment occasional- ly deposited in the urine of people afflicted with fever. La'thtsris. (From /istSft), to forget; be- cause it was thought to affect the memory.) Spurge. La'thyrus. (From XctQa), to lie hid ; so called from its diminutive size.) The vetch. Lati'bulum. (From lafeo, to lie hid.) The fumes, or hidden matter of infectious diseases. Lati'ssimus co'lli. See Platysma my- oideSt LATI'SSIMUS DO'RSI. (Latissimus, EC. musculus.) Antiscalptor of Cowper. Dorsi-lumbo sacro humeral of Dumas. A muscle of the humerus, situated on the pos- terior part of the trunk. It is a very broad, thin, and, for the most part, fleshy muscle, which is placed immediately under the skin, except where it is covered by the lower ex- tremity of the trapezius. It arises tendi- nous from the posterior half of the upper edge of the spine of the os ilium, from the spinous processes of the os sacrum and lum- bar vertebrae, and from five or six, and some- times from seven, and even eight, of the lowermost ones of the back ; also tendinous and fleshy from the upper edges and external surface of the four inferior false ribs, near their cartilages, by as many distinct slips. From these different origins the fibres of the muscle run in different directions; those from the ilium and false ribs run almost per- pendicularly upwards ; those from the sa- crum and lumbar vei'tebrse, obliquely up- wards and forwards; and those from the vertebrae of the back, transversely outwards and forwards, over the inferior angle of the scapula, where tliey receive a small, thin bundle of fleshy fibres, which arise tendinous from that angle, and are inserted with the rest of the muscle, by a strong, flat, and thin tendon, of about two inches in length, into the forepart of the posterior edge of the groove observed between the two tuberosi- ties of the os humeri, for lodging the tendon of the long head of the biceps. In dissec- tion, therefore, this muscle ought not to be followed to its insertion, till some of the other muscles of the os humeri have been first raised. Its use is to pull the os humeri downwards and backwards, and to turn it upon its axis. Riolanus, from its use on cer- tain occasions, gave it the name of ani ter- sor. When we raise ourselves upon our hands, as in n'sing from off an arm-chair. we may easily perceive the contraction of this muscle. A bursa mucosa is found be- tween the tendon of this muscle and the os humeri, into which it is inserted. Lauca'kia. (From khvk, to receive ; so called because it receives and conveys food.) The oesophagus of the throat, Lau'danum. (From laus, praise ; so named from its valuable properties.) See Tinctura opii. Laurel, cherry. See Prunus laurocera- sus. Laurel, spurge. See Daphne laureola. Laure'ola . (Dim. of laurus, the laurel ; named from its resemblance to the laurel.) See Daphne laureola. LAURO-CE'RASUS. (From laurus, the laurel, and cerasus, the cherry-tree ; so called because it has leaves like the laurel.) See Prunus laurocerasus. Lauro'sis. The spodium of silver ; so called from Mount Laurus, where there were silver mines. LAU'RUS. (From laus, praise ; because it was usual to crown the heads of eminent, men with branches of it.) 1. The name of a genus of plants in the Linnaean system. Class, Enneandria. Or- der, Monogynia. The laurel. 2. The pharmacopoeial name of the sweet-bay. See Laurus nobilis. Lau'rus ca'mphora. The systematic name of the camphire-tree. It Eiffords the substance called camphora. Camphura. Caf. Cafar. Ligatura veneris. Caphora. Ca- pur. Alkosor. AUesor. Camphire. Cam- phor. A peculiar concrete substance pre- pared by distillation from the Laurus cam- phora ; foliis (riplinerviis lanceolato^ovatis, of Linnaeus ; a tree indigenous to Japan, where it grows abundantly. The camphire is found to lodge every where in the inter- stices of the fibres of the wood, pith, and knots of the tree. The crude camphire, exported from Japan, appears in small grey- ish pieces, and is intermixed with various extraneous matters ; in this state it is re- ceived by the Dutch, and purified by a second sublimation ; it is then formed into loaves, in which state it is sent to England. When pure it is white, semi-pellucid, some- what unctuous to the touch ; of a bitterisli, aromatic, acrid taste, yet accompanied with a sense of coolness ; of a fragrant smell, and approaching to that of rosemary, but much stronger. It is totally volatile and inflam- mable, soluble in vinous spirits, oils, and the mineral acids ; not in water, fixed nor volatile alkaline liquors, nor in acids of the vegetable kingdom. The use of this im- portant medicine, in different diseases, is very considerable. It has been much em- ployed, with great advantage, in fevers of all kinds, particularly in nervous fevers, at- tended with delirium and much watchful- ness. The experienced Werllioff has wit- nessed its u-iility in several inflammatory 484 LAU LAV diseases, and speaks highly in favour of its refrigerant qualities. The benefit derived from it in putrid fevers, where bark and acids are contra-iadicated, is remarkable. In spasmodic and convulsive affections it is also of much service, and even in epi- lepsy. In chronic diseases this medicine is likewise employed; and against rheuma- tism, arthritis, and mania, we have several accounts of its efficacy. Nor is it less effi- cacious when applied externally in certain diseases : it dissipates inflammatory tumours in a short time ; and its antiseptic quality, in resisting and curing gangrene, is very considerable. Another property peculiar to this medicine, must not, however, be omitted ; the power it possesses of obvia- ting the strangury that is produced by can- tharides, when sprinkled over a blister. The preparations of camphor are, spiritus camphorce, linimentum camphorce, tinctura camphorcE coinposita, and the misiura cam- phora. Camphor, dissolved in acetic acid with some essential oils, forms the aromatic vinegar. Lau'rtjs ca'ssia. This species yields the Cassia lignea. Cortex canellce Malabaricce. Cassia tignca Malabarica. Xylo-cassia. Canellu Malabanca et Javensis. Karva. Ca- nella Cubana. Arbor Judaica. Cassia ca- nella. Canellifera Malabarica. Cortex cras- sior. Cinnamomum Malabaricum. Caliha- clia canela. Wild cinnamon-tree. Malabar cinnamon-tree or cassia lignea tree. Cassia lignea is the bark of the Laurus cassia ; fo- iiis triplinerviis lanceolatis, of Linnaeus, whose leaves are called folia malabathri in the shops. The bark and leaves abound with the flavour of cinnamon, for which they may be substituted; but in much larger doses, as they are considerably weaker. Lau'rus cinnamo'mum. The systematic same of the cinnamon-tree. Cinnamomum. The tree which aflbrds the true cinnamon, -which is its inner bark, is the Laurus cinna- momum ;foliis trinerviis orato-oblongis; ner- vis versus apicem evanescentibus, of Jacquin. Cinnamon bark is one of the most grateful of the aromatics ; of a fragrant smell, and a mo- derately pungent, glov/ing, but not fiery taste, accompanied with considerable sweet- ness, and some degree of adstringency. It is one of the best cordial carminative, and restorative species we are in possession of, and is generally mixed with the diet of the sick. The essential oil, on account of its high price, is seldom used : a tincture, simple and spirituous water, are directed to be kept in tile shops. The watery infusion of cinnamon is given with advantage to relieve nausea and check vomiting. Lau'e,fs culila'waw. The systematic name of the plant whose bark is called cor- tex culila-wan in the shops. Cullitlawan. Cortex can/ophylloides. The bark of the jLaurus cidilawan ; foliis triplinerviis oppo- silis, of Linnceus. It very much resem- bles cinnamon in appearance and proper'" ties. Lau'rus no'bilis. The systematic name of the sweet bay-tree. Laurus; foliis venosis lanceolatis perennantibus, jloribus quadriji- dis, of Linnaeus. This tree is a native of Italy, but cultivated in our gardens and shrubbe- ries as a handsome evergreen. The leaves and berries possess the same medicinal qua- lities, both having a sweet fragrant smell, and an aromatic adstringent taste. The lau- rus of honorary memory, the distinguished favourite of Apollo, may be naturally sup- posed to have had no inconsiderable fame as a medicine ; but its pharmaceutical uses are so limited in the practice of the present day, that this dignified plant is now rarely em- ployed, except in the way of enema, or as au external application ; thus the leaves are di- rected in the decoctum pro fomento, and the berries in the emplastrum cumini. Lau'rus Pe'rsea. This species affords the Avigato pear, which, when ripe, melts in the mouth like marrow, which it greatly resembles in flavour. It is supposed to be the most nutritious of all the tropical fruits, and grows in vast abundance in the West Indies and New Spain. The unripe fruit have but little taste ; yet, being very salu- brious, are often eaten with salt and pepper. The sailors, when they arrive at the Ha- vannah, and those parts, purchase them in great quantities ; and chopping them into small pieces, with green capsicums, and a Uttle salt, regale themselves heartily with them. They are esteemed also for their antidysenteric qualities, and are prepared in a variety of ways for the tables of the rich. Lau'rus sa'ssafras. The systematic name of the sassafras-tree. Sassafras. Cot' nus mas odorata. Lignum pavanum. An- huiba. The wood of this tree, Laurus ; fo- liis trilobis integrisque, of Linnaeus, is im- ported from North America, in long straight pieces, very light, and of a spongy texture, and covered with a rough, fungous bark. It has a fragrant smell, and a sweetish, aro- matic, subacrid taste ; the root, wood, and bark agree in their medicinal qualities, and are all mentioned in the pharmacopoeias ; but the bark is the most fragrant,and thought to be more efficacious than the woody part ; and the branches are preferred to the large pieces. The medical character of this drug was formerly held in great estimation, and publications were professedly written on the subject. It is now, however, thought to be of little importance, and seldom used but in conjunction with other medicines, as a cor- rector of the fluids. It is an ingredient in the decoctum sarsaparillce compositum, or decoc' turn lignorum ; but the only officinal pre- paration of it is the essential oil, which is carminative and stimulant, and which may be gi^-en in the dose of two drops to ten. Lava'sdula. See LawndvXo.. LAX LEA 485 Lavender, French. See Lavendula slce- cbas. LAVE'NDULA. (Fron lavo, to wash; so called, because, oa account of its fra- graucy, it was used in baths.) 1. The name of a genus of plants in the Linnaean system. Class, Didynamia. Or- der, Gymnospermia. Lavender. 2. The pharmacopoeial name of the com- mon Lavender. See Lavendula spica. Lave'ivdula spi'ca. The systematic name of the common Lavender. Lavendula ; foiiis sessilibus lanceolaio-linearibus mar- gine revolutis, spica interrupta nuda, of Lin- nasus. A native of the southern parts of Eu- rope, but cultivated in our gardens on ac- count of the fragrance of its flowers. Their taste is bitter, warm, and somewhat pun- gent ; the leaves are weaker and less grate- ful. The essential oil, obtained by distil- lation, is of a bright yellow colour, of a very pungent taste, and possesses, if carefully distilled, the fragrance of the lavender in perfection. Lavender has been long recom- mended in nervous debilities, and various affections proceeding from a want of energy in the animal functions. The College directs an essential oil, a simple spirit, and a com- pound tincture, to be kept in the shops. Lave'jvdula STffi'cHAS. The systematic name of the French Lavender. Stcechas.^ Sicechas Arabica. Spica hortulana. Stuca- dore. Lavendula slozchas, of Linn^us. This plant is much less grateful in smell and fla- vour than the common lavender, to which it is allied in its properties. La'ver. (From lavo, to wash ; so named because it is found in brooks, where it is con- stantly washed by the stream.) 1. The brook-lime. 2< The English name of a species of fucus which is eaten as a delicacy. Lavipe'dium. (From lavo, to wash, and pes, the foot. A bath for the feet.) Lawso'nia ine'rmis. The systematic name of the true alkanna. Alkanna vera. Jllkanna Orientalis. An Oriental plant; the Lawsonia inermis, ramis inermibus, of LinnEEUS ; principally employed, in its na- tive place, as a dye. The root is tlie ofiici- nal part ; which, however, is rarely met with in the shops. It possesses adstringent properties, and may be used as a substitute for the anchusa. Laxati'va. (From laxo, to loosen.) Gen- tle purgatives. LAXA'TOR TY'MPANI. (From laxo, to loosen ; so called from its office to relax the drum of the ear.) Extcrnus mallei, of Al- binus. Anterior mallei, of Winslow. Obli- quus auris, of Douglas. Externus aiiris vel laxator inlernus, of Cowper, and Spheni sal- pingo mallien, of Dumas. A muscle of the internal ear, that draws the malleus obliquely forwards tpwards its origin ; consequentlv the membrana tympani is made less concave, or is relaxed. La'ztjlus. Lazuli lapis. (From aswZ, Arabian.) A precious stone, of a blue co- lour. The lapis lazuli. LEAD. Plumbum. A metal found in considerable quantity in many parts of the earth, in different states, seldom, if at all, in the metallic state. It is found m that of oxide, red lead ore, mixed with a por- tion of iron, clay, and other earths. The colour of this ore is aurora red, resem- bling red arsenic. It is found in small lumps, of an indeterminate figure, and also crystallized in four-sided rhomboidal prisms. Combined with carbonic acid, it forma the sparry lead ore, so called because it has the texture and crystallization of certain spars. There are a great many varieties of this kind. It is found also united with sulphuric, phosphoric, arsenic, molybdic, and chromic acids. Lastly, lead is found mineralized by sulphur, forming what is called galena, (sulphuret of lead,) which is by far its most abundant ore. This ore, which is very common, is found both in masses and crystals. The primitive form of its crystals is a cube. Its colour is of a blu- ish lead grey. It has a considerable me- tallic lustre, its texture is foliated. It stains the fingers, and often feels greasy. It contains in general a minute quantity of silver. Properties of Lead. — Lead is of a blu- ish white colour, and very brilliant when fresh cut. It is malleable. It soon tar- nishes in the atmosphere. It may easily be cut with a knife, and stains the fingers bluish grey when rubbed. It fuses at 612*^ Fahr. and renders other more refractory metals fusible. It becomes vitrified in a strong and continued heat, and vitrifies various other metals. It is the least elastic of all the metals. It is very laminable, but it possesses very little ductility. Its spe- cific gravity is 11.435. It crystallizes by cooling in small octahedra. When fused in contact with air, its surface first be- comes yellow, and then red. It unites by fusion with phosphorus and sulphur. The greater part of the acids act upon it. The sulphuric acid requires the assistance of a boiling heat. Nitric acid is decomposed by it. Muriatic acid acts very weakly on it. Acetic acid dissolves it. Fluoric acid at- tacks it by heat, and slightly in the cold. It combines with other metals, but few of its alloys are applied to any use. When com- bined with mercury, it forms a crystallizable alloy which becomes fluid when triturated with that of bismuth. Method of obtaining Lead.~-\n order to obtain lead in a great way, the ore is picked from among the extraneous matter with which it was naturally mixed. It is then pulverized and washed. It is next roasted 486' LEA ia a reverberatory furnace, in which it is to be agitated, in order to bring the whole in contact with the air. When the external parts begin to soften, or assume the form of a paste, it is covered with charcoal, the mix- ture is stirred, and the heat increased gra- dually ; the lead then runs on all sides, and is collected at the bottom of the furnace, which is perforated so as to permit the metal to flow into a receptacle defended by a lining of charcoal. The scoria; remaining above in the furnace still retain a considerable proportion of lead ; in order to extract it, the scoriae must be fused in a blast furnace. The lead is by that means separated, and cast into iron moulds, each of which contains a portion called a pig of lead. These pigs are sold under the name of ore lead. ■ To disengage the silver from lead tlius obtained, the metal is subjected to the ac- tion of the refining furnace. The continu- al application of a quantity of fresh air, ■which is thrown by means of large bellows upon the fused lead, which is at the same time heated as intensely as possible, oxi- dizes the lead, and converts it into the yellow scaly oxid, known by the name of litharge. This scaly oxid being driven oflF from the surface of the fused metal, as it is formed, leaves the silver alone unaltered at the bottom. The litharge is then to be fused in contact ■■.vith charcoal, that it may assume the proper- ties of metallic lead. la order to obtain perfectly pure lead, the lead of commerce may be dissolved in / pure nitric acid, and the solution be de- composed by adding to it, gradually, a so- lution of sulpliate of soda, so long as a precipitate ensues. This precipitate, which is sulphate of lead, must then be collected on a filter, washed repeatedly in distilled wa- ter, and then dried. In order to reduce it to its metallic state, let it be mixed with two or three times its weight of blacii flux, introduce the mixture into a crucible, and expose it briskly to a red heat. Lead, when injudiciously administered, or taken accidentally into the body, causes emaciation, violent colics, paralysis, tre- mors, and contractions of the liiTibs ; and, as they generally come on gradually, the cause is sometimes overlooked till it be too late. Poisoning from lead is hardly ever intentional, but only accidental ; either from liquors becoming impregnated with lead, by being improperly kept in vessels, lined or glazed with lead, or to which lead has been criminally added, to correct its .acidity ; or among manufacturers who work much with lead, as painters, or plumbers, and who are not sufficiently at- tentive to avoid swallowing it. The pre- sence of lead in any suspected liquor, is f^etected by the hydro-sulpburet of potash, ' LEG which forms with it a dark-brown precipitate not soluble in diluted muriatic acid, and still more certainly by evaporating a por- , tion of the liquor to dryness, and exposing the extract to a heat sufficient to reduce the lead. The preparations of lead used in medicine are : — 1. Plumbi Subcarbonas. See Plumbi sub~ carbonas. 2. Oxidum plumbi rubrum. See Mini' um. 3. Oxidum plumbi semivitreum. See Li- thargyrus. 4. Superacetas plumbi. See Plumbi su- peracetas. 5. Liquor plumbi subacetatis. See Pluni' bi subacetatis liquor. 6. Liquor plumbi subacetatis dilutus. See Plumbi subacetatis liquor dilutus. LEAKE, John, was born in Cumber- land, and after qualifying himself as a sur- geon in London, travelled to Portugal and Italy. On his return he settled in the me- tropolis, and published a dissertation on the Lisbon Diet Drink. He not long after be- came a licentiate of the college of physicians, and began to lecture on midwifery. Ia 1765, he originated the plan for the West- minster Lying in Hospital, and purchased a piece of ground for the purpose. His death occurred in 1792. He published a volume of " Practical Observations on Child-bed Fever ;" " Medical Instructions" concerning the Diseases of Women; in two volumes, which passed through several editions ; and some other works, Leje'jva. (From xta/v*, a lioness; so named from its power.) A plaster for the hip. Ledum pal'ustre. The systematic name of the rosmarinus sylvestris. The plant which bears this name in the pharma- copoeias, is the Ledum palustre, of Linnaeus. It has a bitter subastringent taste, and was for- merly used in Switzerland in the place of hops. Its medicinal use is confined to the continent, where it is occasionally given in the cure of hooping-cough, sore throat, dysentery, and exanthematous diseases. LE CLERC, Daniel, was bom at Geneva, in 1652. His father being pro- fessor in the Greek language, instructed him in the rudiments of knowledge, and gave him a taste for researches into anti- quity. He afterwards studied at different universities, and took his medical degree at Valence at the age of 20. Returning to his native city, he soon got into considerable practice ; which he at length relinquished in 1704, on being appointed a member of the council of state, and that he might complete his various literary undertakings, which had already greatly distinguished him. His death occurred in 1728. He had pub- li'5hed.. in coni unction with Mangets, a LEE LEE *• Bibiiotheca Auatomica," iu two volumes, 1685. But his most celebrated work is the f'Histoire de la Medecine," from the earli- est times to that of Galen, which evinces immense erudition. He afterv/ards added a plan for continuing it to the middle of the 17th century. But Dr. Freind has com- pleted this part of the task on a much better method. Le Clerc also published an ac- count of certain worms occurring in men and animals. LE DRAN, Henry Francis, v/as born at Paris in 1685, and educated under his father, who had acquired reputation as an operator, particularly in removing; cancers of the breast. The young surgeon turned his attention principally to lithotomy, which he performed in the lateral method, and made some valuable improvements ; which he communicated to the public in 1730, giving an accurate description of the parts : the work was favourably received, has been frequently reprinted, and translated into most modern languages. His surgical ob- servations contain also much valuable prac- tical matter : and his Treatise on Gun-shot Wounds is remarkable for the bold and successful measures which he adopted. He published likewise a Treatise on Operations, another called Surgical Consultations ; and sent several papers of considerable merit to the academy of surgeons, which appear in their memoirs. He died in 1770. LEECH. Hirudo. A genus of insects belonging to the order of vermes intestina. The body moves either forward or back- ward. There are several species, princi- pally distinguished by their colour ; but that most known to medical men, is the hirudo medicinalis, or medicinal leech, which grows to the length of two or three inches. The body is of a blackish brown colour, marked on the back with six yel- low spots, and edged with a yellow line on each side; but both the spots and lines grow faint, and almost disappear, at some seasons. The head is smaller than the tail, which fixes itself very firmly to any thing the creature pleases. It is viviparous, and produces but one young one at a time, which is in the month of July. It is an in- habitant of clear running water?, and is well known for its use in bleeding. The species most nearly approacliing this, and which it is necessary to distinguish, is the hirudo sanguisuga, or horse-leech. This is larger than the former ; its skin is smooth and glossy ; the body is depressed, the back is dusky ; and the belly is of a yellowish green, having a yellow lateral margin. It inhabits stagnant waters. The leech's head is armed with a sharp instrument that makes three wounds at once. They are three sharp tubercles, strong enough to cut through the skin of a man, or even of an ox, or horse. The mouth b as it wei'e the bo^'y of the pump, and tlie tongue, or fleshy nipple, the sucker : by the working of this piece of mechanism, the blood is made to rise up to the conduit v/hich conveys it to the animal's stomach, which is a membranaceous skin, divided into twenty-four small cells. The blood which is sucked out is there pi'eserved for several months, almost without coagulating, and proves a store of provision to the animal. The nutritious parts, absorbed after diges- tion by animals, need not in this to be disengaged from the heterogeneous sub- stances ; nor indeed is there an anus disco- verable in the leech ; mere transpiration, seems to be all that it performs, the matter fixing on the surface of the body, and af- terwards coming off in small threads. Of tliis, an experiment may be tried, by put- ting a leech into oil, where it keeps alive for several days; upon being taken out, and put into water, there appears to loosen from its body a kind of slough, shaped like the creature's body. The organ of respi- ration, though unascertained, seems to be situated in the mouth ; for if, like an in- sect, it drew breath through vent-holes, it would not subsist in oil, as, by it, these would be stopped up. The first species only is used in medicine ; being applied to the skin in order to draw off blood. With this view they are em- ployed to bleed young children, and for the purposes of topical bleeding, in cases of inflammation, fulness, or pain. They may be employed in every case where topical bleedings are thought necessary, or where venesection cannot be performed. If tlie leech does not fasten, a drop of sugar- ed milk is put on the spot it is wished to fix on, or a Uttle blood is drawn by means of a slight puncture ; after which it immedi- ately settles. The leech, when fixed, should be watched, lest it should find its way into the anus, when used for the haemorrhoids, or penetrate into the cesopha- gus, if employed to draw the gums ; other- wise it might fix upon the stomach, or in- testines. In such a case, the best and quickest remedy is to swallow some salt : which is the method practised to make it loose its hold, when it sucks longer than is intended. \^egetable or volatile alkali, pepper, or acids, also make it leave the part on which it was applied. Cows and horses have been known to receive leeches, when drinking, into the throat ; and the usual remedy is to force down some salt, which makes them fall off. If it is intended that the leech shall draw a larger quantity of blood, the end of the tail is cut off; and it then sucks continually, to make up the loss it sustains. The discharge occasioned by the puncture of a leech after the animal falls off is usually of more service than the process itself. When too abundant, it is easily stopped with brands, vinegar, or other styotics,. cr with ? 488 LEM LEN compress of dry linen rags, bound strongly on the bleeding orifice. They are said to be very restless before a change of weather, if con- fined in glasses, and to fix themselves above the water on the approach of a fine day. As these little animals are depended on for the removal of very dangerous diseases, and as they often seem capriciously deter- mined to resist the endeavours made to cause them to adhere, the foUovnng direc- tions are added, by which their assistance may, with more certainty, be obtained. The introducing a hand, to which any ill-flavoured medicine adheres, into the water in which they are kept, will be of- ten sufficient to deprive them of life : the application of a small quantity of any sa- line matter to their slcin, immediately occa- sions the expulsion of the contents of their stomach ; and what is most to our purpose, the least flavour of any medicament that has been applied remaining on the skin, or even the accumulation of the matter of perspiration, will prevent them from fas- tening. The skin should therefore, previ- ous to their application, be very carefully cleansed from any foulness, and moistened with a little milk. The method of apply- ing them is by retaining them to the skin by a small wine-glass, or the bottom of a large pill box, when they will in general, in a little time, fasten themselves to the skin. On their removal, the rejection of the blood they have drawn may be obtained by the application of salt externally : but it is to be remarked, that a few grains of salt are sufficient for this purpose ; and that covering them with it, as is sometimes done, generally destroys them. LEEK. Allium porrum. A well-known vegetable, much employed for culinary pur- poses. The recent root and juice are ex- hibited internally in quartan fever, in dys- pepsy, dropsy, asthma, and scurvy. See Allium Porrum. Le'gna. (From Kiyvov, a fringed edge.) The extremities of the pudenda muliebria. LEGU'MEN. (From lego, to gather ; so called because they are usually gathered by the hand.) All kinds of pulse are so called. Lei'chew. See Lichen. Leiente'ria. See Lienteria. Leipopst'chia. (From KUTran to leave, and 4";^"' *^® soxAj or life.) A swoon. See Syncope. Leipopy'ria. (From Kii7fa>, to leave, and cTt//), heat.) A kind of ardent fever, where the internal parts are scorched with heat, while the external parts are cold. Leipothy'mia. (From kuttck^ to leave, and ^v/u.cc, the mind.) See Lipothymia. Le'me. (From ko., much, and /j-um, to wink.) A defect in the eyes, when they are always winking. LEMERY, Nicholas, was born at Rouen in 1645, and brought up to the business of pharmacy. He went to Paris at the age of 21 to improve himself, parti- cularly in chemistry ; and then travelled for some years : after which, in 1672, he began to give chemical lectures at Paris, and became very popular. Three years si"- ter he published his " Cours de Chymie," which passed rapidly through numerous edi- tions ; and so great was his reputation, that he acquired a fortune by the sale of his preparations, some of which he kept secret. In 1681 he was interdicted from leeturing on account of his religious principles, and took shelter in this country ; but shortly after obtained the degree of doctor of phy- sic at Caen, and got considerable practice in the French metropolis ; the revocation of the edict of Nantes, however, forbidding this employment also, he was reduced to such difficulties, that he at length adopted the catholic religion. He then flourished again, and in 1697 published his "Pharma- copee Universelle," followed the year af- ter by his " Dictionnaire Universe! des Drogues simples," which, though with ma- ny imperfections, proved of considerable utility. On the re-establishment of the academy of sciences, he was made associate chemist, and read before that body his pa- pers on antimony, which were printed in 1707. He died in 1715. LEMEP.-Y, Louis, son of the preceding, was born at Paris in 1677, and intended for the law, but adopted such a partiality for his father's pursuits, that he was allowed to indulge it, and graduated in his native city in 1698. Two years after he was admitted into the academy of sciences, and in 1708 began to lecture on chemistry, in the royaJ garden : he was appointed physician to the Hotel Dieu in 1710 ; and twelve years after purchased the office of king's physician, which soon led to the appointment of con- sulting physician to the Queen of Spain. In 1731 he was appointed professor of chemistry in the royal garden ; and subse- quently communicated several papers to the academy of sciences, which appeared in their memoirs. He published also " Traits des Aliments," which was frequently re- printed ; a Dissertation on the Nourishment of Bones, refuting the idea of its beuig ef- fected by the Marrow ; and three Letters on the Generation of Worms. He died in 1743. Lemithocho'rtok. See Corallina Cor- sicana. Le'mma. (From xsTra, to decorticate.) Bark. The skin. Le'mwius. (From Lemnos, whence it is brought.) A species of bole was called terra Lemnia, or earth of Lemnos. Lemon. See Citrus. Lemon Scurvy-grass. See Cochlearia offi- cinalis. Lewie'ntia. (From lenio, to assuage.) Medicines which abate irritation. LEO LEF 489 Lewiti'va. (From lenis, gentle.) Me- dicines which gently palliate diseases. Gentle purgatives. Lenitive elkctcary. A preparation composed chiefly of senna and some aro- matics, with the pulp of tamarinds. It is given in doses of a tea-spoonful, or more, frequently repeated, as a mild laxative ; and, when fresh, it answers this purpose well. See Confectio SenncE. LENS. (A lentore; from its glutinous quality.) 1. The lentil. See Ervum Lens. 2. See also Crystalline lens. Lenti'cula. (Dim. of lens, a lentil.) A smaller sort of lentil. Also a freckle, or small pustule, resembling the seeds of lentil. Lenti'cular. (From lenticulaire, dou- bly convex.) A surgical instrument em- ployed for removing the jagged particles of bone from the edge of the perforation made in the cranium with the trephine. Lenticcla'ria. (From lenticula.') A species of lentil. Lenti'go. (From lens, a lentil ; so aamed from its likeness to lentil-seeds.) A freckle. Lentil. An annual vegetable of the pulse kind, much used for improving the flavour of soups. Lenti'scps. (From lentesco, to become clammy ; so called from the gumminess of its juice.) The mastich-tree. LE'NTOR. (From lentus, clammy.) A viscidity or siziness of any fluid. Leoni'nus. (From leo, the lion.) An epithet of that sort of leprosy called leonti- asis. Leonti'asis. (From >.mv, a lion ; so called because it is said lions are subject to it.) A species of leprosy resembling the elephantiasis. LEO'NTODON. (From xim, the lion, and B^ovc, a tooth ; so called from its sup- posed resemblance.) The name of a genus of plants in the Linnaean system. Class, Syngenesia. Order, Polygamia aqualis. The dandelion. Leo'ntodon tara'xacum. Dens leonis. The dandelion or pissabed. Leontodon ta- raxacum; caule squamis infeme rejlexis,foliis runcinatis, denticulatis, Iccvibus, of Linnaeus. The young leaves of this plant in a blanched state have the taste of endive, and make an excellent addition to those plants eaten early in the spring as salads ; and Murray informs us, that at Goettingen, the roots are roasted and substituted for coffee by the poorer inhabitants, v/ho find that an infusion prepared in this way can hardly be distinguished from that of the coffee-berry. The expressed juice of dandelion is bitter and somewhat acrid ; but that of the root is bitterer, and possesses more medicinal power than any other part of the plant. It has been long in repute as a detergent and aperient, and its diuretic effects may be inferred from the vulgar name it bears 50 most of the European languages, quasi lecti minga at urinaria herba diciiur ; and there are various proofs of its efficacy in jaundice, dropsy, consumption, and some cutaneous disorders. The leaves, roots, flowers, stalks, and juice of dandelion, have all been separately employed for medical purposes, and seem, to differ rather in degree of strength than in any essential property ; therefore the ex- pressed juice, or a strong decoction of the roots, have most commonly been prescrib- ed, from one ounce to four, two or three times a day. The plant should be always used fresh ; even extracts prepared from it appear to lose much of their power by keep- ing. Leontopo'dium. (From Kieevy a lioa, and TTov;, a foot, so named from its supposed i resemblance.) The herb lion's foot LEONU'RUS. (From xs«v, a lion, and cupel, a tail ; so named from its likeness.). 1 . The name of a genus of plants in the Lin- naean system. Class, Didynamia. Order^ Gymnospermia. Lion's tail. 2. The name, in some pharmacopoeias, for the lion's tail. Leontt'rfs cardi'aca. The mother- wort. Agripalma gallis. Marrubium. Cardiaca crispa. Leonurus cardiaca ; foliis caulinis lanceolatis, trilobis, of Linnaeus. The leaves of this plant have a disagreeable smell and a bitter taste, and are said to be serviceable in disorders of the stomach of children, to promote the uterine discharge, and to allay palpitation of the heart. Leopard''s bane. See Arnica. LEPI'DIUM. (From Xivig, a scale ? ao named from its supposed usefulness in clean- sing the skin from scales and impurities.) The name of a genus of plants in the Linnae- an system. Class, Tetradynamia. Order, Siliculosa. Pepper-wort. Lepi'dium I'beris. Iberis. Cardaman- tica. Sciatica cresses. This plant possesses a warm, penetrating, pungent taste, like unto other cresses, and is recommended as an antiscorbutic, antiseptic, and stoma- chic. Lepi'diitm sati'vpm. Nasturtium hor- tense. Dittander, This plant possesses warm, nervine, and stimulating qualities, and is given as an antiscorbutic, antiseptic, and stomachic, especially by the lower or- ders. Lepidosarco'ma. (From xs;r«, a scale, and o"ap|, flesh.) An irregular scaly tu- mour. Lepi'sma. (From xs^r/fa), to decorticate.) Decortication. A peeling off of the skin. LE'PRA. (From XiTrn, a scale ; named from its appearance.) The leprosy. A disease in the class cachexia, and order im- petigines, of Cullen. Dr. Willan describes this disease as characterized by scaly patches, of different sizes, but having al- ways nearly a circalar form. In tliis coun~ try, three varieties of the disease are ob- served^ which he has described imder the- 61 490 LEP LE'i^ aames of Lepra vulgaris, Lepra alphas, Le- pra nigricans. 1. The Lepra vulgaris exhibits first small distinct elevations of the cuticle, -which are reddish and shining, but never contain any iluid ; these patches continue to enlarge gradually, till they nearly equal the dimen- sions of a crown-piece. They have always an orbicular, or oval form ; are covered with dry scales, and surrounded by a red border. The scales accumulate on them, so as to form a thick prominent crust, which is quickly re-produced, whether it fall off spontaneously, or may have been forcibly detached. This species of lepra sometimes appears first at the elbow, or on the fore-arm ; but more generally about the knee. In the latter case, the primary patch forms immediately below the patella ; within a few weeks, several other scaly circles appear along the forepart of the Iq^ and thigh, increasing by degrees, till they come nearly into contact. The dis- ease is then often stationary for a consi- derable length of time. If it advance fur- ther, the progress is towards the hip and loins ; afterwards to the sides, back, shoulders, and, about the same time, to the arms and hands. In the greater number of cases, the Iiairy scalp is the part last affect- ed ; although the circles formed on it re- main for some time distinct, yet they finally imite and cover the whole surface on %vhich the hair grov-^s with a white scaly incrustation. This appearance is attended, more especially in hot weather, with a troublesome itching, and with a watery discharge for several hours, when any portion of the crust is detached, which takes place from very slight impressions. The pubes in adults is sometimes affected in the same manner as the head : and if the subject be a female, there is usually an in- ternal pruritus pudendi. In some cases of the disorder, the nails, both of the fingers and toes, are thickened, and deeply indented longitudinally. When the lepra extends uni- versally, it becomes highly disgusting in its appearance, and inconvenient from the stiff- ness and torpor occasioned by it in the limbs. The disease, however, even in this advanced stage, is seldom disposed to terminate spon- taneously. It continues nearly in the same state for several years, or sometimes during the whole life of the person affected, not be- ing apparently connected with any disorder of the constitution. 2. Lepra alphas. The scaly patches in the alplios are smaller than those of the lepra vulgaris, and also differ from them in having their central parts depressed or indented. This disorder usually begins about the elbow, v/ith distinct, eminent asperities, of a dull red colour, and not inuch longer than papillse. These, in a short time, dilate to nearly the size of a silver penny. Two or three days after- 'Tardi?, the central part of them sufTers a depression, within which small while pow- dery scales may be observed. The sur=' rounding border, however, still continues to be raised, but retains the same size and the same red colour as at first. The whole of the fore-arm, and sometimes the back of the hand, is spotted with similar patches ; they seldom become confluent, excepting round the elbow, which, in that case, is covered with an uniform crust. This affeC" tion appears in the same manner upon the joint of the knee, but without spreading far along the thigh or leg. Dr. Willan has seldom seen it on the trunk of the body, and never on the face. It is a disease of long duration, and not less difficult to cure than the foregoing species of lepra ; even when the scaly patches have been removed by persevering in the use of suitable applica- tions, the cuticle still remains red, tender, and brittle, very slowl}' recovering its usual texture. The alphos, as above describe and vvfi^ctut, the water-lily.) See Nymjthaa cdba. Leitcopha'gium. (From Ktuito?, white, and (pttyai, to eat.) A medicated white food. LEUCOPHLEGMA'SIA, (Leucophleg- masia, from xsu^^oc, white, and o*" ^'X^^i ^ tetter, or ring- worm.) 1. The name of a disease, defined, by Dr. Willan, an ex- tensive eruption of papulaa affecting adults, connected with internal disorder, usually terminating in scurf, recurrent, not con- tagious. The varieties of lichen he con- siders under the denominations of Lichen Lie Lie 49£ Simplex, Lichen agrius, Lichen irilaris, Li- chen lividus, and Lichen tropicus. The Lichen simplex usually commences with headach, flushing of the face, loss of appetite, general languor, and increased quickness of the pulse. Distinct red pa- pulae arise first about the cheeks and chin, or on the arms ; and, in the course of three or four days, the same appearance takes place on the neck, body, and lower extre- mities, accompanied with an unpleasant sensation of tingling, which is somewhat aggravated during the night. In about a week, the colour of the eruption fades, and the cuticle begins to separate ; the whole surface is at length covered with scurfy exfoliations, which are particularly large, and continue longest in the flexures of the joints. The duration of the complaint is seldom in any two cases alike ; ten, four- teen, seventeen, or sometimes twenty days intervene betwixt the eruption and the re- novation of the cuticle. The febrile state, or rather the state of irritation at the be- ginning of this disorder, is seldom consider- able enough to confine the patient to the house. After remaining five or six days, it is generally relieved on the appeai-ance of the eruption. This, a^ well as some other species of the lichen, occurs about the be- ginning of summer, or in autumn, more es- pecially affecting persons of a weak and irritable habit; hence women are more liable to it than men. Lichen simplex is also a frequent sequel of acute diseases, particularly fever and catarrhal inflamma- tion, of which it seems to produce a crisis. In these cases the eruption has been term- ed, by medical writers, scabies critica. Many instances of it are collected under that title by Sauvages, Nosol. Method. Class X. Order 5. Impetigines. The Lichen agrius is preceded by nausea, pain in the stomach, headach, loss of strength, and deep seated pains in the limbs, ■with fits of coldness and shivering ; which symptoms continue several days, and are sometimes relieved by the papulous erup- tion. The papulae are distributed in clus- ters, or often in large patches, chiefly on the arms, the upper part of the breast, the neck, face, back, and sides of the abdomen ; they are of a vivid red colour, and have a redness, or some degree of inflammation, diffused round them to a considerable ex- tent, and attended with itching, heat, and a painful tingling. Dr. Willan has observed, in one or two cases where it was produced from imprudent exposure to cold, that an acute disease ensued, with great quickness of the pulse, heat, thirst, pains of the bowels, frequent vomiting, headach, and delirium. After these symptoms had continued ten days, or somewhat longer, the patient reco- vered, though the eruption did not return. The diffuse redness connecting the papulae, and the tendency to become pustular, dis- tinguish the lichen agrius from the lichen simplex, and the other varieties of this com- plaint, in which the inflammation does not extend beyond the basis of the papulae, and terminates in scurf, or scales. Lichen pilaris. This is merely a modifi- cation of the first species of lichen, and, like it, often alternates with complaints of the head, or stomach, in irritable habits- The peculiarity of the eruption is, that the small tubercles or asperities appear only at the roots of the hairs of the skin, being pro- bably occasioned by an enlargement of their bulbs, or an unusual fulness of the blood- vessels distributed to them. This affection is distinguishable from the cutis anserina, by its permanency, by its red papulas, and by the troublesome itching or tingling which attends it. If a part thus affected be violently rubbed, some of the papulae en- large to the size of wheals, but the tumour soon subsides again. The eruption con- tinues more or less vivid for about ten days, and terminates, as usual, in small exfolia- tions of the cuticle, one of which surrounds the base of each hair. This complaint, as likewise the lichen agrius, frequently oc- curs in persons accustomed to drink largely of spirituous liquors undiluted. Lichen lividus. fhe papulae characteri- zing this eruption are of a dark red, or livid hue, and somewhat more permanent than in the foregoing species of lichen. They appear chiefly on the arms and legs, but sometimes extend to other parts of the body. They are finally succeeded, though at very uncertain periods, by slight exfolia- tions of the cuticle, after which a fresh eruption is not preceded, nor attended by any febrile symptoms. It principally affects persons of a weak constitution, who live on a poor diet, and are engaged in laborious occupations. Young persons, and often children living in confined situations, or using little exercise, are also subject to the lichen lividus ; and in them, the papulae are generally intermixed with petechias, or larger purple spots, resembling vibices. This circumstance points out the affinity of the lichen lividus with the purpura, or land-scurvy, and the connexion is further proved by the exciting causes, wliich are the same in both complaints. The same method of treatment is likewise successful in both cases. They are presently cured by nourishing food, moderate exercise in the open air, along with the use of Peruvian bark and vitriolic acid, or the tincture of muriated steel. Lichen tropicus. By this term is ex- pressed the prickly heat, a papulous erup- tion, almost universally affecting Europeans settled in tropical climates. The prickly heat appears without any preceding disorder of the constitution. It consists of nume- rous papulae, about the size of a small pin's head, and elevation so as to produce a con- siderable roughness on the skin. The pa- pulae are of a vivid red colour, and often 494 Lie Lie exhibit an iiTegular form, two of three of them being in many places united together ; but no redness or inflammation extends to the skin in the interstices of the papulae. 2. The name of a genus of plants in the Linnaean system. Class, Cryptogamia. Or- der, Algm. There are several species, some of which are used in medicine. Li'cHEN CAN I'jvxjs. The systematic name of the ash-coloured ground liver-wort. Li- chen cinereus terrestris. Muscus caninus. The cryptogamous plant, called ash-co- loured ground liver- wort, and scientifically. Lichen caninus by Linnaeus, has a weak, faint smell, and a sharpish taste. It was for a long time highly extolled as a medi- cine of singular virtue, in preventing and curing that dreadful disorder which is pro- duced by the bite of rabid animals, but it is now deservedly forgotten. Li'cHEN cine'reus terre'stris. See Lichen caninus. Li'cHEU cocci'ferus. Bee Lichen pyxi- datus. Li'cHEN isla'wdicus. The medicinal qualities of the lichen islandicus have lately been so well established at Vienna, that this plant is now admitted into the materia me- dica of the London pharmacopoeia. It is extremely mucilaginous, and to the taste bitter, and somewhat astringent. Its bit- terness, as well as the purgative quahty which it manifests, in its recent state, are in a gi-eat measure dissipated on drying, or may be extracted by a slight infusion in %vater ; so that the inliabitants of Iceland convert it into a tolerably grateful and nu- tritive food. An ounce of this lichen, boil- ed a quarter of an hour in a pint of water, yielded seven ounces of mucilage as thick as that procured by the solution of one part of gum Arabic in three of water. The medical virtues of this lichen were probably first learned from the Icelanders, who employ it in its fresh state as a laxa- tive ; but when deprived of this quality, and properly prepared, we are told that it is an efficacious remedy in consumptions, coughs, dysenteries, and diarrhcEas. Scopoli seems to have been the first who, of late years, called the attention of physicians to this re- medy in consumptive disorders : and further instances of its success are related by Herz, Cramer, TromsdorfT, Ebeling, Paulisky, Stoll, and others, who bear testimony to its efficacy in most of the other complaints above-mentioned. Dr. Herz says, that since he first used the lichen in dysentery, he found it so successful, that he never had occasion to employ auy other remedy ; it must be observed, however, that cathartics and emetics were always repeatedly admi- nistered before he had recourse to the lichen, to which he also occasionally added opium. Dr. Crichton informs us, that during seven months' residence at Vienna, he had frequent opportunities of seeing the lichen islandicus tried in phthisis piilmonalis at the general hospitals, and confessefy *' that it by no means answered the expec- tation he had formed of it." He adds, however, "from what I have seen, I am fully convinced in my own mind, that there are only two species of this disease where this sort of lichen promises a cure. The two species I hint at are the phthisis hse- moptoica, and the phthisis pituitoso, or mucosa. In several cases of these I have seen the patients so far get the better of their complaints as to be dismissed the hos- pital cured, but whether they remained long so or not I cannot take upon me to say.' ' That this lichen strengthens the digestive powers, and proves extremely nutritious^ there can be no doubt ; but the great medi- cinal efficacy attributed to it at Vienna, will not readily be credited at London. It is commonly given in the form of a decoction : an ounce and a half of the lichen being boiled in a quart of milk. Of this, a tea- cupful is directed to be drank frequently in the course of the day. If milk disagree with the stomach, a simple decoction of the lichen in water is to be used. Care ought to be taken that it be boiled over a slow fire, and not longer than a quarter of an hour. Li'cHEW pyxida'tus. The systematic name of the cup-moss. Muscus pyxidatus. Musculus pyxoides terrestris. Lichen pyxi- datus major. These very common little plants. Lichen cocciferus, and pyxidatus, of Linnaeus, for both are used indiflferently, are employed by the common people in this country in the cure of hooping-cough, in the form of decoction. Li'cHEJT plica'tus. The systematic name of the muscus arboreus. This plant, Lichen plicatus, of Linnaeus, we are inform- ed by that great botanist, is applied by the Laplanders to parts wliich are excoriated by a long journey. It is slightly astringent, and is applied with that intention to bleed- ing vessels. Li'cHEN pulmoita'rius. The systematic name of the officinal muscus pulmonarius quercinus. Pulmonaria arborea. This subastringent, and rather acid plant, Li- chen pulmonarius, of LiniiaeUs, was once in high estimation in the cure of diseases of the lungs, especially coughs, asthmas, and catarrhs. Its virtues are similar, and in no way inferior to those of the lichen islandi- cus, Li'cHEN rocce'lla. The systematic name of the roccella of the shops. Roceella^ The principal use of this plant is, as a blue dye. It hais been employed medicinally with success in allaying the cough attend- ant on phthisis, and in hysterical coughs. Li'cHEN sasa'tilis. The systematic name of the muscus cranii humani. Usnea. This moss. Lichen saxaiilis, of Linnaeus, v/hen growing on the human skull, was formerly in high estimation^ bxit is now de- seirvedlv forgotten.. UF LIG 493 Ll'EN. (From At/Of 5 soft, of suiootfa.) The spleen. Ll'EN SINA'RUM. The faba ^gyp- tia.' LIENTE'RIA. (From }.uoc, smooth, and ivrefiov, the intestine.) The Latins call it IcEvitas inteslinorum. Lientery. Dr, CuUen makes it a species of diarrhoea. See Diarrhoea, LIEUTAUD, Joseph, was born at Aix, in Provence, in 1703. A taste for bota- ny induced him to travel into the coun- tries which Tournefort had visited : and he brought back many plants unnoticed by that distinguished botanist: this gained him great applause, and he obtained the rever- sion of the chairs of Botany and Anatomy, which his maternal uncle had long filled. He was also appointed physician to the hos- pital at Aix, which led him to turn his at- tention chiefly to anatomy. His audience soon beeame numerous, and in 1742 he published a syllabus, entitled " Essais Anatomiques," which was many times re- printed, with improvements. He commu- nicated also several papers on morbid ana- tomy, and on physiology, to the Academy of Sciences, of which he was elected a cor- responding member. In 1749 he went to Versailles, Senac having obtained for him the appointment of physician to the Royal Infirmary ; which act of friendship is as- cribed to a liberal private communication of some errors committed by Senac. He there continued his investigations with great zeal, and was soon elected assistant anato- mist to the Royal Academy, which he pre- sented with many valuable memoirs. He also printed a volume, " Elementa Physi- ologiEe," composed for his class at Aix. In 1755 he was nominated physician to the royal family, and 20 years after first physi- cian to Louis XVI. In 1759 his " Precis de la Medicine Pratique," appeared, which went through several editions ; and seven years after, his " Precis de la Matiere Me- dicale." But his most important work, which still ranks high in the estimation of physicians, is entitled "Historia Anato- mico-Medica," in 2 vols, quarto, 1767, containing numerous dissections of morbid bodies. His death occurred in 1780. LIFE. To live, may be defined the pro- perty of acting from an intrinsic power ; hence the life of an animal body appears to be threefold. 1. Its chemical life, which consists in that attraction of the elements, by which the vital principle difiiised through the solids and fluids, defends all the parts of the body from putrefaction. In this sense it may be said, that every atom of our body lives chemically, and that life is destroyed by putrefaction alone. 2. Its physical life, which consists in the irritability of the parts. This physical property remains for some time after death. Thus the heart or intes- tines removed from the body, whilst still warm, contract themselves on the applica-= tion of a stimulus. In like manner the serpent or eel, being cut into pieces, each part moves and palpitates for a long time afterwards. Hence these parts may be said to live physically, as long as they continue warm and soft. 3. Its physiological life consists in the action of inorganic parts pro- per to each, as the action of the heart and vessels ; so that, these actions ceasing, the body is said to be physiologically dead. The physiological life ceases first, next the phy- sical, and finally the chemical perishes. LIGAMENT. (From ligo, to bind.) Ligaments are elastic and strong membranes connecting the extremities of the moveable bones. They are divided into capsular, which surround joints like a bag, and con~ necting ligaments. The use of the capsular ligaments is to connect the extremities of the moveable bones, and prevent the efflus of synovia ; the external and internal con- necting ligaments strengthen the union of the extremities of the moveable bones. A Table of the principal Ligaments : Ligaments of the lower jaw. The condyles of the lower jaw are connected with the ar- ticular sinuses of the temporal bone by two ligaments, the capsular, and lateral. Ligaments of the occipital bone, and verier brce of the neck. The condyles of the occipi-^. tal bone are united with the articular de- pressions of the first vertebra by the capsu- lar, broad anterior, and posterior ligaments, the ligaments of the odontoid process, and the ligamentum nuchae. Ligaments of the vertebra. The vertebrae are connected together by means of theii' bodies and oblique processes. The bodies by a soft cartilaginous substance interposed between, and the processes by ligaments, viz. the transverse ligament of the first ver- tebrae ; the anterior and posterior common ligaments ; the interspinous ; the intertrans- verse ; the intervertebral ligaments ; the capsular ligaments of the oblique processes; axid the ligaments of the last vertebrae of the loins with the os sacrum. Ligaments of the ribs. The posterior ex- tremity of the ribs is united with the verte- brae; the anterior with the sternum. The ligaments of the posterior extremity are, the capsular ligaments of the greater and lesser heads ; the internal and external liga- ments of the neck of the ribs ; and a liga- ment peculiar to the last rib. The ligaments of the anterior extremity are, the capsular ligaments of tlie cartilages of the true ribs, and the ligaments of the ribs inter se. Ligaments of the sternum. The ligaments connecting the three portions of the ster- num to the ribs are, the membrana propria of the sternum : and the ligaments of the ensiform cartilage. Ligaments of the pelvis. The ligaments which connect the ossa innominata with the OS sacrum are, three ligamenta ilio sacra ; two sacro-ischiatic ligaments ; tvro 49^ LIG LiG transverse ligaments of the pelvis ; to whicii may be added the ligamentum obturans of the foramen ovale, and the ligamentum Pouparti, or inguinale. See Pelvic Liga- ments. Ligaments of the os coecygis. The basis bi the OS coecygis is connected to the apex of the OS sacrum, by the capsular and lon- gitudinal ligaments. Ligaments of the clavicle.' The anterior extremity is connected with the sternum and first rib ; and the posterior extremity with the acromion of the scapula ; by the interclavicular, and capsular ligaments, the ligamentum rhomboideum, and in the pos- terior extremity, the capsular ligament. Ligaments of the scapula. The proper ligaments which connect the scapula with the posterior extremity of the clavicle are, the conoid and trapezoid ligaments. Ligaments of the humerus. The head of the humerus is connected with the gle- noid cavity of the scapula by the capsular ligament. Ligaments of the articulation of the cubit. The elbow-joint is formed by the inferior extremity of the humerus, and superior ex- tremities of the ulna and radius. The liga- ments connecting these bones are, the cap- sular, the brachio-cubital, and the brachio- radial ligaments. Ligaments of the radius. The radius is affixed to the humerus, cubit, and carpus, by peculiar ligaments, namel)', the supe- rior, inferior, oblique, and interosseous liga- ments. Ligaments of the carpus. The ligaments wliich connect the eight bones of the wrist together, and with the fore-ann and meta- carpus, are, the capsular ligament of the carpus ; the first and second transverse ligaments, the oblique ligaments, and the capsular ligaments proper to the bones of the carpus. Ligaments of the metacarpus. The bones of the metacarpus are in part connected with the second row of bones of the carpus, and in part together, by the articular and interosseous ligaments. Ligaments ^ the fingers. The phalanges of the fingers and thumb are connected to- gether, and with the metacai-pus by the capsular and lateral ligaments. Ligaments which keep the tendons of the muscles of the hand in their proper place. The ligaments which keep the tendons of the muscles of the hand in their place, are situated partly on the palm and partly on the back of the hand. In the back of the hand are, the external transverse ligament of the carpus, the vaginal, and the transverse ligaments of the extensor tendons. In the palm of the hand are, the internal transverse ligament of the carpus, the vaginal or crucial ligaments of the flexor tendons of the pha- langes, and the accessory ligaments of the flexor tendons. Ligaments of the arilculalion of the, femur ■ The head of the os femoris is strongly an- nexed to the acetabulum of the os innomi^ natum, by two very strong ligaments, the capsular ligament, and ligamentum teres^ or restraining ligament. Ligaments of the articulation of the knee. The knee-joint is formed by the condyles of the OS femoris, the head of the tibia and_ the patella. The ligaments are the cap- sular, the posterior, the external, and the internal lateral ligaments, the crucial and the alar ligaments, the ligaments of the semilunar cartilages, and the ligaments of the patella. Ligaments of the fibula. The fibula is connected with the tibia by means of the capsular ligament of the superior extremity, the interosseous ligament, and the ligaments of the inferior extremity. Ligaments of the articulation of the tarsus. The inferior extremity of the tibia and fibula forms the cavity into which the as- tragalus of the tarsus is received. This ar- ticulation is effected by tlie anterior, mid- dle, and posterior ligaments of the fibula, the ligamentum tibiae deltoides, the capsu~ lar ligament, and the ligaments proper to the bones of the tarsus. Ligaments of the metatarsus. The bones of the metatarsus are connected in part together, and in part with the tarsus by means of the capsular ligament, the articu- lar ligaments, the transverse ligaments iu. the back and sole of the foot, and the inte- rosseous ligaments of the metatarsus. Ligaments of the foes. The phalanges of tlie toes are united partly together, and partly with the metatarsus, by the capsular and lateral ligaments. Ligaments which retain the tendons of the muscles of the foot in their proper place. These ligaments are found partly in the back and partly in the sole of the foot. They are the vaginal ligament of the tibia, the transverse or crucial ligaments of the tarsus, the ligaments of the tendons of the peronei muscles, the laciniated ligament, the vaginal ligament of the extensor muscle and flexor pollicis, the vaginal ligaments of the flexor tendons, the accessory ligaments of the flexor tendons, and the transverse li- gaments of the extensor tendons. LIGAMENTUM ANNULARE. The annular ligament. A strong ligament on each ankle and each wrist. Ligame'ntum arterio'sttm. The duc- tus arteriosus of the foetus becomes a liga- ment after birth, which is so called. LIGAME'NTUM CILIA'RE. Behind the uvea of the human eye, there arise out of the choroid membrane, from the ciliary- circle, white complicated striae, covered with a black matter. The fluctuating ex- tremities of these striae are spread abroad even to the crystalline lens, upon which they lie, but are not afiixed. Taken toge- ther, they are called ligamentum ciliare. LIGAME'NTUM DENTICULA'TUM, LIG LIG 497 A small ligament supporting the spinal .marrow. LIGAME'NTUM FALLOTII. Thf liagamentum rotimdum uteri has been so called. See also Ligamentum Pouparti. LIGAME'NTUM INTERO'SSEUM. The ligament uniting the radius and ulna, and also that between the tibia and fibula. LIGAME'NTUM LATUM. The broad ligament of the liver, and that of the ute- rus. See Liver, and Uterus. LIGAME'NTUM NU'CH^E. A strong ligament of the neck, which proceeds from one spinous process to another. LIGAME'NTUM OVA'RIl. The thick round portion of the broad ligament of the uterus, by which the ovarium is connected with the uterus. The antients supposed this was hollow, to convey the female se- men into the uterus. LIGAME'NTUM POUPA'RTI. Fallo- pian ligament. Poupart's ligament. A ligament extending from the anterior supe- rior spinous process of the ilium to the crista of the OS pubis. LIGAME'NTUM ROTU'NDUM. The round ligament of the uterus. See LIGATURE. (From ligo, to bind.) A thread, or silk, of various thickness, cover- ed with white wax, for the purpose of tying arteries, or veins, or other parts. 'They should be round and very firm, so as to al- low being tied with some force, without risk of breaking. The immediate effect of a tight ligature on an artery is to cut through its middle and internal coats, a circumstance that tetds very much to promote the adhesion of the opposite sides of the vessel to each other. Hence the form and mode of ap- plying a ligature to an artery should be such as are most certain of dividing the above coats of the vessel in the most fa- vourable manner. A broad flat ligature does not promise to answer the purpose in the best manner ; because it is scarcely pos- sible to tie it smoothly round the artery, which is very likely to be thrown into folds, or to be puckered by it, and consequently to have an irregular bruised wound made in its middle and internal coats. A ligature of an irregular form is likely to cut through these coats more completely at some parts than at others ; and if it does not perfectly divide them, no adhesion can take place, and secondary haemorrhage will follow. A fear of tying the ligature too tight may often lead to the same consequences. LIGHT. Lux. The nature of light has occupied much of the attention of phi- losophers, and numerous opinions have been entertained concerning it. It has been sometimes considered as a distinct sub- stance, at other times as a quality ; some- times as a cause, frequently as an effect ; by some it has been considered as a compound, &3 by otiiers as a simple substance. Philoso- phers of the present day are mostly agreed as to the independent existence of light, or the cause by which we see. Nature of Light. Light is that which proceeds from any body producing the sensation of vision, or perception of other bodies, by depicting an image of external objects on the retina of the eye. Hence it announces to animals the presence of the bodies which surround them, and enables them to distinguish these bodies into transparent, opaque, and colour- ed. These properties are so essentially connected with the presence of light, that bodies lose them in the dark, and become undistinguishable. Light is regarded by philosophers as a substance consisting of a vast number of ex- ceedingly small particles, which are actual- ly projected from luminous bodies, and which probably never return again to the body from which they were emitted. It is universally expanded through space. It exerts peculiar actions, and is obedient to the laws of attraction, and other properties of matter. Explanation of certain terms of Light. In order to facilitate the doctrine of light, we shall shortly explain a few terms made use of by philosophers when treating of it ; namely : A ray of light is an exceedingly small portion of light as it comes from a luminous body. A medium is a body which affords a pas- sage for the rays of light. A beam of light is a body of parallel rays, A pencil of rays is a body of diverging or converging rays. Converging rays are rays which tend to a common point. Diverging rays are those which come from a point, and continually separate as they proceed. "The rays of light are parallel, when tlie lines which they describe are so. The radiant point is the point from which diverging rays proceed. The focus is the point to which the con- verging rays are directed. Sources of Light. Light is emitted from the sun, the fixed stars, and other luminous bodies. It is pro- duced by percussion, during electrisation^ combustion, and in various other chemical processes. Why the sun and stars are constantly emitting light, is a question which probably will for ever baffle human understanding. The light emitted during combustion exists previously, either combined with the combustible body, or with the substance which supports the combustion. The ligiit 4S)y LIG [LIQ liberated during chemical action, formed a constituent part of the bodies which act on each other. Chemical Properties of Light, The chemical effects of light have much engaged the attention of philosophers. Its influence upon animal, vegetable, and other substances, is as follows : 1. Effects of Light on Vegetables. Every body knows that most of the dis- cous flowers follow the sun in his course ; that they attend him to his evening retreat, and meet his rising lustre in the morning with the same unerring law. It is also well known that the change of position in the leaves of plants, at different periods of the day, is entirely owing to the agency of light, and that plants which grow in windows, in the inside of houses, are, as it were, soli- citous to turn their leaves towards the light. Natural philosophers have long been aware of the influence of light on vegetation. It was first observed that plants growing in the shade, or darkness, are pale and without colour. The term etiolation, has been given to this phenomenon, and the plants in which it takes place, are said to be etiolated, or blanched. Gardners avail themselves of tlie knowledge of this fact, to furnish our tables with white and tender vegetables. When the plants have attained a certain height, they compress the leaves, by tying them together, and by these means (or by laying earth over them) deprive them of the contact of light : and tlius it is that our white celery, lettuce, cabbages, endive, &c. are obtained. For the same reason, wood is white under the green bark ; and roots are less coloured than plants ; some of them alter their taste, fee. ; they even acquire a deleterious quality when suffered to grow exposed to light. Potatoes are of this kind. Herbs that grow beneath stones, or in places utterly dark, are white, soft, aque- ous, and of a mild and insipid taste. The more plants are exposed to the light, the more colour they acquire. Though plants are capable of being nourished exceedingly well in perfect obscurity, and in that state they even grow much more rapidly than in the sun, (provided the air that surrounds them is fit for vegetation,) they are colour- less and unfit for use. Professor Davy found, by experiment, that red rose-trees, carefully excluded from light, produce roses almost white. He likewise ascertained that this flower owes its colour to light entering into its expo- sition, that pink, orange, and yellov/mcrw- ers imbibe a smaller portion of light than red ones, and that white flowers contain no light. But vegetables are not only indebted to the light for their eolonr : taste and odour are likewise derived from the same source. Light contributes greatly to the maturity , of fruits and seeds. This seems to be the cause, why, under the burning sun of Africa, vegetables are in general more odo- riferous, of a stronger taste, and more abounding with resin. From the same cause it happens that hot climates seem to be the native countries of perfumes, odo- riferous fruits, and aromatic resins. The action of light is so powerful on the organs of vegetables, as to cause them to pour forth torrents of pure air from the sur- face of their leaves into the atmosphere, while exposed to the sun ; whereas, on the contrary, when in the shade, they emit an air of a noxious quality. Take a few hands- ful of fresh-gathered leaves of niint, cab- bage, or any other plant ; place them in a bell-glass, filled witli fresh water, and invert it into a bason with the same fluid. If the whole be then exposed to the direct rays of the sun, small air bubles will appear on the surface of the leaves, which will gradually grow larger, and at last detach themselves and become collected at the surface of the water. This is oxygen gas, formerly called vital air. All plants do not emit this air with the same facility : there are some which yield it the moment the sun acts upon them, as the jacoboea, or rag- wort, lavender, peppermint, and some other aromatic plants. The leaves afford more air when attached to the plant than when gathered ; the quantity is also greater, the fresher and sounder they are, and if full grown and collected during dry weather. Green plants afford more air than those which are of a yellowish or white colour. Green fruits afford likewise oxygen gas ; but it is not so plentifully furnished by those which are ripe. Flowers in general render the air noxious. The nasturtium indicum, in the space of a few hours, gives out more air than is equal to the bulk of all its leaves. On the contrary, if a like bell-glass, pre- pared in the same manner, be kept in the dark, another kind of air will be disengaged, of an opposite quality. There is not a substance which, in well- closed glass vessels, and exposed to the sun's light, does not experience some alter- ation. Camphor kept in glass bottles, exposed to light, crystallizes, or vegetates, into the most beautiful symmetrical figures, on that side of the glass which is exposed to the lisht. m Yellow wax, exposed to the Hght, loses '^^ its colour, and becomes bleached. Gum guaiacum reduced to powder, becomes green on exposure to light. Vegetable colours, such as those of saffron, logwood^ &n„ become pale, or %vhitej &c- LIG LIL 499 2. Effects of Light on Animals. The human being; is equally dependent on the influence of light. Animals in general droop when deprived of light, they become unhealthy, and even sometimes die. When a man has been long confined in a dark dungeon, (though well aired,) his whole complexion becomes sal- low : pustules, filled with aqueous humours, break out on his skin ; and the person who has been thus deprived of light, becomes languid, and frequently dropsical. Worms, grubs, and caterpillars, which live in the earth, or in wood, are of a whitish colour ; motlis, and other insects of the iiight, are likewise distinguishable from those which fly by day by the want of bril- liancy in their colour. The difference be- tween those insects, in northern and south- ern parts, is still more obvious. The parts of fish which are exposed to light, as the back, fins, &c. are uniformly coloured, bat the belly, which is deprived of light, is white in all of them. Birds which inhabit the tropical coun- tries have much brighter plumage than those of the north. Those parts of the birds which are not exposed to the light are uni- formly pale. The feathers on the belly of a bird are generally pale, or white ; the back, which is exposed to the light, is almost al- ways coloured ; the brccist, which is par- ticularly exposed to light in most birds, is brighter than the belly. Butterflies, and various other animals of equatorial countries, are brighter coloured than those of the polar regions. Some of the northern animals are even darker in summer and paler in winter. 2. Effects of Light on other Substances. Certain metalic oxides become combusti- ble when exposed to light ; and acids, as the nitric, &c. are decomposed by its con- tact, and j^brious other substances change their nature. Light carbonated hydrogen. See Carbu- retted hydrogen gas. Li'gwttm aga'llochi ve'ri. See Lig- num aloes. Li'gnum a'loes. Lignum agallochi veri. Lignum calambac. Lignum aspalathi. Xylo aloes. Agallochum. Calambae. Aloes- wood. The tree whose wood bears this name is not yet scientifically known. It is imported from China in small compact, ponderous pieces, of a yellow rusty brown colour, with black or purplish veins, and sometimes of a black colour. It has a bit- terish resinous taste, and a slight aromatic smell. It is used to fumigate rooms in eas- tern countries. Li'gnum aspa'lathi. See Lignum aloes. Li'gnum cala'mbac. See Lignumrdloes. LrGNUM CAMPECHE'NSE. {Cam- pechensis ; so called because it was brought from Campeachy, in the bay of Hondurus.) See Hamatoxylon campechianum. Li'GJVUM i'ndicum. See Guaiacum. Li'gnum molucce'nse. See Croton tig- lium. Li'gnum nephri'ticum. See Gulian- dina moringa. Li'gnum vava^m. Qee Croton tiglium. Li'gnum rho'dium. See Rhodium lig- num. Li'gnum sa'nctum. See Guaiacum. Li'gnum sa'ntali ru'bri. Bee Ptero carpus santalinus. Li'gnum sa'ppan. See Hcematoxylon campechianum. Li'gnum serpe'ntum. The wood of the Ophioxylum serpentinum of Linnseus. It is said to be an alexipharmic. LiGu'sTicuM LEvi'sTicuM. The system- atic name of lova.ge. Levisticum. The odour of this plant, Ligusticum levisticum : foliis multiplicibus, foliolis superne incisis. ofLinnffius, is very strong, and particularly ungrateful ; its taste is warm and aromatic. It abounds with a yellowish gummy-resin- ous juice very much resembling opoponas. Its virtues are supposed to be similar to those of angelica and master- wort, in ex- pelling flatulences, exciting sweat, and opening obstructions ; therefore it is chiefly used in hysterical disorders and uterine ob- structions. The leaves, eaten in sallad, are accounted emmenagogue. The root, which is less ungrateful than the leaves, is said to possess similar virtues, and may be employ- ed in powder. LIGU'STRUM. (From ligo, to bind ; so named from its use in making bands.) 1 . The name of a genus of plants in the Linnssan system. C\?tss, Diandria. Order, Monogynia. % The pharmacopoeial name of the herb privet. Lilia'go. (Dim. of lilium, the lilj'- ; so named from the resemblance of its flower to that of a lily.) Liliastrum. Spider- wort ; formerly said to be alexipharmic and carminative. LI'LIUM. (From kub?, smooth, grace- ful ; so named from the beauty of its leaf.) The name of a genus of plants in the Lin- ncean system. Class, Hexandria. Order, Monogynia. The lily. Li'lium a'lbum. The white lily. See Lilium candidum. Li'lium ca'ndium. The systematic name of the white lilly. Lilium album. The roots of the common wlrite lily, Lilium candidum : foliis sparsis, corollis campanu- latis, intus glabris, of Linnaeus, are directed by the Edinburgh pharmacopoeia ; they are extremely mucilaginous, and cliiefly usedj boiled in milk and water, in emollient and suppurating cataplasms, to inflammatory tumours. These lily-roots afford a good substitute, in times of scarcity, for bread. The distilled water has been s-om-etimes used as a cosmetic. m& LiU LIK n Li'liitm conva'llipm. See Convallaria majalis. Lily, May. See Convallaria majalis. Liily, while. See Lilium candidum. Lily, water. See JVymphcea alba, and J^ymphcea lutea. Lily of the valley. See Convallaria ma- jalis. LIMATU'RA FERRI. Steel filings are considered as possessing stimulating and strengthening qualities, and are exhibited in worm cases, ataxia, leucorrhoea, diar- rhcea, chlorosis, k.c. LI'MAX. (From limus, slime ; so named from its sliminess.) Cochlea terrestris. The snail. This animal abounds with a viscid slimy juice, which is readily given out by boiling, to milk or water, so as to render them thick and glutinous. These decoctions are apparently very nutritious and demulcent, and are recommended in consumptive cases and emaciations. LIME. Calx. An earth found in great abundance in nature, though never pure, or in an uncombined state. It is always united to an acid, and very frequently to the carbonic acid, as in chalk, common lime-stone, marble, calcareous spar, &c. It is contained in the waters of the ocean ; it is found in vegetables ; and is the basis of the bones, shells, and other hard parts of animals. Its combination with sulphuric acid is known by the name of sulphate of lime' (^gypsum, or plaster of Paris.) Com- bined with fluoric acid it constitutes fluate of lime, or Derbyshire spar. Properties. — Lime is in solid masses, of a white colour, moderately hard, but easily reducible to powder. Its taste is bitter, urinous, and burning. It changes blue cabbage juice to a green. It is unalterable by the heat of our furnaces. It splits and falls into powder in the air, and loses its strong taste. It is augmented in weight and ill size by slowly absorbing water and carbonic acid from the atmosphere. Its specific gravity is 2.3. It combines with phosphorus by heat. It unites to sulphur both in the dry and humid way. It absorbs sulphuretted hydrogen gas. It unites with some of the metallic oxids. Its slacking by water is attended with heat, hissing, split- ting, and swelling up, while the water is partly consolidated and partly converted into vapour : and the lime is reduced into a very voluminous dry powder, when it has been sprinkled with only a small quantity 4)f water. It is soluble when well prepared in about 450 parts of water. It unites to acids. It renders silex and alumine fusible, and more particularly these two earths to- gether. Method of obtaining Lime. — Since the carbonic acid may be separated from the oative carbonate of lime, this becomes a means of exhibiting the lime in a state of tolerable purity. For this purpose, intro- duce into a porcelain, or earthen retort, of rather into a tube of green glass, well coated over with lute, and placed across a furnace, some powdered Carara marble, or oyster- shell powder. Adapt to its lower extremity a bent tube of glass, conveyed under a bell. If we then heat the tube we obtain carbonic acid gas ; aiid lime will be found remaining in the tube, or retort. The burning of lime in the large way^ depends on the disengagement of the car- bonic acid by heat : and, as lime is infusi- ble in our furnaces, there would be no danger from too violent a heat, if the native carbonate of lime were perfectly pure, but as this is seldom the case, an extreme de- gree of heat produces a commencement of vitrification in the mixt stone, and enables it to preserve its solidity, and it no longer retains the qualities of lime, for it is covered with a sort of crust, which prevents the ab- sorption of the water when it is attempted to be slaked. This is called over-burnt lime. In order to obtain lime in a state of great purity, the following method may be had recourse to. Take Carara marble, or oyster-shells ; reduce them to powder, and dissolve the powder in pure acetic acid ; precipitate the solution by carbonate of ammonia. Let the precipitate subside, wash it repeatedly in distilled water, let it dry, and then expose it to a white heat for some hours. Tlie acetic acid, in this operation, unites to the lime, and forms acetate of lime, dis- engaging at the same time the carbonic acid which flies off" in the gaseous state : on add- ing to the acetate of lime carbonate of am- monia, acetate of ammonia, and an artificial carbonate of lime are formed ; from the latter tlie carbonic acid is again expelled, by exposure to heat, and the lime is left behind in a state of perfect purity. Lime-tree. See Tilia. Lime-water. See Calx. LIMES. A fruit like a small lemon, the juice of which is a very strong acid, and very much used in the making of punch. Externally, the same acid is applied in the cutaneous affections of warm climates, and also as a remedy against the pains that pre- cede the appearance of yaws. LI'MON. (Hebrew.) See Citms medica. Limo'nium. (From Ku/m-mv, a green field; so called from its colour.) This name has been applied to the Valeriana rubra, to the Polygonum fagopyrum, and to the Pyrola rotundifolia, but more common- ly to the sea-lavender, or Statice limonium, of Linnaeus, which is said to possess astrin- gent properties. Limo'num. (From xitjum, a green field ; so called from the colour of its unripe fruit.) The lemon-tree, or citrus medica. LIN AC RE, Thomas, was born at Can- terbury, about the year 1460. After study- ing at Oxford, he travelled to Italy. LIN LIN iOl •^here he acquired a pei'fect knowledge of the Latia and Greek languages ; and after- "wards devoted his attention to medicine and natural philosophy, at Rome. Oq his re- turn, he graduated at Oxford, and gave lectures there on physic, as well as taught the Greek language. His reputation soon became so high, that he was called to court •by Henry VII, who not only entrusted him with the education of his children, but also appointed him his physician ; which office he likewise enjoyed under his successor Henry VIII. He appears in this monarch's reign to have stood above all rivalship at the head of his profession, and evinced his attach- ment to its interests, as well as to the public good, by founding medical lectures at the two universities, and obtaining the institu- tion in 1318, of the royal college of physi- cians in London. The practice of medicine was then occupied by illiterate monks and empirics, who were licensed by the bishops, whence much mischief must have arisen. A corporate body of regularly bred physi- eians was therefore established, in whom was vested the sole right of examining and admitting persons to practice, as well as of examining apothecaries' shops. Linacre was the first president, which office he retained during the remainder of his life, and at his death in 1524, bequeathed his house to the college. He had relinquished practice, and entered into holy orders, about five years before, being greatly afflicted with the stone, which was the cause of his dissolu- tion. In his literary character Linacre stands eminently distinguished, having been one of the first to introduce the learning of the ancients into this coimtry. He transla- ted several of the most valuable works of Galen into Latin ; and his style is remark- able for its purity and elegance ; he had indeed devoted great time to Latin composi- tion, on which he published a large philo- sophical treatise. His professional skill was universally allowed among his contempo- ries, as well as the honour and humanity with which he exercised the medical art ; and the celebrated Erasmus has bestowed upon him the highest commendation. He was buried in St. Paul's Cathedral, where a monument was afterwards erected to his memory, with a Latin inscription by Dr. Caius. LiNAGRo'sTis. (From xivov, cotton, and Aypan;, grass, so called from the softness of its texture.) Cotton-grass. LiifAifGi'NA. (From linum, flax, and ango, to strangle ; so called because, if it grows among flax or hemp, it twists round it, and chokes it.) The herb dodder. Lina'ria. (From linum, flax, named from the remsemblance of its leaves to those of flax.) See Anlirrhinum. LI'NCTUS. {Lincius, -us, m. from lin- go, to lick.) Lohoc. Eclegma. Elexis. Eleg- ma. Ekctos. Eeleitos. lUindus. Loch and iambative. A term in pharmacy, that is generally applied to a soft and somewhat oily substance, of the consistence of honey, which is licked ofl" the spoon, it being too solid and adhesive to be taken otherwise. LI'NEA A'LBA. (From linum, a thread, and album, white ; so called from its appearance and colour.) Linea centralis. An aponeurosis that extends from the scro- feiculus cordis straight down to the navel, and from thence to the pubes. It is formed by the tendinous fibres of the internal ob- lique ascending and the external oblique descending muscles, and the transversalis, interlaced with those of the opposite side. Li'ne-S; semiluma'res. The lines which bound the outer margin of the recti mus- cles, formed by the union of the abdomi- nal tendons. Li'wE^ transve'rs^. Lines which cross the recti muscles. LI'NGUA. (From lingo, to lick up.) The tongue. See Tongue. IjI'ngua a'vis. The seeds of the Fraxi- nus, or ash, are so called, from their sup- posed resemblance to a bird's tongue. Li'ngtja cani'wa. So called from the resemblance of its leaves to a dog's tongue. See Cynoglossum. Li'ngua cervi'jva. See Asplenium Sco- lopendrium. LINGUA'LIS. {Lingualis, sc. musca- lus ; from lingua, a tongue.) Basio-glossus, of Cowper. A muscle of the tongue. It arises from the root of the tongue laterally, and runs forward between the hyo-glossus and genio-glossus, to be inserted into the tip of the tongue, along with part of the stylo- glossus. Its use is to contract the sub- stance of the tongue, and to bring it back- wards. LINIMENT. {Linimentum ; from lino, to anoint.) An oily substance of a medi- ate consistence between an ointment and oil, but so thin as to drop. The following are some of the most ap- proved forms. Liuime'ktum jERTj'ginis. Liniment of verdigris, formerly called oxymel geruginis, mel yEgyptiacum and unguentum ^Egyp- tiacum. " Take of verdigris, powdered, an ounce ; vinegar, seven fluid-ounces ; clarified honey, fourteen ounces. Dis- solve the verdigris in the vinegar, and strain it through a linen cloth ; having added the honey gradually, boil it down to a proper consistence." LlXTMEKXtTM AMMO'NI^ ST7BCARB0- na'tis . Liniment of subcarbonate of ammo- nia, formerly called linimentu mammoniae, and linimentum volatile. " Take of solution of subcarbonate of ammonia, a fluid-ounce ; olive oil, three fluid-ounces. Shake them together until they unite." A stimulating liniment, mostly used to relieve rheumatic pains, bruises, and paralytic numbnes?, Liyi^IENTUM AMMo'yiJF, ro'RTius. 502 LL\ .IN Strong linimeat of ammonia. " Take ol solution of ammonia, a fluid-ounce ; olive oil, two fluid-ounces. Shake them toge- ther until they unite." A more powerful stimulating application than the former, acting as a rubefacient. In pleurodynia, ifidolent tumours, stiffness of the joints, and arthritic pains, it is to be preferred to the milder one. LiwiMENTtTM A'ekVM ca'lcis. Liniment of lime-water. " Take of lime-water, olive oil, of each eight ounces ; rectified spirit of wine, one ounce. Mix." This has been long in use as an application to burns and scalds. Linime'ntum cA'MPHORiE. Camphor liniment. " Take of camphor half an ounce ; olive oil, two fluid-ounces. Dis- solve the camphor in the oil." In retentions of urine, rhevimatic pains, distensions of the abdomen from ascites, and tension of the skin from abcess, this is an excellent appli- cation. Linime'ntum ca'mphor^ compo'si- TUM. Compound camphor liniment. "Take of camphor two ounces ; solution of am- monia, six fluid-ounces ; spirit of laven- der, a pint. Mix the solution of ammonia ivith the spirit in a glass retort ; then, by the heat of a slov/ fire, distil a pint. Last- ly, in this distilled liquor dissolve the cam- phor." An elegant and useful stimulant ap- plication in paralytic, spasmodic, and rheu- matic diseases. Also for bruises, sprains, rigidities of the joints, incipient chilblains, &c. &c. Linime'ntum hydra'rgyri. Mercu- rial liniment. " Take of strong mercurial ointment, prepared lard, of each four oun- ces ; camphor, an ounce ; rectified spirit fif- teen minims ; solution of ammonia, four flu- id-ounces. First powder the camphor, with the addition of the spirit, then rub it with the mercurial ointment and the lard ; lastly, add gradually the solution of ammonia, and mix the whole together." An excellent formula for all svirgical cases, in which the object is to quicken the action of the ab- sorbents, and gently stimulate the surfaces of parts. It is a useful application for di- minishing the indurated state of particular muscles, a peculiar afiection every now and then met with in practice ; and it is peculiarly well calculated for lessening the stiffness and chronic thickening often no- ticed in the joints. If it be frequently or largely applied, it afl"ects the mouth more rapidly that the mercurial ointment. Linime'ntum opia'tum. a resolvent anodyne embrocation, adapted to remove indolent tumours of the joints, and those weaknesses which remain after strains, and chilblains before they break. Linime'ntum saponis composititm. Compound soap liniment. Linimentum saponis. « Take of hard soap, three ounces ; camphor, an ounce ; spirit of rosemary, a pint. Dissolve tlie caniiphor in the spirit, then add the soap, and ma- cerate in the heat of a sand-bath , imtil it be melted." The basis of this form was first proposed by Riverius, and it is now commonly used under the name of opo- deldoc. This is a more pleasant prepara- tion, to rub parts affected with rheumatic pains, swellings of the joints, &c. thaa any of the foregoing, and at the same time not inferior, except where a rubefacient is required. Linime'ntum sapo'nis cttm o'pio. Soap liniment, with opium. " Take of com- pound soap liniment, six ounces; tincture of opium, two ounces. Mix." For dis- persing indurations and swellings, attended with pain, but no acute iaflammation. Linime'ntum terebi'nthik^. Tur- pentine liniment. " Take of resin cerate, a pound; oil of turpentine, half a pint. Add the oil of turpentine to the cerate, previously melted, and mix." This lini- ment is very commonly applied to burns, and was first introduced by Mr. Kentish, of Newcastle. Linime'ntum terebi'nthinjE vitri- o'licum. Vitriolic liniment of turpentine^ " Take of olive oil, ten ounces ; oil of turpentine, four ounces ; vitriolic acid, three drachms. Mix." This preparation is said to be efficacious in chronic affections of the joints, and in the removal of laag existing effects of sprains and bruises. Liniment of ammonia. See Linimen- tum ammonia. Liniment of camphor. '^'ISee Linimen- tum camphorm. Liniment of mercury. See Linimentum hydrargyri. Liniment of verdigris. See Linimentwn (sruginis. Liniment of turpentine. See Linimentum terebinthince. LINN^'A. (So named in honour of Linnssus.) The name of a genus of plants in the Liunaean system. Class, Didynamia, Order, Angiospermia. Linn^e'a borea'lis. The systematic name of the plant nam«d in honour of the immortal Linnseus, which has a bitter sub- astringent taste, and is used in some places in the form of fomentation, to rheumatic pains, and an infusion with milk, is much esteemed in Switzerland in the cure of sci- atica. LINNiEUS, Charles, was bora in Sweden, in 1707. He derived at a very early age from his father, that attachment to the study of nature by which he after- wards so eminently distinguished himself. He was intended for the church, but made so little improvement in the requisite learn- ing, that this was soonabandoned for the profession of medicine. He appears to have had a singular inaptitude for learning lan- guages : though he was sufficiently versed LliN LIN 50S in Latin. His scanty finances much embar- rassed his progress at first ; but his taste for botany at length having procured him the patronage of Dr. Celsius, professor of divi- nity at Upsal, he was enabled to pursue his studies to more advantage. In 1730, he •was appointed to give lectures in the botanic garden, and began to compose some of those works by which he rendered his fa- vourite science more philosophical, and more popular than it had ever been before. Two years afterwards he was commissioned to make a tour through Lapland, of which he subsequently published an interesting account ; and having learnt the art of assay- ing metals, he gave lectures on this subject also on his return. Iq 1735, he took his degree in physic at Harderwyck, and in his inaugural dissertation advanced a strange hypothesis, that intermittent fevers are ow- ing to particles of clay, taken in with the food, obstructing the minute arteries. Soon after this his Systema Naturae first ap- peared ; which was greatly enlarged and improved in numerous successive editions. In Holland, he fortunately obtained the support of a Mr. Clifford, an opulent banker, whereby he was enabled to visit England also ; but his great exertions afterwards impaired his health, and being attacked with a severe intermittent, he could not resist the desire, when somewhat recovered, of returning to his native country. Arriving there in 1738, he settled at Stockholm, where his reputation soon procured him some medical practice, and the appointment of physician to the navy, as well as lecturer on botany and mineralogy ; a literary so- ciety was also established, of which he was the first president, and by which numerous volumes of transactions have since been published. In 1740, he was chosen pro- fessor of medicine at Upsal, having been admitted a member of that academy on his return to Sweden ; he also shared with Dr. Rosen the botanical duties, and considerably improved the garden ; he was afterwards made secretary, and on some public occa- sions did the honours of the university. He received likewise marks of distinction from several foreign societies. About the year 1746 he was appointed Archiater ; and it became an object of national interest to make additions to his collection from every part of the world. A systematic treatise on the Materia Medica was published by him in 1749 ; and two years after his Philoso- phia Botanica, composed during a severe fit of the gout, in which he supposed him- self to have derived great benefit from taking a large quantity of wood strawberries. This was soon followed by his great work, the Species Plantarum ; after wliich he was honoured with the order of the Polar Star, never before conferred for literary merit ; and having declined a splendid invitation to Spain, he was ra;?p.d to the rank of nobilitv. in 1763, his son was allowed to assist him in the botanical duties. About this time he published his Genera Morborum, and three years after his Clavis Medicine. His medical lectures, though too theoretical, were very much esteemed ; but he had de- clined general practice on his establishment at Upsal. As he advanced in life, the fa- tiguing occupations in which he was en- gaged, impaired his health, notwithstanding his temperate and regular habits ; and at length brought on his dissolution in 1778. This was regarded as a loss to the nation, and even to the world. About ten years after, a society, adopting his name, was formed in this country, which has published many valuable volumes of transactions, and the president purchased Liunaeus's collec- tions of his widow; similar institutions have also been established in other parts of the world. Linospe'rmum. (From \iyov, flas, and a-7rtp/x.dt,, seed.) Linseed. LiwSEED. The fruit of the flax plant,, or linum, is much used in medicine. Its qualities are mucilaginous and oily. It is lubricating and emollient. It is employ- ed in decoction, or infusion, inhe?.* of urine, (fee. in the form of clyster, in tenesmus ; in cataplasm, in quincy, and other complaints. The proportion of the seeds in the decoc- tion, are an ounce to a pound of water. See Linum. Lint. See Linteum. Ll'NTEUM. Lint. A soft wooly sub- stance, made by scraping old linen cloth, and employed in surgery as the common dressing, in all cases of wounds and ulcers, either simply or covered with different unc- tuous substances. Ll'NUM. (From Kiioi, soft, smooth; so called from its soft, smooth, texture.) 1. The name of a genus of plants in the Linnssan system. Class, Pentandria. Order, Pentagynia. 2. The pharmacoposlal name of the com- mon flax. See Linum usilatissimum. Li'num catha'uticum. Linum mini- mum. Chamcelium. Purging flax, or mill- mountain. This small plant, Linum cathar- ticum, foliis opposilis ovalo-lanceolaiis, caule dichotomo, corollis aculis, of Linnaeus, is an effectual and safe cathartic. It has a bitterish and disagreeable taste. A handful infused in half a pint of boiling water is the dose for an adult. Li'num usitati'ssimum. The systematic name of the common flax. Linum sylveslre. Linum usitaiissimum ; calycibus capsulisque mucronalis, fetalis crenatis, foliis lanceolatis alternis, caule subsolitario, of hvond^us. The seeds of this useful plant, called linseed, have an unctuous, mucilaginous, sweetish taste, but no remarkable smell ; on expression they yield a large quantity of oil, which, when carefully drawn, without the application of heat, ha? no particular taste or flavour ; 504 LIP LIQ boiled in water, they yield a large propor- tion of a strong flavourless mucilage, which is in use as an emollient or demulcent in coughs, hoarseness, and pleuritic symptoms, that frequently prevail in catarrhal affec- tions ; and it is likewise recommended in nephritic pains and stranguries. The meal of the seeds is also much used externally, in emollient and maturating cataplasms. The expressed oil is an officinal preparation, and is supposed to be of a more healing and balsamic nature than the other oils of this class : it has, therefore, been vury generally employed in pulmonary complaints, and in colics and constipations of the bowels. The calce which remains after the expression of the oil, contains the farinaceous part of the \ seed, and is used in fattening cattle, under the name of oil-cake. 1 Li'PARis. (From kittoc, fat; so named from its unctuous quality.) See Pinguicula. Liparoce'le. (From Kt^ros, fat, and i^ x»>t;), a tumour.) That species of sarcocele \ in which the substance constituting the disease is fat. LIPO'MA. (From x/^roc, fat.) A soli- tary, soft, unequal, indolent tumour, arising from a luxuriancy of adeps in the cellular membrane. The adipose structure forming the tumour is sometimes diseased towards its centre, and more fluid than the rest. At other times it does not appear to difiier in any respect from adipose membrane, except in the enlargement of the cells containing the fat. These tumours are always many years before they arrive at any size. • Lipopsy'chia. (From xuTrce, to leave, and ^y^"? the soul, or life.) A swoon. LIPOTHY'MIA. (From xs;^*, to leave, and BvfAos, the mind.) Deliquium animi et animce. Defectio animi ; dissolu- tio. Exanimatio. Syncope. Asphyxia. Vi- rium lapsus. The greatest degree is called Apopsychia. Apsychia. Ecchysis. Faint- ing. Dr. CuUen makes it a genus of disease under the name of Syncope, in the class J^euroses, order Adynamice, which he de- fines the motion of the heart dimished, or at rest for some time. He distinguishes it into three species. See Syncope. LIPPITU'DO. (From lippus, blear- eyed.) Epiphora. Xerophthalmia. Blear- eyedness. An exudation of a puriform hu- mour from the margin of the eyelids. The proximate cause is a deposition of acri- mony on the glan dulse meibomianse in the margin of the eyelids. This humour in the night glues the tarsi of the eyelids together. The margins of the eyelids are red and tumefy, are irritated and excite pain. An opthalmia, fistula lachrymalis, and some- times an ectropium, are the consequences. The species of the lippitudo are, 1 . Lippitudo infantum, which is familiar to children, particularly of an acrimonious habit. The lippitudo of infants is mostly accompanied with tinea, or some scabby eruption, which points out that the disease originates, not from a local, but general or constitutional, affection. 2. Lippitudo aduliorum or senilis. Thia arises from various acrimonies, and is like- wise common to hard drinkers. 3. Lippitudo venerea, which arises from a suppressed gonorrhoea, or fluor albus, and is likewise observed in children born of pa- rents with venereal complaints. 4. Lippitudo scrophulosa, which accom- panies other scrophulous symptoms. 5. Lippitudo scorbutica, which afiects the scorbutic. Lipy'ria. (From KetTrto, to leave, and "^vp, heat.) A sort of fever, where the heat is drawn to the inward parts, while the external are cold. LIQUIDA'MBAR. (From liquidum^ fluid, and ainbar, a fragrant substance, ge- nerally taken for ambergris ; alluding to the aromatic liquid gum which distils from this tree.) The name of a genus of plants in the Linnaean system. Class, Monoecia. Order, Polyandria. LiauiDA'MBAR styraci'flita. The sys- tematic name of the tree which affords both the liquid amber and storax liquida, or liquid storax. The liquid amber is a resi- nous juice, of a yellow colour, inclining to red, at first about the consistence of turpen- tine, by age hardened into a solid brittle mass. It is obtained by wounding the bark of this tree, which is described by Linnaeus the Liquidambar foliis palmato-angulatis ; foliis indivisis, acutis. The juice has a moderately pungent, warm,balsamic taste, and a very fragrant smell, not unlike that of the Styrax calamita heightened by a lit- tle ambergris. It is seldom used medicinally. The Styrax liquida is also obtained from this plant by boiling. There are two sorts dis- tinguished by authors ; the one, the purer part of the resinous matter, that rises to the surface in boiling, separated by a strainer, of the consistence of honey, tenacious like turpentine, of a reddish or ash-brown colour, moderately transparent, of an acrid unctuous taste and a fragrant smell, faintly resembling that of the solid storax, but somewhat disagreeable. The other, the niore impure part which remains on the strainer, untransparent, and in smell and taste much weaker than the former. Their' use is chiefly as stomachics, in the form of plaster. Liquidambra. See Liquidambar styra- eiflua. LiauiRi'TiA. (From liquor, juice, or from elikoris, Welsh.) See Glycyrrhisa. Li'auoR ^the'reus vitrio'lictts. The liquor procured from a distillation of equal parts of sulphuric acid and spirit of wine re-distilled. Li'auoR aceta'tis ammo'wi^. See Ammonia acetatis liqubr. Li'ftiroR aceta'tis PLrMBi. See Plum~ bi sxibacctatis liquor. L{<4 Lla 505 Ll'ttCoR aceta'tis plu'mbi bild'tus. See Plumbi subacetalis liquor dilutus. Li'aPOR ALu'^MiNis coMPo'siTus. Com- pound solution of alum, " Take of alum, sulphate of zinc, of each half an ounce ; boiling water, two pints. Dissolve at the same time the alum and sulphate of zinc in the water, and then strain the solution through paper." This water was long known in our shops under the title of aqua aluminosa bateana. It is used for cleansing and healing ulcers and wounds, and for removing cutaneous eruptions, the part being bathed with it hot three or four times a day. It is sometimes likewise employed as a coUyrium ; and as an injection in fluor albus and gonorrhoea, when not accompanied with virulence, Li'auoR ammo'nije. Solution of am- monia. See Ammonia. Li'auoR ammo'jvijE CARBOifATis. See Ammo'nicE subcarbonas. Ll'QUOR A'MNII. All that fluid which is contained in the membranaceous ovum surrounding the foetus in utero is called by the general name of the waters, the water of the amnion, or ovum, or liquor amnii. The quantity, in proportion to the size of the different parts of the ovum, is greatest by far in early pregnancy. At the time of parturition, in some cases, it amounts to or exceeds four pints ; and in others it is scarcely equal to as many ounces. It is usually in the largest quantity when the child has been some time dead, or is born in a weakly state. This fluid is generally transparent, often milky, and sometimes of a yellow, or light brown colour, and very different in consistence ; and these altera- tions seem to depend upon the state of the constitution of the parent. It does not coagulate with heat, like the serum of the blood; and, chemically examined, it is found to be composed of phlegm, earthy matter, and sea salt, in different proportions in different subjects, by which the varieties in its appearance and consistence are pro- duced. It has been supposed to be excre- mentitious ; but it is generally thought to be secreted from the internal surface of the ovum, and to be circulatory as in other ca- vities. It was formerly imagined, that the foetus was nourished by this fluid, of which it was said to swallow some part frequently ; and it was then asserted, that the qualities of the fluid were adapted for its nourish- ment. But there have been many exam- ples of children born without any passage to the stomach ; and a few, of children in which the head was wanting, and which have nevertheless arrived at the full size. These cases fully prove that this opinion is not just, and that there must be some other medium by which the child is nourished, besides the waters. The incontrovertible uses of this fluid are, to serve the purpose of affording a soft bed for the residence of 64 the ftetus, to which it allows free motion, and prevents any external injury during pregnancy : and inclose J in the membranes, it procures the most gentle, j'et efficacious, dilatation of the os uteri, and soft parts, at the time of parturition. Instances have been recorded, in which the waters of the ovum are said to have been voided so early as in the sixth month of pregnancy, without prejudice either to the child or parent. The truth of these reports seems to be' doubtful, because, when the membranes are inten- tionally broken, the action of the uterus ne- ver fails to come on, when all the water is evacuated. A few cases have occurred to me, says Dr. Denman, in practice, which might have been construed to be of this kind ; for there was a daily discharge of some colourless fluid from the vagina, for several months before delivery ; bat there being no diminution of the size of the abdomen, and the waters being regularly discharged at the time of labour, it was judged that some lymphatic vessel near the OS uteri had been ruptured, and did not close again till the patient was delivered. He also met with one case, in which, after the expulsion of the placenta, there was no sanguineous discharge, but a profusion of lymph, to the quantity of several pints, in a few hours after delivery ; but the patient suffered no inconvenience, except from sur- prise. Li'aroR ANTiMo'jvrii tartariza'ti. See Antimonium tartarisatum. Li'auoR arsenica'lis. See Axsenic, Li'auoR ca'lcis. See Calx. Li'auoR cu'pRi ammojvia'ti. See Cupri ammoniati liquor. Li'auoR fe'rri alkali' jvi. See Ferri alkalini liquor. Li'auoR htdra'rgyri oxymuria'tis. See Hydrargyri oxymurias. Li'auoR. minera'lis ano'dynus Hoff- ma'nni. Hoffman's anodyne liquor. A preparation of ether, extolled as an anodyne and antispasmodic. See Spirilus (etheris compositi. Li'auoR pota'ss^s;. See Polassce liquor. Li'aUOR SUBCARBONA'tIS POTA'SSiE. See Potassa subcarbonatis liquor. Li'auoR vola'tilis co'rwu ce'rvi. This preparation of the volatile alkali, com- monly termed hartshorn, possesses the same virtues as the sub-carbonate of ammonia. It is in common use to smell at in faintings, &c. See Ammonia subcarbonas. Ldquorice. See Glycyrrhiza. Liquorice, Spanish. See Glycyrrhiza. LISTER, Martin, was born about 1638, of a Yorkshire family, settled in Buckinghamshire, which produced many medical practitioners of reputation ; and his uncle. Sir Matthew Lister, was physician to Charles I. and president of the college. After studying at Cambridge, where he was made fellow of St, John's College, b^^ 506 LIT LIT royal mandate, he travelled to the coiitment Litho LABriu. (From x/tfo£, a slone^f for improvemeut. On his return, in 1670, and xa^faya, to seize.) An instrument for " " " ' ' ' ■ • ' ' extracting the stone from the bladder. he settled at Yoi-k, where he practised for many years with considerable success. Having communicated many papers on the natural history and antiquities of the north of England to the Royal Society, he was elected a fellow of that body : and he like- wise enriched the Ashmolfean museum at Oxford. He came, by the soUcitation of his friends, to London, in 1684, having re- LITHO'LOGY. (Lilhologia; from x<- 6oc, a stone, and xo^s?, a discoiu-se.) A discourse or treatise on stones. Lithoma'rga. Stone marie. Fuller's earth is one of the most useful varieties of lithomarge. LITHONTRIPTICS. (Lifhontriplica, sc. medicamenta ; from a/Ssc, a stone, and eeived a diploma at Oxford ; and soon after T/xg^a, to bear away.) Lithontriptics. From was admitted a fellow of the College of the strict sense and common acceptation of Physicians. In 1698 he accompanied the the word, this class of medicine should com- embassy to France; and published an ac- prehend such as possess a power of dissolving count of this journey on his return. He calculi in the urinary passages. It is, how- was made physician to Queen Anne about ever, doubted by many, whether there be in three years before his death, which hap- natiure any such substances. By this term, pened in the beginning of 1712. He wrote then, we mean those substances which pos- on the Enghsh medicinal waters, on small- sess a power of removing a disposition ia pox, and some other diseases ; but his the body to the formation of calculi. The writings, though containing some valuable researches of modern chemists have proved, practical observations, are marked by too that these calculi consist mostly of a pecu- much hypothesis, and attachment to ancient liar acid, named the lithic or uric acid., doctrines; and he particularly condemned With this substance, the alkalies are capable the cooling plan of treatment in febrile of uniting, and forming a soluble compound ; diseases, introduced by the sagacious Syden- and these are accordingly almost the sole ham. His reputation is principally founded lithontriptics. From the exhibition of alka- ©u his researches in natural history and line remedies, the symptoms arising from comparative anatomy, on which he pub- stone in the bladder are very generally alle- lished several separate works, as well as viated ; and they can be given to such an necu-ly forty papers in the Philosophical extent that the urine becomes very sensibly Transactions. alkaline, and is even capable of exerting a. Lithago'ga. (From x«9(;j, a stone, and solvent power on these concretions. Their a.ya>, to bring away.) Medicines which administration, however, cannot be conti- expel the stone Litharge. See Lithargyrus. Litharge plaster. See Emplastrum U- [Jiargyri. Lytha'rgirtjs. (From x:6o?, a stone, and oLfyvfot, silver.) Lithargyrum. An oxyd of lead, in an imperfect state of vitrifi- cation. When silver is refined by cupel- lation with lead, this latter metal, which is scorified, and causes the scorification of the imperfect metals alloyed with the silver, is transformed into a matter composed of small semitransparent shining plates, resem- bling mica; which is litharge. Litharge is more or less white or red, according to the metals with which the silver is alloyed. The white is called litharge of silver ; and the red has been improperly called litharge of gold. See Lead, B.nd plumbi subacetaiis liquor. LI'THIAS. A hthiate, or salt, formed nued to this extent for any length of tlmej from the irritation they produce on the sto- mach and urinary organs. The use, there- fore, of the alkalies, as solvents, or lithon- triptics, is now scarcely ever attempted ; they are employed merely to prevent the increase of the concretion, and to palliate the painful symptoms, which they do apparently by preventing the generation of lithic acid, or the separation of it by the kidneys ; the urine is thus rendered less irritating, and the surface of the calculus is allowed to become smooth. When the alkalies are employed with this view, they are generally given neutralized, or with excess of carbonic acid. This ren- ders them much less irritating. It at the same time, indeed, diminishes their solvent power ; for tlie alkaline carbonates exert no action on urinary calculi ; but they are still by the union of the lithic acid, or acid of capable of correcting that acidity in the the stone sometimes foimd in the human primae viaa, which is the cause of the depo- bladder, with difierent bases of ammonia, Szc. LITHI'ASIS. (From hteos, a stone.) 1. The formation of stone or gravel. 2. A tumour of the eyelid, under which is a hard concretion resembhng a stone. thus, Hthiate sition of the lithic acid from the urine, and therefore serve equally to paUiate the dis- ease. And when their acrimony is thus di- minished, their use can be continued for any length of time. It appears from tlie experiments of Four- Lithoi'des. (Froin x<8oc, a stone, and croy, and others, tliat some other ingredients itS'oi, a likeness ; so called from its hard- of calculi, as well as the lithic acid, are dis- ness.) The petrous portion of the tempo- solved by the caustic alkali, and various es- Tal bone. periments have shown that most calculi yield LIT LIT to its power. It is obvious, however, that what is taken by the mouth is subject to many changes in the aUmentary canal, and also the lymphatic and vascular systems: and in this way it must be exceedingly difficult to get such substances (even, were they not lia- ble to alterations) in sufficient quantity into the bladder. Indeed there are very few au- thenticated cases of the urine being sochang- ed as to become a menstruum for the stone. Excepting the case of Dr. Newcombe, re- corded by Dr. Whytt, the instance of Mr. Home is almost the only one. Though lithontriptics, however, may not in general dissolve the stone in the bladder, yet it is an incontrovertible fact that they frequently mitigate the pain ; and, to lessen such tor- ture as that of the stone in the bladder, is surely an object of no little importance. Lime was long ago known as a remedy for urinary calculi, and different methods were employed to administer it. One of these plans fell into the hands of a Mrs. Steevens, and her success caused great anxiety for the discovery of the secret. At last. Parliament bought the secret for the sum of 5000Z. In many instances, stones which had been unquestionably felt w^ere no longer to be discovered ; and as the same persons were examined by surgeons of the greatest skill and eminence, both before and after tlie exhibition of her medicines, it was no won- der that the conclusion was drawn that the stones really were dissolved. From the ces- sation of such success, and from its now being known that the stones are occasion- ally protruded between the fasciculi of the muscular fibres of the bladder, so as to be lodged in a kind of cyst on the out- side of the muscular coat, and cause no longer any grievances, surgeons of the pre- sent day are inclined to suspect that this must have happened in Mrs. Steevens's cases. This was certainly what happened in one of the cases on whom the medicine had been tried. It is evident that a stone so situated would not any longer produce irritation, but would also be quite indisco- verable by the sound, for, in fact, it is no longer in the cavity of the bladder. As soap was, with reason, supposed to increase the virtues of the lime, it led to the use of caustic alkali, taken in mucilage, or veal broth. Take of pure potash ?viij ; of quick lime ^iv; of distilled water, J^ij. Mix them well together in a large bottle, and let them stand for twenty-four hours. Then pour off the ley, filter it through paper, and keep it in well stopped vials for use. Of this, the dose is from thirty drops to 3U5 which is to be repeated two or three times a-day, in a pint of veal broth, early in the morning, at noon, and in the evening. Continue this plan for three or four months, living, during the course, on such things as least counteract the effect of the medicine. The common fixed alkalies, or carbona- ted alkali, and the acidulous soda-water, have of late been used as lithontriptics. Ho- ney has also been given ; and Mr. Home, surgeon at the Savoy, has recorded its uti- lity in his own and his father's cases. Bit- ters have likewise been tried. Dismissing all theories, lime-water, soap, acidulous soda-water,caustic alkali, and bit- ters, are useful in cases of stone. Of the soap, as much may be taken as the stomach will bear, or a3 much as will prove gently laxative ; but of the lime-water, few can take more than a pint daily. The acidulous soda-water may be takes in larger quantities, as it is more agreeable. There is a remedy celebrated in Hollandj under the name of liquor lithontriptica loosii, which contains, according to an ac- curate analysis, muriate of lime. This pro- fessor Hufeland recommends in the follow- ing form : I^ Calcis muriatae 3j. Aquffi distillatae, ^ij- ft- solutio. Thirty drops are to be taken four times a-day, which may be increased as far as the stomach will bear. For curing stone patients, little reliance can be placed in any lithontriptics hitherto discovered, though they may rationally be given, with a confident hope of procuring an alleviation of the fits of pain attending the presence of stone in the bladder. After all, the only certain method of getting rid of the calculus is the operation. See Li- thotomy. LiTHONTRY'PTics. (From A.iioc, a stone, and Ti/xvce, to cut.) Cysto- mia. The operation of cutting into the bladder, in order to extract a stone. Se- veral methods have been recommendt?d for performing this operation, but thfere are only two which can be practised wiUi any propriety. One is, where the operation 15 508 LIV to be performed immediately above the pnbes, in that part of the bladder which is Qot covered with the peritonaeum, called the high operation. The other, where it is done in the perinaeum, by laying open the neck and lateral part of the bladder, so as to allow of the extraction of the stone, called the la- teral operation, from the prostate gland of the neck of the bladder being laterally rut. Li'TRON. (Corruptly written for vilpov.) Nitre. Li'Tus. (From lino, to anoint.) A lini- ment. LI'VER., nVst/j. Hepar. A large viscus, of a deep red colour, of great size and weight, situated under the diaphragm, in the right hypochondrium, its smaller portion occupying part of the epigastric region. In the human bodj', the liver is divided into two principal lobes, the right of which is by far the largest. They are divided on the upper side by a broad ligament, and on the other side by a considerable depression or fossa. Between and below these two lobes is a smaller lobe, called lobulus Spigelii. In describing this viscus, it is necessary to at- tend to seven principal circumstances : — its ligamrnts; its surfaces ; its margins; its tubercles ; its fissure ; its sinus ; and the pori biliari. The ligatnenis of the liver are five in number, all arising from the peritonaeum. 1. The, right lateral ligament, which con- nects the thick right lobe with the posterior part of the diaphragm. 2. The left lateral li- gament, which connects the convex surface and margin of the left lobe with the dia- phragm, and, in those of whom the liver is very large, with the cesophagus and spleen. 3. The broad or middle suspensory ligament, which passes from the diaphragm into the convex surface, and separates the right lobe of the liver from the left. It descends from above through the large fissure to the con- cave surface, and is then distributed over the whole liver. 4. The round ligament, which in adults consists of the umbilical vein ; indurated into a ligament. 5. The coronary ligament. The liver has two surfaces, one siiperior, which is convex and smooth, and one in- ferior, which is concave, and has holes and depressions to receive, not only the conti- guous viscera, but the vessels running into the liver. The margins of the liver are also two in. number ; the one, which is posterior and superior is obtuse, the other, situated ante- riorly and inferiorly, is acute. The tubercles of the liver are likewise two in number, viz. lobuhis anonymus, and lobulus caudatus, and are found near the vena portae. Upon looking ou the concave surface of this viscus, a considerable fissure is obvious, known bv the name of the fissure of the liver. LIV In order to expose the sinus, it is necc?» sary to remove the gall-bladder, when a considerable sinus, before occupied by the gall-bladder, will be apparent. The blood vessels ofthe hver are the hepatic artery, the vena portae, and the venae cavje hepaticae, which are described under their proper names. The absorbents of the liver are very numerous. The liver has nerves from the great intercostal and eighth pair, which arise from the hepatic plexus, and proceed along with the hepatic artery and vena portae into the substance of the liver. With regard to the substance of the liver, various opinions have been entertadned. It is, however, now pretty well ascertained to be a large gland, composed of lesser glands connected together by cellular structure. The small glands which thus compose the substance of the liver, are termed penicilli. from the arrangement of the minute rami- fications of the vena portae composing each gland, resembling that of the hairs of a pencil. The chjef use of this large viscus is to supply a fluid, named bile, to the intestines, which is of the utmost Importance in chylincation. The small penicilli per- form this function by a specific action on the blood they contain, by which they se- cret in their very minute ends the fluid termed hepatic bile ; but whether they pour it into what is called a follicle, or not, is yet undecided, and is the cause of the difference of opinion respecting the substance of the liver. If it be secreted into a follicle, the substance is truly glandular, according to the notion of the older anatomists : but if it be secreted merely into a small vessel, called a biliary pore (whose existence can be de- monstrated) corresponding to the end of each of t!ie penicilli, without any intervening fol- licle, its substance is then, in their opinion, vascular. According to our notions in the present day, in either case, the liver is said to be glandular ; for we have the idea of a gland when any arrangement of vessels per- forms the office of separating from the blood a fluid or substance different in its nature from the blood. The small vessels which receive the bile secreted by the peni- cilli, are called pori biliarii ; these converge together throughout the substance of the liver towards its under surface, and, at length, form one trunk, called ductus hepa- ticus, which conveys the bile into either the ductus commimis choledochus, or ductus cys- iicus. See Gall bladder. Liver, acute inflammation of the. See Hepatitis. Liver of sulphur. See Sulphuret. Liver-wort. See Marchantia polymorpha. Liver-wort, ash-coloured. See Lichen ca- ninus. Liver-wort, ground. See Lichen caninus. Liver-wort, Iceland, fiee Lichen islandi~ CTS. LOB LOG 509 Liver-wort, noble. See Marchantia poly- morpha. Li'voR. (From liveo, to be black aud blue.) A blackish mark on the body, from a blow. A dark circle under the eye. Lix. (From kh, light.) Potash. Wood- ash. Lixi'viA vite,iola'ta sflphu'rea. An impure sulphate of potash. LIXrVIAL. Those salts are called lixi- vial which have been extracted by lixivia- tion, and these chiefly are fixed alkalies ; which are therefore called lixivial salts. LIXIVIATION. Lessive. The process employed by chemists of dissoivicg, by means of warm water, the saline and solu- ble particles of cinders, the residues of distil- lation and combustion, coals and natural earths, in order to obtain those particles which are termed lixivial salts. LIXrVIUM. (From lix, wood-ash.) The liquor in which saline and soluble par- ticles of the residues of distillation and combustion are disijolved. LixfviuM sapona'rium. See PotasscB liquor. LiyiivivM ta'rtari. See Poiassce sub- carbonalis liquor. LOBB, Theophilus, practised as a physician in Loudon with considerable re- putation, and left several works on medical topics. He died in 1763, in the 8.5th year of his age. He wrote on fevers, small-pox, and some other diseases : but his most cele- brated publication was, " A Treatise on Solvents of the Stone, and on curing the Stone and the Gout by Aliments," which passed through several editions, and was translated into Latin and French ; he con- sidered the morbid matter of an alkaline nature, and vegetable acids as the remedy. He was author also of " A Compendium of the Practice of Physic," and of several pa- pers in the Gentleman's iVIagazine. LOBE'LIA. (Named in honour of Lo- bel, a botanist.) 1. The name of a genus of plants in the Linnsean system. Class, Syngenesia. Or- der, Monogamia. 2. The pharmacopcsial name of the blue lobelia, or cardinal flower. Lobe'lia stphili'tica. The systema- tic name of the blue lobelia of the pharma- copoeias. The root is the part directed by the Edinburgh Pharmacopoeia for medicinal use ; in taste it resembles tobacco, and is apt to excite vomiting. It derived the name of syphilitica from its efficacy in the cure of syphilis, as experienced by the North Ame- rican Indians, who considered it as a specific in that disease, and with whom it was long an important secret, which was purchased by Sir William Johnson, and since pub- lished by different authors. The method of employing this medicine is stated as fol- lows : A decoction is made of a handful of the roots m three measures of water. Of this half a measure is taken in the morning feisting, and repeated in the evening ; and the dose is gradually increased, till its pur- gative effects become too violent, when the decoction is to be intermitted for a day or two, and then renewed, unld a perfect cure is effected. During the use of this medicine, a proper regimen is to be enjoined, and the ulcers are also to be frequently washed with the decoction, or, if deep and foul, to be sprinkled with tlie powder of the inner bark of the New Jersey tea-tree. Ceanothus Americanus. Although the plant thus used is said to cure the disease in a very short time,yet it is not found that the antisyphilitic powers of the lobelia have been confirmed in any instance of European practice. LO'BULUS. (Dim. of lobus, a lobe.) A small lobe. Lo'bulus accesso'rius. See Lobulus anonymus. LO'BULUS ANO'NYMUS. Lobuhis accessorius anterior-quadratus. The ante- rior point of the right lobe of the liver. Others define it to be that space of the great lobe betwixt the fossa for the umbilical vein and gall-bladder, and extending forward from the fossa for the lodgement of the vena portffi, to the anterior margin of the liver. Lo'bulus cauda'tus. Processus cauda- tus. A tail-like process of the liver, stretch- ing downward from the middle of the great right lobe to the lobulus spigellii. It is be- hind the gall-bladder and betwixt the fossa venae portaruin, and the fissure for the lodgement of the vena cava. LO'BULUS SPIGE'LII. Lobulus pos- terior. L. posticus papillalus. The lobulus spigelii is betwixt the two greater lobes, but rather belonging to the right great lobe. From its situation, deep behind, and from its having a perpendicular papilla- like projection, it is called lobulus posterior, or papillatus. To the left side it has the fissure for the lodgement of the ductus veno- sus ; on the right, the fissure for the vena cava ; and above, it has the great transverse fissure of the hver, for the lodgement of the cylinder of the porta ; obliquely to the right, and upwards, it has a connection with the lower concave surface of the great lobe, by the processus caudatus, which Winslow calls one of the roots of the lobulus spigelii. It is received into the bosom of the lesser curve of the stomach. LOCA'LES. The fourth class of Cul- len's Nosology, which comprehends morbid affections that are partial, and includes eight orders, viz. dysaesthesiae, dysorexise, dyscinesiae, apocenoses, epischeses, tumores, ectopia, and dialyses. Loca'lis membru'na. The pia mater. LO'CHlA. (From >.o)(^iua>, to bring forth.) The cleaasings. 'I'he serous, and for the mo3t part green-coloured, discharge >10 LOiV LON that takes place from the uterus and vagina of -women, during the first four days after delivery. LOCHIORRHCE'A. (From mx^l, and and f 54), to flow.) An excessive discharge of the lochia. Locked jaw. See Tetanus. Logwood. See Hcematoxylon campechia- num. LOMMIUS, JoDOCTJS, was born in Guel- derland, about the commencement of the 16tli century. Having received from his father a good classical education, he turned his attention to medicine, which he studied chiefly at Paris. He practised for a consi- derable time at Tournay, where he was pensionary-physician in 1557 ; and three years after he removed to Brussels. The period of his death is not known. He left three small works, which are still valued from the purity and elegance of their Lati- nity: a Commentarj'on Celsus ; Medicinal Observations, in three books ; and a Trea- tise on the Cure of continued Fevers ; the two latter have been several times reprint- ed and translated. Lonchi'tis. (From xoy^n, a lance ; so named because the leaves resemble the head of a lance.) The herb spleenwort. Longa'num. (From longus, long; so named from its length.) The intestinum rectum. Longing. A disease peculiar to the female, and only during pregnancy, and those states in which the uterine discharge is suppressed. LONGl'SSIMUS DO'RSI. Lumhodorso trachelien, of Dumas. This muscle, which is somewhat thicker than the sacro-lumba- lis, greatly resembles it, however, in its shape and extent, and arises, in common with that muscle, between it and the spine. It ascends upwards along the spine, and is inserted by small double tendons into the posterior and inferior part of all the trans- verse processes of the vertebras of the back, and sometimes of the last vertebra of the neck. From its outside it sends off several bundles of fleshy fibres, interspersed with a few tendinous filaments, which are usually inserted into the lower edge of the ten uppermost ribs, not far from their tubercles. In some subjects, however, they are found inserted into a less nvmiber, and in others, though more rarely, into ever}' one of the ribs. Towards the upper part of this muscle is observed a broad and thin portion of fleshy fibres, which cross and intimately adliere to the fibres of the longissimus dorsi. This portion arises from the upper and pos- terior part of the transverse processes of the five or six uppermost vertebrae of the back, by as many tendinous origins, and is usually inserted by six tendinous and fleshy slips, into the transverse processes of the six inferior vertebras of the neck. This portion is described by Winslow and Albinus, as a distinct muscle ; by the former, imder the name of transversalis major colli, and by the latter, under that of transversalis eervicis. But its fibres are so intimately connected with those of the longissimus dorsi, that it may very properly be considered as an ap- pendage to the latter. The use of this mus- cle is to extend the vertebrae of the back, and to keep the trunk of the body erect ; by means of its appendage, it likewise serves to turn the neck obliquely backwards, and a little to one side. LoNGi'ssiMus ma'nfs. The flexor tertii internodii pollicis. LoNGi'ssiMus o'ctJLi. The obliquus ma- jor oculi. LONGITUDINAL SINUS. Longitudi- nal sinus of the dura mater. A triangular canal, proceeding in the falciform process of the dura mater, immediately under the bones of the skull, from the crista galli to the tentorium, where it branches into the lateral sinusses. The longitudinal sinus has a number of trabeculae or fibres crossing it. Its use is to receive the blood from the veins of the pia mater, and convey it into the late- ral sinusses, to be carried through the inter- nal jugulars to the heart. LO'NGUS CO'LLI. Pre dorso cervical, of Dumas. This is a pretty considerable muscle, situated close to the anterior and lateral part of the vertebra of the neck. Its outer edge is in part covered by the rec- tus internus major. It arises tendinous and fleshy within the thorax, from the bodies of the three superior vertebras of the back, la- terally; from the bottom and fore-part of the transverse processes of the first and se- cond vertebrae of the back, and of the last vertebra of the neck : and likewise from the upper and anterior points of the transverse processes of the sixth, fifth, fourth, and third vertebrae of the neck, by as many small, dis- tinct tendons ; and is inserted tendinous into the fore-part of the second vertebra of the neck, near its fellow. This muscle, whea it acts singl}', moves the neck to one side ; but, when both act, the neck is brought di- rectly forwards. LONI'CERA. The name of a genus of plants in the Linnsean system. Class, Pen- tandria. Order, Monogynia. LoNi'cERA diervi'lla. The systema- tic name of a species of honey-suckle. Di- ervilla. The young branches of this spe- cies, Lonicera diervilla ; racemis termina- libus, foliis serratis, of Linnaeus, are em- ployed in North America as a certain re- medy in gonorrhoea and suppression of urine. It has not yet been exhibited in Eu- rope. LoNi'cERA PERicLi'MENtTM. Honeysuc- kle. This beautiful and common plant was formerly used in the cure of asthma, for cleansing sordid nicer?, and removing diseia^ LOIL LOW ill i-es ot tlie skin, virtues it does not now ap- pear to possess. Looseness. See Diarrhma. Lo'PEz ra'dix. Radix lopeziuna. Radix, indica lopeziana. The root of an unknown tree, growing, according to some, at Goa. It is met witli in pieces of different thick- ness, some at least of two inches diameter. The woody part is whitish, and very light ; softer, more spongy, and whiter next the bark, including a denser, somewhat reddish, medullary part. The bark is rough, wrink- led, brown, soft, and, as it were, woolly, pretty thick, covered with a thin paler cuti- cle. Neither the woody nor cortical part has any remarkable smell or taste, nor any appearance of resinous matter. It appears that this medicine has been remarkably effectual in stopping colliquative diarrhoeas, which had resisted the usual remedies. Those attending the last stage of consump- tions were particularly relieved by its use. It seemed to act, not by an astringent power, but by a faculty of restraining and appeasing spasmodic and inordinate mo- tions of the intestines. Dr. Gaubius, who gives this account, compares its action to that of Simarouba, but thinks it more ejfica- cious than this medicine. Lopes-root. See Lopez radix. Lopezia'na ra'dix. See Lopez radix. LopHA'DiA. (From xoaof, the liinder part of the neck.) Lophia. The first ver- tebras of the neck. LoRDo'sjs. (From Kopio;, curved, bent.) An affection of the spine, in which it is bent inwards. Lo'rica. (From lorico, to crust over.) A kind of lute, with which vessels are coated before they are put into the fire. Lorica'tion. Coating. Nicholson re- commends the following composition for the coating of glass vessels, to prevent their breaking when exposed to heat. Take of sand and clay, equal parts ; make them into a thin paste, with fresh blood, prevented from coagulating by agitation, till it is cold, and diluted with water ; add to this some hair, and powdered glass ; with a brush, dipped in this mixture, besmear the glass ; and when this layer is dry, let the same operation be repeated twice, or oftener, till the coat applied is about one-third part of an inch in thickness. Lo'rijsd matri'cis. An epilepsy, or a convulsive disorder, proceeding from the uterus. LORRY, Anne-Charles, was born near Paris in 1725. He studied and prac- tised as a physician, with unremitting zeal and peculiar modesty, and obtained a high reputation. At 23 he was admitted doctor of medicine at Paris, and subsequently be- came doctor regent of the faculty. He was author of several works, some of which still maintain their value ; particularly his trea- tise on Cutaneous Diseases, which com- bines much erudition and accurate obser- vation, with great clearness of arrangement, and perspicuity of language. He died in 1783, Loss of .Appetite. See .Anorexia. LOTION. (Lotio ; from lavo, to wash.) An external fluid application. Lotions are usually applied by wetting linen in them, and keeping it on the part affected. LOTUS. (From xa), to desire.) LA tree whose fruit was said to be so delicious as to make those who tasted it to forsake all other desires : hence the proverb Acdtov (ipctyov, lotum guslavi : I have tasted lotus. 2. The name of a genus of plants in the Linnsean system. Class, Diadelphia. Or- der, Decandria. LOUIS, Anthony, was born at Metz in 1723. He attained great reputation as a surgeon, and was honoured with nume- rous appointments, and marks of distinction, as well in his own, as by foreign countries. He wrote the surgical part of the " Ency- clopedie," and presented several interest- ing papers to the Royal Academy of Sur- gery, of which he was secretary ; besides which, he was author of several works oh anatomical, medical, and other subjects. In a memoir on the legitimacy of retarded births, he maintains that the detention of the foetus more than ten days beyond the ninth month is physically impossible. Lousy disease. A general corruption of the humours, in consequence of which these insects are bred in ulcers, and cover the whole body. Love-apple. The fruit of the Solanum lycopersicum, of Linnaeus. It is so much esteemed by the Portuguese and the Spa- niards, that it is an ingredient in almost all their soups and sauces, and is deemed cool- ing and nutritive. Lavage. See Ligusticum Levisticum. LOWER, Richard, was born in Corn- wall about the year 1631. He graduated at Oxford, and having materially assisted the celebrated Dr. Willis in his dissections, he was introduced into practice by that physician. In 1665 he published a defence of Willis's work on Fevers, displaying much learning and ingenuity. But his most important performance was entitled, " Tractatus de Corde, item de motu et ca- lore Sanguinis, et Chyli in eum transitu," printed four years after. He demonstrated the dependance of the motions of the hccirt upon the nervous influence, and referred the red colour of arterial blood to the action of the air in the lungs ; he also gave an ac- count of his experiments, made at Oxford in February 1665, on the transfusion of blood from one living animal to another, of which an abstract had before appeared in the Philosophical Transactions. He after- wards practised this upon an insane person, before the Royal Society, of which he wag admitted a fellow in 1667, as well as of the 512 LUI LUM College of Physicians. The reputation ac- quired by these and some other minor pub- lications procured him extensive practice, particularly after the death of Dr. Willis : but his political opinions brought him into discredit at court, and he declined conside- I'ably before the close of his life in 1691. The operation of transfusion was soon ex- ploded, experience having shown that it was attended with pernicious conse- quences. Loxa'rthros. (From ko^o;, oblique, and AfiBpov, a joint.) An obliquity of the joint, without spasm or luxation. Ltr'DrsHELMo'NTii. The waxen vein, called also ludusparacelsi. A stony matter said to be serviceable in calculus. LUDWIG, Christiaw Theophilus, was born in Silesia in 1709, and educated for the medical profession. Having a strong bias towards natural history, he went on an expedition to the north of Africa : and soon after his return, in 1733, he became pro- fessor of medicine at Leipsic. The first thesis defended there under his presidency related to the manner in which marine plants are nourished ; which he showed not to be by the root, as is the case in the gene- rality of the vegetable kingdom. He after- wards published several botanical works, in which he finds many objections to the Lin- nsean arrangement, rather preferring that of Rivinus ; but on very unsatisfactory grounds. Elementary works were likewise written by him on the diiferent branches of medical knowledge. A more important work is entitled " Adversaria Medico-practica," in three octavo volumes. He has given an account of his trials of Stramonium and Belladonna in epilepsy, by no means fa- vourable to either. He died in 1773. Lu'es dei'fica. One of the pompous names for epilepsy. Ltj'ES necro'des convulsi'va. a mild typhus fever. LU'ES VENE'REA. (From xvc^, to dissolve, because it produces dissolution ; and venerea, from Venus, because it is pro- pagated by acts of venery.) The plague of Venus, or the venereal disease. Dr. Cul- len calls it syphilis. It has also been called the venereal pestilence, or pox. Aphrodi- sius morbus. Morbus gaUicus. Indicus morbus. JiTeapolitanus morbus. Palursa. See Syphilis and Gonorrhoea. LUISINUS, Louis, was born at Udina, where he obtained considerable reputation about the middle of the 16th century. He translated Hippocrates's aphorisms into La- tin hexameters ; and published a treatise on regulating the affections of the mind by moral philosophy and the medical art : but his most celebrated work is entitled " Aphrodisiacus," printed at Venice, in two folio volumes : the first containing an ac- count of preceding treatises on syphillis, the I'econcl comprehended principally the ma^ nuscript works on the subject, which had not then been committed to the press. LU'JULA. (Corrupted or contracted from Allelujah, Praise the Lord ; so called from its many virtues.) See Oxalis acetosella. LUMBA'GO. (From lumhus, the loin.) A rheumatic affection of the muscles about the loins. Lumba'go psoa'dica. Lumbago aposie- malosa. Lumbago ab arihrocace. Pains in the loins from abscess. Lcmba'res arte'rije. The lumbal arteries. Lumba'res ne'rvi. The Imnbal nerve. Lumba'res ve'n^. The lumbal veins, Lumba'ris exte'rjvus. See ^uadralus.. lumboriim. Ltjmba'ris inte'rntjs. See Psoas magnus. LUMBAR ABSCESS. Psoas abscess, A species of arthropuosis, that receives its name from the situation in which the mat- ter is foimd, namely, upon the side of the psoas muscle, or betwixt that and the iliacus internus. Between these muscles, there lies a quantity of loose cellular membrane, in which an inflammation often takes place, either spontaneously or from mechanical in- juries. This terminates in an abscess that can procure no outlet but by a circuitous course, in which it generally produces irre- parable mischief, without any violent symp- toms occurring to alarm the patient. The abscess sometimes forms a sv>relling above Poupart's ligament; sometimes below it; and frequently the matter glides under the fascia of the thigh. Occasionally, it makes its way through the sacro-ischiatic foramen, and assumes rather the appearance of a fis- tula in ano. The uneasiness in the loins, and the impulse communicated to the tu- mour, by coughing, evince that the disease arises in the lumbar region ; but it must be confessed, that we can hardly ever know the existence of the disorder, before the tu- mour, by presentingitself externally, leads us to such information. The lumbar abscess is sometimes connected with diseased ver- tebriE, which may either be a cause or ef- fect of the collection of matter. The dis- ease, however, is frequently unattended with this complication. The situation of the symptoms of lumbar abscess renders this affection liable to be mistaken for some other, viz. lumbago and nephritic pains, and towards its termina- tion, for crural or femoral henaia. The first, hoAvever, is not attended with the shivering that occurs here ; and nephritic complaints are generally discoverable by attention to the state of the urine. The distinction from crural hernia is more difii- cult. In both, a soft inelastic swelling is felt in the same situation : but in hernia, it is attended with obstructed feeces, vomiting, &c. and its appearance is always sudden, while the lumbar tumour is preceded by va- rious complaints before its appearance in LtiN LUT 313 the thigh. In a horizontal posture, the abscess also totally disappears, while the hernea does not. Lumbar region. The loins, LUMBRICA'LES MA'NUS. {Lumbri- cales, sc. miisculi ; from their resemblance to the lumbricus, or earth-worm. Fidici- nales. Flexor primi internodii digitorum manics, vel perforatus lumbricalis, of Cow- per. Anuli tendino-phalangiens, of Dumas. The four small flexors of the fingers, which assist the bending of the fingers when the long flexors are in full action. They arise thin and fleshy fi'om the outside of the ten- dons of the flexor profundus, a little above the lower edge of the carpal ligaments, and are inserted by long slender tendons into the outer sides of the broad tendons of the interosseal muscles about the middle of the first joint of the fingers. LUMBRICA'LES PE'DIS. Planti- tendino-phalangien, of Dumas. Four mus- cles like the former, that increase the flex- ion of the toes, and draw them inwards. LUMBRrCUS. (d lubricitate ; from its slipperiness.) Ascaris lumbricoides. Lum- bricus teres. The long round worm. A species of worm which inhabits occasionally the human intestines. It hcis three nipples at its head, and a triangular mouth in its middle. Its length is from four to twelve inches, and its thickness, when twelve inches long, about that of a goose-quill. They are sometimes solitary, at other times very numerous. LuMBRi'cus TERRE'STRis. See Earth- worm. Lu'mbtts ve'weris. See Achillea mille- folium. Lr'NA. (So named from its resemblance in brightness to the moon.) The old alche- mistical name of silver. Lunar caustic. See Argentinitras. LUNA'RE OS. One of the bones of the wrist. Luna'tica ischu'ria. (From luna, the moon.) A suppression of urine which returns monthly. It js noticed by Sauva- ges. LUNG. Pulmo. The lungs are two viscera situated in the chest, by means of which we breathe. The lung in the right cavjty of the chest is divided into three lobes, that in the left cavity into two. They hang in the chest, attached at their superior part to the neck, by means of the trachea, and are separated by the mediastinum. They are also attached to the heart by means of the pulmonary vessels. The substance of the lungs is of four kinds, viz. vesicular, vascular, bronchial, and parenchymatous. The vesicular substance is composed of the air-cells. The vascular invests those cells like a net-work. The bronchial is formed by the ramifications of the bronchia through- out the lungs, having the air-cells at their extremities : and the spoogj'- substance that connects these parts is termed the paren- chyma. The lungs are covered with a fine membrane, a reflection of the pleura, called pleura pultnonalis. The internal surface of the air-cells is covered with a very fine, delicate, and sensible membrane, which is continued from the larynx through the tra- chea .and bronchia. The arteries of the lungs are the bronchial, a branch of the aorta, which carries blood to the lungs for their nourishment ; and the pulmonary, which circulates the blood through the air- cells to undergo a certain change. The pul- monary veins return the blood that has un- dergone this change, by four trunks, into the left auricle of the heart. The bronchial veins terminate in the vena azygos. The nerves of the lungs are from the eighth pair and great intercostal. The absorbents are of two orders; the superficial, and deep- seated : the former are more readily detect- ed than the latter. The glands of these vis- cera are called bronchial. They are mu- ciparous, and situated about the bronchia. See Respiration. Lung-wort, spotted. See Pulmonaria officinalis. LUTIA. (From xvma), to molest.) A genus of disease including encysted tumours, whose contents are very thick, and some- times solid, as meliceris, atheroma, steatoma. and ganglion. Lfpi'nus. (From Kvn-yi, grief, or dis- like ; so called from its extreme bitterness.) Under this term the white lupin is directed in some pharmacopoeias. The seed, the ordinary food of mankind in the days of Galen and Pliny, is now forgotten. Its farinaceous and bitter meal is occasionally exhibited to remove worms from the intes- tines, and made into poultices to resolve in- dolent tumours. Lupi'nus a'letts. The systematic name of the white lupin. See Lupinus. LU'PULUS. (From wtth, dislike : so named from its bitterness). See Humu- lus. LUTUS. The wolf, so named from its rapacity. The cancer is also so called, be- cause it eats away the flesh like a wolf. Lfstra'go. (From Itistro, to expiate ; so called because it was used in the ancient purifications.) Flat or base vervain. Lute. See Lutum. Lu'tea cd'rpora. See Corpus lufeum. Lfte'ola. (From lutum, mud, because it grows in muddy places, or is of the colour of mud.) Struthium. Dyer's weed. Di- oscorides recommends it as useful in jaun- dice, but it is now neglected. LU'TUM. (From xt/Toc, soluble.) C(e- mentum. Mud. Lute. A composition with which chemical vessels are covered, to preserve them from the violence of the fire, and to close exactly their joinings to each other, to retain the substances which >i4 LYC LYM they eontain when they are volatile and reclHced to vapour. LUXATION. {Luxatura; from luxo, to put out of joint.) A dislocation of a Ibone from its proper cavity. Lyca'btche. (From xuxo?, a virolf, and ^-yX'^t to strangle.) A species of quincy, in which the patient makes a noise like the howling of a wolf. Ltcanthro'pia. (From \v»oc, a wolf, and ctvOfnvo?, a man.) A species of insa- nity, in which the patients leave their houses in the night, and wander about likp wolves, in unfrequented places. Lt'chjvis. (From xv^^voi, a torch ; be- cause the ancients used its leaves rolled up for torches.) A name of several vegetable productions. Lyco'cTOJJUM. (From xuao?, a wolf, and KTUVO!, to slay ;) so called because it was the custom of hunters to secrete it in raw flesh, for the purpose of destroying Wolves, LYCOPE'RDON. (From Kvitoi, a wolf, and 'sre^So), to break wind : so named be- cause it was supposed to spring from the dung of wolves.) 1 . The name of a genus of plants in the Linnsean system. Class, Crypiogamia. Or- der, Fungi. 2, The pharmacopoeial name of the puff- ball. See Lycoperdon bovisla. Ltcope'rdon bovi'sta. The systematic name of the puff-ball. Crepitus lupi. A round or egg-shaped fungus, the Lycoper- don bovista, subrmundum, lacerato dehiscens, of Linnseus ; when fresh, of a white colour, with a very short, or scarcely any pedicle, growing in dry pasture grounds. When young, it is sometimes covered w^th tuber- cles on the outside, and is pulpy within. By age it becomes smooth externally, and dries internally into a very fine, light, brownish dust, which is used by the com- mon people to stop haBmori'hages. See Lycoperdon. Lycope'rdon ttt'ber. The systematic iiame of the truffle. Tuber cibarium, of Dr. Withering. A solid fungus of a globu- lar figure, which grows under the sm^face of the ground without any roots or the access ©flight, and attains a size from a pea to the largest potato. It has a rough, blackish coat, and is c'o-titute of fibres. Cooks are well acquainteu with its use and qualities. It is found in woods and pastures in some parts of Kent, but is not very common in England. In France and Spain, truffles are very frequent, and grow to a much larger size than they do here. In tliese places the peasants find it worth their while to search for them, and they train up dogs and swine for this purpose, who, after they have been inured to their smell by their masters frequently placing them in their way, will readily scrape them up as they ramble the fields and wood?, Lycope'rsicum. (From auroj, a wi, the head.) One who has a head unnaturally long, and large. This word, according to Turton, is only used by Ambrose Parey. Macro'piper. (From /mttupo;, long, and TTiirifit, pepper.) See Piper longum. MACROFJfffi'A. (From /u.a.x.fiog, long, and TfVio), to breathe.) A difficulty of breath- ing, where the inspirations are at long in- teiTals. MA'CULA. a spot, a permanent dis- colouration of some portion of the skin, often with a change of its texture, but not connected with any disorder of the consti- tution. Ma'cul^ a'lb^. White specks on the eye. Ma'cvl,je hepa'tic^. Hepatic, or liver- coloured spots on the skin. Ma'ctjl^ la'tje. Shingles, or erysipelas. Ma'cul^ oculo'rcm. Cataracts; white specks on the eye. Ma'culjE pestile'ntes. Petechial, or purple spots. Ma'cul^ vene'rEjE. The venereal eruption. Ma'cul^ voLA'TiciE. Any transitory eruption. Mad-apples. See Solarum melongena. MADARO'SIS. (From y.ciJ'oc, bald, without hair.) A defect or loss of eve- 518 MA& MAG brows or eye-lashes, causing a disagreeable deformity, and painful sensation of the eyes, in a strong light. Madder. See Ruhia. Madness. See Melancholia, and Mania. Madness, Canine. See Hydrophobia. Ma'dor. Moisture. A sweating. See Ephidrosis. MAGATTI, CiESAR, was born in 1579, in the duchy of Reggio. He distinguished himself by his early proficiency in philosophy and medicine at Bologna, where he gra- duated in his 18th year ; and afterwards went to Rome. Returning at last to his native country, he soon acquired so much reputation in his profession, that he v/as invited, as professor of surgery, to Ferrara ; and after greatly distinguishing himself in that capacity, he was induced, during a severe illness, to enter into the fraternity of Capuchins. He still continued, however, to practise, and acquired the confidence of persons of the first rank, especially the duke of Modena. But suffering severely from the stone, he underwent an operation at Bologna in 1647, which he did not long survive. He was author of a considerable improvement in the art of surgery, by his work entitled "De rara Medicatione Vul- nerum," condemning the use of tents, and recommending a simple, easy method of dressing, without the irritation of frequently cleansing and rubbing the tender granula- tions : and in an appendix he refutes the notion of gun-shot v/ounds being envenomed, or attended with cauterization. He after- wards published a defence of this work B^ainst some objections of Sennertus. Magda'leon. (From /uaa-ero), to knead.) A mass of plaster, or other composition, re- duced to a cylindrical form. MAGELLA'wicrs co'rtex. The Winter- anus cortex, nearly allied in its properties to canella alba. Ma'gistert. (From magister, a master.) The ancient chemists used this word to sig- nify a peculiar and secret metliod of pre- paring any medicine, as it were, by a mas- terly process. A subtle preparation, as a precipitate or solution, by menstruum. Magistra'lia. (From magister, a mas- ter.) Applied by way of eminence, to such medicines as are extemporaneous, or in comjnon use. Magistra'ktia. (From magistro, to rule; so called by way of eminence, as exceeding all othei-s in virtue.) See Lnpe- ratoria. Ma'gma. (From ixo-c-tk, to blend toge- ther.) Ecpitsma. A thick ointment. The faeces of an ointment after the thinner parts are strained off. A confection. MA'GNES. (From Magnes, its inven- tor.) The magnet, or load-stone. A mud- dy iron-ore, in which the iron is modified in such a manner as to afford a passage to a fluid called the magnetic fluid. The magnet exhibits certain phenomena ; it is known by its property of attracting steel filings, and is found in Auvei-gne, in Biscay, in Spain, in Sweden, and Siberia. Ma'gnes arsenica'lis. Arsenical mag*- net. It is a composition of equal parts of antimony, sulphur, and arsenic, mixed and melted together, so as to become a glassy body. Ma'gwes EPiiiE'psi.s:. The native cin- nabar. MAGNE'SIA. 1. The ancient chemists gave this name to such substances as they conceived to have the power of attracting any principle from the air. Thus an earth wliich, on being exposed to the air, in- creased in weight, and yielded vitriol, they called magnesia vitriolata : and later che- mists, observing in their process for obtain- ing magnesia, that nitrous acid was separa- ted, and an earth left behind, supposing it had attracted the acid, called it magnesia nitri, which, from its colour, soon obtained tlie name of magnesia alba. 2. An earth not found pure in nature, but obtained by art from some of its com- binations. It gives a peculiar character to the substances of wMch it forms a part. The stones which contain magnesia in a considerable quantity have generally a smooth and unctuous feel, a greenish cast, a fibrous or striated texture, and a silky lustre. Among them we may mention, talc, steatite, serpentine, chlorite, asbestus, actinolite, jade, or nephritic stone, baikalitCf boracite, &c. It is likewise found neutrali- zed with various acids. It has been dis- covered by VauqueUn in several sea-plants. Properties. — Pure magnesia does not form with water an adhesive ductile mass. It is in the form of a very white spongy powder, soft to the touch, and perfectly tasteless. It is very slightly soluble in water. It absorbs carbonic acid gradually from the atmosphere. It changes very delicate blue vegetable colours to green. Its attraction to the acids is weaker than those of the alkalies. Its salts are partially decomposed by ammonia, one part of the magnesia being precipitatisd, and the other forming a triple compound. Its specific gravity is about 2.3. It is infusible even by the most intense heat ; but when mixed "vvith some of the other earths it becomes fusible. It combines with sulphur. It does not unite to phosphorus or carbon. It is not dissolved by alkalies in the humid way. When heated strongly, it becomes phosphorescent. With the dense acids it becomes ignited. With all the acids it forms salts of a bitter taste, mostly very soluble. Method of obtaining Magnesia. — The usual method of procuring magnesia, is to precipitate it from sulphate of magnesia by means of an alkali. To effect this, dissolve any quantity of sulphate of magnesia in a large quantity of MAw. MAG- 519 distiiied water, and add to it gradually a solution of perfectly pure subcarbonate of potash or soda, till no more precipitate ensues. Then collect the precipitate on a cloth, and boil it repeatedly in a large quantity of distilled water, till this fluid passes perfectly tasteless. It is then to be dried, and exposed in a crucible to a red heat, till a sample of it, when cold, does not occasion the least effervescence with acids. In this process, a double decomposition takes place, the sulphuric acid of the sul- phate of magnesia combines with the al- kali, and forms sulphate of potash ; and the carbonic acid of tlie alkali joins to the dis- engaged magnesia, and forms subcarbonate of magnesia ; the latter is precipitated, and the sulphate of potash remains in solu- tion. On exjwsing the subcarbonate of magnesia to heat, the acid is expelled, and the magnesia is left behind in a pure state. The magnesia of the present London Phar- macopceia was formerly called Magnesia calcinata: usia ; pura. It is directed to be made thus : — " Take of carbonate of magnesia, four ounces ; burn it in a very strong fire, for two hours, or until acetic acid being dropped in, extricates no bub- bles of gas." It is given as an absorbent, antacid, and eccoprotic, in cardialgia, spasms, convulsions, and tormina of the bowels of infants ; pyrosis, flatulencies, and other diseases of the primsevise ; obstipation, ieucorrhosa, rickets, scrofula, crusta lactea, and podagra. The dose is from half a drachm to a drachm. Magne'sia calcina'ta. See Magnesia. Magn'esia opali'na. In making the hepar antimonii, some add, to the antimony and nitre, decrepitated sal-ammoniac, and thus make the opalin. It is a weaker emetic than the liver of antimony. Magne'sia vitriola'ta. See Magnesia sulphas. Magne'sia u'sta. See Magnesia. MAGNE'SIiE CARBO'NAS. Magne- sia alba. Subcarbonate of magnesia. The London College direct it to be made as follows : — " Take of sulphate of magnesia, a pound ; subcarbonate of potash, nine ounces ; water, three gallons. Dissolve the subcarbonate of potash in three pints of the water, and strain ; dissolve also the sulphate of magnesia separately in five pints of the water, and strain ; then add the rest of the water to this latter solution, apply heat, and when it boils, pour in the former solu- tion, stirring them well together ; next, strain through a linen cloth ; lastly, wash the powder repeatedly with boiling water, and dry it upon bibulous paper, in a heat of 200°." It is in form of very fine powder, considerably resembling flour in its appear- ance and feel ; it has no sensible taste on the tongue ; it gives a faint greenish colour to the tincture of violets, and converts turn- sole to a blae. It is employed medicinally as an absorbent, antacid, and purgative, in doses from half a drachm to two drachms. MAGNE'SIA SU'LPHAS. Sulphas magnesicB. Sulphas magnesia purificata^ , Magnesia vitriolata. Sal catharficus amarus. Sal catharticum amarum. Sulphate of mag- nesia. Epsom salt. Bitter purging salt. The sulphate of magnesia exists in several mineral springs, and in sea-water. It is from these saline solutions that the salt is obtained ; the method generally adopted for obtaining it is evaporation, which causes the salt to crystallize in tetra- hedral prisms. It has a very bitter taste, and is soluble in its own weight of water at 60°, and in three-fourths of its v/eight of boiling water. Sulphate of magnesia, when perfectly pure, effloresces ; but that of com- merce generally contains foreign salts, such as the muriate of magnesia, which renders it so deliquescent, that it must be kept in a close vessel or bladder. By the action of heat it undergoes the watery fusion, and loses its water of crystallization, but does not part with its acid. One hundred parts of crystallized sulphate of magnesia consist of 29.35 parts of acid, 17 of earth, and 53.65 of water. The alkalies, strontian, barytes, and all the salts foi-med by these salifiable bases, excepting the alkaline muriates, decompose sulphate of magnesia. It is also decomposed by the nitrate, carbo- nate, and muriate of lime. Epsom salt is a mild and gentle pui'g-a- tive, operating with sufficient efiicacy, and in general with ease and safety, rarely oc- casioning any gripes, or the other incon- veniencies of resinous purgatives. Six or eight drachms may be dissolved in a proper quantity of common water; or fom", five, or more in a pint or quart of the purging mineral waters. These solutions may like- wise be so managed, in small doses, as to produce evacuation from the other emunc- tories ; if the patient be kept warm, they increase perspiration, and by moderate exer- cise in the cool air, the urinary discharge. Some allege that this salt has a peculiar efiect in allaying pain, as in colic, even in- dependently of evacuation. It is, however, principally used for the preparation of the subcarbonate of magnesia. Magnet. See Mas;nes. MAGNETISM, the property which iron possesses of attracting or repelling other iron, according to circumstances, that is, similar poles of magnets repel, but opposite poles attract each other. MAGNETISM, ANIMAL. A sym- pathy lately supposed, by some pei-sons, to exist between the magnet and the human body ; by means of which, the former be- came Gfapable of curing many diseases in an unlinown way, somewhat resembling the pei'formances of the old magicians. Animal magnetism is now entirely exploded. Ma'gnuss^de'i do'nuih. So Dr. Mead calls the Peruvian bark. 520 MAL MAL MA'GNUM OS. The third bone of the lower row of bones of the carpus, reck- oniag from the thumb towards the little finger. Ma'gnus mc'reus The great disease. $0 Hippocrates calls the epilepsy. Magy'daris. The root of the herb la- serwort. Maha'gowi. Mahogany. See Swietenia. Mahaleb. a species of Prunus. Mahmou'dy. Scammonium. Maidenhair. See Adianthum. Maidenhair, Canada. Adianthum Canadense. This is the Adianthum peda- tum, of Linnseus. It is in common use in France, for the same purposes as the com- mon adianthum is in this country, and ap- pears to be far superior to it. Maidenhair, English. See Adianthum. Maidenhair-tree. Ginkgo. Ginan Itsio. In China and Japan, where this tree grows, the fruit acquires the size of a da- mask plum, and contains a kernel resem- bling that of our apricot. These kernels always make part of the desert at all pub- lic feasts and entertainments. They are said to promote digestion, and to cleanse the stomach and bowels. Maja'nthemum. See Convallaria ma- jalis. Mail-a'nschi. a species of rhamnus growing in Malabar. A decoction of its root is recommended against the gout ; and •a decoction of its leaves against the jaundice. Mail-e'loti. a Malabar tree, from whose bruised leaves and bark is prepared an apozem against the after-pains of women in child-bed, and for promoting the lochia. Mail-elou-ka'tou. This is larger than the above species. It is evergreen and as- tringent. MAJORA'NA. {Quod mense Maio flo- reat, because it flowers in May.) See Ori- ganum majorana. Majora'na SYRi'ACA. See Teucrium marum. Ma'la. (From malus, an apple ; so called from its roundness.) A prominent part of the cheek. Ma'la assy'ria. The citron. Ma'la ^thiq'pica. A species of Lyco- •persicon. Ma'la aura'ntia. See Citrus auran- tium. Ma'la coto'nea. The quince. Ma'la insa'na ni'gra. The fruit of the black-fruited night-shade. See Solanum vielongena. Ma'labar plttm. See Eugenia jambos. Malaba'thri o'leum. Oil of cassia llgnea. Malaba'thrum. (MAXa.SetBpov : from Malabar, in India, whence it was brought, and betre, a leaf, Ind.) The leaf of the tree whose bark is called cassia. See Laic- nts cassia. Malaba'thrintjji. (Trom fyiot,Ka.0»9pov, uialabathriun.) Ointment of malabathrmfi. It is compounded of myrrh, spikenard, ma- labathrum, and many other aromatic ingre- dients. Malacca bean. See Avicennia tomentosa, Ma'la ca ra'dix. The root of the sagit- taria alesipharmaca. Ma'lache. (From fjia.Knx.og, soft; so called from the softness of its leaf.) The mallow. MALACHITE. (From Mi-^ See Garcinia. Mangosteen bark. } MA'NIA. (From f/,ei.tvo/ua.i, to rage.) Raving or furious madness. A genus of disease in the class fieuroses, and order vesani(B, of CuUen. The definition of mania is, delirium, unaccompanied with fever ; but this does not seem altogether correct ; as a delii'ium may prevail without an}' frequency of pulse, or fever ; as hap- pens sometimes with women in the hysteric disease. In mania, the mind is not perfectly master of all its functions ; it receives im- pressions from the senses, which are very different from those produced in health : the judgment and memory are both lost, or im- paired, and the irritability of the body is much diminished, being capable, as is sup- posed, of resisting the usual morbid effects of cold, hunger, and watching, and bemg likewise less susceptible of other diseases than before. Mania may be said to be a false per- ception of things, marked by an incohe- rence, or raving, and a resistance of the passions to the command of the will, ac- companied, for the most part, with a vio- lence of action, and furious resentment at restraint. There are two species of madness, viz. the melancholic and furious. Madness is occasioned by affections of the mind, such as anxiety, grief, love, religion, terror, or enthusiasm ; the fre- quent and uncurbed indulgence in any passion, or emotion, and by abstruse stu- dy. In short, it may be produced by any thing that aflects the mind so forcibly as to take off its attention from all other affairs. Violent exercise, frequent intoxication, a sedentary life, the suppression of periodical and occasional discharges and secretions, excessive evacuations, and paralytic sei- zures, are likewise enumerated as remote causes. Certain diseases of the febrile kind have been found to occasion madness, where their action has been very violent. In some cases it proceeds from an heredi- tary predisposition. Two constitutions are particularly tlae victims of madness ; the sanguine and melancholic : by the dif- ference of which its appearance is some- what modified. Each species of mania is accompanied with particular symptoms^ Those which attend on tlie melancholic are sadness, dejection of spirits, and its at- tendants. I'hose which accompany an at- tack of furious madness, are severe pains in the head, redness of the face, noise iu the ears, wildness of the countenance, roll- ing and glistening of the eyes, grinding of the teeth, loud roaring, violent exertion of strength, absurd incoherent discourse, un- accountable malice to certain persons., particularly to the nearest relatives and friends, a dislike to such places and scenes as formerly afforded particular pleasure, a diminution of the irritability of the body, with respect to the morbid effects of cold, hungei", and watching, together with a full, quick pulse. Mania comes on at different periods of life ; but in the greater number of cases, it makes it attack between thirty and forty years of age. Females appear to be more subject to mania than males. Dissections of maniacal cases, Dr. Tho- mas observes, most generally show an ef- fusion of water into the cavities of the brain ; but, in some cases, we are able to discover evident marks of previous in- MAN MAN .27 lamination, such as thickenings and opacity of the tunica arachnoides and pia mater. In a few instances a preternatural hardness of the substance of the brain. From Dr. Greding's observations, it ap- pears that the skulls of the greater number of such persons are commonly very thick. Some he found of a most extraordinary de- gree of thickness ; but it appears that the greater number of insane people die of atrophy and hydrothorax. The treatment of madness is partly cor- poreal, partly mental. The leading indica- tions under the first head are : to diminish vascular or nervous excitement when ex- cessive, as in mania ; to increase them when defective, as in melancholia ; at the same time guarding against the several exciting causes, and removing any obvious fault in the constitution, or in particular parts, by which the brain may be sympathetically aifected. Among the most powerful means of lessening excitement is the abstraction of blood, which freely practised has been often an effectual remedy in recent cases and robust habits ; but repeated small bleed- ings are rather likely to confirm the disease ; and in those, who have long laboured under it, the object should merely be to obviate dangerous accumulation in the head, by oc- casionally withdrawing the requisits quan- tity locally. Purging is much more ex- tensively applicable ; where the strength will admit, it may be useful to make very large evacuations in this way ; and in all cases it should be a rule to procure regular discharges from the bowels, which are ge- nerally torpid. Calomel is mostly proper, as it may evacuate bile more freely, and have other beneficial efliects ; but it usually requires the assistance of other cathartics. The application of cold to the head is ma- terially serviceable under increased excite- ment, and some have advised it to the body generally ; at any rate, the accumu- lation of heat should be avoided, and the antiphlogistic regimen steadily observed. Emetics have sometimes had a good eifect, especially as influencing the mind of the patient ; but to diminish excitement, and induce diaphoresis, it will generally be bet- ter to give merely nauseating doses ; and occasionally their operation may be pro- moted by the tepid bath ; even the hot bath has been found useful, producing great relaxation, and rendering the patient more tractable. Digitalis may be employed with advantage from its sedative power, exerted especially on the circulation, pushing it till some obvious effect is produced. Nar- cotics, particularly opium, have been much used, but certainly are not indiscriminately proper : where there is fulness of the ves- sels of the head, they may even do mischief; and where organic disease exists, they will probably only palliate : whenever resorted to, the dose should be large, such as may induce sle^ep, and if no mitigation of tlie disease appear, it may be better not to per- severe in them. Camphor has been some- times decidedly useful, carried gradually to a very considerable extent. Blisters and other means of lessening fulness and irrita- tion in the brain, should not be neglected, where circumstances indicate their use. — In the melancholic, on the other hand, where there is rather a deficiency of excitement, it is necessary to direct a more generous diet, nutritious and easy of digestion, as the sto- mach is usually weak, with a moderate quantity of some fermented liquor, and medicines of a tonic or even stimulant na- ture, especially ammonia, to relieve flatu- lence and acidity. Attention should be paid to the bowels, and to maintain the function of the skin, &;c. The utility of the cold bath seems questionable in melan- cholies ; though, it may occasionally arrest a paroxysm of mania. RegTilar exercise may contribute materially to improve the health ; and even hard labour has been often signally useful in a convalescent state, particularly to those accustomed to it. If the mental derangement supervened on the stoppage of any evacuation, or the metasta- sis of any other disorder ; or appear con- nected with a scrophulous orsyphilitic taint; proper remedies to restore the former, of remove the latter, should be exhibited : and in some instauues trepanning has relieved the brain from local in-itation. In the ma- nagement of the insane, it is necessary to inspire a certain degree of awe from a con- viction of superior power, and at the same time seek to gain their confidence and af- fection by steadiness and humanity. Some restraint is often necessary for the security of the patient, or of others, carefully watch- ing, or even confining them, if they threaten the lives of their attendants. When they refuse to take food, or medicine, or any- thing which appears absolutely necessary, coercion is proper, and sometimes these ca- prices may be overcome by stratagem ; or exciting uneasy sensations by the motion of a swing, whirling chair, &c. In order to remove any deranged association of ideas, it will be right to endeavour to occupy their minds with some agreeable and regular train of thought, cheerful music, poetry, narrative, the elementary parts of geometry, &c. according to their previous inclinations; to lead them gradually to their former ha- bits, and the society of their friends, engage them in rural sports, take them to public amusements, the watering places, &c. but with as little appearance of design as possi- ble. Ma'nihot. The jatropha manihot. Mani'pulus. (Q^uod manum impleat, because it fills the hand.) A handful. Mawjapit'meram. a common tree in the West Indies, the flowers of which are distilled, and the vv^ater used against in- flammations of the eyes. MA'NNA. (From mano, a gift, Syr, it 52S ilAK ilAli being the food given by God to tlie childreu of Israel in the wilderness ; or frona mahna, what is it ? an exclamation occasioned by their wonder at its appearaince.) See Fraxirms. Ma'nna. Briganti'aca. a species of manna brought from Brianconois in Dau- phiny. Ma'wna Calabri'na. Calabrian manna, Ma'ssa canula'ta. Flaky manna, or manna concreted on straw, or chips. Ma'nna secf'nda. An inferior or se- cond sort of manna. Ma'jtna thxt'ris. a coarse powder of olibanom. Makm'fera a'e.bor. (From manna, and fero, to bear.) The fraxinus ornus. Manso'rius. (From mando, to chew.) The masseter muscle. Maa"Ti'le. The name of a bandage. Ma'nus de'i. a name of a resolvent plaster, which is described by Lemery. Also for opium. Ma-pie. See Jicer pseudoplatanus. Mira'nda. a species of myrtle, grow- ing in the island of Ceylon, a decoction of the leaves of which is said to be excellent against the venereal disease. MARA'NTA. 1. The name of a genus of plants in the Linnsean system. Class, Monandria. Order, Monogynia. 2. The name of tlie Indian arrow-root. There are three species of Maranta, the Aurundiiiacea, Galanga, and Comesa, all of them herbaceous, perennial, exotics of the Indies, kept here in hot-houses for curi- osity; they have tliick, knotty, creeping roots, crowned with long, broad, arundina- ceous leaves, ending in points, and upright stalks half a yard high, terminated by bunches of monopetalous, ringent. five- parted flowers. They are pi'opagated by parting tlie roots in spring, and planting them in pots of light rich earth, and then plunging them in the bark-bed. Mara'nta arundusa'cea. The root of this species, commonly called arrow-root, is used by tlie Indians to extract the virus communicated by their poisoned arrows, from whence it has obtained its name. It is cultivated iu gardens and provision- grounds in the West Indies ; and the starch is obtained from it by the following process : The roots, when a year old, are dug up, well washed in water, and then beaten in a large deep wooden mortar to a pulp ; this is thrown into a large tub of clean water : the whole is then well stirred, and the fibrous part wrung out by the hands, and tlii'own away. The milky liquor being passed through a hair sieve, or coarse cloth, is suf- fered to settle, and the clear Avater drained off. At the bottom of the vessel is a white mass, which is again mixed with clean water, and drained: lastly, the mass is dried on sheets in the sun, and is pure starch. Arrow-root contains, in nn^ll bulk, a greater proportion of nourishment than any- other yet known. The powder, boiled in water, forms a very pleasant transparent jelly, very superior to that of sago or ta- pioca: and is much recommended as a nutritious diet for children and invalids. The jelly is made in the following man- ner : to a dessert-spoonful of powder, add as much cold water as will make it into a paste ; then pour on half a pint of boil- ing water : stir it briskly and boil it a few minutes, when it will become a clear smooth jelly ; a little sugar and sherry wine may be added for debilitated patients, but for infants a drop or two of essence of cara- way-seeds, or cinnamon, is preferable, wine being very liable to become ascescent in the stomachs of infants, and thus disagree with the bowels. Fresh milk, either alone or diluted w^ith water, may be substituted for the water. For very debilitated frames, and especially for ricketty children, this jelly, blended with an animal jelly, as that of the stag's-horn, (^rasura cornu cervi,') afibrds a more nutritious diet than arrow- root alone, which may be done in the fol- lowing manner: Boil half an ounce of stag' s-hom shavings, in a pint of water, for fifteen minutes ; then strain, and add two dessert-spoonsful of arrow-root powder, pre- viously well mixed with a tea-cupful of water ; stir them briskly together, and boil them for a few minutes. If the child should be much troubled with flatulency, two or tliree drops of essence of caraway- seeds, or a little grated nutmeg may be added ; but for adults, port wine, or brandy, will answer best. Mara'nta Gala'jtga. The smaller ga- langal. The roots of this plant are used medicinally ; two kinds of galangal are men- tioned in tlie pharmacopoeias ; the greater galangal obtained from the Kampferia ga- langa, of Linnasus, and the smaller galan- ga], the root of the Maranta galanga ; cau- lino simplici foliis lanceolatis subsessilibusy of Linnaeus. The dried root is brought from China, in pieces from an inch to two in length, scarcely half so thick, branched, full of knots and joints, with several circu- lar rings, of a reddish-brown colour on the outside, and brownish within. It has an aromatic smell, not very grateful, and an unpleasant, bitterish, hot, biting taste. It was formerly much used as a warm sto- niacliic bitter, and generally ordered in bit- ter infusions. It is now, however, seldom employed. MARA'SMUS. (From /j.ni'tj.ivai, to grow lean.) Atrophia. Emaciation. A wasting away of the flesh, without fever or apparent disease. See Ji trophy. Marathri'tes. (From /j.a.fa.6fiov, fen- nel.) A vinous infusion of fennel ; or wine impregnated with fennel. Marathrophy'llubi. (From fAa.pa,Bpcv, fennel, and eft/xxsv, a leaf ; so named be= caii=^ its leaves resemble those of the MAR i\IAR 529 eomaQon fennel. See Peucedanum offici- nale. Maea'thrum. (From (jt-ttfctivie, to wither, so called because its stalk and flowers wither in the autumn.) See Anelhumfceniculum. Mara'thrum sylve'stre. See Peu- cedanum. Marble. Powdered marble, which is a carbonate of hme, is used in pneumatic medicine, to give out carbonic acid gas. Marcasite, See Bismuth. Marcasi'ta. (From marcusite, Germ.) See Bismuth. Marcha'ktia polymo'rpha. The sys- tematic name of the liver-wort. Hepatica terrestris. Jecoraria. This plant is very com- mon in this country. It has a penetrating though mild pungency, and bitter taste, sinking, as it were, into the tongue. It is recommended as an aperient, resolvent, and antiscorbutic, and, though seldom used in this country, appears to be a plant of no inconsiderable virtue. MARCO'RES. (From marceo, to be- come lean.) Universal emaciation. The first order in the class cachexia, of CuUen's Nosology. Marestail. See Hippuris vulgaris. MARGARITA. (From margalith, Rab.) 1. The pearl. Perla. Unio. A small, calcareous concretion, of a bright transpa- rent whiteness, found on the inside of the shell. Concha margaritifera, of Linnseus, or mother-of-pearl fish. Pearls were formerly exhibited as Emtacids. 2. A tumour upon the eye resembling a pearl. Marigold, marsh. Caltha palustris, of Linnaeus. The flower-buds of this very common plant may be pickled as a good substitute for capers. Marine acid. See Muriatic acid. Marine salt. See Sodce murias. Maripe'ndam. a plant in the island of St. Domingo : its tops are distilled, and thus a water is obtained, which is held in great esteem against pains in the stomach. Mari'sca. An excresence about the anus, or the piles in a state of tumefaction, the Hmmorrhois tumens, of CuUen. Mari'sicum. The mercurialis fruticosa. Marjoram, sweet. See Origanum marjo- "■ana. Marjoram, wild. See Origanum. Marjora'na. See Origanum. Marmalade. The pulp of quinces, or any other fruit, boiled into a consistence with honey. Marmary'g^. (From /wap^az/jo), to shine. An appearance of sparks, or corus- cations, flashing before the eyes. Marmola'ria. (From marmor, mar- ble ; so named because it is spotted like marble.) Bear's-breach, See Acanthus mollis. Marmora'ta au'rium. (From marmor.) Ear-wax. Marmorige. a variety of the Pseudo- blepsis Imaginaria, in which sparks and flashes of fire are supposed to present them- selves. Marmo'recs TARTARUS. The hardest species of human calculus. Maroco'stinum. a purgative extract made of the marum and costus ; originally made by Mindererus. MARROW. Medulla. The fat sub- stance secreted by the small arteries of its proper membrane ; and contained in the medullary cavities of the long cylindrical bones. See Bone. Marroiv, spinal. See Medulla spinalis. Marrtjeia'stPvUM. Ballota, or stinking horehound. MARRU'BIUM. (From marroh, a bit- ter juice, Heb.) Horehound. 1. The name of a genus of plants in the Linnsean system. Class. Didynamia. Or- der, Gymnospermia. 2. The pharmacoposial name of the com- mon white horehound. See Marrubiuvi vulgare. Marru'eium album. See Marrubium vulgare. Marru'eitjm aly'ssow. Alyssum Mad- wort. It is supposed to be diaphoretic. Marru'bitjm AauA'TicuM. Water hore= hound ; opening, corroborant. Marru'eium Hispa'nicum. Mad-wort, or Spanish horehound. See Marrubium verticillatum. Marrtj'eium ni'grum fce'tidum. The black, stinking horehound, or ballota. Marru'bitjm vep^ticilla'tum. Mar- rubium hispanicum. The base horehound, Galen's mad-wort. Marru'eium vulga're. The systema- tic name of the common horehound. Mar- rubium album Marrubium dentibus caly~ cinis setaceis uncinatis, of Linnaeus.. — The leaves of this indigenous plant have a mode- rately strong smell of the aromatic kind, but not agreeable ; which, by drying, is im- proved : and in keeping for some months is, in great part, dissipated ; their taste is very bitter, penetrating, diffusive, and durable, in the mouth. That horehound possesses some share of medicinal power may be in- ferred from its sensible qualities ; but its vir- tues do not 5{3pear to be clearly ascertained. It is a favo;]rite remedy with the common people in coughs and asthmas. The usual dose is from half an ounce to an ounce, in infusion, two or three times a-day. The dose of the extract is from gr. x. to 3ss. Mars. The alchemists gave this nanip to iron. Mars alkaliza'tus solu'bilis. Iron and fixed alkali. Mars sacchara'tus. Iron mixed with starch and melted sugar, ^7 aiiO IviAK MAS Mars solu'bilis. Ferrumtarlarizatuui. Mars splphura'tus. Iroa filings, aad sulphur deflagrated. Marseilles hart-wort. See Seseli torluosum, Marsh-mallorc. See Althaea. Marsh trefoil. See Menyanthus. Marsupia'lis. (Marsupialis, sc. muscu- hjs ; from marsupium, a purse, so named from its resemblance.) See Obt^iralur internus. Martagon liiLY. Lilium martagon, of Linnaeus, who informs us the root makes part of the daily food of the Siberians. Martial. Sometimes used to express preparations of iron, or such as are impreg- nated therewith ; as the Martial Regulus of antimony, &c. Martia'titm ungue'ntum. Soldiers' ointment. Ointment of laurel, rue, marjo- ram, &c. Ma'rtis esse'ntia. a solution of lead in acid. Ma'rtis i^imatu'ra pr^para'ta. Put, viiied filings of iron. MARTYN, John, was born in 1699. His father being in a mercantile station in London, he was intended to succeed in this, which he does not appear to have ne- glected ; but his taste for literature led him to devote much of the night to study. His partiality, however, was particularly direct- ed to botany, and he made many experiments on the germination of seeds, &c. When about 22 years of age, he became secretary of a botanical society, and proved one of its most active members : three years after, he was admitted into the Royal Society, and many of his papers appeared in the Phdosophical Transactions, of which he subsequently took a part in the Abridgment. At what period he changed to the medi- cal profession is not known. In 1726, he published his tables of officinal plants, dis- posed according to Ray's system. Having given public lectures on botany in London with much approbation, he was thought qualified to teach that science at Cambridge ; and accordingly, in the following year, he delivered the first course ever heard in that university. In 1730, he entered at Ema- nuel college, with an intention of graduating in physic : but this was soon abandoned on his marriage, and from the necessary at- tendance to his profession in London. On the death of the botanical professor at Cam- bridge, Mr. Martyn was appointed to suc- ceed him in the beginning of 1733; but he continued lecturing only two or three years, owing to the want ot sufficient encourage- ment, and especially of a botanic garden there. In 1741 , he published a splendid quar- to edition of Virgil's Georgics, in which much new light was thrown on the natural history of that author, Dr. Halley having assisted him in the astronomical part ; this was fol- lowed by the Bucolics, on the same plan. In 17,52, he retired from pragtice, and abou t nine years after resigned his proiessoi - ship in favour of his son, the Rev. Thomas Martyn; in consequence of whose election he presented his botanical library, of above 200 volumes, with his drawings, herbarium, &c. to the university. He died in 1768. Ma'rum gre'ticum. See Tezccriwm marum. Ma'rttm Sttri'acpm. (From mar, bitter, Heb.) See Teucrium marum. Ma 'rum ve'r0m. See Teucrium marnm. Ma'rttm vulga're. See Thymus mas- tichtna. Ma'rvisum. Malmsey wine. Ma'schale. (Mct,a-x,AKii.) The arm-pit, Maschali'ster. (From//a!r;^*\/s-«p.) The second vertebra of the back. Ma'slach. a medicine of the opiate kind, in use amongst the Turks. Ma'speta. Maspeium. The leaves of the asafoetida plant. MA'SSA. (From fjLttera-u:, to blend to- gether.) A mass. A term generally ap- plied to the compound out of which pills are to be formed. Ma'ssa ca'rnea jaco'bi sy'lvii. See Flexor longus digitorum pedis, Ma'ssalis. a name lor mercury. MASSE'TER. (From fj,!tiA, to ex- press.) See Pistacia Lentiscus. Mastich-tree. See Pistacia Lentiscus. Mastichf herb, common. See Thymus TTiastichina. Masiich, herb, Syrian. See Teucrium ■atarum. Mastich, wood. See Pistacia Lentiscus. MASTiCHEiijE'cM. (From fA.n^ix», mas- tlch, andsA.st. Mechanical remedies. Antlielmintics Demulcents Diluents Emollients. Under the head of Narcotics are in- cluded — Alcohol. Ether. Camphor. Papaver somniferum. Hyoscyamus niger. Atropa belladona. Aconitum napellus. Conium maculatum. Digitalis purpurea. Nicoti- anatabacum. Lactuca virosa. Datura stramonium. Rhododendron chrysan- themum. Rhus toxicodendron. Arnica montana. Strychnos nux vomica. Pru- nus lauro-cerasus. Under the second class, Antispasmodics, are included — Moschus. Castoreum. Ole- um animale empyreumaticum. Petro- leum. Ammonia. Ferula asafostida. Sa- gapenum. Bubon galbanura. Valeriana officinalis. Crocus sativus. Melaleuca leucadendron. Narcotics used as Antispasmodics — Ether. Camphor. Opium. Tonics used as Antispasmodicsr— Cuprum. Zincum. Hydrargyrus. Cin- chona. The head of Tonics embraces — 1. From the mineral kingdom, Hydrargyrus. Ferrum. Zincum. Cu- prum. Arsenicum. Barytes. Calx. Acid- um. Nitricum. Oxy-murias potassse. 2. From the vegetable kingdom. Cinchona officinalis. Cinchona caribaea. Cinchona floribunda. Cusparia. Aristo- lochia serpentaria. Dorstenia contrayerva. Croton eleutheria. Calumba. Quassia excelsa. Quassia Simarouba. Swietenia febrifuga, Swietenia mahagoni. Gentiana lutea. Anthemis nobilis. Artemisia ab- sinthium. Chironia centaurium. Marru- bium vulgare. Menyanthes trifoliata, Cen- taurea benedicta. Citrus aurantium. Citrus medica. Laurus cinnamomum. Laurus cassia. Canella alba. Acorus calamus, Amomum zinziber. Kaemferia rotunda. Santalum album. Pterocarpus santalinus. Myristica moschata. Caryophyllus aroma- ticus. Capsicum annuum. Piper nigrum. Piper longum. Piper cubeba. Myrtus punenta. Amomum repens. Carum ca- rui. Coriandrum sativum. Pimpinella anisum. Anethum fseniculum. Anethum graveolens. Cuminum cyminum. Ange- lica archangelica. Mentha piperita. Men- tlia viridis. Mentha pulegium. Hyssopus officinalis. The class of Astringents comprehends tlie following : — 1. From the vegetable kingdom, Quercus robur. Quercus cerris. Tor- mentilla erecta. Polygonum bistorta. An- chusa tinctoria. Hsematoxylon campechi- anum. Rosa Gallica. Arbutus uva ursi. Mimosa catechu. Kino. Pterocarpus draco. Ficus indica. Pistachia lentiscus. 2. From the mineral kingdom, Acidum sulphuricum. Argilla. Supp*' sulphas argillse et potassse. Calx. Carbo= nas calcis. Plumbum. Zincnm. Ferrum. Cuprum. The articles which come under the head of Emetics, are 1. From the i-ege^aJ/e kingdom, Callicocca ipecacuanha. Scillamaritima. Anthemis nobilis. Sinapis alba. Asarum Europaeum. Nicotianatabacura. 2. From the mineral kingdom, Antimonium. Sulphas zinci. Sulphas cupri. Subacetas cupri. Ammonia. Hy- dro -s'ulphuretnm ammoniEE; MATERIA MEDIC A. o35 ' Cathartics include Laxatives. Manna. Cassia fistula. Ta- marindus Indica. Ricinus communis. Sul- phur. Magnesia. Purgatives. Cassia senna. Rheum pal- aiatum. Convolvulus jalapa. Helleborus niger. Bryonia alba. Cucumis colocyn- this. Momordica elaterium. Rhamnus catharticus. Aloe perfoliata. Convolvulus scammonia. Gambojia gutta. Submurias hydrargyri. Sulphas magnesise. Sulphas sodse. Sulphas potassae. Supertartras po- tassse. Tartras potassae et sodas. Murias sodae. Terebinthina veneta. Nicotiana tabacum. The medicines arranged -under Emme- WAGOGUES, are : 1. From the class of Antispasmodics. Caatoreum. Ferula asafcetida. Bubon galbanum. 2. From the class of Tonics. Ferrum. Hydrargyrus. Cinchona offi- cinalis. 3. From the class of Cathartics. Aloe. Helleborus niger. Sinapis alba. Rosmarinus officinalis. Rubia Tinctorum. Rata graveolens. Juniperus sabina. The class of Diuretics includes, 1. Saline diuretics. Supertartras potasss. Nitras potassae. Murias ammoniae. Acetas potassae. Po- taiEsae. 2. From the vegetable kingdom, Scilla maritima. Digitalis purpurea. Nicotiana tabacum. Solanum dulcamara. Lactuca virosa. Colchicum autumnale. Gratiola officinalis. Spartium scoparium. Juniperus communis. Copaifera officinalis. Pinus balsamea. Pinus larix. 3. From the animal kingdom, Meloe vesicatorius. Under the class Diaphoretics are, Ammonia. Murias ammoniae. Acetas ammonias. Citras ammoniaj. Submurias hydrargyri. Antimonium. Opium. Cam- phor. Guaiacum officinale. Daphne me- zereum. Smilax sarsaparilla. Laurus sas- safras. Cochlearia ai'moracia. Salvia officinalis. The class Expectoraivts comprehends, Antimonium. Ipecacuanha. Nicotiana tabacum. Digitalis purpurea. Scilla ma- ritima. Allium sativum. Polygala senega. Ammoniacum. Myrrha. Styrax benzoin. Styras officinalis. Toluifera balsamum* Myroxylon peruiferum. Amyris gilead- ensis. The articles of the class Sialagogdes are, Hydrargyrus. Antliemis pyrethrum. Arum maculatum. Amomum zinziber. Daphne mezereum. Nicotiana tabacum. The class of Errhines are, Iris fioren- tina. jiEscuIus hippocastanum. Origanum majorana. Lavendula spica. Asarum Eu~ ropasum. Veratrum album. Nicotiana ta- bacum. Euphorbia officinalis. In the class Epispastics, and Rcbefa- ciEJVTS are, Meloe vesicatorius. Ammonia. Pix Burgundica. Sinapis alba. Allium, sativum. Refrigerants are constituted by the following articles. Citrus aurantium. Ci- trus medica. Tamarindus Indica. Acidum acetosum. Supertartras potassae. Nitras potassae. Boras sodae. The list of articles that come under the class Antacids are, Potassa. Soda. Am- monia. Calx. Carbonas calcis. Ma"-- nesia. In the class Lithontriptics are, Po- tassa. Carbonas potassffi. Soda. Carbo- nas sodae. Sapo albus. Calx. In the class Escharotics are, Acida mineralia. Potassa. Nitras argenti. Mu- rias antimonii. Sulphas cupri. Acetas cupri. Murias hydrargyri. Subnitras hy- drargyri. Oxydum arsenici album. Ju- niperus sabina. In the class Anthelmintics are, Doli- chos pruriens. Ferri limatura. Stannum pulveratum. Olea Europsea. Artemisia santonica. Spigeliamarilandica. Polypo- dium filix mas. Tanacetum vulgare. Ge- offroea inermis. Gambojia gutta. Sub- murias hydrargyri. Demulcents are. Mimosa nilotica. As- tragalus tragacantha. Linum usitatissi- mum. Althaea officinalis. Malva sylvestris. Glycyrrhiza glabra. Cycas circinalis. Or- chis mascula. Maranta arundinacea. Tri- ticum hybernum. IchthyocoUa. Olea Eu- ropaea. Amygdalus communis. Sevum ceti. Cera. Water is the principal article of the class Diluents : and as for the last class Emol- lients, heat conjoined with moisture is the principal, though all unctuous appli- cations may be included. The New London Pharmacopceia presents us with the Medica : — Abietis resiua Absinthium Acaciae gummi Acetosae folia Acetosella Acetum Acidum sulphuricum Aconiti folia Adeps iErugo ■ extractum Allii radix Aloes spicatae Aloes vulgaris ^ Althaeae folia et radix Alumen AmmonsG murias Ammoniacum Amygdala amara et dulcis Amylum Anethi semina following list for the Materia. Anisi semina Anthemidis flores Antimonii sulphuretum Argentum Armoracia; radix Arsenici oxydum Asari folia Asafoetidae gummi resina Avenae semina Aurgntii baccas J3tJ MAT MAT- Aurantii cortex Balsamum Peruvianum Balsamum Tolutanum Belladonnae folia Benzoinum Bistorta Cajuputi oleum Calamina Calami radix Calumbse radix Camphora Canellse cortex Capsici baccse Carbo ligni Cardamines flores Cardamomi semina Caricae fructus Carui semina Caryophylli Caryophyllorum oleum Cascarillse cortex Cassise pulpa Castoreum Catechu extractura Centaurii cacumina Cera alba Cera flava Cerevisiae fennentum Cetaceum Cinchonse lancifolise, cordi- foliaj et oblongifoliffi cor- tex Cinnamomi cortex Cinnamomi oleum Coccus Colchici radix Colocynthidis pulpa Conii folia Contrayervse radix Copaiba Coriandri semina Cornua Creta Croci stigmata Cumini semina Cupri sulphas Cuspariae cortex Cydonise semina Dauci radix Daucj semina Digitalis folia Dolichi pubes Dulcamarse caulis Elaterii poma Elemi Euphorbise gummi resina Farina Ferrum Filicis radix Fucus > Galbani gummi resina Galla ^ Gentianae radix Glycyrrhizas radix Granati cortex Guaiaci resina et lignum Haematoxyli lignum Hellebori foetidi folia Hellebori nigri radix Hordei semina Humuli strobili Hydrargyrum Hyoscyami folia et semina Jalapae radix Ipecacuanhas radix Juniperi baccae et semina Kino Lapis calcareus Lavendulse flores Lauri baccae et folia Lichen Limones Limonum cortex et oleum Linum catharticum Lini usitatissimi semina Lytta Magnesia sulphas Malva Manna Marrubium Mastiche Mel Mentha piperita Mentha viridis Menyanthes Mezerei cortex Mori baccae Moschus Myristicse nuclei et oleum expressum Myrrha Olibanum Olivas oleum Opimn Opopanacis gummi resina Origanum Ovum Papaveris capsular Petroleum Pimentae baccae Piperis longi fructus Piperis nigri baccae Pix arida Fix liquida Plumbi subcarbonas Resina flav'a Resina nigra Rhamni baccse Rhei radix Rhceados petala Ricini semini et oleum Rosae caninae pulpa Rosae centifoliae petala Rosae gallicEe petala Rosmarini cacumina Rubise radix Rutae folia Sabinae folia Saccharum Salicis cortex Sambuci flores Sapo durus et mollis Sarsaparillae radix Sassafras lignum et radix Scammoneae gummi resina Scillae radix Senegae radix Sennae folia Serpentariae radix Sevum Simaroubae cortex Sinapis semina Sodae murias Sodae subboras Sodae sulphas Soda impura Spartii cacumina Spigeliae radix Spiritus rectificatus et tenuis Spongia Stannum Staphisagriae semina Styracis balsamum Succinum Sulphur et sulphur sublima- tum Tabaci folia Tamarindi pulpa Taraxaci radix Tartarum Terebinthiua Canadensis et Chia Terebinthina vulgar'is Terebinthinae oleum Testae Tormentillae radix Toxicodendri folia Plumbi oxydum semivitreum Tragacantha Porri radix Potassae nitras Potassae supertartras Potassa impura Pruna Pterocarpi lignum Pulegium Pyrethri radix Quassffi lignum Quercus cortex Tussilago Valerianae radix Veratri radix Vinum Ulmi cortex Uvae passae Uvae ursi folia Zincum Zinsriberis radix MATLOCK. A village in Derbyshire went. Several of these spnngs possess a affords a mineral water of the acidulous temperatureofeG". Matlock water scarcely class ; its abundant springs issue from a diflers from common good spring water, in li.me-stone rock, near the banks of the Der- sensible properties. It is extremely trans- HAT MAT a3,7 parent, and exhales no vapour, excepting in cold weather. It holds little or no excess of aerial particles; it curdles soap, when first taken up, but it loses this eifect upon long keeping, perhaps from the deposition of its calcareous salts : it appears to differ very little from good spring water when tasted ; and its effects seem referrible to its tempe- rature. It is from this latter circumstance that it forms a proper tepid bath for the ner- vous and irritable, and those of a debilitated constitution ; hence it is usually recommend- ed after the use of Bath and Buxton waters, and as preparatory to sea-bathing. Matrica'lia. (From matrix, the womb.) Medicines appropriated to disorders of the uterus. MATRICA'RIA. (From matrix, the womb ; so called from its uses in disorders of the womb.) 1. The name of a genus of plants in the Linnaean system. Class, Syngenesia. Or- der, Polygamia superfiua. 2. The pharmacopoeial name of the Ma- tricaria parthenium. See Matricaria par- thenium. Matrica'ria chamomi'lla. Chamm- melum vulgare. Chamomilla nostras. Leu- canthemum, of Dioscorides. Common wild corn, or dog's chamomile. The plant di- rected under this name in the pharmaco- poeias, is the Matricaria chamomilla : — recep- taculis conicis radiis patentibus; squamis caiycinis, margine aqualibus, of Linnaeus. Its virtues are similar to those of the parthe- nium, but in a much inferior degree. Matrica'ria parthe'nujm. The sys- tematic name of the fever-few. Parthenium febrifuge. Common fever-few, or febrifuge, and often, but very improperly, feather-few. Mother's wort. The leaves and flowers of this plant, Matricaria parthenium : — foliis compositis, planis; foliolis ovatis, incisis ; pedunculis ramosis, have a strong, not agree- able smell, and a moderately bitter taste, both which they communicate by warm in- fusion, to water and rectified spirit. The watery infusions, inspissated, leave an ex- tract of considerable bitterness, and which discovers also a saline matter, both to the taste, and in a more sensible manner by throwing up to the surface small crystalline efflorescences in keeping. The peculiar fla- vour of the matricaria exhales in the evapo- ration, and impregnates the distilled water, on which also a quantity of essential oil is found floating. The quantity of spirituous extract, according to Cartheuser's experi- ments, is only about one-sixth the weight of the dry leaves, whereas the watery extract amounts to near one-half. This plant is evidently the Parthenium of Dioscorides, since whose time it has been very generally employed for medical purposes. In natural affinity, it ranks with chamomile and tansy, and its sensible qualities show it to be nearly allied to them in its medicinal cha- racter. Bergius states its virtues to be tonic, stomachic, resolvent, and emmena- gogue. It has been *iven successfully as a vermifuge, and for the cure of intermittents ; but its use is most celebrated in female disorders, especially in hysteria ; and hence it is supposed to have derived the name matricaria. Its smell, taste, and analysis, prove it to be a medicine of considerable activity; we may, therefore, say, with Murray— iiarius hodie ptcescribitur, quam debetur. Matrisy'lva. See Asperula. MA'TRIX. (M«T«^.) The womb. See Uterus. Matrona'lis. (From matrona, a ma- tron ; so called because its smell is grateful to women.) The violet. MATTHIOLUS, Peter Andrew, was born at Sienna in 1501. He went to study the law at Padua ; but disliking that pur- suit, he turned his attention to medicine. His father's death interrupted him in his progress; but having conciliated the good opinion of the professors, the degree of doctor was conferred upon him before his departure. He speedily found ample em- ployment in his native place, but afterwards went to Rome, and in 1527 to the court of the prince bishop of Trent. During his residence of fourteen years there, he ac- quired such general esteem, that on his removal, men, women, and children, ac- companied him, calling him their father and benefactor. At Gorizia, where he then settled as public physician, he likewise ex- perienced a signal mark of gratitude ; a fire having consumed all his furniture, the peo- ple flocked to him nest day with presents, which more than compensated his loss, and the magistrates advanced him a year's sala- ry. After twelve years, he accepted an in- vitation to the Imperial court, where he was highly honoured, and created aulic coun- sellor: but finding the weight of age press- ing upon him, he retired to Trent, where he shortly died of the plague, in 1577. He left several works, chiefly relating to the vir= tues of plants : and that, by which he prin» cipally distinguished himself, was a Com- mentary on the writings of Dioscorides. This was first published in Italian, after- wards translated by him into Latin, with plates, and passed through numerous edi- tions. He certainly contributed much to lay the foundation of botanical science, though he was not sufiiciently scrupulous in consult- ing the original sources, and examining the plants themselves. Matura'ntia. (From maturo, to ripen.) Medicines which promote the suppuration of tumours. MATURATION. (Maturatio ; from maturo, to make ripe.) A term in surgery. signifying that process which succeeds in- flammation, by which pus is collected in aa abscess, 68 538 MAX MAX Maudlin, See Achillea ageratum. MAURICEAU, Francis, was born at Paris, whei'e he studied surgery with great industry for many years, especially at the Hotel-Dieu. He had acquired so much experience in midwifery, before he com- menced public practice, that he rose almost at once to the head of his profession. His reputation was farther increased by his ■writings, and maintained by his prudent conduct during a series of years; after ■which he retired into the country, and died in 1709. He published several works, re- lating to the particular branch of the art which he practised, containing a great store of useful facts, though not well arranged, nor free from the false reasoning prevalent in his time. Mauro-ma'rson. See Marrubium. MAXI'LL A. (From fjict(7-a-a.is, to chew.) The jaw. MAXI'LLA INFE'RIOR. Os maxillare inferius. Mandibula. The maxilla inferior, or lower jaw, which, in its figure, may be Compared to a horse-shoe, is at first com- posed of two distinct bones ; but these, soon after birth, unite together at the middle of the chin, so as to form only one bone. The superior edge of this bone has, like the up- per jaw, a process, called the alveolar pro- cess. This, as well as that of the upper jaw, to which it is in other respects a good deal similar, is likewise furnished with cavities for the reception of the teeth. The posteri- or part of the bone, on each side, rises per- pendicularly into two processes, one of which is called the coronoid, and the other the con- dyloid process. The first of these is the liighest : it is thin and pointed ; and the tem- poral muscle, which is attached to it, serves To elevate the jaw. The condyloid process is narrower, thicker, and shorter than the other, terminating in an oblong, rounded head, which is formed for a moveable arti- culation with the cranium, and is received into the fore-part of the fossa described m the temporal bone. In this joint there is a moveable cartilage, which, being more close- ly connected to the condyle than to the ca- vity, may be considered as belonging to the former. This moveable cartilage is con- nected with both the articulating surface of the temporal bone and the condj^^le of the jaw, by distinct ligaments arising from its edges all round. These attachments of the cartilage are stregthened, and the whole ar- ticulation secured, by an external ligament, which is common to both, and which is fixed to the temporal bone, and to the neck of the condyle. On the inner surface of the liga- ment, which attaches the cartilage to the temporal bone, and backwards in the cavi- ty, is placed what is commonly called the gland of the joint; at least the ligament is there found to be much more vascular than at any other part. At the bottom of each coronoid process, on its inner part, is a foramen, or canal, which extends under the roots of all the teeth, and terminates at the outer surface of the bone near the chin. Each of these foramina affords a passage to an artery, vein, and nerve, which sends ofi" branches to the several teeth. This bone is capable of a great many motions. The condyles, by sliding from the cavity towards the eminences on each side, bring the jaw horizontally forwards, as in the action of biting ; or the condyles only may be brought forwards, while the rest of the jaw is tilted backwards, as is the case when the mouth is open. The condyles may also slide alternately back- wards and forwards from the cavity to the eminence, and vice versa; so that, while one condyle advances, the other moves backwards, turning the body of the jaw from side to side, as in grinding tlie teeth. The great use of the cartilages seems to be that of securing the articulation, by adapt- ing themselves to the different inequalities in these several motions of the jaw, and to prevent any injuries from friction. This last circumstance is of great importance where there is so much motion, and accord- ingly this cartilage is found in the different tribes of carnivorous animals, where there is no eminence and cavity, nor other appa- ratus for grinding. The alveolar processes are formed of an external and internal plate, united together by thin bony partitions, which divide the processes at the fore-part of the jaw, into as many sockets as there are teeth. But, at the posterior part, where tlie teeth have more than one root, each root has a dis- tinct cell. These processes in both jaws, begin to be formed with the teeth, accom- p^^ny them in their growth, and disappear when the teeth fall. So that tlie loss of the one seems constantly to be attended with the loss of the other. MAXI'LLA SUPE'RIOR. Os maxil- lare superius. The superior maxillary bones constitute the most considerable portion of the upper jaw, are two in num- ber, and generally remain distinct through life. Their figure is exceedingly irregular, and not easilj'^ to be described. On each of these bones are observed several emi- nences. One of these is at the upper and fore-part of the bone, and, from its making part of the nose, is called the nasal pro- cess. Internally, in the inferior portion of this process, is a fossa, which, with the OS unguis, forms a passage for the lachry- mal duct. Into this nasal process, likewise, is inserted in the short round tendon of the musculus orbicularis ■palpebrarum.. Back- wards and outwards, from the root of the nasal process, the bone helps to form the lower side of the orbit, and this part f3 MAX MAY 539 thei'etbre called the orbilar process. Be- hind this orbitar process, the bone forms a considerable tuberosity, and, at the upper part of this tuberosity, is a chaanel, which is almost a complete hole. In this channel passes a branch of the fifth pair of nerves, which, together with a small artery, is transmitted to the face through the external orbiter foramen, which opens immediately under the orbit. Where the bone on each side is joined to the os malae, and helps to form the cheeks, is observed what is called the malar process. The lower and anterior parts of the bone make a kind of circular sweep, in which are the alveoli, or sockets for the teeth ; this is called the alveolar pro- cess. This alveolar process has posteriorly a considerable tuberosity on its internal sur- face. Above this alveolar process, and Just behind the fore-teeth, is an irregular hole, called the foramen incisivvmi, which, separating into two, and sometimes more holes, serves to transmit small arteries and veins, and a minute branch of the fifth pair of nerves to the nostrils. There are two horizontal lamellae behind the alveolar pro- cess, which, uniting together, form part of the roof of the mouth, and divide it ftom the nose. This partition, being seated somewhat higher than the lower edge of the alveolar process, gives the roof of the mouth a considerable hoUowness. Where the ossa maxillaria are united to each other, they project somewhat forwards, leaving between them a furrow, which receives the inferior portion of the septum nasi. Each of these bones is hollow, and forms a considerable sinus under its orbitar part. This sinus, which is usually, though im- properly, called antrum Highmorianum, 13 lined with the pituitary membrane. It answers the same purposes as the other sinuses of the nose, and communicates with the nostrils by an opening, which appears to be a large one in the skeleton, but which, in the recent subject, is much smaller. In the foetus, instead of these sinuses, an oblong depression only is obser- ved at each side of the nostrils, nor is the tuberosity of the alveolar process then formed. On the side of the palate, in young subjects, a kind of fissure may be noticed, which seems to separate the portion of the bone which contains the the dentes incisores from that which contains the dentes canini. This fissure is sometimes apparent till the sixth year, but after that period it in general wholly disap- pears. The ossa maxillaria not only serve to fbrm the cheeks, but likewise the palate, nose, and orbits ; and, besides their -union with each other, they are connected with the greatest part of the bones of the face and cranium, viz. with the ossa nasi, ossa raalarum, ossa unguis, ossa palati, os frontis, 03 spbenoides, and os elhmoicks, MAXILLARY ARTERIES, jirierim maxillares. These are branches of the ex- ternal carotid. The external maxillary is the fourth branch of the carotid ; it pro- ceeds anteriorly, and gives off the facial or mental, the coronary of the lips, and the angular artery. The internal maxillary is the next branch of the carotid ; it gives off the spheno-maxillary, the inferior alveolar, and the spinous artery. MAXILLARY GLANDS. Glandula maxillares. The glands so called are con- glomerate, and are situated under the an- gles of the lower jaw. The excretory ducts of these glands are called Warthoniaa, after their discoverer. MAXILLARY NERVES. Kervi max- illares. The superior and inferior maxillary nerves are branches of the fifth pair, or trigemini. The former is divided in|:o the spheno-palatiue, posterior alveolar, and the infra-orbital nerve. The latter is divided into two branches, the internal lingual, Emd one, more properly, called the inferior maxillary. May-lily. See Convallaria majalis. May-weed. See Anthemis colula. MAYERNE, Sir Theodore Tur^uet DE, Baron D'Aubonne, was born at Ge- neva in 1573, and graduated at Montpelier. He then went to Paris, and, by the influ- ence of Riverius, was appointed in 1600 to attend the Duke de Rohan, in his embassy to the diet at Spire ; and also one of the physicians in ordinary to Henry IV. On his return he settled in Paris as a physician^ and gave lectui'es in anatomy and pharmacy, in which he strongly recommended various chemical remedies : this drew upon him the ill-will of the faculty, and he was anony- mously attacked as an enemy to Hippocrates and Galen ; whence in his " Apologia," he cleared himself from this imputation, ma- king also some severe strictures on his op- ponents. They consequently issued a decree against consulting with him ; but the esteem of the king supported him against this per- secution, and he would have been appointed first physician, had he not refused to em- brace the Catholic religion. After the as- sassination of Henry IV. in 1610, he recei- ved an invitation from James I. of England, to whom he had been introduced three years before : he accepted the office of his first physician, and passed the remainder of his life in this country. He was admitted to the degree of doctor in both universitie?, and into the College of Physicians, and met. with very general respect. He incurred- some obloquy, indeed, on the death of the Prince of Wales, having differed in opinioa from the other physicians ; but his con- duct obtained the written approbation of the king and council. He was knighted in 1624, and honoured with the appoint- ment of physician to the two succeeding tnonarchs; and accumulated a laree for- d40 MEA MklA tune by his extensive practice. He died m 1655, and bequeathed his library to the College of Physicians. Several papers, written by him, were published after his death : amoog which are the cases of many of his distinguished patients, very well drawn tip. MAYOW, John, was born in Cornwall in 1645. He studied at Oxford, and took a degree in civil law, but afterwards chan- ged to medicine, which he practised chiefly at Bath ; but he died in London at the age of 34. These are the only records of the life of a man, who went before his age in his views of chemical physiology, and anti- cipated, though obscurely, some of the most remarkable discoveries in pneumatic chemistry^ which have since been made. He published at Oxford in 1669 two tracts, one on Respiration, the other on Rickets; which were reprinted five years after with three additional dissertations, one on the Respiration of the Fostus in Utero et Ovo, another on Muscular Motion and the Animal Spirits, and the remaining one on Saltpetre and the Nitro-aerial Spirit. On this lat- ter his claim above-mentioned chiefly rests, the existence of the nitro-aerial spirit being proved by many ingenious ex- periments, as a constituent of air, and of nitre, the food of life and flame, agreeing with the oxygen of modern chemists. Much vague speculation, indeed, occurs in the work : but he clearly maintains that this spirit is absorbed by the blood in the lungs, and proves the source of the animal heat, as also of the nervous energy and of mus- cular motion. He likewise anticipated the mode of operating with aerial fluids in ves- sels inverted over water, and transferring them from one to another. Mays, Indian. See Zea mays. Maw-worm. See Ascaris. MEAD, Richard, was born near Lon- don in 1673. After studying some time at Leyden, and in diflferent parts of Italy, he graduated at Padua in 1695. Then re- turning to his native country, he settled in practice, and met with considerable success. His first publication, " A Mechanical Ac- count of Poisons," appeared in 1702, and displayed much ingenuity ; though he after- wards candidly retracted some of his opi- nions, as inadequate to explain the functions of a living body. He was soon after elected a member of the Royal Society, and in tlie following year physician to St. Thomas's Hospital. In 1704 he published a treatise, (j\ai^taining the influence of the sun and moon on *J?6 human body, arguing from the Newtonian thCPry of the tides, and the changes eflected by those bodies in the at- mosphere. In 1707 he received a diploma iV-om Oxford, and about foui* years after he was appointed to read the anatomical lec- tures at Surgeons' Hall, which he continued for some time with great applause. In 1714, on the death of his patron. Dr. Radciiflie, he took his house, and being then a fellow of the College of Physicians, and having been called into consultation in the last ill- ness of Queen Anne, when he displayed su- perior judgment, he seems to have been re- garded among the first of the prefession, and soon after, from his extensive engagements, resigned his office at St. Thomas's Hospi- tal. The plague raging at Marseilles in 1719, he was oificially consulted on the means of prevention, which led to a publi- cation, by him, in the following year, deci' dedly maintaining its infectious nature, which had been questioned in France, and recommending suitable precautions : this work passed rapidly through many editions. In 1721 he superintended the experiment of inoculating the small-pox in the persons of some criminals ; and his report being favou- rable, the practice was rapidly diffused. He was soon after engaged in a controversy with Dr. Middleton, concerning the condi- tion of physicians among the Romans, which was, however, carried on in a manner honourable to both parties. About the same period Dr. Freind having been committed to the Tower for his political sentiments, Dr. Mead obtained his liberation in a spiri- ted manner, and presented him a conside- rable sum, received from his patients during his imprisonment. In 1727 he was ap- pointed physician in ordinary to George II. and his professional occupations became so extensive, that he had no leisure for writing. It was not till 20 years after, therefore, that he printed his treatise on Small-pox and Measles, written in a pure Latin style, with a translation in the same language of Rhazes' Commentary on the former disease. In 1749 he published a treatise on the Scurvy, ascribing the disease to moisture and putridity, and recommending Mr. Sut- ton's ventilator, which was, in consequence of his interposition, received into the navy. His " Medicina Sacra," appeared in the same year, containing remarks on the dis- eases mentioned in the Scriptures. His last work was a summary of his experi- ence, entitled " Monita et Prsecepta Medi^^ ca," in 1751 ; it was frequently reprinted, and translated into English. His life ter- minated in 1754; and a monument was erected to him in Westminster Abbey. He distinguished himself not only in his pro- fession, but he was the greatest patron cf science and polite literature of his time ; and he made an ample collection of scarce aiid valuable books, manuscripts, and literary curiosities; to which all respectable per- sons had free access. Meadow-crowfoot. See Ranunculus acris. Meadow, queen of the. See Spiraea id- maria. Meadow saffron. See Colchicwm. Meadow saxifrage. See Pencedanum ei' Hits. MED MED o41 Meadow sweet. See Spiraa ulmaria. Meadow thistle, rodnd leaved. The leaves of this plant, Cnicus oleraceits, of Linnaeus, are boiled, in the northern parts of Europe, and eaten as we do cabbage. Measles. See Rubeola. MEATUS AUDITO'RIUS EXTE'R- NUS. See Ear. MEATUS AUDITO'RIUS INTE'R- NUS. The internal auditory passage is a small bony canal, beginning internally bj' a longitudinal orifice at the posterior sur- face of the petrous portion of the temporal bone, running towards the vestibulum and cochlea, and there being divided into two less cavities by an eminence. The superior and smaller of these is the orifice of the aqueduct of Fallopius, which receives the portio dura of the auditory nerve: the other inferior and larger cavity is perfora- ted by many small holes, through which the portio mollis of the auditory nerve passes into the labyrinth. Mea'tus cjr'cus. A passage in the throat to the ear, called Eustachian tube. Mea'tus cuticula'res. The pores of the skin. Mea'tus ct'sticus. The gall-duct. MEA'TUS URINA'RIUS. In women, this is situated in the vagina, immediately below the symphysis of the pubes, and be- hind the nymphae. In men, it is at the end of the glans penis. Mecca balsam. See Amyris GUeadensis. Mechoacan. See Convolvulus mechoa- canna. Mechoaca'nna. (From Mechoacan, a province in Mexico, whence it is brought.) See Convolvulus Mechoacanna. Mechoaca'nna ni'gra. See Convolvu- lus Jalapa. Me'con. (From /uwaej, bulk; so named from the largeness of its head. The papa- ver, or poppy. Meco'nis. (From /^nxav, the poppy ; so called b«. 'iause its juice is soporiferous, like the poppy.) The lettuce. Meco'nium. (From (jlukodv, the poppy.) 1. The inspissated juice of the poppy. Opi- um. 2. "The green excrementitious sub- stance that is found in the large intestines of the foetus. MEDIAN NERVE. The second branch of the brachial plexus. MEDIAN VEINS. The situation of the veins of the arms is extremely different in different individuals. When a branch pro- ceeds near the bend of the arm, inwardly from the basilic vein, it is termed the basi- lic median; and when a vein is given off from the cephalic in the like manner, it is termed the cephalic median. When these two veins are present, they mostly unite just below the bend of the arm, and the common trunk proceeds to the cephalic vein. Media'wum. The Mediastimcin. MEDIASTI'NUM. {quasi in medio stans, as being in tlie middle.) The mem- branous septum, formed by the duplicature of the pleura, that divides the cavity of the chest into two parts. It is divided into an anterior and posterior portion. Mediasti'num ce'reeri. The falci- foi'm process of the dura mater. Me'dica. (From Media, its native soil.) A sort of trefoil. Medica'go. (From medica.) The herb trefoil. Medicamenta'ria. Pharmacy, or the art of making and preparing medicines. MEDIC AME'NTUM. (From medico^ to heal.) A medicine. Medica'ster. a false pretender to the knowledge of medicine ; the same as quack, Medici'na di^te'tica. The regidation of regimen, or the non-naturals. Medici'na diaso'stica. That part of medicine which relates to preserving health. Medici'na gymna'stica. That part of medicine which relates to exercise. Medici'na herme'tica. The applica- tion of chemical remedies. Medici'na prophyla'ctica. That part of medicine which relates to preserving health. Medici'na tristi'ti^. Common saf- fron. MEDICINE. Any substance tliat is ex- hibited with a view to cure or allay the violence of a disease. It is also very fre- quently made use of to express the healing art, when it comprehends anatomy, physio- logy, and pathology. Medicinal days. Such days are so called by soqie writers wherein the crisis or change is expected, so as to forbid the use of medicines, in order to wait nature's effort, and require all the assistance of art to help forward, or prepare the humours for such a crisis : but it is most properly used for those days wherein purging, or any other evacuation, is most conveniently com- plied with. Medicinal hours. Are those wherein it is supposed that medicines may be takea to the greatest advantage, commonly rec- koned in the morning fasting, about an hour before dinner, about four hours after dinner, and at going to bed ; but in acute cases, the times are to be governed by the symptoms and aggravation of the distem- per. MEDICTNA'LIS. (From medicina.) Me- dicinal, having a power to restore health, or remove disease. Medina. In Paracelsus it is a species of ulcer. MEDINE'NSIS VE'NA. {Medinensis; so called because it is frequent at Medina.) Dracunculus. Gordius medinensis, of Lin- nasus. The muscular hair-worm. A very singular animal, which, in some coun- tries, inhabits the cellular membrane be= 542 MEi wihh tween the skin and muscles. See Dracwi- cuius* MEDITU'LLIUM. (From medius, the middle.) See Diploe. Me'dius ve'nter. The middle venter is the thorax, or chest. Medlar. See Mespilus. MEDU'LLA. (Qmosz m medio ossis.) 1. The marrow. See Marrow. 2. The pith or pulp of vegetables. 3. The white substance of the brain is called medulla, or the medullary part, to distinguish it from the cortical. Medu'lla ca'ssijE. The pulp of the cassia fistularis. MEDU'LLA OBLONGATA. Theme- duUary substance that lies within the cra- nium, upon the basillary process of the oc- cipitcd bone. It is formed by the connec- tion of the crura cerebri and crura cere- belli, and terminates in the spinal marrow. It has several eminences, viz. pons varolii, corpora pyramidalia, and corpora olivaria. MEDU'LLA SPINA'LIS. Cerebrum elongatum. ^on. The spinal marrow. A continuation of the medulla oblongata, which descends into the specus vertebralis fifom the foramen magnum occipitale, to the third vertebra of the loins, where it ter- minates in a number of nerves, which, from their resemblance, are called cauda equina. The spinal marrow is composed, lilce tlie brain, of a cortical and medullary sub- stance : the former is placed internally. It is covered by a continuation of the dura mater, pia mater, and tunica arachnoidea. The use of the spinal marrow is to give off, through the lateral or intervertebral fora- mina, thirty pairs of nerves, called cervical, dorsal, lumbar, and sacral nerves. MEDULLARY. (Medullaris ; from me- dulla, marrow.) Like unto marrow. MEDULLARY SUBSTANCE. The white or internal substance of the brain is so called. Megalosp^a'nchjtus. (From fjt-iyn-i, great, and (TTrKciyxvoy, a bowel.) Having some of the viscera enlarged, from scirrhus or other cause. Me'grim. a species of cephalalgia, or a pain generally affecting one side of the head, towards the eye or temple, and ari- sing from the state of the stomach. MEIB0MIU3, Henrt, was born at Lu- beck in 1638. After studying in different universities, he graduated at Angers, and afterwards was appointed professor of me- dicine at Helmstadt, where he continued till his death in 1700. He published seve- ral works, and commentaries on those of others. "That which chiefly illustrates his name is entitled " De Vasis Palpebi-arum novis," printed in 1666. He seems to have contemplated a history of medicine, and published a letter on the subject, which indeed his father had begun ; but tlie diffi- '"ulties. which he met with in investigating the medicine of the Arabians, arrested his progress. MEIBOMIUS'S GLANDS. Meibomii glundula. The small glands which are si- tuated between the conjunctive membrane of the eye and the cartilage of the eye-lidy first described by Meibomius. MEL. See Honey. Mel aceta'tcm. See Oxymel. Mel bora'cis. Honey of boreis:. "Take of borax, powdered, a di'achm ; clarified honey, an ounce. Mix." This prepara- tion is found very useful in aphthous afiec- tions of the fauces. Mel despuma'tum. Clarified honey. Melt honey in a water-bath, then remove the scum. See Honey. Mel Ro'SiE. Rose honey. " Take of red-rose petals, dried, four ounces ; boiling water, three pints; clarified honey, five pounds. Macerate the rose petals in the water, for six hours, and strain ; then add the honey to the strained liquor, and, by means of a water-bath, boil it down to a proper consistence." An admirable pre- paration for the base of various gargles and coUutories. It may also be employed witli advantage, mixed with extract of bark, or other medicines, for children Avho have a natural disgust to medicines. Mel sci'll^. See Oxymel scilla. Me'la. (From ^.cta, to search.) A probe. MELiE'NA. (From ,usx*c, black.) The black vomit. The black disease. Melaina nosos. Hippocrates applies this name to two diseases. In the first, the patient vo- mits black bile, which is sometimes bloody and sour ; sometimes he throws up a thin saliva ; and at others a green bile, &c. la the second, the patient is as described in the article Morbus niger. Melai'na no'sos. See Melana. MELALEU'CA. (From fxiXit^, black, and xsyaoc, v/hite, so named by Linnaeus, because the principal, and indeed original, species was called leucadendron, and arbor alba; words synonimous with its appel- lation in the Malay tongue, Caja-puti, or white tree, but it is not known why the idea of black was associated with white.) The name of a genus of plants in the Linnaean system. Class, Polyandria. Order, IcO" sandria. MeLALEu'cA LETJCADE'NDROJr. The systematic name of the plant which is said to afford the cajeput oil. Oleum cajepula:. Oleum Wiiinebianum. Oleum volatile mela- leucm. Oleum cajeput. Thunberg says ca- jeput oil has the appearance of inflammable spirit, is of a green colour, and so completely volatile, that it evaporates entirely, leaving no residuum ; its odour is of the camphorace- ous kind, with a terebinthinate admixture. Goetz says it is limpid, or rather yellowish. It is a very powerful medicine, and in high esteem in. India and Germany, in the cha- racter of a general remedy in cbronic and MEL .VIEL i43 painful diseases : it is used for the same purposes for which we employ the officinal ethers, to which it seems to have a consi- derable affinity; the cajeput, however, is more potent and pungent ; taken into the stomach, in the dose of five or six drops, it heats and stimulates the whole system, proving, at the same time, a very certain diaphoretic, by which probably the good effects it is said to have in dropsies and in- termittent fevers, are to be explained. For its efficacy in various convulsive and spas- modic complaints, it is highly esteemed. It has also been used both internally and ex- ternally, with much advantage, in several other obstinate disorders : as palsies, hypo- chondriacal, and hysterical affections, deaf- ness, defective vision, toothach, gout, rheu- matism, fee. The dose is from two to =ix, or even twelve drops. The tree which affords this oil, by distillation of its leaves, generally was supposed to be the Melaleuca leucaden- dron, of Linnseus, but it appears from the specimens of the tree producing the true oil, sent home from India, by Mr. Christopher Smith, that it is another species which is therefore named Melaleuca cajaputi. Melamphy'llum. (From /imkas, black, and '^vKKov, a leaf; so named from the blackness of its leaf.) Bear's-breach. See Jlcantkus mollis. Melampo'dium. (From Melampus, the shepherd who first used it.) Black helle- bore.) See Helleborus niger. Melanago'ga. (From fJtiKcts, black, and ctyte, to expel.) Medicines which purge off black bile. Melanchlo'rus. (M6Xat5^;t?Lft)/ioc.) A livid colour of the skin. The black jaun- dice. MELANCHO'LIA. (From /utiXitc, black, and ;^^ox«, bile; because the ancients sup- posed that it proceeded from a redundance of black bile.) Melancholy madness. A dis- ease in the class J^euroses, and order Kesa- nice, of CuUen, characterized by erroneous judgment, but not merely respecting health, from imaginary perceptions or recollection influencing the conduct and depressing the mind v/ith ill-grounded fears ; not combined with either pyrexia or comatose affections ; often appearing v/ithout dyspepsia, yet at- tended with costiveness, chiefly in persons of rigid fibres and torpid insensibility. See Mania. Melanofipeh. (From /luxo.;, black, and mmrift, pepper.) Black pepper. See Piper mgrum. Melanorrhi'zow. (From fj^iKAc, black, and pi^A, a root.) A species of hellebore with black roots. Melante'ria. (From jUSAotc, black; so called because it is used for blacking lea- ther.) Green vitriol. MELAWTHELiE'tTM:. (From fjLiXAt, black, and s\«;ov, oil.) Oil expressed from the black seeds of fennel flower. Mela'wthifm. (From ^sk*?, black ; so named from its black seed.) The herb fen- nel flower. Me'las. (From fjLixa.?, black.) Vitiligo nigra. Morphcea nigra. Lepra maculosa nigra. A disease that appears upon the sldn in black or brown spots, which very frequently penetrate deep, even to the bone, and do not give any pain, or uneasiness. It is a disease very frequent in, and endemial to, Arabia, where it is supposed to be pro- duced by a peculiar miasma. Mela'sma. (From ^s?i«c, black.) Me- lasmus. A disease that appears not un- frequently upon the tibia of aged persons,, in form of a livid black spot, which, in a day or two, degenerates into a very foul ulcer. Melaspe'rmum. (From /v, an apple, and netfivoc, fruit ; from its resemblance to an apple.) The fruit of the aristolochia, or its root. Me'loe vesicato'rius. The Spanish fly, now called lytta. Me'lon. (M«\«v.) a disorder of the eye, in which it protuberates out of the socket. Melon common. See Cucumis melo. Melon, musk. See Cucumis melo. Melon, water. See Cucurbita citrullis. Melo'ngena. Improperly called mala insana. Solanum pomiferum. Mad apple. The Spaniards and Italians eat it in sauce and in sweetmeats. The taste somewhat resembles citron. Melo'sis. M»?i&)«-«, A term which frequently occurs in Hippocrates, De Capit, Vulner. for that search into wounds which is made by surgeons with the specillum, or probe. Melo'tis. Miixeert!. Used for the lesser specillum, and often for that particular in- strument contrived to search or cleanse the ear with, more commonly called Auriscal- pium. Melo'thria PE'NDtTLA. The syste- matic name of the small creeping cucumber plant. The inhabitants of the West Indies pickle the berries of this plant, and use them as we do capers. Melyssopht'llum. (From fiixiara,, balm, and Trihos, because it has a cap or crown in the middle of it.) I ■ The fiamo of a genus of plants ia the MET MET Linnaean system. Class, Icosandria. Or- der, Pentagynia. 2. The pharmacoposial name of the med- lar. This fruit, and also its seeds, have been used medicinally. The tree which bears them is the Mespilus germanica, of liinnaeus. The immature fruit is serviceable in check- ing diarrhoeas ; and the seeds were formerly esteemed in allaying the pain attendant on nephritic diseases. Me'spilus germa'nica. The systema- tio name of the medlar-tree. See Mespilus. MESUE, one of the early physicians among the Arabians, was born in the pro- vince of Khorasan, and fiourifhed in the beginning of the ninth centnry. His father was an apothecary at Nisabcar. He was educated in the profession of physic by Ga- briel, the son of George Eacktishua, and through his favour was appointed physician to the hospital of his native city. Although a Christian he was in great favour with se- veral successive Caliphs, being reputed the ablest scholar and physician of his age. When Haroun al Raschid, appointed his son viceroy of Khorasan, Mesue was no- minated his body physician, and was placed by him at the head of a college of learned men, which he instituted there. When Almammon succeeded to the throne in 813, he brought Mesue to Bagdad, and made him a professor of medicine there, as well as superintendant of the great hospital, which offices he filled a great number of years. Pie was also employed in transferring the science of the Greeks to his own country, by translating their works. He is supposed by Freind to have written in the Syriac tongue. He was author of some works, which are cited by Rhazes, and others, but appear to have perished ; for those now ex- tant in his name do not correspond with these citations, nor with the character given of them by Haly Abbas, besides that Rhazes is quoted in them, who lived long after Mesue ; they probably belonged to another physician of the same name, who is men- tioned by Leo Africanus, and died in the begitining of the eleventh century. Meta'basis. (From ^STst^'awa, to di- gress.) Metabole. A change of remedy, of practice, or disease • or any change from one thing to another, either in the cura- tive indications, or the symptoms of a dis- temper. Meta'bole. See Metabasis. METACARPAL BONES. The five longitudinal bones that are situated between the wrist and the fingers ; they are distin- guished into the metacarpal bone of the thumb, fore-finger, &c. METACA'RPUS. (From acst*, after, and KttfTToi;, the wrist.) Metacarpium. That part of the hand which is between the wrist and the fingers. Metaca'bpktts. a muscle of the car« pus. See Adductor metacarpi minimi digiti mamcs. Metacera'sma. (From fxira., after. and KifttvvvfjLt, to mix.) Cerasma. A mixture tempered with any additional sub- stance. Metacheiri'xis. (From /uirA^eipi^a, to perform by the hand.) Surgery. Any manual operation. Metachore'sis. (From fMrax^fure, to digress.) The translation of a disease from. one part to another. Metaci]ve'ma. (From //eT*, and k,to di- gress,) A change from one disease to another. META'STASIS. (From fxiOicrTu/j'i, to change, to translate.) The translation of a disease from one place to another. Metasy'ncrisis. (From f^iTna-vyy.ptvo), to transmute.) Any change of constitution. METATARSAL BONES. The five longitudinal bones between the tarsus and the toes ; they are distinguished into the metatarsal bone of the great toe, fore toe, &c. METATA'RSUS. (From ^.£t*, after, and retpa-og, the tarsus.) That part of the foot between the tarsus and toes. Mete'lla nux. See Strychnos mix vomica. Meteori'smits. (From /xiTmpoc, a va- pour.) 1. A flatulent dropsy. 2. A tympanitic state of the abdomen, taking place suddenly in acute diseases. Meteo'ros. (Mineepog : from f^ila., and e/.iipo), to elevate.) Elevated, suspended, erect, sublime, tumid. Galen expounds pains of this sort, as being those which af- fect the peritonaeum, or other more superfi- cial parts of the body : these are opposed to the more deep-seated ones. Methe'glin. a drink prepared from honey by fermentation. Methemeri'nfs. (From/vtsTa, andi/^wj- p*, a day.) A quotidian fever. Metho'dica medici'na. Signifies that practice which was conducted by rules, such as are taught by Galen and his followers, in opposition to the empirical practice. Me'thodus. (From /irpet., the womb, and pnyvv/xi, to break out.) An ex- cessive discharge from the womb. Me'u. See JEthusa. Me'um athama'mticum. (FroTa [Auoiv, less ; so called, according to Minshew, from its diminutive size.) Spignel. See ^thusa. Mexica'npm. (From Mexico, whence it is brought.) A name of the Balsam of Peru. Mexico-seed. See Ricinus. Mexico tea. See Chenopodium ambrosi- oides. Mezereon. See Daphne mesereum. MEZE'REUM. (A word of some bar- barous dialect.) Mezereon. See Daphne mesereum. Meze'reum aceta'ttim. Very thin sli- ces of the bark of the fresh mezereon root are to be steeped for twenty-four hours in common vinegar. The late Dr. Morris usually directed the application of this re- medy to issues, when a discharge from them could not be encouraged by the com- mon means. It generally answers this pur- pose very effectually in the course of one night, the pea being removed, and a small portion of the bark applied over the opening. MIA'SMA. (Miasma, -tis, n. plural miasmata, fA.idi.a-/A«., from (/.ttttvoo, to infect. See Contagion. MicRoco'sMic be'zoar. See Calculus. MlCROLEUCONYiVIPH^'A. (From /UlKpog, small, AiuKog, white, and vvfA<*>a.ia., the water-lily.) The small white water-lily. Microjvymph^'a. (From (/.tzpag, small, and vuy. operties of animal and human milk :■ — Milk separates spontaneously into cream, cheese, and fruyn of milk ; an'l that enoner in a warm situation than in a cold one. in a greater temperature than that of the air, it acesces and coagulates, but more easily and quicker by the addition of acid salts, or coagulating plants. Lime water coagulates milk imperfectly. It is not coagulated by pure alkali; which, indeed, dissolves its caseous part. With carbonated alkali the caseous and cremoraceous parts of milk are changed into a liquid soap, which separates in the form of white flakes ; such milk, by boiling, is changed into a yellow and then into a brown colour. Milk, distilled to dry- ness, gives out an insipid water, and leaves a v/hitish brown extract called the extract of milk ; which, dissolved in water, makes a milk of less value. Milk fresh drawn, and often agitated in a warm place, by de- grees goes into the vinous fermentation, so that alcohol may be drawn over by distilla- tion, which is called spirit of milk. It suc- ceeds quicker, if vest be added to the milk. Mares'" milk, as it contains the greatest quantity of the sugar of milk, is best calcu- lated for vinous fermentation. The Principles of milk, or its integral parts, are 1 . The Aroma, or odorous vola- tile principle, which flies off from fresh- drawn milk, in the form of visible vapour. 2. Water, which constitutes the greatest part of milk. From one pound, eleven ounces of water may be extracted by distil- lation. This water with the sugar of milk, forms the serum of the milk. 3. Bland oil, which, from its lightness, swims on the sur- face of milk after standing, and forms the cream of milk. 4. Cheese, separated by coagulating milk, falls to the bottom of the vessel, and is the animal gluten. 5. Sugar, obtained from the serum of milk by evapo- ration. It unites the caseous and butyra- ceous part with the water of the milk. 6. Some neutral salts, as the muriate of pot- ash and muriate of lime, which are acci- dental, not being found at all times, nor in every milk. These principles of milk dif- fer widely in respect to quantity and qua- lity, according to the diversity of the animals. The aroma of the milk is of so different an odour, that persons accustomed to the smell, and those whose olfactory nerves are very sensible can. easily distinguish whether milk be that of the cow, goat, mare, ass, or human. The same may be said of the serum of the milk, which is properly the seat of the aroma. The serum of milk is thicker and more copious in the milk of the sheep and goat, than in that of the ass, mare, or human milk. The butter of goats' and cows' milk is easily separated, and will not again unite itself with the butler-milk. Sheeps' butter is soft, and not of the consistence of that obtained from the cow and goat. Asses', mares', and humsn butter, can only be separated in the form of cream : whir-b. cream, bv the :viiL MIL j5& assistance of heat, is with ease agaiu uuiied to the milk from which it is separated. The ckeese of cows' and goats' milk is solid and elastic, that from asses and marcs soft, and that from sheeps' milk almost as soft as gluten. It is never separated spontane- ously from the milk of a woman, but only by art, and is wholly fluid. The serum abounds most in human, asses', a,nd mares' milk. The milk of the cow and goat con- tain less, and that of the sheep least of all. The sugar of milk is in the greatest quan- tity in the mares,' and asses,' and somewhat less in the human milk. MILK, ASSES'. Asses' miik has a very strong resemblance to human milk in colour, smell, and consistence. When left at rest for a sufficient time, a cream forms upon its surface, but by no means in such abundance as on women's milk. Asses' milk differs from cows' milk, in its cream being less abundant and more insipid; in its containing less curd ; and in its posses- sing a greater proportion of sugar. MILK, COWS'. The milk of women, mares, and asses, nearly agree in their qua- lities ; that of cows, goats, and sheep, possess properties rather different. Of these, cows' milk approaclies nearest to that yielded by the female breast, but dif- fers very much iu respect to the aroma ; it contains a larger proportion of cream and cheese, and less serum than human milk ; also less sugar than mares' and asses' milk. Cows' milk forms a very essential part of human sustenance, being adapted to every state and age of tlie body ; but particularly to infants, after being weaned. MILK, EWES'. This resembles almost precisely that of the cow ; its cream, how- ever, is more abundant, and yields a butter not so consistent as cows' milk butter. It makes excellent cheese. MILK, GOATS'. It resembles cows', except in its greater consistence ; like that milk, it throws up abundance of cream, from which butter is easily obtained. MILK, HUMAN. The white, sweet- ish fluid, secreted by the glandular labric of the breasts of women. The secretory organ is constituted by the great conglome- rate glands situated in the fat of both breasts, above the musculus pectoralis ma- jor. From each acinus composmg a mam- mary gland, there arises a radicle of a lactiferous or galactiferous duct. All these canals gradually converging, are termi- nated without anastomosis, in the papillss of the breasts, by many orifices, which, upon pressure, pour forth milk. The smell of fresli-drawn milk is peculiar, animal, fatuous, and not disagreeable. Its taste sweetbh, soft, bland, agreeable. The spe- cific gravity is greater than that of water, but it is lighter tliaa blood ; hence it swims on.it Its colour is wnite aad optJco. fa consisieace it is oily and aqueous. A drop put on the nail flows slowly down, if the milk be ^ood. Time of .Secretion.— The milk most fre- quently begins to be secreted in the fast months of pregnancy; but, on the third day after delivery, a serous milk, called Colostrum, is separated ; and at length pure milk is secreted very copiously into the breasts, that from its abundance often spon- taneously drops from the nipples. If the secretion of milk be daily pro- moted by suckling an infant, it often con- tinues many years, unless a fresh pregnancy supervene. The qusmtity usually secreted within twenty-four hours, by nurses, is various, according as tlie nourishment may be more or less chylous. It appears that not more than two pounds of milk are obtained from five or six pounds of meat. But there have been known nurses who have given from their breasts two, or eveu more than three pounds, in addition to that which their child has sucked. That the origin of the milk is derived from chyle carried with tiie blood of the mammary arteries into the glandular fabinc of the breasts, is evident from its more copious secretion a little after meals ; its diminished secretion from fasting ; from the smell and taste of food or medicines in the se- creted milk ; and lastly, from its occasional spontaneous acescence; for humours per- fectly animal become putrid. The milk of a woman differs : 1. la respect to food. The milk of a woman who suckles, living upon vegeto-animal food, never acesces nor coagulates spontaneously, although exposed for many, weeks to the heat of a fui'nace. But it evaporates gra- dually in an open vessel, and the last drop continues thin, sweet, and bland. The reason appears to be that the caseous and cremoraceous parts cohere together by means of the sugar, more intimately than in the milk of animals, and do not so easily separate; hence its acescence is prevented. It does acesce, if mixed or boiled with vinegar, juice of lemons, supertartrate of potash, dilute sulphuric acid, or with the human stomach. It is coagulated by the acid of salt, or nitre, and by an acid gas- tric juice of the infant ; for infants often vomit up the coagulated milk of the nurse. The milk of a sucking woman, who lives upon vegetable food only, like cows' milk, easily and of its own accord acesces, and is acted upon by all coagulating substances like the milk of animals. 2. In respect of the time of digestion. During the first hours of digestion the chyle is crude, and the milk less subacted; but towards the twelfth hour after eating, the chyle is changed into blood, and then the milk be- comes yellowish and nauseous, and is spit out by the infant. Hence the best time for giving sack is about the fourth cr Mtl 560 MIL MIL hour after meals. 3. In respect of the time, after delivery. The milk secreted imme- diately after delivery is serous, purges the bowels of the infant, and is called colos- trum. But in the following days it be- comes thicker and more pure, and the longer a nurse suckles, the thicker the milk is secreted ; thus new-bom infants cannot retain the milk of a nurse who has given suck for a twelve-month, on account of its spissitude. 4. In respect of food and medicines. Thus if a nurse eat garlic, the milk becomes highly impregnated with its odour, and is disagreeable. If she in- dulge too freely in the use of wine or beer, the infant becomes ill. From giving a purging medicine to a nurse, the child also is purged ; and, lastly, children affected with tormina of the bowels, arising from acids, are often cured by giving the nurse animal food. 5. In respect of the affections of the mind. There are frequent examples of infants being seized with convulsions from sucking mothers irritated by anger. An infant of one year old, while he sucked milk from his enraged mother, on a sudden was seized with a fatal haemorrhage, and died. Infants at the breast in a short time pine away, if the nurse be afflicted with grievous care; and there are also infants who, after every coition of the mother, or even if she menstruate, are taken ill. The use of the mother's, milk is. 1. It affords the natural aliment to the new-born infant, as milk differs little from chyle. Those children are the strongest who are nourished the longest by the mother's milk. 2. The colostrum should not be rejected ; for it relaxes the bowels, which, in new- born infants, ought to be open, to clear them of the meconium. 3. Lactation de- fends the mother from a dangerous reflux of the milk into the blood, whence lacteal metastasis, and leucorrhaea are so frequent in lying-in women, who do not give suck. The motion of the milk also being hastened through the breast by the sucking of the child, prevents the very common induration of the breast, which arises in consequence of the milk being stagnated. 4. Meri may live upon milk, unless they have been ac- customed to the drinking of wine. For all nations, the Japanese alone excepted, use milk, and many live upon it alone. MILK, MARES'. This is thinner than that of the cow, but scarcely so thin as human milk. Its cream cannot be convert- ed into butter by agitation. The whey contains sugar. MiiiK BLOTCHES. An eruption of wliite vesicles, which assume a dark colour, re- sembling the blackening of the small-pox, and are succeeded by scabs producing an ichorous matter, attended with considerable itching. It generally appears on the fore- head and scalp, extending half over the face, and ?.t times even nroceeding farther^ The period of its attack is the time of teething ; and it is probably the same dis- ease as the crusta lactea. Milk-fever. See Puerperalfever. Milk-teeth. See Teeth. Milk-thistle. The leaves of this plant, when young, surpass, when boiled, the finest cabbage, and possesses diuretic quali- ties. See also Carduus marianus. Milk-vetch. See Astragalus, Milk-wort. See Poly gala. Milk-wort, rattle-snake root. See Poly- gala senega. Millefo'lixjm. (From mille, a thou- sand, and folium, a leaf; named from its numerous leaves.) Common yarrow, or milfoil. See Achillea. Millemo'rbia. (From mille, a thou- sand, and morbus, a disease, so called from its use in many diseases.) See Scrophularia nodosa. Mille'ped^. See Oniscus. Mille'pedes. (From mille, a thousand, and pes, a foot ; named from their nume- rous feet.) See Oniscus asellus. Millet seed. See Panic um miliaceum. Millet seed, Indian. See Panicum Itali- cum. Mi'llium. (From mille, a thousand; so called from the multitude of its seed.) Milium. The millet. Mill-mountain. See Linum catharticum. MiLPHo'siS. M;xBi *~" ■" "" IM .1 ■" ^■■i 1 1 o a a 1 a a 1 »-H m '5 CO 'c5 3 ^M C •s 3lt o * 5 s o s S 5 5 i a o a o S 1) a c s CO in a 8 a u u a CO a a 5 2 4: 1 M c c c a a a a d 5 d d © 3 3 3 'j a e a c a o T3 i 2 (^ . ;; c c .a e ^u £ ^ H rt '5 3 u ** -2: c •w lO en = 5 S '5 S S ^ CO S S 05 CO n.. t. LO 10 1 in I CO Pi H ^ •/3W w 3 5 3 CO CO 00 CO CO CO d d CO CO d a rt< 2 « r- ^ c o « _2 < 3 "2 03 1 '5 s '5 a CO W5 l?< •^ S a '5 05 ^ CO i 00 in CO ^ CO ■^ m d CD ^ 5^ m . IT. CO "^ t- 3 3 (f^ 3 d rH ^ (?♦ rH d rr t>; CO 1?* 't a 'cr m 3 t^ ^ ^ tf 13 .S a '5 H £ = •73 O O a '5 i J) a S Qi Oj a; a 0) Oi J) D V 3; CO CJ i 0) ;? .5 ^CW C 3 5 o s 5 a o a o c a o 1 ■* 5 a o r-^ 5 5 1 iH ^ 3 c a c a ■* a f— i a a a 3 1-^ a 3 s* ^ u :3 "t3 ~ '« a '5 a £ a c (Si 3 e c OJ c; c: V a 5 C; i> a in S Cj 01 ■S"^ c C a a c a a a a o a a a a ^is '55 o -S" >-> o 5 O c o o o o 3 o o o a a -0 0) a 5 3 c a a a a c a a 3 a a e a IN '"' "^ ~ 3 r2 ^ s = a .a a ^e ^3 a a O _o '5 "5 ■5 '3 '5 'a '3 O i^ u <1> ij 'a * go X '-0 (J a s- 4) a t^ n-. CO CO CO a; a a a in CO a OJ a Ti M 3 3 r-H PM 1— < r-ii &» i6 3 3 3 tM © 3 3 ^ -^J u i;.. 1 bC C C '5 *-* a ■J O o M rf t^ •« t* S K .S o _o c •rr CD n.. CO in cB < 15 3 3 6 © " 3 d d H u^ 1 ' 1 1 1 0/ x: -c 2 c o 0, fao a O o o CO lO CO s< Si- 'S" -Xi 5^ fN CO ^ M (N -C CO CO ■-I •"^ r-< fe <- £ cC « < q "3 "o ■^ o _o a o -o a 1 1 ■g a 3 '3 s. a o a s -. Xj 3 is C9 cS be CO 1 ° ^ 1 lU bo t a O -^ IE ^ § ;:a C/3 a C/V w h_ £2 •:& cC' O C« ^ u I_ EIS ^ CQ ca ^-^ .^-v^" .^v^ . >.rfV"^ .^^ ^^ w.- J*H V 0) "3 ; CO QJ X x: a> 3 ■ ■S -^ X! a • ^ "3 03 "3 SI 13 ja 1; as • m 3 2 CO "3 "3 o u u • ■3 c« . 'O TS ^ -a nS ^ • » •^ a ^. 03 "5 13 u cu ^ Pi •J- c "a, ffl- ■ ^ o. ^ _e *rx: " a a a be E .hC "3 "o O! ,.-^a«-. '■7) ^ » £. .^ L. a: > .,,4- E MIN MIN i63 Dr. Heai^y, in his epitome of chemistry, gives the followiag; concise and accurate ac- count for the analysis of mineral waters : Water is never presented by nature in a state of complete purity. Even when col- lected as it descends in the form of rain, chemical tests detect in it foreign ingre- dients. And when it has been absorbed by the earth, has traversed its different strata, and is returned to us by springs, it is found to have acquired various impregnations. The readiest method of judging of the contents of natural waters, is by applying what are termed tests, or re-agents, i. e. substances which, on being added to a water, exhibit by the phenomena they produce, the nature of the saline and other ingredients. For ex- ample, if, on adding an infusion of litmus to any water, its colour is changed to red, we infer that the water contains an uncom- bined acid ; if this change ensue even after the water hsis been boiled, we judge that the acid is a fixed and not a volatile one; and if, on adding the muriate of barytes, a pre- cipitate falls down, we safely conclude that the peculiar acid present in the water is either entirely or in part the sulphuric acid. Dr. Henry first enumerates the tests gene- i-ally employed in examining mineral waters, and describes their application, and after- wards indicates by what particular tests the substances generally found in waters may be detected. A, Infusion of Litmus. Syrup of Violets, &c. .\s the infusion of litmus is apt to spoil by keeping, some solid litmus should be kept. The infusion is prepared by steeping this substance, first bruised in a mortar, and tied up in a thin rag, in distil- led water, which extracts its blue colour. If the colour of the infusion tends too much to purple, it may be amended by a drop or two of pure ammonia ; but of this no more should be added than what is barely suffi- cient, lest the delicacy of the test should be impaired. The syrup of violets is not easily obtained pure. The genuine syrup may be distinguished from the spurious by a solution of corrosive sublimate, which changes the former to green, while it red- dens the latter. When it can be procured genuine, it is an excellent test of acids, and may be employed in the same manner as the infusion of litmus. Paper stained with the juice of the marsh violet, or with that of radishes, answers a similar purpose. In staining paper for the purpose of a test, it must be used unsized: or, if sized, it must Ereviously be washed with warm water ; ecause the alum^vhich enters into the com- position of the size will otherwise change the vegetable colour to a red. Infusion of litmus is a test of most un- combined acids. If the infusion redden the unboiled but not the boiled water under examination. or if the red colour occasioned by adding the infusion to a recent water, return to blue on boiling, we may infer that the acid is a volatile one, and most probably the carbonic acid. Sulphuretted hydrogen gas, dissolved in water, also reddens litmus, but not after boiling. To ascertain whether the change be produced by carbonic acid, or sulphuret- ted hydrogen, when experiment shows that the reddening cause is volatile, add a little lime-water. This, if carbonic acid be pre- sent, will occasion a precipitate, which will dissolve with efiervescence, on adding a lit- tle muriatic acid. Sulphuretted hydrogen may also be contained in the same water, which will be ascertained by the tests here- after to be described. Paper tinged with litmus is also reddened by the presence of carbonic acid, but regains its blue colour by drying. The mineral and fixed acids redden it permanently. That these acids, however, may produce their effect, it is necessary that they should be present in a sufficient proportion. Infusion of litmus reddened by vinegar — Spirituous tincture of Brazil-wood — Tinc- ture of turmeric and paper stained with each of these three substances — Syrup of violets. All these different tests have one and the same object. 1. Infusion of litmus redlened by vine- gar, or litmus paper reddened by vinegar, has its blue colour restored by alkalis and pure earths, and by carbonated alkalis and earths. 2. Turmeric paper and tincture are changed to a reddish brown by alkalis, whe- ther pure or carbonated, and by pure earths; but not by carbonated earths. 3. The red infusion of Brazil wood, and pa- per stained with it, become blue by alkalis and earths, and even by the later, when dis- solved by an excess of carbonic acid. In the last-mentioned case, however, the change will either cease to appear or be much less remarkable, when the water has been boiled. 4. Syrup of violets, when pure, is by the same causes turned green, as also paper stained with tlie juices of violets, or ra- dishes. B. Tincture of Galls. Tincture of galls is the test generally em- ployed for discovering iron, with all the combinations of which it produces a black tinge, more or less intense, according to the quantity of iron. The iron, however, iu order to be detected by this test, must be in the state of red oxide, or if oxidated in a less degree, its effects will not be apparent, unless after standing some time in contact with air. By applying this test before and after evaporation, or boiling, we may know whether the iron be held iu solution by car- bonic acid, or fixed acid ; for, 1 . If it produce its effects before the ap- plication of beat, and not afterward^, car- bonic acid is the solvent. 564 MIN MIN 2. If after as well as before, a mineral acid is the solvent. 3. If, by the boiling, a yellowish powder be precipitated, and yet galls continue to strike the water black afterwards, the iron, as often happens, is dissolved both by car- bonic acid and a fixed acid. A neat mode of applying the gall test was used by M. Klaproth, in his analysis of the Carlsbad water. A slice of the gall-nut was sus- pended by a sUken thread, in a large bottle of the recent water ; and so small was the quantity of iron, that it could only be dis- covered in water fresh from the spring. C. Sulphuric Acid. 1. Sulphuric acid discovers, by a slight effervescence, the presence of carbonic acid, whether uncombined or united with alkalis, or earths. 2. If lime be present, whether pure or uncombined, the .-.ddition of sulphuric acid occasions, after a few days, a white preci- pitate. 3. Barytes is precipitated instantly in the form of a white powder. 4. Nitrous and muriatic salts, on adding sulphuric acid and applying heat, are de- composed ; and if a stopper, moistened with pure ammonia, be held over the vessel, white clouds appear. For distinguishing whether nitric or muriatic acid be present, Fules will be given hereafter. Nitric and Kilrous Acids. These acids, if they occasion effervescence, give the same indications as the sulphuric. The nitrous acid has been recommended as a test distinguishing between hepatic waters that contain sulphuret of potash, and those that only contain sulphuretted hydrogen gas. In the former case, a precipitate en- sues on adding nitrous acid, and a very foetid smell arises ; in the latter, a slight cloudiness only appears, and the smell of the water becomes less disagreeable. D. Oxa ic Acid and Oxalates. This acid is a most delicate test of lime, which it separates from all its combinations. 1. If a water which is precipitated by oxalic acid,, becomes milky on adding a watery solution of carbonic acid gas, or by blowing air through it by means of a quill, or glass tube, we may infer that pure lime (or barytes which has never yet been found pure ih. water) is present. 2. If the oxalic acid occasion a precipi- tate before but not after boiling, the lime is dissolved by an excess of carbonic acid. 3. If, after boiling, by a fixed acid : a considerable excess of any of the mineral acids, however, prevents the oxalic acid from occasioning a precipitate, even though lime be present ; because some acids decompose the oxalic, and others, dissolving the oxalate of lime, prevent it from appearing. The oxalates of ammonia, or of potash, (which may easily be formed by saturating their respective carbonates with a solution of oxalic acid) are not liable to the above objections, and are preferable, as re-agents, to the uncombined acid. Yet even these oxalates fail to detect lime when supersatu- rated with muriatic or nitric acids ; and if such an excess be present, it must be satu- rated before adding the test with pure am- monia. Fluate of ammonia is the best test of lime. It is made by adding carbonate of ammonia to diluted fluoric acid. E. Pure Alkalis and Carbonated Alkalis, 1. The pure fixed alkalis precipitate all earths and metals, whether dissolved by vo- latile or fixed menstrua, but only in certain states of dilution : for example, sulphate of alumine may be present in water, in the proportion of 4 grains to 500, without being discovered by pure fixed alkalis. As the alkalis precipitate so many substances, it is evident they cannot afibrd any precise in- formation when employed as re-agents. From the colour of the precipitate, as it approaches to pure white, or recedes from it, an expeiienced eye will judge that the pre- cipitated earth contains less or more of the metallic admixture. 2. Pure fixed alkalis decompose all salts with basis of ammonia, which becomes evi- dent by its smell, and also by the white fumes it exhibits when a stopper is brought near it, moistened with muriatic acid. 3. Carbonates of potash and soda have similar efiiects. 4. Pure ammonia precipitates all earthy and metallic salts. Besides this property, it also imparts a deep blue colour to any liquic" that contains copper in a state of so- lution. Carbonate of ammonia has the same pro- perties, except that it does not precipitate magnesia from its combinations. Hence, to ascertain whether this earth be present in any solution, add the carbonate of ammo- nia till no further precipitation ensues, filter the liquor, and then add pure ammonia. If any precipitation now occurs, we may infer- tile presence of magnesia. F. Lime-Water. 1. Lime-water is applied for the pur- poses of a test, chiefly for detecting car- bonic acid. Let any liquor, supposed to contain this acid, be mixed with an equal bulk of hme-water. If carbonic acid be present, either free or combined, a preci- pitate will immediately appear, which, on adding a few drops of muriatic acid, will immediately dissolve with efiervescence. 2. Lime-water will immediately show the presence of corrosive sublimate, by a brick-dust coloured sediment. If arsenic be present in any liquid, lime-water, whea added, will occasion a precipitate, consisting of lime and arsenic, which is very difficultly soluble in water. This precipitate, when mixed up with oil, and laid on hot coals, yields the well-known garlic smell of arsenic. MIN MIN S6a G. Pure Barytes, and its solution in Water. 1, A solution of pure barytes is even more effectual than lime-water, in detecting the presence of carbonic acid, and is much more portable and convenient ; since from the crystals of this earth, the solution may at any time be prepared. In discovering fixed air, the solution of barytes is used similarly to lime-water ; and, if this acid be present, gives, in like manner, a preci- pitate soluble with effervescence in muriatic acid. Pure strontites has similar virtues as a test. H. Metals. 1. Of the metals, silver and mercuiy are tests of the presence of sulphurets, and of sulphuretted hydrogen gas. If a little quicksilver be put into a bottle, containing water impregnated with either of these sub- stances, its surface soon acquires a black film, and, on shaking, a blackish powder separates from it. Silver is immediately tarnished from the same cause. 2. The metals also may be used as tests of each other, on the principle of elective affinity. Thus, for example, a polished iron plate, immersed in a solution of sul- phate of copper, soon acquires a coat of this metal, and the same in other similar examples. I. Sulphate of Iron. This is the only one of the sulphates, ex- cept that of silver, applicable to the pur- poses of a test. When used in this view, it is generally employed to ascertain the presence of oxygenous gas, of which a natural water may contain a small quan- tity. A water, suspected to contain this gas, may be mixed with a little recently dis- solved sulphate of iron, and kept corked up. If an oxyde of iron be precipitated in the course of a few days, the water may be inferred to contain oxygenous gas. Sulphate, Jf Urate, and Acetate of Silver. These solutions are, in some measure, applicable to the same purpose. 1. They are peculiarly adapted to the discovery of muriatic acid and muriates.. For the silver, quitting the nitric or other acid, combines with the muriatic, and forms a flaky precipitate, which at first is white, but, on exposure to the sun's light, acquires a violet colour. This precipitate Dr. Black states to contain, in 1000 parts, as much muriatic acid as would form 425 parts and a half of crystallized muriate of soda, which estimate scarcely differs at all from that of Klaproth, A precipitation, however, may arise from other causes, which it may be proper to state. 2. The solutions of silver in acids are precipitated by carbonated alkalies and earths. The agency of these may be pre- vented by previously adding a few drops of the same acid in which the silver is dis- solved. 3. The nitrate and acetate of silver are decomposed by the sulphuric and sulphu- rous acids ; but this may be prevented by adding previously a few drops of nitrate or acetate of barytes, and, after allowing the precipitate to subside, the clear liquor may be decanted, and the solution of silver add- ed . Should a precipitation now take place, tlie presence of muriatic acid, or some one of its combinations, may be suspected. To obviate uncertainty, whether a precipita- tion be oAving to sulphuric or muriatic acid, a solution of sulphate of silver may be em- ployed, which is affected only by the latter acid. 4. The solutions of silver are precipitated by extractive matters ; but in this case also the precipitate is discoloured, and is soluble in nitrous acid. K. Kitrate and Acetate of Lead. 1. Acetate of lead, the most eligible of these two tests, is precipitated by sulphuric and muriatic acids ; but as, of both these, we have much better indicators, it is not ne- cessary to enlarge on its application to this purpose. 2. The acetate is abo a test of sulphuret- ted hydrogen and of sulphurets of alkalies, which occasion a black precipitate ; and if a paper, on which characters are traced with a solution of acetate of lead, be held over a portion of water containing sulphu- retted hydrogen, they are soon rendered visible. 3. The acetate of lead is employed in the discovery of uncombined boracic acid, a very rare ingredient of waters. To ascer- tain whether this be present, some cautions are necessary. The uncombined alkalies and earths (if any be suspected) must be sa- turated with acetic acid. The sulphates must be decomposed by acetate or nitrate of barytes, and the muriates by acetate or ni- trate of silver. The filtered liquor, if bo- racic acid be contained in it, will give a precipitate soluble in nitric acid of the spe- cific gravity of 1.3. ^' L. Kitrate of Mercury prepared with and without heat. Tliis solution, differently prepared, is sometimes employed as a test. But, since other tests ansv/er the same purposes more effectually, it is not absolutely necessary to have these tests. ]M. Muriate, Kitrate, and Acetate of Barytes. 1. These solutions are all most delicate tests of sulphuric acid, and of its combina- tions, with which tliey give a white preci- pitate, insoluble in dilate muriatic acid. They are decomposed, however, by carbo- nates of alkalis ; but the precipitate occa- sioned by these is soluble in dilute muriatic and nitric acid with effervescence, and may even be prevented bv addins: pi'evionslv-a sm JVIIN MiN few drops of the acid contained in the bary- tic salt. One hundred grains of dry sulphate of barytes (according to Klaproth, p. 168.) contain about 45 one-fifth of sulphuric acid, of the specific gravity 1850, according to Clayfield, 33 of acid of s. g. 2240, accord- ing to Thenard, after calcination about 25. These estimates differ very considerably. From Klaproth' s experiments, it appears that 1000 grains of sulphate of barytes indi- cate 595 of desiccated sulphate of soda, or 1416 of the crystallized salt. The same chemist has shown that 100 grains of sul- phate of barytes are produced by the pre- cipitation of 71 grains of sulphate of lime. 2. Phosphoric salts also occasion a preci- pitate with these tests, which is soluble in muriatic acid without efiiervescence. N. Prussiates of Potash and Lime. Of these two, the prussiate of potash is the most eligible. When pure it does not speedily assume a blue colour on the addi- tion of acid, nor does it immediately preci- pitate muriated barytes. Prussiate of pot- ash is a very sensible test of iron, with the solutions of which in acids it produces a Prussian blue precipitate, in consequence of a double elective affinity. To render its effect more certain, however, it may be proper to add previously, to any jwater sus- pected to contain iron, a little mttnatic acid, with the view to the saturation of uncom- bined alkalies, or earths, which, if present, prevent the detection of any minute portions of iron. 1. If a water, after boiling and filtration, does not afford a blue precipitate on the ad- dition of prussiats of potash, the solvent of the iron maybe inferred to be a volatile one, and probably the carbonic acid. 2. Should the precipitation ensue in the boiled water, the solvent is a fixed acid, the jiature of which must be ascertained by other tests. O. Solution of Soap in Alcohol. This solution may be used to ascertain the comparative hardness of waters. With distilled wa' " • it may be mixed without producing any change ; but, if added to a hard water, it produces a milkiness, more or less considerable as the water is less pure ; and from the degree of milkiness an experienced eye will judge of its quality. The acids, alkalis, and all earthy and me- tallic salts, decompose soap, and occasion that property in water termed hardness. Alcohol. Alcohol, when mixed with any water in tlie proportion of about an equal bulk, pre- cipitates all the salts which it is not capable of dissolving. P. Hydro-sulphuret of Ammonia. This and other sulphurets, as well as water saturated with sulphuretted hydro- gen, may be employed in detecting lead and arsenic, with the former of which they give a black, and with the latter a yellowish precipitate. As lead and arsenic, however, are never found in natural waters, these tests are not required. MINERALS. (Mineralia; from mina^ a mine of metal.) All substances, which do not possess organization, or are not pro- duced by an organized body, belong to the class called minerals. Among this varied class of materials, which require the atten- tion of the chemist and manufacturer, many are compounded of such principles, and formed under such circumstances and situ- ations in the earth, that it is difficult to dis- tinguish them without having recourse to the test of experiment ; several are formed with considerable regularity as to the pro- portion of their principles, their fracture, their colour, specific gravity, and figure of crystallization. Mineral bodies which enter into the com- position of the globe, are classed by minera- logists under four heads: — 1. Earths. 2. Salts. 3. Inflammable fossils; and 4. Me- tals and their ores. Under the term earths are arranged stones and earths, which have no taste, and do not burn when heated with contact of air. Under the second, salts, or those saline substances which melt in water and do not burn, they require, according to Mr. Kir- wan, less than two hundred times their weight of water to dissolve them. By inflammable fossils are to be under- stood all those minerals not soluble in water, and exhibiting a flame more or less evident when exposed to fire in contact with air. The fourth class, or ores, are componnd bodies. Nature has bestowed their proper metallic appearance on some substances, and when this is the case, or they are alloy- ed with other metals, or semi-metals, they are called native metals. But such as are distinguished, as they commonly are, in mines, in combination with some other un- metallic substances, are said to be mineral- ized. The substance that sets them in that state, is called the mineralizer, and the com- pound of both an ore. For example, in the common ore of copper, this metal is found oxidized, and the oxide combined with sul- phur. The copper may be considered as mineralized with oxygen and sulphur, and the compound of the three bodies forma an ore of copper. Mineral salts. See Salts. MI'NIMUM. A minim. The sixtieth part of a fluid-drachm. An important change has been adopted in the last London Phar- macopoeia, for the mensuration of liquids, and the division of the wine pint, to insure accuracy in the measurement of quantities of liquids below one drachm. The number cf drops cx>ntained in one drachm has been Mite MIS dW asiumed vo be sixty ; and taking water as a standard, this number, though by no means accurate, would still be sufficient for ordi- nary purposes ; but when other liquids of less specific gravity are used, a much larger number is required to fill the same measure, as of proof spirit, 140 drops are required to equal the bulk of 60 of water, dropped from the same vessel. If, therefore, in the com- position of medicines, measures suited to the standai'd of water were used occasional- ly only, and it was generally assumed that 60 drops were equal to one fluid-drachm, and one fluid-drachm was substituted for 60 drops prescribed, twice the dose intended ■would be given. There are further objec- tions to the use of drops ; that their bulk is influenced by the quantity of liquid con- tained in the bottle from which they fall, by the thickness of the lip, and even by the inequalities on the surface of the lip of the same bottle ; that volatile liquids, to which this mode is most commonly applied, are thus exposed with extensive surfaces, and their evaporation promoted ; and on all these accounts the adoption of some decisive, con- venient, and uniform substitute became ne- cessary. The subdivision of the wine pint has, therefore, been extended to the sixtieth part of the fluid-drachm, which is termed minim ; and glass measures expressive of such subdivision, have been adopted by the college. Mi'wiPM. Red lead. See Lead. Mi'nicm gr^co'rpm. Native cinna- bar. Mint, common. See Mentlia viridis. Mint, pepper. See Mentha piperita. Mint, water. See Mentha aquatica. Miscarriage. See Abortion. Misere're mei. (Have compassion on me ; so called from its unhappy torments.) The iliac passion. Mislaw. See Musa paradisiaca. MisocHY'Micus. Thus some were called who professed themselves enemies to the chemists, and their enthusiastic conceits. MisPiCKLE. A white, brilliant, granu- lated iron ore, composed of iron in com- bination with arsenic. Misletoe. See Viscum. MISTU'RA. A mixture. A fluid com- posed of two or more ingredients. It is mostly contracted in prescriptions thus, mist. e. g.— /. mist, which means, let a mix- ture be made. Mistu'ra ammoni'aci. Lac ammoniaci. Mixture of ammoniacum. " Take of am- moniacum, two drachms ; of w^ater, half a pint ; rub the ammoniacum with the water grciduaUy added, till they are thoroughly mixed." Mistu'ra amygdala'rum. Lac amyg- dala. Almond mixture, or emulsion. " Take of almond confection, two ounces ; distilled water, a pint ; gradually add the watei- to ]jnond confection, rubbins: them together, till properly mixed ; then strain." Mistf'ra assaf(e'tid^. Lac assafcetidce. Mixture oi assafoetida. " Take of assafoe- tida, two drachms ; water, half a pint ; rub the assafostida with the water, gradually added till they are thoroughly mixed." Mistu'ra ca'mphor^. Camphor mix- ture. " Take of camphor, half a drachm ; rectified spirit, ten minims ; water, a pint. First rub the camphor with the spirit, then with the water gradually added, and strciiiT the liquor." A very elegant preparation of camphor, for delicate stomaciis, and those who cannot bear it in substance, as an anti- spasmodic and nervine. There is a grfiit loss of camphor in making it as directed by the pharmacopoeia. Water can only take up a certain quantity. For its virtues, see Lauras camphora. Mistu'ra co'rnu u'sti. Decoctum al- bum. Decoction of hartshorn. " Take of hartshorn, burnt and prepared, two ounces ; acacia gum, powdered, an ounce ; water, three pints. Boil down to two pints, con- stantly stirring, and strain." This is a much weaker absorbent than the mistura cretae, but is much more agreeable to most people. It forms an excellent drink in fe- vers attended with diarrhoea, and acidities of the primae viae. Mistu'ra cre'tm. Chalk mixture, "Take of prepared chalk, half an ounce ; re- fined sugar, three drachms ; gum Arabic, powdered, half an ounce; water, a pint. Mix." A very useful and pleasant form of administering chalk as an adstringent and antacid. It is particularly calculated for children, in whom it allays the many deran- ged actions of the primae viae, which are pro- duced by acidities. Dose, one ounce to three, frequently. See CVe/a and Carbonas calcis, Mistu'ra fe'rri coivipo'sita. " Take of myrrh, powdered, a drachm ; subcarbo- nate of potash, twenty-five gi*ains ; rose- v/ater, seven fluid ounces and a half ; sul- phate of iron, powdered, a scruple ; spirit of nutmeg, half a fluid ounce ; refined su- gar, a drachm. Rub together the myrrh^ the subcarbonate of potash and sugar; and, during the trituration, add gradually, first, the rose-water and spirit of nutmegs, and last, the sulphate of iron. Pour the mix- ture immediately into a proper glass bottle, and stop it close." This preparation is the celebrated mixture of Dr. Griffiths, A che- mical decomposition is effected in forming this mixture, a subcarbonate of iron is form- ed, and a sulphate of potash. Mistu'ra guai'aci. " Take of guaiacum gum-resin, a drachm and a half; refined sugar, two di-achms ; mucilage of acacia gum, two fluid drachms ; cinnamon water, eight fluid ounces. Rub the guaiacum with the sugar, then with the mucilage ; and, when they are mixed, pour on the cinnamon water gradually, rubbing them 56S MOi MOL together."' For its virtues, see Guwca- cum. Mistu'e.a mo'schi. " Take of musk, acacia gum, powdered, refined sugar, of each a drachm ; rose-water, six fluid ounces. Rub the musk first with tlie sugar, then with the gum, and add the rose-water by degrees." An excellent diaphoretic and antispasmodic. It is by far the best way of administering musk, when bolusses cannot be swallowed. Dose, one ounce to three, frequently. Mithridaie mustard. See Thlaspi cam- pestre. MiTHRiDA'TiTJM. The electuary called Mithridate, from Mithridates, king of Pon- tus and Bithynia, who experiencing the ■virtues of the simples separately, afterwards combined them ; but then the composition consisted of but few ingredients, viz. twenty leaves of rue, two walnuts, two figs, and a little salt : of this he took a dose every morning, to guard liimself against the efiects of poison. MITRAL VALVES. ValvulcE mitrales. The valves of the left ventricle of the heart are so called from their resemblance to a mitre. Mi'vA. An ancient term for the form of a medicine, not unlike a thick syrup, now called Marmalade. MIXTURE. 1. See Mistura. 2. Chemical mixture should be distin- guished from chemical solution ; in the former, tlie aggregate particles can again be separated by mechanical means, and the proportion of the different particles deter- mined ; but, in solution, no mechanical power whatsoever can separate them. Mo'cHLiA. (From [jio^Kn;, a lever.) A 3'eduction of the bones from an unnatural to a natural situation. Mo'cHLicA. (From (xo^xiuo), to move.) Violent purges. MODI'OLUS. (Dim. of modus, a mea- sui'e.) The nucleus, as it were, of the cochlea of the ear is so termed. It ascends from the basis of the cochlea to the apex. Mofetle. £■ e Nitrogen. MOFFAT WATER. A cold sulphu- reous water, of a very simple composi- tion. Moffat, a village situated about fifty-six miles south-west of Edinburgh, af- fords this mineral water ; when first drawn, it appears rather milky and bluish ; the smell is exactly similar to that of Harrow- gate ; the smell is sulphureous and saline, without any thing bitter. It sparkles some- what on being poured from one glass to another. Accordmg to Dr. Garnett's analysis, a wine gallon of Moffat water contains thirty- six grains of muriate of soda, five cubic inches of carbonic acid gas, four of azotic gas, and ten of sulphuretted hj^drogen, making altogether nineteen cubic inches of gaso Moffat water is. therefore, very sim- ple in its composition, and hence it produ- ces efiects somewhat similar to those of Har- rowgate. It is, perhaps, on this account also that it so soon loses the hepatic gas, on which depends the greatest part of its me- dicinal power. The only sensible eflfect of this water is that of increasing the flow of urine ; when it purges, it appears rather to take place from the excessive dose than from its mineral ingredients. This water appears to be useful chiefly in cutaneous eruptions, and as an external application at an increased temperature, scrofula in its early stage appears to be alleviated by it ; it is also used as an external application to irritable ulcers, and is recommended in dyspepsia, and where there is inaction of the alimentary canal. Mogila'lia. (From f^oyity difficulty, and xttxiw, to speak.) A difficulty of speech. Mo'la. (Heb.) 1. The knee-pan; so named because it is shaped like a mill-stone, 2. A mole, or shapeless mass of flesh in the uterus. See Mole. MOLAPv GLANDS. Glandula molares. Two salival glands situated on each side of the mouth, between the masseter and buc- cinator muscles, the excretory ducts of which open near the last dens molaris. MOLA'RIS. (From molaris, a grind- stone : because they grind the food.) A double-tooth. See Teeth. Molasses. See Saccharum. Molda'vica. See Dracocephalum. MOLE. Mola. By. this term authors have intended to describe different produc- tions of, or excretions from the uterus. By some it has been used to signify every kind of fleshy substance, particularly those which are properly called polypi ; by others, those only which are the consequence of imperfect conception, or when the ovum is in a morbid or decayed state ; and by many, which is the most popular opinion, every coagulum of blood which continues long enough in the uterus to assume somewhat of an organized form, and to have only the fibrous part, as it has been called, remain- ing, is denominated a mole. There is surely much impropriety, says Dr. Denman, in including, under one ge- neral name, appearances so contrary and substances so different. For an account of the first kind, see Po- lypus. Of the second kind, wliich has been de- fined as an ovum deforme, as it is the conse- quence of conception, it might more justly be arranged under the class of monsters ; for though it has the appearance of a shape- less mass of flesh, if examined carefully with a knife, various parts of a child may be discovered, lying together in apparent confusion, but in actual regularity. The pedicle also by which it is connected to the uterus, is not of a fleshy tex*^nre, like that MOL MOL 569 ef the polypus, but has a regular series of vessels like the umbilical cord, and there is likewise a placenta and membranes contain- ing water. The symptoms attending the formation, growth, and expulsion of this apparently confused mass from the uterus, correspond with tliose of a well-formed child. With respect to the third sort of mole, an incision into its substance will discover its true nature ; for although the external surface appears at the first view to be orga- nized flesh, the internal part is composed merely of coagulated blood. As substances of this kind, which mostly occur after deli- very, would always be expelled by the action of the uterus, there seems to be no reason for a particular inquiry, if popular opinion had not annexed the idea of mischief to them, and attributed their formation or con- tinuamce in the uterus to the negligence or misconduct of the practitioner. Hence the persuasion arose of the necessity of extract- ing all the coagula of blood out of the ute- rus, immediately after the expulsion of the placenta, or of giving medicines to force them away : but abundant experience hath proved, that the retention of such coagula is not, under any circumstances, productive of danger, and that they are most safely expelled by the action of the uterus, though at very different periods after their for- mation. Mo'llb. Indian mastich. MOLLl'TIES O'SSIUxM. {Mollities, from mollis, soft.) A disease of the bones, wherein they can be bent without fracturing them, in consequence either of the inordi- nate absorption of the phosphate of lime, from which their natural solidity is derived. or else of this matter not being duly se- creted and deposited in their fabric. In rickets, the bones only yield and become distorted by slow degrees ; but in the pre- sent disease they may be at once bent in any direction. The mollities ossium is rare, and its causes not well understood. All the cases of mollities ossium yet on record have pi'oved fatal, and no means of cure are yet known. On dissection of those who have died, all the bones, except the teeth, have been found unusually soft, so that scarcely any of them could resist the knife, the periosteum has been found thicker than usual, and the bones have been found to contain a great quantity of oily matter and little earth. MOLLl'TIES U'NGUIUM. A pre- ternatural softness of the nails ; it often ac- companies chlorosis. Mollifica'tio. a barbarous term for a palsy of the musdes in any particular part. Molttcce'hse Li'GNtrM. See Croton tiglium. MOLYBDATE. Molybdas. A salt formed by the union of the molybiiJc acid with different basis : thus, molybdate of an- timony, fee. MOLYBDE'NA. (From (aokuQIoc^ lead.) Molybditis. A metal which exists mineralized by sulphur in the ore callefl sulphuret of molybdena. This ore, which is very scarce, is so similar in several of its properties to plumbago that they were long considered as varieties of the samesubstance. It is of a light lead-grey colour, its surface is smooth, and feels unctuous, its texture is lamellated, it soils the fingers, and marks paper bluish-black, or silver-grey. It may be cut with a knife. It is generally found in compact masses ; seldom in particles, or crystallized. It is met with in Sweden, Spain, Saxony, Siberia, and Iceland. Scheele showed that a peculiar metallic acid might be obtained from it ; and later che- mists have succeeded in reducing this acid to the metallic state. We are indebted to Mr. Hatchett, for a full and accurate analy- sis of this ore. The native sulphuret of molybdena, is the only ore hitherto known, which contains this metal. Properties of molybdena. — Molybdena is eitlier in an agglutinated blackish friable mass, having little metallic brilliancy, or in a black powder. The mass slightly united^ shows by a magnifying glass, small round brilliant grains. Its weight is about 8. It is one of the most infusible of the metals. It is capable of combining with a number of metals by fusion. It forms with sulphur an artificial sulphuret of molybdena analogous to its ore. It unites also to phosphorus. The affinity of molybdena for oxygen is very feeble, according to Mr. Hatchett. The alkalis have no action on molybdena in the moist way, but it enters readily into fusion with potash and soda. It is oxidr- zable by boiling sulphuric acid, and acidifi- able by the nitric acid. Muriatic acid does not act upon it. It is capable of existing in not less tlian four different degrees of oxy- genation. Method of obtaining molybdena. — To obtain molybdena is a task of the utmost difficulty. Few chemists have succeeded ia producing this metal, on account of its great infusibility. The method recommended in general is the following : — Molybdic acid is to be formed into a paste with oil, dried at the fire, and then exposed to a violent heat in a crucible lined with charcoal. By this means the oxide becomes decomposed ; a black agglutinated substance is obtained, very brittle under the finger, and having a metallic brilliancy. This is the metal called molybdena. Molybdi'tis. See Molybdena. Molt'bdos. (Ot< fAoxii ttQ jietdog, from its gravity.) Lead. Molx'za. (Dim. of |W&)Xt/, mole.) Gar» lie; whose head, like moly^^is aot divifed into clove?. 72 s^ MON MoMi'scvs. (Fi'om //.a^os} a blemish.) That part of the teeth which is next the gums, aad which is usually covered with a foul tartareous crust. MOMO'RDICA. (Momordica; from mordeOf to bite ; from its sharp taste.) The name of a genus of plants in the Linnfean system. Class, Monoecia. Order, Synge- nesia. The balsam apple plant. Momo'rdica elate'rium. The syste- matic name of the squirting cucumber, Ela- terium. Cucumis agreslis. Cucumis asininus. Cucumis sylvesiris. Elalerium officinarum. Boubalios. GvMrerba orba. Wild or squirt- ing cucumber. Momordica elaterium ; pomis hispidis cirrhisnullis, of Linnsus. The dried sediment from the juice of this plant is the elaterium of the shops. It has neither smell nor taste, and is the most pow- erful cathartic in the whole materia medica. Its efficacy in dropsies is said to be conside- rable ; it, however, requires great caution in the exhibition. From the eighth to the half of a grain should be given at first, and re- peated at proper intervals until it operates. Mona'rda fistulo'sa. The systematic name of the purple monarda. The leaves of this plant have a fragrant smell, and an aromatic and somewhat bitter taste, possess- ing nervine, stomachic, and deobstruent vir- tues. An infusion is recommended in the cure of intermittent fevers. Mone'lli. a species of Anagallis, Money-wort. See Lysimachia nummu- laria. Monks rhubarb. See Rumex alpinus. Monkshood. See Anthora. MoNo'cuLUM. (From^wove?, single, and oculus, the eye.) A name given to the caecum, or blind gut, by Paracelsus, be- cause it is perforated only at one end. MoNO'CTTLrs. (From ywovoc, one, and oculus, an eye.) Monopia. A very un- common species of monstrosity, in which there is but one eye, and that mostly above the root of the nose. Monohe'mera. (From /uovo;, single, and ufAiptt, a day.) A disease of one day's continuance. Mono'machow. The intestinum csecum. Mojvope'gia. (From fjtovoi, single, and TTfiyvvfAt, to compress.) A pain in only one side of the head. Mow'PiA. (From fxovoQ, single, and m'\, the eye.) See Monoculus. MoNo'RCHis. (From fxsva?, one, and o/3_p^/j, a testicle.) An epithet for a person that has but one testicle. MONRO, Alexander, was born in London, of Scotch parents, in 1697. His father, who was an army surgeon, settled afterwards at Edinburgh, and took great interest in his education. At a proper age, he sent him to attend Cheselden in London, where he displayed great assiduity, and laid the foundation of his celebrated work on ^he Bon^ : he then went to PsH-js, and in MOK 1718 to Leyden, where he received the par* ticular commendation of Boerhaave. Re^ turning to Edinburgh the following year, he was appointed professor and demonstrator of anatomy to the compa.ny of Surgeons, and soon after he began to give public lec- tures on that subject, Dr. Alston at the same time taking up the Materia Medica and Bo- tany. This may be regarded as the opening of that medical school, which has since ex- tended its fame throughout Europe, and even to America. The two lectureships were placed upon the university establish- ment in 1720, and others shortly added to complete the system of medical education ; but an opportunity of seeing practice being still wanting, Dr. Monro pointed out in a pamphlet the advantages of such an institu- tion ; the Royal Infirmary v/as therefore es- tablished, and he commenced Clinical Lec- tures on Surgery; and Dr. Rutherford, afterwards extended the plan to Medical cases. None of the new professors contri- buted so much to the celebrity of this school as Dr. Monro, not only by the diligent and skilful execution of the duties of his office, but also by various ingenious and useful publications. He continued his lectures during upwards of six months annually for nearly forty years, and acquired such repu- tation, that students flocked to him from the most distant parts of the kingdom. His first and chief work was his " Osteology'* in 1726, intended for his pupils ; but which became very popular, passed through nume- rous editions, and was translated into most European languages : he afterwards added a concise description of the nerves, and a very accurate account of the lacteal system and thoracic duct. He was also the father and active supporter of a society, to whicli the public is indebted for six volumes of " Medical Essays and Observations :" he acted as secretary, and had the chief labour in the publication of these, besides having contributed many valuable papers, espe- cially an elaborate Essay on the Nutrition of the Foetus. The plan of the society was afterwards extended, and three volumes of " Essays Physical and Literary" were pub- lished, in which Dr. Monro has several use- ful papers. His last publication was au Account of the Success of Inoculation in Scotland. He left, however, several works in manuscript ; of which a short Treatise on Comparative Anatomy, and his oration " De Cuticula,'' have been since given to the public. In 1759 Dr. Monro resigned his anatomical chair to his son, but conti- nued his Clinical lectures ; he exerted him- self also in promoting almost every object of public utility. He was chosen a fellow of the Royal Society of London, and an honorary member of the Royal Academy of Surgery at Paris. He died in 1767. MoNS. A mount, or hill. MONS VE'NERIS. The frJan^ular 'MON MOR s-ti eminence immediately over the os pubis ol women, that is covered with hair. MONSTER. Lxisus natura. Dr. Den- man divides monsters into, 1st, Monsters from redundance or multiplicity of parts ; 2d, Monsters from deficiency or want of parts; 3d, Monsters from confusion of parts. To these might perhaps be added, with- out impropriety, another kind, in which thei'e is neither redundance, nor deficien- cy, nor confusion of parts, but an error of place, as in transposition of the viscera. But children born with diseases, as the hydrocephalus, or their eifects, as in some cases of blindness, from previous inflam- mation, cannot be properly considered as monsters, thouglj they are often so deno- minated, hi Of the first order there may be two kinds ; redundance or multiplicity of na- tural parts, as of two heads and one body, of one head and two bodies, an in- creased niunber of limbs, as leg-s, arms, fingers, and toes ; or excrescences or addi- tions to parts of no certain form, as those iipon the head and other parts of the body. It is not surprising that we should be ignorant of the manner in which monstei's or irregular births are generated or pro- duced ; though it is probable that the laws by which these are governed are as regular, both as to cause and effect, as in common or natural productions. Formerly, and indeed till within tliese few years, it was a generally received opinion, that monsters were not primordial or aboriginal, but that they were caused subsequently, by the pow- er of the imagination of the mother trans- ferring the imperfection of some external object, or the mark of something for which she longed, and with which she was not indulged, to the child of which she WEis pregnant ; or by some accident which hap- pened to her during her pregnancy. Such opinions, it is reasonable to think, were permitted to pass current in order to protect pregnant women from all hazard- ous and disagreeable occupations, to screen them from severe labour, and to procure for them a greater share of indulgence and tenderness than could be granted to them in the common occurrences of life. The laws and customs of every civilized nation have, in some degree, established a persuasion that there was something sacred in the person of a pregnant woman : and this may be right in several points of view ; but these only go a little way towards justifying the opinion of monsters being caused by the imagination of the mother. The opinion has been disproved by com- mon observation, and by philosophy, not perhaps by positive proofs, but by many strong negative facts ; as the improbability of any child being born perfect, had such a Tjower existed: the freedom of children from any blemish, their mothers being in situations most exposed to objects likely to produce them; the ignorance of the mother of any thing being wrong in the child, till, from information of the fact, she begins to recollect every accident which happened during her pregnancy, and assigns the worst, or the most plausible as the cause ; the organization and colour of these adven- titious substances ; the frequent occurrence of monsters in the brute creation, in which the power of the imagination cannot be great ; and the analogous appearances in the vegetable system, where it does not ex- ist in any degree. Judging, however, from appearances, accidents may perhaps be al- lowed to have considerable influence in the production of monsters of some kinds, either by actual injury upon parts, or by suppress- ing or deranging the principle of growth, because, when an arm, for instance, is want- ing, the rudiments of the deficient parts may generally be discovered. MORBI'LLI. (Dim. of niorhus, a dis- ease.) See Rubeola. Mo'REUS ARatTA'TTJS. The jaundicc. Mo'rbfs atto'jvitus. The epilepsy, or apoplexy. Mo'reus cosa'ritjs. See Jirthropuosis. Mo'recs ga'llicus. The venereal dis- ease. Mo'rbtjs hercu'leus. The epilepsy. Mg'rbtts infajvti'lis. The epilepsy. Mo'rbtjs I'lfDicFS. The Indian disease, the venereal disease. Mo'rbus MA'GNtrs. The epilepsy. Mo'e.bus ki'ger. The black disease. So Hippocrates named it, and thus de- scribed it. This disorder is known by vo- miting a concrete blood of a blackish red colour, and mixed with a large quantity of insipid, acid, or viscid phlegm. This eva- cuation is generally preceded by a pungent tensive pain, in both the hypochondria; and the appearance of the disease is attend- ed with anxiety, a compressive pain in the prscordia, and fainting, wliich last is more frequent and violent, when the blood which is evacuated is foetid and corrupt. The stomach and the spleen are the principal, if not the proper seat of this disease, Mo'rbus re'giits. The jaundice, Mo'rbus sa'cer. The epilepsy. Mo'reij. See Phallus esculentus. More'tus. (From morum, the mulber- ry.) A decoction of mulberries. MORGAGNI, Giambatista, was born at Forli, in 1682. He commenced his me- dical studies at Bologna, and displayed such ardour and talent, that Valsalva availed himself of his assistance in his researches into the organ of hearing, and in drawing up his memoirs on that subject. He also performed the professoral duties during the temporary absence of Valsalva, and by his skill and obliging manners procured gene- ral esteem. He afterwards prosecuted his 572 MOR MOR. studies at Venice and Padua, and then set- tled in his native place. He soon however perceived, that this was too contracted a sphere for his abilities ; wherefore he re- turned to Padua, where a vacancy soon oc- curring, he was nominated in 1711 to teach the theory of physic. He had already dis- tinguished himself by the publication, five years before, of tiie first part of liis " Ad- versaria Anatomica," a work remarkable for its accuracy as well as originality ; of which subsequently five other parts appear- ed. He assisted Lancisi in preparing for publication the valuable drawings of Eus- tachius, which came out in 1714. The fol- lowing year he was appointed to the first anatomical professorship in Padua ; and from that period ranked at the head of the anatomists of his time. He was also well versed in general literature, and other sub- jects not immediately connected with his profession ; and honours were rapidly accu- mulated upon him from every quarter of Europe. He was distinguished by the par- ticular esteem of three successive popes, and by the visits of all the learned and great who came into his neighbourhood ; and his native city placed a bust of him in their public hall during his life, witli aii honorary inscription. Though he had a large family, he accumulated a considerable property by his industry and economy ; and by means of a good constitution and regular habits, he attained the advanced age of 90. Besides the Adversaria he published several other works, two quarto volumes of anatomical epistles, an essay on the proper method of acquiring medical science, which appeared on his appointment to the theoretical chair, &c. But that which has chiefly rendered his name illustrious is entitled " De Sedi- bus et Causis Morborum," printed at Ve- nice in 1760. It contains a prodigious col- lection of dissections of morbid bodies, made by Valsalva and himself, arranged accord- ing to the organs affected. He followed the plan of Bonetus ; but the accuracy of his details renders the collection far supe- rior in value to any that had preceded it. Mo'ria. (From f^upog, foolish.) Idiot- ism. Fatuity. Mo'ro. (From mon«»i, a mulberry.) A small abscess resembling a mulberry. MoRo'sis. (From fAcepog, foolish.) See ..4 mcntia. Morphe'a a'lba. (From f/io[i<^>i, form.) A species of cutaneous leprosy. See Alphus. Morse'llcts. Morsulus. A lozenge. Mo'rsuli. An ancient name for those ibrms of medicines which were to be chew- ed in the mouth, as a lozenge, the word signifying a little mouthful. Mo'rsus dia'boli. The fimbriae of the Fallopian tubes. Mo'rta. See Pemphigus. MoRTARi'oLUM. (Dim. of mortarium, a mortar.) In chemistry, it is a sort of mould for making cupels with, also a little mortar. In anatomy, it is the sockets of the teeth. MORTIFICATION. (From mors, death, and^o, to become.) Morlificatio. Gan- grena. Sphacelus. The loss of vitality of a part of the body. Surgeons divide mor- tification into two species, the one preceded by inflammation, the other without it. In inflammations that are to terminate in mor- tification, there is a diminution of power joined to an increased action ; this becomes a cause of mortification, by destroying the balance of power and action, which ought to exist in every part. There are, how- ever, cases of mortification that do not arise wholly from that as a cause : of this kind are thp carbuncle and the slough, formed ill the small-pox pustule. Healthy phleg- monous inflammation seldom ends in morti- fication, though it does so when very vehe- ment and extensive. Erysipelatous inflam- mation is observed most frequently to ter- minate in gangrene ; and whenever phleg- mon is in any degree conjoined with an erysipelatous afiection, which it not unfre- quently is, it seems thereby to acquire tlie same tendency, being more difficult to bring to resolution, or suppuration, than the true phlegmon, and more apt to run into a mor- tified state. Causes which impede the circulation of the part affected, will occasion mortifica- tion, as is exemplified in strangulated her- nia, tied polypi, or a limb being deprived of circulation from a dislocated joint. Preventing the entrance of artei'ial blood into a limb, is also another cause. Para- lysis, conjoined with pressure, old age, and ossification of the arteries, may produce mortification ; also cold, particularly if followed by the sudden application of warmth; and likewise excessive heat ap- plied to a part. The symptoms of mortification that take place after inflammation are various, but generally as follows : — tlie pain and sym- pathetic fever suddenly diminish, the part affected becomes soft, and of a livid colour, losing at the same time more or less of its sensibility. When any part of the body loses all mo- tion, sensibility, and natural heat, and be- comes of a brown livid or black colour, it is said to be affected with sphacelus. When the part becomes a cold, black, fibrous, senseless substance, it is termed a slough. As long as any sensibility, motion, and warmth continue, the state of the disorder is said to be gangrene. This last term is synonymous with mortification. When gangrene takes place, the patient is usually troubled with a kind of hiccough : the constitution always suffers an immedi- ate dejection, the countenance assumes a wild cadaverous look, the pulse becomes small, rapid, and sometimes irregular ; cold perspirations come on, and the patient is often affected with diarrhoea and delirivjm. MOB MOU 6^ MORTON, Richard, was bofn in Suf- folk, and after taking the degree of Bache- lor of Arts at Oxford, officiated for some time as a chaplain : but the intolerance of the times, and his own religious scruples, compelled him to change for the medical profession. He was accordingly admitted to his doctor's degree in 1760, having ac- companied the Prince of Orange to Oxford, as physician to his person. He afterwards settled in London, became a Fellow of the College, and obtained a large share of city practice. He died in 1698. His works have had considerable reputation, and evince some acuteness of observation, and activity of practice. They abound^ howe- ver, with the errors of the humoral patholo- gy, which then prevailed ; and sanction a method of treatment in acute diseases, which his more able contemporary, Syden- ham, discountenanced, and which subse- quent experience has generally discarded. His first publication was an attempt to ar- range the varieties of consumption, but not •very successfully. His " Pyretologia" came out in two volumes, the first in 1691, the other at an interval of three years ; in this work especially the stimulant treatment of fevers is carried to an unusual extent, and a more general use of cinchona recommended. MO'RUM. The mulberry. See Morus nigra. MO'RUS. The name of a genus of plants in the Linnsean system. Class, Mo- noecia. Order, Tetrandria. The mul- berry-tree. Mo'rps ni'gra. The systematic name of the mulberry-tree. Foliis cordatis scabris, of Linneeus. Mulberries abound with a deep violet-coloured juice, which, in its ge- neral qualities, agrees with that of the fruits called acido-dulces, allaying thirst, partly by refrigerating, and partly by exciting an ex- cretion of muscus from the mouth and fauces, a similar effect is also produced in the stomach, where, by correcting putres- cency, a powerful cause of thirst is remo- ved. The London College directs a syru- pus mori, which is an agreeable vehicle for various medicines. The bai'k of the root of this tree is said, by Andree, to be useful in cases of taenia. Moscha'ta jyux. See Myristica moschata. MO'SCHUS. (Mosdi, Arab.) Musk. An unctuous substance, contained in excretory follicles about the navel of the male animal, called Mosckus moschtferus, by Linnaeus, (a ruminating quadruped, resembling the an- telope,) the strong and permanent smell ef which is peculiar to it. It is contained in a bag placed near the umbilical region. The best musk is brought from Ton- quin, in China ; an inferior sort from Agria and Bengal, and a still worse from Russia- It is slightly unctuous, of a black colour, having a strong durable smell and a bitter taste. It yields part of its active matter to water, by infusion ; by distillation the water is impregnated with its flavour ; alco- hol dissolves it, its impurities excepted. Chewed, and rubbed vrith a knife on paper, it looks bright, yellowish, smooth, and free from grittiness. Laid on a red-hot iron, it catches flame and burns almost entirely away, leaidng only an exceedingly small quantity of light greyish ashes. If any earthy substances have been mixed with the musk the impurities will discover them. The medicinal and chemical properties of musk and castor are very similar : the vir- tues of the former are generally believed to be more powerful, and hence musk is pre- ferred in cases of imminent danger. It is prescribed as a powerful antispasmodic, in doses of three grains or upwards, even to half a drachm, in the greater number of spasmodic diseases, especially in hysteria and singultus, and also in diseases of debi- lity. In typhus, it is employed to remove subsultus tendinum, and other symptoms of a spasmodic nature. In cholera it frequent- ly stops vomiting ; and, combined with am- monia, it is given to arrest the progress of gangrene. It is best given in the form of bo- lus. To children it is given in the form of enema, and is an efficacious remedy in the convulsions arising from dentition. It is also given in hydrophobia, and in some forms of mania, Mo'scHus moschi'ferus. The systema- tic name of the musk animal. See Moschus, Mosaui'TA. (From mosquiia, a gnat, Span.) An itching eruption of the skin, pro- duced in hot climates by the bite of gnats. Mosy'llum. (Mos-vwov.) The best cin- namon. Mother of thyme. See Thymus serpyllwn. Motherwort. See Leonurus cardiaca. Motion, muscular. See Muscular motion. Motion, peristaltic. See Peristaltic motion. MOTO'RES OCULO'RUM. {Nervi Motores ; so called from their office.) The third pair of nerves of the brain. They arise from the crura cerebri, and are distributed on the muscles of the bulb of the eye. Moto'rii oculo'rum. See Motores ocu- lar urn. Mould. See Fontanella. Mountain parsley, black. See .A Ihamanta oreoselinum. Mouse-ear. See Hieracium pilosella. MOUTH. Os. The cavity of the mouth is well known. The parts which con- stitute it are the common integuments, the lips, the muscles of the upper and under jaw, the palate, two alveolar arches, the gums, the tongue, the cheeks, and salival glands. The bones of the mouth are the two superior maxillary, two palatine, the lower jaw, and thirty-two teeth. The arteries of the external parts of the mouth are branches of the infra-orbital, inferior alveolar, and facial arteries. The veins 574 MLFC MUM empty themselves into the external jugu- lars. The nerves are branches from the fifth and seventh pEiir. The use of the mouth is for mastication, speech, respiration, deglu- tition, suction, and taste. Mo'xA Japo'nica. (Japonese.) See Ar- temisia Chinensis. MUCILAGE. Mucilago. A solution of gum. See Gum. MUCILAGINOUS EXTRACTS. Ex- tracts that readily dissolve in water, scarce" ly at all in spirits of wine, and undergo spirituous fermentation. Mucila'go aca'ci^. MucUage of aca- cia. Mucilago gummi arabici. " Take of acacia gum, powdered, four ounces ; boil- ing water, half a pint. Rub the gum with the vrater, gradually added, until it in- corporates into a mucilage." A demulcent preparation, more frequently used to com- bine medicines, than in any other form. Mucila'go a'myli. Starch mucilage, •' take of starch, three drachms; water, a pint. Rub the starch, gradually adding the water to it ; then boil until it incorpo- rates into a mucilage." This preparation is mostly exhibited with opium, in the form of clyster in diarrheas and dysenteries, whei-e the tenesmus arise from an abrasion of the mucus of the rectum. MrciLA'GO ara'bici gu'mmi. See Mu- cilago acacice. Mucila'go se'miwis cydo'sii. See De- coctum cydonicE. Mtjcila'gg te.agaca'nth^. Mucilage of tragacanth, joined witli syrup of mul- berries, forms a pleasant demulcent, and may be exliibited to children, who are fond of it. This mucilage is omitted in the last London Pharmacopoeia, as possessing no su- periority over the mucilage of acacia. Mucoca RNEtrs. In M. A. Severinus, it is an epithet for a tumoui', and an abscess, which is partly fleshy and partly mucous. MUCOUS GLANDS. Glandula mu- coscB. ?fIuciparous glands. Glands that secrete mucus, such as the glands of the Schneiderian membraiie of the nose, the glands of the fauces, oesophagus, stomach, intestines, bladder, urethra, &;c. JMUCUS, ANIMAL. Animal mucus differs from that obtained from the vegeta- ble kingdom, in not being soluble in water, swimming on its surface, nor capable of mixing oil with water, and being soluble in mineral acids, which vegetable mucus is not. The use of this substance is to lu- bricate and defend the parts upon which it is seci'eted, as the nose, oesophagus, sto- mach, intestines, urethra, vagina, &c. Sir Everard Home, in his dissertation on the properties of pus, informs us of a curious and apparently decisive mode of distin- guishing between pus and animal mucus. The property, he observes, which charac- terizes pus, and distinguishes it from most other substances, is. its being composed of globules, Avhich are visible when viewed through a microscope ; whereas, animal mucus, and aU chemical combinations of animal substances, appear in tlie micro- scope to be made up of flakes. This pro- perty was first noticed by the late Mr. J. Hunter. MUCUS, VEGETABLE. See Gum. Mugwort. See Artemisia vulgaris. Mtj'l^. Pustules contracted either by heat or cold. Mulberry. See Morus. Mullein, See Verbascum. Mtj'lsttm. Mulsa. Hydromel. Honey- water ; though sometimes it signifies wine sweetened with honey. MULTITIDUS SPI'N^. (From multusy many, and Jindo, to divide.) Transverso- spinalis lumborum. Musculxis sacer. Semi- spinalis internus, sive transverso-spinalis dorsi. Semi-spinalis, sive transversa spinalis colli, pars interna, of Winslow. Transver- salis lumborum vulgo sacer. Traiisversalis dorsi. Transversalis colli, of Douglas. Lum- bo dorsi spinal, of Dumas. The generality of anatomical writers have unnecessarily multiplied the muscles of the spine, and hence their descriptions of these parts are confused, and difficult to be understood. Under the name of muUi/idus spina, Albi- nus has, therefore, very properly included those portions of muscular flesh, intermixed with tendinous fibres, which lie close to the posterior part of the spine, and which Douglas and Winslow have described as three distinct muscles, under the names of iransversales, or transverso-spinales, of the loins, back, and neck. The multifidus spinas arises tendinous and fleshy from the upper convex surface of the os sacrum, from the posterior adjoining part of the ilium, from the oblique and transverse pro- cesses of all the lumbar vertebrae, from the transverse processes of all the dorsal verte- bras, and from those of the cervical verte- brae, excepting the three first. From all these origins the fibres of the muscles run in an oblique direction, and ai^e inserted, by distinct tendons, into the spinous processes of all the vertebrae of the loins and back, and likewise into those of the six inferior vertebra of the neck. Y>'^hen this muscle acts singly, it extends the back obliquely, or moves it to one side ; when both mus- cles act, they extend the vertebrae back- wards. Multifo'rme OS. See Ethmoid bone. Mu'ltipes. (From multus, many, and 2')es, a foot. 1. The wood-louse. 2. The polypus. 3. Any animal having more than four feet. Mumps. See Cynanche. Mundicati'va. (From mundo, to cleanse.) Mundificantia. Medicines which purify and clean away foulness. MtriTDiFiCA'NTiA, See Mundicativa. Mtt'ngos. See Ovhinrrkisa rnvngos. MUR MllJK il5 Mcra'lis. (From mums, a wall ; so called because it grows upon walls,) Pelli- tory. See Parielaria. Mura'ria. (From murus, a wall ; be- cause it grows about walls.) A species of maiden hair, MU'RIAS. A muriate, or salt, formed by the union of the muriatic acid with cer- tain bases, as muriate of ammonia, &c. MU'RIAS AMMO'NI^. See Sal am- moniac. Mu'rias antimo'nii. Butter of anti- mony. Formerly used as a caustic. Mu'rias bary'tjE. See Barytes. Mp'rias calcis. See Calx. MU'RIAS FE'RRI. Ferrum salitum. Oleum, marlis per deliquium. This prepa- ration of iron is styptic and tonic, and may be given in chlorosis, intermittents, rachi- tis, &c. Mu'rias fe'rri ammoniaca'lis. See Ferrum ammoniatum. Mu'rias hydra'rgyri. There are two muriates of mercury. See Hydrargyri sub- murias, and Hydrargyri oxymurias. Mu'rias hydra'rgyri ammoniaca'lis. See Hydrargyrum prcecipitatum album. Mu'rias hydra'rgyri oxygena'tus. See Hydrargyri oxymurias. MU'RIAS HYPEROXYGENA'TUS FOTA'SBM. The oxygenated muriate of potash has lately been extolled in the cure of the venereal disease. It is exhibited in doses of from fifteen to forty grains in the course of a day. It increases the action of the heart and arteries, is supposed to oxygenate the blood, and prove of great service in scorbutus, asthenia, and cachectic diseases. MU'RIAS POTA'SSiE. Alkali vegeta- bile salitum, Sal digestivus. Sal febrifu- gus Sylvii. This salt is exhibited with the same intention as the muriate of soda, and was formerly in high estimation in the cure of intermittents, &c. Mu'rias so'djE. See Sodce murias. Mu'rias sti'bii. See Murias antimonii. MURIATIC ACID GAS. The basis of this gas is still unknown. The presence of oxygen has not been demonstrated in it, and it is only by analogy that we may venture to suppose it instrumental in this acid gas. Properties. — It has a very pungent and suffocating odour, which excites coughing. It is readily absorbed by water, by ardent spirit, ether, fat, and essential oils, melted wax, phosphorus, and many other bodies. It is a true acid. It suffocates animals, and is so very caustic as to excoriate the skin. It extinguishes a lighted taper, the flame of which previously becomes green, or rather light blue at the upper part of its disk. Light has no effect upon it. Caloric rarifies it. It is heavier than common air. The specific gravity of the former is to that of the latter as 1.284 to 1.000. When brought into contact with atmospheric air, or oxygen gas, it fornas a white cloud, from condensing the vapour in them. Ice is melted by it as speedily as if thrown into the fire. It unites to alkaline and terrene substances, and forms with them new com- pounds : but it has no action on siliceous earths. If ammoniacal gas be mixed with it, both gasses lose their gaseous form in a moment, and are transformed to a concrete salt. Carbonic acid gas, nitrogen gas, gase- ous oxide of nitrogen, sulphuretted hydro- gen gas, and carbu retted hydrogen gas have no action upon it. It has never been found in a disengaged state in nature. When elec- tric explosions arc made to pass through it, its bulk is diminished and hydrogen gas is evolved. These changes are owing to a quantity of water contained in the gas, and cease when it is deprived of moisture, as has been proved by Dr. Henry. Method of obtaining Muriatic Acid Gas. 1. By decomposing muriate of soda, by means of sulphuric acid. For this purpose, put into a tubulated retort two parts of very dry muriate of soda, and pour on it gradu- ally one part of concentrated sulphuric acid. A violent action takes place, and muriatic acid gas becomes liberated, which must be collected over mercury in the usual manner. The sulphuric acid has a greater afiinity for the soda than the muriatic acid has, it there- fore unites to it and forms sulphate of soda. The muriatic acid being liberated, takes the gaseous form, and appears as muriatic acid gas, and as the decomposition takes place very rapidly, it is not necessary to apply heat, until the disengagement of the gas begins to slacken, after which the further extrication may be assisted by the heat of a lamp. 2. Muriatic acid gas may likewise be ob- tained by expelling it from its combination with water. For this purpose put concentrated mu- riatic acid into a retort, immerse the beak of it under a receiver placed in a mercurial pneumatic trough, and filled with that me- tal. On exposing the acid to a gentle heat, muriatic acid gas will be obtained. If the process be very carefully managed, nothing but water remains in the retort. 3. Muriatic acid gas is likewise produced by putting any quantity of liquid muriatic acid into a long glass tube, and adding to it about one-third or one-fourth by measure of concentrated sulphuric acid. A violent effervescence takes place, and the whole tube becomes filled with dense white va- pours, which are muriatic acid gas, conden- sed again by means of the moisture of the atmosphere. The sulphuric acid, added to the muriatic acid, deprives the latter of part of its water, a combination and penetration of the two liquids take place, and caloric is evolved, contributing to render the gas ae- riform, which is thus forced to escape. This experiment proves that the affinUj: a7t> MLFR MU& of sulphuric acid for water, is greater than that of muriatic acid. Water impregnated with this gas forms Muriatic Acid. Properties.— Liquid muriatic acid, or wa- ter impregnated with muriatic acid gas, is a colourless, very odorous, and pungent fluid. It emits copious white fumes in contact with moist atmospheric air ; these fumes are muriatic acid gas that escapes from it, and condenses again by combining with the hu- midity of the air. If a wide-mouthed bot- tle, containing strong muriatic acid, be opened, and the hand brought near its ori- fice, a sensible warmth is perceived, which arises from the combination of the acid gas with the water of the atmosphere. Liquid muriatic acid is unalterable by any known combustible body. It disengages the car- bonic, phosphoric, and sulphurous acids from all their combinations, but it is gene- rally expelled by the action of the sulphu- 3?ic acid. Method of obtaining Muriatic Acid. — Mu- riatic acid is best obtained by decomposing muriate of soda, or common salt, by means of sulphuric acid, in the following manner : Put into a tubulated retort (lodged in a sand-heat, or supported over a lamp, and connected with Pepy's distillatory vessel, or Woulf's bottles, every one containing a small quantity of distilled water,) three parts of muriate of soda, and pour on it one of sulphuric acid very gradually, or rather let it be suffered to drop into the retort, by means of a funnel fastened to its tubulure, and whose inner opening may at pleasure be closed, wholly, or in part, by means of a ground-glass rod. Muriatic acid gas will be plentifully disengaged, which passes through the neck of the retort, and becomes absorbed by the water, which is heated thereby. When the water in the first bottle is fully saturated, it absorbs no more, and becomes cold, but the gas continues to pass into the next bottles, and heats the water they contain. The water thus impregnated with muriatic acid gas, is muriatic acid. Remark. — If sulphuric acid, diluted with an equal quantity, by weight, of water, be made use of in this process, the apparatus of Pepys or Woulf may be dispensed with, and a common receiver may be used with safety. The salts formed by the combination of muriatic acid with different bases, are call- ed MURIATES. This acid possesses active tonic powers. In typhus, or nervous fevers, although em- ployed on the Continent with success, it has not proved so beneficial in this country ; and when freely used, it is apt to determine to the bowels. Externally, the muriatic acid has been applied in the form of a bath, to the feet, in gout. In a late publication, there are accounts of its successful applica- tion as a lithonti-iptic. Muriatic acid oxygenated. See Oxyxfiv." riatic acid- MURRAY, JoHsr Andrew, was born, at Stockholm, of a Scotch family, in l740. At 16 he was sent to Upsal, and had the be- nefit of the instructions of LinnsBUS, for whom he ever after entertained the highest esteem. In 1759 he took a journey through the southern provinces of Sweden, and thence to Copenhagen ; and in the following year he went to Gottingen, where his bro- ther was professor of philosophy. In 1763 he took his degree of doctor in medicine, and by a special licence from the Hanove- rian government, gave lectures in botany : and in the following spring he was appoint- ed extraordinary professor of medicine ia that university. From this period his repu- tation rapidly extended ; he was elected a member in the course of a few years of most of the learned societies in Europe. In 1769 he succeeded to the actual professorship of medicine, and was made doctor of the bo- tanic garden. He was still farther honoured by receiving the title of the Order of Vasa from the king of Sweden in 1780: and two years afterwards by being raised to the rank of privy counsellor by his Britannic Majesty. In 1791 he was attacked with a spurious peripneumony, which shortly ter- minated his existence. He was a man of sound judgment, great activity, and exten- sive information. He composed a great number of tracts on various subjects in bo- tany, natural history, medicine, pharmacy, and medical literature. His principal work, which occupied a large portion of his time and attention, was on the Materia Medica, under the title of " Apparatus Medicami- num," in six octavo volumes : indeed he was employed in correcting the last for the press the day before his death. In the Transactions of the Royal Society of Got- tingen there are many valuable papers by him, chiefly botanical ; and his descriptions are deemed models of elegance and accn- racy. MusADi. Sal ammoniac. Mu'SA FARAD isi'ac. Mustt. Palmtt humilis. Ficus Indica. Bala. Plalanus, The plantain-tree. It grows spontaneously in many parts of India, but has been imme- morially cultivated by the Indians in every part of the continent of. South America. It is an herbaceous tree, growing to the height of fifteen or twenty feet. The fruit are nearly of the size and shape of ordinary cucumbers, and, when ripe, of a pale yellow colour, of a mealy substance, a little clam- my, with a sweetish taste, and will dissolve in the mouth without chewing. The whole spike of fruit often weighs forty or fifty pounds. When they are brought to table by way of dessert, they are either raw, fried, or roasted ; but, if intended for bread, they are cut before they are ripe, and are then either roasted or boiled. The trees being MUS MUS iail and slender, the Indians cut them dowa to get at the fruit ; and in doing this they suffer no loss, for the stems are only one year's growth, and wovdd die if not cut ; but the roots continue, and new stems soon spring up, which in a year produce ripe fruit also. From the ripe plantains they make a liquor called niistaw. When they make this, they roast the fruit in their husks, and, after totally beating them to a mash, they pour water upon them, and, as the liquor is wanted, it is drawn off. 13 ut the nature of this fruit is such, that they will not keep long without running into a state of putrefaction ; and therefore, in order to reap the advantage of them at all times, they make cakes of the pulp, and dry them over a slow fire, and, as they stand in need of mistaw, they mash the cakes in water, and they answer all the purposes of fresh fruit. These cakes are exceedingly conve- nient to make this liquor in their journeys, and they never fail to carry them for that purpose. The leaves of the tree being large and spacious, serve the Indians for table-cloths and napkins. Md'sa sapie'ntum. The systematic name of the banana-tree. See Banana. Musci'pcLA. (From mus, a mouse, and capio, to take, being originally applied to a mouse trap ; afterwards to a plant, so called from its viscidity, by which flies are caught, as with bird-lime.) A species of lychnis. MUSCLE. Musculus. The parts that are usually included under this name con- sist of distinct portions of flesh, susceptible of contraction and relcixation ; the motions of which, in a natural and healthy state, are subject to the will, and for this reason they are called voluntary muscles. Besides these, there are other parts of the body that owe their power of contraction to their mus- cular fibres : thus the heart is a muscular texture, forming what is called a hollow muscle ; and the urinary bladder, stomach, intestines, &;c. are enabled to act upon their contents, merely because they are provided with muscular fibres; these are called involuntary muscles, because their motions are not dependent on the will. The muscles of respiration being in some mea- sure influenced by the will, are said to have a mixed motion. The names by which the voluntary muscles are distinguished are founded on their size, figure, situation, use, or the arrangement of their fibres, or their origin and insertion ; but, besides these par- ticular distinctions, there are certain ge- neral ones that require to be noticed. Thus, if the fibres of a muscle are placed parallel to each other, in a straight direction, they form what anatomists term a rectilinear muscle; if the fibres cross and intersect each other, they constitute a compound muscle ; when the fibres are disposed in the manner of rays, a radiated muscle ; when they are placed obliquely with respect to the tendon, like the plume of a pen, a pen' niform muscle. Muscles that act in oppO" sition to each other are called antagonists ; thus every extensor has a flexor for its an- tagonist, and vice versd. Muscles that con- cur in the same action are termed congene- res. The muscles being attached to the bones, the latter may be considered as le- vers, that are moved in different directions by the contraction of those organs. That end of the muscle which adheres to the most fixed part is usually called the origin ; and that which adheres to the more moveable part the insertion of the muscle. In almost every muscle two kinds of fibres are distin- guished ; the one soft, of a red colour, sen- sible, and irritable, c'sAleA. fleshy fibres, see Muscular Fibre ; the other of a firmer tex- ture, of a white glistening colour, insensible, without irritability or the power of con- tracting, and named tendinous fibres. They are occasionally intermixed, but the fleshy fibres generally prevail in the belly, or mid- dle part of the muscle, and the tendinous ones in the extremities. If these tendinous fibres are formed into a round slender cordj they form what is called the tendon of the muscle ; on the other hand, if they are spread into a broad flat surface, it is term- ed an aponeurosis. Each muscle is surrounded by a very thin and delicate covering of cellular membrane, which encloses it, as it were, like a sheath^ and, dipping down into its substance, sur- rounds the most minute fibres we are able to trace, connecting them to each other, lu- bricating them by means of the fat which its cells contain in more or less quantity in different subjects, and serving as a support to the blood-vessels, lymphatics, and nerves which are so plentifully distributed through the muscles. This cellular membrane, which in no respect differs from what is found investing and connecting the other parts of the body, has been sometimes mis- taken for a membrane, pecidiar to the mus- cles ; and hence we often find writers giv- ing it the name of membrana propria mus- culosa. The muscles owe the red colour which so particularly distinguishes their belly part, to an infinite number of arteries, which are every where dispersed through the whole of their reticular substance ; for their fibres, after having been macerated in water, are (like all other parts of the body divested of their blood) found to be of a white colour. These arteries usually enter the ' muscles by several considerable branches, and ramify so minutely through their substance, that we are unable, even with the best microscopes, to trace their ultimate branches. Ruysch fancied that the muscular fibre was hollow, and a pro- duction of a capillary artery ; but this was merely conjectural. The veins, for the most part, accompany the arteries, but are found to be larger and more numerous, The lymphatics, likewise, are niunerous, as might be expected from the great proper" 73 578 MUS MUfe tion of reticular substance, which is every where found investing the muscular fibres. The nerves are distributed in such abun- dance to every muscle, that the muscles of the thumb alone are supplied with a great- er proportion of nerv^ous influence than the largest viscera, as the liver for instance. They enter the generality of muscles by several trunks, the branches of which, like those of the blood-vessels, are so minutely dispersed through the cellular substance, that their number and minuteness soon elude the eye, and the knife of the anato- mist. This has given rise to a conjecture, as groundless as all the other conjectures on this subject, that the muscular fibre is ultimately nervous, A table of the Muscles. The generality of anatomical writers have arranged muscles according to their several uses ; but this method is evidently defective, as the same muscle may very often have different and opposite uses. The method here adopted is that more usually followed at present ; they are enumerated in the order in which they are situated, beginning with tliose that are placed near- est the integuments, and proceeding from these to the muscles that are more deeply seated. [The reader will be pleased to observe, that all the muscles are in pairs, except those marked thus *.] Muscles of the integuments of the cra- nium : Oecipito frontalis,^ Corrugator super- cilii. Muscles of the eye-lids : Orbicularis palpebrarum. Levator palpe- bral superioris. Muscles of the eye-ball : Rectus superior. Rectus inferior. Rec- tus internus. Rectus externus. Obliquus superior. Obliquus inferior. Muscles of the nose and mouth : Levator palptbrm superioris alceque nasi. Levator labii superioris proprius. Levator anguli oris. Zygomaticus major. Zygo- maticus minor. Buccinator. Depressor anguli oris. Depressor labii inferioris. Orbicularis oris.* Depressor labii superi- oris almque nasi. Constrictor nasi. Leva- tor menti vel labii inferioris. Muscles of the external ear : Superior auris. Anterior auris. Pos- terior auris. Helicis major. Helicis mi- nor. Tragicus. Antitragicus. Transver- sus auris. Muscles of the internal ear : Laxator tympani. Membrana tympani. Tensor tympani. Stapedius. Muscles of the lower jaw : Temporalis. Masseter. Pterygoideus. externus. Pterygoideus internus. Muscles about the anterior part of the neck : Platysma myoides. Sterno-cleidomastei- Muscles between the lower jaw and os hyoides. Digastricus. Mylo-hyoideus. Genio-hy- oideus. Genio-glossus. Hyo-glossu^, Lin- gualis. Muscles situated between the os hyoides and trunk ; Sterno-hyoideus. Crico-kyoideus. Sterno- thyroideus. Thyro-hyoideus. Crico-lhyroi- deus. Muscles between the lower jaw and os hyoides laterally. Stylo-glossus. Stylo-hyoideus. Stylo- pharyngeus. Circurriflexus. Levator pa~ lati mollis. Muscles about the entry of the fauces : Constrictor isthmi faucium. Palatopha- ryngeus. Asygos uvuIce.* Muscles situated on the posterior part of the pharynx : Constrictor pharyngis superior. Con- strictor pharyngis m edius. Constrict or pha- ryngis inferior. Muscles situated about the glottis : Crico-arytxnoideus posticus. Crica ary- tcBuoideics lateralis. Thyro-arytanoideus. Arytcenoideus obliquus.* A rytcenoideus iransversus.* Thyro-epiglottideus. Ary- tceno-epiglottideus. Muscles situated about the anterior part of the abdomen : Obliquus descendens externus. Obliquus ascendens internus. Transversalis abdomi- nis. Rectus abdominis. Pyramidalis. Muscles about the male oi'^ans of genera- tion: Darlos.* Cremaster. Erector penis. Ac- celerator urincB. Transversus perinei. Muscles of the anus : Sphincter ard.* Levator ani.* Muscles of the female organs of genera- tion: Erector clitoridis. Sphinctor vaginm,*- Muscles situated within the pelvis : Obturator internus. Coccygeus. Muscles situated within the cavity of tlie abdomen : Diaphragma.* Quadratus lumbormn. Psoas parvus. Psoas magnus. Iliacus in- ternus. Muscles situated on the anterior part of the thorax : Pectoralis major. Subclavius. Pectora- lis minor. Serratus major aniicus. Muscles situated between the ribs, and within the thorax : Intercostales externi. Inlercostales inter- ni. Triangularis. Muscles situated on the anterior part of the neck, close to the vertebrae : Longus colli. Rectus internus capitis major. Rectus capitis internus minor. Rec- tus capitis lateralis. Muscles situated on the posterior part of the trunk : Trapezius. Latissimus dorsi. Serratus posticus inferior. Rhomboideus. Splenius. MUfe MUS 579 Scrmius superior posticus. Spinalis dorsi. Levalores cosiarum. Sacro-lumbalis. Lon- gissimus dorsi. Complexus. Trachelo mas toideus. Levator scapulte. Semi-spinalis dorsi. Multijidus spince. Semi-spinalis colli. Transversalis colli. Rectus capitis posticus minor. Obliquus capitis superior. Obliqwus capitis inferior. Scalenus. In- ter sp inalis. Inter transversalis. Muscles of the superior extremities : Supra-spinatus. Infra spinatus. Teres minor. Teres major. Deltoides. Corttco- brachiales. Subscapularis. Muscles situated on the os humeri : Biceps flexor cubiti. Brachialis internus. Biceps extensor cubiti. A nconeus. Muscles situated on the fore-arm : Supinator radii longiis. Extensor carpi radialis longior. Extensor carpi rai^ialis brevior. Extensor digit orum communis. Ex- tensor minimi digiti. Extensor carpi ulna- ris. Flexor carpi ulnaris. Palmaris lon- gus. Flexor carpi radialis. Pronator radii teres. Supinator radii brevis. Extensor ossis metacarpi pollicis manus. Extensor primi internodii. Extensor secundi internodii. Indicator. Flexor digitorumsublimis. Flexor digitorum profundus. Flexor longus pollicis. Pronator radii quadratus. Muscles situated chiefly on the hand : Lumbricales. Flexor brevis pollicis ma- nus. Opponens pollicis. A bductor pollicis manus. Adductor pollicis manus. Abduc- tor indicis manus. Palmaris brevis. Ab- ductor minimi digiti manus. Adductor mi- nimi digiti. Flexor parvus miriimi digiti. Interossei interni. Interossei externi. Muscles of the inferior extremities : Pectinalis. Triceps adductor femoris. Obturator extcrnus. Gluteus maximus. Gluteus minimus. Gluteus medius. Pyri- formis. Gemini. Quadratus femoris. Muscles situated on the thigh : Tensor vaginoR femoris. Sartorius. Rec- tus femoris. Vastus externus. Vastus inter- nus. Cruralis. Semi-tendinosus. Semi- membranosus. Biceps flexor cruris. Pop- liteus. Muscles situated on the leg : Gastrocnemius externus. Gastrocnemius internus. Plantaris. Tibialis anticus. Ti- bialis posticus. Peroneus longus. Peroneus brevis. Extensor longus digitorum pedis. Extensor proprius pollicis pedis. Flexor longus digitorum pedis. Flexor longus pol- licis pedis. Muscles chiefly situated on the foot. Extensor brevis digitorum pedis. Flexor brevis digitorum pedis. Lumbricales pedis. Flexor brevis pollicis pedis. Adductor polli- ^ cis pedis. Adductor pollicis pedis. Abduc- tor minimi digiti pedis. Flexor brevis minimi digiti pedis. Transversales pedis. Interossei pedis externi. Interossei pedis l/ThtBTTvL MUSCULAR FIBRE. The fibres that compose the body of a muscle are d,is= posed in fasciculi, or bundles, which are easily distinguishable by the naked eye ; but these fasciculi are divisible into still smaller ones ; and these again are probably, subdivisible ad infinitum. The most mi- nute fibre we are able to trace, seems to be somewhat plaited ; these plaits disap- pearing when the fibre is put upon the stretch, seems evidently to be the effect of contraction, and have probably induced some writers to assert, that the muscular fibre is twisted or spiral. Various have been the opinions concerning the structure of these fibres ; they are all of them founded only on conjecture, and therefore we shall mention only the principal ones, and this with a view rather to gratify the curiosity of the reader, tlian to afford him infor- mation. Borelli supposes them to be so many hollow cylinders, filled with a spongy medullary substance, which he compares to the pith of elder, spongiosa ad instar sam-r buci. These cylinders, he contends, are intersected by circular fibres, which form 3. chain of very minute bladders. This hy- pothesis has since been adopted by a great number of writers, with certain variations^ Thus, for instance, Bellini supposes the vesicles to be of a rhomboidal shape ; whereas Bernouilli contends that they are oval. Cowper went so far as to pursuade himself that he had filled these cells witli mercury ; a mistake, no doubt, which arose from its insinuating itself into some of the lymphatics. It is observable, howeverj that Leeuwenhoeck says nothing of any such vesicles. Here, as well as in many other of her works, nature seems to have drawn a boundary to our inquiries, beyond which no human penetration will probably ever extend. It is surely more commen- dable, however, to acknowledge our igno- rance, than to indulge ourselves in chi- mseras. MUSCULAR MOTION. Muscular mo= tions are of three kinds ; namely, voluntary involuntary, and mixed. The voluntary motions of muscles are such as proceed from an immediate exertion of the active powers of the will : thus, the mind directs the arm to be raised or depressed, the knee to be bent, the tongue to move, &c. The involuntary motions of muscles are those which are performed by organs, seemingly of their own accord, without any attention of the mind, or consciousness of its active power : as the contraction and dilatation of the heart, arteries, veins, absorbents, sto- mach, intestines, &c. The mixed motions are those which are in part under the con- trol of the will, but which ordinarily act without our being conscious of their acting ; as is perceived in the muscles of respiration, the intercostals, the abdominal muscles, and the diaphragm. When a muscle acts, it becomes shorter aud thicker ; both its origin and insertici} 380 Mua SIUS ape drawn towards its middle. The sphiuc- ter muscles are always in action: and so likewise are antagonist muscles, even when they seem at rest ^Vhen two antagonist muscles move with equal force, the part which they are designed to move remains at rest ; but if one of the antagonist muscles remains at rest, while the other acts, the part is moved towards the centre of motion. All the muscles of living animals are constantly endeavouring to shorten them- selves. When a muscle is divided it contracts. If a muscle be stretched to a certain extent, it contracts, and endeavours to acquire its former dimensions, as soon as the stretching cause is removed ; this takes place in the dead body : in muscles cut out of the body, and also in parts not muscular, and is called by the immortal Haller vis mortua, and by some vis elastica. It is greater in living than in dead bodies, and is called the tone of the muscles. When a muscle is wounded, or otherwise irritated, it contracts independent of the wiU : this power is called irritability^ and by Haller vis insita ; it is a property peculiar to, and inherent in, the muscles. The parts of our body which possess this property are called irritable, as the heart, arteries, mus- cles, &c. to distinguish them from those parts which have no muscular fibres. With regard to the degree of this property pecu- liar to various parts, the heart is the most irritable, then the stomach and intestines ; the diaphragm, the arteries, veins, absor- bents, and at length the various muscles fol- low ; but the degree of irritability depends upon the age, sex, temperament, mode of living, climate, state of health, idiosyncrasy, and likewise upon the nature of the sti- mulus. When a muscle is stimiilated, either through the medium of the will or any fo- reign body, it contracts, and its contraction is greater or less in proportion as the stimu- lus applied is greater or less. The con- traction of muscles is different according to the purpose to be served by their con- traction ; thus, the heart contracts with a jerk ; the urinary bladder, slowly and uni- formly ; pimcture a muscle, and its fibres vibrate ; and the abdominal muscles act slowly in expelling the contents of the rec- tum. Relaxation generally succeeds the contraction of muscles, and alternates with it. The use of this property is very conside- rable; for upon it depends all muscular motion, and the function of every viscus ex- cept that of the nerves. Muscular Power. See Irritability. MU'SCULUS, (a diminutive of mus, a mouse, from its resemblance to a flay'd mouse.) See Muscle. Mu'scTJLrs cDTA':^Eirs. See Platisma TTiyoides, Mu'scTTLPs fa'sci^ vaItm, See Tensoir vagiruEfemoris. Mu'scuLus patie'ntijE. See Levator scapulm. iVIu'scuLus stape'dius. See Stapedias- Mu'scuLus superci'lii. See Corrugator supercilii. Mu'sctTLUS tu'e^ no'v^.. See Circwn- flexus. MU'SCUS. (From Ato?;(^oc, tender, so called from its delicate and tender consis- tence.) Moss, Mr'sctjs arbo'reus. See Lichen pli- catus. Mu'scus cani'nus. See lAchen caninus, Mu'scus clava'tus. See Lycopodium. Mir'sctrs cRA'jfii huma'ni. See Lichen saxatilis. Mp'scus cuma'tilis. This cryptogamous plant. Lichen apthosus, is said to act power- fully on the intestines, though never used is the practice of the present day. Mxj'scTTS ere'ctus. Upright club moss. The pharmacopoeial name of the Lycopo- dium selago, of Linnaeus, which see, Mu'scus isla'kdicus. See Lichen islan* dicus. Mu'scus mari'timus. See Corallina. Mu'scus PULMONA'RIUS aUE'RCIKUS, See Lichen Pulmonarius. Mu'scus pyxida'tus. Cup-moss. See Lichen pyxidatus. Mu'scus sauAMo'susTERRE'STRis. See Lycopodium, MUSGRAVE, William, was born in Somersetshire, 1657. He went to Oxford with the intention of studying the law ; but he afterwards adopted the medical profes- sion, and became a Fellow of the Royal So- ciety, of which body he was appointed se- cretary in 1684. In this capacity he edi- ted the Philosophical Transactions for some time ; he likewise communicated several papers on anatomical and physiological sub- jects. In 1689 he took his doctor's degree, and became a fellow of the College of Phy- sicians. Not long after this he settled at Exeter, where he practised his profession with considerable success, for nearly thirty years, and died in 1721. Beyond the circle of his practice he made himself knovra prin- cipally by his two treatises on gout, which are valuable works, and were several times reprinted. He was also a distinguished an- tiquary, and author of several learned tracts on the subject of his researches in this way. Mu'siA Pa'ttr^. a name for moxa. Mushroom. See Agaricus. Musk. See Moschus. Musk-cranesbill, See Geranium moscha- tum. .i Musk-melon. See Cucumis melo. Musk-seed. See Hibiscus abelmbschus. MusauiTTO. A species of gnat in tlie West Indies, which produce small tumours on whatever part they settle, attended with MTC MYL 581 so high a degree of itching and iniiamma- tion, that the person cannot refrain from scratching, by a frequent repetition of which he not uncommonly occasions them to ulcerate, particularly i( he is of a robust and full habit. Mustard, black. See Sinapis. Mustard, hedge. See Erysimum, Mustard, treacle. See Thlaspi. Mustard, mithridate. See Thlaspi. Mustard, yellow. See Sinapis, MU'TITAS. (From mutus, dumb.) Dumbness. A genus of disease in the class locales, and order dyscinesice of CuUen, which he defines an inability of articula- tion. He distinguishes three species, viz. 1. Mutilas organica, when the tongue is removed or injured. 2. Mutitas atonica, arising from an affec- tion of the nerves of the organ. 3. Mutitas surdorum, depending upon being born deaf, or becoming so in their infantile years. MUYS", Wyer-William, was born at Steenwyk in 1682. His father being a physician, he was led to follow the same profession, and at 16 commenced his studies atLeyden, whence he went to Utrecht, and took his degree of doctor in 1701. He settled at first in his native town, and after- wards removed to Arnheim, where he practised with reputation. In 1709 he was elected to the mathematical chair at Franeker, where he subsequently filled also those of medicine, chemistry and botany. The House of Orange afterwards retained him as consulting physician, with a con- siderable salary, which he received to the end of his life in 1744. He had been five times rector of the university of Franeker, and was a member of the Royal Academy of Sciences of Berlin. His Avritings were partly medical, partly philosophical. Of the former kind was a dissertation, highly commending the -ase of sal-ammoniac in intermittents : also a very elaborate inves- tigation of the structure of muscles, com- prehending an account of all that had been previously discovered on the subject. Mu'zA. See Musa. Myaca'ntha. (From jj.uc, a mouse, and etKttvQtt, a thorn, so calledbecause its prickly leaves are used to cover whatever is intend- ed to be preserved from mice.) See Ruscus. Mya'gro. See Myagrum. Mya'grum. (From fxuict, a fly, and ccyptuui, to seize, because flies are caught by its viscidity.) A species of wild mustard My'ce. (From fAuce, to wink, shut up, or obstruct.) 1. It is a winking, closing, or obstruction. It is applied to the eyes, to ulcei's, and to the viscera, especially the spleen, where it imports obstructions. 2. In surgery, it is a fungus, such as arises in ulcers and wounds. 3. Some writers speak of a yellow vitriol, which is called Myce. Mychthi'smos. (From//w^», to mutter, or groan.) In Hippocrates, it is a sort of sighing, or groaning during respiration, whilst the air is forced out of the lungs. Mycojjo'ides. (From (Moitwj a noise, and tiS'oc, a likeness.) Applied to an ulcer full of mucus, and which upon pressure emits a wheezing sound. My'cter. The nose. Mycte'res. MvaThpii. The nostrils. Myde'sis. (From (/.vSaoi, to abound with moisture.) It imports, in general, a corruption of any part from a redundant moisture. But Galen applies it particu^ larly to the eye-lids. My'don. (From yt-vSttod, to grow putrid.) Fungus or putrid flesh in a fistulous ulcer. MYpRI'ASIS. (From^t/i. The knee-pan, or a mole in the uterus. My'low. See Staphyloma. MY'LO. Names compounded with this word belong to muscles, which are attached near the grinders ; from fAUxn, a grinder- tooth : such as, Mylo-glossi. Small muscles of the tongue. MYLO-HYOIDE'US. Mylo-hyoidien, of Dumas. This muscle, which was first described by Fallopius, is so called from its origin near the denfes molares, and its in- 582 MYO M¥K sertion into the os hyoid«s. It is a thin, flat muscle, situated between the lower jaw and the os hyoides, and is covered by the anterior portion of the digastricus. It arises fleshy, and a little tendinous, from all the inner surface of the lower jaw, as far back as the insertion of the pterygoideus internus, or, in other words, from between the last dens molaris and the middle of the chin, where it joins its fellow, to form one belly, with an intermediate tendinous streak, or linea alba, which extends from the chin to the os hyoides, xvhere both mus- cles are inserted into the lower edge of the basis of that bone. This has induced Rio- lanus, Winslow, Albinus, and others, to consider it as a single penniform muscle. Its use is to pull the os hyoides upwards, forwards, and to either side. Mtzlg-phartnge'us. (Musculus mylo- pharyngeus, fAUKoi^apvylittoQ ; from f/:uKH the grinding-tooth, and '&&& Brassica rapa. )86 NAR NAT Nakca'phthtjm. An aromatic confect. NARCrSSUS. The daffodil. A genus of plants in the Linnsean system. Class, Hexandria. Order, Monogynia. Narco'sis. (From vxpn-ow, to stupefy.) Stupefaction, stupour, numbness. NARCOTICS. (Aarcotica, sc. Medi- camenta. From vaLfKoo), to stupefy.) Those medicines which have the power of procu- ring sleep. See Anodynes. J^fard, Celtic. See Valeriana Celtica. J^ard^ Indian. See J^ardtis Indica. Nardo'stachys. (From va.pi'og, spike- nard, and r*;ti/f, sage.) A species of wild sgge, resembling spikenard in its leaves and smell. Na'rdtts. (From nard, Sir.) Spikenard. Na'rdus ce'ltica. Valeriana celtica. Na'rdtjs Indica. S-pica nardi. Spica Jndica. Indian nard or spikenard. The root of this plant, Andropogon nardus, of Linnseus, is an ingredient in the mithridate and theriaca; it is moderately warm and pungent, accompanied with a flavour not disagreeable. It is said to be used by the Orientals as a spice. Na'rdi7S ita'lica. The lavendula lati- £>lia. Na'bdus monta'na. An old name of the asarabacca. Na'rdus ru'stica. An old name of the asarabacca. See Asarum. NA'RES. (PI. of nam.) Mycteres. The nostrils. The cavity of the nostrils is of a pyramidal figure, and is situated under the anterior part of the cranium, in the middle of the face. It is composed of fourteen bones, viz. the frontal, two maxillary, two naisal, two lachrymal, two inferior spongy, the sphenoid, the vomer, the ethmoid, and two palatine bones, which form several eminences and cavities. The eminences are the septum narium, the cavernous sub- stance of the ethmoid bone, called the supe- rior conchse, and the inferior spongy bones. The cavities are three pair of pituitary sinuses, namely, the frontal, sphenoid, and maxillary ; the anterior and posterior fora- mina of the nostrils ; the ductus nasalis, the spheno-palatine foramina and anterior pala- tine foramina. All these parts are covered with periosteum, and a piiuitary mem- brane which secretes the mucus of the iiostrils. The arteries of this cavity are branches of the internal maxillary. The veins empty themselves into the internal jugulars. The nerves are branches of the ol- factory, ophthalmic, and superior maxillary. The use of the nostrils is for Emelling, respi- I'ation, and speech. Narifuso'ria. (From nares, the nos- trils, and fundo, to pour.) Medicines dropped into the nostrils. Na'ris compre'ssor. See Compressor naris. Na'rta. (Nst/JTct, ex nardi odore, from !ts smell,) A plant used in ointments. . Narthe'cia. (From Karthecis^ the island where it flourished.) Narthex. A kind of fennel. Nasa'lia. (From Nasus, the nose.) Errhines. Nasalis la'bii sdperio'ris. See Orbi- cularis oris. Nasa'rium. (From nasus, the nose.) The mucus of the nose. NASCA'tE. (From nasus, the nos^.) A wood or cotton pessary for the nose. Nasca'phthum. See JVarcaphthum. Na'si depre'ssor. See Depressor labii superioris aloeque nasi. NA'SI O'SSA. (Masus, the nose.) The two small bones of the nose that are so termed form the bridge of the nose. In figure they are quadrangular and oblong. NASTU'RTIUM. (quod nasum tor- queat, because the seed when bruising, ir- ritates the nose.) The name of a genus of plants in the Linnaean system. Class, Te- tradynamia. Order, Siliq-uosa, Nastu'rtium AauA'TiccM. See Sisym- brium nasturtium. Nastu'rtium HORT^i'HfSE. See Lepi- dium sativum. Nastu'rtium i'»je>ici7]». Se^ Tuopaolum majus. Na'ta. Natta. A species of wen with slender pendent neck. Linnaeus speaks of it as rooted in a muscle. NA'TES, (From nato, to flow; be- cause the excrements are discharged from them.) 3 . The buttocks, or the fleshy parts upon which we sit. 2. Two of the eminences, called tuber- cula quadrigemina, of the brain, are so named from their resemblance. Na'tes ce'rebri. See Tuherculi quadri- gemina. NA'TRON. (So called from J^airon) a lake in Judaea, where it was produced.) JVatnan, 1. The name formerly given by the Col- lege of Physicians to the alkali, now called soda. 2. A native salt, which is found crystal- lized in Egjrpt, in the lake called Natro% and in other hot countries, in sands sur- rounding lakes of salt water. It is an im- pure subcarbonate of soda,. 3. The name of an impure subcarbonate of soda, obtained by burning various marine plants. See Soda. Na'tron muria'tum. See Soda murias. Na'tron pr^para'tum. See Soda sui- carbonas. NATROif tartarisa'tum. See Soda tar- tarizata. Na'tron vitriola'tubx. See Sqdm sul- phas. Na'tul^. (Dim. of nates, the buttocks ; so called from their resemblance.) Two prominences of the brain. See 7\(bercula quadrigemina. UJEC NfiP 587 NATURAL ACTIONS. Those actions by which the body is preserved ; as hanger, thirst, &c. See Actions. Natpra'lia. (From natura, nature.) The parts of generation. NAU'SEA. (N«K«-«st: from rauc , a ship ; because it is a sensation similar to that Which people experience upon sailing in a ship.) J^ausiosis. JS'autia. An inclination to vomit without effecting it ; also a disgust of food approaching to vomiting. It is an attendant upon cardiaglia, and a variety of other disorders, pregnancy, &c. occa- sioning an aversion for food, an increase of saliva, disgusted ideas at the sight of vaii- ous objects, loss of appetite, debility, &c. Nattsig'sis. See Nausea. Nau'tia. See J^ausea, Nau'ticus. {Nauticus, a sailor ; so call- ed from the use which sailors make of it in climbing ropes.) A muscle of the leg ex- erted in climbing up. Kavewj garden. See Brassica rapa. mvew, sweet. 1 g^^ ^^^^^^ Jyavew, wild. J ^ NAVICULA'RE OS. (From navicula, a little boat.) J^avifarmis. Navieularis. Os scaphoides. A bone of the carpus and tarsus is so called from its supposed resem- blance to a boat. See Carpus and tarsus. Navicttla'ris. See Maviculare os, Navifo'rmis. A name of the os navi- ctJlare. Neapolita'wits mo'rb'us. (From JVea- polis, or J^aples, because it was said to have been first discovered at Naples, when the French were in possession of it.) The ve- nereal disease. Ne'epla. (From vii.) 1. A cloudy spot in the cornea of the eye. 2. The cloud-like appearance in the urine, after it has been a little time at rest. NECK. Collum. The parts which form the neck are divided into external and in- ternal. The external parts are the com- mon integuments, several muscles, eight pair of cervical nerves, the eighth pair of nerves of the cerebrum, and the great inter- costal nerve ; the two carotid arteries, the two external jugular veins, and the two in- ternal ; the glands of the neck, viz. the ju- gular, submaxillary, cervical, and thyroid. The internal parts are the fauces, pharynx, oesophagus, larynx, and trachea. The bones of the neck are the seven cervical vertebrae. NECRO'SIS. (From vix.i>oa>, to destroy.) This word, the strict meaning of which is only mortification, is, by the general con- sent of surgeons, confined to this affection of the bones. The death of parts of bones TVas not distinguished from caries, by the antients. However, necrosis and caries are essentially different ; for in the first, the affected part of the bone is deprived of the vital principle ; but this is not the case when it is simply carious. Caries is veiy analo- gous to ulceration, while necrosis is exactly similar to mortification of the soft parts. Necro'sis trsTiLAGi'wEA. A painful convulsive contraction of the limbs. See Raphania. Ne'ctar. NsKT^jB. A wine made of honey. Nedy'ia. (From vnJ'ut, the belly.) JVe- dys. The intestines. Ne'dts. See Nedyia. Negro cachexy. Cachexia Africana. Mai d'estomac of the French. A propen- sity for eating earth, peculiar to males as well as females, in the West Indies and Africa. Nei^'ra. (From vnctpo;, furthermost.) The lower part of the belly. Nemoro'sa. (From nemus, a grove ; so called because it grows in woods.) A spe- cies of anemone. JYep. See J^epeia. Ne'pa theophra'sti. The spartiua scoparium. Nepe'nthos. (From v«, neg. and ab-sv- 6oc, grief; so called from their exhilarating qualities.) A preparation of opium, and a kind of bugloss. Ne'peta. (From nepte^ Germ.) Herba felis. Nep. or catmint ; so called because cats are very fond of it. The leaves of this plant, J^epeta cataria ; jioribus spicatiss verticillis snbpedicellatis ; foliis petiolatiSf cordatis, derdato-serratis, of Linnaeus, have a moderately pungent aromatic taste, and a strong smell, like an admixture of spear- mint and penny-royal. The herb is refcom- mended in uterine disorders, dyspepsia, and flatulency. Ne'peta cata'ria. The systematic name of the catmint. See Nepeta. Nepete'lla. (Dim. of nepeta.) The lesser catmint. Ne'phela. (Dim. of vi'poi, a cloud.} A cloud-like spot on the cornea of the eye, Nepheloi'des. (From V6)eerv foij-nd m a scirrhous state. The disease is to be treated by bleedings, general and local, the warm bath, or fomen- tations to the loins, emollient clysters, mu- cilaginous drinks, and the general antiphlo- gistic plan. The bowels should be effectu- ally cleared at first by some sufficiently active formula, but the saline cathartics are considered not so proper, as they may add to the irritation of the kidney ; calomel with antimonial powder, followed by th« infusion of senna, or the ol. ricini, may be given in preference, and repeated occasionally. It will be right also to endeavour to promote diaphoresis, by moderate doses of antimoni- als especially. Blisters are inadmissible in this disease, but the linimentum ammonise, or other rubefacient application, may in some measure supply their place. Opium, will often prove useful, particularly where the symptoms appear to originate from cal- culi, given in the form of glyster, or by the mouth : in which latter mode of using it, however, it will be much better joined with other remedies, which may obviate its heat- ing effect, and determine it rather to pass off" by the skin. A decoction of the dried leaves of tlie peach-tree is said to have beeu serviceable in many cdses of this disease. la affections of a more chronic nature, where there is a discharge of mucus, or pus, by urine, in addition to suitable tonic medi- cines, the uva ursi in moderate doses, or some of the terebinthinate remedies, may be given with probability of relief. Nephroli'thica ischd'ria. (From Vippoi, a kidney, and \i&o(, a stone.) Ap- plied to an ischury, from a stone in the kidneys. Nephrome'tr^. The psoee muscles. Nephrofletho'rictjs. (From vi§oc, a kidney, and a-Troiai, to contract.) Applied to a suppression of urine from a spasm of the kidneys. Nephrothromboi'des. (From V64>g(!?, a kidney, QgofiSog, a grumous concretion, and uiS'o;, a likeness.) Applied to a suppression of urine from grumous blood in the kidneys. N E P H K O' T O M y . CKevhrohrtvia « lYER. NER 589 tKJin »««|)/)af, a kidney, and Ts^teva, to cut.) The operation of extracting a stone from the kidney. A proceeding which, perhaps, has never been actually put in practice. The cutting into the kidney, the deep situation of this viscus, and the want of symptoms by which the lodgment of a stone in it can be certainly discovered, will always be strong objections to the practice. NE'RIUM, (From vapog, humid ; so called because it grows in moist places.) The name of a genus of plants in the Lin- nsean system. Class, Pentandria. Order, Monogynia. Nb'rium ANTiDTSENTE'RicuM. The Sys- tematic name of the tree which affords the Codaga palabark. Conessi cortex. Codaga pala. Cortex prafluvii. The bark of the J^erium antidysentericum ; foliis ovatis, acu- minatis, petiolatis, of Linnaeus. It grows on the coast of Malabar. It is of a dark black colour externally, and generally co- vered with a white moss or scurf. It is very little known in the shops ; has an austere, bitter taste ; and is recommeaded in diarrhoeas, dysenteries, fecas an adstrin- gent. Ne'roli o'lextsi. Essential oil of orange flowers. See Citrus aurantium. Nerva'lia o'ssa. (From nervus^ a nerve.) The bones through which the nerves pass. NERVE. JVertms. Formerly it meant a sinew. This accounts for the opposite meanings of the word nervous ; which some- times meaixs strong, sinewy ; and sometimes weak, and irritable. Nerves are long, ■white, medullary cords that serve for sen- sation. They originate from the brain and Bpinal marrow ; hence they are distinguish- ed into cerebral and spinal nerves, and dis- tributed upon the organs of sense, the vis- cera vessels, muscles, and every part that is endowed with sensibility. The cerebral nerves are the olfactory, optic, motores ocu- lorum, pathetici, or trochleatores, trigemi- ni, ordivisi, abducent, auditory, or acoustic, par vagrum and lingual. Heister has drawn up the uses of these nerves in the two fol- lowing verses : Olfacien^, cernens, oculosque movens, pa- tiensque, Gustans, abduceiis, audiensqice, vagans- que, loquensque. The spinal nerves are tliirty pair, and are divided into eight pair of cervical, twelve pair of dorsal, five pair of lumbar, and five of sacral nerves. In the caurse of the nerves there are a number of knots : these are cal- led ganglions ; they are commonly of an ob- long shape, and of a gi-eyish colour, some- what inclining to red, which is, perhaps, owing to their being extremely vascular. Some writers have considered these little ganglions as so many little brains. Lancisi fancied he had discovered muscular fibres in th«m, but they certainly ai'e not of an irri- table natare. A late writer (Dr. Johnson) imagines they are intended to deprive us of the power of the will over certain parts,- as the heart, for instance ; but if this hypothe- sis were well founded, they should be met with only in nerves leading to involuntary muscles ; whereas it is certain that the vo- luntary muscles receive nerves' through ganglions. Dr. Munro, from observing the accurate intermixture of the minute nerves which compose them, considers them as new sources of nervous energy. The nerves, like the blood-vessels, in their course through the body, communicate with each other, and each of these communications consti- tutes what is called a plexus, from whence branches are again detached to different parts of the body. The use of the nerves is to convey impressions to the brain, from all parts of the system, and the principles of motion and sensibility from the brain to every part of the system. The manner in which this operation is effected is not yet determined. The inquiry has been a con- stant source of hypothesis in all ages, and has produced some ingenious ideas, and many erroneous positions, but without ha- ving hitherto afforded much satisfactory in- formation. Some physiologists have con- sidered a trunk of nerves as a solid cord, capable of being divided into an infinite number of filaments, by means of which the impressions of feeling are conveyed to the common sensorium. Others have supposed each fibril to be a canal, carrying a volatile fluid, which they term the nervous fluid. Those who contend for their being solid bo- dies, are of opinion that feeling is occasion- ed by vibration ; so that, for instance, ac- cording to this hypothesis, by pricking the finger, a vibration v/ould be occasioned in the nerve distributed through its substance ; and the effects of this vibration, when ex- tended to the sensorium, would be an exci- tal of pain ; but the inelasticity, the softness, the connection, and the situation of the nerves, are so many proofs that vibration has no share in the cause of feeling. A Table of the JVerves. Cerebral Nerves. 1 . The Jirst pair, called olfactory. 2. The second pair, or optic nerves. 3. The third pair, or oculorum motores. 4. The fourth pair, or pathetici. 5. The fifth pair, or trigemini, whicll gives off. a. The ophthalmic, or orbital nervCj which sends 1. A branch to unite witli one from the sixth pair, and form the great inter- costal nerve. 2. The frontal nerve. 3. The lachrymal. 4. The nasal. b. The superior maxillary, which divide." into ^. The spheno pahfi/ie nerve 5da NEB, iN'ER 2. The posUrior alveolar 3. The in/rd! orbital. c. The inferior maxillary nerve, irom which arise 1. The internal lingiial. 2. The inferior maxillary properly so called. 6. The siz/A pair, or abducentes, which ^ndoff 1. A branch to unite with one from the fifth, and form the great inter- costal. 7. The seventh pair^ or auditory nerves, these arise by two separate beginning, viz. The portio dura, a nerve going to the face The portio mollis, which is distributed on the ear. The portio dura, or facial nerve, gives oflFthe chorda tympani, and then pro- ceeds to the face. 8. The eighth pair, or par vagum, arise from the medulla oblongata, and join with the accessory of Willis. The par vagum gives off 1. The right and left recurrent nerve. 2. Several branches in the chest, to form the cardiac plexus. 3. Several branches to form the pul- monic plexus. 4. Several branches to form the (Eso- phageal plexus. 3. It then forms in the abdomen the stomachic plexus. 6. The hepatic plexus. 7. The splenic plexus. 8. The renal plexus, receiving several branches from the great intercostal, which assists in tlieir formation. 9. The ninth pair, or lingual nerves, which go from the medulla oblongata to the tongue. Spinal Nerves. Those nerves are called spinai which pass out through the lateral or interverte- bral formina of the spine. They are divided into cervical, dorsal, lumbar, and sacral nerves. Cervical Nerves. The cervical nerves are eight pairs. The first are called the occipital ; they arise from the beginning of the spinal mar- row, pass out between the margin of the occipital foramen and atlas, form a ganglion on its transverse process, and are distribu- ted about the occiput and neck. The second pair of cervical nerves send a branch to the accessary nerve of Willis, and proceed to the parotid gland and ex- ternal ear. The third cervical pair supply the inte- guments of the scapula, the cucuUaris, and triangulai'is muscles, and send a branch to form with others the diaphragmatic nerve. The fourth, fifth, sixth, seventh and eighth-)^w all converge to form the brachial plexus^ from which arise the six followia" Nerves of the itpper Extremities. 1. The Orxillary nerve, which sometimes arises from the radial nerve. It runs backwards and outwards around the neck of the humerus, and ramifies in the mus- cles of the scapula. 2. The external cutaneal, which perfo- rates the coraco-brachialis muscle, to the bend of the arm, where it accompanies the median vein as far as the thumb, and is lost in its integuments. 3. The interrial cutaneal, which descends on the inside of the arm, where it ,bifur= cates. From the bend of the arm the ante- rior branch accompanies the basilic vein, to be inserted into the skin of the palm of the hand ; the posterior branch runs down the internal part of the fore-arm, to vanish in the skin of the little finger. 4. The median nerve, which accompa=- nies the brachial artery to the cubit, then passes between the brachialis intemos, pronator rotundus, and the perforatus and perforans, under the ligament of the wrist to the palm of the hand, where it sends off branches in every direction to the muscles of the hand, and then supplies the digital nerves which go to the extremities of the thumb, fore and middle fingers. 5. The ulnar nerve, which descends be- tween the brachial artery and basilic vein, between the internal condyle of the hu- meras, and the olecranon, and divides in the fore-ajm into an internal and external branch. The former passes over the liga- ment of the wrist and sesamoid bone, to the hand where it divides into three branches, two of which go to the ring and little fin- ger, and the third forms an arch towards the thumb, in the palm of the hand, and is lost in tlie contiguous muscles. The latter passes over the tendon of the extensor carpi ulnaris and back of the hand, to supply also the two last fingers. 6. The radial nerve, which sometimes gives off tlie axillary nerve. It passes back- wards, about the os humeri, descends on the outside of the arm, between the brachialis externus and internus muscles to the cubit ; then proceeds between the supinator longus andbrevis, to the superior extremity of the radius, giving off various branches to ad- jacent muscles. At this place it divides into two branches; one goes along the radius, between the supinator longus and radialis internus to the back of the hand, and terminates in the interosseous muscles, the thumb and tliree first fingers ; the other passes between the supinator brevis and head of the radius, and is lost in the muscles the fore-arm. Dorsal Nerves. The dorsal nerves ai'e twelve pairs in number. The first pair gives off a branch to the brachial plexxis. All the dorsal nerves are distributed to the muscles of the back, iuterccstals. serrati, pectoral, abdominal NER rJER ^Ul muscles, and diaphragm. The five mfierior pairs go to the cartilages of the ribs, and are called costal. Lumbar Nerves. The five pair of lumbar nerves are be- stowed about the loins and muscles, skin of the abdomen and loins, scrotum, ovaria, and diaphragm. The second, third, and fifth pair unite and form the obturator nerve, ■which descends over the psoas muscle into the pelvis, and passes through the foramen thyroideum to the oburator muscle, triceps, pectineus, &c. The third and foui'th, with some branches of the second pair, form the cniral nerve, which passes iinder Poupart's ligament with the femoral artery, sends off branches to the adjacent parts, and descends in the di- rection of the sartorius muscle to the inter- nal condyle of the femur, from whence it accompanies the saphena vein to the in- ternal ankle, to be lost in the skin of the great toe. The fifth pair are joined to the first pair of the sacral nerves. Sacral Nerves. There are five pair of sacral nerves, all of which arise from the cauda equina, or termination of the medulla spinalis, so called from the nerves resembling the tail of a horae. The four first pair give off branches to the pelvic viscera, and are afterwards united to the last lumbar, to form a large plexus, which gives off The ischiatic nerve, the largest in the body. The ischiatic nerve, immediately at its origin, sends off branches to the bladder, rectum, and parts of generation ; proceeds from the cavity of the pelvis through the ischiatic notch, between the tuberosity of the ischium and great trochanter, to the ham, where it is called the popliteal nerve. In the ham it divides into two branches. 1 . The peroneal, which descends on the fibula, and distributes many branches to the muscles of the leg and back of the foot. 2. The tibial, which penetrates the gas- trocnemii muscles to the internal ankle, passes through a notch in the os calcis to the sole of the foot, where it divides into an in- ternal and external plantar nerve, which supply the muscles and aponeurosis of the foot and the toes. Physiology of the JVervous System. The nervous system as the organ of sense and motion, is comiected with so many functions of the animal economy, that the study of it must be of tlie utmost impor- tance, and a fundamental part of the study of the whole economy. The nervous sys- tem consists of the medullary substance of the brain, cerebellum, medulla oblongata, and spinalis ; and of the same substance continued into the nerves, by which it is distributed to many different parts of the body. The whole of this system seem? to be properly distinguished into these four parts. 1. The medullary substance contained in the cranium and vertebral cavity; the whole of which seems to consist of distinct fibres, but without the smaller fibres being separated from each other by any evident enveloping membranes. 2. Connected with one part or other of this substance are, the nerves, in which the same meduUarj' substance is continued ; but here more evidently divided into fibres ; each of which is separated from the others by an enveloping membrane, derived from the pia mater. 3. Parts of the extremities of certain nerves, in which the medullary substance is divested of the enveloping membrsmes from the pia mater, and so situated as to be exposed to the action of certain external bodies, and perhaps so framed as to be af- fected by the action of certain bodies only ; these are name-d the sentient extremities of the nerves. 4. Certain extremities of the nerves, so framed as to be capable of a peculiar con- tractility ; and, in consequence of their situation and attachments to be, by their contraction, capable of moving most of the solid and fluid parts of the body. These are named the moving extremities of the nerves. These several parts of the nervous sys- tem are every where the same continuous medullary substance, which is supposed to be the vital solid of animals, so constituted in living animals, and in living systems only, as to admit of motions being readily propagated from any one part to every other part of the nervous system, so long as the continuity and natural living state of the medullary substance remains. In the liv- ing man, there is an immaterial thinking substance, or mi'nd, constantly present, and every phenomenon of thinking is to be con- sidered as an affection or faculty of the mind alone. But this immaterial and thinking part of man is so connected with the material and corporeal part of him, and particularly with the nervous system, that motions excited in this give occasion to thought, and thought, however occasioned, gives occasion to new motions in the ner- vous system. This mutual communication, or influence is assumed with confidence as a fact : but the mode of it we do not un- derstand, nor pretend to explain ; and there- fore are not bound to obviate the difficul- ties that attend any of the suppositions which have been made concerning it. The phenomena of the nervous system occur commonly in the following order : The im- pulse of external bodies acts upon the sen- tient extremities of the nerves; and this gives occasion to perception or thought, which, as first arising in the mind, is termed senmtirm. This sensation, according to it? 5S2 ^ER ^'ER various modifications, gives occasion to vo- lition, or the willing of certain ends to be obtained by the motion of certain parts of the body ; and this volition gives occasion to the contraction of muscular fibres, by which the motion of the part required is produced. As the impulse of bodies on the sentient extremities of a nerve does not occasion any sensation, unless the nerve between the sen- tient extremity and the brain be free ; and as, in like manner, volition does not pro- duce any contraction of muscles, ualess the nerve between the brain and muscle be also free ; it is concluded, from both these facts, that sensation and volition, so far as they are connected with corporeal motions, are func- tions of the brain alone ; and it is presumed, that sensation arises only in consequence of external impulse producing motion in the sentient extremities of the nerves, and of that motion being thence propagated along the nerves to the brain ; and, in like man- ner, that the will operating in the brain only, by a motion begun there, and propa- gated along the nerves, produces the con- traction of muscles. From what is now said, we perceive more distinctly the difiier- ent functions of the several parts of the nervous system ; 1. The sentient extremities seem to be particularly fitted to receive the impressions of external bodies ; and, accord- ing to the diiference of these impressions, and of the condition of the sentient extre- mity itself, to propagate along the nerves motions of a determined kind, which, com- municated to the brain, give occasion to sensation. 2. The brain seems to be a part fitted for, and susceptible of, those motions with which sensation, and the whole conse- quent operations of thought, are connected : and thereby is fitted to form a communica- tion between the motions excited in the sen- tient, and those in consequence arising in the moving extremities of the nerves, which are often remote and distant from each other. 3. The moving extremities are so framed as to be capable of contraction, and of having this contraction excited by motion propagated from the brain, and communi- cated to the contractile fibre. 4. The nerves, more strictly so called, are to be considered as a collection of medullary fibres, each en- veloped in its proper membrane, and there- by so separated from every other, as hardly to admit of any communication of motion from any one to the others, and to admit only of motion along the continuous me- dullary substance of the same fibre, from its origin to the extremities, or contrarywise. From this view of the parts of the nervous system, of their several functions and com- munication with each other, it appears that the be5:inning of motion in tlie animal eco- nomy, is generally connected with sensation : and that the ultimate effects of such motion are cljiefly actions depending immediately ypon the contraction of moving fibres, be- tween which and the sentient extremities the communication is by means of the brain. Ne'rvea SPONGio'SA. The cavernous part of the penis. Ne'rVI INTERCOSTA'lES IN3rOBUNA'TI. The fifth part of nerves. NERVINES. (JVemna, sc. medica- menia, from nervus.) Neurotics. Medi- cines that relieve disorders of the nerves. They are all the antispasmodics, and the various preparations of bark and iron. Nervo'rfm RESOLtTTio. A species of apoplexy or palsy. Nervo'sttm OS. The occipital bone. A''ervoics consumption. See Atrophia. J^ervous diseases. See JVeuroses. JVervous Fever. See Febris nervosa. JVervous head-ache. See Cephalalgia. NERVOUS FLUID. Nervous prin- ciple. The vascularity of the cortical part of the brain, and of the nerves themselves, their softness, pulpiness, and natursd hu- mid appearance, give reason to believe that between the medullary particles of which they are principally composed, a fine fluid is constantly secreted, which may be fitted to receive and transmit, even more readily than other fluids do, all impressions wJiicL_ are made on it. It appears to exhale from the extremities of the nerves. The lassi- tude and debility of muscles from too great exercise, and the dulness of the sensorial organs, from excessive use, would seem to prove this. It has no smell nor taste; for the cerebrine medulla is insipid and inodo- rous. Nor has it any colour, for the cere- brum and nerves are white. It is of so subtile a consisterice, as never to have been detected. Its mobility is stupendous, for in less than a moment, with the consent of the mind, it is conveyed from the cerebrum to the muscles, like the electric matter. Whe- ther the nervous fluid be carried from th.e organ of sense in the sensorial nerves to the cerebrum, and from thence in the raotory nerves to the muscles, cannot be positively affirmed. The constituent principles of this liquid are perfectly unknown, as they can- not be rendered visible by art, or proved by experiment. Upon making a ligature upon a nerve, the motion of the fluid is inter- rupted, which proves that something corpo- real flows through it. It is therefore a weak argument to deny its existence because we cannot see it ; for who has seen the mat- ter of heat, oxygen, azote, and other ele- mentray bodies, the existence of which no physician in the present day doubts i" The electric matter, whose action on the nerves is very great, does not appear to constitute the nervous fluid ; for nerves exhibit no signs of spontaneous electricity ; nor can it be the magnetic matter, as the experiment of Gavian with the magnet demonstrates ; nor is it oxygen, nor hydrogen, nor azote ; for the first very much irritates the nerves^ NIC NIC 595 aud the otiier two suspend tlieiv action. The nerrous fluid therefore is an element sui generis, which exists and is produced in the nerves only ; hence like other elements, it is only to be known by its effects. The pulpous softness of some nerves, and their lax situation, does not allow them and the brain to act on the body and soul only by oscillation. Lastly, a tense chord, although tied, oscillates. The use of the nervous fluid is, 1, It appears to bean intermediate substance between the body and the soul, by means of which the latter thinks, per- ceives, and moves the muscles subservient to the will. Hence the body acts upon the soul, and the soul upon the body. 2. It appears to difter from the vital principle ; for parts live and are irritable which want nerves, as bones, tendons, plants, and in- sects. 3^ervous principle. See J^Tervous fluid. Ne'stis. (From v«, neg. and t, to eat ; so called because it is generally found empty.) The jejunum. Mettle, common. See Urtica. J^eftle, dead. See Lamium album. J^eftle-rash. See Urticaria. Netjrochowdro'des. (From vivpov, a sinew, x,"^^?^^) ^ cartilage, and iKfo?, re- semblance.) A hard substance between a sinew and a cartilage. NEUROLOGY. (From vivpov, a nerve, and Koy-o?, a discourse.) The doctrine of the nerves. NEPROME'TOREis. (From viupcv, a nerve, and /juirpa., a matrix.) The psoas muscles are so called by Fallopius, as being the re- pository of many small nerves. NEURO'SES. (From vivpov, a nerve.) Nervous diseases. The second class of Cullen's nosology is so called ; it compre- hends affections of sense and motion dis- turbed ; without either idiopathic pyrexia, or topical diseases. Netjro'tica. (From vivpov, a nerve.) Nervous medicines. Neuro'tomy. (JYeurotomia ; {roxavtvpov, a" nerve, and Ts/y.va), to cut.) A dissection of the nerves. Also a puncture of a nurve. NEUTRAL SALTS. Secondary salts. Under the name of neutral or secondary salts are comprehended such matters as are composed of two primitive saline substances combined together. They are called neu- tral, because they do not possess the charac- ters of acid nor alkaline salts, which are primitive salts ; such are Epsom salts, nitre, &c. Ne'xus. (From necio, to wind.) A complication of substances in one part as, the membrane which involves the fostas. NICHOLS, Frawk, was born in London, where his father was a barrister in 1699. Af- ter passing through the usual academical ex- ercises at Oxford v/ith great assiduity, he €hoEe medicine for his profession ; and pur- sued a course of dissections with so much di- ligence and perseverance, as to render him- self highly skilful in this branch of his art. Hence he was chosen reader of anatomy in the university, where he used his utmost endeavours to introduce a zeal for this ptir- suit and obtained a high reputation. At the close of his course he made a short trial of practice in Cornwall, and subsequent- ly paid a visit to the principal schools of France and Italy. On his return he re- sumed his anatomical and physiological lectures in London, which were frequented, not only by students from the universities, but also by many surgeons, apothecaries, and others. In 1728 he was chosen a fellow of the Royal Society, to which he cummunicated several papers ; and shortly after he received his doctor's degree at Ox- ford, and became a fellow of the College of Physicians. In 1734 he was appointed to read the Gulstonian lectures, and chose the Heart and Circulation, for his subjects. In 1743 he married one of the daughters of the celebrated Dr. Mead. About five years after he was appointed lecturer on surgery to the college, and began his course vrith a learned and elegant dissertation on the " Anima Medica," which was afterwards published. On the death of Sir Hans Sloane in 1753, Dr. Nichols was appointed his successor as one of the King's physi- cians ; which office he held till the death of his Majesty seven years after. To a second edition of the treatise " De Anima Medica," in 1772, he added a dissertation " De Motu Cordis et Sanguinis in Homine nato et non nato." Weary at length with his profes- sion, and wishing to superintend the educa- tion of his son at Oxford, he removed to that city : and when the study of the law recalled his son to London, the doctor took a house at Epsom, where he passed the remainder of his life in literary retire- ment. He died in 1778. NICKEL. It is to Cronstedt that we are indebted for the discovery of this metal ; tliough the substance from which he ex- tracted it was known in the year 1694. Cronstedt proved it to be a peculiar metal in the year 1751. Nickel is found in na ture generally in the metallic state, more rarely in that of an oxyde. Its ores have a coppery red colour, generally covered more or less with a greenish-grey efflorescence. The most abundant ore is that termed sul- phuref of nickel, or kupfernickel, which is a compound of nickel, arsenic, suiphuret of -iron, and sometimes cobalt and copper. This ore occurs either massive, or dissemi- nated, but never crystallized ; it is of a cop- per colour, sometimes yellowish, white, or grey. It exists also combined with oxygen, and a little carbonic acid, in what is called native oxyde of nickel (nickel ochre ; ) it then has an earthy appearance, and is very frikble ; it is found coating kupfernickel, and seems 75 i94 mc MC to originate from the decomposition of this ore. It is found contaminated with iron in the mineral substance called martial nickel; this native combination, when fresh broken, has a lamellated texture ; when exposed to the air it soon turns black, and sometimes exliibits thin rhomboidal plates placed irre- g'ularly over each other. It is also found united to arsenic, cobalt, and alumine in the ore, called arseniate of racket. Properties. — Nickel, when free from he- terogeneous substances, is of a pale flesh colour. When fresh broken, it has a strong lustre. It has a fine-grained compact tex- ture, and can be a little flattened by ham- mering, similar to cast iron. It leaves a trace when rubbed upon the polished sur- face of a hard stone. Its specific gravity is betv/een 8 and 9. It is magnetic like iron. Mr. Chenevis once alleged the contrary ; but afterwards ascertained, that tlae pre- sence of arsenic had destroyed tlie magnetic quality. It requires a very iiitense heat for fiision. When exposed for a long time to a humid atmosphere, its surface becomes gradually covered with an oxyde of a green- ish hue ; this takes place, likewise, and more rapidi}', when heated in contact with air. When fused with borax, it produces a glass of a hyacinth colour. It unites with phos- phorus by fusion, and forms with it a phos- phuret wliich is very fusible, white, and in brilliant needles. With sulphur it forms, by fusion, a hard yellow mass, with small bril- liant facets. Sulphuric acid, assisted by heat, dissolves it. Nitric acid acts on it more readily. Muriatic acid, when heated on it, likewise dissolves part of it. Boracic and phosphoric acids seem to have little or no action on nickel. It readily unites with gold, and renders that metai white and brittle. It likewise fuses with platina, sil- ver, and bismuth. It does not alloy with mercury. It is easily oxydized by the nitrate and the hyperoxymuriate of pot- ash. Methods of obtaining nickel. — To obtain nickel, the ore is first roasted, in order to free it from sulphur and arsenic ; it is then changed into a greenish oxyde. This oxyde is mixed with two or three parts of black flux. The mixture is put into a crucible, and, being covered with decrepitated mu- riate of soda, it is brought to the state of fusion, by the strongest heat of a smitli's forge. When the crucible is broken, there is found at the bottom, under brown, black- ish, and sometimes blue scoria, a button of a yellowish white colour, equal in weight to a tenth, a fifth, and even a half of the ore employed. This metal, however, is still far from being pure. in order to purify it, the button obtained is again broken into small pieces, strongly heated, and then digested witli its own freight of concejitrated sulphuric acid, and distilled to dryness. The diy mass is dis-^ solved in water, and filtered. This solution, in general deposits crj'stals of arsenic, and finally afibrds dark green crystals of sul- phate of nickel. This sulphate is re-dis- solved in water, and decomposed by carbo- nate of potash. The precipitate is dissolved in liquid ammonia ; the blue solution leaves a residuum which is filtered off, and the fil- tered solution saturated with nitric acid- The nickel is then precipitated in the form of a greyish green powder, by carbonate of potash. From this oxyde the metallic nickel is obtainable by exposing it to heat, when made into a mass with oil and a little char- coal powder. The following is the method of Mr. Chenevix. " Take the native sulphuret of nickel, reduce it to powder, and roast it in contact with charcoal pov/der over a gentle fire. When no more fumes arise, pour then nitric acid over it, and dissolve it by heat in a Florence flask. Decant the solu- tion, filter it through bibulous paper, and evaporate it to dryness in a glass bason. Dissolve the nitrate of nickel in a sufficient quantity of distilled water, and decompose it by the addition of the strongest liquid ammonia^ taking care to add it in excess. The oxyde of nickel and cobalfTvill thus be re-dissolved ; then let the solution stand undisturbed till a precipitate again ensues. The solution must then be evaporated; it becomes blue during this process, by the precipitation of the cobalt which should be separated, and the evaporation be then con- tinued, to dryness ; the residue will be pure oxyde of nickel. in order to reduce this oxyde to tlie me- tallic state, let it be made into a paste with oil, mix it with about three parts of black flux, and put it into a crucible, covering it with borax and muriate of sod|^-and heat <• the crucible violently for an hour and a hair in a forge, a button will then be obtained, which is pure nickel. Nico'PHORtJS. (From v;»;b victory, and ov. JVitrum. Potassce nitras. Salpetras. Alaurat. Algali. Atac. Baurack. Acusto. Haliniirum: Saltpetre, A perfect neutral salt, formed by the union of the nitric acid with the vegetable alkali_. thence called nitrate of potash. Its taste is cooling, and it does not alter tiie colour of the syrup of violets. Nitre exists in large quantities in the earth, and is continually formed in inhabited places; it is found in great quantities upon walls which are sheltered from the rain. It is of great use in the arts ; it is the principal ingredient in gunpowder ; and, burned with different proportion of tartar, forms the substances called fluxes. It is of considerable im- portance in medicine, as a febrifuge, diure* 596 JNfIT MT tic, and antiphlo§^stic remedy, in doses of from five to twenty grains. NITRIC ACID. Acidum nitrieum. The London College directs this acid to be made by distilling equal parts, by weight, of dried nitrate of potash and sulphuric acid. We are directed to take two pounds of each, mix them in a glass retort, then distil the ni- tric acid in a sand-bath, as long as a red vapour arises ; lastly, having added to the acid first distilled an ounce more of dry ni- trate of potash, distil the nitric acid again in a similar manner. The specific gravity of nitric acid is to that of water, as 1.500 to 1.000. A fluid ounce, diluted with water, ought to dissolve of a lump of lime-stone immersed therein one ounce. This acid, undiluted, is a powerful caustic, and is sometimes employed as such by sur- geons to destroy fungous excrescences. Very much diluted, it is exhibited internally as a tonic and antiseptic in the cure of typhoid fevers, scurvy, syphiloid diseases, and other cachexies. Kitric oxyde of Mercury. See Hydrargyri nilrico-oxydum. NITRICO-O'XYDUM HYDRARGYRI. See Hydrargyri nitrico-oxydum. NITROGEN. (From v/7/iov, nitre, and yincLu, to generate ; so called because it is the generator of nitre.) Azote. Alkali- gen.- A simple body, very abundant in na- ture, though not producible alone, or in an insulated state. It is not distinctly percep- tible to the human senses, however aided by instruments. We know it only in its com- bination. But the reality of its existence is unquestionable ; since we can mark its passage out of one combination into another ; since we know the laws of chemical attrac- tion to which it is subject ; since we discern the precise character of those simple sub- stances with which it is combinable, and can distinguish the nature of the new compounds which the combination produ- ces. The separate existence and peculiar nature of this substance were first disco- vered by Dr. Rutherford. It is the radi- cal principle of our atmospheric air, and some other gaseous substances, and forms a constituent part of animal and many vege- table substances. It is a component part of the nitric acid, and of ammonia. It has been considered as an alkalizing principle, in opposition to oxygen, which, as we have noticed before, is the principle of acidity. One of the most remarkable combinations into which nitrogen is known to enter, is that which takes place between it and light and caloric. The compound thus produced is called NITROGEN GAS. Phlogistlccjted air. Azotic gas. Mephitic air. Mofette. Properties. — Nitrogen gas, or azotic gas, 3.S it i'^ also called, is not possessed of anv remarkable property capable of cliaracteri" zing it ; but is principally distinguished by certain negative qualities, namely, it is ex- tremely hurtful to respiration, and quickly kills animals. Plants thrive and evea flourish in it. It has no sensible taste. It neither reddens blue vegetable colours nor precipitates lime, or barytic-water. Its weight is to common air, as about .972 to l.OOlf. No combustible substance burns iu nitrogen gas ; but it is capable of an imper- fect combustion in combination with oxygen gas when exposed to the action of the elec- tric spark. It is not absorbable by water. It is capable of dissolving sulphur, phosphorus, and charcoal in minute quantities. It unites to hydrogen under certain conditions, and constitutes with it ammonia. When uni- ted to oxygen in different proportions, it pro- duces atmospheric air, gaseous oxyde of azote or nitrogen, nitrous gas, nitrous acid, and nitric acid. It is a component part of all animal substances, and communicates to them their most distinctive characters. It was discovered by Dr. Rutherford, of Edin- burgh. ' Nitrogen gas has been found by Priestley in the Bath waters, and by Dr. Pearson in the Buxton waters. Methods of obtaining J^itrogen Gas.— Nitrogen ga% may be obtained by various means. For instance, it has been long since ascertained that air, which has served the purposes of combustion and respiratioa, is no longer proper for these uses. Chemists, have availed themselves of this circum- stance in order to obtain nitrogen gas in the following manner. 1 . Make a quantity of sulphuret of potash, or sulphuret of iron, into a paste with water, and place the mixture in a saucer or plate over water, on a stand raised above tlie fluid ; then invert over it a jar or bell- 4 glass, and allow this to stand for a kv days. The air contained in the bell-glass will gradually diminish, as will appear from the ascent of the water, until only about three-fourths of its original, bulk, re- main. When no further diminution takes place,, the vessel containing the sulphuret must be removed, and the remaining air will be found to be nitrogen gas. In this experiment, the moistened sulphu- ret of potash or iron has a great affinity to oxygen ; it attracts and separates it from the atmospheric air, and the nitrogen gas is left behind ; the sulphur is, during the experi- ment, converted into sulphuric acid, which unites to the alkali, and forms sulphate of potash ; or where sulphuret of iron is used, the metal being oxydized at the same time, sulphate of iron is formed. The water with which the sulphuret is moistened like- wise undergoes a decompostion. See JEit- diometry. 2, Nitrogen gas may likewise be obtained NIT NIT ;597 ifom fresh animal substances. For tliia purpose, cat a piece of lean muscular flesh into small pieces, introduce them into a retort, and pour over them weak nitric acid. If the heat of a lamp be then gently applied, the gas will be speedily obtained ; for all animal substances are composed of nitrogen, with carbon, hydrogen, or oxygen ; and on adding nitric acid in this way, the equilibrium of the respective affinities is destroyed, the nitrogen gas becoming sepa- rated. The fibrous part of animal matter is that which affords the most nitrogen gas ; next to this all tiie concretive parts, such as the clot of blood ; next to that albumi- nous matter, such as the serum and the white of eggs ; gelatinous substances afford the least. 3. Nitrogen gas may likewise be ob- tained by causiiig oxymuriatic acid gas to be received in a vessel containing liquid ammonia ; for ammonia consists of hydrogen aod nitrogen. The hydrogen of the ajn- jnonia unites to the oxygen of the oxy- muriatic acid, and forms water, heat is evolved, the nitrogen becomes free, and the oxymuriatic acid becomes converted into simple muriatic acid. NITROGEN, GASEOUS OXYDE OF. This combination of nitrogen and oxy- gen was for nerly called the dephlogisti- cated nitrous gas, but now gaseous oxyde of nitrogen or nitrous oxyde. It was first discovered by Priestley. Its nature and properties have since been investigated (though not very accurately) by a society of Dutch chemists. Professor Davy has examined with un- common accuracy the formation and pro- perties of all the substances concerned in its production. He has detected the sources of error in the experiments of Priestley, and the Dutch chemists, and to him we are indebted for a thorough knowledge of this gas. We shall, therefore, exhibit the phi- losophy of this gaseous fluid as we find it in his researches concerning the nitrous oxyde. Properties. — It exists in the form of a per- manent gas. A candle burns with a bril- liant flame and crackling noise in it ; before its extinction the white inner flame becomes surrounded with a blue one. Phosphorus introduced into it, in a state of actual in- flammation, burns with increased splendour, as in oxygen gas. Sulphur introduced into it when burning with a feeble blue flame is instantly extinguished ; but when in a state of vivid inflammation, it burns with a rose- 'oloured flame. Ignited charcoal burns in it more brilliantly than in atmospheric air. Iron wire, with a small piece of wood affixed to it, when inflamed, and introduced into a vessel filled with this gas, burns vehemently, and throws out bright scintillating sparks. No combustible body, however, bums in it, unless it be previously brought to a state of vivid inflammation. Hence sulphur may be melted, and even sublimed in it, phosphorus may be liquefied in it without undergoing combustion. Nitrous oxyde is pretty ra- pidly absorbed by water that has been boiled ; a quantity of gas equal to rather more than half the bulk of the water may be thus made to disappear, the water ac- quires a sweetish taste, but its other proper- ties do not differ perceptibly from common water. The whole of the gas may be ex- pelled again by heat.. It does not change blue vegetable colours. It has a distinctly sweet taste, and a faint but agreeable odour. It undergoes no diminution when mingled with oxygen or nitrous gas. Most of the liquid inflammable bodies, such as ether, alcohol, volatile and fat oils, absorb it ra- pidly and in great quantity. Acids exert but httle action on it. The affinity of the neutro-saline solutions for gaseous oxyde of nitrogen is very feeble. Green muriate and green sulphate of iron, whetlier holding ni- trous gas in solution, or not, do not act upon it. None of the gases when mingled with it, sufier any perceptible change at common temperatures ; the muriatic and sul- phurous acid gases excepted, which under- go a slight expansion. Alkalis freed from carbonic acid, exposed in the dry or solid form, have no action upon it; they may, however, be made to combine with it in the nascent state, and then constitute saline compounds of a peculiar nature. These combinations deflagrate when heated with charcoal, and are decomposed by acids; the gaseous oxyde of nitrogen being disen- gaged. It undergoes no change whatever from the simple effect of light. The action of the electric spark, for a long while conti- nued, converts it into a gas, analogous to atmospheric air and nitrous acid ; the same is the case when it is made to pass through an ignited earthen tube. It explodes with hydrogen in a variety of proportions, at very high temperatures ; for instance, when elec- tric sparks are made to pass through the mixture. Sulphuretted, heavy, and light carburetted hydrogen gases, and gaseous oxide of carbon likewise burn with it when a strong red beat is applied. 100 parts by weight of nitrous oxyde, contain 36.7 of oxygen and 63.3 of nitrogen ; 100 cubic inches weigh 50 grains at 55° temperature and 30 inches atmospheric pressure. Ani- mals, when wholly confined in gaseous oxyde of nitrogen, give no signs of uneasi- ness for some moments, but they soon be- come restless and then die. When gaseous oxyde of nitrogen is mingled with atmos- pheric air, and then received into the lungs, it generates highly pleasurable sensations ; the effects it pi'oduces on the animal system 3 re eminentlv distinguished from everv 5S8 NIT rs'iT other chemical agent. It excites every fibre to action, and rouses the faculties of the mind, inducing a state of great exhilaration, an irresistible propensity to laughter, a rapid flow of vivid ideas, and unusual vigour and fitness for muscular exertions, in some re- spects resembling those attendant on the pleasantest period of intoxication, without any subsequent languor, depression of the nervous energy, or disagreeable feelings ; but more generally followed by vigour, and a pleasurable disposition to exertion, which gradually subsides. Such are the properties that characterize the nitrous oxyde. The Dutch, chemists and some French and German philosophers assert that it can- not be respired ; that burning phosphorus, sulphur, and charcoal are extinguished in it, &c. It is probable they did not examine it in a state of purity, for it is other wis* diffi- cult to account for these and many other erroneous opinions. Methods of obtaining gaseous oxyde of ni- trogen. — Gaseous oxyde of nitrogen is pro- duced when substances, having a strong affinity with oxygen are brought into con- tact with nitric acid, or with nitrous gas. It may therefore be obtained by various pro- cesses, in which nitrous gas or nitric acid is decomposed by substances capable of attracting the greater part of their oxygen. The most commodious and expeditious as well as cheapest mode of obtaining it, is by decomposing nitrate of ammonia, at a certain temperature, in the following manner : — 1. Introduce into a glass retort some pure nitrate of ammonia, and apply the heat of an Argand's lamp, the salt will soon liquefy, and, when it begins to boil, gas will be evolved. Increase the heat gradually till the body and neck of the retort become filled with a semi-transparent milky white vapour. In this state the temperature of the fused nitrate is between 340'' and 480". After the decomposition has proceeded for a few minutes, so that the gas evolved quickly enlarges the flame of a taper held near the orifice of the retort, it may be collected over water, care being taken during the whole process, never to suffer the tempera- ture of the fused nitrate to rise above 500° Fahr. which may easily be judged of, from the density of the vapours in the retort, and from the quiet ebullition of the fused nitrate ; for if the heat be increased beyond this pointy the vapours in the retort acquire a reddish and more transparent appearance ; and tlie fused nitrate begins to rise, and occupy twice the bulk it did before. The nitrous oxyde, after its generation, is allowed to stand over water, for at least six hours, and is then fit for respiration or other experi- ments. Explanation. — Nitrate of ammonia con- sists of nitric acid and ammonia ; nitric acid is composed of nitrous gas and oxygen ; and ammonia consists of hydrogen and nitrogen. At a temperature of about 480° the attrac- tions of hydrogen for nitrogen in ammonia^ and that of nitrous gas for oxygen in nitric acid, are diminished : while, on the contrary, the attractions of the hydrogen of ammonia for the oxygen of the nitric acid, and that of the nitrogen of the ammonia for the nitrous gas of the nitric acid, are increased ; hence all the former affinities are broken, and new ones produced, namely, the hydrogen of the ammonia attracts the oxygen of the nitric acid, the result of which is water; the nitrogen of the ammonia combines with the liberated nitrous gas, and forms nitrous oxyde. The water and nitrous oxyde pro- duced, probably exist in biniary combination in the aeriform state, at the temperature of the decomposition. Such is the philosophy of the production of gaseous oxyde of nitrogen, by decompo*- sing nitrate of ammonia at that temperature, given by Davy. To illustrate this complicated play of afc finity more fully, the following sketch may not be deemed superfluous. MT NIT 593 >,i Diagram exhibiting the production of Gaseous Uxyde of Nitrogen, by decomposirig Nitrate of .Ammonia, at 480° Fahr. Professor Davy has likewise pointed out, from its water of crystallization by gently that, when the heat employed for decom- fusing it in a glass or Wedgwood's basin for posing nitrate of ammonia is raised above a few minutes, and then keeping it for use the before-stated temperature, another play in a well-stopped bottle. of affinities takes place, the attractions of nitrogen and hydrogen for each other and of oxygen for nitrous gas are still more di- minished, whilst that of nitrogen for nitrous gas is totally destroyed, and that of hydro- gen for oxygen increased to a greater extent. A new attraction likewise takes place, namely, that of nitrous gas for nitric acid to (brmnilrous acid vapour, and a new arrange- ment of principles is rapidly produced : the 2. Nitrous oxyde may likewise be ob- tained by exposing common nitrous gas to alkaline sulphites, particularly to sulphite of potash containing its full quantity of water of crystallization. The nitrous oxyde produced from nitrous gas by sulphite of potash has all the properties of that gene- rated from the decomposition of nitrate of ammonia. The conversion of nitrous gas into ni- nitrogen of the ammonia having no affinity trous oxyde, by these bodies, depends on for any of the single principles at this tem- perature, enters into no binary compound ; the oxygen of the nitric acid forms water with the hydrogen, and the nitrous gas combines with the nitric acid to form nitrous acid vapour. the abstraction of a portion of its oxygen by the greater affinity of the sulphite pre- sented to it. The nitrogen and remaining oxygen assume a more condensed state of existence, and constitute nitrous oxyde. 3. Nitrous oxyde may also be obtained All these substances most probably exist by mingling together nitrous gas and sul- in combination, at the temperature of their phuretted hydrogen gas. The volume of production ; and at a lower temperature gases in this case is diminished, sulphur de- assume the form of nitrous aeid, nitrous gaSf nitrogen, and water; and hence we see the necessity of not heating the nitrate of ammonia above the before-stated tem- perature. posited, ammonia, watei% and nitrous oxyde are formed. The change of principles which takes place in this experiment depends upon the combination of the hydrogen of the sulphu- On account of the rapid absorption of retted hydrogen gas, with different portions gaseous oxyde of nitrogen by water, it is of the oxygen and nitrogen of the nitrous economical to preserve the fluid which has ^gas, to form water and ammonia, while it be«n used to confine this gas, and to make deposits sulphur. The remaining oxygen use of it for collecting other quantities of and niti-ogen being left in due proportion it. In order to hasten its production, the constitute nitrous oxyde. nitrata of ammonia may be previously freed i?€marfr.=-This singular exertion of at- 600 yiT mT traction by a simple body appears liigiily it is the nitrous acid wliich is obtained ifi improbable a priori ; but the formation of the first process of distillation, ammonia, and the non-oxygenation of the It seems to be true that nitrous acid of a sulphur, elucidate the fact. In performing much darker orange red colour is obtained this experiment care should be taken that by decomposing nitrate of potash by means the gases should be rendered as dry as pos- of sulphate of iron, than when the same sible ; for the presence of water considera- salt is decomposed by sulphuric acid. The biy retards the decomposition. following is the process made use of by 4. Nitrous oxyde may also be produced some manufactmrers : — by presenting alkaline sulphurets to nitrous Take a quantity of sulphate of iron, de- gas. Davy observed that a solution of sul- prived of its water of crystallization by heat, phuret of strontian, or baiytes, answers this and mix it with an equal weight of dry purpose best. nitrate of potash ; put the mixture into a This decomposition of nitrous gas is not glass retort, to which a very spacious recei- Eolely produced by the absti-action of oxygen ver has been luted, containing a little wa- from the nitrous gas, to form sulphuric acid, ter, and begin the distillation with a very It depends equally on the decomposition of slow fire. As soon as the red vapours cease the sulphuretted hydrogen dissolved in tlie to come over, let the fire be slackened, and, solution or liberated from it. In this pro- when the vessels are cooled, the receiver cess, sulphur is deposited and sulphuric acid may be cautiously withdrawn, and its con- formed, tents quickly transferred through a glass 5. Nitrous oxyde is obtained in many cir- funnel into a bottle, furnished with a cumstances similar to those in which nitrous ground stopper. gas is produced. Dr. Priestley found that NITROUS GAS. The name of nitrous nitrous oxyde was evolved, together with gas is given to an aeriform fluid, consisting nitrous gas, during the solution of iron, tin, of a certain quantity of nitrogen and oxy- and zinc in nitric acid. gen, combined with caloric. It is an elas- It is difficult to ascertain the exact tic, colourless fluid, having no sensible taste ; rationale of these processes, for very com- it is neither acid nor alkine ; it is exceeding- plicated agencies of affinities take place, ly hurtful to animals, producing instant suf- Either the nascent hydrogen arising from focation whenever they attempt to breathe the decomposition of the water by the me- it. The greater number of combustible tallic substance may combine with portions bodies refuse to burn in it. It is neverthe- of the oxygen and nitrogen of the nitrous less capable of supporting the combustion of gas ; and thus by forming water and ammo- some of these bodies. Phosphorus burns in nia, convert it into nitrous oxyde ; or the metallic substance may attract at the same time oxygen from the water and nitrous gas, whilst the nascent hydrogen of the water seizes upon a portion of the nitrogen of the nitrous gas when introduced into it in a state of inflammation; pyrophorus takes fire in it spontaneously. It is not decomposable by water, though 100 cubic inches of this fluid, when freed nitrous gas, to form ammonia. The analogy from air, absorb about five cubic inches of between this process and the decomposition tlie gas. This solution is void of taste ; it of nitrous gas by sulphuretted hydrogen, venders the first opinion most probable. Such are the principal methods of obtain- ing nitrous oxyde. There are no reasons, Davy thinks, for supposing that nitrous does not redden blue vegetable colours ; the gas is expelled again when the water is made to boil or suffered to freeze. Nitrous gas has no action on nitrogen gas even when assisted by heat. It is decomposed by sere- oxyde is formed in any of the processes of ral metals at high temperatures. nature, and the nice equilibrium of affinity by which it is constituted forbids us to hope for the power of composing it from its sim- ple principles. We must be content to pro- duce it artificially. NITRO-MURIATIC ACID. The com- pound acid formed by uniting the nitric and muriatic acids. It is commonly known by the name of aqua regia. See Oxy- muriatic acid. Its specific gravity, when perfectly pure, is to that of atmospheric air as about 1.04 tol. Ardent spirits, saccharine matters, hydro- carbonates, sulphurous acid, and phosphorus have no action on it at the common tempe- rature. It is not sensibly changed by the action of light. Heat dilates it. It rapidly combines with oxygen gas at common tem- peratures, and converts it into nitrous acid. NITROUS ACID. This name has Atmospheric air produces the same effect usually been given to nitric acid, impreg- but with less intensity. It is absorbable by nated -.vith nitrous gas, to which it owes its green sulphate, muriate and nitrate of iron, colour ; for pure nitric acid is colourless. « and decomposable by alkaline, terrene, and The common mode of obtaining nitrous metallic sulphurets, and other bodies that acid is to decompose nitrate of potash by have a strong affinity for oxygen ; but it is means of sulphm-ic acid with the assistance not capable of combining with them chemi- of heat. The nitric acid suffers a partial cally, so as to form saline compounds. From decomTiosition during the process, and hence the greatest number of bodies which absorb MT NOD 801 ii, it may be again expelled by the applica- tion of heat. It communicates to flame a greenish co- lour before extinguishing it ; when mixed with hydrogen gas this acquires the property of burning with a green flame. It is ab- sorbable by nitric acid and renders it fuming. When exposed to the action of caloric in an ignited porcelain tube, it experiences no alteration, but when electric sparks are made to pass through it, it is decomposed and converted into nitrous acid, and nitro- gen gas. Phosphorus does not shine in it. It is composed of about eight parts of oxy- gen and seven of nitrogen. Methods of obtaining nitrous gas. — 1. Put into a small proof, or retort, some copper •wire or pieces of the same metal, and pour ©n it nitric acid of commerce diluted with water, an effervescence takes place and ni- trous gas will be produced. After having suflered the first portions to escape on account of the atmospheric air contained in the retort, collect the gas in the water- apparatus as usual. In order to obtain the gas in a pure state, it must then be shook for some time in contact with water. The water in this instance suflers no alteration, on the contrary, the acid undergoes a partial decomposition ; the metal robs some of the nitric acid of the greatest part of its oxygen and becomes oxydized; the acid having lost so much of its oxygen, becomes thereby so altered, that at the usual temperature it can exist no longer in the liquid state, but in- stantly expands and assumes the form of gas ; ceasing at the same time to act as an acid, and exhibiting difierent properties ; but the acid remaining undecomposed com- bines with the oxyde of copper, and forms nitrate of copper. Instead of presenting copper to nitric acid, iron, zinc, mercury, or silver may be made use of. The metals best suited for the production of nitrous gas are silver, mercu- ry, and copper. 2. Nitrous gas may likewise be obtained by synthesis. This method of obtaining it we owe to Dr. Milner of Cambridge. Into the middle of an earthen tube about 20 inches long and three-fourths of an inch wide, open at both ends, put as much coarsely-powdered manganese as is sufficient nearly to fill it. Let this tube traverse a furnace having two openings opposite to each other. To one end of the tube lute a re- tort containing water strongly impregnated with ammonia, and to the other adapt a bent glass tube which passes into the pneu- matic trough. Let a fire be kindled in the furnace, and when the manganese may be supposed to be red hot, apply a gentle heat to the retort and drive over it the vapour of the ammonia ; the consequence will be that nitrous gEis will be delivered at the farther end of the tube, while the ammonia enters 76 the other end ; and this efiect does not take place without the preaence of the alkali. Explanation. — Ammonia consists of hy- drogen and nitrogen, its hydrogen combines with the oxygen which is given out by the ignited manganese, and forms water, its nitrogen unites at the same time to another portion of the oxygen and constitutes the nitrous gas. There is a cause of deception in this ex- periment, against which the operator ought to be on his guard, lest he should conclude no nitrous gas is formed, when, in reality, there is a considerable quantity. The am- monia, notwithstanding every precaution, will frequently pass over undecomposed. If the receiver in the pneumatic trough is filled with water, great part of this will indeed be presently absorbed ; but still some portion of it will mix with the nitrous gas formed in the proceFS. Upon admitting the atmosphe- ric air, the nitrous gas will become decom- posed, and the red nitrous fumes instantly unite with the alkali. The receiver is pre- sently filled, with white clouds of nitrate of ammonia ; and in this manner a wrong conclusion may easily be drawn from the want of the orange colour of the nitrous fumes. A considerable quantity of nitrous gas may have been formed, and yet no orange colour appear, owing to this cir- cumstance ; and therefore it is easy to un- derstand how a small quantity of nitrous gas may be most effectually disguised by the same cause. Dr. Milner also obtained nitrous gas, by passing ammonaical gas over sulphate of iron deprived of its water of crystallization. Nitrous oxide. See Mtrogen, gaseous oxide of. Ni'trum. This name was anciently given to natron, but in modern times to nitrate o,f potash. See JVitre. Ni'trum purifica'tum. See JVitre. Ni'trum vitrioj.a'tpm. Sulphuric acid and soda. See Soda sulphas. No'bilis. {Q,uasi noscibilis, from nosco^ to know.) A valve of the heart, by way ©f eminence, is called nobilis valvula, the noble valve. Noble metals. A name formerly be- stowed on the perfect metals, gold, silver, and platina. Noctambula'tio. (From nox, night, and ambulo, to walk.) J^octisurgium. Walking in the night, when asleep. See Oneirodynia. Noctisu'rgium. See JVoctambulatio, J^oclurnal emissions. See Gonorrhma dormientium. Nodding CNictrs. The systematic name of this plant is Cnicus cernuus, of Linnasus. In Sibeina the tender stalks are first peeled and then boiled and eaten by the inhabi- tants. NODE. J^odus. A hard circumscribed tumour, proceeding from a bone, and caused 602 NON HOS by a swelling of the periosteum ; they appear on every part of the body, but are more common on such as are thinly covered vpith muscles, as the os frontis, fore-part of the tibia, radius and ulna. As they increase in size they become more painful from the distention they occasion in the periosteum. When they continue long the bone becomes completely carious. Nodus. (From Anad, to tie, Heb.) A node or swelling upon a bone. See Node. No'li me ta'wgere . A species of herpes affecting the skin and cartilages of the nose, very difficult to cure, because it is exaspe- rated bySmost applications. The disease ge- nerally commences with small, superficial spreading ulceration on the alae of the nose, which become more or less concealed be- neath furfuraceous scabs. The whole nose is frequently destroyed by the progressive ravages of this peculiar disorder, which sometimes cannot be stopped or retarded by any treatment, external or iuternal. No'mje. (From vsjua), to eat.) Noma. Ulcers that sometimes attack the cheek or vulva of young girls. They appear in the form of red and somewhat livid spots ; are not attended with pyrexia, pain, or tumour, and in a few days become gangrenous. NON-NATURALS. Under this term, antient physicians comprehend air, meat and drink, sleep and watching, motion and rest, the retentions and excretions, and the affections of the mind ; or, in other words, those principal matters which do not enter into the composition of the body, but at the same time are necessary to its existence. No'NUS. {^uasi novenus, from novem^ nine.) Humeri musculus placentini. The ninth or coracoid muscle of the shoulder. No'PAi,. Jfopalnochetsth. The plant that feeds the cochineal insect. Norla'ndics! ba'ccjE. See rubus arc- ticus. NOSE. Nasus. See Nares. Nose, bleeding of. See Epistaxis. Nosoco'mium. (From voa-o?, a disease, and KOfiioo, to take care of. ) Nosodochium. An hospital. NosoDo'cHiuM. See Nosocomium. NOSOLOGY. (JVosologia, from voa-oe^ a disease, and xoj-af, a discourse.) The doctrine of the names of diseases. Modern physicians understand by nosology the ar- rangement of diseases in classes, orders, ge- nera, species, &c. The following are the approved arrangements of the several noso- logists. That of Dr. Cullen is generally adopted in this country, and next to it the arrangrement of Sauvages. Synoptical View of the Classes, Orders, and Genera, according to the Culleman Si/stem. Order L FEBRES. ^ 1. Intermittentes. 1. Tertiana 2. Quartana 3. Quotidiana. i 2. Continues. 4. Synocha 5. Typhus 6. Synochus. Order II. PHLEGMASIA]. 7. Phlogosis 8. Ophthalmia 9. Phrenitis 10. Cynanche 11. Pneumonia 13. Carditis. Order I. COMATA. 41. Apoplexia 42. Paralysis Order II. ADYNAMIC. 43. Syncope 44. Dyspepsia 45. Hypochondriasis 46. Chlorosis. CLASS I.— PYREXIAE. 13. Peritonitis 14. Gastritis 15. Enteritis 16. Hepatitis 17. Splenitis 18. Nephritis 19. Cystitis 20. Hysteritis 21. Rheumatismus 22. Odontalgia 23. Podagra 24. Arthropuosis. Order III. EXANTHEMATA. 25. Variola 26. Varicella 27. Rubeola 28. Scarlatina CLASS II.— NEUROSES. Order III. SPASML 47. Tetanus 48. Convulsio 49. Chorea 50. Raphania 51. Epilepsia 52. Palpitatio 53. Asthma 54. Dyspnoea 53. Pertussis .^6. Pyrosis 29. Pestis 30. Erysipelas 31. Miliaria 32. Urticaria 33. Pemphigus 34. Aphtha. Order IV. HJlMORRHAGIiE. 35. Epistaxis 36. Hsemoptysis 37. Hsemorrhois 38. Menorrhagia. Order V. PROFLUVIA, 39. Catarrhus 40. Dysenteria. 57. Colica 58. Cholera 59. Diarrhoea 60. Diabetes 61. Hysteria 62. Hydrophobia. Order IV, vesanij:. 63. Amentia 64. Melancholia 65. Mania 66. Oneirodynia. NOSOLOGY. CLASS III.— cachexia: Order I. 72. Physometra. 81. Rachitis. MARCORES. 3. Aquosce. Order III. 67, Tabes 73. Anasarca IMPETIGINES 68. Atrophia. 74. Hydrocephalus 82. Scrophula Order II. 75. Hydrorachitis 83. Syphilis INTUMESCENTI^. 76. Hydrothorax 84. Scorbutus i 1. Adiposa. 77. Ascites 85. Elephantiasis 69. Polysarcia. 78. Hydrometra 86. Lepra 2. FlatuoscB, 79. Hydrocele. 87. Frambaesia 70. Pneumatosis. i 4. Solidm, 88. Trichoma 71. Tympanites. 80. Physconia CLASS IV.— LOCALES. 89. Icterus, Order I. 109. Mutitas 130. Cancer DYSESTHESIA. 110. Paraphonia 131. Bubo 90. Caligo 111. Psellismus 132. Sarcoma 91. Amaurosis 112. Strabismus 133. Verruca 92. Dysopia 113. Dysphagia 134. Clavus 93. Pseudoblepsis 114. Contractura. 135. Lupia 94. Dysecoea Order IV. 136. Ganghou 95. Paracusis APOCENOSES. 137. Hydatis 96. Anosmia 115. Profusio 138. Hydarthrus 97. Agheustia 116. Ephidrosis 139. Exostosis. 98. Anaesthesia. 117. Epiphora Order VII. Order II. 118. Ptyalismus ECTOPIA. DYSOREXIE. 119. Enuresis 140. Hernia 9 1. Appetitus erronei. 120. Gonorrhoea. 141. Prolapsus 99. Bulimia. Order V. 142. Luxatio. 100. Polydipsia EPISCHESES. Order VIIL 101. Pica 121. Obstipatio DYALYSES. 102. Satyriasis 122. Ischuria 143. Vulnus 103. Nymphomania 123. Dysuria 144. Ulcus 104. Nostalgia 124. Dyspermatismus 145. Herpes § 2. Appetitus deficientes. 125. Amenorrhoea. 146. Tinea 103. Anorexia Order VI. 147. Psora 106. Adipsia TUMORES. 148. Fractura 107. Anaphrodisia. 126. Aneurisma 149. Caries, Order III. 127. Varix DYSCINESIA. 128. Ecchymoma 108. Aphonia 129. Schirrus Synoptical View of the System of Salvages, CLASS I.— VITIA. Order I. 16. Bubo 33. Varix MACULJI. 17. Parotis 34. Hydatis Genus 1. Leucoma 18. Furunculus 35. Marisca 2. Vitiligo 19. Anthrax 36. Staphyloma 3. Ephelis 20. Cancer 37. Lupia 4. Gutta rosea 21. Paronychia 38. Hydarthrus 5. Naevus 22. Phimosis. 39. Apostema 6. Ecchymoma. Order IV. 40. Exomphalus Order II. EXCRESCENTI5]. 41. Oscheocele. EFFLORESCENTIJi. 23. Sarcoma Order VL 7. Herpes 24. Condyloma ECTOPIJl. 3. Epinyctis 25. Verruca 42. Exophthalmia 9. Psydracia 26. Pterygium 43. Blepharoptosia 10. Hidroa. 27. Hordeolum 44. Hypostaphyle Order III. 28. Bronchocele 45. Paraglossa, PHYMATA. 29. Exostosis 46. Proptoma 11. Erythema 30. Gibbositas 47. Exania 12. CEdema 31. Lordosis. 48. Exocyste 13. Emphysema. Order V. 49. Hysteroptosis 14. Scirrhus CYSTIDES. 50. Enterocele 15. Phlegtaone 32, Aneyrisma 51= Epiplocele. 603 oiU NOSOLOGY. 52. Gasterocele 62. Laxarthrus. 70. Amputaturs 53. Hepatocele Order VIL 71. Ulcus 34. Splenocele PLAGJ2. 72. Exulceratic S5. Hysterocele 63. Vulnus 73. Sinus 56. Cystocele 64. Punctura 74. Fistula 57. Encephalocele 65. Excoriatio 75. Rhagas 58. Hysteroloxia 66. Contusio 76. Eschara 59. Parorchidiuna 67. Fractura 77. Caries 60. Exarthrema 68. Fissura 78. Arthrocace. 61. Diastasis 69. Ruptura CLASS II.~FEBRES. Order I. 83. Hectica. Order III. CONTINUE. Order II. INTERMITTENTEfe. 79. Ephemera REMITTENTES. 87. Quotidiana 80. Synocha 84. Amphimerina 88. Tertiana 81. Synochus 85. Tritseophya 89. Quartana 82. Typhus 86. Tetartophya. 90. Erratica. CLASS III.— PHLEGMASIJC. Order I. 100. Aphtha. Order III. EXAMTHEMATICiE. Order II. PARENCHYMATOS.E, 91. Pestis membranacej:. 109. Cephalitis 92. Variola 181. Phrenitis 110. Cynanche 93. Pemphigus 102. Paraphrenesis 111 Carditis 94, Rubeola 103. Pleuritis 112. Peripneumoiaia 95. Miliaris 104. Gastritis 113. Hepatitis 96. Purpura 105. Enteritis 114. Splenitis 97. Erysipelas 106. Epiploitis 115. Nephritis. 98. Scarlatina 107. Metritis 99. Essera 108. Cystitis CLASS IV.— SPASMI. Order I. 123. Catochus. Order IV. TONICI PARTIALES. Order III. CLONICI GENERALE! 116. Strabismus CLONICI PARTIALES , 132. Rigor 117. Trismus 124. Nystagmus 133. Eclampsia 118. Obstipitas 125. Carphologia 134. Epilepsia 119. Contractura 126. Pandiculatio 135. Hysteria 120. Grampus 127. Apomyttosis 136. Scelotyrbe 121. Priapismus 128. Convulsio 137. Beriberia. Order II. 129. Tremor TONICI GENERALES . 130. Palpitatio 122. Tetanus 131. Claudicatio. CLASS v.— ANHELATIONES. Order I. 142. Tussis. 146. Orthopuoeu SPASMODIC^. Order II. 147. Angina 138. Ep'hialtes OPPRESSIVE. 148. Pleurodyne 139. Sternutatio 143. Stertor 149. Rheuma 140. Oscedo 144. Dyspnoea 150. Hydrothorax 141. Singultus 145. Asthma 151. Empyema. CLASS VI.— DEBILITATES. Order I. Order II. 170. Hemiplegia DYS^STHESI M. anepithymij:. ' 171. Paraplexia. 152. Cataracta 162. Anorexia Order IV. 153. Caligo 163. Adipsia LEIPOPSYCHIiB 154. Amblyopia 164. Anaphrodisia 172. Asthenia 155. Amaurosis Order III. 173. Leipotliymia 156. Anosmia DYSCINESIE. l74. Syncope 157. Agheustia 165. Mutitas 175. Asphyxia. 158. Dysecosa 166. Aphonia Order V- 159. Paracusis 167. Psellismus COMATA 160. Cophosis 168. Paraphonia 176. Catalepsis 161. Anesthesia. 169. Paralysis 177. Ecstasis NOSOLOGY. 605 iTS. Typhomania 179, Lethai^us Order L VAGI. 183. Arthritis 184. Ostocopus 185. Rheumatismus 186. Catarrhus 187. AnxietEis 188. Lassitudo 189. Stupor 190. Pruritus 191. Algor 192. Ardor. Order II. CAPITIS. 193. Cephalalgia 180. Cataphora 181. Carus CLASS VIJ.— DOLORES. 194. Cephalsea 195. Hemicrania 196. Ophthalmia 197. Otalgia 198. Odontalgia. Order III. PECTORIS. 199. Dysphagia 200. Pyrosis 201. Cardiogmus. Order IV, ABDOMINALES IN- TERJMI. 202. Cardialgia 203. Gastrodynia 182. Apoplexia. 204. Colica 205. Hepatalgia 206. Splenalgia 207. Nephralgia 208. Dystocia 209. Hysteralgia, Order V. EXTERNI ET ARTUUlVI, 210. Mastodynia 211. Rachialgia 212. Lumbago 213. Ischias 214. Proctalgia 215. Pudendagra, HALLUCINATIONES. 216. Vertigo 217. Suffusio 218. Diplopia 219. Syrigmos 220. Hypochondriasis 221. Somnambulismus. Order II. MOROSITATES. 2212. Pica CLASS VIII.— VESANI^. 223. Bulimia 224. Polydipsia 225. Antipathia 226. Nostalgia 227. Panophobia 228. Satyriasis 229. Nymphomania 230. Tarantismus 231. Hydrophobia. Order III.— DELIRIA. 232. Parajihrosyne 233. Amentia 234. Melancholia 235. Mania 236. Daemonomania, Order IV. VESANIAE ANOMALAE. 237. Amnesia 238. Agrypnia. Order I. SANGUIFLUXUS. 239. Haemorrhagia 240. Haemoptysis 241. Stomacace 242. Haematemesis 243. Hsematuria 244. Menorrhagia 245. Abortus. Order II. ALVIFLUXUS. 246. Hepatirrhoea 247. Hasmorrhois 248. Dysenteria 249. Melaena. Order I. MACIES. 275. Tabes 276. Phthisis 277. Atrophia 278. Aridura. Order. II INTUMESCENTI^. 279. Polysarcia 280. Pneumatosis 281. Anasarca 282. Phlegmatia 283. Physconia 284. Graviditas CLASS IX.— FLUXUS. 250. Nausea 251. Vomitus 252. Ileus 253. Cholera 254. Diarrhoea 255. Caeliaca 256. Lienteria 257. Tenesmus. Order III. SERIFLUXUS. 258. Ephidrosis 259. Epiphora 260. Coryza 261. Ptyalismus 262. Anacatharsis. 263. Diabetes 264. Enuresis 265. Dysuria 266. Pyuria 267. Leucorrhcea 268. Gonorrhoea 269. Dyspermatismus 270. Galactirrhosa 271. Otorrhcea. Order IV. AERIFLUXUS. 272. Flatulentia 273. iEdopsophia 274. Dysodia. CLASS X.— CACHEXIA. Order III. 295. HYDR0PE3 PARTIALES. 296. 285. Hydrocephalus 286. Physocephalus 287. Hydrorachitis 288. Ascites 289. Hydrometra 290. Physometra 291. Tympanites 292. Meteorismus 293. Ischuria. Order IV. TUBERA. 294. Rachitis 297. 298. 299. 300. 301. 302. 303. 304. 305. Scrophula Carcinoma Leontiasis Mai is Framboesia. Order V. IMPETIGINES. Syphilis Scorbutus Elephantiasis Lepra Scabies Tinea NOSOLOGY. Order Yl. ICTERITI5:. 306. Aurigo 307. Melasicterus 308. Phaenigmus 309. Chlorosis. Order VII. 312. Alopecia CACHEXIAE anomaly:. 313. Elcosis 310. Phthiriasis 314. Gangraena 311. Trichoma 313. Necrosis. Order I. CONTAGIOSI, i. Morta 2. Pestis 3. Variola 4 Rubeola Synoftieal View of the System of Liwnjetts. CLASS L— EXANTHEMATICI. 5. Petechia 8. Uredo 6. Syphilis. 9. Aphtha. Order II. Order IIL SPORADICI. SOLITARII. 7. Miliaria 10. Erysipelas. Order I. CONTINENTES. 11. Diaria 12. Synocha 13. Synochus 14. Lenta. CLASS II.— CRITICI. Order II. INTERMITTENTES. 15. Quotidiana 16. Tertiana 17. Quartana 18. Duplicana 19. Err ana Order III. EXACERBANTES, 20. Amphimerina 21. Tritseus 22. Tetartophia 23. Hemitritaea 24. Hectica. CLASS III— PHLOGISTICI. Order I. MEMBRANACEI. 25. Phrenitis 26. Paraphrenesis 27. Pleuritis 28. Gastritis 2.9. Enteritis Order I. INTRINSECI. 40. Cephalagia 41. Hemicrania 42. Gravedo 43. Ophtlialmia 44. Otalgia 45. Odontalgia 46. Angina 47. Soda. Order I. IDE ALES. 65. Delirium 65. Paraphrosyne 67. Amentia 68. Mania 69. Dasmonia 70. Vesania 71. Melancholia Order II. IMAGINARII. 72. S)nringmos Order I. DEFECTIVL 90. Lassitudo 91. Languor 92. Asthenia ' fl3. Lipothymia, 30. Proctitis 31. Cystitis. Or.bp'r. it PARENCHYMATICI. 32. Sphacelismus 33. Cynanche 34. Peripneumonia CLASS IV.— DOLOROSI. 48. Cardialgia 49. Gastrica 50. Colica 51. Hepatica 52. Splenica 53. Pleuritica 54. Pneumonica 55. Hysteralgia 56. Nepliritica 57. Dysuria CLASS v.— MENTALES. 73. Phantasma 74. Vertigo 75. Panophobia 76. Hypochondriasis 77. Somnambulismus. Order III- PATHETECI. 78. Citta 79. Bulimia 80. Polydipsia 35. Hepatitis 36. Splenitis 37. Nephritis 38. Hysteritis. Order III. MUSCULOSL 39. Phlegmone. 58. Pudendagra 59. Proctica. Order II. EXTRINSECL 60. Arthritis 61. Ostocopus 62. Rheumatismus 63. Volatica 64. Pruritus. 81, Satyriasis 82, Erotomania 83, Nostalgia 84, Tarantismus 85, Rabies 86, Hydrophobia 87, Cacositia 88, Antipathia 89, Anxietas, CLASS VI,— QUIETALES. 94, Syncope 98. Lethargus 95, Asphyxia, 99, Cataphora Order II. 100. Carus SOPOROSI. 101, Apoplexia 96. Somnolentia 102. Paraplegia 97. Typhomania 103. Hemiplegia. 104. Paralysis NOSOLOGY. 109. Cataracta 115. Aphonia 105. Stupor. 110. Amaurosis 116. Anorexia Order III. • 111. Scotomia 117. Adipsia PRIVATIVI. 112. Cophosis 118. Anaathesia 106. Morosis 113. Anosmia 119. Atecnia 107. Oblivio 114. Ageustia 120. Atonia, 108. Amblyopia CLASS VII.— MOTORII Order I. 130. Agrypnia. 139. Chorea SPASTIC!. Order II. 140. Beriberi. 121. Spasmus AGITATORIL Order II. 122. Priapismus 131. Tremor AGITATORIL 123. Borborygmos 132- Palpitatio 141. Rigor 124. Trismos 133. Orgasmus 142. Convulsio 125. Sardiasis 134. Subsultus 143. Epilepsia 126. Hysteria 135. Carpologia 144. Hieranosos 127. Tetanus 136. Stridor 145. Raphania. 128. Catochus 137. Hippos 129. Catalepsis 138. Psellismus CLASS VIII.— SUPPRESSORII. Order I. 154. Sternutatio Order II. SUFFOCATORII. 155. Tussis CONSTRICTORIL 146. Raucedo 156. Stertor 164. Aglutitio 147. Vociferatio 157. Anhelatio 165. Flatulentia 148. Risus 158. Suffocatio 166. Obstipatio 149. Fletus 159. Empyema 167. Ischuria 150. Suspirium 160. Dyspnoea 168. Dysmenorrhoea 151. Oscitatio 161. Asthma 169. Dyslochia 152. Paadiculatio 162. Orthopnoea 170. Aglactatio 153. Singultus 163. Ephialtes, 171. Sterilitas, CLASS IX.— EVACUATORII. Order I. 183. Nausea 197. Stranguaria CAPITIS. 184. Vomica 198. Diabetes 172. Otorrhcea 185. Haematemesis 199. Haematuria 173. Epiphora 186. Iliaca 200. Glus 174. Haemorrhagia 187. Cholera 201. Gonorrhoea 175. Coryza 188. Diarrhoea 202. Leucorrhoea 176. Stomacace 189. Lienteria 203. Menorrhagia 177. Ptyalismus. 190. Cffiliaca 204. Parturitio Order II. 191. Cholirica 205. Abortus THORACIS. 192. Dysenteria 206. Mola. 178. Screatus 193. Haemorrhois Order V- 179. Expectoratio 194. Tenesmus CORPORIS EXTERNI 180. Haemoptysis 195. Crepitus. 207. Galactia 181. Vomica. Order IV. 208. Sudor, Order III. GENITALIUM. ADOMINIS. 196. Enuresis 182. Ructus CLASS X.— DEFORMES. Order I. Order II. 221. Graviditas. EMACIANTES. TUMIDOSI. Order III. 209. Phthisis 214. Polysarcia DECOLOREP 210. Tabes 215. Leucophlegmatia 222. Cachexia 211. Atrophia 216. Anasarca 223. Chlorosis 212. Marasmus 217. Hydrocephalus 224. Scorbutus 213. Rachitis. 218. Ascites 225. Icterus 219. Hyposarca 226. Plethora, 220. Tympanites CLASS XL— VITIA. Order I. 229. Emphysema 233. Abcessus HUMORALIA. 230. Oedema 234. Gangrena 227. Aridura 231. Sugillatio 235. Sphacelus 228. Digitium 232. InflammattA 608 NOSOLOGY Order II. DIALYTICA. 236. Fractura 237. Luxatura 238. Ruptura 239. Contusura 240. Profusio 241. Vulnus 242. Amputatura 243. Laceratura 244. Punctura 245. Morsura 246. Combustura 247. Excoriatura 248. Intertrigo 249. Rhagas Order III. EXULCERATIONES. 250. Ulcus 251. Cacoethes 252. Noma 253. Carciaoma 254. Ozena 255. Fistula 256. Caries 257. Arthrocace 258. Cocyta 259. Paronychia 260. Pernio 261. Pressura 262. Arctura. Order IV. SCABIES. 263. Lepra 264. Tinea 265. Achor 266. Psora 267. Lippitudo 268. Sepigo 269. Herpes 270. Varus 271. Bacchia 272. Bubo 273. Anthrax 274. Phlyctagna 275. Pustula 276. Papula 277. Hordeolum 278. Verruca 279. Clavus 280. Myrmecium. 281. Eschara. Or,d£R. Vo TUMORES PROTUBE- RANTES. 282. Aneurisma 283. Varix 284. Schirrus 285. Struma 286. Atheroma 287. Anchylosis 288. Ganglion 289. Natta 290. Spinola 291. Exostosis. Order VI. PROCIDENTIAE. 292. Hernia 293. Prolapsus 294. Condyloma 295. Sarcoma 296. Pterygium 297. Ectropium 298. Phimosis 299. Clitorismus, Order VII. DEFORMATIONES., 300. Contractura 301. Gibber 302. Lordosis 303. Distortio 304. Tortura 305. Strabismus 306. Lagopthalmia 307. Nyctalopia 308. Presbytia 309. Myopia 310. Labarium 311. Lagostoma 312. Apella 313. Atreta 314. Plica 315. Hirsuties 316. Alopecia 317. Trichiasis. Order VIIL maculj:-. 318. Cicatrix 319. Naevus 320. Morphaea 321. Vibex 322. Sudamen 323. Melasma 324. Hepatizoa 325. Lentigo 326. Ephelis. Synoptical View of the Sytem q/" Vogei^. Order. I. INTERMITTENTES. 1. Quotidiana 2. Tertiana 3. Quartana 4. Quintana 6. Sextana 6. Septana 7. Octana 8. Nonana 9. Decimana 10. Vaga 11. Menstrua 12. Tertiana duplex 13. Quartana duplex 14. Quartana triplex. Order II. CONTINUiE. 9 ]. Simplices. 15. Quotidiana 16. Synochus 17. Amatoria 18. Phrenitis 19. Epiala 20. Causos 21. Elodes 22. Lethargus CLASS I.— FEBRES, 23. Typhomania 24. Leipyria 25. Phricodes 26. Lyngodes 27. Assodes 28. Cholerica 29. Syncopalis 30. Hydrophobia 31. Oscitans 32. Ictericodes 33. Pestilentalis 34. Siriasis. § 2. Composike. TT 1. Exanthematicm. 35. Variolosa 36. Morbillosa 37. Miliaris 38. Petechialis 39. Scarlatina 40. Urtica 41. Bullosa 42. Varicella 43. Pemphigodes 44. Aphthosa. if 2, Inflammatorice. 45. Phrenismus 46. Chemosis 47. Ophthalmites 48. Otites 49. Angina 50. Pleuritis 51. Peripneumonia 52. Mediastina 53. Pericarditis 54. Carditis 55. Paraphrenitis 56. Gastritis 57. Enteritis 58. Hepatitis 59. Splenitis 60. Mesenteritis 61. Omentitis 62. Peritonitis 63. Myocolitis 64. Pancreatica 65. Nephritis 66. Cystitis 67. Hysteritis 68. Erysipelacea 69. Podagrica 70. Panaritia 71. Cyssotis. IT 3. Symptomatic. 72. Apoplectica nosology; 609 73. Catarrhaiis 74. Rheumatica 75. Haemorrhoidalis Order I. HEMORRHAGIC. 81. Hasmorrhagia 82. Epistaxis 83. Hsemoptoe 84. HsEmoptysis 85. Stomacace 86. Odontirrhosa 87. Otorrhcea 88. Ophthalmorrhagia 39. Hsematemesis 90. Hepatirrhoea 91. Catarrhexis 92. Hsematuria 93. Cystirrhagia 94. Stymatosis 95. Haematopedesis 126. Gravedo 127. Flatulentia 128. Obstipatio 134. 135. 136. 137. 138. 139. 140. 141. 142. '143. 144. 145. 146. 147. 148. 149. Anxietas Blestrismus Pruritus Catapsyxis Rheumatismus Arthritis Cephalalgia Cephalsea Clavus Hemicrania Carebaria Odontalgia Haemodia Odaxismus Otalgia Acataposis 76. Lactea 79. Lenta 77. Vulneraria 80. Hectica. 78. Suppuratoria CLASS II.— PROFLUVIA. 96. Menorrhagia 110. Cholera 97. Abortio. 111. Pituitaria Order II. 112. Leucoirhois APOCENOSES. 113. Eneuresis 98. Catarrhus 114. Diuresis 99. Epiphora 115. Diabetes 100. Coryza 116. Puoturia 101. Otopuosis 117. Chylaria 102. Otoplatos 118. Gonorrhcea 103. Ptyalismus 119. Leucorrhoea 104. Vomica 120. Exoneirosis 105. Diarrhaea 121. Hydropedesis 106. Puorrhaea 122. Galactia 107. Dysenteria 123. Hypercatharsis 108. Lienteria 124. Ecphyse 109. Coeliaca 125. Dysodia. CLASS III.— EPISCHESES. 129. Ischuria 132. Deuteria 130. Amenorrhoea 133. Agalaxis 131. Dyslochia CLASS IV.— DOLORES. 150. Cionis 151. Ilimantesis 152. Cardiogmus 153. Mastodynia. 154. Soda 155. Periadynia 156. Pneumatosis 157. Cardialgia 153. Encausis 159. Nausea 160. Colica 161. Eilema 162. Ileus 163. Stranguria 164. Dysuria 165. Lithiasis 166. Tenesmus 167. Clunesia 168. Cedma 169. Hysteralgia 170. Dysmenorrhaea 171. Dystochia 172. Atocia 173. Priapismus 174. Psoriasis 175. Podagra 176. Osteocopus 177. Psophos 178. Volatica 179. Epiphlogisma. 180. Tetanus 181. Opisthotonus 182. Episthotoni^is 183. Catochus 184. Tremor 185. Frigus 186. Horror 187. Rigor 188. Epilepsia 189. Eclampsia 190. Hieranosos 191. Convulsio 192. Raphania 193. Chorea CLASS v.— SPASMI. 194. Crarnpus 195. Scelotyrbe 196. Angone 197. Glossocele 198. Glossocoma 199. Hippos 200. Illosis 201. Cinclesis 202. Cataclasis 203. Cillosis 204. Sternutatio 205. Tussis 206. Clamor 207. Trismus 208. Capistrum 209. Sardiasis 210. Gelasmus 211. Incubus 212. Singultus 213. Palpitatio 214. Vomitus 215. Ructus 216. Ruminatio 217. Oesophagisraus 218. Hypochondriasis 219. Hysteria 220. Phlogosis 221. Dijitium. 222. Lassitudo 223. Asthenia 224. Torpor 225. Adynamia CLASS VI.— ADYNAMIiE. 226. Paralysis 230. Catalepsis 227. Paraplegia 231. Carus 228. Hemiplegia 232. Coma 229. Apoplexia 233. Somnolentia 7? I>iquor becomes sour Some fall-grown nuts v/ill contain a pint or more of this milk, the frequent drinking of which seems to have no bad effects upon the Indians ; yet Europeans should be cautious of mak- ing too free with it at first, for when Lionel Wafer was at a small island in the South Sea, where the tree grew in plenty, some of his men were so delighted with it, that at parting they were resolved to drink their fill, which they did ; but their appe- tites had liked to have cost them their lives, for though they were not drunk, yet they were so chilled and benumbed, that they could not stand, and were obliged to be carried aboard by those who had more pru- dence than themselves, and it was many days before they recovered. The shells of these nuts being hard, and capable of re- ceiving a polish, they are often cut trans- versely, when, being mounted on stands, and having their edges silvered, or gilt, or otherwise ornamented, they serve the pur- pose of drinking-cups. The leaves of the tree are used for thatching, for brooms, baskets, and other utensils; and of the reticular web, growing at their base, the Indian women make cauls and aprons. Kut, Barbadoes. See Jatropha curcas. JVut, Pistachio. See Pistacia xera. J\''uf, Purging. See Jatropha curcas. .Kutmeg. See Myristica moschata. NUTRITION. Mitritio. Nutrition may be considered the completion of the assimilating functions. The food changed by a series of decompositions animalized and rendered similar to the being which it is designed to nourish, applies itself to those organs, the loss of which it is to supply ; and this identification of nutritive matter to our organs constitutes nutrition. The living body is continually losing its constituent parts, which a variety of causes are incessantly car rj'ing off ; several of its organs are constantly engaged in separating humours which pass ofi" loaded with a part of its substance, consumed by the uniting action of air and caloric ; while internal friction, by a pulsatory motion, detaches its particles. Thus tlie animal machine is continually destroyed, and at distant periods of life does not, perhaps, contain a single particle of the same constituent parts. An experiment made with madder, (rubia tinctorum,) which, when mixed with the food, red- dens the bones of animals, proves in a very decisive manner this perpetual decom- position of living animal matter. Entirely to obliterate the diffused red colour thus given to bones, it is only necessary to sus- pend for a time the use of this root. There- fore, if the most compact and solid parts be in a continual motion of decomposition and NUT NUT 617 lecomposition, there can be no doubt but that this motion must be more rapid in those parts, the constituent principles of which are in the smallest degree of cohesion, as in fluids. It has been an object of consideration to determine the period of the entire renova- tion of the body ; it has been said that an interval of seven years was necessary for the same particles to be totally oblite- rated, and their place supplied by others ; but this change should seem to be more rapid in infancy and youth ; it should also seem to be retarded in manhood, and re- quire a. very long time to be accomplished in old age, when all our parts acquire a remarkable degree of consistence and fixity, at the same time that the vital actions be- come more languid. There is no doubt but that sex, temperature, climate, profes- sion, mode of living, and a variety of other causes, accelerate and retard this period, so that it is impossible to affirm any thing certain on the precise time of its duration. In proportion as our parts are destroyed, they are renewed by homogeneous parti- cles, or such as are exactly similar to them- selves ; otherwise their nature, which is always alike, would suffer continual changes. When the nutritive matter has been ani- malized, or assimilated to the body which it is designed to nourish, by the organs of digestion, absorption, circulation, respira- tion, and secretion, the parts which it sup- plies retain and incoporate it with their o\vn substance. This nutritive identification is variously efiected in different parts, as the brain, muscles, bones, &c. ; each of these appropriates to itself, by a true secretion, that which is found analogous to its nature, and rejects the hetei'ogeneous particles. A bone is a secretory organ, that becomes incrusted with phosphate of lime ; the lym- phatic vessels, which, in the work of nutri- tion perform the office of excretory ducts, remove this salt, after it has remained a certain time in the areolse of its texture. It is the same in muscles with respect to the fibrin, and in the brain with albumen : each part imbibes, and renders solid in its structure, such Juices as are of the same nature, in conseqaence of a power, of which the affinity of aggregation of the chemists gives us an idea, and perhaps furnishes us with an exact model. A part to acquire nourishment should possess sensibility and motion ; a ligature placed on its arteries and nerves, by destroy- ing both these faculties, prevents it from being nourished or having life. The blood flowing in the veins, and the fluid of the absorbents, contain vivifying andreparatory parts, in much smaller quantity than arte- rial blood ; it is even generally believed that lymph and venous blood do not contain any thmg directly nutritious. The mechanism of nutrition would be explained, after having precisely aetermined the differences of composition that exist between the aliments on which we live, and the exact substance of our ox^gans, if we could distinguish how each function divests them of their characters, to invest them with our properties ; for each individual part seems to co-operate in changing their nutri- tious principle into our own peculiar struc- ture. To resolve this problem, let us sup- pose a man living entir-ely on vegetables, which, in fact, constitute the principal part of the subsistence of the generality of men ; whatever portion of the plant he may consume, whether stalk, leaves, flowere, seeds, or roots ; carbon, hydrogen, and oxygen enter into their composition, which may be always, by a strict analysis, resolved into water and carbonic acid ; to these three constituent principles, sometimes a small quantity of azote, salts, and other things, is united. If we then examine the nature of the organs of this man, whose diet consists exclusively in vegetables, they will be proved of a composition very different from the kind of food ; azote predominates, al- though the vegetable substance contain it in very small quantity, and many new products will be discovered which had not been dis- tinguished in the aliment, but which abound in the body receiving nourishment, and seem produced by the act of nutrition. The essential part of this function, there- fore, is to cause the nutritive matter to pass into a more advanced state of composition, to deprive it of a portion of its carbon and hydrogen, to give a predominance of azote, and develope several substances which were not before distinguishable. Everj' living body, without exception, seems to possess a faculty of forming and decomposing sub- stances, by the assistance of which it is sup- ported, and of giving rise to new products. The marine-plant, the ashes of which form soda, if sown in a box filled with earth that does not contain a particle of that alkali, and moistened with distilled water, furnishes it in as great a quantity as if the plant had been growing on the borders of the sea, in a swampy soil, always inundated by brack- ish or salt water. Living bodies are the proper elaboratories in which such combinations and decomposi- tions occur as art cannot imitate ; bodies that to us appear simple, as sulphur and silex, seem to form themselves of other parts, while some bodies, the composition of which we cannot determine, as certain metals, suffer inevitable decompositions ; from which we may fairly conclude, that the powers of nature in the composition and decomposition of bodies, far surpass the science of chemists. For a substance to be employed in our nourishment, it should be capable of change and fermenta- tion, that is, susceptible of experiencing an internal and spontaneous motion, by &18 iNUT NYC which its elements change their combina- tion and qualities. This condition of spon- taneous mutability, excludes from the class of aliment every thing which is not orga- nized, or constituted part of a living being ; thus minerals are absolutely refractory to the action of our organs, which cannot con- vert them into their own peculiar substance. The common principle drawn from alimen- tary substances, however various they may be, called by Hippocrates the aliment, is probably a composition capable of a great degree of change and fermentation ; this is also the opinion of all those who have en- deavoured to discover its nature. Lorry thinks it is a mucous body ; CuUen considers it saccharine ; Halle believes it to be a hy- drocarbonated oxyde, which only differs from the oxalic acid by having a smaller por- tion of oxygen. It is obvious that these three sentiments have the greatest resem- blance, since oxygen, carbon, and hydrogen, united in different proportions, form a mu- cus, a saccharine body, and the oxalic base. The analysis of animal substances by nitric acid, reduces them to the latter base, by taking from them a great quantity of azote, the presence of which constitutes their most Femarkable character. Halle believes that the hydro-carbonated oxyde is combined with oxygen, in the sto- mach and intestinal canal, whether the latter principle be introduced with the food into the primae viae, or furnished by the decomposed humours ; the intestinal fluids suffer their azote to be disengaged, which is carried to the alimentary base, and replaces the carbon that had been attracted by the oxygen to form the carbonic acid. When in the lungs, and again subjected to the action of atmospheric oxygen, this gas car- ries off a certain portion of its carbon ; and as it disengages the azote from the ve- nous blood, it effects a new combination of this principle with the chyle ; and when -propelled to the skin, the atmospheric oxy- gen again disengages its carbon, and com- pletes its azotification ; perhaps even the cu- taneous organ answers similar purposes to the lymphatic system, as the pulmonary or- gan may effect to the sanguiferous system. The animalization of alimentary sub- stance, therefore, takes place principally by tJie loss of carbon, which is replaced by azote in animal fluids. These support themselves in a proper state, for, as they are continually losing the carbonic principle in the intestinal, pulmonar}^, and cutaneous combinations, they would be too much ani- malized if a newly-formed chyle were not to attract the excess of azote. This theory is admitted, by its author, not to account for the formation of phosphoric salts, .adeps, and abundance of other productions ; but without adopting it in ioto, we are induced to conclude, from the experiments and ob- servations on which it is established, that the oxygen of the atmospheric air is one of the most powerful agents employed by na- ture to convert the aliments on which we subsist into our own peculiar substance. Nutri'tcm bngue'ntum. a composi- tion of litharge, vinegar, and oil. Nux aroma'tica. The nutmeg. Nrx AauA'ncA. See Trapa nutans. Ncx BARBADE'NSis. See Jatrophtt cuTcas. Npx basi'lica. The walnut. Nux bean. See Guilandina moringa. NtJX catha'rtica. The garden spurge. Nux catha'rtica America'na. See Jatropha curcas. Nux FiVDiCA. The cocoa-nut. Nux ju'glans. See Juglans. Nux me'dica. The maldivian nut, Nirx mete'lla. The nux vomica. NUX MOSCHA'TA. See Myrislica moschata. Nux MYRi'sTicA. See MyrisHcamosckata. Nux pe'rsica. The walnut, Nux pista'cia. See Pistacia vera. Nux pu'rgans. See Jatropha curcas. Nux serapio'nis. St. Ignatius's bean. Nux vo'mica. See Strychnos. NYCTALOTIA. (From vt/|, the night, and ffi^) ^" ^y^O Imbecillitas oculorum, of Celsus. A defect in vision, by which the patient sees little or nothing in the day, but in the evening and night sees tolerably well. The proximate cause is various : 1. From a periodical amaurosis, or gutta Serena, when the blind paroxysm begins in the morning and terminates in the evening, 2. From too great a sensibility of the re- tina, which cannot bear the meridian light. See Photophobia. 3. From an opaque spot in the middle of the crystalline lens. When the light of the sun in the meridian contracts the pupil, there is blindness; about evening, or in more obscure places, the pupil dilates, hence the rays of light pass through the limbus of the crystalline lens, 4. From a disuse of light ; thus persons who are educated in obscure prisons see no- thing immediately in open meridian light ; but by degrees their eyes are accustomed to distinguish objects in day-light. 5. From an immoveable Thydriasis; foria tliis instance the pupil admits too great a quantity of light, which the immobile pupil cannot moderate ; hence the patient, in a strong light, sees little or nothing. 6. From too great a contraction of the pupil. This admits not a sufficiency of lucid rays, in bright light, but towards night the pupil dilates more, and the patient sees better. 7. JVyctalopia endemica. A whole people have been nyctalopes, as the jEthiopians, Africans, Americans, and Asiatics. A great flow of tears are excreted all the day from their eyes ; at night they see objects^ NYM NTS 619 8. From a commotion of the eye ; from which a man in the night saw all objects distinctly. Ntcto'basis. (From vu|, the night, and 0!ttvai, to go.) Walking in the sleep. NY'MPHiE. (From vvfi'^c/., a water- nymph ; so called because it stands in the water-course.) ^Icb interncB minores clilo- ridis, Colliculum. Cvllicula. Myrtocheili- dts. Labia minora. Two membranous folds, situated within the labia majora, at the sides of the entrance of the vagina uteri. NYMPHiE'A. (From vy/*t. nympha, a.nd /4a.v to., madness.) Furor ute- rinus. Called by the Arabians, Acrai. Brachuna. Arascon. Arsatum, OEstro- mania. A genus of disease in the class Locales, and order DysorexicE, of CuUen, characterized by excessive and violent de- sire for coition in women. The effects, as described by Juvenal, in his sixth satire, are most humiliating to human nature. It acknowledges the same causes as satyriasis ; but as females, more especially in warm climates, ha^'e a more irritable fibre, they are apt to sufier more severely than the males. It is a species of madness, or a high de- gree of hysterics. Its immediate cause is a preternatural irritability of the uterus and pudenda of women, or an unusual acrimony of the fluids in these parts. Its presence is known by the wanton behaviour of the pa- tient ; she speaks and acts with unrestrain- ed obscenity, and, as the disorder increases, she scolds, cries, and laughs, by turns. While reason is retained, she is silent and seems melancholy, but her eyes discover an unusual wantonness. The symptoms are better or worse until the greatest degree of the disorder approaches, and then, by every word and action, her condition is too mani- fest. NYMPHOTO'MIA. (From vvfA-pa., the nympha, and lifAvoo, to cut.) The ope- ration of removing the nympha when too large. NYSTA'GMUS. (From KvTAm, to sleep.) A twinkling of the eyes, such as happens when a person is very sleepy. Authors also define nystagmus to be an involuntary- agitation of the oculary bulb. It is known by the instability or involuntary and con- stant motions of the globe of the eye, from one canthus to another, or in some other directions. Sometimes it is accompanied with an hippus, or an alternate and repeat- ed dilatation and constriction of the pupil. The species are, 1. Nystagmus, from fear. This agitation is observed under the opera- / tion for the cataract ; and it is checked by persuasion, and waiting a short space of time. 2. Nystagmus, from sand or small gravel, falling in the eye. 3. Nystagmus, from a catarrh, which is accompanied with much inflammation. 4. Nystagmus, from saburra in the primse viae, as is observed in infants afiiicted with worms, and is known by the signs of saburra. 5. Nystagmus symptomaticus, which happens in hysteric, epileptic, and sometimes in pregnant per- sons, and is a common symptom accompany- ins: St. Vitus's dance. 620 OBL OBL o, kPAK. See ^uercus. Oak of Jerusalem. See Chenopodium hotrys. Oak, sea. See Fucus Vesiculosus. Oak, willow-leaved. See Q^uercus Phel- los. Oat. See Avena. Obelje'a. (From oSiMs, a dart, or a spit.) Obelma sagittalis, an epithet for the sagittal suture of the skull. Obeliscothe'ca. (From oCsx/o-koc, an obelisk, and Qnna,, a bag; so called from the shape of its seed-bags.) The dwarf American sun-flower. Oblesion. (From ob, against, and Icedo, to hurt.) An injury done to any part. OBn'auus asce'ndens aedo'minis. See Qbliquus internus abdominis. OsLi'auus asce'wdens iwte'rncs. See Obliquus internus abdominis. OBLi'auTJS au'ris. See Laxator tym- pani. OBU'atrus ca'pitis infe'rior. See Obliquus inferior capitis. OBLi'autrs CA'PITIS svpe'rior. See Obliquus superior capitis. OsLi'atJus desce'ndens abdo'miwis. See Obliquus ettemus abdominis. Osnauus desce'ndens exte'rnus. See obliquus extemus abdominis. OBLi'auus EXTE'RNtJS. See Obliquus externus abdominis. OBLI'QUUS EXTERNUS ABDOMI- NIS. This muscle, which is so named by Morgagni, Albinus, and Winslow, is the Obliquus descendens, of Vesalius and Dou- glas, and the Obliquus major, of Haller, and some otliers. By Dumas it is named llio- pubicoslo-abdominal. It is a broad, thin muscle, fleshy posteriorly, and tendinous in its middle and lower part, and is situated immediately under the integuments, cover- ing all the other muscles of the lower belly. It arises from the lower edges of the eight, and sometimes, though rarely, of the nine inferior ribs, not far from their cartilages, by as many distinct fleshy portions, which indigitate with corresponding parts of the serratus major anticus, and the latissimus dorsi. From these several origins, the fibres of the muscle descend obliquely for- wards, and soon degenerate into a broad and thin aponeurosis, which terminates in the linea alba. About an inch and a half above the pubes, the fibres of this aponeu- rosis separate from each other, so as to form an aperture, which extends obliquely in- ■W-ards and forwards, more than an inch in length, and is wider above than below, be- ing nearly of an oval figure. This is what, is sometimes, though erroneously, called the , ring of the abdominal muscles, for it be- longs only to the external oblique, there being no such opening either in the obliquus internus, or in the transversalis, as some writers, and particularly Douglas and Che- selden, would give us to understand. This opening, or ring, serves for the pas-sage of the spermatic vessels in men, and of the round ligament of the uterus in women, and is of a larger size in the former than in the lattei'. The two tendinous portions, which, by their separation, form this aper- ture, are called the columns of the ring. The anterior, superior, and inner column, which is the broadest and thickest of the two, passes over the symphysis pubis, and is fiixed to the opposite os pubis ; so that the anterior column of the right obliquus externus, intersects that of the left, and is, as it were, interwoven with it, by v/hich means their insertion is strengthened, and their attachment made firmer. The pos- terior, inferior, and exterior column, ap- proaches the anterior one as it descends,^ and is fixed behind and below it to the os pubis of the same side. The fibres of that part of the obliquus externus, which arises from the two inferior ribs, descend almost perpendicularly, and are inserted, tendinous and fleshy, into the outer edge of the ante- rior half of the spine of the ilium. From the anterior superior spinous process of that bone, the external oblique is stretched ten- dinous to the OS pubis, forming what is called Pouparfs, and sometimes Fallopius's ligament, Fallopius having first described it. Winslow, and many others name it the inguinal ligament. But, after all, it has no claim to this name, it being nothing more than the tendon of the muscle, which is turned or folded inwards at its interior edge. It passes over the blood-vessels of the lower extremity, and is thickest near the pelvis ; and in women, from the greater size of the pelvis, it is longer and looser than in men. Hence we find that women are most liable to crural hernige ; whereas men, from the greater size of the ring of the external oblique, are most subject to the inguinal. From this ligament, and from that part of the tendon which forms the ring, we ob- serve a detachment of tendinous fibres, which are lost in the fascia lata of the thigh. This may, in some measure, account for the pain which, in cases of strangulated hernise, J9 felt when the patient stands upright, and OBL OBL 621 v/iiich_ IS constantly relieved upon bending the thigh upwards. This muscle serves to draw down the ribs in expiration ; to bend the trunk forwards when both muscles act, or to bend it obliquely to one side, and, per- haps, to turn it slightly upon its axis, when either acts singly ; it also raises the pelvis obliquely when the ribs are fixed ; it sup- ports and compresses the abdominal viscera, assists in the evacuation of the urine and faeces, and is likewise useful in parturition. OELi'auFS iufe'rior. See Obliquus in- ferior capitis, and Obliquus inferior oculi. OBLI'QUUS INFE'RIOR CAPITIS. This muscle, which is the obliquus inferior sive major, of Winslow, and the Spini oxoido-iracheli-altoidien, of Dumas, is lar- ger than the obliquus superior capitis. It is very obliquely situated between the two first vertebra of the neck. It arises tendi- nous and fleshy from the middle and outer side of the spinous process of the second ver- tebra of the neck, and is inserted tendinous and fleshy into the lower and posterior part of the transverse pi'ocess of the first verte- bra. Its use is to turn the first vertebra upon the second, as upon a pivot, and tq draw the face towards the shoulder. OBLI'QUUS INFE'RIOR O'CULI. Obliquus minor oculi, of Winslow, and Maxillo scleroticien, of Dumas. An oblique muscle of the eye, that draws the globe of the eye forwards, inwards, and downwards. It arises by a narrow beginning from the outer edge of the orbitar process of the su- perior maxillary bone, near its junction with the lachrymal bone, and running obliquely outwards, is inserted into the sclerotic mem- brane of the eye. OELi'arirs infe'rior si'vb ma'jor. See Obliquus inferior capitis. OsLi'auus inte'rnus. See Obliquus in- iernus abdominis. OBLI'QUUS INTE'RNUS ABDO'MI- NIS. m. acclivis. This muscle, which is the Obliquus ascendens, of Vesalius, Douglas, and Cowper, the Obliquus minor, of Haller, the Obliquus internus, of Winslow, the Ob- liquus ascendens internus, of Innes, and the Ilio-hcmbo-costi abdorainal, of Dumas, is situated immediately under the external oblique, and is broad and thin like that muscle, but somewhat less considerable in its extent. It arises from the spinous pro- cesses of the three inferior lumbar verte- brae, and from the posterior and middle part of the os sacrum, by a thin tendinous expansion which is common to it and to the serratus posticus inferior ; by short tendinous fibres, from the whole spine of the ilium, between its posterior tuberosity and its anterior and superior spinous pro- cess ; and from two-thirds of the posterior surface of what is called Fallopius's liga- ment, at the middle of which we find the round ligament of the uterus in women, and ihe spermat'/^ vssel'? in men, passing under the thin edge of this muscle ; and in the latter, it likewise sends olf some fibres, which descend upon the spermatic chord, as far as the tunica vaginalis of the testis, and constitute what is called the cremasler muscle, which surrounds, sus- pends, and compresses the testicle. From these origins, the fibres of the internal ob- lique run in different directions; those of the posterior portion ascend obliquely for- wards, the middle ones become less and less oblique, and, at length, run in a ho- rizontal direction, and those of the an- terior portion extend obliquely downwards. The first of these are inserted, by very short tendinous fibres, into the cartilages of the fifth, fourth, and third of the false ribs ; the fibres of the second, or middle portion, form a broad tendon, which, after being inserted into the lower edge of the cartilage of the second false rib, extends towards the linea alba, and separates into two layers; the anterior layer, which is the thickest of the two, joins the tendon of the obliquus externus, and runs over the two upper thirds of the rectus muscle, to be inserted into the linea alba ; the posterior layer runs under the rectus, adheres to the anterior surface of the tendon of the trans- versalis, and is inserted into tl^ cartilages of the first of the false, and the last of the true ribs, and likewise into the linea alba. By this structure we may perceive that the greater part of the rectus is inclosed, as it were, in a sheath. The fibres of the an- terior portion of the internal oblique, or those which arise from the spine of the ilium and the ligamentum Fallopii, likewise form a broad tendon, which, instead of sepa- rating into two layers, like that of the other part of the muscles, runs over the lower part of the rectus, and adhering to the un- der surface of the tendon of the external oblique, is inserted into the fore-part of the pubes. This muscle serves to assist the obli- quus externus ; but it seems to be more evi- dently calculated than that muscle is to draw the ribs downwards and backwards. It likewise serves to separate the falsa ribs from the true ribs, and from each other. OBLi'atius ma'jor abdo'mijvis. Sec Ob- liquus externus abdomiiiis. OELi'auTJS ma'jor ca'pitis. See Obli- quus inferior capitis. OBLi'auus ma'jor o'culi. See Obliquus superior oculi. OsLi'auus mi'nor abdo'miivis. See Ob- liquus internus abdominis. OBLi'auus Mi'woR ca'pitis. See Obli- quus superior capitis. OBLi'auus mi'nor o'culi. See Obliquus inferior oevJi. OBLI'QUUS SUPERIOR CA'PITIS. Riolanus, who was the first that gave particular names to the oblique muscles of the head, called this muscle obliquus minor. to distina^uish. it from th? 'K^py"'or, which. obs occ on account of its being much larger, he named obliquus major. Spigelius afterwards distinguished the two, from their situation ■with respect to each other, into superior and inferior; and in this he is followed by Cow- per and Douglas. Winslow retains both names. Dumas calls it Trachelo-altoido- occipital. That used by Albinus is here adopted. This little muscle, which is nearly of the same shape as the recti capitis, is situated laterally between the occiput and the first vertebra of the neck, and is covered by the coraplexus and the upper part of the splenius. It arises, by a short thick tendon, Ibom the upper and posterior part of the transverse process of the first vertebra of the neck, and ascending obliquely inwards and backwards, becomes broader, and is in- serted, by a broad flat tendon, and some few fleshy fibres, into the os occipitis, behind the back part of the mastoid process, under the insertion of the complexus and splenius, and a little above that of the rectus major. The use of this muscle is to draw the head backwards, and perhaps to assist in its rota- tory motion. OBLI'QUUS SUPE'RIOR O'CULI. Trochlearis. Obliquus major, of Winslow, and Optico-trochlei-scleroticien, of Dumas. An oblique muscle of the eye, that rolls the globe of the eye, and turns the pupil down- wards and outwards. It arises like the straight muscles of the eye from the edge of the foramen opticum at tlie bottom of the orbit, between the rectus superior and rec- tus internus ; from thence runs straight along the papyraceous portion of the eth- moid bone to the upper part of the orbit, ■where a cartilaginous trochlea is fixed to the inside of the internal angular process of the OS frontis, through which its tendon passes, and runs a little downwards and out- wards, enclosed in a loose membranaceous sheath, to be inserted into the sclerotic membrane. OBLi'aiTXTS SUPE'RIOR si'vE Mi'woR. See Obliquus superior capitis. OBLi'atrus SUPE'RIOR si'vE trochlea'- Kis. See Obliquus superior oculi. Obsidiajvum. a species of glass so called from its resemblance to a kind of stone, which one Obsidius discovered in Ethiopia, of a very black colour, tliough sometimes pellucid and of a muddy water. Pliny says also, that obsidianum was a sort of colour with which vessels were glazed. Hence the name is applied, by Libavius, to glass of antimony. OBSTETRIC. (Obstetricus ; fromobsie- trixyA nurse.) Belonging to midwifery. OBSTIPA'TIO. (From obsti-po, to stop up.) Costiveness. A genus of disease in the class Locales, and order Epischeses, of CuUen, comprehending three species : 1. Obstipatio debilium, in weak and com- monly dyspeptic persons. 2. Obstipatio rigidorum, in persons of ; jgid fibre?, snd s melancholic temperament. 3. Obstipatio obstructorum, from obstruc- tions. See Colica. Obstrue'jvtia. (From obstruo, to shut up.) Medicines which close the orifices of the ducts, or vessels. Obstupefacie'ntia. (From obstupefa- cio, to stupefy.) Narcotics. Obtuwde'ntia. (From obtundo, to make blunt.) Substances which sheath or blunt irritation, and are much the same as demul- cents. "They consist chiefly of bland, oily, or mucilaginous matters, which form a co- vering on inflamed and irritable surfaces, particularly those of the stomach, lungs, and anus. OBTURA'TOR EXTE'RNUS. Extra- pelvio-pubi-trochanterien, of Dumas. This is a small fl-at muscle, situated obliquely at the upper and anterior part of the thigh, between the pectinalis and the fore-part of the foramen thyroideum, and covered by the adductor brevis femoris. It arises ten- dinous and fleshy from all the inner half of the circumference of the foramen thyroi- deum, and likewise from part of the obtu- rator ligament. Its radiated fibres collect and form a strong roundish tendon, which runs outwards, and, after adhering to the capsular ligament of the joint, is inserted into a cavity at the inner and back part of the root of the great trochanter. The chief uses of this muscle are to turn the thigh ob- liquely outwards, to assist in bending the thigh, and in drawing it inwards. It like- wise prevents the capsular ligament from being pinched in the motions of the joint. OBTURA'TOR INTE'RNUS. Marsu- pialis, seu obturator internus, of Douglas, Marsupiahs, seu bursalis, of Cowper, and Intra-pelvio-trochanterien, of Dumas. A considerable muscle, a great part of which is situated within the pelv^. It arises, by very short tendinous fibrei, from somewhat more than the upper h^i of the internal circumference of the foramen thyroideum of the OS innominatum. It is composed of several distinct fasciculi, which terminate in a roundish tendon that passes out of the pelvis, through the niche that is between the spine and the tuberosity of the ischium, and, after running between the two portions of the gemini, which inclose it as in a sheath, is inserted into the cavity at the root of the great trochanter, after adhering to the ad- jacent part of the capsular ligament of the joint. This muscle rolls the os femoris obliquely outwards, by pulling it towards the ischiatic niche, upon the cartilaginous surface of which its tendon, which is sur- I'ounded by a membranous sheath, moves as upon a pulley. OBTURA'TOR NERVE. A nerve of tlie thigh, that is lost upon its inner mus- cles. OCCIPITAL BONE. Os occipitis. Os memoriw,. Os nervosum. Os basilarc. This houp, ■wrbicb forms the Bcsterinr and occ occ 623 iaterior part of the skull, is of an irregular figure, convex on the outside and concave internally. Its external surface, which is very irregular, serves for the attachment of several muscles. It affords several ine- qualities, which sometimes form two semi- circular hollows separated by a scabrous ridge. The inferior portion of the bone is stretched forwards in form of a wedge, and hence is called the cuneiform process, or basilary process. At the base of this pro- cess, situated obliquely on each side of the foramen magnum, are two flat, oblong pro- tuberances, named condyles. They are co- vered with cartilage, and serve for the articulation of the head with the first verte- bra of the neck. In the inferior portion of this bone, at the basis of the cranium, and immediately behind the cuneiform process, we observe a considerable hole, through which the medulla oblongata passes into the spine. The nervi accessorii, the vertebral arteries, and sometimes the vertebral veins likewise pass through it. Man being de- signed for an erect posture, this foramen magnum is found nearly in the middle of the basis of the human cranium, amd at a pretty equal distance from the posterior part of the occiput, and the anterior part of the lower jaw ; whereas in quadrupeds it is nearer the back part of the occiput. Besides this hole, there are four other smaller fora- mina, viz. two before, and two behind the condyles. The former serve for the trans- mission of the ninth pair of nerves, and the two latter for the veins which pass from the external parts of the head to the lateral sinu- ses. On looking over the internal surface of the OS occipitis, we perceive the appearance of a cross, formed by a very prominent ridge, which rises upwards from near the foramen magnum, and by two transverse sinuosi- ties, one on each side of the ridge. This cross occasions the formation of four fossae, two above and two below the sinuosities. In the latter are placed the lobes of the cerebellum, and in the former the poste- rior lobes of the brain. The two sinuosi- ties serve to receive the lateral sinuses. In the upper part ofthis bone is seen a continuation of the sinuosity of the longi- tudinal sinus ; and at the basis of the cra- nium we observe the inner surface of the cuneiform process made concave, for the reception of the medulla oblongata. The occipital bone is thicker and stronger than any of the other bones of the head, except the petrous part of the ossa temporum ; but it is of unequal thickness. At its late- ral and inferior parts, where it is thinnest, it is covered by a gi'eat number of muscles. The reason for so much thickness and strength in this bone, seems to be, that it covers the cei'ebellum, in wiiich the least wound is of the utmost consequence ; and that it is, by its situation, more liable to be fractured by falls than any other bone of the cranium. For, if we fall forwards, the hands are naturally put out to prevent tlie forehead's touching the ground ; and if on one side, the shoulders in a great measure protect the sides of the head ; but if a person fall backwards, the hind part of the head consequently strikes against the earth, and that too with considerable vio- lence. Nature tiierefore has wisely con- structed this bone so as to be capable of the greatest strengtli at its upper part, where it is tlie most exposed to injury. The 03 occipitis is joined, by means of the cunei- form process, to the sphenoid bone, with which it often ossifies, and makes but one bone in those who are advanced in life. It is connected to tlie parietal bones by the lambdoids.1 suture, and to the temporal bones by the additamentum of the temporal suture. The head is likewise united to the trunk by mesms of this bone. The two condyles of the occipital bone are received into the superior oblique processes of the atlas, or first vertebra of the neck, and it is by means of tliis articulation that a certain degree of motion of the head backwards and forwards is performed. But it allows only very little motion to either side ; and still less of a circular motion, which the head obtains principally by the circumvolution of the atlas on the second vertebra, as is de- scribed more particularly in the account of the vertebra. In the fcEtus, the os occipitis is divided by an unossified cartilaginous sub- stance into four parts. One of these, which is the largest, constitutes all that portion of the bone which is above tlie foramen mag- num ; two others, which are much smaller, compose the inside of the foramen magnum, and include the condyloid processes; and the fourth is the cuneiform process. This last is sometimes not completely united with the rest, so as to form one bone, before the sixth or seventh year. Occipita'lis. See Occipito-frontalis. OCCIPITO-FRONTA'LIS. Digasiri- cuscranii. Epicranius, of Alhlnns. Fron~ talis el occpitalis, of Winslow and Cowper, and Occipito-frontal, of Dumas. A single, broad, digastric muscle, that covers the cra- nium, pulls the skin of the head backwards, raises the eye-brows upwards, and at the same time, draws up and wrinkles the skin of the forehead. It arises from the poste- rior part of the occiput, goes over tlie upper part of tJie os parietale and os frontis, and is lost in the eye-brows. OCCIPUT. The hinder part of the head. See Caput. Occult axTALiTY. A term that has been much used by writers that had not clear ideas of what they undertook to explain; and which served therefore only for a cover to their ignorance. OcctTLT DISEASES is likewise from the same mint as the former, occultus signify- ing hidden, and therefore, nothing can bje 624 OCU understood, when a person speaks of a hid- den disease, but that it is a disease he does not understand. Oche'ma. (From o;^s*j to carry.) A vehicle, or thin fluid. Ocheteu'ma. (From op^iroc, a duct.) The nostril. O'cHETUS. (From o^ioi, to convey.) A canal, or duct. The urinary or abdominal passages. O'cHEus. (From o;^*®, to carry.) The bag of the scrotum. O'cHP.A. (From eexP"^, pale ; so named because it is often of a pale colour.) 1. Ochre. Minera ferri luiea vel rubra. An argillaceous earth impregnated with iron of a red or yellow colour. The Ar- menian bole, and other earths, are often adulterated with ochre. 2. Thefore-partof the tibia. O'cHRUS. (From ct^fo?, pale ; so called from the pale mudJy colour of its flowers.) A leguminous plant, or kind of pulse. Ochtho'des. (From c;^6(;?, importing the tumid lips of ulcers, callous, tumid.) An epithet for ulcers, whose lips are cal- lous and tumid, and consequently difficult to heal. Ocima'strum. (Dim. ofocimum, basil.) Wild white campion, or basil. O'CIMUM. (From aiiuc, swift; so called from its quick growth.) Ocymum. The name of a genus of plants in the Lin- nasan system. Class, Didynamia. Order, Gymnospermia. O'CIMUM EASi'LicuM. The systematic name of the common or citron basil. Ba- silicum. The plant which bears this name in the pharmacopasias, is the Ocimum, foliis ovatis glabris ; calycibus ciliatiSy of Linnteus. It is supposed to possess nervine qualities, but is seldom employed but as a condiment to season high dishes, to which it imparts a grateful odour and taste. O'ciMUM caryophylla'tum. Ocimum minimum of Caspar Bauhin, and Linnaeus. Small or bush basil. This plant is mildly balsamic, infusions are drank as tea, in catarrhous and uterine disorders, and the dried leaves are made into cephalic, and sternutatory powders. They are, when fresh, very juicy, of a weak aromatic and very mucilaginous taste, and of a strong and agreeable smell improved by drying. Octa'na. (From octo, eight.) An er- ratic intermitting fever, which returns every eighth day. Octa'vus hu'meri. The Teres minor. Octa'vus hu'meri placesti'si. The Teres minor. Ocula'res commu'kes. A name for the nerves called Motores oculorum. Ocula'ria. (From oculus, the eye ; so called from its uses in disorders of the eye.) See Euphrasia. O'cuLi addu'ctob . See Rectus internus ncvM. OUO O'cuLi atto'llens. See Rectus superi- or oculi. O'cuLi cancro'rum. See Cancer. O'cuLi depre'ssor. ^&e Rectus inferior oculi. O'cuLi eleva'tor, See Rectus superior oculi. O'cuLi leva'tor. See Rectus superior oculi. O'cuLi OBLi'auus iifFE'RioR. See Oli~ quus inferior oculi. O'cuLi oBLi'auus ma'jor. See Oliquus superior oculi. O'cuLi bBLi'auus mi'uor. See Obliquus inferior oculi. O'cuLus bovi'nus. See Hydrophthal- mia. O'cuLus Eo'vis. See Chrysanthemum leucantheynum. O'CULUS bu'bulus. See Hydrophthalmia. O'cuLus cHRi'sTi. Austrian flea-bane ; a species oi Inula. O'cuLus elephanti'wus. A name given to Hydrophthalmia. O'cuLus ge'mu. The knee pan. O'CULUS la'chrymans. The Epiphora. O'cuLUS MXJ'wDi. A species of Opal, generally of a yellowish colour. By lying in water it becomes of an amber colour, and also transparent. Odaxi'smos. (From ocToyf, a tooth.) A biting sensation, pain, or itching in the gums. Odowtago'gos. (From oJ'oi/?, a tooth and a.yce, to draw.) The name of an instru- ment to draw teeth, one of which, made of lead, Forrestus relates to have been hung up in the temple of Apollo, denoting, that such an operation ought not to be made, but when the tooth was loose enough to draw with so slight a force as could be applied with that, Odonta'gra. (From ocTou?, atooth, and etypit, a seizure.) 1. The gout in the teeth. 2. A tooth-drawer. ODONTA'LGIA. (From ocfou?, a tooth, and a.Ky®', pain.) The tooth-ach. This well-known disease makes its attack by a most violent pain in the teeth, most frequently in the raolares, more rarely in the incisorii, reaching sometimes up to the eyes, and sometimes backwards into the cavity of the ear. At the same time, there is a manifest determination to the head, and a remarkable tension and inflation of the vessels takes place, not only in the parts next to that where the pain is seated, bat over the whole head. The tooth-ach is sometimes merely a rheumatic affection, arising from cold, but more frequently from a carious tooth. It is also a symptom of pregnancy, and takes place in some nervous disorders. It may attack persons at any period of life, though it is most frequent in the young and pie thoric. From the varietv of causes which ODU CENA 625 Miay produce this affection, it has been saamed by authors odontalg;ia cariosa- scorbutica, catarrhalis, arthritica, gravi- larum, hysterica, stomachica, and rheu matica. O'DONTALGICA. (Medicamenta odon- ialgica; from oJ'ovra.X'yici., the tooth-ach.) Medicines which relieve the tooth-ach. Many empirical remedies have been pro- posed for the cure of the tooth-ach, but have not in any degree answered the pur- pose. When the affection is purely rheu- matic, blistering behind the ear will almost always remove it; but when it proceeds from a carious tooth, the pain is much more obstinate. In this case it has been recom- mended to touch the pained part with a hot Iron, or with oil of vitriol, in order to de- stroy the aching nerve ; to hold spirits in the mouth ; to put a drop of oil of cloves into the hollow of the tooth, or a pill made of camphor, opium, and oleum caryophylli. Others recommend gum mastich, dissolved in oleum terebinthinae, applied to the tooth upon a little cotton. The great Boerhaave is said to have applied camphor, opium, oleum caryophylli, and alcohol, upon cot- ton. The caustic oil which may be col- lected from writing paper, rolled up tight, and set fire to at the end, will sometimes destroy the exposed nervous substance of a hollow tooth. The application of radix pyrethri by its power of stimulating the sa- livary glands either in substance or in tinc- ture, has also been attended with good effects. But one of the most useful ap- plications of this kind, is strong nitrous acid, diluted with three or four times its weight of spirit of wine, and introduced into the hollow of the tooth, either by means of a hair pencil or a little cotton. When the constitution has had some share in the disease, the Peruvian bark has been recommended, and perhaps with much justice, on account of its tonic and anti- septic powers. When the pain is not fixed to one tooth, leeches applied to the gum are of great service. But very often all the foregoing remedies will fail, and the only infallible cure is to draw the tooth. ODONTI'ASiS. (From oJ'ovrta.a,, to put forth the teeth.) Dentition , or cutting teeth. Odo'ntica. (From oS'ovc, a tooth.) Re- medies for pains in the teeth. Odontirrhce'a. (From oifovc, a tooth, and pia>, to 6.0V/.) Bleeding from the socket of the jaw, after drawing a tooth. Ouo'iTiTis. (From cJ"ou(, a tooth; so called because its decoction was supposed useful in relieving the tooth-ach.) Odon- titis. A species of lychnis. Odgjvti'tis. See Odontis. Odontogly'phum. (From otToo;, atooth, and yKv^ai, to scrape.) An instrument for scaling and scraping the teeth. ODONTOID. (Odontoides ; from o^ovc, a tooth, and ii<5'o(, form, because it is shaped like a tooth.) Tooth-Uke. A process of the second vertebra of the neck is so called. See Dentatus. Odontoli'thos. (From oS'ov^, a tootli, and A/flo?, a stone.) The tarter, or stony crust upon the teeth. Odontophx'ia. (From oiTouc, a tooth, and <^um^ to grow.) Dentition, or cutting teeth. Odontotri'mma. (From ecTouf , a tooth, and TfiQo), to wear away.) A dentrifice, or medecine, to clean the teeth, ODORIFEROUS GLANDS. Glan- dulcE odoriferm. These glands are situated around the corona glandis of the male, and under the skin of the labia majora and nymphse of females. They secrete a seba- ceous matter, which emits a peculiar odour ; hence their name. (E'a. (Om : from oiu>, to bear ; so named from its fruitfulness.) The ser- vice tree. CECONOMY, ANIMAL. (From otitic, a house, and vojaos, a law.) CEconomia animalis. The conduct of nature in pre- serving animal bodies is called the animal oeconomy. CEDE'MA. (From oiSiu, to swell.) A synonym of anasarca. See Anasarca. (Edemato'des. Like to an oedema. (Edemosa'rca. (From othifAo,, a swell- ing, and o-a^l, flesh.) A species of tumour mentioned by M. A. Severinus, of a middle nature, betwixt an (edoma, or soft tumour, and sarcoma or hard tumour. (ENA'NTHE. (From oivca:, wine and ctvQo;, a flower; so called because its flow- ers smell like the vine.) 1. The botanical name of a genus of the umbelliferous plants. Class, Penlandric. Order, Digynia. 2. The pharmacopoeial name of the hemlock dropwort. Qinanthe chcerophylli foliis. Qi^NA'wTHE corca'ta. The hemlock drop- wort. (Enanlhe chcerophylli foliis, of Lin- naeus. An active poison that has too often proved fatal, by being eaten in mistake in- stead of water-parsnep. The juice never- theless, cautiously exhibited, promises to be an efficacious remedy in inveterate scorbutic eruptions. The root of this plant is not unpleasant to the taste, and esteemed to be most deleterious of all the vegetables which this country produces. Mr. Howel, surgeon at Haverfordwest, relates, that " eleven French prisoners had the liberty of walking in and about the town of Pem- broke. Three of them being in the fields a little before noon, dug up a large quantity of this plant, which they took to be wild celery, to eat with their bread and butter for dinner. After washing it they all three ate, or rather tasted of the roots. As they were entering the town, without any pr«- 79 cl26 (ENA iEtiO vious notice of sickness at the stomach, or disorder ia the head, one of them was seized with convulsions. The other two ran home, and sent a surgeon to him. The surgeon endeavoured first to bleed, and then to vomit him ; but those endeavours were fruitless, and he died presently. Ignorant of the cause of their comrade's death, and of their own danger, they gave of these roots to the other eight prisoners, who ate of them with their dinner. A few minutes afterwards the remaining two who ga- thered the plants were seized in the same manner as the first, of which one died ; the other was bled, and a vomit, with great difficultly, forced down on account of his jaws being, as it were, locked together. This operated, and he recovered, but v/as some time affected with dizziness in bis head, though not sick; or the least disor- dered in the stomach. The other eight being bled and vomited immediately were soon well." At Clonmell, in Ireland, eight boys mistaking this plant for water-parsnep, ate plentifully of its roots. About four or five hours after the eldest boy became sud- denly convulsed, and died ; and before the next morning four of the other boys died in a similar manner. Of the other three, one was maniacal several hours, another lost his hair and nails, but the third escaped unhurt. Stalpaart Vander Wiel mentions two cases of the fatal effects of this root; these, however, were attended with great heat in the throat and stomach, sickness, vertigo, and purging; they both died in the course of two or three hours after eating the root. Allen, in his Synop- sis MedicinEe, also relates that four chil- dren suffered greatly by eating this poison. In these cases great agony was experienced before the convulsions supervened ; vomit- ings likewise came on, which were encou- raged by large draughts of oil and warm water, to which their recovery is ascribed. The late Sir William Watson, who refers to the mstances here cited, also says, that a Dutchman was poisoned by the leaves of the plant bcjiled in pottage. It appears, from various authorities, that most brute animals are not less affected by this poison than man ; and Mr. Lightfoot informs us, that a spoonful of the juice of this plant given to a dog, rendered him. sick and stupid ; but a goat was observed to eat the plant with impunity. The great virulence of this plant has not, however, prevented it from being taken medicinally. In a letter from Dr. Poulteney to Sir William Watson, we are told that a severe and inveterate cutaneous disorder was cured by the juice of the root, though not without exciting the most alarming symptoms. Taken in the dose of a spoonful, in two hours after- wards, the head was affected in a very ex- traordinary manner, followed with violent ■sickness and vomiting, cold sweets, and rigors; but tliis did not deter the patient from continuing the medicine, in soisewhat less doses, till it efiected a cure. (Ena'nthe ch^rophy'lli fo'liis. See CEnanthe crocata. CENA'jfTHE cicr'T^ fa'cie lobe'lli. The CEnanthe crocata. CEna'rea. (Oiva-pm: from oiyctftt, the cuttings of vines.) The ashes prepared of the twigs, &c. of vines. (EwEL^'uM. (From otva;, wine, and ^KtLlo]/ , oil.) A mixture of oil and wine. CEno'gaxa. (From o-o?, the OIL OLE G27 gullet.) The muscle foi^aing the sphincter oesophagi. CEsoPHAGi'sMus. (From o/uts, the shoulder; :iad c-^/Ja, a seizure.) The gout in the shoulder. OMENTITIS ■ (Omentitis ; from OME omentum, the caul.) Inflammation of the omentum, a species of peritonitis. OME'NTUM. (From omen, a guess; so called because the soothsayers prophe- sied from an inspection of tliis part.) Epip' loon. The caul. An adipose membranous viscus of the abdomen, that is attached to the stomach, and lies on the anterior surface of the intestines. It is thin and easily torn, being formed of a duplicature of the perito- neum, with more or less of fat interposed. It is distinguished into the great omentum. and the little omentum. The omentum majus, which is also termed omentum gasfrocolicum, arises from the whole of the great curvature of the stomach, and even as far as the spleen, from whence it descends loosely behind the abdominal pa- rietes, and over the intestines to the navel, and sometimes into the pelvis. Having descended thus far, its inferior margin turns inwards and ascends again, and is fastened to the colon and the spleen, where its vessels enter. The omentum minus, or omentum hepita- co-gastricum, arises posteriorly from the transverse fissure of the liver. It is com- posed of a dupUcature of peritoneum, passes over the duodenum, and small lobe of the liver ; it also passes by the lobulus spigelii and pancreas, proceeds into the colon and small curvature of the stomach, and is im- planted ligamentous into the oesophagus. It is in this omentum that Winslow disco- vered a natural opening, which goes by his name. If air be blown in at the foramen of Winslow, which is always found behind the lobulus spigelii, between the right side of the liver and hepatic vessels, the vena portarum and duodenum, the cavity of the omentum, and all its sacs may be dis- tended. The omentum is always double, and be- tween its lamellte closely connected by very tender cellular substance, the vessels are distributed and the fat collected. Where the top of the right kidney, and the lobulus spigelii of tlie liver, with the subjacent large vessels, form an angle with the duo- denum, there the external membrane of the colon, which comes from the peritoneum joining with the membrane of the duode- num, which also arises immediately from the peritoneum lying upon the kidney, en- ters the back into the transverse fissure of the liver, for a considerable space, is conti- nuous with its external coat, contains the gall-bladder, supports the hepatic vessels, and is very yellow and slippery. Behind this membranous production, betwixt the right lobe of the liver, hepatic vessels, vena portarum, biliary ducts, aorta, and adjacent duodenum, there is the natural opening just mentioned, by which air may be blown extensively into all the cavity of the omen- tum. From thence, in a course continuous with this membrane from the pylorus and OME OJI© o3i tiie smEdier curvature of the stomach, the external membrane of the liver joins in such a manner, with that of the stomach, that the thin membrane of the liver is continued out of the fossa of the venal duct, across the lit- tle lobe into the stomach stretched before the lobe and before the pancreas. This little omentum, or omentum hepaiico-gastri- cum, when inflated, resembles a cone, and gradually becoming harder and emaciated, it changes into a true ligament, by which th« (Esophagus is connected to the dia- phragm. But the larger omentum, the omentum gaslrocolicum, is of a much greater extent. It begins at the first accession of the right gastro-epiploic artery to the sto- mach, being continuedtherefrom the upper plate of the transverse mesocolon ; and then from the whole great curve of the stomach, as far as the spleen, and also from the right convex end of the stomach towards the spleen, until it also terminates in a ligament that ties tlie upper and back part of the spleen to the stomach ; this is the anterior lamina. Being continued downward, some- times to the navel, sometimes to the pelvis, it hangs before the intestines, and behind the muscles of the abdomen, until its lower edge being reflected upon itself, ascends, leaving an intermediate vacuity between it and the anterior lamina, and is continued to a very great extent, into the external mem- brane of the transverse colon, and lastly, into the sinus of the spleen, by which the large blood-vessels are received, and it ends finally on the oesophagus, under the dia- phragm. Behind the stomach, and before the pancreas, its cavity is continuous with that of the smaller omentum. To this the omentum colicum is connected, which arises farther to the right than the first origin of the omentum gastrocolicum from the meso- colon, with the cavity of wliich it is conti- nuous, but produced solely from the colon and its external membrane, which departs double from the intestine.? it is prolonged, and terminates by a conical extremity, sometimes of longer, sometimes of shorter extent, above the intestinum csecum. For all the blood which returns from the omen- tum and mesocolon, goes into the vena por- tarum, and by that into the liver itself. The omentum gastrocolicum is furnished with blood from each of the gastro-epiploic arte- ries, by many descending articulated branches, of which the most lateral are the longest, and the lowest anastomose by mi- nute twigs with those of the colon . It also has branches from the splenic, duodenal, and adipose arteries. The omentum coli- cum has its arteries from the colon, as also the smaller appendices, and also from the duodenal and right epiploic. The arteries of the small omentum come from the hepa- tics, and from the right and left coronaries. The omentum being fat and indolent, has very small nerves. Thev arise from the nerves ol the eighth pair, both in the greater and lesser curvatures of the stomach. The arteries of the mesentery are in general the same with those which go to the intestine, and of which the smaller branches remain in the glands and fat of the mesentery. Va- rious small accessory arteries go to both mesocolons, from the intercostals, sperma- tics, lumbars, and capsular, to the trans- verse portion from the splenic artery, and pancreato-duodenalis, and to the left meso- colon, from the branches of the aorta going to the lumbar glands. The veins of the omentum in general accompany the arte- ries, and unite into similar trunks ;'those of the left part of the gastrocolic omentum into the splenic, and also those of the hepa- ticogaslric, which likewise sends its blood to the trunk of the vena portarum ; those from the larger and right part of the gastro- colic omentum, from the omentum colicum, and from the appendices epiploicas into the mesenteric trunk. All the veins of the mesentery meet together and end in the vena portarum, being collected first into two large branches, of which the one, the me- senteric, receives the gastro-epiploic vein, the colicse medise, the iliocolica, and sdl those of the small intestines, as far as thB duodenum ; the other, v/hich going trans- versely, inserts itself into the former, above the origin of the duodenum, carries back the blood of the left gastric veins, and those of the rectum, except the lowermost, which belongs partly to those of the bladder and partly to the hypogastric branches of the pelvis. The vein which is called haemor- rhoidalis interna is sometimes inserted ra- ther into the splenic than into the mesen- teric vein. Has the omentum also lympha- tic vessels ? Certainly there are conglobate glands, both in the little omentum and in the gastro- colicum ; and antient anatomists have observed pellucid vessels in the omen- tum ; and a modern has described them for lacteals of the stomach. Omentum colicum. See Omentum. Ome'ivtum gastro-co'licum. See Omentum. Omentum hepatico-ga'stricum. See Omentum. OMO. Names compounded with this word belong to muscles which are attached to the scapida ; from a>f/.os, the shoulder. Omoco'tyle. (From ley.o;, the shoulder, and KOTv\yi, a cavity.) The cavity in the extremity of the neck of the scapnla, in which the head of the humerus is articu- lated. OMO-HYOIDE'US. Coraco hyoideus. of Albinus and Douglas, Scapula hyodien, of Dumas. A muscle situated between the OS hj'oides and shoulder, that pulls the os hyoides obliquely downwards. It arises broad, thin, and fleshy, from the superior costa of the scapula, near the semilunar notch, and from the ligament that run? 63S ONE ONO across it ; thence ascending obliquely, it be- comes tendinous below the sternocleido- mastoideus, and growing fleshy again, is in- serted into the base of the os hyoides. OMOPLA'TA. (From a/^oc, the shoulder, and ttkol'tv;, broad.) See Sca- pula. Omoprato-htoide'us. The same as Omohyoideus. Omo'tocos. (From ecjutos, crude and ^urce, to bring foi'th.) A miscarriage. Omo'tribes. (From a/^oc, crude, and Tpt^ce, to bruise.) Oil expressed from un- yipe olives. Ompha'cincm. (From o/x^ctKiov, the juice of unripe grapes.) Oil expressed from unripe olives. Ompha'cion. Omphacium. (From oju.- 9*8,0?, an unripe grape.) The juice of unripe grapes ; and by some applied to that of wild apples, or crabs, commonly called Werjuice. Omfhaci'tis. (From o^x^clkoc, an un- yipe grape, because it resembles an unripe grape.) A small kind of gall ; an excres- cence from the oak. Omphaco'meli. (From o/ji.ik>i, a tumour.) An um- bilical hernia. See Hernia. Omphalo'des. (From ofAi, the seed.) So the Greeks call an occasional emission of the semen in sleep, when it only happens rarely. Onion. See Allium cepa. Onion, sea. See Scilla. O'nis. (From ovo;, an ass.) The dung of an ass. It was in repute with Hippo- crates. Oni'sctts. (From ovo?, an ass; so called because, like the ass, it requires much bea- ting before it Li useful.) The stock-fish. Also the slow worm. Oni'scus ase'llus. The systematic name of the woodlouse. Millepedes. Mil- lepedm. These insects, though they obtain a place in the pharmscopoeias, are very seldom used medicinally in this country ; they ap- pear to act as stimulants and slight diuretics, and for this purpose they ought to be admi- nistered in a much greater dose than is usually prescribed. The expressed juice of forty or fifty living millepedes, given in a mild drink, has been said to cure very obstinate jaundices. Oni'tis. (From evoc, an ass, because asses covet it.) The origanum plant. Onobrt'chis. (From ovo?, an ass, and /ipv^a, to bray ; so called, according to Blanchard, because the smell or taste makes asses bray.) Holy hay ; saintfoin ; cocksy- head vetch. ONO'NIS. (From ovo?, an ass, because it interrupts asses when at plough.) 1. The name of a genus of plants in the Linnaeau system. Class, Diudeljthia. Order, De- candria. 2. The pharmacopoeial name of the rest harrow. Ono'nis arve'wsis. See Ononis spinosa, Ono'wis spino'sa. The systematic name of the rest harrow. Resta bovis. A rresia bovis. Remora aratri. The roots of this plant have a faint unpleasant smell, and a sweetish, bitterish, somewhat nauseous taste. Their active matter is confined to tlie corti- cal part, which has been sometimes given ia powder, or other forms, as an aperient and diuretic. ONOPO'RDIUM. (OvoiTo; ^ testicle.) Ga- len says it is the scrotum. O'RCHIS. (From ofiyeuai, to desiie.) 1. A testicle. 2. The name of a genus of plants in the Linnsean system. Class, Gynandria. Or- der, Diandria. O'rchis bifo'lia. The systematic name of the butterfly orchis. See Orchis mascula. O'echis ma'scula. The systematic name of the male orchis. Satyrion. Dog's- stones. Male orchis. Orchis bulbis indivisis, nectarii labia quadrilobo erenidato, cornu obtuso petalis dorsalibus refiexis, of Linnaeus. The root has a place in the Materia Medica of the Edinburgh pharmacopoeia, on account of the glutinous slimy juice which it contains. The root of the orchis bifolia is also collected. Satyrion root has a sweetish taste, a faint and somewhat miplea- sant smell. Its mucilaginous or gelatinous cpiality has recommended it as a demulcent. Sctlep, which is imported herefrom the East, is a preparation of an analogous root, which, considered as an article of diet, is accounted extremely nutritious, as containing a great quantity of farinaceous matter in a small bidk. The supposed aphrodisiac qualities of this root, which have been noticed ever since the days of Dioscorides, seem, says Dr. Woodville, to be founded on the fan- ciful doctrine of signatures, thus orchis, i. e. efxi'S, testiculus, habet radices, iustar testiculorum. O'kchis mo'rio. The systematic name of the orchis, from whose root the salep is made. Sailep is a fa.rina€eous powder im- ported from Turkey. It may be obtained from several other species of the same genus of plants. It is an insipid substance, of which a small quantity, by proper manage- ment, converts a large portion of water into a jelly, the nutritive powers of v.hich have been greatly overrated. Salep forms a considerable part of the diet of the inhabit- ants of Turkey, Persia, and Syria. The method of preparing salep is as follows : the new i-oot is to be washed in wetter, and the fine brown skin which covers it is to be separated by means of a small brush, or by dipping the root in warm water, and rubbing it with a coarse linen cloth. The roots thus cleaned, are to be spread on a tin plate, and placed in an oven, heated to the usual degree, where they are to remain sis or ten minutes. In this time they will have lest their milky whiteness, and acquired a transparency like hom^ without any dimi- nution of bulk. Being e^rrived at this state, they are to be removed in order to diy and harden in the air, which will require several days to effect ; or they may be dried in a few hours, ' by using a- very gentle heat. Salep, thus prepared, contains a great qaa^i- tity of vegetable aliment ; as a wholesome nourishment it is much superior to rice ; and has the singular property of concealing the taste of salt water. Hence, to prevent, the dreadftil calamity of famine at sea, it has been proposed that the powder of it should constitute part of the provisions of every ship's company. With regard to its medi- cinal properties, it may be observed, that its restorative, mucilaginous, and demulcent qualities, render it of considerable use in various diseases, when employed as ali- ment, pai'ticularly in sea-scurvy, diarrhoea, dysentery, symptomatic fever, arising from the absorption of pus, and the stone or gravel. ORCHI'TIS. (From of^^,;, a testicle.) See Hernia humorcdis. O'rchos. (From of'^o;, a plantation or orchard ; so called from the regularity with v?hich the hairs are inserted.) The extre- mities of the eyelids, where the eyeleishes;. grow. O R C H O'T O M Y. (From tpx'f, a *«■«- tide, and Tifi'iu, to eut.) Castration. The operation of extracting a testicle. Oreoseli'num. (From ofoi, a moun- tain, and aiXi'ioi-i parsley, so named because it grows wild upon mountains.) Black mountain parslej'. See Aihamarda. Ore'stion. (From spj, a mountain.) In Dioscorides it is the Heleniujn, or a kind of elecampane growing upon moun* tains. Ore'xis. (From opiyo/aici, to desire.) Orexia. The appetite. ORIBASIUS, an eminent physician of the 4th century, was born at Pergamus, or" according to others, at Sardes, where he re- sided for some time. He is mentioned a& one of the most learned and accomplished men of his age, and the most skiJful in his profession : and he not only obtained great public reputation, but also the friendship of the Emperor Julian, who appointed him quaestor of Constantinople. But after the death of that prince he suffered a severe re- verse ; he was stripped of his property, and sent into banishment among the Barbarians. He sustained his misfortunes however with great fortitude ; and the dignity of his cha- racter, with his professional skill and kind- ness, gained him the veneration of these rude people, among whom he was adored as a tutelary god. At length he was recalled to the Imperial court, and regained the public favour. He wa^ chiefly a compiler ;■ but some valuable practical remarks first occur in his writings. He made, at the request of Julian, extensive " Collections" from Galen, and other preceding authors, in about sevent}' books, of which only seven- teen now remain ; and afterwards made a " Synopsis of this vast work, for the use of his son, in nine books : there are also extant four books, on medicines and diseases, en> OKI ORi* 6^ titled « EupcristGTum Libri." He praises highly local evacuations of blood, espe- cially by scarifications, which had been little noticed before : and he affirms, that he was himself cured of the piague by it, having lost in this way two pounds of blood from the thighs on the second day of the disease. He first described a singular species of in- sanity, under the name of lycanthropia, in which the patient wanders about by night among the tombs, as if changed into a wolf: though such a disease is noticed in the New Testament. Ori'cia. (From Oricus, a city of Epirus, near which it grows.) A species of fir or turpentine tree. Orienta'lia fo'lia. The leaves of senna. O R I'G A N U M. (From opoc, a moun- tain, and yccyoM, to rejoice ; so called be- cause it grows upon the side of moun- tains.) 1. The name of a genus of plants in the Linnaean system. Class, Didynamia. Order, Crymnospermia. 2. The pharmacoposial name of the wild marjoram. Ori'ganum cre'ticum. See Origanv.m dictamnus. Ori'gahum dicta'mnus. The systematic name of the dittany of Crete. Dictamnus creticus. Origanum crtlicum. Oniiis. The leaves of this plant, Origanum diclamims : foliis inferieiibus tomtniosis, spicis nulantibus, of Linneeus, are now rarely used ; they have been recommended as emmenagogue and alexipharmic. Ori'ganum majora'na. The systematic name of sweet marjoram. Marjorana. Ori- gmmm, foliis ovatis obtiisisj spicis subrotun- dis compaciis pubescenlibus, of Linnaeus. This plant has been long cultivated in our gardens, and is in frequent use for culinary purposes. The leaves and tops have a plea- sant smell, and a moderately warm aromatic, bitterish taste. They yield their virtues to aqueous and spiritous liquors, by infusion, and to water in distillation; afibrding a consi- derable quantity of essential oil. The medici- nal qualities of the plant are similar to those of the wild plant (see Origanum vulgaie ;) but being much more fragrant it is thought to be more cephalic, and better adapted to those complaints known by the name of nervous ; and may therefore be employed with the same intentions as lavender. It was directed in tlie pulvis steniutatoriiis, by both pharmacopceias, with a view to the agreeable odour which it communicates to the asarabaeca, ratiier than to its errhiue power, which is very inconsiderable ; but it is now wholly omitted in the Pharm. Lond. In its recent state, it is said to have been successfully applied to scirrhous tumours of the breast. Ori'ganum syri'acum. The Syi'ian herb mastich. See Ttucrium marum. Ori'gancm vulga're. The systematic name of the wild marjoram. Marjorana viancuruna. Origanum heradeoiicum, from Heraclea, where the best was said to be pro- duced. Zazarhendi herba. Wild marjoram. Origanum vulgare ; spicis subroUmdis pani- eulalis congtomeratis, braeteis calyce longi- orihus ovaiis, of Linnaeus. This plant grows wild in many parts of Britain. It has aa agreeable aromatic smell, approaching to that of marjoram, and a pungent taste much resembling thyme, to which it is likewise thought to be more allied in its medicinal qualities, and therefore deemed to be emmenagogue, tonic, stomachic. Sic. The dried leaves used instead of tea, are said to be exceedingly grateful. They are employed in medicated batlis and foment- ations. O'ris cojfSTRi'cTOR. See Orbicularis oris. Orlea'na te'rra. (Orlsana, so named from the place where it grows.) See Bixa orleana. Ornitho'galum mari'timum. (Fr0D3 optit, a bird, and yaXa, milk, so called from the colour of its flowers, which are like the milk found in eggs.) A kind of wild onion. See Scilla. Ornithoglo'ssum (From epvi;, a bird, and 'yXco(>*i the scro- tum, and xn\7!, a tumour.) This tero^ is sometimes given to a tumour of the scrotuiji^ from an accumulation of water, (see Hyd^o^ cele ;) and sometimes to a scrotal hen^ia^ (see Hernia.) O'scHKON. 0(rx,iee Rumex acutus. b'XYMEL. (From o^y;, acid, snd fiiXi, honey.) Apomeli. Adipson. Honey and vinegar boiled to a sirup. Mel acetntum. Now called Oxymel simplex. " Take of cla- rified honey, two pounds ; acetic acid, a pint Boil them down to a proper con- sistence, in a glass vessel, over a slow fire." This preparation of honey and vinegar pos- sesses aperient and expectorating virtues, and is given, with these intentions, in the Cure of humoral asthma, and other diseases OXY of the chest, in doses of one or fwa dracJifflS. It is also employed in the form of gargle, when diluted with water. O'xYMEL jeku'ginis. See Limmentunt. ceruicinis. ' O'xYMEL co'lchici. Oxymel of meadow saffron is an acrid medicine, but is neverthe- less employed, for its diuretic virtues, in dropsies. O'xYRiEL sci'i.L.E. " Take of clarified honey, three pounds ; vinegar of squills, two pints Boil them in a glass vessel, with a slow fire, to the proper thickness." Ape- rient, expectorant, and detergent virtues, are attributed to the honey of squills. It is given in doses of two or three drachms, along with some aromatic wafer, as that of cinnamon, to prevent thegi'eat nausea which it would otherwise be apt to excite. In large doses it proves emetic. Oxymu'kias hydra'rctYki. See Hydrar- gri o.rymuj'ias. OXYMURIA'TIC ACID GAS. Oxy- genated murirttic acid gas. Chlorine. Dephlo- gisticaled marine acid. This gas possesses an uncommonly pungent and suffocating odour. It is absolutely and in every respect non-re- spiiable; animals immersed in it die instantly. It is absorbable by water, and forms with it what is called liquid oxymuriatic acid. When water is saturated with it, the compound crystallizes at low temperatures. Oxymuri- atic acid gas is not invisible, but has a yellow greenish colour. It is capable of maintain- ing and exciting combustion in many cases. Phosphorus, charcoal, red sulpuret of mer- cury, sulphuret of antimony, bismuth, iron, zinc, copper, gold, arsenic, cobalt, tin, lead, and several other combustible bodies take fire spontaneously when introduced into it. It is heavier than atmospbei ic air. It weakens and reddens the flame of a taper, but does not extinguish it. It decomposes ammonia. It thickens fat oils. It detonates wiih hydro- gen gas. Nitrous ge^s immediately produces a cloud of reddish vapour with it. li is like- wise decomposed by sulphuretted, phosphu- retted and carburelted, hydrogen gases. It is not altered by exposure to light, and passes unaltered through an ignited porce- lain tube. It bleaches stuffs, and totally destroys most of the vegetable colours, ren- dering them white. It also bleaches yellow wax, &c. This gas may be obtained in several ways. 1. Take one part of the native oxyde of manganese, and as much red precipitate of mercury, or red lead, put them into a glass retort, and add four parts of concentrated muriatic acid. This, on distillation, affords a quantity of yellow aeriform fluid, which is oxymuriatic acid gas. 2. Put into a retort one part of powdered black oxyde of manganese, three or four of Concentrated muriatic acid, connect the re- tort with the pneamatic trough and receive 0X¥ OXY 64& Wve gas over water in the usual manner. When no more ga? is liberated, apply the heat of a lamp, and gas will be produced abundantly, which may be kept in bottles with ground glass stoppers. The oxyde of manganese yields up in this process pail oi its oxygen U> part of the muriatic acid, which becomes converted into oxymuriatic acid gas ; the oxyde of manga- nese being tlius partly deoxydiaed is dissolved in the remaining quanlity of the muriatic acid, which remains behind in the retort as muriate of manganese. The retort containing the mixture sbould not be filled above one third, for the mix- ture Oil the application of hea!, swells, and is very apt to be forced over into the neck of the retort. 3. Oxymuriatic acid gas may likewise be obtained in an indirect manner, by decom- posing muriate of soda in contact with black oxyde of manganese. For that purpose mix eight parts, by weighty of muriate of soda with three of powdered oxyde of manganese, put the mixture into a tubulated retort, and pour upon it gradually four parts of sulphu- I'ic acid, diluted previously with three of water, and which has been suftered to cool after dilution. On applying a gentle heat, gas will be produced as before. In this operation the sulphuric acid acts on the muriate of soda, to the base of which it unites ; the muriatic acid liberated by this union, attacks tiie oxyde of manganese ; one part of it combines with the oxygen, and another with the oxyde brought nearer to the metallic state ; and the result is sul- phate of soda and muriate of manganese, which remain in the distilling vessel ; and oxymuriatic acid, which passes in the sjate of gas at common temperatures. In preparing this gas, great care should be taken that it does not escape into the apart- ment in any considerable quantity ; as it acts violently on the pituitous membrane, occasions a defluxion of the brain, blunts Ihe senses of smell and taste, produces head- ache, and proves extremely injurious to health. Pelletier fell a sacrifice in attempting to breathe it; a consumption was the conse- quence, which proved rapidly fatal. Liquid ammonia is the remedy best cal- culated to check its ettects when accident- ally set at liberty in places where it is pre- pared. The water which adheres to the inner side of the vessel filled with oxymuriatic acid gas, crystallizes in the form of yellow spangles, if the temperature is near the freezing point. If a considerable quantity of gas be thus condens'.'d, care must be taken to keep it at a low temperature, for as soon as ihe tem- perature is raised, it expands, and endan- gers the bursting of the vessel. When ab- sorbed by water it forms liquid. OXYMURIATIC ACID. This acid is of a greenish-yellow colour It has a stj^ptic bitter taste, and a very suf- focating odour. Instead of reddening blue vegetable colours, it has the remarkable pro- perty of rendering them white. In high temperatures, when light is excluded, phos- phorus remains unaltered in liquid oxymu- riatic acid ; but if light be admitted, the colour of the acid gradually disappears, and the phosphorus is converted into phosphoric acid. It thickens oils and animal fa(-, and renders them less disposed to combine with alkalis. Its action upon metals presents phenomena extremely curious and import- ant; the oxygen of the acid unites with the metal, and the produced oxyde is af- terwards dissolved by tlie deoxydized acid. Method of obiaiimiii Oxymuriatic Acid. — Put into a tubulated retort, supported over a lamp, one part of black oxyde of man- ganese reduced to a gross powder, and pour over it three parts of concentrated muriatic acid : recline the retort in such a manner that the fluid which rises up into its neck, may easily run back again into the body, and apply a receiver with a little distilled water in it ; the receiver must be luted to the retort by a fillet of paper. When the effervescence, which instantly takes place on the affusion of the acid, ceases, apply a gen- tle heat. Oxymuriatic acid gas will be evolved, and the receiver become iilled with yellow vapours, v.'hich are absorbed by the water. When the water has acquired a yellowish-green colour, the receiver may be removed, and another one applied till no more gas is extricated. The process may be more elegantly conducted by joining the apparatus of Burkitt or Pepys, to the distil- latory vessel. The common muriatic acid which may arise is condensed in the first bottle, and the oxymuriatic acid gas. unites to the water in the second, third, &c. The phenomena attending the formation of this gas, and its action on other bodies., are here explained according to the theory of Berthollet. Scheele, who first discover- ed i(, supposed it to be muriatic acid, de- prived of phlogiston. Sir Humphrey Davy has maintained a similar opinion, and given it the name of chlorine from its colour. He supposes muriatic acid to be a com- pound of chlorine and hydrogen ; and that in all cases, where chlorine appears to oxy- dize bodies, it is in consequence of water, or some other substance containing oxygen, being at the same time decomposed. Oxymvrrhi'ne. (From o^vi, acute, and f/.uppiv'/i, the myrtle; so called from its re- semblance to myrtle, and its pointed leaves.) Oxymyrsine. Wild myrtle. Okymvrsi'ne, See Oxymyrrhine. Cxy:irj>Si useful, so named from its general useful- jaess.) Panchreslon. An epithet of a col- lyrium described by Galen. It is also of the same signification as Panacea, but little used. Panchymago'ga. (From srav, all, x^f^'fy mccus, humour, and aya. duco, to lead or draw.) This term is ascribed to such me- dicines as are supposed to purge all humours equally alike ; but this is a conceit now not jninded. PAJfccE'NUS. (From vreti. all, and xd/voj, common.) Epidemic ; applied to popular diseases, which attack all descriptions of ■persons. Pancra'tium. (From «"«?, all, ^iid xfartcu, to conquer; so called from its vir- tues in overcoming all obstructions.) See Scilla. PA'NCREAS. (From i/toj, the people.) A syno- uym of epidemic. See Epidemic. Pandicula'tio. (From pandiculo, to gape and stretch.) Pandiculation, or that restless stretching and gaping which accom- panies the cold fit of an ague. PA'ATCUM. (A paniculis, from its many panicles ; the spike consisting of in- numerable thick seeds, disposed in many panicles.) The name of a genus of plants in the Linntean system. Class, Triandria.' Order, Digynia. Pa'nicum Ita'licum. The systematic name of the plant which affords the Indian millet-seed, which is much esteemed in Italy, being a constant ingredient in soups, and made into a variety of forms for the table. Pa'kicubi milia'ceum. The systematic name of the plant which affords the millet- seed. They are esteemed as a nutritious article of diet, and are often made into pud- dings in this country. Pa'nis cu'coli. See 0.calis acstosella. Pa'nis pokci'nds. a species of cycla- men. PANNITULUS. (From pannus, cloth.) 1. A piece of fine cloth. S. The cellular and carnous membranes PAP PAP 661 are so dialled from their resemblance to a piece of fine cloth. Panno'nica. (From pannus, a rag ; so called because its stalk is divided into many uneven points, like the end of a piece of 1^^.) Hawk-'.veed. Fa'nkus. (From Tii-a/, to labour) 1. A piece of cloth. 2. A tent for a ^vound. 3. A speck in the eye, resembling a bit of rag-. 4. An irregular mark upon the skin. Pano'cti^. Buboes in the groin. PATs OPHO'BIA. (From ^z?, all, and ipe'tis, fear.) That kind of melan- choly which is attended with groundless fears. Pajisies. See Viola tricolor. Pantago'ga. (From fraj, all, and uyo, to drive out.) Medicines which expel all morbid humours. Pakto'lmics. (Trom trus, all, and mX- p-tift to dare ; so named from its general uses.) A medicine described by jEgi- nefa. PASfTOPHo'BiA. The same as hydro- phobia. Pa'nus. (From irjviF, to work.) 1. A weaver's roll. 2. A soft tumour shaped like a weaver's roll. PAPA' V E R. {Papaver, from pappa, pap ; so called because nurses used to mix this plant in children's food to relieve the •colic and make them sleep.) 1. The name «f a genus of plants in the LinnEean sys- tem. Class, Polyandiia. Order, Monogy- nia. The poppy. 2. The pharmacopceial name of the white poppy. See Papartr somni/erum. Papa'ver zrra'ticcm. See Papavet rhcEOs. Papa'ver ni'grcm. The black poppy. This is merely a variety of the papaver som- niferum, producing black seeds. See Pa- paver. Papa'ver rhce'as. The systematic and pharmacopceial name of the red corn poppy. Papaver erraiicum. Papaver capsulis gla- bris globosis, tauh-piloso multijioro ; foliis pennalifidis inds-is, of Linnseus. The heads of this species, like those of the somniferum, contain a milky juice of a narcotic quality ; from which an extract is prepared, that has been successfully employed as a sedative. The flowers have somewhat of the smell of opium, and a mucilaginous taste, accom- panied with a slight degree of bitterness. A sirup of these flowers is directed in the London Pharmacoposia, which has been thought useful as an anodyne and pectoral, and is prescribed in coughs and catarrhed afiections. See Syrupusrficeados. Papa'ver somsi'ferum. The systematic name of the white poppy, from which opium is obtained. Linnaeus describes the plant :-^ — Papaver calydbm. capsulisqne glabrit, foliis amphxicaulibus incids. This drug is also called opium ihebaicum, from being ancient- ly prepared chiefly at Thebes : Opion and manus del, from its extensive medical vir- tues, oic. The Arabians called it affion and ajiura. It is the concreted milky juice of the capsule or head of the poppy. It is brought from Turkey, Egypt, the East Indies, and other parts of Asia, where pop- pies are cultivated for this use in fields, as corn among us. The manner in which it is collected has been described long ago by Kfempfer and others ; but the most circum- stantial detail of the culture of the poppy, and the method of procuring the opium, is that given by Mr. Kerr, as practised in the province of Bahar : he says, "The field being well prepared by the plough and har- row, and reduced to an exact level superfi- cies, it is then divided into qiwdrangular areas of seven feet long, and five fret in breadth, leaving two feet of interval, which is raised five or six inches, and excavated into an aqueduct for conveying water to every area, for which purpose they have a well in every cultivated field. The seeds are sown in October or November. The plants are allowed to grow six or eight inches distant from each other, and are plen- tifully supplied with water; when the j^oung plants are six or eight inches high, they are watered more spaiingly. But the cultivator spreads all over the areas a nu- trient compost of ashes, human excrements, cow-dung, and a large portion of nitrous earth, scraped from the highways and old mud walls. When the plants are nigh flowering, they are watered profusely, to in- crease the juice. When the capsules are half grown, no more wafer is given, and they begin to col- lect the opium. At sunset they make two longitudinal double incisions upon each half ripe capsule, passing from below upwards, and taking care not to penetrate the internal cavity of the capsule. The incisions are repeated every evening until each capsule has received six or eight wounds ; then are they alloxved to ripen their seeds. The ripe capsules afibrd little or no juice. If the wound was made in the heat of the da_v, a cicatrix would be too soon formed. The night dews, by their moisture, favour the exstillation of the juice. Early in the morning, old women, boys, and girls, collect the juice by scraping it ofi" the wounds with a small iron scoop, and deposit the whole in an earthen pot, where it is worked by the hand in the open sun- shine, until it becomes of a considerable spissitude. It is then formed into cakes of a globular shape, and about four pounds iu weight, and laid into little earthen basins to be further exsiccated. These cakes are co- vered over with the poppy or tobacco leaves, and dried until they are fit for sale. Opiosj 652 PAP PA? is frequently adulterated with cow-dung, the extract of the poppy plant procured by boil- ing, and various other substances which they keep in secresy." This process, however, is now but rarely practised, the consumption of this drug being too great to be supplied by that me- thod of collection. The best sort of the officinal opium is the expressed juice of the heads, or of the heads and the upper part of the stalks inspissated by a gentle heat ; this was formerly called meconium, in distinction from the. true opium,, or juice which issues spontane- ously. The inferior sorts (for there are consider- able differences in the quality of this drag) are said to be prepared by boiling the plant in water, and evaporating the strained de- coction ; but as no kind of our opium will totally dissolve in water, the juice is most probably extracted by expression. Newman was infoi-med by some Turks at Genoa and Leghorn, that in some places the heads, stalks and leaves are committed to the press together, and that this juice inspissated af- fords a very good opium. On this head Dr. Lewis remarks, that the point has not yet been fully determined. It is commonly supposed, that whatever preparations the Turks may make from the poppy for their own use, the opium brought to us is really the milky juice collected from incisions made in the heads, as described by Kffimpfer. It is certain that an extract made by boiling the heads, or the heads and stalks, in water, is much weaker than opium ; but it appears, also, that the pure milky tears are considerably stronger. The principles separable from opium are, a resin^ gum, besides a minute portion of saline matter, and water and earth, which are intimately combined together, insomuch that all the three dissolve almost equally in water and in spirit. It is probably to the saline principle Nicholson observes in this and other vegetables, that the intimacy of union is in great measure to be ascribed. Four ounces q^ opium, treated with alco- hol, yielded three ounces and four scruples of resinous e.xtr-jcf ; five drachms and a scruple of insoluble impurities remaining. On taking four ounces more, and applying water at first, Newman obtained two ounces five drachms and one scruple of gummy extract ; the insoluble part amounting here to seven drachms and a scruple. In distil- lation, alcohol brought over little or no- thing ; but the distilled water was considera- bly impregnated with the peculiar ill smell of opium. From this analysis may be estimated the cfiects of dift'erent solvents upon it. Alco- hol and proof spirit dissolving its resin, affords tinctures possessing all its virtues. Water dissolves its gummy part, which is «Hch less active, but a part of the resia is at tlie same time taken up by the medium" of the gum. Wines also afford solutions possessiug the virtues of opium. Vinegar dissolves its active matter, but greatly im- pairs its power. The use of this celebrated medicine,, though not unknown to Hippocrates, can be clearly traced to Diagoras, who was nearly his cotemporary, and its importance has ever since been gradually advanced by succeeding physicians of different nations. Its extensive practical utility, however, has not been long well understood ; and in this country perhaps may be dated from the time of Sydenham. Opium is tlie chief narcotic now employed ; it acts directly upon the nervous power, diminishing the sensibility, irritability, and mobility of the sj'Stem ; and, accorduig to Cullen, in a certain manner suspending the motion of the nervous fluid; to and from the brain, and thereby inducing sleep, one of its principal effects. From this sedative power of opium, by which it allays pain, inordinate action, and restless- ness, it naturally follows that it may be employed with advantage in a great variety of diseases. Indeed, there is scarcely any disorder in which, under some circum- stances, its use is not found proper ; and though in many cases it fails of producing sleep, yet, if taken in a full dose, it occa- sions a pleasant tranquillity of mind, and a drowsiness, which approaches to sleep, and which always refreshes the patient. Besides the sedative power of opium, it is known to act more or less as a stimulant, exciting tlie motion of the blood. By a certain conjoined effort of this sedative and stimulant eflect, opium has been thought to produce intoxication, a quality for which it is much used in eastern countries. The principal indications which opium is capable of fulfilling are, supporting the ac- tions of the system, allaying pain and irri- tation, relieving spasmodic action, inducing sleep, and checking morbidly increased se- cretions. It is differently administered, as it is designed to fulfil one or other of these indications. Where opium is given as a stimulus, it ought to be administered in small doses, frequently repeated, and slowly increased, as by this mode the excitement it produces is best kept up. But where the design is to niitigate pain or irritation, or the symptoms arising from these, it ought to be given in a full dose, and at distant intervals, by which, the state of diminished power and sensibility is most completely induced. One other general rule, with respect tn the administration of opium, is, that it ought not to be given in any pure inflam- matory affection, at least until evacuations have been used, or unless means are em- ployed to determine it to the surface, and produce a diaphoresis. In continued fevers, not of the pure in- PAP PAP €53 fiammatory kind^ opium is administered sometimes as a general stimulus, and at other times to allay irritation. The great practical rule in such cases is, that it ought to be given in such quantifies only, that the pulse becomes slov.er and fuller from its operation. Its exhibition is improper where local inflammation, especially of the brain, or of its membranes, exists. In intermittent fever, the exhibition of an opiate renders the paroxysms mihler, and ■facilitates the cure. Dr. Cullen recom-_ mends the union of opiuKi with bark, which enables the stomach to bear the latter in larger doses, and adds considerably to its efficacy. In the profluvia and cholera, opium is employed to lessen the discharge, and is fre- quently the principal remedy in effecting the cure. In passive hoemorrhagy, it proves useful by its stimulant power. In retroce- dent gout it is used as a powerful stimu- lant. In convulsive and spasmodic diseases it is advantageously administered, with the view of reflecting symptoms, or even of effecting a permanent cure, and in several of them it requires to be given to a very great ex- tent. In lues venerea it promotes the action of mercury, and relieves the irritation ari- sing either from that remedy, or from the disease. In the year 1779, opium was introduced into practice as a specific against the lues venerea. It was employed in several of the military hospitals, where it acquired the reputation of a most efficacious remedy ; swid Dr. Michaelis, phj'sician of the Hessian forces, published an account of a great number of successful experiments made with it, in the first volume of the Medical Communications in the year 1784. Opium was afterwards given as an anti-venereal remedy in some foreign hospitals. Many trials were also made of its virtues in several of the London hospitals, and in the Royal Infirmary at Edinburgh. Very favourable reports of its efficacy in removing venereal complaints were published by different prac- titioners ; but, at the same time, so many deductions were to be made, and so many exceptions were to be admitted, that it re- quired little sagacity to discover, that most of the advocates for this medicine reposed but a slender and fluctuating^ confidence in its anti-venereal powers. Mr. Pearson made several experiments on the virtues of opium in lues venerea, at the Lock Hospital, in the year 1784 and 1785; and published a narrative of its effects, in the second volume of the Medical Communications. " The result of my experiments," says he, " was very unfavourable to the credit of this new remedy j and I believe that no surgeon in this country relies on opium as a specific against the venereal virirs. I have been long accustomed to administer opium with great freedom during the venereal course ; and the experience of nearly twenty years has taught me that, when it is combined with mercurjf, the proper efficacy of the latter is not in any measure increased ; that it would not be safe to rely upon a smaller quantity of the mineral specific, nor to con- tract the mercurial course within a shorter limit than where no opium has been em- ployed. This representation, will not, I presume, admit of controveisy ; yet we fre- quently hear people expressing themselves upon this head, as if opium manifested some peculiar qualities in venereal complaints, of a distinct nature from its well known nar- cotic properties, and thus afforded an im- portant aid to mercury in the removal of lues venerea." Perhaps it may not be un- useful to disentangle this subject from the perplexity in which such indefinite language necessarily involves it. Opium, when given in conjunction with mercury, by diminish- ing the sensibility of the stomach and bowels, prevents many of those inconve- niences which this mineral is apt to excite in the primse vise ; and thus its admission into the general system is facilitated. Mer- cury will likewise often produce a morbid irritability, accompanied with restlessness and insomnolescence, and it sometimes ren- ders venereal sores painful and disposed to spread. These accidental evils, not neces- sarily connected with; the venereal disease, may be commonly alleviated, and often en- tirely removed, by a judicious administra- tion of opium ; and the patient will conse- quently be enabled to persist in using th^ mineral specific. It, however, must be per- fectly obvious, that opium, in conferring" this sort of relief, communicates no addi- tional virtues to mercury, and that, in reality, it assists the constitution of the patient, not the operation of the medicine with which it is combined. The salutary effects of mercui-y as an antidote, may be- diminished or lost by the supervention oS vomiting, dysentery, &c. Opijim will often correct these morbid appearances, and so- will spices, wine, and approprigite diet, &c. j'et it would be a strange use of words to urge, wherever these articles of food were beneficial to a venereal patient, that they concurred in augmenting the medicinal virtues of mercury. It may be supposed that the majority of medical men would un- derstand by the terms, " to assist a medicine- in curing a contagious disease," that the drug conjoined with the specific actually increased its medicinal efficacy ; whereas, in the instances before us, it is the human body only which has been aided to resist the operation of certain noxious powers, whicli would render a perseverance in the antidote prejudicial or impossible. The soothing qualities of this admirable medicine can scarcelv be estimated too highlv. Tct we. 6^4 PAP PAK, must beware of ascribing eflects to them which have no existence : since a confidence in the anti-venereal virtue of opium would be a source of greater mischief, than its most valuable properties would be able to compensate. Opium is employed with laxatives in colic, and ofleu prevents ileus and intiammatiou, by relieving the spasm. It is often given to promote healthy sup- puration, and is a principal remedy in arrest- ing the progress of gangrene. The sudorific property of opium is justly considered of considerable power, more especially in combination with ipecacuan or antimony. The compound pov,der of ipeca^ cuan, consisting of one part of ipecacuan, one part of opium, and eight of sulphate of potash, is a very powerful sudorific, given in a dose from 15 to 25 grains. The com- bination of opium with antimony is gene- rally made by adding 30 to 40 drops of antimonial wine to 25 or 30 drops of tincture of opium, and forming them into a draught. Opium, taken into the stomach in im- moderate doses, proves a narcotic poison, producing vertigo, tremors, convulsions, de- lirium, stupor, stertor, and, finally, fatal apo- plexy. \^here opium has been taken so as to pro- duce these dangerous consequences, the con- tents of the stouiach are first to be evacuated by a powerful emetic, as a solution of the sulphate of zinc. Large draughts of vine- gar, or any of the native vegetable acids, are then to" be swallowed. Moderate doses of brandy or a strong infusion of coffee, have also been found useful. Respecting the external application of opium, authors seem not sufficiently agreed. Some allege, that when applied to the skin it aDays pain and spasm, procures sleep, and produces all the salutary or dangerous ef- fects which result from its internal use ; while others say, that thus applied it has little or no effect whatever. It has also been assert- ed, that when mixed with caustic it dimi- nishes the pain which would otherwise en- sue; and if this be true, it is probably by de- creasing the sensibility of the part. Inject- ed by the rectum, it has all the effect of opi- um taken into the stomach ; but to answer this purpose, double the quantity is to be em- ployed Applied to the naked nerves of ani- mals, it produces immediate torpor and loss of power in all the muscles with which the nerves communicate. The requisite dose of opium varies in dif- ferent persons and in different states of the same person. A quarter of a grain will in one adult produce effects which ten times the quantity will not do in another ; and a dose that might prove fatal in cholera or colic, would not be perceptible in many cases of tetanus, or mania. The lowest fatal dose TO those unaccustomed to tadie it. seems to be about four grains ; but a dangerous doSe i^ so apt to produce vomiting, that it has sel- dom time to occasion death. When given in too small a dose, it often produces dis- turbed sleep, and other disagreeable conse^ quences ; and in soiue cases it seems impos- sible to be made to agree in any dose or form. Often, on the other hand, from a small dose, sound sleep and alleviation of pain will be produced ; while a larger one occasions vertigo and delirium. Some prefer the repetition of small dosee ; others the gi- ving a full dose at once ; its operation is sup- posed to last about eight hours ; this how- ever must depend upon circumstances. The usual dose is one grain. The officinal pre- parations of this drug are numerous The following are among the principal : Opium purijicaium, pilula saponis cum opio, pulvis cornu usli cum opio, tinctura opii, iinctura camphorcE composita, and confeclio opii: it is also an ingredient in the pulvis ipecacU' anha coiiipositus, eJectuurium japonicum, pulvis creltE compositus cum opio, 4ic. The capsules of the poppy are also directed for medicinal use in the form of fomentation, and in the syrupus papaveris, a useful ano- dyue, which often succeeds in procuring sleep where opium fails ; it is, ho«evcr, more especially adapted to children. The seeds of this species of poppy contain a bland oil, and in many places are eaten as food ; as a medicine, they have been usually given in the form of emulsion in catarrhs, stranguries, &c. Papaw. The fruit of the carica papaya, which see. PAPI'LLA. 1. The nipple of the breast. See Kipple. 2. The fine terminations of nerves, fcc. a3 the nervous papillae of the tongue, skin, &c. Papi'llje medvllares. Small eminences on the medulla oblongata. Papilla'kis he'rba. See Lapsana. Pa'pfus. The hair on the middle of the chin. See Capilius. PA'PULA. {Papula, dim. of pappa, a dug or nipple.) A very small and acumi- nated elevation of the cuticle, with an in- flamed base, riot containing a fluid, nor tending to suppuration The duration of papula; is uncertain, but they terminate for tlie most part in scurf. Pa'r cuculla're. So Casserius calls the Musculus Crico JirylcEnoidtus. PAR VA'GUM. {Par, a pair.) The eighth pair of nerves. They arise from the corpora olivaria of the medidla oblongata, and proceed into the neck, thorax, and abdomen. In the neck the par vagum gives off two branches, the lingual and superior laryngeal ; and, in the thorax, four branches, the recurrent laryngeal, the cardiac, the pulmonary, and the cesophageal plexuses. At length the trunks of the nervi vagi, ad- jacent to t^e mediastinum, run into the FAR PAR 655 stomach, and there form the stomachic plexus, which branches to the abdominal PARACELSUS, a native of Swit- zerland, born about the j'ear 1493. His fa- ther is said to have been a practitioner in medicine, and inspired him with a taste for chemistry. He very early commenced a sort of rambling life, assuming the pom- pous names of Philippus, Aureolus, Tlieo- phrasius, Paracelsus, Bombaslus de Holien- heim ; and after visiting the schools of France, Italy, and Germany, he sought for information during several years among quacks of every description, pretending that he had found the principles of the medical art altogether erroneous. He ap- pears to have possessed the talent of impo- sing upon mankind in an eminent degree, for even the learned Erasmus is said to have consulted him. It cannot be a matter of surprise, that by the bold use of active me- dicines, especially mercury, antimony, and opium, he should have eflected some i^e- markable cures : these cases were displayed with the usual exaggeration, while those in which he failed, or did mischief, passed un- noticed. His reputation, however, became so great, that the magistrates of Basle en- gaged him, at a large salary, to fill the chair of medicine in their university. Ac- cordingly, in 1527, he began delivering lectures, sometimes in barbarous Latin, oftener in German ; but though he gained at first some enthusiastic adherents, the ridi- culous vanity which he displayed, despising every other authority in medicine, whether ancient or modern, soon created such dis- gust, that he was left without an audience. A quarrel with the magistrates, on account of a decision against his demand of fees which was deemed exorbitant, decided hira in the following year to leave the place. He subsequently resided in Alsace, and other parts of Germany, leading a life of extreme intemperance in the lowest com- pany ; yet occasional instances of extraor- dinary success in his practice still preserved him some reputation, notwithstanding nu- merous failures. But the most striking proof of the folly of his pretensions was given in his own person ; for after announ- cing that he was in possession of an elixir, whic^ would prolong human life to an in- definite period, he died at Saltzburg in 1541, of a fever. It must be acknowledged, however, that Paracelsus was of material service to medicine, by showing that many active medicines might be safely employed ; and particularly as having been one of the first to exhibit mercury in the cure of syphi- lis, which had been in vain attempted by the Galenical remedies then in use. Ke pub- lished little during his life, but a great number of posthumous treatises appeared under his name, which are too replete with absurdities to deserve enumeration. PARACENTE'SIS, (From vafUKivriu, to pierce through.) The operation of tap- ping to evacuate the water in ascites, dropsy of the ovarium, &.c. Paracma'sticos. (From vccpicf^.a^u, to decline.) Paracme. The declension of any distemper ; also, according to Galen, that part of life, where a person is said to grow old, and which he reckons from 35 to 49, when he is said to be old. Para'coe. (From ^rapa, dim. and ax,ou6), to hear.) Difficult hearing, dulness of hear- ing. Paracolle'tica. (From •JTfcpccKoXXaof/.cti, to glue together.) Agglutinants ; sub- stances which unite parts preternaturally separated. Para'cope. (From 'sxfv.iio'jTTu, to be delirious.) In Hippocrates it is a slight delirium. Paracru'sis. (From 'Tra.oa.K^ova), to de- precate.) A slight disarrangement of the faculties where the patient is inattentive to what is said to him. PARACU'SIS. (From ■ara^^u,, wrong, and etKoucj, to hear.) Depraved hearing. Deaf- ness. A genus of disease in the Class Locales, and Order DyscBsthesice, of Cullen. There are two species, 1. Paracusis imper- fecta. Surditas. When existing sounds are not heard as usual. 2. Paracusis imagina- ria, called also susurrus. Syrigmus. Si/- ringmos. Tinnitus aurium. When imagi.. nary sounds are heard, not from withont, but excited within tlie ear. Paracyna'nche (From fra/ja, nua/v, a dog, and ay^a, to strangle.) A species of Quinsy : it being a distemper to which dogs are subject. Paradi'sus. (Heb.) A pungent seed resembling the cardamom, is named granum paradisi, from its virtues. Paradisi grana. See Jlmoynum. Paraglo'ssa. (From ^rcepa, and yX/ufra, the tongue.) A prolapsus of the tongue, a swelled tongue. Parago'ge. (From <7Tcf.(u,yu, to adduce.) This term signifies that fitness of the bones to one another, which is discernible in their articulation ; and bones which are thereby- easier of reduction, when dislocated, are by Hippocrates ceilled wi«p«7«/y^r£pa. Parala'jipsis. (From 5raoo;X«|«i^s;, to shine a little.) Some writers use this word to express a cicatrix in the transparent part of the cornea of the eye. Paralla'gma. (From 'jrafaXXarrta, to change.) Parellaxis. The transiuutatiori of a solid part from its proper place, as where one part of a broken boqe lies over another. Paralla'sis. See Parallagma. Paralle'la. (From rfafaXXriXo;, pa- rallel.) A sort of scurf or leprosy, affect- ing only the palms of the hands, and run- ning down them in parallel lines ; it hap- pens sometimes in the venereal disease. 656 PAR PAR Paralo'gia. (From •^apaXiyeo, to talk absurdly.) A delirium in which the patient talks wildly. Fakalo'phia. (From «rapa, near, and Xofnu, the first vertebra of the back.) Thus some anatomical writers, as Keil, lac. ex- press the lower and lateral part of the neck near the vertebrae. PARALYSIS. (From vrapaXvu, to loose or Weaken.) Catalysis. Monilus morbus. Stupor. Tremor. The palsy. A genus of disease in the Class JVeuroses, and Order Comata, of Cullen, known by a loss or dimi- nution of the power of voluntary motion, affecting- certain parts of the body, often ac- companied with drowsiness. In some in- stances, the disease is confined to a particu- lar part ; but it more usually happens that one entire side of the body from the head downwards is aifected. The species are : 1. Paralysis parliulisy partial, or palsy of some particular muscle. 2. Paralysis hemiplegica, palsy of one side longitudinally. 3. Para- lysis paraplegica, palsy of one half of the body, taken transversely, as both legs and thighs. 4. Paralysis venenata, from the se- dative etfects of poisons. Paralysis is also 1 symptomatic of several diseases, as worms, 1 scrophula, syphilis, &c. \ It maj' arise in consequence of an attack pf apoplexy. It may likewise be occasioned I by any thing that prevents the flow of the I Hervous power from the brain into the organs of motion ; hence tumours, over distension and eifusion, often give rise to it. It may 9lso be occasioned by translations of niorbid matter to the head, by the suppression of usual evacuations, and by the pressure made on the nerves by luxations, fractures, wounds, or other external injuries. The long conti- iiued application of sedatives will likewise produce palsy, as we find those, whose occu- pations subject them to the constant hand- ling of white lead, and those who are much exposed to the poisonous fumes of metals or jninerals, are very apt to be attacked with it. Whatever tends to relax and enervate the system, may likewise prove an occasional cause of this disease. Palsy usually comes on with a sudden and immediate loss of the motion and sensibility of the parts; but in a few instances, it is preceded by a numbness, coldness, and pale- ness, and sometimes by slight convulsive twitches. When the head is much affected, the eye and mouth are drawn on one side, the memory and judgment are much impair- ed, and the speech is indistinct and incohe- rent. If the disease affects the extremities, and has been of long" duration, it not only produces a loss of motion and sensibility, but likewise a considerable flaccidity and vk-as'iiug av.ay in the nuisoles of the parts affected. When palsy attacks any vital part, such as the brain, heart, or lungs, it soon termi- nates fatally. When it arises as a conse- quence of apoplexy, it generally proves very difficult of cure. Paralytic affections of the lower extremities ensuing from any injury done to the spinal marrow, by blows and other accidents, usually prove incurable. Palsy, although a dangerous disease in every instance, particularly at an advanced period of life, is sometimes ren.oved by the occur- rence of a diarrhcea or fever. The morbid appearance to be observed on dissections in palsy, are pretty similai- to those which are to be met with in apo» plexy ; hence collections of blood, and of serous fluids, are often found effused on the brain, but more frequently the latter, and in some instances the substance of this organ seems to have suffered an alteration. la palsy as well as in apoplexy, the collection of extravasated fluid is generally on the opposite side of the brain to that which is affected. The general indications are, to remove, as far as possible, any compressing cause, and to rouse gradually the torpid portion of the nervous system. It will sometimes be proper, where the attack is sudden, the disease originating in the head, with great determination of blood in that part, parti- cularly in a plethoric habit, to open the temporal artery, or jugular vein, or apply cupping'-glasses to the neck, and exhibit active purges, with the other means pointed out under apoplexy. BuJ; where the patient is advanced in life, of a debilitated consti- tution, and not too full of blood, the object should rather be to procure regular and healthy discharges from the bowels, obviate irritation in the brain by blisters in the neighbourhood, and procure a steadj^ deter- mination to the skin by gently stimulant diaphoretics, as ammonia, guiacum, &c. in moderate doses regularly persevered in. Emetics have been sometimes very useful under these circumstances, but would be dangerous where congestion in the brain existed. Certain narcotic substances have been found occasionally successful, as aco- nite, arnica, toxicondendron, nux vomica, and opium ; but the tendency of the latter to produce fulness of the vessels of the head must greatly limit its use. Various local means of increasing the circulation, and soliciting nervous energy into the affected parts, are resorted to in this com- plaint, often with decided benefit. In all cases it is proper to keep up sufficient warmth in the limb, or the disease may be rendered incurable. But in addition to this, in tedious cases, fomentations, the vapour bath, friction, electricity, and a variety of stimulant, rubefacient, or even vesicatory, embrocations, liniments, and plasters, may as- sist materially in the recovery of the patient. In the use of some of these it should be a rule to begin near the boundary of the dis- PAR PAR 657 ease, and carry them onward, as the amend- meat proceeds, not only as they will be more likely to answer a good purpose, but also because there would be some risk in stimu- lating too powerfully an extreme part. A suitable diet, according to the habit of the patient, warm clothing, the prudent use of the bath, and other means calculated to strengthen the system, must not be ne- glected. Para'lysis he'rba. (From iraoaXvoj, to weaken ; so called from its use in paralytic disorders.) The cowslip and primrose are sometimes so termed. See Primula verts, and Primula vulgaris. Parame'ria. (From !r«^a, near, and t^'/i^o;, the thigh.) The inward parts of the thigh. Para'mesus. (From ^«ga, near, and fitim;, the middle.) The ring finger, or that which is between the middle and the little fingers. Parance'a, Paranoia. (From a-a^a, dim. and voitu, to understand.) Alienation of mfnd ; defect of judgment. Parape'chyum. (From waga, near, and 5r»!;^;i;j, the cubit.) That part of the arm from the elbow to the wrist. PARAPHIMO'SIS. (From *aga, about, and (fifiea, to bridle.) The paraphi- mosis is a disorder wherein the prepuce, being retracted toward the root of the penis, cannot be returned again over the glans, but makes a sort of ligature behind the co- rona. It is easily known ; the glans is un- covered, the skin tumefied on the corona, and above it forms a circular collar or stric- ture, which, from the skin being unequally extended, becomes indented, and makes several rings round the part. This disease may proceed from two causes ; as first from the imprudence of young people, and sometimes also of grown persons, who, ha- ving the end of their prepuce too straight, cannot uncover their glans without pain, and when they have done it, neglect return- ing it so soon as they ought ; and thus the ■contracted part of the prepuce forms a con- striction behind the glans. Soon after, the glans and penis swell, and the prepuce, being consequently very much distended, is affected in the same manner ; an inflamma- tion seizes upon both, and swellings quickly appear upon the stricture formed by the prepuce, so that the whole may be liable to a gangi-ene, if not speedily relieved. The second thing that may produce a para- phimosis, is a venereal virus. In adults, whose glans is uncovered, there frequently' arise venereal chancres in the prepuce after impure coition, which, before they digest, are generally attended with inflammation, more or less considerable. This inflamma- tion is alone suflBcient to render the pre- puce too straight for the size of the penis, ill consequence of 'vhich a swelling or inos- culation may ensue like that before men- tioned ; and this is what is termed a para- phimosis. PARAPHO'NIA. (From ««ga, wrong, and (fnuvTi, sound.) Alteration of the voice. A genus of disease in the Class Locales, and Order Dyscinesim, of Cullen, comprehending sis species, viz. paraphonia pubsrum, paraphonia ruuca, paraphonia rzsonans, paraphonia palaiina, paraphonia elangens, and paraphonia co- matosa. Para'phora. (From wag^a^i^ia, to trans- fer.) A slight kind of delirium, or light- headedness in a fever : some use this word for a delirium in general. Paraphrene'sis. a delirium ; also pa- raphrenitis, PARAPHRENI'TIS. (From sra^e, dim. and ^^s)v, the mind.) DiaphragmaUlis. An inflammation of the diaphragm. A genus of disease in the Class Pyrexim, and Order Phlegmasice, of Cullen, known by delirium, with difficulty of breathing, and pain in the region of the diaphragm. Paraphro'syne. (From 'S'a^aip^tvuu, to be estranged in mind.) The same as Mania. Paraphymo'sis. See Paraphimosis. PARAPLE'GIA. (From uraQatXtirffai to strike inharmoniously.) Palsy of one half of the body taken transversely. A species of paralysis. See Paralysis. Parapople'xia. (From ^a^a, dim. and am-rXn^ia, an apoplexy.) A slight apo- plexy. Pararthre'ma. (From Ttaoa, and a^S^at, a joint.) A slight luxation ; a tumour from protrusion, as a hernia. Pararthre'mata. Plural of parartkre- ma, and synonyinous with ectopioE. Parary'thmos. (From ■ra^a, and ^v^fioi, number.) A pulse not suitable to the age of the person. ■ Parascepa'stra. (From -ra^a, and riti- 5ra^a> to cover.) A cap or bandage to go round the whole head. Para'schide. (From ■^aga, and (rx.'i'^f to cleave.) A fi'agment or fissure in a bro- ken bone. PARASITIC. (Parasiticalis ; from ;, the throat.) That part of the neck contiguous to the clavicles. ^ Para'stata. (From raoirtj/n, to stand, near.) It signifies any thing situated near another. Para'stat^e. (From vcc^nrn/ui, to stand near.) In Hippocrates it signifies the Epi- didymis. Herophilus and Galen called these the Varicosm Parastatcs, to distinguish them from the GlandulosrB Parastatm, now called Protlatm. Rufus Ephesius celled the tubs S3 _ • PAR PAR Fallopianse by the name of Parasl^Ute Vari- €6Sie. Pahastrb'mma. (From ■^'ct^affr^i^tu, to distort, or pervert.) A perversion, or con- vHlgive distortion of the nK>uth, or any part of ihe face. Parasyna'sche. a apecies of Quinsy. See Paracynanche. Para'thekak. (Frora vagtc, near, and 5sv«!f, the sole of the foot.) A toubcIc si- tuated near the sole of the foot. PARA'THEJfAR mi'nob. See Fltzof breiis minimi digiti pedis. Parda'lium. (From «ii^2t>s, the panther.) An ointment smelling like the panther. PARE', Ambrose, a French surgeon, was born at Lavel in 1509. He commenced the study of the surgical profession early in life, and practised it with great zeal both in hospitals and in the army. His xe- putation at length rose very high, and he was appointed surgeon in ordinary to Henry II. in 1552 ; which office he held also under the three succeeding kings. Charles IX. derived material assistance from his professional skill, and gave a signal proof of his gratitude ; for Pare, being a Huguenot, would have been included in the horrible massacre of St. Bartholomew's, had not the king sent for him on the pre- ceding night, and ordered him not to leave the royal chamber. After having been long esteemed as the first surgeon of his time, and beloved for his private virtues, he died in the year 1590. He was the author of some works, which were universally read, and translated into most of the languages »f Europe, containing a body of surgical science. He was a man of original mind, and a real improver of his art, especially in thlB treatment of gun-shot wounds ; adopting a lenient method, instead of the irritating and cauterizing applications previously in use. He was also a bold and successful operator, and displayed on many occasions all the resources of an enlightened surgeon. He appears however to have borrowed freely from the Italian writers and practrtioners, especially in anatomy. There is also an af- fectation of reference to the works of the ancients in his writings, for he was by no means well versed in these, and indeed obliged to request another to translate into French some of the books of Galen, which he wished to consult. Paregoric Elixir. See Tinctivra cam- flwrce composita. PAREGORICS. {Medicamenta pare- gorica, va^Tiyo^ixos ', from tragayogiiw, to mitigate, to assuage.) Medicines that allay pain are so termed. Pakei'a. Xiagiia.. That part of the face which is between the eyes and chin. Pakei'ra bka'va. See Cissampdos. Paresce'j'hahs. (From iraga, near, irtd iyKi^ut.n;, the brahi.) See Cerebellum. PAR EN C H Y M A. (From -rt^iy^vi^, to strain through, because the ancients be- lieved the blood was strained through it.) The spongy and cellular substance that con- nects parts together. It is now only, in anatomy, applied to the connecting medium of the substance of the lungs. PA'RESIS. (From ^a^m/xi, to relax.) An imperfect palsy. PARIE'RA BRA'VA. (Span.) See Cissampelos. PARIETAL BONES. (Parietalis, from paries, a wall, because they defeud the brain like walls.) Ossa verticis. Ossa dn- cipiti-3. Ossa verticalia vel bregmaiis. Two arched and somewhat quadrangular bones, situated one on each side of the superior part of the cranium. Each of these bones forms an irregular square. They are thicker above than below ; but are somewhat thin- ner, and at the same time more equal and smooth than the other bones of the cranium. The only foramen we observe in them, is a small one towards the upper and posterior part of each. It has been named the parie- tal foramen, and serves for the transmission of a small vein to the longitudinal sinus. In many subjects this foramen is wanting. On the inner surface of these bones are the marks of the vessels of the dura mater, and of the convoluted surface of the brain. On the inside of their upper edge we may like- wise observe a considerable furrow, which corresponds with the longitudinal sinus of the dura mater ; and lower down, towards their posterior and inferior angle, is a small- er one for part of the lateral sinuses. These bones are joined to each other by the sagittal suture ; to the os sphenoides, and ossa tem- porum, by the squamous suture ; to the os occipitis by the lambdoidal suture ; and to the OS frontis by the coronal suture. Their connection with this latter bone is well worthy our attention. We shall find, that in the middle of the suture, where the os frontis, from its size and flatness, is the most in danger of being injured, it rests upon the arch formed by the parietal bones ; whereas at the sides, the parietal bones are found resting upon the os frontis, because this same arch is there in the greatest danger from pressure. In new-born infants, the ossa parietalia are separated from the mid- dle of the divided os frontis by a portion of the cranium, then unossified. When the fin- ger is applied to this part, the motion of the brain, and the pulsation of the arteries of the dura mater, may be easily distinguished. In general, the whole of this part is com- pletely ossified before we are seven years of age. PARIETA'RIA. (From paries, a wall ; because it grows upon old walls, and among rubbis^.) 1. The name of a genus of plants in the Linnsean system. Class, Polygnmia. Order, Monoeria PAR PAS 2. The pharmacopoeial name of the wall pellitory. See Parietaria officinalis. Parieta'ria orFioiNA'us. The system- atic name of the wall pellitory. Parietaria ; foliis lanceclcUo-ovatis, pednnculis dichotomis, calycibus diphyllis, of Linnaeus. This plant has no smell, and its taste is simply herba- ceous. In the practice of the present day, it is wholly laid aside« although it was formerly in high estimation as a diuretic. PA'RIS. (So called in reference to the youth of that name, who adjudged the golden apple to Venus, this herb bearing but one seed.) 1. The name of a genus of plants in the Linnaean system. Class, Oc- tandna. Order, Telragynia. 2, The pharmacopoeial name of the herb Paris. The herb true-love. Paris quadri- folia, of Linnaeus. The colour and smell of this plant indicate its possessing narcotic powers. The leaves and berries are said to be eflScacious in the cure of hooping-cough, and to act like opium. Great caution is re- quisite in their exhibition, as convulsions and death are caused by an overdose. The root possesses emetic qualities. Paris ^uadrifo'lia. The systematic name of the herb Paris. See Paris. Pari'sthiiia. (From ■sra.pa,, and isif/.ist : the part of the throat where the tonsils are.) A part of the throat near the tonsils, or dis- orders of the tonsils. Paristhmio'tomub. (From -atafur^fjcia, the tonsils, and Ts^via, to cut.) An instru- ment with which the tonsils were formerly scarified. Parodo'ntis. (From «r«pe, near, and bSov;, a tooth.) A painful tubercle upon the gums. PARONYCHIA. (From zra^a, about, and ovi/l, the nail.) Panaris. Panaritium. A whitlow, or whitloe. Any collection of pus formed in the fingers is termed by au- thors panaris, or whitloe, and is an abscess of the same nature with those arising in other parts of the body. These abscesses are situated more or less deep, which has induced the writers upon the subject to di- vide them into several species : accordingly they have ranged them under four heads, agreeably to the places where ihey are formed. The first kind of panaris is formed under the cuticle, on one side of the nail, and sometimes all round it. The second is seated in the fat lying under the skin, be- tween that and the sheath which involves the flexor tendons. The third is described by authors to be formed within the sheath ; and they still add a fourth species, arising between the periosteum and the bone. Paro'pijE. (From zretpa, near, and u'4', the eye.) The external angles of the eyes. Paropte'sis. (From «r«;a, and evjuu, to roast.) A provocation of sweat, by ma- king a patient approach the fire, or by pla- cing him in a bagnio. Paroea'sis. (From flr«^«!, diiM. and «{)«»., to see.) An imbecility of sight. PARORCHI'DIUM. (From w«?«, and opX'f' ^ testicle.) A tumour in the groin, occasioned by the testicle, which is passing into the scrotum. PAROTID GLAND. {Glandula pa- rotidea ; from -rafa, about, and ovs, the ear.) Parotis. A large conglomerate and salival gland, situated under the ear, between the mamillary process of the temple bone and the angle of the lower jaw. The excretory duct of this gland opens in the mouth, and is called, from its discoverer, the Stenonian duct. Parotidje'a. (From •sfaparts, the paro- tid gland.) The trivial name of a species of quinsy, in which the parotid gWnd., neck and throat, are considerably affecte and «(/ej, to compress ; so called because, by its dryness, it condenses the seed.) Rue. Pe'ge. (n»!y», a fountain.) The interaal angles of the eyes are called Pegm. Pe'lada. a species of baldness, a shed- ding of the hair from a venereal cause. PELA'GRA. The disease called the pela- gra does not appear to have been noticed by any of our nosologists. Indeed, few ac- counts of it have hitherto been published, although the peculiar symptoms with which it is attended, and the fatal consequences which generally ensue from it, render it equally curious and important. In certain districts, as Milan and Padua, in Italy. PEL PEL 663 where it is peculiarly prevalent, it is com- puted to attack five inhabitants out of every hundred. The following account of this singular disease is extracted from Dr. Jan- sen's treatise on the subject, who had seen the disease at Milan : About the month of March or April, when the season invites the farmers to culti- vate their fields, it often happens that a shining red spot suddenly arises on the back of the hand, resembling the common erysi- pelas, but without much itching or pain, or indeed any other particular inconvenience. Both men and women, girls and boys, are equally subject to it. Sometimes this spot affects both hands, without appearing on any other part of the body. Not uncom- monly it arises also on the shins, sometimes on the neck, and now and then, though very rarely, on the face. It is sometimes also seen on the breasts of women, where they are not covered by the clothes, but such parts of the body as are not exposed to the air are very seldom affected ; nor has it ever been observed to attack the palm of the hand, or the sole of the foot. This red spot elevates the skin a little, producing nume- rous small tubercles of different colours ; the skin becomes dry and cracks, and the epidermis sometimes assumes a fibrous appearance. At length it falls off in white furfuraceous scales ; but the shining red- ness underneath still continues, and, in some instances, remains through the follow- ing winter. In the mean time, excepting this mere local affection, the health is not the least impaired, the patient performs all his rural labours as before, enjoys a good ap- petite, eats heartily, and digests well. The bowels are generally relaxed at the very commencement of the disease, and continue so throughout its whole course. All the other excretions are as usual : and, in fe- males, the menses return at their accustomed periods, and in the proper quantity. But what is most surprising is, that in the month of September, when the heat of the summer is over, in some cases sooner, in others later, the disorder generally altogether dis- appears, and the skin resumes its natural healthy appearance. This change has been known to take place as early as the latter end of May or June, when the disease has only been in its earliest stage. The pa- tients, however, are not now to be con- sidered as well ; the disease hides itself, but is not eradicated : for, no sooner does the following spring return, but it quickly re- appears, and generally is accompanied with severer symptoms. The spot grows larger, the skin becomes more unequal and hard, with deeper cracks. The patient now be- gins to feel uneasiness in the head, becomes fearful, dull, less capable of labour, and much wearied with his usual exertions. He is exceedingly affected with the changes of the atmosphere, and impatient both of cold and heat. Nevertheless, he generally gets through his ordinary labour, with less vi- gour and cheerfulness indeed, than former- ly, but still without being obliged to take to his bed ; and, as he has no fever, his ap- petite continues good, and the chylopoietic viscera perform their proper functions. When the pelagra has even arrived at this stage, the returning winter, nevertheless, commonly restores the patient to apparent health ; but the more sevei-e the symptoms have been, and the deeper root the disease has taken, the more certainly does the re- tarn of spring produce it with additional violence. Sometimes the disease in the skin disappears, but the other symptoms re- main notwithstanding. The powers both of the mind and body now become daily more enfeebled; peevishness, watchings, vertigo, and, at length, complete melan- choly, supervene. Nor is there a more dis- tressing kind of melancholy any where to be seen, than takes place in this disease. " On entering the hospital at Legnano," says Dr. Jansen, " I was astonished at the mournful spectacle I beheld, especially in the women's ward. There they all sat, in- dolent, languid, with downcast looks, their eyes expressing distress, weeping without cause, and scarcely returning an answer when spoken to ; so that a person would suppose himself to be among fools and mad people ; and, indeed, with very good rea- son ; for gradually this melancholy increa- ses, and at length ends in real mania. " Many, as I had an opportunity of observing in this hospital, were covered with a peculiar and characteristic sweat, having a very offensive smell, which I know not how better to express than by com- paring it to the smell of mouldy bread. A person accustomed to see the disease would at once recognise it by this single symp- tom. Many complained of a burning pain at night in the soles of the feet, which often deprived them of sleep. Some with double vision ; others with fatuity ; others with visceral obstructions ; others with ad- ditional symptoms. Nevertheless, fever still keeps off, the appetite is unimpaired, and the secretions are regularly carried on. But the disease goes on increasing, the nerves are more debilitated, the legs and thighs lose the power of motion, stupor or delirium comes on, and the melancholy terminates in confirmed mania. In the hospital at Legnano, I saw both men and women in this maniacal state. Some lay quiet ; others were raving, and obliged to be tied down to the bed, to prevent them from doing mischief to themselves and others. In almost ail these, the pulse was small, slow, and without any charac- ter of fever. One woman appeared to have a slight degree of furor uterinus : for, at the sight of men, she became merry, smiled, offered kisses, and by her gestures 664 PEL PEL desired them to come towards her. Soaie were occupied in constant prayers ; some pleased themselves with laughter, and others with other things. But it was remarkable, that all who were in this stage of the dis- ease, had a strong propensity to drown themselves. They now begin to grow ema- ciated, and the delirium is often followed by a species of tabes. A colliquative diar- rhoea comes on, which no remedy can stop, as also has been observed in nostal- gia. Sometimes, in the pelagra, the diar- rhoea comes on before the delirium, and the delirium and stupor mutuedly inter- change with each other. The appetite often suddenly failed, so that the sick will sometimes go for near a week without tasting food. Not uncommonly it returns as suddenly, so that they eagerly devoured whatever was offered them, and this even at times when they are horribly convulsed. The convulsions with which they are at- tacked, are most shocking to see, and are of almost every kind, catalepsy excepted, which has been described by writers. I saw one girl in bed, who was violently distorted by opisthotonos every time she attempted to rise. Some are seized with emprosthotonos ; and others with other species of tetanus. At length, syncope and death close the tragedy, often without any symptom of fever occurring through the %ybole course of the disease. The first stage of the pelagra, in which the local affection only takes place. Dr. Jansen ob- serves, continues in some instances for a great length of time ; persons being occa- sionally met with in whom it has lasted six or eight, or even fifteen years, disappear- ing regularly every winter, and returning again in the spring. This occasions some of the inhabitants to pay little attention to it ; although, in other cases, it reaches its greatest height after the second or third attack. It appears that this disease is not infectious, and that the causes producing it are yet unascertained. It has been sup- posed by some to arise from the heat of the sun's rays ; and hence it is now and then called mal de sole; but this does not produce any similar disease in other parts of the world, where it is in an equal or even much greater degree than at Milan ; no disease in any respect resembling it, having hitherto been noticed in such regions, except the lepra asturiensis described by Thiery, and after him by Sauvages. In this, a tremor of the head and trunk of the body takes place, which does not happen in the pelagra. This, however, is the princi- pal difference in the two diseases. Pela'rium. (From •prttXo;, mud ; so call- ed from its muddy consistence.) A coUy- rium. Peleca'nus. (From ■^iP.ixau/, to per- forate.) 1. The pelican. 2. An instrument to draw teeth : so na- med from its curvature at the end resembling the beak of a pelican. Peleci'num. (From -zysXsxu;, a hatchet, so called because its seeds are shaped like a two-edged hatchet.) The hatchet- vetch. Pelio'ma. (From treXo;, black.) An ecchymosis when of a livid colour. Fellitory, bastard. See Achillea plar- mica. Ptllilory of Spain. See Anthemis pyre- thrum. Fellitory, wall. See Parietaria. Pe'lma. (From -zs-iXat, to move forwards.) The sole of the foot, or a sock adapted to the sole of the foot. Pelt'ais cartila'go. (From peltOt a buckler ; so called from its shape.) The scutiform cartilage of the larynx. PELVIC LIGAMENTS. The arti- culation of the OS sacrum with the last lum- bar vertebra, and with the ossa innominata, is strengthened by means of a strong transverse ligament, which passes from the extremity and lower edge of the last lum- bar vertebra, to the posterior and internal surface of the spine of the ilium. Other ligaments are extended posteriorly from the OS sacrum to the ossa ilia, on each side, and, from the direction of their fibres, may be called the lateral ligaments. Be- sides these, there are many shorter liga- mentous fibres, which are seen stretched from the whole circumference of the arti- culating surfaces of these two bones. But the most remarkable ligaments of the pel- vis are the two sacro-ischiatic ligaments, which are placed towards the posterior and inferior part of the pelvis. One of these may be called the greater, and the other the lesser, sacro-ischiatic ligament. The first of these is attached to the posterior edge of the os sacrum, to the tuberosity of the ilium, and to the first of the three divisions of the os coccygis. Its other extremity is inserted into the inner sur- face of the tuberosity of the ischium. At its upper part it is of considerable breadth, after which it becomes narrower, but expands again before its insertion into the ischium, and extending along the tu- berosity of that bone to the lower branch of the OS pubis, where it terminates in a point, forms a kind of falx, one end of which is loose, while the other is fixed to the bone. The lesser sacro-ischiatic liga- ment is somewhat thicker than the former, and is placed obliquely before it. It ex- tends from the transverse process of the OS sacrum, and the tuberosity of the spine of the ilium, on each side, to the spine of the ischium. These two ligaments not only serve to strengthen the articulation of the ossa innominata with the os sacrum, but to support the weight of the viscera contained in the pelvis, the back and lov/er part ol PEL PEM t^6C uhich is closed by these ligaments. The posterior and external surface of the greater ligament likewise serves for the attach- ment of some portions of the gluteus maxi- mus and geniini muscles. The symphisis pubis is strengthened internally by a trans- verse ligament, some of the fibres of which are extended to the obturator ligament. PE'LVIS. (From ■ariXt//, a basic, because it is shaped like a basin used in former times.) The cavity below the belly. The pelvis consists, in the child, of many pieces, but in the adult, it is formed of four bones, of the os sacrum behind, the ossa innominata on either side, and the os coccygis below. See Sacrum, Innominatuni Os, and Coccygis Os. It is wide and expanded at its upper part, and contracted at its inferior aperture. The upper part of the pelvis, properly so called, is bounded by an oveJ I'ing, which parts the cavity of the pelvis from th-j cavity of the abdomen. This circle is de- nominated the brim of the pelvis : it is formed by a continued and prominent line along the upper part of the sacrum, the middle of the ilium, and the vpper part, or crest, of the os pubis. This circle of the brim supports the impregnated womb, •keeps it up against the pressure of labour pains ; and sometimes this line has been " as sharp as a paper-folder, and has cut across the segment of the womb ;" and so, by separating the womb from the vagina, has rendered delivery impossible ; and the child escaping into the abdomen, the woman has died. The lower part of the pelvis is denominated the outlet. It is composed by the arch of the ossa pubis, and by the sciatic ligaments ; it is .wide and dilateable, to permit the delivery of the child ; but being sometimes too wide, it permits the child's head to press so suddenly, and with such violence upon the soft parts, that the perineum is torn. The marks of the female skeleton have been sought for in the skull, as in the continuation of the sagittal suture ; but the truest marks are those which relate to that great function by which chiefly the sexes are distinguished ; for while the male pel- vis is large and strong, with a small cavity, narrow openings, and bones of greater strength ; the female pelvis is very shallow and wide, with a large cavity and slender bones, and with every peculiarity which may conduce to the easy passage of the child. The ofl3ce of the pelvis is to give a steady bearing to the trunk, and to connect it with the lower extremities, by a sure and firm joining, to form the centre of all the great motions of the body, to contain the internal organs of generation, the urinary bladder, the rectum, and occasionally part of the small intestines, and to give- sup- port to the gravid uterus. -■ - Pz'lvis au'rium. The cochlea in the ear. Pe'lvis ce'reeei. The infundibulum in the brain. Pejiphigo'des. (From -srifupi^, a blast of wind.) A fever distinguished by flatu- lencies and inflations, in which a sort of aerial vapour was said to pass through the skin. PE'MPHIGUS. (From ws^?;?, a bub- ble, or vesicle.) Febris bullosa. Exanthe- maia serosa. Morla. Pemphigus helieii- cus. Pemphigus major. Pemphigus minor. The vesicular fever. A fever attended by successive eruptions of vesicles about the size of almonds, which are filled with a yel- lowish serum, and in three or four days sub- side. The fever maj' be either synocha or typhus. It is a genus of disease in the Class PyrexicE, and Order Exanthemala, of CuUen. The latest v.riters on this disease contend, that it is sometimes acute and sometimes a chronic affection ; that the former is con- stantly attended with fever, the latter is con- stantly without ; that in neither case is it an acrimonious or contagious matter thrown out by' the constitution, but pure serum, secreted by the cutaneous exhalant arteries. So rare was this disease when Dr. Cullen wrote, that he never saw it but once, iu a case which was shown to him by Br. Home. Dr. David Stuart, then phj-sician to the hospital at Aberdeen, published an ac- count of it in the Edinburgh Medical Commentaries. The patient was a pri- vate soldier of the seventy-third regiment, aged eighteen, formerly a pedlar, and naturally of a healthy constitution. About twenty days before he had been seized with the measles, when in the country ; and in marching to town, on the second day of their eruption, he was exposed to cold ; upon which they suddenly disappeared. On his arrival at Aberdeen, he was quar- tered in a damp under-ground apartment. He then complained of sickness at stomach, great oppression about the praecordia, head- ache, lassitude, and weariness on the least exertion, with stifiness and rigidity of his knees and other joints. He had been pur- ged with but little benefit. About ten days before, he obsen-ed on the inside of his thighs, a number of very small, distinct, red spots, a little elevated above the surface of the skin, and much resembling the first appearance of the smallpox. This eruption gradually spread itself over his whole body, and the pustules continued every day to in- crease in size. Upon being received into the hospital, he complained of head-ache, sickness at sto- mach, oppression about the preecordia, thirst, sore throat, with difficulty of swallowing ; 84 666 PEN PEN his tonerue was foul, his skin felt hot and /,^.X«v, a leaf ; so named, because it has five leaves on each stalk.) See Potentilla reptans. Pentapleu'rum. The same as penta- iieuron. Penta'tomum. (From -sfivn, five, and Tzf^va, to cut ; so called because its leaves are divided into five segments.) Cinque- foil. Pento'robus. (From sntTi, five, and tfoZoi, the wood-pea ; so called because it has five seeds resembling the wood-pea.) The herb peony. Peony, common. See Pctonia. Pepa'nsis. (From ztit^chvoj, to concoct.) Pepasmus. The maturation or concoction of humours. Pepa'smos. The same as pepansis. Pepa'stica.^ (From ■zai'Tratvi), to con- coct.) Digestive mndicines. Pe'pita nux. Ignatjus's bean. Pe'plion. (From -ssriTrXot, the herb devil's-milk ; so called from its resemblance.) Peplos. Wild parsley. Pe'po. (From -ssnTrrco, to ripen.) See C'ucurbita. Pepper, black. See Piper nigrum. Pepper, Guinea. See Capsicum. Pepper, Jamaica. See Myrtus Pimenta. Pepper, long. See Piper longum. Pepper, poormayi's. See Polygonum Hy- dropiper. Pepper, ivall. See Illeeebra. Pepper, water. See Polygonum Hydro- piper. Pepper, white. See Piper nignim. Peppermint. See Mentha piperita. Ptpperwort. See Lepidium. Fe'pticos. (From -zsiifTa, to ripen.) Such a thing as promotes digestion, or is digestive. Peraccte. Very sharp. Diseases are thus called when greatly inflamed, or aggi'a- vated beyond measure. Percepier. Parsley-piert, or parsley- breakstone. PERCIVAL, Thojias, was born at War- rington in 1740. He studied for three years with great assiduity, at Edinburgh ; then came to London, and was chosen a Fellow of the Royal Society ; after which he visited difiierent places on the Continent, and took his degree at Leyden. In 1767, he settled at Manchester, and continued tkere till the period of his death, in 1804, in the unremitting esercise of his medical duties. Dr. Perciral possessed, in an emi- nent degree, those moral and intellectual endowments, which are calculated to form a distinguished physician. He has been well characterized as an author without vanity, a philosopher without pride, a scholar without pedantry, and a Christian without guile. His earlier inquiries were directed to medi- cal, chemical, and philosophical subjects, which he pursued with great judgment, combining the cautious but assiduous use of experiment, with scientific observation, and much literary research. His papers were published collectively, under the title of " Essays, Medical and Experimental," in three volumes ; which have passed through many editions, and obtained him considera- ble reputation. His subsequent publication.? were of a moral nature, and originally con- ceived for the improvement of his children. But his last work, entitled " Mediced Ethics," which appeared in 1803, is adapted for the use of the profession, and will form a lasting monument of his integrity and wisdom. He contributed also numerous papers on various subjects to the memoirs of the Literaiy and Philosophical Society of Manchester, which he had been mainly instrumental in establish- ing, and which did not cease to manifest its grateful sense of his merits, by the continued appointment of him to the presidency. Percolation. (Percolalio, straining through ; from per, through, and colo, to strain.) It is generally applied to animal secretion, from the office of the glands be- ing- thought to resemble that of a strainer, in transmitting the liquors that jjass through them. Perde'tuji, In Paracelsus it is the root of skirret. Perennial ivorm-grass. See Spigelia. Perete'rion. (From -ssrspaa.;, to dig through.) The perforating part of the trepan. Perdi'cium. (From -zftp^i?,, a partridge ; so called because partridges were said to feed upon it.) Pellitory of the wall. Perfolia'ta. (From per and folium, so called because the leaves surround the stem, like those of a cabbage.) See Bu- pleurum. Pe'rforans. See Flexor profundus per- forans. Pe'rforans, seu fle'xor profu'ndus. See Flexor longus digilorum pedis profundus perforans. Pe'rforans seu fle'sor te'rtii inter- no'dh digito'rum pe'dis. See Flexor lon- gus digitorum pedis profundus perforans. Pe'rforans, vd'lgo profu'ndds. See Flexor profundus perforans. Perfora'ta. (From perforo, to pierce through ; so called because its leaves are fullof holes.) See Hypericum. Perfora'tus. See Flexor brevis digito- rum pedis, and Flexor sublimis perforatus. 668 PER PER Perfora'tcs, SE0 fle'xor secu'ndi in- terno'dii digito'rum pe'dis. See Flexor brevis digitorum pedis perforatus sublimis. Peria'mma. (From ■sr^ia'^rTa, to hang round.) An amulet, or charm, which was hung- round the neck to Dvevent infection. PERIBLETSrS. (From ■anpQx-ra, to stare about.) That kind of wild look which is observed in delirious persons. Peri'eole. (From TsFcfiiZaXXu, to sur- round.) Sometimes it signifies the dress of a person ; at others a translation of the morbific humours to the surface of the bodv. PERIBRO'SIS. An ulceration, or ero- sion, at the comers or uniting parts of the eyelids- This disorder most frequently af- fects the internal commissure of the eyelids. The species are, 1. Peribrosis, from the acri- mony of the tears, as may be observed in the epiphora. 2. Peribrosis, from an aegylops, which sometimes extends to the commissure of the eyelids. P E R I C A R D I'T I S. (From ■srzpi^ia^'^iov, the pericardium.) Inflammation of the pe- ricardium. See Carditis. PERICA'RDIUM. (From arsp;, about, and Kcipha, the heart.) The membranous bag that surrounds the heart. Its use is to secrete and contain the vapour of the peri- cardium, which lubricates the heart, and thus preserves it from concreting with the peri- cardium. Perica'rpia. (From zirtpi, about, and carpus, the wrist.) Are medicines that are applied to the wrist. Pericne'mia- (From -z^ipi, about, and xvtifi'/t, the tibia.) The parts about the tibia. P E R I C H O'N D R I U M. (From sr=;/, about, and ^ov^pm, a cai-tilage.) The mem- brane that covers a cartilage. Perichri'sis. (From irsg/, about, and X^'i-if to anoint.) A liniment. Pericuri'sta. (From -ri^i, around, and Xg'"} to anoint.) Any medicines with which the eyelids are anointed, in an ophthalmia. Pericla'sis. (From -ri^i, about, and ■^Xtt.co, to break.) It is a term used by Galen for such a fracture of the bone as quite di- vides it, and forces it through the flesh into sight. Or a fracture with a great wound, wherein the bone is laid bare. Pericly'menum. (From ■)fiptx.yv^oj, to roll round ; so called because it twists itself round whatever is near it.) The honey- suckle, or woodbine. PERICRA'iNIUM. (From -^ripi, about, and y-gaviov, the cranium.) The membrane that is closely connected to the bones of the head. Peride'smica. (From srs^;, about, and hffios, a ligature.) Applied to an ischuria, or suppression of urine, from stricture in the urethra. Peri'dromos. (From Tn^i, about, and 2"^»iKoc, a course.) The extreme circumfe- rence of t!ie hairs of the head. Perie'rgia. Tli^is^yia. Is any needless caution or trouble in an operation, as Tt^t- i^yos is one. who despatches^ it with unneces- sary circumstances ; both the terms are met with in Hippocrates, and others of the Greek writers. Perieste'cos. (From -Trion^n/ii, to sur- round, or to guard.) An epithet for diseases, signs, or symptoms, importing their being salutary, and that they prognosticate the re- covery of the patient. Peri'graphe. (From ■a-i^iy^aipa', to cir- cumscribe.) An inaccurate description, or delineation. In Vesalius, perigraphe sig- nifies certain white lines and impressions, observable in the musculus rectus of the ab- domen. Pe'riw. (From !r>i»a, a bag.) A testicle. Some explain it the Perinhen the omentum is affected. 3. Peritonitis mesenierica, when the me- sentery is inflamed. Perizo'aia. (From Tipi^cowuf^i, to gird round.) This term strictly signifies a gir- dle ; but by Hildanus, and some other chi- rurgical writers, it is applied to those instru- ments for supporting ruptures, which v/e commonly call trusses. Some also express by it the diaphragm. Pe'rlj\. (Ital. and Span, perl, Welch, perlen, Germ.) See Margarita. P E ' R N I 0. A kibe or chilblain. A species of erythema, of Cullen. Chilblains are painful inflammatory swellings, of a deep purple or leaden colour, to which the fingers, toes, heels, and other extreme parts of the body are subject on being exposed to a severe degree of cold. The pain is not constant but rather pungent and shooting at particular times, and an insupportable itching attends. In some instances the skin remains entire, but in others it breaks and discliarges a thin fluid. VVlien the degree of cold has been very great, or the applica- tion long continued, the parts affected are apt to mortify and slough off", leaving a foul ill-conditioned ulcer behind. Children and old people are more apt to be troubled with chilblains than those of a middle age ; and such as are of a scrophulous habit, are re- marked to sufier severely from them. Peeone'us anti'cus. See Peroneus bre- P E R ON E'U S B R E'V I S. {Peroneus, sc. musculus, ittfovato^, from perone, the fibula.) This muscle is the peroneus se- cundus sea anticus, of Douglas, the pero- neus medius seu anticus, of Winslow, the peroncEUs secundus, of Cowper, and petit- peroneo sus-metatarden, of Dumas. It arises by an acute, thin, and fleshy origin from the anterior and outer part of the fibula, its fibres continuing to adhere to the lower half of that bone. Its round tendon passes through the groove in the malleolus exter- nus, along with that of the peroneus longus, after which it runs in a separate groove to be inserted into the upper and posterior part of tlie tubercle at the basis of the metatarsal bone that supports the little toe. Its use is to assist the peroneus longus, P E il N E' U S L O'N G U S . This mus- cle, which is the peroneus primus seu posti- cus, of Douglas, peroneus maximus seu pos- terior, of Winslow, peronteus primus, of Cowper, and libi-peroneo-tarsien, of Du- mas, is situated somewhat anteriorly along the ouier side of the leg. It arises tendi- nous and fleshy from the external lateral part of the head of the tibia, and likewise from the upper anterior surface and outer side of the perone or fibula, its fibres continuing to adhere to the outer surface of the latter to within three or four inches of the malleolus externus. It terminates in a long round tendon, which runs obliquely behind the malleolus infernus, where it passes through a cartilaginous groove in common with the peroneus brevis, being bound down by an annular ligament. When it has reached the OS calcis, it quits the tendon of the pe- roneus brevis, and runs obliquely inwards along a groove in the os cuboides, under the muscles on the sole of the foot, to be in- serted into the outside of the posterior ex- tremity of the metatarsal bone, that supports the great toe. Near the insertion of this muscle we find a small bursa mucosa. This muscle draws the foot outwards, and like- wise assists in extending it. Perone'us ma'ximus. See Peroneus lon- gus. Perone'us me'dius. See Peroneus brevis. Perone'us posti'cus. See Peroneus lon- gus. Perone'cs pri'mus. See Peroneus lon- gus. Perone'us secu'ndus. See Peroneus brevis. PERONE'US TE'RTIUS. This is the name given by Albinus to a muscle which, by some writers, is called nonus Ve- aalii, or Vesalius's ninth muscle of the foot ; but by most considered in the present day as a portion of the extensor longus digitorum pedis. It is situated at the anterior, inferior, and outer part of the leg, along the outer edge of the last-described muscle, to which it is intimately united. It arises fleshy from the anterior surface of the lower half of the fibula, and from the adjacent part of the interosseus ligament. Its fibres run obliquely downwards towards a tendon which passes under the annular ligament, and then running obliquely outwards, it is inserted into the root of the metatarsal bone that supports the little toe. This muscle as- sists in bending the foot. Fe'rone. (From viipai, to fasten ; so called because it fastens together the tibia and the muscles.) The fibula. PE'RSICA. (From Persia, its native soil.) The peach. See Jimygdalus. Persica'ria. (From Persica, the peach- tree, so called because its blossoms are like those of the peach.) See Polygonum Persi- caria. Persica'ria mi'tis. See Polygonum Per- sicaria. Persica'ria u'rens. See Polygonum hydxopiper. Pe'rsicus i'gniS. a carbuncle. Avicenna says, it is that species of carbuncle which is attended with pustules and vesications. PER FER 671 Persi sTENs fe'eris. A regular inter- mitting fever, the paroxysms of which re- turn at constant and stated hours. Persona'ta. (From persona, a mask, because, according to Pliny, the ancient actors used to mask themselves with the leaves of this plant.) See Arctium lappa. PERSPIRATION. Perspiratio. The va- pour that is secreted by the extremities of the cutaneous arteries from the external surface of the body. It is distinguished into sensible and insensible. The former is separated in the form of an invisible vapour, the latter so as to be visible in the form of very little drops adhering to the epidermis. The secretory organ is composed of the ex- tremities of the cutaneous arteries. The smell of the perspirable fluid, in a healthy man, is fatuous and animal ; its taste mani- festly salt and ammoniacal. In consistence it is vaporous or aqueous ; and its specific gravity in the latter state is greater than that of water. For the most part it is yel- lowish, from the passage of the subcutane- ous oil, and sebaceous matter of the subcu- taneous glands. Sometimes it is reddish, from the globules of the cruor passing shrough, especially under the axillse. The quantity is sometimes so profuse as not only conspicuously to moisten the linen, but also the thicker garments. The conslituoU principles of the perspira- ble fluid appear to be, 1. Water, attenua- ted into vapour, by the matter of heat. 2. Animal gas, or carburetted hydrogen ; as the production of carbonic acid gas with the oxygen of the atmosphere shows. 3. Azotic gas. For water, in which a man has bathed, soon becomes putrid. Carburetted hydro- gen, chemically combined with azote, would appear to constitute putrid miasma. May not this be the origin of putrid fever, in those narrow confined chambers where there are many persons .' 4. The glandular smegma and subcutaneous oil ; hence linen is stained with a yellowish colour, and leanness is brought on, when perspiration is profuse. 5. The serum of the blood. This afibrds an immense quantity of water, and the albumi- nous and saline part of the sweat. It makes the linen of a viscid rigidity, and of a salt taste. Glass-blowers sometimes excrete so acrid a sweat, that salt has been seen col- lected on their faces. Perspiration varies in respect to, 1. The temperature of the atmosphere. Thus men have a more copious, viscid, and higher coloured sweat in summer than in winter, and in warm countries, than in colder re- gions. 2. Sex. The sweat of a man is said to smell more acrid than that of a wo- man. 3. Age. The young are more sub- ject to sweat than the aged, who, durin"- the excessive heat of the summer scarcely sweat at all. 4. Ingesta. An alliacious sweat is perceived from eating garlick; a leguminous from peas ; an acid from acids ; a fetid from animal food only ; and a rancid sweat from fat foods, as is observed in Greenland. A long abstinence from drink causes a more acrid and coloured sweat ; and the drinking a great quantity of cold water in summer, a limpid and thin sweat. 5. Medicines. The .sweat of those who have taken musk, even moderatel}', and assafcetida, or sulphur, smells of their re- spective natures. 6. Regions of the body. The sweat of the head is greasy : on the forehead it is more aqueous ; under the asillee very unguinous ; and in the interstices of the toes, it is very fetid, forming, in the most healthy man, blackish sordes. 7. Diseases. In this respect it varies very much, in regard to quantity, smell, and co- lour ; for the sweat of gouty persons is said to turn blue vegetable juices to a red colour. Some men also have a lucid sweat, othei-s a sweat tinging their linen of a cserulean colour. The uses of the insensible perspiration are, 1. To liberate the blood from super- fluous animal gas, azote, and water. 2. To eliminate the noxious and heterogeneous excrements } hence the acid, rancid, legu- minous, or putrid perspiration of some men. 3. To moisten the external surface of the body, lest the epidermis cutis, and its nervous papillae be dried up by the atmo- spheric air. 4. To counterbalance the sup- pressed pulmonaiy transpiration of the lungs ; for when it is suppressed, the cuta- neous is increased ; bence the nature of both appears to be the same. The use of the sensible perspiration, or sweat, in a healthy man, is scarcely ob- servable, unless from an error of the non- naturals. Its first effect on the body is always prejudicial, by exhausting and dry- ing it ; although it is sometimes of advan- tage. 1 . By supplying a watery excretion : thus when the urine 's deficient, the sweat is often more abundant. In this manner an aqueous diarrhoea is frequently cured by sweating. 2. By eliminating, at the same time, any morbid matter. Thus various mi- asmata are critically expelled, in acute and chronic diseases, with the sweat. PERTU'SSIS. (From per, much, and lu£sis, cough.) The hooping-cough. A genus of disease in the Class A'euroses, and Order Spasmi, of Cullen, known by a con- vulsive strangulating cough, with hooping, returning by fits, that are usually termi- nated by a vomiting, and being conta- gious. Children are most commonly the sub- jects of this disease, and it seems to de- pend on a specific contagion, which afiects them but once in their life. The disease being once produced, the fits of coughing are often repeated without any evident cause ; but in many cases, the contagion 672 FEK FER may be considered as only giving the jjie- disposition, and the frequency of the fits may depend upon various exciting causes, such as violent exercise, a full meal, the having taken food of diiBcult digestion, and irritation of the lungs by dust, smoke, or dis- agreeable odours. Emotions of the ir.ind may likewise prove an exciting cause. Its proximate or immediate cause seems to be a viscid matter or phlegm lodged about the bronchia, trachea, and fauces, which sticks so close as to be expectorated with the greatest difficulty. Some have supposed it to be a morbid irritability of the stomach, ■with increased action of its mucous glands ; but the affection of the stomach which takes place in the disease, is clearly only of a secondary nature, so that this opinion must be erroneous. The hooping-cough usually comes on with a difficulty of breathing, some degree of thirst, a quick pulse, and other slight febrile synipiomi, v hich are succeeded by a hoarse- ness, cough, and difficulty of expectoration. These symptoms continue perhaps for a fort- night or more, at the end of which time the disease puts on its peculiar and character- istic form, and is now evident, as the cough becomes convulsive, and is attended with a peculiar sound, which has been called a hoop. When the sonorous inspiration has hap- pened, the coughing is again renewed, and continues in the same manner as before, till either a quantity of mucus is thrown up from the lungs, or the contents of the sto- mach are evacuated by vomiting. The fit is then terminated, and the patient remains free from any other for some time, and shortly afterwards returns to the amusements he was employed in before the accession of the fit, expresses a desire for food, and when it is given to him, takes it greedily. In those cases, however, where the attack has been severe, he often seems much fatigued, makes quick inspirations, and falls into a faint. On the first coming on of the disease, there is little or no expectoration, or, if any, it consists only of thin mucus, and as long as this is the case the fits of coughing are frequent, and of considerable duration ; but on the expectoration becoming free and copious, the fits of coughing are less fre- quent, as well as of shorter duration. By the violence of coughing, the free transmission of blood through the lungs is somewhat interrupted, as likewise the free return of the blood from the head, ■which produces that turgescence and sufi"u- sion of the face, which commonly attend the attack, and in some instances brings on a hsemorrhage either from the nose or ears. The disease having arrived at its height, usually continues for some weeks longer, and at length goes off gradually. In some cases it is, however, protracted for several months, or even a year. Although the hooping-cough often proves tedious, and is liable to return with violence on any fresh exposure to cold, when not entirely removed, it nevertheless is seldom fatal, except to very young children, who are always likely to suffer more from it than those of more advanced age. The danger seems indeed always to be in proportion to the youth of the person, and the degree of fever, and difficulty of breathing, which ac- company the disease, as likewise the state of debility which prevails. It has been kno^n'n in some instances to terminate in apoplexy and suffocation. If the fits are put an end to by vomiting, it may be regarded as a favourable symptom, as may likewise the taking place of a mode- rate and free expectoration, or the ensuing of a slight heemon-hage from the nose or ears. Dissections of those who die of the hoop- ing-cough usually show the consequence of the organs of respiration being affected, and particularly those parts which are the seat of catarrh. When the disease has been long protracted, it is apt to degenerate into pul- monary consumption, asthma, or visceral obstructions, in which last case the glands of the mesentery are found in a hard and enlarged state. In the treatment of this disease it must be borne in mind, that in the early period palliative measures can only be employed; but when it continues merely from habit, a variety of means will often at once put a stop to it. In the first stage in mild cases very little is required, except obviating oc- casional irritation, keeping the bowels regu- lar, &LC. But where it puts on a more serious character, the plan will differ ac- cordingly as it is attended witli inflamma- tory symptoms, or exhibits a purely spas- modic form. In the former case, it may be sometimes proper in plethoric habits to begin by a full bleeding, or leeches to the chest, if the patient be \ery young, then clear the bowels effectually, apply a blister, and exhibit antimonials, or squill, in nau- seating doses, assisted perhaps by opium, to promote diaphoresis and expectoration. An occasional emetic, where the breathing is much oppressed with wheezing, in young children particularly, may afford material relief When the disorder is more of the spasmodic character, some of these means may still be useful, as blisters, and nau- seating medicines, so far as the strength will admit ; but the remedies of greatest efficacy are the narcotics, as opium, conium, &.c. exhibited in adequate doses. In the chro- nic or habitual stage of the disease, almost any thing, which produces a considerable impression on the constitution, will occasion- ally succeed : but we chiefly rely on seda- tive and antispasmodic, or on tonic reme- dies, accordindy as there are marks of PES PES 673 irntability, or of mere debility in the sj'S- tem. Of the former description opium is perhaps the best, especiallj' in conjunction with squill, given in a full dose at night, and in small quantities swallowed slowly from time to time during the day. Conium, asafcetida, &c. may hov,ever occasionally answer better in particular constitutions. Among the tonics the cinchona is often highly efficacious, where no appearances of local disease attend : some of the metallic preparations also, particularly sulphate of zinc, may be much relied upon. Some- times stimulant applications to the chest, but still more certainly opiate frictions, will be found to cure this disorder. The same is very often accomplished by a change of air, indeed occasionally after the failure of most remedies. The cold bath also, where there is no local disease, may have an ex- cellent effect ; assisted by warm clothing, especially wearing some kind of fur over the chest. Fear and other emotions of the mind, strangury induced by the use of the lytta, &c. kc. rank also among the remedies of pertussis. Peruvian haham. See Myroxylon perui- ferum. Peruvian bark. See Cinchona. Per0via';txjs co'R.Tr.x. See Cinchona. Feruvia'ncs co'rtex fla'vos. See'Cin- chona. Feruvia'ncs co'rtes ru'ber. See Cin- chona. PERVIGl'LILTJ. (From pi>r, much, and vi^lo, to vatch.) U'atchiug, or a want of sleep. See Vigilance. Perti'sca. (From pervincio, to tie to- gether.) So called because its stringy roots were used for binding substances together. The herb periwinkle. Pes Alexasdri'nus. Sec .^lUhemis Py- rtthrum. Pes ca'pr.e. Goat's foot, a species of Oxalis ; also a species of Convolvulus. Pes ca'ti. See Gnaphalium. Pes columbi'sus. See Geranium rotundi- folium. Pes lzo'nis. The ladies mantle is some- times so called. See Alchemilla. Pes ti'gridis. Tiger's foot. A species of fpomcBa. PESSARY. {Pesarium, from ^ta-ira, to soften.) An instrument that is intro- duced into the vagina to support the uterus. Pestileniwort. See Tuisilago petasiles. PE'STIS. The plague. A genus of disease in the Class Pyrexice, and Order Ex- anthemata, of Cullen, characterized by ty- phus, which is contagious in the extreme, prostration of strength, buboes, and car- buncles, petechiee, haemorrhage, and colli- quative diarrhoea. By some writers the disease has been divided into three species ; that attended with buboes ; that attended with carbun- cles ; and that accompanied wiih pete- chiae. This division appears wholly super- fluous. Dr. Russel, in his elaborate trea- tise on the plague, makes mention of many varieties ; but when these have arisen, they seem to have depended in a great measure on the temperament and constitution of the air at the time the disease became epide- mical, as likewise on the patient's habit of body at the time of his being attacked with it. The plague is by most wiiters considered as the consequence of a pestilential conta- gion, which is propagated from one person to another by association, or by comiug near Infected materials. It has been observed that it generally ap- pears as early as the fourth or fifth day after infection : but it has not yet been ascertained how long a person who has laboured under the disease is capable of infecting others, nor how long the contagion may lurk in an unfavourable habit without producing the disease, and may yet be communicated, and the disease excited, in habits more suscepti- ble of the infection. It has generally been supposed, however, that a quarantine of 40 days is much longer than is necessary for persons, and probably for goods also. Ex- perience has not yet determined how much of this term may be abated. " If I am not much mistaken," observes Dr. Thomas, •' the Board of Trade has, however, very lately, under the sanction of the College of Phy- sicians, somewhat abridged it." It sometimes happens that after the appli- cation of the putrid vapour, the patient ex- periences only a considerable degree of languor and slight head-ache for many days previous to a perfect attack of the disease : but it more usually comes to pass, that he is very soon seized with great depression of strength, anxiety, palpitations, syncope, stu- por, giddiness, violent head-ache, and de- lirium, the pulse becoming at the same time verv weak and irregular. These symptoms are shortly succeeded by nausea, and a vomiting of a dark bilious matter, and in the further progress of the disease, carbuncles make their appearance ; buboes arise in different glands, sucli as the parotid, maxillary, cervical, axillary, and in- guinal ; or petechioB heemorrhagies and a colliquative diarrhcea ensue, which denote a putrid tendency prevailing to a great degree in the mass of the blood. Such are the characteristic symptoms of this malignant disease, but it seldom hap- pens that they are all to be met wiih in the same person. Some, in the advanced state of the disease, labour under buboes, others under carbuncles, and others again are co- vered with petechiae. The plague is always to be considered as attended with imminent danger, and when it prevailed in this country about 200 years ago, proved fatal to most of those who «.5 674 PET TEU were attacked with it. It is probable, how- ever, that many of them died from want of care and proper nourishment, as the infected were forsaken by their nearest friends ; be- cause in Turkey and other countries, where attention is paid to the sick, a great many recover. When the disease is unattended by bu- boe.s, it runs its course more rapidly, and is more generally fatal, than when accom- panied by such inflammations. The ear- lier they appear, the milder usually is the disease. When they proceed kindly to suppuration, they always prove critical, and insure the patient's recovery. A gentle diaphoresis, arising spontaneously, has been known in many instances likewise to prove critical. AVhen carbuncles show a dispo- sition to become gangrenous, the event will be fatal. Petechias, hajmorrhagies and ato a vessel of cold water, and when it is thoroughly cooled, the cork is taken out and the phosphorus thrust out of its mould with a piece of wood, and then preserved in water. Pelletier invented another method, which iS as follows : Take a few tubes of any length, the aper- tures of which are of such a size that they can be exactly closed with the extremity of the finger. Melt the phosphorus in boiling water, and apply to it one of the ends of the tube, while you hold the other in your mouth ; make a short inspiration, that the phosphorus may ascend a little way in the tube ; stop the inspiration when the phospho- rus has risen a sufficient height, and close th^ extremity of (he tube with the fore fin- ger, and immerse it in a basin of cold water. The phosphorus will soon become fixed, und by a slight shake may be sepaiated from the tube. The earliest account we have concerning the medicinal use of phosphorus, is in the seventh volume of Haller's Collection of Theses, relating to the history and cure of diseases. The original dissertation is en- titled, De Phosphori Loco Medicamenti ad- sumpii virlule medica, aliquot casibus sin- gnlaribvs confirmata, Juclore J. Gabi Merits. There are three cases of singular cures per- formed by means of phosphorus, narrated in this thesis ; the history of these cases and cures was sent to Dr. Gabi Meutz, by his father. The first instance is of a man who la- PHO PHO 6S1 boured under a putrid fever ; lor whom the best alexipharmic medicines, as they are called, together with a proper regimenj were prescribed. A diarrhcea, however, ensued, accompanied with great anxiety about the prascordia, delirium, ar.d general prostration of the powers of life. Proper remedies were tried to stop the diarrhcea, and check the disease, but in vain. For three days the patient had been insensible and exhausted. In this extremity the phy- sician had recourse to phosphorus ; two grains of which were exhibited, together with a sufficient quantity of theriaca, to make them into a bolus. This occasioned a gentle sweat, and general quiet. The dose was twice repeated in the evening, and again towards morning, witli the ad- dition of another grain. The sweat be- came copious, and the memory and the use of the external senses were restored. The patient, thus revived, was afterwards completely re-established by other reme- dies. The second case, is that of a man who laboured under a bilious fever. Although various remedies appear to have been judi- ciously employed, yet the disease gained ground, until at last the patient was almost quite exhausted. Three grains of phospho- rus were exhibited at eleven o'clock in the forenoon, which produced a little quiet ; but the patient became so thirsty that he could not refrain from drinking. After this he was quiet for two hours, and a pro- fuse sweat broke out all over his body. The physician seeing this, ordered him an- other dose in the evening. He slept and perspired the whole evening, and by means of proper remedies, was afterwards com- pletely cured. The third case is entitled a malignant ca- tarrhal fever, with petechias. It seems to have been the common typhus pslechialis, of CuUen, accompanied with cough and other catarrhal symptoms in the beginning. We are informed that on the third day of the disease, the patient was deprived of the use of his external senses ; that he became deli- rious, and exceedingly exhausted. Two grains of phosphorus were given to him at two o'clock, and two more in the evening, which restored him to his senses, and occa- sioned a copious sweat. Proper remedies were afterwards employed, which accom- plished his recovery. Dr. Mentz appears to have been one of the first practitioners who tried this heroic remedy internally. Dr. Morgenstern and Dr. Hatman seem both to have afterwards employed it. The following twelve cases, relating to this interesting subject, are translated from a thesis which is very little known in this country. It is the inaugural dissertation of one Dr. Wolff, who graduated at Gottingen in the vear 1791 , and who states that the 86 cases are extracted from the private diary of his father, a physician of eminence in Po- land, who practised physic with great suc- cess and reputation for upwards of thirty years. Case I. — In the month of August, 1763, I was called to a woman twenty-five years old, whom I found in a state of low deli- rium Her pulse was small, weak, and tremulous, almost vanishing, as it were, under the finger. Her whole chest and arms were disfigured with livid spots. Her neighbours and attendants informed me that she had been seized with a fever about eleven days before I saw her ; and that she had been attended by some ignorant prac- titioner, who, finding that his remedies did not succeed, had deserted her the day be- fore, declaring that God alone could cure her. The case appeared to me one of those desperate states of disease, in which a prac- titioner either ouglit to refrain from doing any thing, or to make trial of some new, bold, and powerful remedy, which might act as an uncommon stimulus to the nerves, and rouse their suppressed energy. Such a remedy I expected to find in phosphorus ; and accordiflgly I ordered my patient five drops of its solution in ajther, vs'hich con- tained three grains of phosphorus. They were exhibited in a spoonful of Rhenish wine, and the patient swallowed a few cupsful of an infusion of the flores tilise after them. I visited the patient three hours afterwards, and not findjng any change, I repeated the dose. Two hours were scarcely elapsed when the pulse be- gan to rise, and the whole body to be diffused with an equal heat; immediately afterwards, the pulse became undulatory, a breathing sweat (sudor halituosus) broke out, and at the same time the delirium sub.sidcd. I exhibited a third dose at the end of sixteen hours ; a number of red spots then appeared on the skin, and the patient com- plained very much of a sense of oppres- sion and pain at the prascordia, and in the abdomen. These symptoms I endeavoured to allay by diluents and frequent emollient clysters, which brought away a great quan- tity of foul faeces. The Peruvian bark com- pleted the cure. Case II. — A young woman twenty-two years of age, was, for the first time, delivered of a healthy child. She recovered perfectly well for the first nine days ; but being then greatly frightened by some sudden noise in the house, she was seized with a chilly fit, afterwards with flushes of heat, and soon became delirious. I was called to her on the third day, after various remedies had been tried in vain by another physician. Finding that she had ai hard pulse, with great oppression in her chest, and a foul tongue, I ordered her to be blooded, to^ 682 PHO PIIO take a solution of Glauber's salts, and to receive some antiphlogistic and emollient clysters. The other physician strongly op- posed this advice, contending- strenuously iov his heating diaphoretic plan ; and I therefore returned home. He continued to administer his alexipharmics and cardiac remedies to the unhappy patient. Three days elapsed before I heard any thing of her ; but some of her friends then waited on me, entreating me with great earnest- ness to visit her, as her physician had de- serted her, declaring that it was impossible for any one to save her. I found her with a tremulous intermit- tent pulse, cold extremities, and wandering in her intellects. Of the solution of phos- phorus 1 immediately gave her five drops, in a little Rhenish wine ; and in about two hours after, an equal degree of heat diffused itself over her body, and her senses return- ed. Upon repeating the dose, a sweat broke out, which relieved her so much that 1 afterv/ards could proceed with the proper remedies for the further cure of the com- plaint. Case III. — A young man, twenty-two years old, was seized with a putrido-gastric fever, which was accompanied with a white miliary eruption. On the seventh day of the disease, while under the influence of a profuse sweat, he was taken from his bed, at his own desire, and had his linen changed. An hour was scarcely elapsed when he was seized with great anxiety, the miliary eruption. almost totally disappeared, and he began to grow delirious. Being called to him, I gave him the solution of phos- phorus, with an infusion of elder flowers, and Rhenish wine. in about an hour afterwards, the sweat and eruption re- turned, and he was snatched from the jaws of death. Case IF. — A youth, sixteen years old, was seized with a putrid fever, on the se- venth day of which he was affected with diarrhoea of so severe a kind, that he had J'orty-eighl stools in the course of a day. Being sent for the day after, I found him with an hippocratic countenance, and sub- suhus tendinum. Having exhibited the phosphorus twice to him, a general breath- ing sweat broke out, and the diarrhea sub- sided. Afterwards, proper remedies were exhibited, and he was restored to health in fifteen days. Seven Cases. — During the year 1770 and 1771, while the war was carried on upon the borders of our remotest pro- vinces between the Turks and Russians, a putrid fever took its rise in the camps, and spread itself to us. It was then that I ordered this divine remedy, with the happiest effects, to seven sick who laboured under the putrid fever, some of whom had eruptions, with great prostration of strcBjxii, Case XII. — A young lady of qualify, twenty-five years old, endowed with such an exquisite degree of nervous sensibility, that she used frequently to be affected with spasms and convulsive motions without any apparent cause, became pregnant in the year 1774, which was the seventh of her marriage. On the third day preceding- delivery, she was seized with a diseas* which might be justly said to be somewhat between catalepsy and coma vigil. She lay stretched out upon her back, her eyes open and fixed, her legs and arms were quive flexible, and remained in any pos- ture in which they were put ; her pulse and respiration were entirely natural, and she swallowed whatever fluid was put into her mouth. After she had remained three days in this state, she was delivered of a dead child, which, from the marks of putrescency on its body, must have died some days before. Evacuations carefully employed, anti- spasmodic and nervous remedies exhibited, both by the mouth and anus, embrocations and liniments produced such a salutary change, that in 15 days the patient was able to leave her bed, and the greatest hope was therefore entertained of her complete recovery. But on the twenty-eighth day after delivery, when I went again to visit my patient, (who lived at a considerable distance from me,) I found her complain- ing of rigor and chilliness of the inferior extremities, her pulse was frequent and small, and her face was more flushed than usual. Frictions, clysters, the pediluvium, and antispasmodics, were all tried, but without producing any favourable event, and towards the middle of the night, she became totally rigid ; yet she had complete possession of her mind, although all the external senses, the sight excepted, were- abolished. I gave to lier three drops of the solution of phosphorus in a spoonful of wine. Scarcely had an hour elapsed when a warm sweat broke out, and, together with it a white miliary eruption. Afterwards other remedies were exhibited, which effected her recovery. Such are the cases related by Dr. Wolff, which it is presumed will be found suffi- ciently interesting to awaken and arrest the attention of the practitioners of this country. A medicine of greater powers cannot be named, if the facts which have been related are correctly true. Little doubt can be en- tertained that many trials will soon be made with it in this country ; but it is to be hoped they will be made with caution, and under as favourable circumstances for the reception of such a powerful stimulus as the nature of the diseases in which it is to be given will ad- mit of. The dangerous consequences which are likely to follow the injudicious administra- tion of phosphorus cannot be impressed PHO PHO am dn tlie mind more strongly tlian by the re- latioa of a few cases and experiments which are mentioned by Weickard, in the fourth part of his miscellaneous writings, (Ver- mischte Medicinche Schrifften, von M. A. Weickard.) These cases and experiments I literally translated from the original Ger- man ; a work from which the medical prac- titioner may reap much information, being replete with practical remarks made by a very attentive and accurate observer. A Jew of a phlegmatic habit, was struck Xt'ith apoplexy. He was spe(!chless and lame, and could not void his fseces except he was assisted by art ; his appetite, how- ever, was good. Mineral batlis, and many remedies, were tried to restore him, but in vain. I was at last tempted to make a trial of phosphorus. At first, from two to three grains were given to him, and it was my intention to have increased the dose to five or six. The first dose was given in a conserve, but the following day in honey. His excrements were luminous. Suddenly, about the middle of the third night, he was seized with violent vomiting, during %vhich he was very ill ; but, after the vo- miting had ceased, he found himself better. The pulse was small and quick. I did not venture to give any more phosphorus, par- ticularly as his relations were afraid of it. A blister was applied, and cooling and de- mulcent drinks were exhibited. He looked very ill, seemed quite exhausted, and ap- peared to sufier pain in the abdomen, which was a little tumefied. He took some nou- rishment every day; but what he ate was very small in quantity. The vomiting ceased entirely. He lived four days longer, and died. I did not see him the day when that event happened ; but he had all the symptoms of having died of gangrene. There were even externally, accttrdiiig to the report of the surgeon, many large gan- grenous spots This case caused me a great deal of uneasiness. The patient could not speak for some time before his death, and could not therefore describe his sufferings. Almost about the same time that Pro- fessor Zessler exhibited the phosphorus to his two patients, the intelligence was com- municated to a man who had a tendency to apoplexy and to palsy. He had read in Mellin's Materia Medica all that was said in praise of phosphorus, and he was, in consequence, desirous of making trial of it ; but, before he began to take it, he was seized with a kind of apoplectic fit, in which he lay, as if deprived of all power. He caused three grains of phosphorus to be rubbed with a little oil, and to be given to him ; he took his dose morning and evening. It seemed to revive him, for he got up and walked about the house. He continued to take this medicine several days, upon which he became feverish, and was affected with nausea and loss of appe- tite. A gentle emetic was given him. Two days after this 1 saw him for the first time ; he told me that he had been violently af- fected with pain in the abdomen, parti- cularly towards the evening. He was very dry, and his eyes were yellow. When I pressed my hand on the abdomen, it did not give him pain. I ordered him whey, nitre, acid drinks, cream of tartar, and clysters. The third day after this he grew worse. I happened to be out of town, and an- other physician was sent for, who gave hin* musk, and various other remedies. I vi sited him in the evening, and found him gangrenous. His hands were applied to his* head, as if he suffered acute pain there ; his screams were loud and unremitting ; he was delirious, and spoke unintelligibly, and there was not any pulse at the wrist. He died about midnight. Upon inspecting the body, the liver appeared obstructed, and the stomach was gangrenous near the cardia. Is it not to be feared that the phosphorus had occasioned this ? or was thi.s the effect of a gouty or rheumatic acrimony tluown upon that part .' It ^^ as afterwards remarked that a number of people were seized at this time with vomiting and vio- lent pains in the bowels, and also with the iliac passion. Two months were scarcely- elapsed when I met with a case in which all the circumstances of the complaint were similar to those narrated in the above- mentioned case, but where the patient had not swallowed a single grain of phos- phorus. The following are some experiments which Dr. Weickard made with phosphorus on dogs : — " It is now," he observes, " upwards of a year since six grains of phosphorus were offered to a hungry dog. The phosphorus was enclosed in a piece of meat ; the dog smelt it, and refused to take it; it wa,s, therefore, forced down his throat. He immediately began to run about the room, exhibiting much anxiety, and seemed de- sirous to go out. He grew sick, and vo- mited the bolus, which seemed to be on fire ; upon this, the dog again appeared impatient to get out. The smell of the phosphorus, however, ceased to be emitted by the vomited matter. The dog smelt it again, and ate it. He immediately became extremely lively, springing quickly from one table to another. The Experiments ought to have stopped here ; but some one brought another piece of meat, in which there were eight grains of phosphorus en- closed. This was also forced down the dog's throat, and he again vomited it on fire ; he did not, however, exhibit the same anxiety to leave the room which he had done the first time, but waited pa- tiently, until the disagreeable foetor which arose and filled the apartment, had escaped from his morsel, after whicli he ate it 6S4 PHO PHO greedily. His inclination to leap and run about was now uncommonly great ; nothing was too liigh or too distant for him ; but as we v/ere afraid he might do some injury by this kind of exercise, he was dismissed the apartment. He again vomited once or twice; but since that time has remained perfectly well " Such are the principal facts related by Weickard. We now come to the latest publication on the subject of phosphorus. It is a letter on its medicinal virtues by M. Alphonso Leroi, and is printed in the only volume of Memoirs which the Society of Emulation at Paris has yet published. One of the first experiments which IVI. Leroi made was upon himself; be swal- lowed three grains of phosphorus vAih some theriaca. It is a wonder, he says, that he was not killed by it ; for phosphorus does not require more air than is commonly contained in the stomach, in order to take fircj and burn in such a manner as to have eaten through that organ. ''For two hours," the professor observes, " I found myself extraordinarily incommoded ; I drank frequently little draughts of cold water. After some hours had elapsed the uneasiness ceased. My urine was high- coloured ; but the following day my mus- cular force was doubled, and I felt an in- supportable venereal irritation. I after- wards gave this r^smedy to the young man whose case is related in the Gazette de Sante, for the 29sh of August, 1779. It was truly owing to phosphorus that his life was saved in a most malignant fever, in which the prostration of strength was so great as not to leave many other resources but this remedj'." M. Leroi then proceeds to inform us, that he has frequently employed phosphorus since that time. He at first prescribed it in the form of a lohoch. It is always diffi- cult to pulverize it ; but this difficulty he overcatne in the following manner: " He puts the phosphorus into warm water, and agitates it violently ; it divides ii;self like oil, into a great number of little globules, and, if cold water be now added, it is pre- cipitated to the bottom in the form of a powder. Of this powder one or two grains are to he taken, and rubbed with a little sugar, a drop or two of oil, and some yolk of an egg. A quarter of a grain every day is quite suflScient to produce great effects." At other times, he says, he has given it in a Tnixture of oil, sirup, and some aromatic distilled water. Ke asserts, that Kunkel gave phosphorus internally in England in the form of pills, which were luminous ; and he informs us that he himself has found out the manner of composing them ; but they require so nice a manipulation, that he has entrusted the secret only to Messrs. Telletier, the brsthers, being warned by his own experience of the mischief which arises from giving it improperly prepai-ed. Each pill contains the eighth of a grain of phosphorus. They are endowed with a soporific and calming property. Professor Leroi has frequently employed them in cases of rheumatismus, in a great nmnbei" of nervons diseases, pituitous diseases, and in many acute and chronic complaints. He believes that this remedy is capable of proltmging life beyond the natural period ; and after having spoken of its great restora- tive power, he relates the following case in confirmation of this opinion : — " I was one day called to an old man, aged eighty-seven, the uncle of Madame de Fourqueux, in whom life seemed to be almost totally extinguished. I composed for him a mixture of six oimces of diilerent distilled aromatic waters, one ounce of oil containing three grains of phosphorus, and two ounces of sirup. Of this he took three table-spoonsful ever3' day ; and besides this, he took eight drops of volatile alkali, in a glass of sv/eet aromatic water, twice a-day, before his meals. By these means I illu- minated the dying embers of life, and he survived seven years after an attack of v.'eakness in which it must have appeared like mddness to attempt to interfere. " I may safely affirm, that I have been as much occupied in seeking out the cases in which this medicine proves hurtful, as in detecting those in which it is serviceable ; and I can assert, not only from my own ex- perience, but also from that of the late M. Lecointre, my pupil, who was physician to the hospital at Nambouillet, that we have not found it hurtful in any one case : that it has only not been useful in some, and that only in such cases in which life was already extinct in some parts of such pa- tients as had not a sufficient portion of liv- ing principle in them to reanimate the whole frame." M. Leroi affirms, that the divisibility of phosphorus is almost infinite ; and, in proof of this assertion, he states that " the body of a woman who died of a putrid fever, and who had taken one grain of phosphorus, was entirely luminous within. The hands of the late Rielle, the anatomist, who opened the body, were luminous some hours after they had been washed ! !" Upon maturely considering all the facts which have been brought forward concern- ing it, little room for doubt will be left in the mind, as to its uncommon powers ; but, although this be granted, experience is still wanting to point out the diseases, and va- rious stages of disease, in which it may be employed with equal safety and utility, as also to determine the circumstances under which it would be dangerous even to try it. Thus much may doubtless be asserted con- cerning it, that it is one of the highest sti- muli which we have in the catalogue of the PHPw PHR 685 materia medica ; and that, although it is affirmed by M. Leroi, and others, to be " calming and sedative," it is only so in such cases as wine, aether, Hoffman's ano- dyne liquor, and opium, are also found to be calming and sedative, that is, in cases where the arterial action of the whole frame is nearly exhausted, although still quick. Every practitioner should be cautioned against exhibiting it in any inflammatory disease, where much strength exists ; and in all cases, very small doses should be first exhibited, and those with the utmost cir- cumspection. Phosplmret. See Phospkuretum. PHOSPHURE'TUM. (Phosphuretum, from phosphorus.) A combination of phosphorus not oxygenated, with different bases ; as, phosphurtt of copper, phosphuret of iron, &ic. PHOTOPHO'BIA. (From (po;;, light, and 9«/38ft), to dread.) Such an intolerance of light, that the eye, or rather the retina, can scarcely bear its imtating rays. Such pa- tients generally wink, or close their eyes in light, which they cannot bear without ex- quisite pain, or confused vision. The proxi- mate cause is too great a sensibility in the retina. The species are, 1. Photophobia inflammatoria, or dread of light from an inflammatory cause, which is a particular symptom of the internal oph- thalmia. 2. Photophobia, from the disuse of light, which happens to persons long confined in dark places or prisons ; on the coming out of which into light the pupil contracts, and the persons cannot bear light. The depression of the cataract occasions this symptom, which appears as though fire anptviTi;j from ^ptiv, the mind. Phrmesis. Phrtnttiasis. Phrenis- mus. Cephalitis. Sphactlismus. Cepha- lalgia inflammatoria. By the Arabians, karabiius. Phrenzy or inflammation of the brain. A genus of disease in the Class PyrexicE, and Order Phlegmasia, of Cullen; characterized by strong fever, violent head- ache, redness of the face and eyes, impa- tience of light and noise, watchfulness, and furious delirium. It is symptomatic of se- veral diseases, as vi orms, hydrophobia, &c. Phrenitis often makes its attacks with a sense of fulness in the head, flushing ol the countenance, and redness of the eyes, the pulse being full, but in other respects na- tural. As these symptoms increase, the patient becomes restless, his sleep is dis- turbed, or wholly forsakes him. It some- times comes on, as in the epidemic, of which Saalman gives an account, with pain, or a peculiar sense of uneasiness of the head, back, loins, and joints ; in some cases, with -tremor of the limbs, and intolerable pains of the hands, feet, and legs. It now and then attacks with stupor and rigidity of the whole body, sometimes with anxiety and a sense of tension referred to the breast, often accom- panied with palpitation of the heart . Some- times nausea and a painful sense of weight in the stomach, are among the earliest symptoms. In other cases, the patient is attacked with vomiting, or cornplains of the heart-burn, and griping pains in the bowels. When the intimate connection which sub- sists between the brain and every part of the system is considered, the vpxieiy of the symptoms atteiKling the commencement of phrenitis is not so surprising, nor that the stomach in particular should suffer, which so remarkably sympathizes with the brain. These symptoms assist in forming the diag- nosis between phrenitis and synocha. The pain of the head soon becomes more consi- derable, and -sometiines ver\ acute. "If the meninges," says Dr. Ford> ce, " are affected, the pain is acute ; if (he substance only, obtuse, and sometimes bui just sensi- ble." And Dr. Cullen rem rks, "I am here, as in other analogous cases, of opinion, that the symptoms above mentioned of an- acute inflammation, always mark it^fianjma- tions of membraneous parts, and ^rtt an in- flammation of parenchyma, or sLbslance of ' viscera, exhibits, at least commonly, a more chronic inflammation." The seat of the pain is various : some- times it seems to occupy the whole head } 686 PHR FHR sometimes, although more circumscribed, it is deep-seated, and ill-defined. In other cases it is felt principally in the forehead or occiput. The redness of the face and eyes generally increases with the pain, and there is often a sense of heat and throbbing in the head, the countenance acquiring a pecu- liar fierceness. The symptoms for the most Da-t, do not last long before the pa- tient begins to talk incoherently, and to show other marks of delirium. Sometimes, however, Saalman observes, delirium did not come on till the fifth, sixth, or seventh day. The delirium gradually increases, till it often arrives at a state of phrensy. The face becomes turgid, the eyes stare, and seem as if bursting from their sockets, tears, and sometimes even blood, flowing from them ; the patient, in many cases, resembling a. furious maniac, from whom it is often im- possible to distinguish him, except by the shorter duration of his complaint. The de- lirium assists in distinguishing phrenitis and synocha, as it is not a common symptom in the latter When delirium does not attend synocha, however, it is of the same kind as in phrenitis. We should, a priori, expect in phrenitis considerable derangement in the difierent organs of sense, which so immediately de- pend on the state of the brain. The eyes are incapable of bearing the light, and false vision, particularly that termed musccs voli- tarites, and flashes of light seeming to dart before the eyes, are frequent symptoms. The hearing is often so acute, that the least noise is intolerable : sometimes, on the 'Other handj the patient becomes deaf; and the deafness, SaaJman observes and mor- bid acuteness of hearing, sometimes alter- nate. Afiections of the smell, taste, and touch, are less observable. As the organs of sense are not frequently deranged in synocha, the foregoing symp- toms farther assist the diagnosis between this complaint and phrenitis. The pulse is not always so much disturb- ed at an early period, as we should expect from the violence of the other symptoms, compared with what we observe in idiopa- thic fevers. When this circumstance is dis- tinctly marked, it forms, perhaps, the best diagnosis between phrenitis and .synocha, and gives to phrenitis more irpa, the womb.) Hystero- physe. A windy swelling of the uterus. A tympany of the womb A genus of disease in the class cachexia, and order iniuviescen- ti(E, of Cullen ; characterized by a perma^ nent elastic swelling of the hypogastrium, from flatulent distension of the womb. It is a rare disease, and seldom admits of a cure. Phyteu'ma. (From (purivea, to generate ; so called from its great increase and growth.) The herb rocket. PHYTOLA'CCA. {Phytolacca. From PJC Pit, 691 Sfunv, a plant, and Xamca, gum lac ; so call- ed because it is of the colour of lacca.) The name of a genus of plants. Class, Decan- dria. Order, Decagynia. Phvtola'cca decandria. The system- atic name of the Pork-physic. Pork-weed. Poke-weed. Red weed of Virginia. Red night-shade. American night-shade. Sola- aium racemosum Jimtricanum. Solanum mag- num virginianum rubrum. In Virginia and other parts of America, the inhabitants boil $he leaves, and eat them in the manner of spi- nach. They are said to have an anodyne quality, and the juice of the root is violently cathartic. The Portuguese had formerly a trick of mLxing the juice of the berries with their red wines, in order to give them a deep- er colour ; but it was found to debase the fla- vour. This was represented to his Portu- guese majesty, who ordered all the stems to be cut down yearly before they produced flowers, thereby to prevent any farther adul- teration. This plant has been used as a cure for cancers, but to no purpose. PHYTOLOGY. (Phytologia From if urov, an herb, and Xoyos, a discourse.) That part of the science of natural history which treats on plants. Phytominera'lia. (From (puTov, a plant, and mineralis, a mineral.) Substances of a vegetable and mineral nature ; as amber. P I'A M A'T E It. {Pia mater, the na- tural mother ; so called because it embraces the brain, as a good mother folds her child.) Localis mtmbrana. Meninx tenuis. A thin membrane, almost wholly vascular, that is firmly accreted to the convolutions of the cerebrum, cerebellum, medulla ob- longata, and medulla spinalis. Its use appears to be, to distribute the vessels to, and contain the substance of, the cere- brum. PICA. (Pica, the magpie ; so named be- cause it is said the magpie is subject to this affection.) Picatio. Malacia. Allotriopha- gia. Citta. Cissa. Longing. Depraved appetite, with strong desire for unnatural food. It is very common to pregnant wo- men and chlorotic girls, and by some it is said to occur to men who labour under sup- pressed haemorrhoids. Pi'cEA. (riiTt/s, pitch.) The common or red fir or pitch tree is so termed. The cones, branches, and every part of the tree, afford the common resin called frankincense. See Pinus abies. Pichu'rim. See Pechurim. Pi'cRis echioi'des. (From Trmpas, bit- ter, and ecliioides, from i^^^is, a viper, and ti^os, resemblance.) The systematic name of the common ox-tongue ; the leaves are frequently used as a pot-herb by the coun- it is now termed in the pharmacopoeia, Resina nigra, which see. PI'PER. (v-Trifi : from a-sjTTs;, to con- coct, because by its heat it assists digestion.) Pepper. The name of a genus of plants in the Linnaean system. Class, Diatidria. Or- der, Trigynia. Pi'pER a'lbum. Leucopiper. See Piptr nigrum. Pi'pER brasilia'num. Guhiea pepper. Pi'PER calecu'ticum. Guinea pepper. Piper caryophylla'tum. Jamaicaptp' per. Pi'PER cauda'tum. See Piptr cubeba. Pi'PER cube'ba. The plant whose ber- ries are called cubebs. Piper caud.atum. Cu7namus. The dried berries of the Piper, foliis oblique ovatis, seu oblongis venosis acutis, spica solitaria pedimculata oppossiti folia, fruc- tibus pedicellaiis, of Linnaeus. They are of an ash brown colour, generally wrinkled, and resembling pepper, but furnished each with a slender stalk. They are a warm spice, of a pleasant smell, and moderately pungent taste, imported from Java ; and may be exhibited in all cases where warm spicy medicines are indicated, but they are inferior to pepper. Pi'PER decortica'tum. White pepper. Pi'pER fava'sci. The clove-berry tree. Pi'PER guine'ense. See Capsicum. Pi'pER hispa'nicum. See Capsicum. Pi'PER i'ndicum. Guinea or Indian pep- per. See Capsicum. Pi'PER jamaice'nse. See Myrtus pi- mento. Pi'PER lo'ngum. Macropiper. Acapatli. Catu-tripali. Pimpilim. Long pepper. Piper, foliis cardatis petiolatis sessilibusque, of Linnaeus. The berries or grains of this plant are gathered while green, and dried in the heat of the sun, when they change to a blackish or dark grey colour. They possess precisely the same qualities as the piper in- dicum, only in a weaker degree, Pi'PER lusita'nicum. See Capsicum. Pi'PER mura'le. See Sedum acre. Pi'pER ni'grum. Melanopiper. Malaga- codi. Lada. Piper aromaticum. Black pepper. This species of pepper is obtained in the East Indies, from the Piper, foliis ovatis septem-nerviis glabris, petiolis simpli- cissimis, of Linnaeus. Its virtues are simi- lar to those of the other peppers. The black and white pepper are both obtaint-d PIS PIT 6S^ from the same tree, the diflerence depend- ing on their preparation and degrees of maturity. Pxperi'tis. (From piper, pepper, so called because its leaves and roots are biting like pepper to the taste.) The herb dittany or lepidium. Piramida'lia co'rpora. See Corpora jryramidalia. PISIFO'RME OS. The fourth bone of the first row of the carpus. Pismire. See Formica. Piss-a-bed. See Leontodon taraxacum. Pissaspha'i-tus. (From 5r/o-«-«, pitch, and a(r g p- ^j^-^^^ PlX BURGD NDICA. { PLA PLA 6y.7 Pix LiQuiDA. Tar. See Pi7ius sylves- hris. Place'bo. I will please : an epithet giyen to any medicine adapted more to please than benefit the patient. PLACE'NTA. (From -rkaxius, a cake, so called from its resemblance to a cake.) The placenta is a circular, flat, vascular, and apparently fleshy substance, different in its diameter in different subjects, but usually extending about six inches, or up- wards, over about one fourth part of the outside of the ovum in pregnant women. It is more than one inch in thickness in the middle, and becomes gradually thinner to- wards the circumference from which the membranes are continued. The placenta is the principal medium by which the commu- nication between the parent and child is preserved ; but though all have allowed tlie importance of the office which it performs, there has been a variety of opinions on the nature of that office, and of the manner in which it is executed. That surface of the placenta which is attached to the uterus by the intervention of the connecting membrane, is lobulated and convex ; but the other, which is covered ■with the amnion and chorion, is concave and smooth, except the little eminences made by the blood-vessels. It is seldom found attached to the 8ame part of the ute- rus in two successive births ; and, though it most frequently adheres to the anterior part, it is occasionally fixed to any other, even to the os uteri, in which state it be- comes a cause of a dangerous heemorrhage at the time of parturition. The placenta is composed of arteries and veins, with a mixture of pulpy or cellular substance. Of- these vessels there are two orders, very cu- riously interwoven with each other. The first is a continuation of those from the funis, which ramify on the internal surface of the placenta, the arteries running over the veins, which is a circumstance peculiar to the placenta; and then, sinking into its substance, anastomose and divide into innu- merable small branches. The second order proceeds from the uterus ; and these ramify in a similar manner with those from the funis, as appears when a placenta is inject- ed from those of the parent. The veins, in their ramifications, accompany the arteries as in other parts. There have been many different opinions with respect to the man- ner in which the blood circulates between the parent and child, during its continu- ance in the uterus. For a long time it was believed that the intercourse between them was uninterrupted, and that the blood pro- pelled by the powers of the pai-ent perva- ded, by a continuance of the same force, the vascular system of the foetus ; but repeated attempts having been made, without suc- cess, to inject the whole placenta, funis and faetus; from the vessels of the parent; or any part of the uterus, from the vessels of the funis, it is now generally allowed, that the two systems of vessels in the placenta, one of which may be called maternal, the other foetal, are distinct. It is also admitted, that the blood of the fostus is, with regard to its formation, increase, and circulation, uncon- nected with, and totally independent of the parent ; except that the matter by which the blood of the foetus is formed must be derived from the parent. It is thought that whicli has probably undergone some preparatory changes in its passage through the uterus, is conducted by the uterine or maternal ar- teries of the placenta to some cells or small cavities, in which it is deposited : and that some part of it, or something secreted from it, is absorbed by the foetal veins of the pla- centa, and by them conveyed to the foetus for its nutriment. When the blood which circulates in the foetus requires any altera- tion in its qualities, or wHten it has gone through the course of the circulation, it is carried by the arteries of the funis to the placenta, in the cells of which it is deposit- ed, and then absorbed by the materned veins of the placenta, and conducted to the ute- rus, whence it may enter the common cir- culation of the parent. Thus it appears, according to the opinion of Rarvej'', that the placenta performs the office of a gland, conveying air, or secreting the nutritious juices from the blood brought from the pa- rent by the arteries of the uterus, and car- ried to the foEtus by the veins of the funis, in a manner probably not unlike to that in which milk is secreted and absorbed from the breasts. The veins in the placenta are mentioned as the absorbents, because no lymphatic vessels have yet been found in the placenta or funis ; nor are there any nerves in these parts : so that the only com- munication hitherto discovered between the parent and child, is by the sanguineous S3'S- tem. The proofs of the manner in which the blood circulates between the parent and child are chiefly drawn from observations made iipo.T the funis. When it was sup- posed that the child was supplied with blood in a direct stream from tlie parent, it was asserted that, on the division of the funis, if that part next to the placenta was not secured by a ligature, the parent would be brought into extreme danger by the haemorrhage which must necessarily follow. But this opinion, which laid the foundation of several peculiarities in the management of the funis and placenta, is proved not to be true : for, if the funis be compressed immediately after the birth of the child, and whilst the circulation in it is going on, the arteries between the part compressed and the child throb violently, but those between the compression and the placenta have no pulsation ; but the vein between the part compressed and the placenta swells, and tiiaf,part next to the foetus becomes flaccidj 88 698 PLV PLA but if, uiidei' the same circurnsfances, the funis be divided, and tliat part next the child be not secured, the child would be in danger of loosing its life by the hsemorrhage ; yet the mother would suffer no inconve- nience if the other part was neglected. It is, moreover, proved, that a woman may die of a haemorrhage occasioned by a separation of the placenta, and the child be neverthe- less born, after her death, in perfect health. But if the placenta be injured, without sepa- ration, either by the rupture of the vessels which pass upon its inner surface, or in any other way, the child being deprived of its proper blood, would perish, yet the parent might escape without injury. See also 5e- cundines. Place'ntula. (Dim. of placenta.) A sn>all placenta. -Pladabo'tis. (From ^Xa^apo; , moist, flaccid.) A fungous and flaccid tumour within the eyelid. PLAiN'TA'GO. (From planla, the sole of the feet ; so called from the shape of its leaves, or because its leaves lie upon the ground and are trodden upon.) 1. The name of a genus of plants in the Linneean system. Class, Tetrandria. Order, Monogy- nia. The plantain. 3. The pharmacopceial name of the plan- tago major. Planta'go coro'nopus. Coronopodium. Comu cervinum. Sidla terra. Plantago. Buck's-horn plantain. The Plantago coro- nopus, of LinnEBus. Its medical virtues are the same as those of the other plantains. Planta'go latifo'lia. See Plantago. Pjlanta'go ma'jok. The systematic name of the broad-leaved plantain. Ctntinervia. Polyneuron. Plantago lalifolia. Plantago major ; foliis ovalis glabris, scapo tereti, spica Jlosculis imbricatis, of Linneeus. _ This plant was retained until very lately in the ma- teria medica of the Edinburgh College, in which the leaves are mentioned as the pharmaceutical part of the plant ; they have a weak herbaceous smell, an austere, bitter- ish, subsaline taste ; and their qualities are said to be refrigerant, attenuating, substyptic, and diuretic. Planta'go psy'llium. The systematic name of the branching plantain. Psyllium. Pulicaris herba. Cryslallion and cynomoia of Oribasius. Flea-wort. The seeds of this plant, Plantago psyllium ; caule ramoso herbaceo, foliis subdentatis, recurcatis; capi- tulis aphyllis, of Linna;os, have a nauseous mucilaginous taste, and no remarkable smell. The decoction of the seeds is re- commended in hoarseness and asperity of the fauces. Plantain. See Plantago. Plantain-tree. See Musa paradisiaca. PLANTA'RIS. {Plantaris, sc. muscalus. From planta, the sole of the foot, to which it belongs.) Tibialis gracilis, vulgo planta- ris, of Winslow. Extensor tarsi mrnor, vulgo plantaris, of Douglas. A muscle of the foot, situated on the leg, that assists the soleus, and pulls the capsular ligament of the knee from between the bones. It is sometimes, though seldom, found wanting on both sides. This long and slender muscle, which is situated under the gastrocnemius esternus, arises, by a thin fleshy origin, from the upper and back part of the outer condyle of the os femoris. It adheres to the capsular ligament of the joint, and, after running obliquely downwards and out- wards, for the space of three or four inches, along the second origin of the gastrocnemius internus, and under the gastrocnemius ex- ternus, terminates] in a long, thin, and slender tendon, which adheres to the inside of the tendo Achillis, and is inserted into the inside of the posterior part of the os calcis. Tliis tendon sometimes sends off an aponeurosis that loses itself in the capsular ligament, but it does not at all contribute to form the aponeurosis that is spread over the sole of the foot, as was formerly supposed, and as its name would seem to imply. Its use is to assist the gastrocnemii in extend- ing the foot. It likewise sei"ves to prevent the capsular ligament of the knee from being pinched. Pla'num OS. (Planus, soft, smooth ; ap- plied to a bone whose surface is smooth ol^ flat.) The papyraceous or orbital portion of the ethmoid bone was formerly so called. Plaster, nmmoniacum. See Emplastrum ammoniaci. Plaster, ammoniacum, with mercury. See Empiaslrum ammoniaci cum hydrargyro. Plaster, blistering fly. See Emplastrum lyttcB. Plaster, compound Galbanum. See Em- plastrum Galbani compositum. Plaster, compound pitch. See Emplastrum picis compositum. Plaster, cumin. See Emplastrum cumuni. Plaster, lead. See Emplastrum piumbi. Piaster, mercurial. See Emplastrum hy- drargyri. Plaster of opium. See Emplastrum opii. Plaster, resin. See Emplastrum resinas. Plaster, soap. See Emplastrum saponis. Plaster, wax. See Emplastrum cerce. Pla'ta. (From vrXmrvs, broad.) The shoulder-blade. PLATER, Felix, was born at Basle in 1536, his father being principal of the Col- lege there. He went to complete his medi- cal studies at Montpelier, where he distin- guished himself at an early age, and obtain- ed his doctor's degree at 20. He then settled in his native place, and four years after was appointed to the chair of medicine, and became the confidential physician of the princes and nobles of the Upper Rhine. He possessed an extensive knowledge of the branches of science connected with medi- cine, and contributed much to the reputa- tion of the University, where he, continued PL A PL A 699 a teacher upwards of fifty years. He died in 1614, extremely regretted by his country- men. The following are his principal works : " De Corporis Humani Structura et Usu," iu three books ; " De Febribus ;" " Praxeos Medicae, tomi tres j" " Observationum Medi- cinaliuin, libri tres." Platia'smus. (From TrXocrv;, broad.) A defect in the speech in consequence of too broad a mouth. P L A'T I N A. A metal so called. (The name platina was given to this metal by the Spaniards from the word -plata, which sig- nifies silver in their language, by way of comparison with that metal, whose colour it imitates : or from the river Plata, near which it is found.) It exists in nature, only in a metallic state in small grains, combined with iron, copper, plumbago, k.c. The largest mass of which we have heard, is one of the size of a pigeon's e.g^, in the possession of the Royal Society of Bergara. It is found in the parishes of Novita and Citaria, north from Choco in Peru, and near Carthagena in South America. It was unknown in Europe before the year 1748. Don Antonio Ulloa then gave the first information con- cerning its existence, in the narrative of his voyage with the French academicians to Peru. Properties. — Platina purified from all ex- traneous mixture is of a white colour, in- termediate between that of silver and tin. It is the hardest of all metals. Its specific gravity being from 20.6 to 23. makes it by far the heaviest body known. It is malle- able and ductile, like gold ; but to what de- gree is not yet ascertained. We have seen platina drawn into a wire of a smaller dia- meter than the two thousandth part of an inch. It is the most infusible of all the metals. It cannot be melted (in a con- siderable quantity at least) by the most violent heat of our furnaces, but may be fused by the heat of a burning lens, or by the assistance of oxygen gas. When pure, its parts may be made to combine or weld, by hammering in a white heat ; a property confined to this metal and iron. It sulTers no alteration from the action of air ; neither water, the earths, nor the salino-terrene sub- stances have any power of re-action upon it. Potash acts upon it at a high temperature. It is not oxydized when exposed red-hot to the air, for a very long time. It may however be oxydized by the galvano-electric spark, and by the nitro-muriatic acid. This acid dissolves it, and assumes first a yellow and afterwards a deep orange colour. The solution tinges animal substances with a dark colour, and may be decomposed by alkalis and by muriate and nitrate of am- monia, which have no efiect on solutions of gold. The precipitate, which is a triple com- pound, consisting of ammonia, muriatic acid, and oxyde of platina, may be reduced by the action of a violent heat. No other acid has any action upon platina ; but they will combine with its oxyde. Platina combines with phosphorus and sulphur with consider- able facility. It unites with the greater num- ber of the metals by fusion. Of these alloys, that with copper is the most valuable, as it is ductile, susceptible of a fine polish, and does not tarnish on exposure to air ; the rest of them are very little known. Method of obtaining Platina. — The pro- cesses most commonly employed to obtaia pure platina, are as follows : 1. Take equal parts of platina in grains, and acidulous tartrate of potash, put the mixture into a well luted crucible, and expose it for two hours to a violent heat. The platina fuses, but it becomes brittle and whiter than platina is in common ; then ex- pose it to a very strong heat under a muffle, by which means all the arsenic combined with it will be disengaged, and the platina remain behind in a malleable state. 2. Platina may likewise be obtained pure, by decomposing the nitro-muriatic solution of common platina, by muriate of ammonia, heating the precipitate intenseH", and stamp- ing it when of a white heat into one mass : or, by assisting the fusion with a stream of oxygen gas. 3. Jannetty's process, v>hich is considered as the best, and which is generally used foi- obtaining malleable platina, is as follows : Triturate common platina with water, to wash ofi" every contaminating matter that water can carr}' away. Mix the platina with about one fifth part of arsenious acid and one fifteenth part of potash ; putting the whole in a proper crucible in the fol- lowing manner : having well heated the crucible and the furnace receiving it, put in one third of the mixture, apply to this a strong heat, and add one third more : after a renewed application of heat, throw in the last portion. After a thorough fusion of the whole, cool and break the mass. Then fuse it a second time, and, if neces- sary, even a third time, till it ceases to be magnetic. Break it into small pieces, and melt those pieces in separate crucibles, and in portions of a pound and a half of the pla- tina to each crucible, with an equal quan- tity of arsenious acid and half a pound of potash. After cooling the contents of the difierent crucibles in a horiaontal position, in order to have them throughout of equal thickness, heat them under a mufile to vola- tilize the arsenious acid, and maintain them in this state, without increase of heat, for the space of six hours. Heat them, next, in common oil, till the oil shall have evaporated to dryness. Then immerse them in nitric acid, boil them in water, heat them to red- ness in a crucible, and hammer the.m into a dense mass. They are now fit to be heated in a naked fire, and hammered into bars for the purposes of commerce. Mr. Richter directs, in order td purify :m PLE PLE platina, and render it malleable, the follow- ing process : dissolve platina of commerce in nitro-muriatic acid, and let fall into this solution potash, until a precipitate begins to appear ; then add a solution of sulphate of potasli, till the whole is precipitated. Wash the precipitate till the water that passes do not change its colour by adding to it prus- siate of potash. Dry the precipitate and mix iyith*it 1.5 times its weight of soda, freed from its water of crystallization ; press it into a crucible, but not so as to fill it, heat it gradually, and raise the heat till it fuses. PLATrco'RiA. (From v\arus, broad, and xtpni, the pupil of the eye.) An enlarged pupil. PfcATTOPHTHA'LSICM. (From ^Xeri/;, broad, and a^feX^s;, the eye; so called be- rause it is used by women to enlarge the ap- jie'arance of the eye.) Antimony. Flatypht'llum. (From srAary;, broad, and 9vK)lov, a leaf.) Broad leaved. PLATY'SxMA MYOI'DES. (From v>.aTu;, broad, /^.v;, a muscle, and nts;, resemblance.) Musculus cuianeus, of Win- slow. Quadralvs geneB vel lalissimus colli, of Donglas. Lalissimus colli, of Albinus. Quadraius genm, seu tetragonus, of Win- slow, and thoraco maxilli facial, of Du- mas. A thin muscle on the side of the neck, immediately under the skin, that assists in drawing the skin of the cheek downwards ; and when the mouth is shut, it draws all that part of the skin to which it is connected below the lower jaw up- wards. PiE'cTANiE. (From ■xXixfa, to fold.) The horns of the uterus. Ple'ctrum. (From ^rJ.ir'laj, to strike, so named from their resemblance to a drum- stick.) The styloid process of the temporal bone, and the uvnla. P L E M P I U S, VoPiscus Fortunatus, was born at Amsterdam in 1601. He commenced his medical studies at Lej'den, then travelled for improvement to Italy, and took his degree at Bologna. He set- tled as a physician in his native city, and acquired a high reputation there : whence be was invited to a, professorship at Lou- vain, whither he repaired in 1633. He adopted on this occasion the Catholic reli- gion, and took a new degree, in conformity with the rules of the university. He was soon after nominated principal of the col- lege of Breugel. His death happened in 1671. He increased the reputation of Lou- vain by the extent of his attainments, and distinguished himself in all the public ques- tions that came under discussion. He was author of many works in Latin and Dutch : in one of which, entitled " Funda- menta, seu Institutiones MedicinEe," be gave a satisfactory proof of his candour, by stre- nuously advocating the circulation of the blood, of which he had previously expressed doubts. Plero'sis. See Plethora. Ple'smone. See Plethora. PLETHORA. (From a-J.jj^i., to fill.) Plesmone. Plerosis. An excessive fulness of vessels, or a redundance of blood. Pleumo'sia. See Pneumonia. PLEU'RA. (nxsuras. A membrane which lines the internal surface of the tho- rax and covers its viscera. It forms a great process, the mediastinum, which di- vides the thorax into two cavities. Its use is to render the surface of the thorax moist by the vapour it exhales. The cavity of the thorax is every where lined by this smooth and glistening membrane, which is in reality two distinct portions or bags, which, by being applied to each other la- terally, form the septum called mediasti- num : this divides the cavity into two parts, and is attached posteriorly to the vertebrse of the back ; and anteriorly to the sternum. But the two laminae of which this septum is formed do not every where adhere to each other ; for at the lower part of the thorax they are separated, to afford a lodg- ment to the heart ; and at the upper part of the cavity they receive between them the thymus gland. The pleura is plentifully supplied with arteries and veins from the internal mammary, and the intercos- tals. Its nerves, which are very inconsi- derable, are derived chiefly from the dorsal and intercostal nerves. The surface of the pleura, like that of the peritonaeum and other membranes lining cavities, is con- stantly bedewed with a serous moisture, which prevents adhesions of the viscera. The mediastinum, by dividing the breast into two cavities, obviates many inconve* niences to which we should otherwise be lia- ble. It prevents the two lobes of the lungs from compressing each other when we lie on one side, and consequently contributes to the freedom of respiration, which is dis- turbed by the least pressure on the lungs. If the point of a sword peuetrates between the ribs into the cavity of the thorax, the lungs on that side cease to perform their office, because the air being admitted through the wound, prevents the dilation of that lobe, while the other lobe, which is separated from it by the mediastinum, remains unhurt, and continues to perform its functions as usual. PLEURI'TIS. (From z^Xiupa, the membrane lining the lungs.) Pleurisy, or inflammation of the pleura. A sr-jcies of pneumonia, of Cullen. See Pneumonia. In some instances the inflammation is par- tial, or affects one place in particular, which is commonly on the right side ; but in ge- neral, a morbid afl'ection is communicated throughout its whole extent. The disease is occasioned by exposure to cold, and by all the causes which usually give rise to all inflammatory complaints ; and it at- tacks chiefly those of a vigorous constitu- PLE PLU roi tion and plethoric Irabit. In consequence of the previous inflammation, it is apt at its departure to leave behind a thickening of the pleura, or adhesions to the ribs and intercostal muscles, which either lay the foundation of future pneumonic complaints, or render the patient more susceptible of the changes in the state of the atmosphere than before. It comes on with an acute pain in the side, which is much increased by making a full inspiration, and is accompanied by flush- ing in the face, increased heat over the whole body, rigors, difficulty of lying on the side aflected, together with a cough and nausea, and the pulse is hard, strong, and frequent, and vibrates under the finger when pressed upon, not unlike the tense string of a mu- sical instrument. If blood is drawn and allowed to stand for a short time, it will ex- hibit a thick sizy or bufiy coat on its sur- face. If the disease be neglected at its on- set, and the inflammation proceeds with great violence and rapidity, the lungs them- selves become affected, the passage of the blood through them is stopped, and the pa- tient is suffocated ; or from the combination of the two affections, the inflammation pro- ceeds on to suppuration, and an abscess is formed The prognostic in pleurisy must be drawn from the severity of the symp- toms. If the fever and inflammation have run high, and the pain should cease sud- denly, with a change of countenance, and a sinking of the pulse, great danger may be apprehended ; but if the heat and other febrile symptoms abate gradually, if respi- ration is performed with greater ease and less pain, and a free and copious expecto- ration ensues, a speedy recovery may be ex- pected. The appearances on dissection are much the same as those mentioned under the head of pneumonia, viz. an inflamed state of the pleura, connected with the lungs, having its surface covered with red vessels, and a layer of coagulated lymph lying upon it, ad- hesions, too, of the substance of the lungs to the pleura. Besides these, the lungs them- selves are often found in an inflamed state, with an extravasation either of blood or co- agulated lymph in their substance. Tuber- cles and abscesses are likewise frequently met with. See Pneumonia. Pleurocolle'sis. (From vXtvpa, the pleura, and xtXXam, to adhere.) An adhe- sion of the pleura to the lungs or some neigh- bouring part. PLEURODY'NIA. (From crAsy^a, and o^vvn, pain.) A pain in the side, from a rheu- matic affection of the pleura. Pleuro-pneumo'nia. (From nrXivpa, and vrnvfiovia, an inflammation of the lungs.) An inflammation of the lungs and pleura PlecrorthopNjS'a. (From crXsy^a, the pleura, epffo?, upright, and rrvnu, to breathe.) A pleurisy in which the patient cannot breathe without keeping his body upright. PLEUROSTHO'TONOS. (From irXsypov, the side, and ruvco, to stretch.) A spasmo- dic disease in which the body is bent to one side. P L E'X U S. (From pledor, to plait or knit.) A network of vessels. The union of two or more nerves is also called a. plexus. PLE'XUS CARDI'ACUS. The cardiac plexus of nerves is the union of the eighth pair of nerves and great sympathetic. PLE'XUS CHOROI'DES. The choroid plexus is a network of vessels situated in the lateral ventricles of the brain. PLE'XUS PAMPIJNIFO'RMIS. The plexus of vessels about the spermatic chord. PLE'XUS PULMO'NICUS. The pul^ monic plexus is formed by the union of the eighth pair of nerves with the great sympa- thetic. Ple'xus reticula'ris. A network of vessels under the fornix of the brain. P L rC A (From plico, to entangle. This disease is commonly distinguished by the adjective Polonica, it being almost pe- culiar to the inhabitants of Poland.) Helo- lis. Kolto. Rliopalosis. Plica polonica. Trichoma. Plaited hair. A disease of the hairs, in which they become long and coarsCj and matted and glued into inextricable tan- gles. It is peculiar to Poland, Lithuania, and Tartary, and generally appears during^ the. autumnal season. Plica'ria. (From plieo, to entangle ; so called because its leaves are entangled to- gether in one mass.) Wolf's-claw, or club moss. Pli'nthius. XlXivrfte;. The fourfold bandage. Plum, Malabar. See Eiigenia Jambos. Plumba'go. (From pbimbum, lead ; so called because it is covered with lead-coloured spots.) 1. Lead-wort. See Polygonum per- sicaria. 2. An ore of a shining blue-black colour, a greasy feel, and tuberculated when frac- tured. It is by many erroneously taken for molybdena, from which it is easily distin- guished by its fracture, that of the latter be- ing always lamellated. Plumba'go Europ^e'a. The systematic name of the tooth-wort. Dentaria. Den- tillaria. This plant is to be distinguished from the pellitory of Spain, which is also called dentaria. It is the Plumbago Euro- pxa; foliis amplexicaulibus, lanceolatis scu' bris, of Linnaeus. The root was formerly esteemed, prepared in a variety of ways, as a cure for the tooth-ache, arising from caries. PLU'MBI CARBO'NAS, See Plumbi sub- carbonas. Plu'mbi o'xydum semivi'treum. See Li- thargyrus. 102 PLU PN.E PLU'MBI SUBACETA'TIS LIQUOR. Liquor acetalis plumbi. Solution of acetate of lead, foririerly called aqua lithargyri ace- taii. Goulard's extract. " Take of semi- vitrified oxyde of lead, two pounds ; acetic acid, a gallon. Mix, and boil down to six pints, constantly stirring ; then set it by, that the feculencies may subside, and strain." It is principal!}' eraployed, in a diluted state, by surgeons, as a resolvent against in- flammatory affections. PLU'MBI SUBACETA'TIS LI'QUOB. DILU'TUS. Liquor acetalis plumbi dilutus. Diluted solution of acetate of lead. Aqua lithargyri acelati composita. " Take of solu- tion of snbacetate of lead, a fluid drachm ; distilled water, a pint ; weak spirit, a fluid drachm. Mix." The virtues of this water, the aqua vegeto-mineralis of former pharma- copoeias, applied externally, are resolvent, refrigerant, and sedative. PLU'MBI S UBCARBO'N A S. Car- bonas plumbi. Subcarbonate of lead, com- monly called cerusse, or white lead. This article is made in the large way in white lead irianufactodes, by exposing thin sheets of lead to the vapour of vinegar. The lead is curled up and put into pots of earthen- ware, in which the vinegar is, in such a way as to rest just above the vinegar. Hundreds of these are arranged together and sur- rounded with dung, the heat from which vo- latilizes the acetic acid, which is decomposed by the lead, and an imperfect carbonate of lead is formed, which is of a white colour. This preparation is seldom used in medicine or surgery but for the purpose of making other preparations, as the superacetate. It is sometimes employed medicinally in form of powder and ointment, to children whose skin is fretted. It should, however, be cau- tiously used, as there is great reason to be- lieve that complaints of the bowels of chil- dren originate from its absorption. See Pul- vis cerussce compositus. PLU'MBI SUPER AC ETAS. Ce- Tussa acetata. Formerly called saccliarmn Batumi, or sugar of lead, from its sweet taste. It possesses sedative and astringent qualities in a very high degree, and is per- . haps the most powerful internal medicine in profuse hsemorrhages, especially combined with opium ; but its use is not entirely with- out hazard, as it has sometimes produced violent colic and palsy ; whei-efore it is better not to continue it unnecessarily. The dose may be from one to three grains. It has been also recommended to check the expectoration, and colliquative discharges in phthisis, but will probably be only of tempo- rary service. Externally it is often used for the same purposes as the liquor plumbi sub- PLU'MBUM. See Lead. Plu'mbum ca'ndidum. See Tin. Plum'btjm cine'keum. Bismuth. Plu'mbum hi'grum. Black lead. Plu'mbum ku'beum. The philosopher':! stone. Plu'mbum u'stum. Burnt lead. Plumme'ri pi'lul^. Pluramer's pills. A composition of calomel, antimony, guaiacum and balsam of copaiba. See PllulcE hydrar- gyri submuriatis composites. Plums. Three sorts of plums are ranked amongst the articles of the materia medica ; they are all met with in the gardens of this country, but the shops are supplied with them moderately dried from abroad. 1. The pruna brignolensia ; the Brignole plum, or pruneiloe, brought from Brignole in Pro- vence ; it is of a reddish yellow colour, and has a very grateful, sweet, subacid taste. 2. The prima Gnllica ; the common or French prune. 3. The pruna damascma, or damson. All these fruits possess the same general qualities with the other sum- mer fruits. The prunelloes, in which the sweetness has a greater mixture of acidity than in the other sorts, are used as mild re- frigerants in fevers and other hot indisposi- tions. The FrencSi prunes and damsons are the most emollient and laxative ; they are often taken by themselves to gently move the belly, where there is a tendency to in- flammations. Decoctions of them afford a useful basis for laxative or purgative mix- tures, and the pulp in substance for elec- tuaries. Plunket's cancer remedy. " Take crows' foot, which grows in low grounds, one handful ; dog's fennel, three sprigs ; both well pounded ; crude brimstone in powder, three middling thimbles-full ; white arsenic the same quantity ; incorpoi;ated all in a mortar, and made into small balls the size of a nutmeg, and dried in the sun. These balls must be powdered and mixed with the yolk of an egg, and laid over the sore oi' cancer upon a piece of pig's badder, or strip- ping of a calf when dropped, which must be cut to the siee of the sore, and smeared with the yolk of an egg. This must be ap- plied cautiously to the lips or nose lest any part of it get down ; nor is it to be laid on too broad on the face, or too near the heart, nor to exceed the breadth of half a <;rown ; but elsewhere as far as the sore goes. The plaster must not be stirred until it drops off of itself, which will be in a week. Clean bandages are often to be put on. PNEUMATIC APPARATUS. The dis- covery of aeriform fluids has, in modern chemistry, occasioned the necessity of some peculiar instruments, by means of which those substances may, in distillations, solu- tions, or other operations, be caught, col- lected, and properly managed. The proper instruments for this are styled the pneumatic apparatus. Any kind of air is specifically lighter than any liquid ; and, therefore, if not decomposed by it, rises through it in PNE PNE ■703 bubbles. Oa this principle rests the essen- tial part of the apparatus, adapted to such operations. Its principal part is the pneu- matic trough, which is a kind of reservoir for the liquid, through which the gas is con- veyed and caused to rise, and is filled either with water or with quicksilver. Some inches below its brim, a horizontal shelf is fastened, in dimension about half or the third part of the trough, and in the water- trough this is provided on its foremost edge with a row of holes, into which, from under- neath, short-necked funnels are fixed. The trough is filled with water sufficient to co- ver the shelf, to support the receivers, which being previously filled with water are placed invertedly, their open end turned down upon the above-mentioned holes, through which afterwards the gases, conveyed there and directed by means of the funnels, rise in the form of air-bubles. In some cases the trough must be filled ■with quicksilver, because water absorbs or decomposes some kinds of air. The price and specific gravity of that metal make it necessary to give to the quicksilver-trough smaller dimensions. It is either cut in marble, or made of wood well joined. The late Karsten has contrived an apparatus, which, to the advantage of saving room, adds that of great conveniency. To disengage gases, retorts of glass, either common or tubulated, are employed, and placed in a sand-bath, or heated by a lamp. Earthen, or coated glass retorts, are put in the naked fire. If necessary, they are joined with a metallic or giass-convey- ing pipe. When, besides the aeriform, other fluids are to be collected, the middle or intermediate bottle finds its use ; and to prevent, after cooling, the rising of the wa- ter from the trough into the disengaging vessels, the tube of safety is employed. For the extrication of gases taking place in so- lutions, for which no external heat is re- quired, the bottle called disengaging bottle, or proof, may be used. For receivers, to collect the disengaged airs, various cylinders of glass are used, whether graduated or not, either closed at one end, or open at both ; and in this last case, they are made air- tight by a stopper fitted by grinding. Be- sides these, glass bells and common bottles are employed. To combine with water, in a commodious way, some gases that are only gradually and slowly absorbed by it, the glass apparatus of Parker is serviceable. Pneumatoce'le. (From srvsy^a, wind, and xTiXfi, a tumour.) Any species of hernia, that is distended with fiatus. Pneumato'mphalus. (From ^vsu^a, wind, and ofttiaXii;, the navel.) A flatulent, umbi- lical hernia, PNEUMATOSIS. (From ^viv/iuron,, to inflate.) Emphysema. Windy swell- ing. A genus of disease iu, the class> C'a- diexiof, and order, IntumeseenlicKj of Cul- len, known by a collection of air in the cel- lular texture under the skin, rendering it tense, elastic, and crepitating. The species of pneumatosis are : 1. Pnetimatods spontanea, without Rny manifest cause. 2. Pneumaions traumatica, from a wound. 3. Pneumatoiis venenata, from poisons. 4. Pneumatosis hysterica, with hysteria. PNEUMO'NIA. (From wvsw^av, a lung.) Pneurnoniiis. Peripneumonia. Pe- ripneumonia vera. Inflammation of the lungs. A genus of disease in the class Py- rexia, and order Phlegmasia, of Cullen ; characterised by pyrexia, difficult respi- ration, cough, and a sense of weight and pain in the thorax. The species of pneu- monia, according to the above nosologist, are, 1. Peripneumonia. The pulse not al- ways hard, but sometimes soft : an obtuse pain in the breast: the respiration always difficult ; sometimes the patient cannot breathe, unless in an upright posture ; the face swelled, and of a livid colour ; the cough for the most part with expectoration, fre- quently bloody. 2. Pleuritis. The pulse hard ; a pun- gent pain in one side, aggravated during the time of inspiration ; an uneasiness when lying on one side ; a very painful cough, dry in the beginning of tire disease, after- wards with expectoration, and frequently bloody. See Pleuritis. With respect to pneumonia, the most ge- neral cause of this inflammation, is the ap- plication of cold to the body, which gives a check to the perspiration, and determines a great flow of blood to the lungs. It attacks principally those of a robust constitution and plethoric habit, and occurs most fre- quently in the winter season and spring of the year ; but it may arise in either of the other seasons, when there are sudden vicis- situdes from heat to cold. Other causes, such as violent exertions in singing, speaking, or playing on wind in- struments, by producing an increased action of the lungs, have been known to occasion peripneumony. Those who have laboured under a former attack of this complaint, are much predisposed to returns of it. The true peripneumony comes on with an obtuse pain in the chest or side, great difficulty of breathing, (particularly in a recumbent position, or when lying on the side affected,) together with a cough, dry- ness of the skin, heat, anxiety, and thirst. At the first commencement of the disease the pulse is usually full, strong, hard, and frequent ; but in a more advanced stage it is commonly weak, soft, and often irregular. In the beginning, the cough is frequently dry and without expectoration ; but in some cases it is moist even from the first, 704 TNE and the matter spit up is various both in colour and consistence, and is often strealied with blood. If relief is not afforded in time, and the inflammation proceeds with such violence as to endanger suffocation, the vessels of the neck will become turgid and swelled ; the face will alter to a purple colour ; an effusion of blood will take place into the cellular substance of the lungs, so as to im- pede the circulation through that organ, and the patient will soon be deprived of life If these violent symptoms do not arise, and the proper means for carrying off the inflammation have either been neglected, or have proved ineffectual, although adopted at an early period of the disease, a suppu- ration may ensue, which event is to be known by frequent slight shiverings, and an abatement of the pain and sense of fullness in the part, and by the patient being able to lie on the side which was affected, without experiencing great uneasiness. When peripneumony proves fatal, it is generally by an effusion of blood taking place into the cellular texture of the lungs, so as to occasion suffocation, which usually happens between the third and seventh day ; but it may likewise prove fatal, by termina- ting either in suppuration or gangrene. When it goes off by resolution; some very evident evacuation always attends it ; such as a great flow of urine, with a copi- ous sediment, diarrhoea, a sweat diffused over the whole body, or a haemorrhage from the nose ; but the evacuation which most frequently terminates the complaint, and which does it with the greatest effect, is a free and copious expectoration of thick white or yellow matter, slightly streaked with blood, and by this the disease is car- ried off generally in the course of ten or twelve days. Our opinion as to the event, is to be drawn from the symptoms which are pre- sent. A high degree of fever, attended with delirium, great difiiculty of breathing, acute pain, and dry cough, denote great danger ; on the contrary, an abatement of the febrile symptoms, and of the difficulty of breathing, and pain taking place on the coming on of a free expectoration, or the happening of any other critical evacuation, promises fair for the recovery of the patient. A termination of the inflammation in sup- puration, is always to be considered as dan- gerous. On dissection, the lungs usually appear inflamed, and there is often found an ex- travasation, either of blood, or of coagulable lymph, in their cellular substance. The same appearances likewise present them- selves in the cavity of the thorax and within the pericardium. The pleura, con- nected with the lungs, is also in an inflamed state, having its surface every where crowded PiSE with red vessels. Besides these, ablcesses are frequently found in the substance of the lungs, as likewise tubercles and adhe- sions to the ribs are formed. A quantity of j)urulent matter is often discovered also in the bronchia. In the early period of this disease we may hope, by active measures, to bring about immediate resolution j but when it is more advanced we must look for a discharge by expectoration, as the means of restoring the part to a healthy state. We should begin by large and free bleeding, not deterred by the obscure pulse sometimes found in peripneumony, carry- ing this evacuation to faintness, or to the manifest relief of the breathing. In the subsequent use of this measure, we must be guided by the violence of the disease on the one hand, and the strength of the patient on the other; the scrophulous, in particular, cannot bear it to any extent; and it is more especially in the early part of the complaint that it produces a full and decisive effect. Under doubtful circum- stances it will be better to take blood locally, particularly when there are pleuritic symptoms ; with which blisters may co- operate. The bowels must be well eva- cuated in the first instance, and subsequently kept regular: and antimonials may be given with great advantage, combined oftea with mercurials, to promote the discharges, especially from the skin and lungs. Digi- talis is proper also, as lessening the activity of the circulation. The antiphlogistic regi- men is to be observed, except that the patient will not bear too free exposure to cold. To quret the cough demulcents may be of some use, or csioling sialagogues : but where the urgency of \he symptoms is less- ened by copious depletion, opiates are more to be relied upon ; a little sirup of poppy, for instance, swallowed slowly from time to time ; or a full dose of opium may be given at night to procure sleep, joined with calomel and antimony, that it may not heat the system, but, on the con- trary, assist them in promoting the secre- tions. Inhaling steam will occasionally assist in bringing about expectoration : or, where there is a wheezing respiration, squill in nauseating, or sometimes even emetic, doses may relieve the patient from the viscid matter collected in the air passages. When the expectoration is copious in the decline of the complaint, tonic medicines, particularly myrrh, with a more nutritious diet, become necessary to support the strength : and the same means will be pro- per, if it should go on to suppuration. Where adhesions have occurred, or other organic change, though the symptoms msy appear trifling, much caution is required to prevent the patient falling into Phthisis; on which subject, see the management of that disease : and should serous effusion happen, see Hydrothorax. POI fOL T05 PsecMopleuri'tis. (From -ustvp^cov, the lungs, and wXiupins, an infiammation of the pleura.) An inflammation of the lungs and pleura. Pniga'lium. (From -ssriiiyiu, to sufTocate. The nig-ht-mare. A disorder in which the patient appears to be suffocated. Pnix. (From zs^nyui, to suffocate.) An hysterical sense of suffocation. PODAGRA. (From -srcvi, the foot, and «!pa, a taking, or seizure.) Fcbris ■podagrica. jlrtkrilis. Dolor podagricns. The gout.' A genus of disease in the Class Pyrexicc, and Order Phlegmasics, of Cullen ; known by pyrexia, pain in the joints, chiefly of the great toe, or at any rate of the hands and feet, returning at intervals : previous to the attack, the functions of the stomach are commonly disturbed. The species are, 1. Podagra regularis. Arthrilis podagra. Jirthritis rachialgica. Jlrthrilis JEstiva, of Sauvages. The regular gout. 2. Podagra atonica. Ar-lhrilis mdancko- lica, hitmalis, chlorotica, and asihmalica, of Sauvages. The atonic gout. Podagra retrograda. The retrocedent gout. 4. Podagra aberrans. Misplaced or wan- dering gout. See Jirthritis. Pod agra'ria. (From prodagra, the gout ; so called, because it was thought to expel the gout.) Gout-weed. A species of sego- podium. PoDONt'pTRUM. (From iraus, a foot, and ■m-rjea, to wash or bathe.) A bath for the feet. Podophy'llubi. (From ct-ous, a foot, and fvXXov, a leaf; so named from its shape.) A species of welf 's-bane. Podothe'ca. (From -zsrov;, a foot, and Tthi^h to put.) A shoe, or stocking. An anatomical pi-eparation, consisting of a kind of shoe of the scarf-kin, with the nails adhe- ring to it, taken from a dead subject. Poison, venerium. That substance which when applied externally, or taken into the human body, uniformly efiects such a derangement in the animal economy as to produce disease, may be defined a poison. It is extremely difficult, however, to give a definition of a poison ; and the above is subject to great inaccuracy. Poisons are divided, with respect to the kingdom to which they belong, into animal, vegetable, mineral, and halituous, or aerial. Poisons, in general, are only deleterious in certain doses; for the most active, in small doses, form the most valuable medi- cines. There are, nevertheless, certain poisons, which are really such in the smallest quantity, and which are never administered medicinally ; as the poison of hydrophobia, or the plague. There are likewise sub- stances which are innocent when taken into the stomach, but which prove dele- terious when taken into the lungs, or when applied to an abraded surface ; thus car-* bonic acid is continually swallowed with fer-- mented liquors, and thus the poison of the viper may be taken with impunity ; whilst inspiring carbonic acid kills, and the poison of the viper inserted into the flesh, often proves fatal. Several substances also afct as poisons when applied either externally or internally, as arsenic. When a substance produces disejiae, not only in mankind, but in all animals, it is dis- tinguished by the term common poison, as ar- senic, sublimate, fcc. v/hilst that which is poisonous to man only, or to animalsj and often to one genus merely, is said to be a relative poison ; thus aloes are poisonous to dogs and wolves ; the phellandrium aqua- ticum kills horses, whilst oxen devour it greedily, and with impunity. It appears, then, that substances act as poiscmous only in regard to their dose, the part of the body they are applied to, and the subject. Poisons enter the body in the following- ways : 1. Through the oesophagus alone, or with the food. 2. Through the anus by clysters. 3. Through the nostrils. 4. Through the Inngs with the air. 5. Through the absorbents of the skin, either whole, ulcerated, cut, or torn. Poison oak. See Rhus loxicodendfdtt. Polemo'nium. (From, Polemon, its in- ventor.) Wild sage. Poley mountain. See Teucrium. Po'lium. (From, srsXios, white ; so called from its white capillamenfs.) Poley. Teu- crium of Linnajus ; of which botanists enu- merate several species. Po'lium cke'ticum. See Teucrium cre- ticum. Po'lium monta'num. See Teucrium ca- pilatum. / Po'llex. The thumb, or great toe. Polychre'stus. (From -ziriiXui, much, and XP''^?'"!) useful.) Having many virtues, or uses. Applied to many medicines from their extensive usefulness. POLYDITSIA. (From ziriXv;, much, and ^'f>-ti, thirst. Excessive thirst. A genus of disease in the Class Locales, and Order Dyso- rexicc, of Cullen. It is mostly symptomatic of fever, dropsy, excessive discharges, or poisons. POLY'GALA. (From ■zzoXv;, much, and yoiXa, milk ; so named from the abundance of its milky juice.) 1. The name of a genus of plants in the Linnffian system. Class, Diadelphia. Or- der, Odandria. 2. The pharmacopoeial name of the Com- mon milk-wort. Poly'gala ama'ra. This is a remark- ably bitter plant, and though not used in this country, promises to be as efficacious as those in greater repute. It has been given S9 POL roL neeU" iti pbihisis piilmoadfe, and, Hke other remedies, failed in proflncsn? a cure : TCt; as a palliative; it claiiES attention. Its Virtues are balsaniic, deaiulcentj and cor- roborant. FoLTGAtA SE 5EGA. The svstematic Eair.e of the rattlesnake milk- ; : : 5 : .ika. Folygala; Jioribus imbtrklb . . cjule trtcto herbzcio simpUcisdrio, :_, ■. - . > lan- ceolalis, of LLanceus. The root of tiiis plant was fortnerlv much esteemed as a specinc against the poison of the rattlesnake, aod as an antiphlogistic ia pleurisy, pneumonia, Sec. but it is now very much laid aside. Its dose is from ten to twenty grains : but when employed, it is generally used in the form of decoction, which, when prepared ac- cording to tlie formula of Edinburgh Fhar- ns^copoeia, maj be girea every second or third hour. Poly gala vrLGA sis. The systematic name of the common milk-wort. The root of this plant, Polyzala tulgaris, of Lin- njeus. is somewhat similar in taste to that o.f the seneka, but. much weaker. The leaves are very bitter, and a handful of them, infu- sed ia wine, is said to be a safe and gentle purge. a PoLTGOSATCs. (From »«;.«?; many, and ^45:/, a joint ] so named from its numerous joints or knots.) Sigillum Solomonis. Solo- mons seal. The Convallaria polygonulum, of Linnaeus. POLT G0M7M. (From inX:/:, many, and ^«!i:/, a joint; so named from its numerous joints.) " The name of a genus of plants ia the Linnffian system. Class, Octandria. Or- der, Trigyiiia. Knot-giass. PoLT GostrM AVicuLA RE. The system- atic name cf the knot-grciss. C&n'umnodia. This plant is njver used ia this country ; it is said to be useful in stopping hsmorrhagesj diarrhcEaa, he. ; but little credit is to be gi- ven to this account. ^dLT Gosrii BACCi'FEKCii. A specics of equisetum, or horse-iail. , Poi-Y GOSPM EISTORTA. The STStCm- afic name of the officinal bistort. Bidorla. Fali/goitum ; cault simjilicisiimo moaodachio, foliis oralis in peiiolum decunreniibm, of Linnsus. This plant is a native of Britain. Every part manifests a degree of stypticity TO the taste, and the root is esteemed to be one of the most powerful of the vegetable astringents, and freqtieatly made use of^as such, la disorders proceeding from a lasity and debility of the solids, for restraipibg alvine fluxes, after due evacuations, and other preternatural discharges both serous and sanguineous. It has beea sometimes siven in intermiiting fevers : and some- times also, in small doses, as a corroborant and antiseptic, in acute malignant and colliquative fevers ; in which iatenti-ous Peruvian bark has novv deservedly super- seded both these and all other adstringents. The common dose of bistort root in sob- stance, is bUeen or twenty graias ; m urgent cases it is extended to a drachm. Its astrin- gent matter is totally dissolved both by water and rectiaed spirits. Poly GosrM DiVARiCATnii, the system- atic name of tlie eastern back wheat plajit. The roots, reduced to a coeirse meal, are the ordinary food of the Siberians. Poly Gosoi FAGoPi rcm. The system- atic name of the buck wheat. The grain of this plant constitutes the principal food of the, inhabitants of Russia, Germany, and Svritzerland. Poly Gosrjt hydro pipkk. The system- atic name of tiie poor man's pepper. Hy- dropiptr. Biting arsmart. Lake-weed. Yv"ater-pepper. This plant is very common iu our ditches ; the leaves have an acrid burning taste, and seem to be nearly of the same nature with those of the arum. They h.ave been recommended as possessing anti- septic, aperient, diuretic virtues, and given iu scurvies and'^cachesies, asthmas, hypo- condriacal and ne^iritic complaints, and wandering gout. Tne fresh leaves Lave been applied externally, as a stimulating cataplasm. Poly GoxuM latifo'licm. Common knot- grass. Polt'gostm mas. Common ktiot-grass. PoLT'Gosrji MI xcs. Ruptute-wort. Poly-'goncm persica ria. The system- atic name of the Ptrskaria of the old phar- macopceias. Pcrsicaria mitU. Plumbago. Arsraart. This plant. Polygonum perskana, of Linnseus, is said to possess vnloerary suid antiseptic propendes ; with which iotcntions it is givea in wine to restrain the progress of gangrene. PoLT G05CM SELESOi Di:s. Parsley break- stone. POLYPODIUM. (From -a-^/.is, many, and -Till;, a foot ; so called because it has many roots.) The name of a genus of plants ia the Lionteau system. Class, C rypiogamia. Order, FUlces. Fern, or polypody. Poly PODicM aculea iry. Filix acur leaia. Spear-pointed fern. PoLTPO DiLM FiLix MAS. Aspidium filix mas, of Dr. Smith. Pltris. Blatxcnon Oribasii. Lsnchilis. Male polypody, or fern. Polypodium jUix mas, of Linaaeus. The root of this plant has lately been greatly celebrated for its effects upon the tcznia oiculis iuperficialibiis, or broad tape-worm. Madame ZSoufer acquired great celebrity by employing it els a specific. This secret was thought of such importance by some of the principal physicians at Paris, who were deputed to make a complete trial of its ^cacy, that it was purchased by the French king, and afterwards publisBed by his order. The method of cure is the lol- loping : — Al'ter the patient has been pre- pared by an emollient clyster, and a sup- per of paiia.d2> with butter and salt, he is directed to take ia the momiDg; while in VOL bed, a dose of two or three drachms of the powdered root of the male fern. The pow- der ruust be washed down with a draught of water, and, two hours after, a strong cathartic, composed of calomel and scam- inony, is to be given, proportioned to the strength of the patient. If this does not operate in due time, it is to be followed by a dose of purging salts, and if the worm be not expelled in a few hours, this process is to be repeated at proper intervals. Of the success of this, or a similar mode of treat- ment, in cases of taenia, there can be no doubt, as many proofs in this country afford sufiBcient testimony ; but whether the fern root or the strong cathartic is the principal agent in the destruction of the worm, may admit of a question ; and the latter opinion, Dr. Woodville believes, is the more gene- rally adopted by physicians. It appears, however, from some experiments made in Germany, that the taenia has, in several in- stances, been expelled by the repeated ex- hibition of the root, without the cissistance of any purgative. POLYPUS. (From wa/.uj, many, and zmv;. a foot, from its sending ofl' many rami- fications, like legs.) 1. The name of a genus of zoophytes. 2. In CuUen's Nosology, a synonym with sarcoma. A kind of tumour, which is gene- rally narrow where it originates, and then becomes wider, somewhat like a pear ; which most common!}' is met with in the nose, ute- rus, or vagina ; and which received its name from an erroneous idea, that it usually had several roots, or feet, like polypi, or zoo- phytes. Polypi vary from each other according to the different causes that produce them, and the alterations that happen in them. Sometimes a polypus of the nose is owing to a swelling of the pituitary membrane, ■which swelling may possess a greater or less space of the me.mbrane, as aiso its cellular substance, and may affect either one or both nostrils. At other times, it arises from an ulcer produced by a caries of some of the bones which form the internal surface of the nostrils. Polypuses are sometimes so soft, that upon the least touch they are lace- rated and bleed ; at other times they are very compact, and even scirrhous. Some continue small a great while ; others in- crease so fast, as, in a short time, to push out at the nostrils, or extend backwards towards the throat, te Dran mentions, that he has known them fill up the space behind the uvula, and, turning towards the mouth, have protruded the tieshy arch of the palate so far forwards as to make it parallel with the third denies violares. There are others, which, though at first free from any malignant disposition, become afterwards carcinomatous, and even highly cancerous. Of whatever nature the poly- pus is, it intercepts the passage of the air POM 707 tlirongh the nostril, and, when large, forces the septum nariian into the other nostril, so that the patient is unable to breathe, unless through the m.outh. A large polypus press- ing in like manner upon the spongy bones, grsdually forces them down upon the maxil- lary bones, and thus compresses and stops up the orifice of the ductus lachrymalis ; cor is it impossible for the sides of the cannlis na- salis to be pressed together. In which case the tears, having no passage through the nose, the eye is kept constantly watering, and the sacchus lachrymalis; not being able to dis- cljarge its contents, is sometimes so much dilated as to form what is called a Q.d.X fistula. The above writer has seen instances of poly- puses so much enlarged as to force down the ossa palati. The polypus of the uterus is of three kinds, in respect to situation. It either grows from the fundus, the inside of the.cer'.ix, or from the lower edge of the os uteri. The first case is the most frequent, tlie last the most uncommon. Polypi of the uterus are always shaped like a pear, and have a thin pedicle. They are almost invariably of that species which is denominated fleshy, hardly ever being schirrousy cancerous or ul- cerated. The coagulated substance which is found in the cavities of the heart of those who are some time in arliculo mortis, is improperly called a poh"pus. P0LYSA"'RCIA. (From ^-j/.r;?, much, and (rap|, flesh.) t Pdlysomalia. Obstitas. Corpukniia. Steatites, cf Vogel. Trouble some corpulency, or fatness. A genus of disease in the Class Cachexiae, and Order IntumescenticE, of Cullen. Polysoma'tia. (From ■sroKv;, much, and ff!f/.ie., a body.) See Fclysarcia. Polispa'5tu5I. (From -aoXv;, much, and Gvaui, to draw.) A forcible instrument for reducing luxations. P L Y T R r C H U M. . (From tsraXt/r, many, and 6p;?, hair ; so called from its re- semblance to a woman's hair, or because, in ancient times, women used to dye the hair with it, to keep it from shedding.) Poly- tricon. 1. The name of a genus of plants in the Linnaean system. Class, Cryplogmma. Or- der, J^liisci. 2. The pharmacopceial name of the goldeij maidenhair. PoLYTRt'cHCM commu'ne. The system- atic name of the golden maidenhair. Mian- thuni cpj.revm. It possesses, in an inferior degree, astringent virtues ; and was formerly given in diseases of the lungs and calculous complaints. Polyu'rica iscHr'KiA. (From tta'kv;, much and aupv, urine.) Ischury, from long re'tention of urine. Poma'ceum. (From pomum, an apple.) Cider, or the fermented juice of apple, Pcmezranaie. See Punica granaium. 108 POP FOR Pompkoltgo'des. (From ■sc/i.pXvl, a bubble, and uoos, resemblance.) Urine, with bubbles on the surface. Po'mpholyx. (From Tuofji^o;. a bladder.) 1. A bubble. 2. The whitish powder, or oxjde of zinc, which adheres to the covers of the crucibles in making- brass, in the form of small bub- bles. Po'mphos. (From ■jB-s^ipw, to put forth.) A bladder, or watery pustule. 1*0' MUM. An apple. See Pyrus malm. PO'MUM ADA'MI. (Pomum, an apple ; so called in consequence of a whimsical sup- position that part of the forbidden apple •which Adam eat, stuck in the throat, and thus became the cause.) The protuberance in the anterior part of the neck, formed by .7), a tumour.) A hard tumour of the testicle. PoRo'siPHALtTM. (From -auooi, a callus, and tfiipa/.o;, the navel.) A hard tumour of the navel. PORRI'GO. {A porrigendo, from its spreading abroad.) A disease very common among children, in which the skin of the hairy part of the head becomes dry and callous, and comes off like bran upon comb- ing the head. PO'RRUM. Porret, or common leek. See Allium porrum. PO'RTA. {A portando, because through it the blood is can-ied to the liver.) That part of the liver where its vessels enter. Po'rt.5: ve'na. See Vena porta. PoRTAiGuiLLE. The acutcuaculum. PO RTIO DU'RA. (One branch of the seventh pair of nerves is called portio /iura, the hard portion, either from its being more firm than the other, or because it runs into the hard part of the skull ; and -trie' tjrher the portio mollis, or soft por- tion.) Facial nerve. This nerve arises near the pons, from the crus of the brain, enters the petrous portion of the temporal bone, gives off a branch into the tj^mpa- num, which is called the chorda tympani, and then proceeds to form the pes amerinus on the face, from whence the integuments of the face are supplied with nerves. See Facial nerre. PORTIO MO'LLIS. Auditory nerve. This nerve arises from the medulla oblon- gata and fourth ventricle of the brain, en- ters the petrous portion of the temporal bone, and is distributed on the internal ear, by innumerable branches, not only to the cochlea, but also to the membrane lining the vestibulum and semicircular canals, and is the immediate organ of hear- ing. Portland powder. A celebrated gout remed}^ It consists of various bitters; prin- cipally of hoarhound, birthwort, the ^tops and leaves of germander, ground-pine, and centaury, dried, powdered, and sifted. It is now fallen into disuse. Portora'rium. (From porta, a door; because it is, as it were, the door or en- trance of the intestines.) The right orifice of the stomach. P O R T U L A'C A. (From porlo, to pot POT 709 'cany, ana lac, milk ; because it increases the animal milk.) 1. The name of a genus of plants in the Linnaean system. Class, Dode- candria. Order, Digynia. •2. The pharmacopceial name of the pur- slane. £ndrachnt. Allium gallicum. The plant which is so called in dietetical and me- dical writings, is the Portulaca oleracea, of Linnaeus ; it abounds with a watery and some- what acid juice, and is often put into soups, or pickled with spices. It is said to be anti- septic and aperient. Portulaca oleracea. The systematic name of the eatable purslane. See Portu- laca. PO'KUS. A pore, or duct. Po'scA. Vinegar and water mixed. Posse'tum. Posset. Milk curdled with wine, treacle, or any acid. Post brachia'le. (From post, after, and brachium, the arm.) The metacarpus. POSTERIOR AiNNULA'RIS. (Musculus posterior annularis.) An external interosseal muscle of the hand, that extends and draws the ring-finger inwards. POSTE'RIOR AU'RIS. See retrahenfes auris. P O S T E'R 1 R FN D I C I S. (Muscu- lus posterior indicis.) An internal interos- seal muscle of the hand, that extends the fore finger obliquely, and draws it out- wards. . ♦ POSTE'RIOR MED 1 1. An exter- nal interosseal muscle of the hand, that extends the middle finger, and draws it out- wards. P O T A M O G E IT O N. (From -zroTcc- fio;, a river, and ynTcav, adjacent ; so named because it grows about rivers.) The name of a genus of plants in the Linnaean system. Class, Teirandria. Order, Tetra- gynia. Potash, acetate of. See Poiassce acelas. Potash, carbonate of. See Potasscz carbo- nas. Potash, fused. See Potassa fusa. Potash, solution of. See Potasses liquor. Potash, subcarbonate of. See Potasses subcarbonas. Potash, subcarbo7iate of, solution of. See PotasscB subcarbonatis liquor. Potash, sulphate of. See Polassm sulphas. Potash, sulphuret of. See Potasses sulphu- retum. Potash, super-sulphate of. See Potasses su- per-sidphas. Potash, super-tarlrate of. See Tartarum. Potash, tartrate of. See Potasses, tartras. Potash, with lime. See Potassa cum cake. Potash. See Potassa. POTA'SSA. (So called from the pots, or vessels, in which it was first made.) Potash. Kali. Vegetable alkali. This alkali may be obtained from several substances. 1. By evaporating the lixivium of the ashes of wood and other parts of plants. This is calcined, and so disengaged from all the blackening principles, when it is com- monly termed Pearlash ; and in the phar- macopoeia Potassa iiHpura. The ashes are more or less rich in alkali, according to the nature of the wood which affords them. In general, hard woods con- tain the most. The ashes of beech afford from II to 131b. per quintal, according to the experiments which have been made, in the large way ; those of box afforded from 12 to 141b. Wormwood affords a good quantity. To extract this alkali, nothing more is ne- cessary than to wash the ashes, and to con- centrate the solution in boilers of cast iron. It is on account of the alkali that wood-ashes are employed in the lixiTiums used by laun- dresses, or bleachers. The use of alkali, in this case, is to combine with the fat substances, and to render them soluble in water. Almost all the potash sold in commerce for the use of our glass-houses, our soap- makers, our bleaching-grounds, &c. is fabri- cated in the north, where the abundance of wood admits of its being applied to this sin- gle purpose. 2. The lees of wine are almost totally converted into this alkali by combustion. This salt is called cendres gravelees ; it has almost always a greenish colour, and is con- sidered as very pure. 3. The combustion of tartar of wine likewise affords an alkali of considerable purity. It is usually burned wi'apped up in paper, in small packets, which are dipped in water, and afterwards exposed upon burning coals. In order to purify it, the residue of the combustion is dissolved in water, the solution concentrated by fire, the foreign salts separated in propor- tion as they precipitate, and a very pure alkali is at last obtained, which is known by the name of salt of tartar. To procure salt of tartar more speedily, as well as more economically, a mixture of equal parts of nitrate of potash, or comniou nitre, and tartar, may be burned The residue, after lixiviation, affords a beautiful salt of tartar. Salt of tartar is the form of this alkali most commonly employed for medical uses. 4. If saltpetre be fused upon charcoal, the nitric acid is decomposed and dissipated, while the alkali remains behind j this is call- ed extemporaneous alkali. When the salt has been brought to a con- siderable degree of purity, it attracts the humidity of the air, and is resolved into a liquor. In this state it is known by the very improper name of Oil of tartar per de- liquium. From all these salts, which are impure and imperfect carbonates of potash, the pure al- kali may be extracted. Methods of obtaining pure Potash. — It has Ion? been a desideratum with chemists to (10 POT 2'OT possess a method of preparing potash in a state of absolute purity ; the strong- tendency which it has to combination, renders this ex- tremely difficult. The following- are the me- thods now siiade use of. 1. Bouillon la Grange's apparatus consists of several boxes of common deal. At the bottom put river-sand, which must be wel5 washed, and over it add another stratum, but of a finer kind, and cover the whole with a cloth, besprinkled with wood-ashes. In the bottom of each box a hole is made, into which is fitted a glass tube, for the purpose of aiFording- a passage to the liquor as it fil- lers through the sand. *■ Having arranged the apparatus in this manner, take equal parts of quick !ime and potash of commerce, if the lime is very caustic ; but in the contrary case, it re- <}uires twenty parts of lime to fifteen of pot- asli : put water into an iron kettle, bring it Dearly to a state of ebullition, and then add Jjie lime, which, by its slaking, will bring the water to that state completely. When It is slaked, mix the potash, and form of the whole a thick liquid, which must be suf- fered to cool a little. Then pour the mix- ture into the boxes, and immediately throw- water over it ; but, to prevent the water from (making holes, when added, place over the mixture a small board, which will rise with the water. Care must be taken to place earthen pans or other vessels, to receive the liquor which runs through the tabes ; and, that the ley may not absorb Carbonic acid from the at- mosphere, the vessels must be closed with care, in such a manner as to exclude the ex- ternal air. It will be necessary also to keep water always over the siixture, which xnustjje collected till it passes tasteless from the tubes. The liquors obtained are nearly ,of the same degree of strength till towards the end of the process ; when (hey grow weak sud- denly. To evaporate the v/ater, use should be made of cast-iron pots, beginning with the last portions, which are a little weaker ; and to prevent the necessity of keeping the strongest a long time in contact with the air when boiling, a strong ebullition is requi- site. When the fluid is concentrated to a certain degree, any sulphate of potash that may be present will crystallize, and be pre- cipitated. To obtain dry potash, pour the concen- trated liquor into a small basin, and proceed with the evaporation, till a little of it, poured on an iron plate, or a marble slab, becomes solid. Then put the concrete potash into a jar, and pour over it very strong alcohol ; the potash alone dissolves in it; the sulphate and muriate oi potash, with the portions of earth and even of potash united to carbonic acid, which it obstinately retains, or which it may have acquired from the air duriisj- the evaporation, remain at the bottom of the solution. Afterwards decant the pure liquor, and distil it in a retort till it becomes colourless. It must then be evaporated in a silver basin. On cooling, it crystallizes in white laniinsE, which are sometimes three tenths of an inch in length ; or, instead of suS'eriug it to crystallize, it may' be evapora- ted to dryness. 2 Lovvitz has given another method. According to this chemist, the whole of the operation for obtaining potash of the great- est purity, and without the least colour, consists in this : A lixivium of potash, freed from carbonic acid in the usual mannCr, is evaporated till covered with a thick pellicle. After the cooling, the foreign salt which has crystallized is to be separated; and the evaporation of the lixivium continued in an iron pot. During this second evaporation, the pellicle of foreign salts, particularly of carbonate of potash, ■which continues to be formed, must be carefully taken off with an iron skimmer. When no more pellicle is formed, and the matter ceases to boil up, it is removed from the fire, and suffered to cool, continually stirred with an iron spa- tula. It is then to be dissolved in double the quantity of cold water, and the solution filtered, and evaporated in a glass' retort, till it begins to deposit regular crystals. If the mass should consolidate ever so little bj/ cooling, a small quantity of water is to be added, and it must be heated again to ren- der it fluid. After the formation of a suffi- cient quantity of regular crystals, the fluid, which is very brown, is to be decanted, and the salt, after being suffered to drain, must be re-dissolved in the same quantity of wa- ter. The decanted fluid must be kept in a well-closed bottle, and sufi'ered to become clear by subsiding during several days. It must then be decanted for a second evapo- ration and crystallization. The process must be continued aS long as the crystals afford, with the least possible quantity of water, solutions perfectly limpid. These solutions are to be preserved in well-closed bottles, to defend them from the access of air. The greatest difficulty of this process arises from the facility with which the fluid assumes a solid form. To obviate this in-' convenience, a small portion of it may be concentrated to the point at which it be- comes converted into a solid mass by cool- ing. The saturation of a lixivium consider- ably evaporated, may be ascertained by throwing small pieces of this mass into it during its cooling. When these are no long- er dissolved, it is a proof that it is at the re- quired point. With regard to the foreign salts which are mixed with the potash, the greatest por- tion separates by crystallization, after the first evaporation.' The rest is separated POT POT ni i^uringf the second cor.centration, by the continual skimming of the pellicle. The little which may remain with the potash must precipitate for want of water of solution, in a lixivium, wherein the alkali itself is no longer dissolved but by its own water of crystallization. Remarks. — The property of. alkalis, to dissolve in highly rectified alcohol, with the exclusion of every foreign salt, would af- ford an esceilent means of obtaining potash very pure, if their mutual action did not afford a new source of impurity. For when an alkali, absolutely pure and crystallized, is dissolved in spirit of wine, even without heat, the fluid assumes a very brown colour, which becomes still deeper after being de- canted from the saline mass. The crystallization of potash is very dif- ferent, accordingly as the crystals are formed with cold or heat. In the first case, the crj'stals obtained are octahedra in groups, which contain 0.43 water of crystallization, and excite, by their solution in water, even in the summer, a degree of cold very near the point of aqueous congelation. In the second case, very t'iiin crj^stalline transparent blades of extraordinary magnitude are formed, which, by an assemblage of lines crossing each other in infinite directions, present an aggregate of cells or cavities, most commonly so perfectly closed that the vessel may be inverted without the escape of the smallest drop of lixivium, though sometimes included to the amount of an ounce or two. For this reason, it is necei- fsary to break this fine crystallization that the fluid may run off. The crystals pre- sent, in their regular formation, rectangular tetragonal blades, which, as they contain little water of crystallization, produce a con- siderable degree of heat when dissolved in water. By exposing such alkaline crystals to a i"ed heat, in a silver crucible, they become fused ; and, after cooling, afibrd a mass as white as snow, extremely caustic, and deliquescent. As the crystals and the lixivium, during the length of time required to drain the salt, may frequently become charged with a portion of carbonic acid, it is adviseable, in order to avoid this inconvenience as much as possible, that the lixivium, as soon as it is brought to the requisite point of concentra- tion, should be poured into a narrow-necked bottle, and well closed therein to crystal- lize. After the crystals are formed, the bottle is to be reversed without opening, and kept in a temperature rather warm un- til the crystals are well dried. During the winter, the liquor, after the first crystalliza- tion, continues to crystallize without being submitted to a new evaporation, provided only that it be exposed to a temperature somewhat colder than that whereia the first crystals were formed. Properlks of pure Potash. — Potash, in a crystallised form, consists of soft, quad- rangular, compressed prisms, which are ex- tremely caustic and deliq-..t\5ceiit. It diss- solves all soft animal matters when brought into contact v/ith it. It liquefies by a gentle heat, and rises in fumes at high temper- atures It does not unite in a direct man- ner with phosphorus. It easily combines with sulphur and many of the metallic oiids. It dissolves alumine in the humid way, and even a small quantity of silex ; but it does not act on glucine, or zircon, nor on magnesia, or lime. It contracts nor union with barytes. It absorbs water and carbonic acid rapidly. It fuses into glass with silex, by the aid of fire. It combines with the acids, and forms salts, which in general do not yield their acid unless to ba- rytes. It changes blue vegetable colours green, and possesses all the general pro- perties of alkalis. Decomposilion of Potassa. Fotassa, from its analogy to ammonia, has often been conjectured to be a com- pound body ; but nothing satisfactory had ever been proved. Its decomposition, how- ever, has since been efiected by the labours of Sir Humphry Davy, and the discovery of its constituents will ever be regarded as the most important in chemistry. Sir H. Davy was led to institute experiments, with a view to decompose the fixed alkalis by his previous discovery, that, by the powers of g&lvanism, the principles of bcdi^- 'i^-?re :e; uicitcc;, ac: iuiug cc a certain law, some being attracted to the one galvanic pole, others to the other; and that the strength of these attracting forces are proportional to the energies of the opposite electricities in the galvanic circle, and to the conducting power and the degree of concentration of the substances eubmitted to their action. In his first attempts, he exposed the al- kali, dissolved in water, to the action of the galvanic battery, but the water alone of the solution was decomposed. Fotassa, in fu- sion, was *then placed in the galvanic cir- cuit ; a vivid light, and appearances of the production of combustible matter « ere ob- served ; CD submitting the solid alkali, ren- dered a conductor of electricity ly being very slightly mi listened, to the galvanic action, these appearances were still better marked ; and it was in this way that he succeeded in effecting the complete decomposition. " A small piece of pure potash, which had been exposed a few seconds to the at- mosphere, so as to give conducting power to the surface, was placed upon an insu- lated disc of platina, connected with the negative side of the battery in a state of in- tense activity ; and a platina wire, commu- nicating with the positive side, was brought in contact with the upper surface of the alkali. Under these circumstances a vivid action was observed to take place. The in POT POT potash began to fuse at both its points of electrization. There was a violent efferve- scence at its upper surface ; at the lower, or negative surface, there was no liberation of elastic fiuid ; but small globules, having a high metallic lustre, and being precisely similar in visible characters to quicksilver, appeared; some of which burnt, with an explosion and bright flame, as soon as they were formed, and others remained, and were merely tarnished, and finally covered with a white film, which formed on their surfaces. These globules, numerous experiments soon showed to be the substance I was in search ..'eited into a white and solid mass, which was found to be potassa; oxygen was absorbed, and no- thing emitted which affected the purity of the residual air. From subsequent experi- ments, Sir H. Davy endeavoured to deter- mine the proportions of these elements. From the products of the combustion of the base, compared with the quantity of oxygen absorbed, he inferred, taking the mean of two experiments, that potassa consists of 86.1 of base, and 13.9 of oxygen. From the results of the decomposition of water by the base, the proportions indicated were 84 of base and 16 of oxygen. The mean of these will be very nearly 85 and 1.5. The decomposition of potassa may be effected, without difficulty, with a gal- vanic battery of not very high powers. One of 100 plates, of sis inches square, is suflicieut. An important confirmation of the disco- very is that which has been received from an experiment pei'formed by Gay Lussac and Thenard.* It occurred to these che- mists, that potassa might be decomposed by causing a substance to act on it having a strong attraction for oxygen. They put clean iron filings into a gun-barrel, bent so that the filings in the curvature could be raised to a sufficient heat, by the barrel being placed across a furnace. With one extremity of it a tube is connected contain- ing solid potassa. When the iron filings in the barrel are brought to a white heat, the alkali in the tube which has been pre- viously kept cold by a freezing mixture, is melted by applying heat to it by a port- able furnace ; and it is allowed to run through, by a small aperture, upon the iron fiHngs. It suffers decomposition, the iron attracts its oxygen, and the inflammable base is sublimed to the other end of the tube, which is kept cold, so as to condense it ; a tube of safety, containing a little mercury, being connected with the extremity, to allow of the disengagement of any aerial matter, and at the same time exclude the air. Hy- drogen gas is disengaged during the pro- cess, which appears to be derived from the decomposition of water contained in the alkali, and the result is most successful when the alkali is in the driest state. The base of the alkali is obtained in the form of bril- liant laminae, adhering to the inside of the gun-barrel. There is also found in the cur- vature where the filings were contained, an alloy of it with iron. According to Sir H. Davy, who performed the experiment with suecess, the base thus obtained is rather heavier than that procured by electricity, probably from containing a little iron. To the matter discovered by these re- searches, as the base of potassa, Sir H. Davy has given the name of POTASSIUM ; the termination of this name being that as- signed to metals, and this substance being presumed to be metallic. Potassium, at the temperature of 60® of Fahrenheit, appears in the form of small globules, possessing the metallic lustre and FOT roT -13 opacity, and having the general appearance of quicksilver, so that by the eye it is not easy to distinguish between them. At this temperature, however, it is rather imper- fectly fluid, so that it does not easily recover its globular form. At 70* it is more liquid and mobile ; and at the temperature of 100" is so completely so, that different globules can be easily run into one. At oC it be- comes a soft and malleable solid, which has the lustre of polished silver, and at 32'' it becomes harder and brittle, displaying, when broken, a crystallized texture. Though so fusible, it is not very volatile, bat requires a temperature approaching a red heat to convert it into vapour. It condenses un- changed. It is a perfect conductor of elec- tricity, and is also an excellent conductor of heat. It is lighter than alcohol, or ether. Sir H. Davy found that it did not even sink in naphtha twice distilled, the specific gravity of which was about 770. Its specific gravity, he estimates, compared with that of water, is as 6 to 10, at 62" of Fahrenheit. In its solid form it is rather heavier, but still, when cooled to 40*, it swims in distilled Daphtha. Its chemical relations are not loss singular than its physical properties. It combines with oxygen slowly and without flame, at all temperatures below that of its volatilization ; but, at this tem- perature, combustion of it takes place, the heat is intense, and the light white and vivid. It appears to combine w ith difierent proportions of oxygen, according to circum- stances. Potassium inflames in other gases which can eifford oxygen, as the oxymuriatic acid gas. It is so liable to oxygenation, that it is difficult to preserve it unchanged ; the best method is to keep it in naphtha : for, although it does not sink in that fluid, it is enveloped by a film of it, which protects it from the action of the air. AVhen heated in hydrogen gas, at a degree below its point of vaporization, it diminishes in volume, and the gas explodes with the production of alkaline fumes, when it is allowed to pass into the air, a portion of the potassium appears, therefore, to have been dissolved ; but, by cooling, this is in a great measure deposited, as the gas loses its pro- perty of detonating spontaneously. Potassium, when brought into contact with water, decomposes it with great vio- lence, an explosion is produced, with flame, and potassais formed. Placed on ice, it in- stantly burns with a bright flame, melting the ice. So strong is the action of this sub- stance on water, that it discovers, by the de- composition it produces, the smallest quan- tity of water in other liquids, as in alcohol, or in ether. Potassium, thrown into solu- tions of the mineral acids, inflames and burns on the surface, and the compound of potassa, with the acid employed, is formfcd^ Potassium combines with the primary in- flammables. When brought in contact with phosphorus, under exposure to air, both bodies become fluid, burn, and phosphate of potash is formed. When the experiment is made under naphtha, so as to exclude the air, thev combine, and form a compound leSs fusible than either of its ingredients. It has the lustre of polished lead. When potassium is brought in contact with sulphur in fusion, under the vapour of naph- tha, they combine rapidly with the evolution of heat and light, and a grey substance, in appearance like sulphuret of iron, is formed, a little sulphuretted hydrogen being evolved. When the union is efi'ected in the atmosphere, inflammation takes place. With the metals, pota.isium enters readily into combination. With mercury it pro- duces some singular results. When one part of it is added to eight or ten parts of mercury in volume, *t 60° Fahrenheit, they constantly uuite and form a substance ex- actly like mercury in colour, but which has less coherence ; for small portions of it ap- pear like flattened spheres. When a globule is made to touch a globule about twice as large, they combine with considerable heat ; the compvound is fluid at the temperature of its formation ; but, when cold, it appears as a solid metal, similar in colour to silver. If the quantity of the basis of potassa is still further increased, so as to be about one thirtieth the weight of mercury, the amalgam increases in hardness, and becomes brittle. The solid amalgam, in which the basis is in the smallest proportion, seems to consist of about one part in weight of base, and seren- ty parts of mercury-, and is very soft and malleable. When these compounds are exposed to air, they rapidly absorb oxygen ; potassa, which deliquesces, is formed, and, in a few- minutes, the mercury is found pure and unaltered. When a globule of the amalgam is thrown into water, it rapidly decomposes it, with a hissing noise ; potassa is formed, pure hydrogen is disengaged, and the mer- cury remains free. The fluid amalgam of mercury and po- tassium dissolves all the metals ; and, ia this state of union, mercury acts on platina and iron- When potassium is heated with gold, or silver, or copper, in a close vessel of pure glass, it rapidly acts upon them ; and when the compounds are thrown into water, the fluid is decomposed, potassa formed, and the metals appear to be separated unaltered. It reduces the metallic oxydes when heated with them, and when the potassium is in excess, it combines with the reduced metal. In consequence of this property, it decom- poses flint glass and green glass, reducing the metallic oxydes they contain, formiog potassa, which dissolves the glass. At % red heat, it acts evea on the purest gkiSi SO ^ 11 FOX J'OT attracting' pnvt of the oxygen of the alkali in the glass. The preparations of this alkali that are used in medicine are, 1. I'otassa fusa. 2. Liquor potassae. 3. Potassa cum calce. 4. Subcarbonas potassee. 5. Carbonas potassae. 6. Sulphas potassse. 7. Super-sulphas potassae. 8. Tartras potassae. 9. Acetas potassa;. 10. Citras potassae. 11. Hyperoxymurias potassae. 12. Sulphuretum potassae. Pota'ssa cdm ca'lce. Potash with lime. Calx cum kali puro. Causlicum commune fortius. Lapis infernalis sive septicus. " Take of solution of potash, three pints ; fresh lime, a pound. Boil the solution of potash down to a pint, then add the lime, pre- viously slaked by the addition of water, and mix them together intimately." This is in common use with surgeons, as a caustic, to produce ulcerations, and to open ab- scesses. PoTA ssA impc'ra. See Polossa. Pota'ssa -fu'sa. Fused potash. Kali puTum. Mkali vegetabile fixum causiicum. " Take of solution of potash, a gallon. Evaporate the water in a clean iron pot, over the fire, until, when the ebullition has ceased, the potash remains in a state of fusion ; pour it upon a clean iron plate, in- to pieces of convenient form." This pre- paration of potash is violently caustic, de- .stroying the living animal fibre with great energy. Pota'ssje ace'tas. Acetate of potash. At-etated vegetable alkali. Kali acetatum. Sal diurelicm. Terra foliala tartari. Sal sennerli. " Take of subcarbonate of pot- ash, a pound and a half. Acetic acid, a gallon. Mix them together in a large glass vessel, and having evaporated the solution to half, over the fire, add gradually as much more acetic acid as may be necessary for perfect saturation. Let the solution be further reduced to one half by evapo- ration, and strain itj then by means of at water-bath evaporate it, so that on being Removed from the fire, it shall crys- tallize." The acetate of potash is esteemed as a saline diuretic and deobstruent. It is given in the dose of from gr. x. to 3ss. three times a day in any appropriate vehicle against dropsies, hepatic obstructions and the like. Pota'ssa carbo'nas. Carbonate of pot- ash. This preparation, which has been long known by the iiaine of- Kali 'aSratum, ap- peared in the last London Pharmacopoeia for the first time." It is made thus: — "Take of subcarbonate of potash, made from tartar, a pound ; subcarbonate of ammonia, three ounces ; distilled water, a pint. Haviusf previously dissolved the subcarbonatp of potash in the water, add the subcarbonate of ammonia ; then, by means of a sand- bath, apply a heat of 180° for three hours, or until the ammonia shall be driven off; iastly, set the solution by, to crystallize. The remaining solution may be evaporated in the same manner, that crystals may again form when it is set by." This process was invented by Berthollet. The potash takes the carbonic acid from the ammonia, which is volatile, and passes off in the temperature cmploj-ed. It is, how- ever, very difficult to detach the ammonia entirely. Potash is thus saturated with car- bonic acid, of which it contains double the quantity that the pure subcarbonate of pot- ash does ; it gives out this proportion on the addition of muriatic acid, and may be con- verted i'.ito the subsalt, by heating it a short timeto redness. It is less nauseous to thetaste than the subcarbonate ; it crystallizes, and does not deliquesce. Water, at the common temperature, dissolves one fourth its weight, and at 212", five sixths ; but this latter heat detaches some of the carbonic acid. The carbonate of potash is now generally used for the purpose of imparting carbonic acid to the stomach, by giving a scruple in solution with a table-spoonful of lemon- juice, in the act of effervescing. Pota'ssa li'quok. Solution of potash. jlqua kali puri. Lixivium saponarium. " Take of subcarbonate of potash a pound, lime newly prepared, half a pound. Boil- ing distilled water, a gallon. Dissolve the potash in two pints of the water ; add the remaining water to the lime. Mix the li- quors while they are hot, stir them together, then set the mixture by in a covered vessel ; and after it has cooled, strain the solution through a cotton bag." If any diluted arid dropped into the solution occasion the extrication of bub- bles of gaS; it will be necessary to add more lime, and to strain it again. A pint of this solution ought to weigh sixteen ounces. Pota'ssjE ni'tras. See JVitre. Pota'ssa subcarbo'nas, Subcarbonate of potash, formerly called Kali prceparalum. Sal absinihii. Sal Tartari. Sal planlarum. " Take of impure potash, powdered, three pounds ; boiling water, three pints and a half. Dissolve the potash in water, and filter ; then pour the solution into a clean iron pot, and evaporate the water over a mo- derate fire, until the liquor thickens ; then let the fire be withdrawn, and stir the liquor constantly with an iron rod, until the salt concretes into granular crystals." A purer subcarbonate of potash may be prepared in the same manner from tartar, which must first be burnt, until it becomes ash-coloured. This preparation of potash is in general POT POT ns use to form the eitrate of potash for tliesa- line draughts. A scruple is generally di- rected to be saturated with lemon juice. In this process, the salt which is composed of potash and carbonic acid is decomposed. The citric acid having a greater affinity for the potash than the carbonic, seizes it and forms the citrate of potash, whilst the car- bonic acid flies off in the form of air. The subcarbonate of potash possesses antacid vir- tues, and may be exhibited with advantage in convulsions and other spasms of the Intes- tines arising from acidity, in calculous and gouty complaints, leucorrhoea, scrophula, and aphthous affections. The dose is from ten grains to half a drachm. Pota'ss^ subcaebona'tis li'q,uor. So- lution of subcarbonate of potash, ^^qua kali jiraparati. Lixivium iaiiari. Oleum tarlari per deliquium. " Take of subcarbonate of potash, a pound ; distilled water, twelve fluid ounces. Dissolve the subcarbonate of pot- ash in the water, and then strain the solu- tion through paper." Pota'ssje su'lphas. Formerly called Ka- li viiriolatum. Alkali vegetable vilriolalum. Sal de duobus. Arcanum duplicatum. Sal polychrestus. JVitrum vilriolalum. Tartarum vitriolatum. " Take of the salt which re- mains after the distillation of nitric acid, two pounds ; boiling water, two gallons. Mix them that the salt may be dissolved ; next add as much subcarbonate of potash as may be requisite for the saturation of the acid ; then boil the solution, until a pellicle appears upon the surface, and, after straining, set it by, that crystals may form. Having poured away the water, dry the crystals on bibulous paper." Its, virtues are cathartic, diuretic, and deobstruent ; with which intentions it is administered in a great variety of diseases, as constipation, suppression of the lochia, fevers, icterus, dropsies, milk tumours, &LC. The dose is from one scruple to half an ounce. Pota'ss^ sulphure'tum. Sulphuret of potash. Kali sulphuratum. Hepar sulphuris. Liver of sulphur. " Take of washed sul- phur, an ounce; subcai'bonate of potash, two ounces ; rub them together, and put them in a covered crucible, which- is to be kept on the fire till they unite." In this process the carbonic acid is driven off, and a compound formed of potash and sul- phur. This preparation has been employed in several cutaneous diseases with advantage, both internally and in the form of bath or ointment. It has also been recommended in diabetes. The dose is from five to twenty grains. Pota'ss^ supersu'lphas. Supersulphate of potash. « Take of the salt which re- mains after the distillation of nitric acid, two pounds ; boiling water, four pints. Mix them together, so that the salt may be dis- f olved, and strain the solution ; then boil it to one half, and set it by that crystals may form. Having poured away the water, dry these crystals upon a bibulous paper." PoTA'ssiE superta'rtras. See Tartarum — PoTA'ssiE ta'rtras. Tartrate of potash, formerly calledKali tariarisatum. Tartarum solubile. Tartarus tartarisatus. Sal vegetabi- lis. Alkali vegetabile tarlarisaiutn. " Take of subcarbonate of potash, sixteen ounces ; supertartrate of potash, three pounds ; boil- ing water, a gallon. Dissolve the subcar- bonate of potash in the water ; next add the supertartrate of potash, previously reduced to powder, gradually, until bubbles of gas shall cease to arise. Strain the solutioa through paper, then boil it until a pellicle appear upon the surface, and "set it by, that crystals may form. Having poured away the water, dry the crystals upon bibulous pa- per." Diuretic., deobstruent, and eccoprotic virtues are attributed- to this preparation. PoTATOE, COMMON. The root of the Sola- num tuberosum, of Linnaeus ; which see. PoTATOE, Spanish. The root of the Convolvulus batatasy of Linnseus. It is a native of the West Indies. It is firm, and of a pale brown on the outside ; white within, and very sweet, like chestnuts, and the only esculent root of the genus convol- vulus. POTENTI'LLA, {A potentia, from its ef- ficacy.) 1. The name of a genus of plants in the Linnsean system. Class, Icosandria. Order, Polygynia. 2. The pharmacopoeial name of the wild tansy. Potenti'lla anseri'na. The systematic name of the silver-weed, or wild tansy. Argentina. Anserina. The leaves of this plant, Polentitla ; foliis dentatns, serralis caule repente, pedunculis uniflorw, of Lin- naeus, possess mildly adstringent and corro- borant qualities ; but are seldom used, except by the lower orders. Potenti'lla re'ptans. The systematic name of the common cinquefoil, or five- leaved grass. Fentaphyllum. The roots of this plant, Potentilla ; foliis quinatis, caule re- pente, pedunculis umfloris, of Linnaeus, have a bitterish styptic taste. They were used by the ancients in the cure of intermittents ; but the medicinal quality of cinquefoil is confi- ned, in the present day, to stop diarrhceas and other fluxes. POTK'RIUM. (From war^^/aw, a cup ; so named from the shape of its flowers.) The name of a genus of plants in the Lin- nsean system. Class, Monoecia. Order Po- lyandria. PoTERiuM sanguiso'rea. The systematic name of the Burnet saxifrage, the leaves of which are often put into cool tankards ; they have an adstringent quality. POTT, Percival, was born in London, in 1713. It was the wish of his friends to Cl« DOW PRE fering him up to the church, in which he might have obtained good patronage ; but he had an irresistible inclination to the sur- gical profession. He was accordingly ap- prenticed to Mr. Nourse, of St. Bartholo- mew's hospital, who gave anatomical lectures; for which he was employed in preparing the subjects, and thus laid the best foundation for chirurgical skill. In 1744 he was elected assistant surgeon, and five years after, one of the principal surgeons at the hospital. He had the merit of chiefly bringing about a great improvement in his profession, availing himself of the resources of nature under a knient mode of treatment, and exploding the frequent use of the cautery, and other severe methods formerly resorted to. In 1756 he had the misfortune to receive a compound fracture of the leg ; but the confinement oc- casioned by this accident led him to compose his " Treatise on Ruptures ;" which was soon followed by an account of the Hernia Con- genita. In 1758 he produced a judicious es- say on " Fistula Lachrymalis ;'' and two J 'ears after an elaborate dissertation " On BJuries of the Head ;" which was soon fol- lowed by " Practical Remarks on the Hydro- cele," k/:. In 1764 he was elected a fellow of the Royal Society ; and about the same period he instituted a course of lectures on Surgery. In the following year his treatise ** On Fistula in Ano" appeared, in which he effected a very great improvement ; and in 1768 some remarks *' On Fractures and Dis- locations," were added to a new edition of his work on Injuries of the Head. Seven years after this he published " Chirurgical Observations" on Cataract, Polypus of the Nose, Cancer of the Scrotum, Ruptures, and Mortification of the lower Extremities : this was soon succeeded by a ** Treatise on the Necessity of Amputation in some Cases;" and by '* Remarks on the Palsy of the lower Limbs," from Curvature of the Spine. He had now attained the greatest eminence in his profession, but towards the close of the year 1788 a severe attack of fever, neglect- ed at first, terminated his active and valuar ble life. POUPA'RTH LIGAME'NTUM. SeeJPou. •parVs ligament. POUPART'S LIGAMENT. Li^ gamentum Poupajrtii. Fallopian ligament. Inguinal ligament. A strong ligameht,. or rather a tendinous expansion of the exter- nal oblique muscle, going across from the inferior and anterior spinous process of the ilium, to the crista of the os pubis. It is un- der this ligament that the femoral vessels pass ; and when the intestine or omentum passes underneath it, thie disease is called a femoral hernia. Powder, antimonial. See Jiniimonialis pulvis. Powder of bimit hartshorn with opium. See PtLlvia cornu tfsti tirni opio. Powder, compound, of aloes. See Pulvis aloSs compositus. Powder, compound, of chalk. See Pulvis crettB compositus. Powder, compound, of chalk with opium. See Pulvis cretes compositus cum opio. Powder, compound, of cinnamon. See Pul- vis cinnamomi compositus. Powder, compound, of contrayerva. See Pulvis contrayervee compositus. Powder, compound, of ipecacuanha. Sec Pulvis ipecacua7ih(E compositus. Powder, compound, of kino. See Pulvis kino compositus. Powder, compound, of scammony. See Pul- vis scammonece compositus. Powder, compound, of senna. See Pulms senvoE compositus. Powder, compound, of iragacanth. See. Pulvis tragacanthtt compositus. Power, muscular. See Irritability and Muscular motion. Power, tonic. See Irritability. PrcBcipitate, red. See Hydrargyri nitrico-' oxydum. Prcecipitate, white. See Hydrargyrum priBcipitatiim album. PR^CO'RDIA. (From pro; before, and cor, the heart.) The fore part of the region of the thorax. Pr^efu'rkium. (From pree, before, and furnus, a furnace.) The mouth of a chemi- cal furnace. Pr^para'ntia medicame'nta. Medi- cine preparing the peccant fluids to pass off. PR^PARA'NTIA VA'SA. The sperma- tic vessels of the testicles. PRii:PU'TlUM. (From praeputo, to cut off before, because some nations used to cut it off in circumcision.) Epagogion of Dios- corides. Posthe. The prepuce. The mem- branous or cutaneous fold that covers the glans penis and clitoris. Prcepuce. See Prceputium. Pra'sium. (From wfacria, a square border ; 80 called from its square stalks.) Marrubium, or hoarhound. Pra'sium. (From -irfau, to burn, because of their hot taste ) The leek. PRA'XIS. (From w^nffeu, to perform.) The practice of medicine. PRECIPITATION. (PrtBcipitatio ; from prmcipito, to cast down.) When two bodies are united, for instance, an acid and an oxyde, and a third body is added, such as an alkali, which has a greater affinity with the acid than the metallic oxyde has, the consequence is, that the alkali combines with the acid, and the oxyde, thus deserted, appears in a separate state at the bottom of the vessel in which the operation is performed. This decomposition is com- monly known by the name of precipitation, and the substance that sinks is named ajsre- cipitate. The substance, by the addition of which PRE the phenomenon is produced, is denominated the precipitant. PREDISPOSING CAUSE. Causa prm- disponens. Causa proSgutnena. That which renders the body susceptible of disease The most frequent predisposing- causes of disea- ses are, the temperament and habit of the body, idiosyncracy, age, sex, and structure of the part diseased. PREDISPOSITION. Prcsdispositio. That constitution or state of the solids, or fluids, or of both, which disposes the body to the action of disease. PREGNANCY. Utero gestation. The particular manner in which pregnancy takes place has hitherto remained involved in ob- scurity, notwithstanding the laborious inves- tigation of the most eminent philosophers of all ages. Although pregnancy is a state which (with a few exceptions) is natural to all women, it is in general the source of many disagreeable sensations, and often the cause of diseases which might be attended with the worst con- sequences if not properly treated. It is now, however, universally acknow- ledged, that those women who bear children, enjoy, usually, more certain health, and are much less liable to dangerous diseases, than those who are unmarried, or who prove bar- ren. Signs of pregnancy. — The womb has a very extensive influence, by means of its nerves, on many other parts of the body ; hence, the changes which are produced on it by impregnation, must be productive of changes on the state of the general system. These constitute the signs of pregnancy. During the first fourteen or fifteen weeks, the signs of pregnancy are very ambiguous, and cannot be depended on ; for, as they proceed from the irritation of the womb on other parts, they may be occasioned by every circumstance which can alter the natural state of that organ. The first circumstance which renders preg- nancy probable, is the suppression of the periodical evacuation,, which is generally ac- companied with fulness in the breasts, head- ache, flushings in the face, and heat in the palms of the hands. These symptoms are commonly the conse- quences of suppressions, and therefore are to be regarded as signs of pregnancy, in so far only as they depend on it. As, however, the suppression of the peri- odical evacuation often happens from acci- dental exposure to cold, or from the change of life in consequence of marriage, it can never be considered as an infallible sign. The belly, some weeks after pregnancy, becomes flat, from the womb sinking, and hence drawing down the intestines along with it ; but this cannot be looked upon as a certain sign of pregnancy, because an en- Sargement of the womb from any other cause wia produce the same effect. PRE m Many women, soon after they ^re pregnant, become very much altered in their looks, and have peculiar irritable feelings, inducing a disposition of mind which renders their tem- per easily ruflBed, and inciting an irresistible propensity to actions of which, on other oc- casions, they would be ashamed. In such cases the features acquire a pe- culiar sharpness, the eyes appear larger, and mouth wider than usual ; and the womaa has a particular appearance, which cannot be described, but with which women are well acquainted. These breeding symptoms, as they are called, originate from the irritation produced on the womb by impregnation ; and as they may proceed from any other circumstance which can irritate thgt organ, they cannot be depended on when the woman is not young, or where there is not a continued suppression for at least three periods. The irritations on the parts contiguous to the womb are equally ambiguous ; and there- fore the signs of pregnancy, in the first four months, are always to be considered as doubt- ful, unless every one enumerated be distinct- ly and unequivocally present. From the fourth month, the signs of preg- nancy are less ambiguous, especisJly after the womb has ascended into the cavity of the belly. In general, about the fourth month, or a short time after, the child be- comes so much enlarged, that its motions begin to be felt by the mother ; and hence a sign, is furnished at that period called quickening. Women very improperly con- sider this sign as the most unequivocal proof of pregnancy ; for though, when it occurs about the period described, preceded by the symptoms formerly enumerated, it may be looked upon as a sure indication that the woman is with child ; yet when there is an irregularity, either in the preceding symp- toms or in its appearance, the situation of the woman must be doubtful. This fact will be easily understood ; for as the sensation of the motion of the child cannot be explained, or accurately described, women may readily mistake other sensations for that of quickening. Flatus has often been so pent up in the bowels, that the na- tural pulsation of the great arteries, of which people are conscious only in certain states of the body, has frequently been mistaken for this feeling. After the fourth month, the womb rises gradually from the cavity of the pelvis, en- larges the belly and pushes out the navel ; hence the protrusion of the navel has been considered one of the most certain signs of pregnancy in the latter months. Every cir- cumstance, however, which increases the bulk of the belly occasions this symptom ; and therefore it cannot be trusted to, unless other signs concur. The progressive increase of the belly, along with suppression, after having been 'TIS FRE PRI formerly regular, and the consequent symp- toms, together with the sensation of quick- ening' at the proper period, afford the only true marks of pregnancy. These signs, however, are not to be en- tirely depended on ; for the natural desire which eveiy woman has to-be a mother, will induce her to conceal, even from herself, every symptom v/hich raay render her situa- tion doubtful, and to magnify every circum- stance which can tend to prove that she is pregnant. Beside quickening and increase of bulk of the belly, another symptom appears in the latter months, which, when preceded by the ordinary signs, renders pregnancy cer- tain beyond a doubt. It is the presence of milk in the breasts. When, however, there is any irregularity in the preceding symp- toms, this sign is no longer to be considered of any consequence. As every practitioner must naturally wish to distinguish pregnancy from disease, the disorders which resemble it should be tho- roughly understood, and also tlieir diag- nostics. It is, however, necessary to re- mark, that wherever any circumstauce oc- curs which affords the most distant reason to doubt the case, recourse ought to be had to the advice of an experienced practitioner, and every symptom should be unreservedly described to hira. Prehe'nsio. (From prehendo, to sur- prise ; so named from its sudden seizure.) The catalepsy. PRESBYOPIA. (From vpiffSu;, old, and a^ff, the eye ; because it is frequent with old men.) That defect of the sight by which objects close are seen confusedly, but, at remoter distances, distinctly. As the myopia is common to infants, so the presbyopia is a malady common to the aged. The proxi- mate cause is a tardy adunation of the rays in a focus, so that it falls beyond the retina. The species are, 1. Presbyopia from a flatness of the cor- nea. By so much the cornea is flatter, so much the less and more tardy it refracts the rays into a focus. This evil arises, 1st, From a want of aqueous or vitreous humour, which is common to the aged ; or may arise from some disease ; 2d, From a cicatrix, which diminishes the convexity of the cornea ; 3d, From a natural conformation of the cornea. 2. Presbyopia from too^ flat'a crystalline lens. This evil is most common lo the aged, or it may happen from a wasting of the crys- talline lens. 3. Presbyopia from too small density of the cornea or humours of the eye. By so much more these humours are thin or rari- fied, so much the less they refract the ra3S of light. Whosoever is affected from this cause is cured in older age ; for age induces a greater density of the cornea and lens. From this it is an observed fact, that the presbyopes are often cured spontaneously, and throw away their glasses, which younger persons in this disease are obliged to use. 4. Presbyopia from a custom of viewing' continually remote objects ; hence artificers who are occupied in remote objects are said to contract this malady. The reason of this phenomenon is not very clear. 5. Presbyopia senilis. From a multitude of causes aged persons are presbyopes ; from a penury of humours, which render the cornea and lens flatter, and the bulb shorter. When in senile ages, from dryness, the bulb of the eye becomes flatter and shorter, and the cornea flatter, those' who were short- sighted or myopes before, see now without their concave glasses. 6. Presbyopia from too close a proximity of objects. The focus is shorter of distant, but longer of nearer objects. 7. Presbyopia from a coaretated pupil. 8. Presbyopia mercuriaUs, which arises from the use of mercurial preparations. The patient feels a pressing pain in the eye, which, from being touched is increased, and the bulb of the eye appears as if rigid, and with diiBcuity can be moved. Near objects the patient can scarcely distinguish, and distant only in a confused manner. Many have supposed this disorder an imperfect amaurosis. Pre'sbyt^:. See Presbyopia. Presby'tia. (From -xftf^vt, old ; be- cause it is usual to old people.) See Pres byopia. Presu'ra.. (From v^viSa, to inflame.) Inflammation at the ends of the fingers from cold. Priapei'a. See Nicotina rustica. Priapi'scus. (From rroia'xt;, the penis.) 1. A tent made in the form of a penis. 2. A bougie. PRIAPI'SMUS. (From v^iavm, a heathen god, whose penis is always painted erect.) Priapism. A continual erection of the pe- nis. Coelius Aurelianus says it is a palsy of the seminal vessels, by which the disorder is produced. Priapism. See Priapismus. PRIA'PUS. (npiami, a heathen god, remarkable for the largeness of his genitals.) 1. The penis. 2. A name of the nepenthes, or wonderful plant, from the appendages at the end of the leaves resembling an erected penis. PRi'IVLa: Vr^E. The first passages. The stomach and the intestinal tube are so called, and the lacteals the secund(B vice. Primary Teeth. See Teeth. Primrose. See Primula vulgaris. P R r M U L A. (From primulas, the be- ginning ;. so called because it flowers in the beginning of the spring.) The name of a ge- nus of plants in the Linneean system. Class, Pentandria. Order, Monogynia. Pri'mcla ve'kis. (From primulas, the beginning, so called because it flowers in the beginning of the spring.) Verbasculum. PRO TID 'The cowslip, paigil, or peagie. The flow- ers of this plant have a moderately strong and pleasant smell, and a somewhat roughish bitter taste. Vinous liquors impregnated with their flavour by maceration or ferment- ation, and strong infusions of them drank as tea, are supposed to be mildly corrobo- rant, antispasmodic, and anodyne. An in- fusion of three pounds of the fresh flowers in five pints of boiling water is made in the shops into a sirup of a fine yellow colour, and agreeably impregnated with the flavour of the cowslip. Fri'mula vulga'ris. The primrose. The leaves and root of this common plant possess sternutatory properties. Fri'nceps alexiphakmaco'kum. Angeli- ica. Which by some was formerly so much esteemed as to obtain this name. PRINCIPLES. Principia. Primary sub- stances. According to modem chemists, this term is applied to those particles which are composed of two or more elements, (see Elements,) that may again be decomposed by the action of fire or putridity, such as water, gum, resin, &;c. PRINGLE, Sir Johk, was born in Scotland in 1707. Having determined to make medicine his profession, he went to Edinburgh for a year, and then to Leyden, to profit by the instructions of the celebrated Boerhaave, where he took his degree in 1730. Then settling at Edinburgh, he ob- tained four years after the appointment of professor of moral philosophy jointly with Mr. Scott. In 1742 he was made physi- cian to the Earl of Stair, who then com- manded the British army, and scon after physician to the military hospital in Flan- ders. He acquitted himself with so much credit, that the Duke of Cumberland, v.'ho succeeded to the command, appointed him, in 1745, physician-general to the forces, and subsequently to the royal hospitals, in the Low Countries, when he resigned his Scotch professorship. He soon after accompanied the same nobleman in his expedition against the rebels in Scotland ; but in 1747 went again to the army abroad, where he conti- nued till the treaty of Aix-la-Chapelle. The Duke of Cumberland then appointed him his physician, and he settled in Lon- don: but the war of 1775 called him again to the army, which, however, he finally quitted three years after. He had been elected a fellow of the Royal Society in 1745, and on settling in London, contri- buted many papers to their transactions, particularly his Experiments on Septic and Antiseptic Substances, for wiiich he was presented with the Copleian medal. In 1752 his " Observations on ihe Diseases of the Army,'' first appeared, ond rapidly passed through several editions, and was translated into other languages : the utility of the work, indeed, equalled the reputation it acquired, and which it still preserves. especially from the importance of the pro- phylactic measures suggested. After quit- ting the army, he was admitted a licentiate, and his fame as a physician, as well as phi- losopher, speedily attained a high pitch ; he received successively various appointments about the royal family, was elected a fellow of the College, and in 1766 raised to the dignity of a baronet. Among numerous literary honours from various academies of science in Europe, the highest was confer- red upon him in 1770, being then elected president of the Royal Society ; the duties of which office he zealously fulfilled for eight years, when declining health compel- led his resignation. His discourses on the annual presentation of the Copleian medals displayed so much learning and general in- formation, that their publicafion was re- quested, in 1780 he went to Edinburgh for the improvement of his health ; but the want of his accustomed society, and the sharpness of the air, compelled him to re- turn in the following year ; he presented, however, to the College of Physicians there before his departure, ten folio volumes, in manuscript, of " Medical and Physical Observations," with the restriction that they should not be published, nor lent out of the library. His death happened soon after his return to London, namely, in the beginning of 1782. Priono'des. (From trpim, a saw.) Ser- rated ; applied to the sutures of the skull. PRI'OR ANNULA'RIS. (Musculus prior annularis.) Fourth interosseus, of Wins- low. An internal interosseus muscle of the hand. See InlerGsseimanus. PRI'OR I'iNDICIS. Extensor tertiiinter- nodii indicis, of Douglas. Sou-metucarpo-la- teri-phalangien, of Dumas. An internal in- terosseal muscle of the hand, which draws the fore finger inwards towards the thumb, and extends it obliquely. PRI'OR RIE'DII. (Musculus prior medii.) Second interosseus, of Douglas, and sou- metacarpo-lateri-phalangitn, of Dumas. An external interosseous muscle of the hand. See Interossei manus. PROBANG. A flexible piece of whale- bone with sponge fixed to the end. PROBE. (From probo, to try ; because surgeons try the depth and extent of wounds, &c. with it.) Stylus. A chirur- gical instrument of a long and slender form. Pro'eole. (From -^tfoiaXXu), to project.) A prominence An apophysis. PROBOSCIS. (From ^-pa, before, and fiotram, to feed.) A snout or trunk, as that of an elephant, by which it feeds itself. Proca'rdium.) (From ■rpa, before, and »«pS It commences from a few irregular, though distinct patches on the extrejnitres. OtbPfs 93 ■7.30 PTli appe&i* afterwards on different parts, and, becoming confluent, spread at length over all the surface of the body, except a part of the face, or someiiaies the palms of the hands, and soles of the feet. The skin is red, deeply furrowed, or wrinkled, stiff and rigid, so as somewhat to impede the motion of the muscles, and of the joints. So quick, likewise, is the production and separation of scales, that large quantities of them are found in the bed on which a person affected with the disease has slept. They fall off in the same proportion by day, and being con- fined within the linen, excite a troublesome and perpetual itching. Pso'rica. (From -^aj/ix, the itch.) Me- dicines to cure the itch. PSOROPHTHA'LMIA. (From V/upa, the itch, and opiaXf^os, an eye.) An in- flammation of the eyelids, attended with ulcerations, which itch very much. By psorophthalmy Mr. Ware means a case, in which the inflammation of the eyelids is attended with an ulceration of their edges, upon which a glutinous matter lodges, and becomes hard, so that in sleep, when they have been long in contact, they become so adherent, that they cannot be separated ■without pain. The proximate cause is an acrimony deposited in the glands of the eye- lids. The species of the psorophthalmia are, 1. Psorophthalmia cruslosa, which forms dry or humid crusts in the margins of the eyelids. 2. Psorophthalmia herpetica, in which small papulffi, itching extremely, and termi- nating in scurf, are observed. Psychago'gica. (From Vu;^?!, the mind, and ayu, to move.) Medicines which reco- ver in syncope or apoplexy. Psycho'tkia eme'tica. (From '^w;t;»ir, cold, because it grows in cold places.) See Callicocca ipecacuanha. Psycho'trophum. (From ^«;^;o?, cold, and Tfiipiu, to nourish ; so called because it grows in places exposed to the cold.) The herb betony. Psychrolu'trum. (From "^uxos, cold, and X0U6), to wash.) A cold bath. Psy'chtica. (From '^'vxu, to refrigerate.) Refrigerathig medicines. PSYDRA'CIA. (From ^w;ii«f, cold.) Red and somewhat elevated s^ots, vyhich soon form broad and superficial vesicles, such as those produced by the stinging- nettle, the bites of insects, kc. See Pus- tule. PsYLn'uM. (From '*"yXXo;, a flea ; so called because it was thought to destroy fleas.) See Plantago psyllium. Ptarmica. (From Tmtipiu, to sneeze ; so called because it irritates the nose, and pro- vokes sneezing.) Sneezewort. See Achillea ptarmica. P T E ' R I S. The name of a genus of plants in the Linnaean system. Class, Cryp'- logamia. Order, Filices. Pte'ris aquili'na. (From ^ripov, a wing ; so called from the likeness of its leaves to wings, and (iquilina, from aquila, an eagle, from its resemblance to an eagle's wings.) The systematic name of the common br*ke, or female fern. Filix fcEttiina. The plant which is thus called in the pharmacopceias, is not the Polypodium filix fcemina, but the Pteris aquilina ; frondibus supradecomposiiis foliolis pinnalis, pinnis lanceolatis, infimist pinnatijidis, superioribvs minoribus, of Lin- DEEUS. The root is esteemed as an anthel- mintic, and is supposed to be as efiicacious in destroying the tape-worm as the root of the male fern. PTEROC A'RPUS. (From !r7sp«», a wing, and xafTfos, fruit.) The name oPa genus of plants in the Linnaean system. Fteroca'rpus santa'lincs. The system- atic name of the red saunders tree. Santa' lum rubrum. There is some reason to be- lieve that several redwoods, capable of com- municating this colour to spirituous liquors, are sold as red saunders ; but the true ofli- cinal kind appears, on the best anthority, to be of this tree, which is extremely hard, of a bright garnet red colour, and bears a fine polish. It is only the inner substance of the wood that is used as a colouring mat- ter, and the more florid red is mostly es- teemed. On being cut it is said to mani- fest a fragrant odour, which is more especial- ly observed in old trees. According to Lew- is, this wood " is of a dull red, almost black- ish colour on the outside, and a deep brighter red within ; its fibres are now and then culled, as in knots. It has no manifest smell, and little or no taste, even of extracts made from it with water, or with spirit, the taste is not considerable. To watery liquors it communicates only a yellowish tinge, but to rectified spirit a fine deep red. A small quantity of an ex- tract made with this menstruum, tinges a large one of fresh spirit of the same colour ; though it does not, like most other resinous bodies, dissolve in expressed oils. Of dis- tilled oils, there are some, as that of laven- der, which receive a red tincture from the wood itself, and from its resinous extract, but the greater number do not. Red saun- ders has been esteemed as a medicine ; but its only use attaches to its colouring property. The juice of this tree, like that of some others, affords a species of sanguis dra- conis. P T E R Y'G I U M. (n7£p«|, a wing.) A membranous excrescence which grows fupon the internal canthus of the eye chiefly, and expands itself over the albuginea and cor- nea towards the pupil. It appears to be an extension or prolongation of the fibres and vessels of the caruncula lachrymalis, or semilunar membrane, appearing like PTE PTY 731 a w'mg. The species of pteiygium are lour : 1. Pterygium tenue, sen ungula, is a pellucid pellicle, thin, of a cineritious co- lour, and unpalnful ; growing out from the caruncula lachrymalis, or membrana semilunaris. 2. Pterygium crassum, seu pannus, differs from the ungula by its thickness, red colour, and fulness of the red vessels on the w hite of the eye, and it stretches over the cornea like fasciculi of vessels. 3. Pterygium malignum, is a pannus of various colours, painful, and arising from a fancerous acrimony. 4. Pterygium pingue, seu pinguicula, is a molecule like lard or fat, soft, without pain, and of a light yellow colour, which com- monly is situated in the external angle of the eye, and rarely extends to the cornea ; but often remains through life. PTEUYGO. Names compounded of this word belong to muscles which are connected with the pterygoid process of the sphenoid bone ; as pltrygo-pharyngeus, &c. Pterygo-pharynge'us. See Constrictor pharyngis superior. Pterygo-staphili'nus exte'rnus. See Levator palati. PTERYGOID PROCESS. (Plerygoides, from 'rjipu^, a wing, and s/Joj, resemlslance.) A wing-like process of the sphenoid bone. Pterygoide'um OS. See Ethmoid bone. PTERYGOIDE'US EXTE'RNUS. {Pterygoideus, from its belonging to the processus pterygoides.) Pterygoideus minor, of Winslow. Pterygo-colli-maxillaire, of Dumas. A muscle placed as it were, hori- zontally along the basis of the scull, between the pterygoid process and the condyle of the lower jaw. It usually arises by two distinct heads ; one of which is thick, tendinous, and fleshy from the outer wing of the ptery- goid process of the os sphenoides, and from a small part of the os maxillare adjoining to it ; the other is thin and fleshy, from a ridge in the temporal process of the sphenoid bone, just behind the slit that transmits the vessels to the eye. Sometimes this latter origin is wanting, and, in that case, pai't of the tem- poral muscle arises from this ridge. Now and then it affords a common origin to both these muscles. From these origins the muscle forms a strong fleshy belly, which de- scends almost transversely outwards and back- wards, and is inserted tendinous and fleshy, into a depression in the fore part of the con- dyloid process of the lower jaw, and into the anterior surface of the capsular ligament that surrounds the articulation of that bone. All that part of this muscle, which is not hid by the pterygoideus internus, is covered by a ligamentous expansion, which is broader than that belonging to the pterygoideus in- ternus, and originates from the inner edge of the glenoid cavity of the lower jaw, immediately before the styloid process of the temporal bone, and extends obliquely downwards, forwards, and outwards, to the inner surface of the angle of the jaw. When these muscles act together, they bring the jaw horizontally forwards. When they act singly, the jaw is moved forwai'ds, and to the opposite side. The fibres that are inserted into the capsular ligament, serve likewise to bring the moveable cartilage forwards. PTEIIYGOIDE'US INTE'RNUS. Pte- rygoideus major, of Winslow. Pterygoan- guli-maxilluire, of Dumas. This muscle arises tendinous and fleshy from the whole inner surface of the external ala of the pterygoid process, filling all the space be- tween the two wings ; and from that pro- cess of the OS palati that makes part of the pterygoid fossa. From thence growing larger, it descends obliquely downwards, forwards, and outwards, and is inserted, by tendinous and fleshy fibres, into the inside of the lower jaw, near its angle. This muscle covers a great part of the pterygoi- deus externus ; and along its posterior edge we observe a ligamentous band, v.'hich ex- tends from the back part of the styloid process to the bottom of the angle of the lower jaw. The use of this muscle is to raise the lower jaw, and to pull it a little to one side. Pterygojde'cs ma'jor. See Pterygoi- deus internus. Pterygoide'us mi'nor. See Pterygoi- deus externus. Ptilo'sis. (From •r'iiXo;, bald.) See Madarosis. Pti'sana. (From '^tnaau, to decorticate, bruise or pound.) Ptissana. Barley depri- ved of its husks, pounded and made into balls. PTO'SIS. (From -v.-ttJu,, to fall.) Ble- pharoplosis. An inability of raising the up- per eyelid. The afiection may be owing to several causes, the chief of which are a re- dundance of the skin on the eyelid, a pa- ralytic state of the levator muscle, and a spasm of the orbicularis. PTO'SIS I'RIDIS. Prolapsus iridis. A prolapsus of the iris through a wound of the cornea. It is known by a blackish tubercle, which projects a little from the cornea in va- rious forms. The species of the ptosis of the iris are, 1. Plods recens, or a recent ptosis from a side wound of the cornea, as that which hap- pens, though rarely, in or after the extrac- tion of the cataract. 2. Ptosis inveterata, in' which the incarce- rated prolapsed iris is grown or attached to the wound or ulcer, and has become callous or indurated. Ptyalago'ga. (From -rlvaXov, spittle. 732 JBUL PUL and a.yu, to excite,) Plyasmagoga. Medi- cittes which promote a discharge of the sali- va, or cause salivation. Ptvali'smos. See Ptyalismm. PTYALl'SMUS. {TTomvluaXcii,,Xo spit.) A ptyalism or salivation, or increased secretion of saliva from the mouth. Pty'alum. (From ir]ya», to spit up.) The saliva or mucus from the bronchia. Ptyasmago'ga. (From vivaefia, spu- tum and ayeo, to expel.) See Ptyala- goga. PU'BES. The external part of the or- gans of generation of both sexes, which after pubertv is covered with hair. PITBIS OS. A separate bone of the fcetal pelvis. See Innominatum oa. P U D E ' N D A. (From pudor, shame.) The parts of generation. Pudenda'gea. (From pudenda, the private parts, and aypa, a seizure.) Cedma. A pain in the private parts. By some it is called the venereal disease. Others define it to be, pain or uneasiness in the genital parts of men or women, somewhat resem- bling a gonorrhoea, but without a dysuria. Dr. Beddoes asserts, in his essay on the Pu- dendagra, that it is distinct from the vene- real disease, and also, that it is proper to women, but that a woman labouring under it, can communicate some inflammatory symp- toms to the penis of a man who cohabits with her. PUDE'NDUM MULIE'BRE. The female parts of generation. PUDICAL ARTERY, ^rteria pudica ve^ pudenda. Pudendal artery. A branch o' the internal iliac distributed on the organs of generation. Puebi'lis mo'rbus. The epilepsj'. PUERPERAL FEVER. Childbed fever. CuUen considers this disease as a species of continued fever. Puffball. See Lycoperdon. PIKJI'LLUS. (From pugnm, the fist.) Dragmis. A pugil. The eighth part of a handful, PULE'GIUM- (From pulex, a flea ; be cause the smell of its leaves, burnt, destroys fleas.) See Mentha pulegium. Pule'gium cervi'num. Hart's penny- royal. Jl*fe«/Aa ceri'ina, of Linnaeus. Pulica'ria. (From pulex, a flea ; so na- med because it was thought to destroy fleas if hung in a chamber.) See Plantago psyl- lium. PU'LMO. (Plin. «utufta». Attice ttXbu- (Mv, und€,per metathesin pulmo.) The lung. See Lung. PULMONA'RIA. (From /JuZwio, the Tung^ ; so called because of its virtues in affections of the lungs.) The name of a genus of plants in the Linneean system. Class, Pentandria. Order, Monogynia. Lungwort. Pclmona'ria aeeo'rea. See Lichen pu/i' monarius. Pulmona'ria macula'ta. See PulmO' naria officinalis. Pulmona'ria officina'lis. The system- atic name of the spotted lung-wort. Pul- monaria maculala. Symphilum viaculosum. Jerusalem cowslips, Jerusalem sage. This plant is rarely found to grow wild in Eng- land ; but is very commonly cultivated in gardens, where its leaves become broader, and approach more to a cordate shape. The leaves, which are the part medicinally used, have no peculiar smell ; but, in their recent state, manifest a slightly adstringent and mucilaginous taste ; hence it seems not wliolly without foundation that they have been supposed to be demulcent and pectoral. They have been recommended in hsmop- toes, tickling coughs, and catarrhal defluxions upon the lungs. The name pulmonaria, how- ever, seems to have arisen rather from the speckled appearance of these leaves resem- bling that of the lungs, than from any intrin- sic quality which experience discovered to be useful in pulmonary complaints. Pulmonary consumption. See Phthisis. PULMONARY VESSELS. The pul- monary artery, arleria pulmonalis, arises from the right ventricle of the heart, and soon divides into the right and left, which ramify throughout the lungs, and form a beautiful net-work on the air vesicles, where they terminate in the veins, vencc piilmonules, whose branches at lengtli form four trunlcs, which empty themselves into the left auricle of the heart. PULMO'IN'IA. (From pulmo, the lungs.) An inflammation of the lungs. Pulmo'nica. (From puhno, the lung.) Medicines for the lungs. Pulsati'lla nigricans. (From pulso, to beat about ; so called from its being per- petually agitated by the air.) See Jinemont pratensis. PULSE. PidsKs. The beating of the artery at the wrist is termed the pulse. It d£pends upon the impulse given to the blood by the heart ; hence physicians feel the pulse, to ascertain the quickness or tardiness of the blood's motion, the strength of the heart, &c. Pulsile'gium. (From pulsus, the pnlse, and lego, to tell.) An instrument for mea- suring the pulse. Pulvi'nar. (From pulvis, dust or chaff, with which they are filled.) A medicated cushion. Pulvina'rium. See Pulvinar, PU'LVIS. {-veris, m.) A powder. Pul- vinarium. This form of medicine is either coarse or very fine, simple or compound. In the compounded powders the intimate and complete admixture of the several in- gredients, and more especially in those to which any of the more active substances, as PUL PUL 733 opium, scammony, k.c. are added, cannot be too strongly recommended, and for this purpose it may be proper to pass them, after they are mixed mechanically, through a fine sieve. Pu'lvis a'loes compo'situs. Compound powder of aloes. Formerly called pulvis aloes cum guaiaco. " Take of extract of spiked aloe, an ounce and half; guaiacum resin, an ounce ; compound powder of cin- namon, half an ounce. Powder the extract of aloe and guaiacum resin separately ; then mix them with the compound powder of cinnamon." The dose is from gr. x. to Qj. It ie a warm aperient, laxative powder, cal- culated for the aged, and those affected with dyspeptic gout, attended with costiveness and spasmodic complaints of the stomach and bowels, Pu'lvis a'loes cum cane'lla. A cathar- tic, deobstruent powder, possessing stimula- ting and aloetic properties omitted in the last London Pharmacopogia, as rather suited to the purpose of extemporaneous prescription. Pu'tvis a'loes cum fe'rro. This pos- sesses aperient and deobstruent virtues ; and is mostly giveu in cMr.rosis and constipation. In the London Pharmacopoeia this prescrip- tion is omitted for the same reason as pulvis aloes cum canella. Pu'lvis a'loes cum guai'aco. See Pulvis aloes composilu-s. Pu'lvis antimonia'lis. See Antimonialis •pulvis. Pu'lvis aroma'ticus. See Pulvis cinna- momi composilus. Pu'lvis ceru'ssje compo'situs. This is mostly iised in the form of collyrium, lotion, or injection, as a mucilaginous sedative. Pu'lvis chela'rum ca'xcri compo'situs. An antacid and adstrinprent powder, mostly given to children with diarrha3a and acidity of the primse viae. Pu'lvis cinnamo'mi compo'situs. Com- pound powder of cinnamon. Formei'ly called pulvis aromaticus : species aromatica : species diambras sine odoralis. " Take of ciBnamon bark, two ounces; cardamom- seeds, an ounce and half; ginger-root, an ounce ; long pepper, half an ounce. Rub them together, so as to make a very fine powder." The dose is froiu five to ten grains. An elegant stimulant, carminative, and stomachic powder. Pu'lvis contraje'rv^e compo'situs. '•' Take of contrajerva root, powdered, five ounces ; prepared shells, a pound and half. Mix." A febrifuge diaphoretic, mostly gi- ven in the dose of from one to two scruples in slight febrile afiections. Pu'lvis co'rnu u'sti cum o'pio. Pow- ■der of burnt hartshorn with opium. Pulvis opialus. " Take of hard opium, powdered, a drachm; hartshorn, burnt and prepared, an ounce ; cochineal, powdered, a drachm. Mix." This preparation affords a conve- jafent mode of exhibiting small quantities of opium, ten grains containing one of the opium. It is absorbent and anodyne. Pu'lvis cRE'TiE compo'situs. Compound powder of chalk. Pulvis e bolo composilus sine opio. Species e scordio sine opio. Dias- cordium, 1720. " Take of prepared chalk, half a pound; cinnamon bark, four ounces; tormentil root, acacia gum, of each three ounces ; long pepper, half an ounce. Re- duce them separately into a very fine pow- der, and then mix." The dose is from 3ss. to 3i. An astringent, carminative, and sto- machic powder exhibited in the cure of diar- rhoea, pyrosis, and diseases arising from acidi- ty of the bowels, inducing much pain. Pu'lvis cre'TjE compo'situs cum o'pio. Compound powder of chalk with opium Pulvis e bolo composilus cum opio. Species e scordio cum opio. " Take of compound powder of challi, six ounces and a half. Hard opium, powdered, four scruples. Mix." The dose from one scruple to two. The above powder, with the addition of opium, in the proportion of one grain to two scruples. Pu'lvis iPiCACUA'NHffi compo'situs. Compound powder of ipecacuanha. "Take of ipecacua-iha root, powdered, hard ooium, powdered, of each a drachm ; sulphate of potash, powdered, an ounce. Mix." A diaphoretic powder, similar to that of Dr. Dover, which gained such repute in the cure of rheumatisms, and other diseases ari- sing from obstructed perspiration and spasnu The dose is from five grains to a scruple. Pu'lvis ki'no compo'situs. Compound powder of kino. " Take of kino 15 drachms ; cinnamon bark, half an ounce ; hard opium, a drachm. Reduce them separately to a veiy fine powder ; and then mix." The propor- tion of opium this astringent contains is one part to twenty. The dose is from five grains to a scruple. Pu'lvis my'rrh/E compo'situs. A stimu- lant, antispasmodic, and emmenagogue pow- der, mostly exhibited in the dose of frora fifteen grains to two scruples, in uterine ob- structions and hysterical afiections. Pu'lvis opia'tus. See Pulvis comu usti cum opio. Pu'lvis scammo'ke^: compo'situs. Com- pound powder of scammony. Pulvis comitis Warwicensis. " Take of scammony gum resin, hard extract of jalap, of each two ounces ; ginger-root, half an ounce. Re- duce them separately to a very fine powder, and then mix." From ten to fifteen grains or a scruple are exhibited as a stimulating cathartic. Pu'lvis scammo'xii cum a'loe. A stimu- lating cathartic, in the dose of from ten to fifteen grains. Pu'lvis scammo'nii cum calome'lane. A vermifugal cathartic, in the dose of from ten to fifteen grains. Pu'lvis SE'NNifE compo'situs. Compound powder of senna. Pulvis diasennm. '* Take 734 PUK FUS of senna leaves, supertartrate of potash, of each two ounces ; scammony gum resin, half an ounce ; ginger-root, two drachms. Re- duce the scammony gum resin separately, the rest together, to a very fine powder ; and then mix." The dose is from one scru- ple to one drachm. A saline stimulating cathartic. Pu'lvis tragaca'sth^ compo'situs. Compound powder of tragacanth. Species diatragacantkcB frigidce. " Take of traga- canth, powdered, acacia gum, powdered, starch, of each an ounce and half, refined sugar, three ounces. Powder the starch and sugar together ; then add the tragacanth and acacia gum, and mix the whole." Traga- ■canth is very difficultly reduced to powder. The dose is from ten grains to a drachm. A very useful demulcent powder, which may be given in coughs, diarrhosas, stran- gury, &c. Pumpion, common. See Cucurbita. PUNCTA LACHRYMA'LIA. (From punctum, a. point.) Lachrymal points. Two small orifices, one of which is conspicuous in each eyelid, at the extremity of the tarsus, near the internal canthus. Pu'nctum ad'reum. Formerly, when a hernia of the intestines was reduced by an incision made through the skin and mem- brana adiposa, quite down to the upper part of the spermatic vessels, a golden wire was fixed and twisted, so as to prevent the descent of any thing down the tunica vaginalis. PU'JNICA. The name of a genus of plants in the Linnfean system. Class, Icosandria. Order, Monogynia. Pu'nica grana'tum. The systematic name of the pomegranate. Granattmi. Pu- nica foliis lanceolatis, caule arboreo, of Lin- najus. The rind of the fruit and the flowers called Balaustine floioers, are the parts di- rected for medicinal use. In their smell there is nothing remarkable, but to the taste they are very adstringent, and have success- fully been employed as such, in diseases both internal and external. PUPIL. {Pupilla, from pupa, a babe ; because it reflects the diminished image of the person who looks upon it like a puppet.) The round opening in the middle of the iris, in which we see ourselves in the eye of another. PUPl'LLA. See Pupil. PUPILLA'RIS MEMBRA'NA. (From pupilla, the pupil.) Fupillce vdum. A fine vascular membrane, which in the fcetus of 5, 6, or 7 months, grows across the part where the pupil is afterwards seen. Purgame'ntum. a purge. PURGATI'VA. Purgantia. Catkar- tica. Catocatharlica. Catoretica. Catote- rica. Dejectoria. Mviduca. Purgative me- dicines. Purging flajc. See Linum catharlicum. Purging-mif. See Jatropha cvrrm. Pc'rpbka a'lba. Purpura rubra. Many ■writers term the military fever, when the; pustules are white, purpura alba, and when they are red, purpura rubra. Pu'rpura scorbu'tica. Petechial erup- tions in scurvy. Purslane. See Portulaca. PUS. Matter. A whitish, bland, cream- like fluid, heavier than water, found in phlegmonous abscesses, or on the surface- of sores. It is distinguished, according to its nature, into laudable or good pus, scrophulous, serous, and ichorous pus, k.c. Pus taken from a healthy ulcer, near the source of circulation, as on the arm or breast. Sir Everard Home observes, readily separates from the surface of the sore, the granulations underneath being small, pointed, and of a florid red colour, and has the following properties ; it is nearly of the consistence of cream ; is of a white colour ; has a maw kish taste ; and when cold, is inodorous ; but, when warm, has a peculiar smell. Examined in a microscope, it is found to consist of two parts, of globules, and a transparent colourless fluid ; the glo- bules are probably white, at least they appear to have some degree of opacity. Its specific gravity is greater than that of water. It does not readily go into putre- faction. Exposed to heat, it evaporates to dryness ; but does not coagulate. It does not unite with water in the heat of the atmosphere, but falls to the bottom ; yet, if kept in a considerable degree of heat, it rises and diffuses itself through the water, and remains mixed with it, even after having been allowed to cool, the globules being de- composed. Pus varies in its appearance, according to the different circumstances which affect the ulcer that forms it ; such as, the de- gree of violence of the inflammation, also its nature, whether healthy or unhealthy; and these depend upon the state of health, and strength of the parts yielding pus. These changes arise more from indolence and irritability, than from any absolute disease ; many specific diseases, in healthy constitutions, producing no change in the appearance of the matter from their specific quality. Thus, the matter from a gonor- rhoea, from the smallpox pustules, or the chickenpock, has the same appearance, and seems to be made up of similar parts, consisting of globules floating in a trans- parent fluid, like common pus ; the specific properties of each of these poisons being superadded to those of pus. Matter from a cancer may be considered as an exception ; but a cancerous ulcer is never in a healthy state. In indolent ulcers, whether the indolence arises from the nature of the parts, or the nature of the inflammation, the pus is made of globules and flaky particles, floating in PUS I'YL /35 « transparent fluid ; and globules and flakes are in different proportions, according- to the degree of indolence : this is particularly ob- servable in scrophulous abscesses, preceded by a small degree of inflammation. That this flaky appearance is no part of true pus, is well illustrated by observing, that the pro- portion it bears to the globules is greatest where there is the least inflammation ; and iu those abscesses that sometimes occur, which have not been preceded by any in- flammation at all, the contents are wholly made up of a curdy or Qaky substance, of different degrees of consistence, which is not considered to be pus, from its not having the properties stated in the definition of that fluid. The constitution and part must be in health to form good pus ; for very slight changes in the general health are capable of produ- cing an alteration in it, and even of prevent- ing its being formed at all, and substituting in its place coagulating lymph. This happens most readily in ulcers in the lower extremities, owing to the dis- tance of the parts from the source of the circulation, rendering them weaker. And it is curious to observe the influence that distance alone has upon the appearance of pus. Pus differs from chyle in its globules being larger, not coagulating by exposure to the air, nor by heat, which those of chyle do. The pancreatic juice contains globules but they are much smaller than those of pus. Milk is composed of globules, nearly of the same size as those of pus, but much more numerous. Milk coagulates by run- net, which pus does not ; and contains oil and sugar, which are not to be discovered in pus. The cases in which pus is formed are, properly speaking, all reducible to one, which is, the state of parts consequent to in- flammation. For, as far as we yet know, observes Sir E. Home, pus has in no instance been met with unless preceded by inflam- mation ; and although, in some cases, a fluid has been formed independent of preceding inflammation, it differs from pus in many of its properties. In considering the time required for the formation of pus, it is necessary to take notice of the periods which are found, under different circumstances, to intervene be- tween a healthy or natural state of the parts, and the presence of that fluid after the ap- plication of some irritating substance to the skin. In cases of wounds made into muscular parts, where blood-vessels are divided, the iirst process which takes place is the extra- vasation of red blood ; the second is the ex- udation of coagulating lymph, which after- wards becomes vascular ; and the third, the formation of matter, which last does not, in rommon. take place in less than t^vo days ; the precise time will, however, vary ex- ceedingly, according to the nature of the constitution, and the state of the parts at the time. If an irritating substance is applied to a cuticular surface upon which it raises a blis- ter, pus will be formed in about twenty-four hours. PU'STULA. (Dim. of pus, matter.) See Pustule. PUSTULE. (Pustula, a little pimple^ from pus, corruption.) Ecthyma. Ecze- ma. Dr. Wilian defines a pustule to be an elevation of the cuticle, sometimes globate, sometimes conoidal in its form, and con- taining pus, or a Ij'mph which is in general discoloured. Pustules are various in thei? size, but the diameter of the largest seldom exceeds two lines. There are many dif- ferent kinds of pustules, properly distin- guished in medical authors, by specific ap- pellations, as 1. Phlysacium, a small pus- tule containing pus, and raised on a hard, circular, inflamed base of a vivid red co- lour. It is succeeded by a thick, hard, ddrk coloured scab. 2. Psydracium, accord- ing to Dr. Wilian, a minute pustule, irregu- larly circumscribed, producing but a slight elevation of the cuticle, and terminating in a laminated scab. Many of these pustules usually appear together, and become con- fluent. When mature, they contain pus ; and, after breaking, discharge a thin watery humour. Pu'sTULA o'ris. The aphthre. PUTA'MEN. (From puto, to cut.) Ths bark or paring of any vegetable, as the wal- nut. See Juglans. PUTREFACTION. Putrid ferment- ation. Putrefactive fermentation. That process by which a substance is decomposed and dissipated in the air in the form of putrid gas. Every living body, when de- prived of life, performs a retrograde pro- cess, and becomes decomposed. This is called fermentation in vegetables, and putre- faction in animals. The same causes, the same agents, and the same circumstances, determine and favour the decomposition in vegetables and animals, and the difference of the products which are obtained, arises from the difference of the constituent parts of each. The requisites to this process are, 1. A certain degree of humidity. 2. The access of atmospheric air. 3. A certain degree of heat. See also Fermenta- tion. Putrid fever. A species of typhus. See Typhus gravior. PYLORIC ARTERY. Arteria pylorica. A branch of the hepatic artery. PYLO'RUS. (From 5ruX«, an entrance, and oupos, a guard ; because it guards, as it were, the entrance of the bowels.) Janitor, Porlorarium. Ostiarius. The inferior aper- ture of the stomach, which opens into the intestines. r36 PYR PYR Ptopoe'tica. (From crwv, pus, and ^eiia, to make ) Suppurative medicines. Pyorbhce'a. (From ttviiv pus, and f£(w, lo flow.) A purulent discharge from the belly. Pvotu'ria. (From vruon, pus, and tvpoii urine.) Pyuria. A mucous or purulent urine. PYRAMIDA'LIS. {Pyramidalis, so. musculus; from -^vfa/x.is, a pyramid.) Fal- lopius, who is considered as the first accu- rate describer of this muscle, gave it the name of pyramidalis, from its shape, hence it is called pyramidalis Fallopii, by Dou- glas. But Vesalius seems to have been acquainted with it, and to have described it as a part of the rectus. It is called pyra- niidalis vel siiccetiluriatiis, by Cowper. And pubio-ombilical, by Dumas. It is a very small muscle, situated at the bottom of the fore part of the rectus, and is covered by the same aponeurosis that forms the anterior part of the sheath of that muscle. It arises, by short tendinous fibres, from the upper find fore part of the os pubis. From this origin, which is seldom more than an inch in breadth, its fibres ascend somewhat pbliqiiely, to be inserted into the linea alba, and inner edge of the rectus, commonly at jabout the distance of two inches from the jpubes, and frequently at a greater or less distance, but always below the umbilicus. lln some subjects the pyramidalis is wanting ion one or both sides, and when this hajDpens, the internal oblique is usually found to be of greater thickness at its lower part. Now and then, though rarely, there are two at one side, and only one at the other, and M. Sa- batier has even seen two on each side. Fal- lopius, and many others after him, have con- sidered it as the congener of the internal oblique ;. but its use seems to be to assist the lower part of the rectus. Pyramida'lis facie'i. See Levalor labii superioris alceque nasi. I Pyrenoi'des. (From zsrvptiv, a kernel, and swo;, likeness ; so called from its kernel- like shape.) Applied to the odontoid pro- cess of the second vertebra. Pyrete'rium. (From wup, fire, and T'^picj, to keep.) The fire-hole of a fur- nace. PYllE'THRUM. (From -aup, fire, because of the hot taste of its root.) See Anthemis pyrethruni. Pyre'thrtjm sylve'stre. See Achillea plarmica. PYRE'TOLOGY. (Pyretologia ; from Tupfjo;, fever, and Xoyss, a discourse.) A dis- course, or doctrine on fevers. PYRE'XIA. (From srw, fire.) Fever. PYRE'XIJC. Febrile diseases. The first class of Cullen's nosology ; characterized by frequency of pulse after a cold shivering, with increase of heat, and especially, among other impaired functions, a diminution of strength. PYRiFO'RMIS. (From pyrus, a pear, and forma, a shape, shaped like a pear.) Pyriformis, seu iliacus exlernus, of Dou- glas and Cowper. Spigelius was the first who gave a name to this muscle, which he called pyriformis, from its supposed resem- blance to a pear. It is the pyriformis site pyramidalis, of Winslow, and sacroirochan- terien, of Dumas. A small radiated mus- cle, situated under the glutjeus maximus, along the infei'ior edge of the glutBeus mi- nimus. It arises by three and sometimes four tendinous and fleshy origins, from the anterior surface of the second, third and fourth pieces of the os sacrum, so that this part of it is within the pelvis. From these origins the muscle grows narrower, and passing out of the pelvis, below the niche in the posterior part of the ilium, from, which it receives a few fleshy fibres, is in- serted by a roundish tendon of an inch in length, into the upper part of the cavity at the root of the trochanter major. The use of this muscle is to assist in moving the thigh outwards, and in moving it a little up- wards. PYPJ'TES. (From -arup, fire; so called because it strikes fire with steel.) A metallic substance, formed of iron united with sul- phur, from which almost all the sulphur of commerce is obtained. Pyri'tes aksenica'lis. Sulphuretof iron with arsenic. PYRMONT WATER. Aqua pyr- montana. A celebrated mineral spring at Pyrmont, a village in the circle of West- phalia, in Germany. It is of an agreeable though strongly acidulated taste, and emits a large portion of gas ; which affects the persons wlio attend at the well, as well as those who drink the fluid, with a sensation somewhat resembling that produced by intox- ication. A general view of the analysis of this water will show that it stands the first in rank of the highly carbonated chalybeates, and contains such an abundance of carbonic acid, as not only to hold dissolved a num- ber of carbonic salts, but to show all the properties of this acid uncombined, and in its most active form. Pyrmont water is likewise a strong chalybeate, with regard to the proportion of iron ; and it is besides a very hard water, containing much selenite and earthy carbonates. The diseases to which this mineral water may be advan- tageously applied, are the same as those for which the Spa, and others of the acidulated chalybeates, are resorted to, that is, in all cases of debility that require an active tonic that is not permanently heating ; as various disorders in the alimentary canal, especially bilious vomiting, and diarrhoea, and com- plaints that originate from obstructed men- struation. At Pyrmont, the company ge- nerally drink this water by glassfuls, in a, morning, to the quantity of two, three, or more English pints. Its common operation PiH PVX ^3^ is by uriae ; but, if taken copiously, it gene- rally proves laxative ; and when it has not this effect, and that effect is wanted, they coir.nionly mis, with the first glass drank in the morning, from one to five or six drachms of some purgiag salts. P Y'R OLA. (From pyrus, a pear ; so named because its leaves resemble tliose of the pear-tree.) 1. The name of a genus of plants in the Linnsean system. Class, De- candria. Order, Monogynia. 2. The pharmacopceial name of theround- ieaved winter green. Pv'rola rotundifo'lia. The systematic name of the wintergreen. This elegant little plant, common in our woods, is now forgot- ten in the practice of medicine. It possesses gently adstringent qualities, and has a some- what bitter taste. PYRO-LIGNEOUS ACID. Jcidumpyro- Ugnomm. An acid liquor of a brown colour, of a pretty strong and peculiar smell, obtain- ed by distillation from wood, especially the beech, birch, and box. It is thought to be the acetic acid, somewhat disguised by em- pyreumatic oil. PYROMETER. (From -ztup, fire, and ^s- Tfov, measure.) An instrument to measure those higher degrees of heat, to which the thermometer cannot be applied. See Calo- rie. PYRO-MUCOUS ACID. Midum pyro- mucosum. Sirupous acid. The acid liquor obtained by distillation from saccharine, gum- my, or farinaceous mucilages. The celebra- ted Gren is of opinion, that it is a mixture of acetic with oxalic acid, aud does not deserve to be received in the system of chemistry as a peculiar acid. PYRO-TARTAROUS ACID. Acidum py- ro- far trosum. See Tartar, spirit of. PYRO'SIS. (From -igvfoca, to burn.) Py- rosis Suecica, of Sauvages. Cardialgia spu- tatoria, of Linnaeus. A disease called in Scotland the water-brash ; in England, black- water. A genus of disease in the class neu- roses, and order spasmi, of CuUen ; known by a burning pain in the stomach, attended with copious eructation, generedly of a watery in- sipid fluid. Pyrotechnia. (From wup, fire, and Tix'"h an art.) Chemistry, or that art by which the properties of bodies are examined by fire. Pyro'tica. (From ■av^ou, te burn.) Caustics. PY'RUS. The name of a genus of plants in the Linnsean system. Class, Icosandria. Order, Pentagynia. Py'rus cydo'nia. The systematic name of the quince-tree. The fruit is termed Cydonium malum, or quince. The tree which affords this fruit is the Pyrus eydonia; foliis iniegerrimis, fioribus solitariis, of Lin- naeus. Quince seeds are directed by the London College to be made into a decoc- tion, which is recommended in aphthous af- fections, and excoriations of the mouth and fauces. Py'rus ma'lds. The systematic name of the apple-tree. The common crab- tree, Pyrus mains, of Linnaeus, is the pa- rent of all the vast variety of apples at pre- sent cultivated. Apples, in general, when ripe, afford a pleasant and easily digestible fruit for the table ; but, when the stomach is weak, they are very apt to remain unal- tered for some days, and to produce dys- pepsia. Sour fruits are to be considered as unwholesome, except when boiled or baked, and rendered soft and mellow with the addi» tion of sugar. Pyu'lccm. From wvav, pus, and iXx/u, to draw.) An instrument to extract the pus from the cavity of any sinuous ulcer. Pyu'ria. See Pyoturia. Pyxaca'ntha. (From zfu^oi, box, and tcKavia, a thorn.) The barberry, or thorny box-tree. PY'XIS. Xlv^t{. Properly a box; but, from its resemblance, the cavity of the hip- bone, or acetabulum, has been sometimes so called. Q. VsJ, P. An shhrevidiUon oi quantum placet, as much as you please. Q. S. The contraction for quantum sufficit, a sufficient quantity. Q. V. An abbreviation of quantum vis, as much as you will. QtJADKA'Tus. See Depressor labii in/trio- ris. QUADRA'TUS FE'MORIS. (Quadra- tus ; from quadra, a square ; so called from its supposed shape.) Tuber-ischio- irochanterien, of Dumas. A muscle of the thigh, situated on the outside of the pelvis. It is a flat, thin, and fleshy muscle, but not of the shape its name would seem to indi- cate. It is situated immediately below the 93 rss QUA QUA gemini. It arises tendinous and fleshy iVotn the external surface and lower edge of the tuberosity of the ischium, and is inserted by short tendinous fibres into a ridge v/hich is seen extending- from the basis of the tro- chanter major to that of the trochanter minor. Its use is to bring the os feraoris out- wards! Quadra'tus ge'sje. See Plalysma myoi- des. Quadea'tcs la'bii inferio'ris. See De- nressor labii inferioris. Q U A D R A'T U S L U M B OR U M. Quadrutus, seu Lumbaris extemus, of Wins- low. Ilio-lumbi-cosfal, of Dumas. A mus- cle situated within the cavity of the abdomen. This is a small, flat, and obiong muscle, that has gotten the name of quadratus, from its shape, which is that of an irregular square. It is situated laterally, at the lower part of the spine. It arises tendinous and fleshy from about two inches from the pos- terior part of the spine of the ilium. From this broad origin it ascends obliquely in- wards, and is inserted into the transverse processes of the four superior lumbar ver- tebrae, into the lower edge of the last rib, aiid, by a small tendon, that passes up under tiie diaphragm into the side of the last ver- tebra of the back. When this muscle acts singly, it draws the loins to one side ; when both muscles act, they serve to support the spine, and perhaps to bend it forwaids. In laborious respiration, the quadratus lumborum may assist in pulling down the ribs. Quadra'tus MAXi'LLffi inferio'ris. See Platysma myoides. Qcadea'tds ea'dii. See Pronator radii quadratus. Quadri'ga. (From quaiuor, four, andjiw- gum, A yoke.) A bandage which resembles Jhe trappings of a four-horse cart. QUART A'N A, Ftbris quartana. A fourth-day ague. Of this species of ague, as well as the other kinds, there are several varieties noticed by authors. The most frequent of these are, 1. The double quar- tan, with two paroxysms, or fits, on the first day, none on the second and third, and two again on the fourth day. 2. The double quartan, with a paroxysm, on the first day, another on the second, but none on the third. 3. The triple quartan, with three paroxysms every fourth day. 4. The triple quartan, with a slight paroxysm every day, every fourth paroxysm being similar. See also Ftbris intermittens. QUARTZ. This name is given to the opaque, or irregularly figured vitrifiable Stone. QUA'SSIA. (From a slave of the name of Qwassi, who first used it with uncommon success as a secret remedy in the malignant endemic fevers which frequently prevailed at Surinam.) 1. The Bame of a genus of plants in the Linnfean system. Class, Decandria. Order, Monogynia. 2. The pharmacopffiial name of the bitter quassia. Quassia ama'ra. The systematic name of the bitter quassia tree. The root, bark, and wood of this tree. Quassia, floribns her- maphroditis, foliis impari-pinnalis, foliolis oppositis, sessilibus, peliolo arlicidaio alaio, Jloribus racemosis, of Linnteus, are all com- prehended in the catalogues of the Materia Medica. The tree is a native of South Ame- rica, particularly of Surinam, and also of some of the West-India islands. The roots are perfectly ligneous ; they may be medically considered in the saiTre light as the wood, which is now most gene- rally employed, and seems to diiFer from the bai'k in being less intensely bitter ; the latter is therefore thought to be a more powerful medicine. Quassia has no sen- sible odour ; its taste is that of a pure bit- ter, more intense and durable than that of almost any other known substance ; it im- parts its virtues more completely to watery than to spirituous menstrua, and its infu- sions are not blackened by the addition of sulphate of iron. The watery extract is from a sixth to a ninth of the weight of the wood, the spirituous about a twenty-fourth. Quassia, as before observed, derived its name from a negro named Quassi, who employed it with uncommon success as a secret remedy in the malignant endemic fevers, which frequently prevailed at Su- rinam. In consequence of a valuable con- sideration, this secret was disclosed to Da- niel Rolander, a Swede, who brought spe- cimens of the quassia wood to Stockholm, in the year 1756; and, since then, the effects of this drug have been generally tried in Europe, and numerous testimonies of its efficacy published by many respectable au- thors. Various experiments with quassia have likewise been made, with a view to ascertain its antiseptic powers ; from which it appears to hove considerable influence in retarding the tendency to putrefaction ; and this, Proiessor Murray thinks, cannot be attributed to its sensible qualities, as it possesses no adstringency whatever ; nor can it depend upon its bitterness, as gentian is much bitterer, yet less antiseptic. The medicinal virtues ascribed to quassia are those of a tonic, stomachic, antiseptic, and febrifuge. It has been found very effectual in restoring digestion, expelling flatulencies, and removing habitual costiveness, produced from debility of the intestines, and common to a sedentary life. Dr. Lettsom, whose extensive practice gave him an opportunity of trying the effects of quassia in a great number of cases, says, " In debility, suc- ceeding febrile diseases, the Peruvian bark is most generally more tonic and salutary than any other vegetable hitherto known ; but in hysterical atony, to which the female QUA QUE 739 sex is so prone, the quassia affords more vigour and relief to the system than the other, especially when united with the vi- triolum album, and still more with the aid of some absorbent." In dyspepsia, arising from hard drinking, and also in diarrhoeas, the doctor exhibited the quassia with great success. But, with respect to the tonic and febrifuge qualities of quassia, he says, " I by no means subscribe to the Liunaean opi- nion, where the author declares, ' me quidem judice chinchinam ionge superat,' " It is very well known, that there are certain pe- culiarities of the air, and idiosyncrasies of constitution, unfavorable to the exhibition of Peruvian bark, even in the most clear intermissions of fever ; and writers have re- peatedly noticed it. But this is compara- tively rare. About midsummer, 1785, Dr. li. met with several instances of low remit- tent and nervous fevers, wherein the bark uniformly aggravated the symptoms, though given in intermissions the most favourable to its success, and wherein quassia, or snake- root, was successfully substituted In such cases, he mostly observed, that there was great congestion in the hepatic system, and the debility at the same time discouraged copious evacuations. And in many fevers, without evident remissions to warrant the use of the bark, whilst at the time, increa- sing debility began to threaten the life of the patient, theDoctor found that quassia, or snake-root, singly or combined, upheld the vital powers, and promoted a critical inter- mission of fever, by which an opportunity was afforded for the bark to effect a cure. It may be given in infusion, or in pills made from the watery extract ; the former is ge- nerally preferred, in the proportion of three or four scruples of the wood to twelve ounces of water. Qua'ssia simarou'ba. The systematic name of the simarouba quassia. Simarouba. Simaraba. Euonymus. Quassia, floribus nio- iwicis, foliis abrupte pinnalis, foliolis allernis subpeliolaiis petiolo nudo, floribus paniculatis, of Linnajus. The bark of this tree, which is met with in the shops, is obtained from the I'oots ; and, according to Dr. Wright of Ja- maica, it is rough, scaly, and warted ; the inside, when fresh, is a full yellow, but when dried, paler : it has but little smell ; the taste is bitter, but not disagreeable. It is esteemed, in the West Indies, in dysente- ries and other fluxes, as restoring tone to the intestines, allaying their spasmodic mo- tions, promoting the secretions by urine and perspiration, and removing lowness of spi- rits attending those diseases. It is said also that it soon disposes the patient to sleep : takes offthe gripes and tenesmus, and chan- ges the stools to their natural colour and consistence. • QuAssY. See Quassia. Qua'trio. (From qualuor, four ; so called because it has four sides,) The astragalus. Queen of the meadow. See Spircea ulmU'- ria. Que'rcula. {Querculn, dim. of quercus, the oak ; so called because it has leaves like the oak.) An antiquated name of the ger- mander. See Teucrium cham' I, Ber.n ARDiK, was born at Carpi in Italy in 1683. He graduated at Parma at the age of 26, and after studying some time longer at Rome, settled in the Duchy of Castro : but ill health obliged him speedily to return to his native place. His reputation increasing he removed to Modena in 1671, where he met with considerable success ; and in 1682, he was appointed pro- fessor of the theory of medicine in the uni- versity recently established there, which office he filled for eighteen years with great credit. He was then invited to a similar appointment at Padua, and exerted himself with laudable ardour for three years ; when he was attacked with a disease of the eyes, which ultimately deprived him of sight. In 1708 the Senate of Venice appointed him President of the College of Physicians of that capital, and in the following year raised him to the first professorship of the practice of medicine. He continued to perform the duties of these offices witli great diligence and reputation till his death in 1714. He was a member of many of the academies of science established in Germany, k.c. ; cind left several works in the Latin language, re- markable for the elegance of their style, and other merits. The principal of these, and which will be ever held in estimation, is en- titled " De Morbis Artificum Diatriba," gi- ving an account of the diseases peculiar to diflerent artists and manufacturers. Ra'mex. (From ramus, a branch ; from Its protruding forwards, like a bud.) A rupture. RA'JVA ESCULE'>'TA. The French frog. The flesh of this species of frog, very com- mon in France, is highly nutritious and easily digested. Rascid. Oily substances are said to have become rancid when, by keeping, they ac- quire a strong offensive smell, and altered taste. RANINE ARTERY. Arlenamnina. Sub- lingual artery. The second branch of the external carotid. RA'NULA. (From rana, a frog ; so called from its resemblance to a frog, or be- cause it makes the patient croak like a frog.) Balrachos. iHypoglossus. Hypoglossum. Rana. An inflammatory or indolent tu- mour under the tongue. These tumours are of various sizes and degrees of consist- ence, seated on either side of the fraenum. Children, as well as adults, are sometimes affected with tumours of this kind ; in the former, they impede the action of sucking ; in the latter, of mastication, and even speech. The contents of them are various ; in some, they resemble the saliva, in others, the glairy matter found in the cells of swelled joints. Sometimes, it is said that a fatty matter has been found in them ; but from the nature and structure of the parts, we are sure that this can seldom happen ; and, in by {ax the greatest number of cases, we find that the contents resemble the saliva itself. This, indeed, might naturally be expected, for ,the cause of these tumours is universally to be looked for in an obstruction of the salivary ducts. Obstructions here may arise from a cold, inflammation, violent fits of the tooth-ache, attended with swelling in the in- side of the mouth ; and, in not a few cases, we find the ducts obstructed by a stony mat- ter, seemingly separated from the saliva, as the calculous matter is from the urine ; but where inflammation has been the cause, we always find matter mixed with the other conteijte of the tumour. -As these tumours are riot usually attended with much pain, they are sometimes neglected, tiU they burst of themselves, which they commonly do when arrived at the bulk of a large nut. As they were produced originally from an obstruction in the salivary duct, and this obstruction cannot be removed by the burst- ing of the tumour, it thence happens that they leave an ulcer extremely difficult to ^^Jieal, nay, which cannot be healed at all till the cause is removed. Ranuisculoi'des. (From rajmnculus, and ii'S'os, resemblance ; so named from its resem- blance to the ranunculus.) The Caltha pa- lustris or marsh marigold. RANU'xNCULUS. (Dim. of rana, a frog ; because it is found in fenny places, where frogs abound.) The name of a genus of plants in the Linnjean system. Class, Po- lyandria. Order, Polygynia. The great acrimony of most of the species of ranuculus is such, that, on being applied to the skin, they excite itching, redness, and inflammation, and even produce bhsters, tumefaction, and ulceration of the part. Oa being chewed, they corrode the tongue ; and, if taken into the stomach, bring on all the deleterious effects of an acrid poison. The corrosive acrimony which this family of plants possesses, was not unknown to the ancients, as appears from the writings of Dioscorides ; but its nature and extent had never been investigated by experiments, be- fore those instituted by C. Krapf, at Vienna, by which we learn, that the most virulent of the Linnaean species of ranunculus, are the bulbosus, sceleratus, acris, axvensis, thora, and iilyricus. The effects of these were tried, either up8n himself or upon dogs, and show that the acrimony of the different species is ofter» confined to certain parts of the plant, mani- festing itself either in the roots, stalks, leaves, flowers, or buds; the expressed juice, ex- tract, decoction, and infusion of the plants, were also subjected to experiments. In ad- dition to these species mentioned by Krapf, we may also notice the R. Flammula, and IlA?v RAl 745 especially the R. Alpestiis, which, according to Haller, is the most acrid of this genus. Mr. Curtis observes, that even pulling up the ranunculus acris, the common meadow species, which possesses the active principle of this tribe, in a very considerable degree, throughout the whole herb, and carrying it to some little distance, excited a considerable inflammation in the palui of the hand in which it was held. It is necessary to re- mark, that the acrimonious quality of these plants is not of a fixed nature ; for it may be completely dissipated by heat ; and the plant, on being thoroughly dried, becomes perfectly bland. Krapf attempted to coun- teract this venomous acrimony of the ranun- culus by means of various other vegetables, none of which was found to answer the pur- pose, though he thought that the juice of sorrel, and that of unripe currants, had some effect in this way ; yet these were much le|s availing than water ; while vinegar, honey, sugar, wine, spirit, mineral acids, oil of tar- tar, p. d. and other sapid substances, mahi- iestly rendered the acrimony more corrosive. It may be also noticed, that the virulency of most of the plants of this genus, depends much upon the situation in which they growj and is greatly diminished in the culti- vated plant. Rand'nculus ABORTi'vus. The system- atic name of a species of ranunculus, which possesses acrid and vesicating properties. Ranu'nculds a'cris. The systematic tname of the meadow crow-foot. Ranuncu- lus pratensis. This, and some other species of ranunculus, have, for medical purposes, been chiefly employed externally as a vesica- tory, and are said to have the advantage of a common blistering plaster, in producing a quicker effect, and never causing a stran- gury ; but, on the other hand, it has been observed that the ranunculus is less certain in its operation, and that it sometimes occa- sions ulcers, which prove very troublesome and difficult to heal. Therefore their use seems to be applicable only to certain fixed pains, and such complaints as require a ]ong continued topical stimulus or discharge from the part, in the way of an issue, which, in various cases, has been found to be a powerful remedy. Rand'nculus a'lbds. The plant which bears this name in the Pharmacopoeias is the Anemone, nemorosa, of Linnaeus : which see. Ranu'nculus bulbo'sus. Bulbous root- ed crow-foot. The roots and leaves of this plant, Ranunculus : — calycibus relrofiexis, ■pedunculis sulcaiis, caule erecio mullifioro, foliis composilis, of Linoeeus, have no con- siderable smell, but a highly acrid and fiery taste. Taken internally, they appear to be deleterious, even when so far freed from the caustic matter by boiling in water, as to dis- cover no ill quality to the palate. The efflu- via, likewise, when freely inspired, are said to occasion iiead-aches, anxieties, vomitings, he. The leaves and roots, applied external- ly, inflame and ulcerate, or vesicate the parts, and are liable to affect also the adjacent parts to a considerable extent. Ranunculus fica'ria. The systematic name of the pilewort. Chelidoniurn minus. Scrophularia minor. Chelidonia rotundifolia minor. Cursuma hmmorrhoidalis herba. Ra- nunculus vernus. Lesser celandine, and pilewort. The leaves and root of this plant, Ranunculus ; foliis cordatis angulatis ptliola- iis, caule unifloro^ of Linnajus, are used me- dicinally. The leaves are deemed anti- scorbutic, and the root reckoned a specific, if beat into cataplasms, and applied to the piles. Ranu'nculus fla'mmula. The system- atic name of the smaller water crow-foot, or spearv/ort. Surrecla alba. The roots and leaves of this common plant, Ranunculus : — foliis ovatis-lanceolatis, peiiolatis, caule decli- nato, of Linnaeus, taste very acrid and hot, and, when taken in a small quantity, pro- ' diice vomiting, spasms of the stomach, and delirium. Applied externally, they vesicate the skin. The best antidote, after clearing the stomach, is cold water acidulated with lemon-juice, and then mucilaginous drinks. Ranu'nculus palu'stris. Water crow- foot. See Ratmnculus sceleralus. Ranu'nculus prate'nsis. Meadow crow- foot. See Ranunculus acris. Ranu'nculus scelera'tus. The system- atic name of the marsh crow-foot. RoJiuw cuius palusiris. The leaves of this species of crow-foot are so extremely acrid, that the beggars in Switzerland are said, by rubbing their legs with them, to produce a very fetid, and acrimonious ulceration. Ra'pa. The turnip. See Erassica. Rape. See Brassica. RAPHA'NIA. (From raphanus, the radish or charlock ; because the disease iS' said to be produced by eating the seeds of a species of raphanus.) Convulsio raplmnia, vel ab ustilagine. Eclampsia lyphodes. Con- vulsio soloniensis. JYecrosis ustilaginea. Cripple disease. A genus of disease in the class neuroses, and order spasmi, of Cullen j characterized by a spasmodic contraction of the joints, with convulsive motions, and a most violent pain returning at various pe- riods. It begins with cold chills and lassi- tude, pain in the head, and anxiety about the praecordia. These symptoms are follow- ed by spasmodic twitchings in the tendons of the fingers and of the feet, discernible to the eye, heat, fever, stupor, delirium, sense of suffocation, aphonia, and horrid convul- sions of the limbs. After these, vomiting and diarrhoea come on, with a discharge of worms, if there are any. About the eleventh or the twentieth day, copious sweats succeed, or purple exanthemata, or tabes, or rigidity of all the joints. K A'P H A N U S. (Pafecvo; -srapiK ro paJ/w; 9.4 IM RAU REA ^aivif^ai : from its quick growth.) The radish. A genus of plants in the Linnspan system. Class, Tetradynmnia. Order, -St- liculosa. Ra'phanus horte'ksis. See Rapha7ius satirus. Ra'phanus ni'ger. See Raphanus sali- vas. Ra'phanus rcstica'-n'us. See Cochlearia armoracia. Ra'phanus sati'vus. The systematic name of the radish plant. Raphanus hortensis. Radicula. Raphanus nigtr. The radish. The several varieties of this plant, are said to be employed medicinally in the cure of calculous affections. The Juice, made into a sirup, is given to relieve hoarseness. Mixed with honey or sugar, it is administered in pituitous asthma ; and, as antiscorbutics, their efficacy is generally ac- knowledged. Ra'phakxjs sylve'stkis. The poor man's pepper is sometimes so called. See Lepi- dium. RATHE SCROTI. (Paip^, a suture.) The rough eminence which divides the scro- tum, as it were, in two. It proceeds from the root of the penis inferiorly towards the pe- rinaeum. RATHE CE'REBRI. The longitudinal eminence of the corpus callosum of the brain is so called, because it appears somewhat like a suture. Rapi'strdm. (From rapa, the turnip, because its leaves resemble those of turnip.) Lampsana. Miagra. Charlock, or wild laustard. Ra'pdm, {Ely. uncertain,) See Brassica rapa. Rapu'nculus. (Dim. of rapa, the turnip.) The wild turnip. Rapu'nculus virginia'nus. The name given by Morrison to the blue cardinal 2ower. See Lobelia. Ra'pus. See Brassica rapa. RASH. Exanthema. A rash consists of red patches on the skin, variously figured ; in general confluent, and diffused irregularly over the body, leaving interstices of a natu- ral colour. Portions of the cuticle are often elevated in a rash, but the elevations are not acuminated. The eruption is usually ac- companied with a general- disorder of the constitution, and terminates in a few days by cuticular exfoliations. Raspato'rium. (From rado, to scrape.) A surgeon's rasp. Raspberry. See Riibus idceus. Rasu'ra. (From rado, to scrape.) 1. A rasure or scratch. 2. The raspings or sha- vings of any substance, Ratifia. a liquor prepared by imparting to ardent spirits the flavour of vai-ious kinds of fruits. Rattlesnake root. See Polygala Senega. R A e C E'D 0. (From rmcus, hoarse.) Rauciias. Hoarseness. It is always sy}np» tomatic of some other disease. REAGENTS. Tests, Those substances which are used in chemistry to detect the presence of other bodies. In the application of tests there are two circumstances to be at- tended to, viz. To avoid deceitful appear- ances, and to have good tests. The principal tests are the following : 1 . Litmus. The purple of litmus is chan- ged to red by every acid ; so that this is the test generally made use of to detect excess of acid in any fluid. It may be used either by dipping into the water a paper stained with litmus, or by adding a drop of the tinc- ture to the water to be examined, and com- paring its hue with that of an equal.<|uantity of the tincture in distilled water. Litmus already reddened by an acid will have its purple restored by an alkali ; and tfeus it may also be used as a test for alkalis, but it is much less active than other direct alkaline tests. 2. Red cabbage has been found by Mr. Watt to furnish as delicate a test for acids as litmus, and to be still more sensible to al- kahs. The natural colour of an infusion of this plant is blue, which is changed to red by acids, and to green by alkalis in very mi- nute quantities. 3. Brazil vjood. When chips of this wood are infused in warm water, they yield a red liquor, which readily turns blue by alka- lis, either caustic or carbonated. It is also rendered blue by the carbonated earths held in solution by carbonic acid, so that it is not an unequivocal test of alkalis till the Ccirthy carbonates have been precipitated by boiling. Acids change to yellow the natural red of brazil wood, and restore the red when chan- ged by alkalis, 4. Violets. The delicate blue of the com- mon scented violet is readily changed to green by alkalis, and this affords a delicate test for these substances. Sirup of violets is generally used as it is at hand, being used in medicine. But a tincture of the flower will answer as well. 5. Turmeric. This is a very delicate test for alkalis, and on the whole, perhaps, isi the best. The natural colour either in wa- tery or spirituous infusion is yellow, which is changed to a brick or orange red by alka- lis, caustic or carbonated, but not by carbo- nated earths, on which account it is prefera- ble to Brazil wood. The pure earths, such as lime and barytes, produce the same change. 6. Rhubarb. Infusion or tincture of rhu- barb undergoes a similar change with tume- ric, and is equally delicate. T. 'Sulphuric acid. A drop or two of concentrated sulphuric acid, added to wa- ter that contains carbonic acid, free or in combination, causes the latter to escape with a pretty brisk efTervescence, whereby REA REC 141 I be presence of this g^aseous acid may be de- tected. 8. Nitric and oxymuriaiic acid. A pecu- liar use attends the employment of these acids in the sulphuretted waters, as the sulphuret- ted hydrogen is decomposed by them, its hy- drogen absorbed, and the sulphur separated in its natural form. 9. Oxalic acid and oxalate of ammonia. These are the most delicate tests for lime and all soluble calcareous salts. Oxalate of lime, though nearly insoluble in water, dissolves in a moderate quantity in its own or any other acid, and hence in analysis oxa- late of ammonia is often preferred, as no excess of this salt can re-dissolve the preci- pitated oxalate of lime. On the other hand the ammonia should not esceed, otherwise it might give a false indication. 10. Gallic acid and tincture of galls. These are tests of iron. Where the iron is in very minute quantities, and the water somewhat acidulcu:, -hese tests do not al- ways produce a precipuaie, but only r sli^n-ht reddening, but their action is much heighteii- ed by previously adding a few drops of any alkaline solution. 11. Prussiate of potash or lime. The presence of iron in water is equally well indicated by these prussiates, causing a blue precipitate : and if the prussiate of potash is properly prepared, it will onh' be precipi- tated by a metallic salt, so that manganese and copper will also be detected, the former giving a white piecipitate, the latter a red precipitate. 12. Lime-water is the common test for carbonic acid ; it decomposes all the magne- sian salts, and likewise the aluminous salts ; it likewise produces a cloudiness with most of the sulphates, owing to the formation of selenite. 13. .Ammonia. This alkali whelii per- fectly caustic serves as a distinction between the salts of lime and those of magnesia, as it precipitates the earth from the latter salts, but not from the former. There are two sources of error to be obviated, one is that of carbonic acid being present in the water, the other is the presence of alumi- nous salts. 14. Carbonated alkalis. These are used to precipitate all the earths ; where carbo- nate of potash is used particular care should be taken of its purity, as it generally contains silex. 15. Muriated alumine. This test is pro- posed by Mr. Kirwan to detect carbonate of magnesia, which cannot, like carbo- nated lime, be separated by ebullition, but remains till the whole liquid is evapo- rated. 16. Barylic salts. The nitrate, muriate, and acetate of barytes are all equally good tests of sulphuric acid in any combination. 17. Salts of silver. The salts of silver are the most delicate tests of muriatic acid, in any combination, producing the pre- cipitated luna cornea. All the salts of silver likewise give a dark-brown pi"e- cipitate with the sulphuretted waters, which is as delicate a test as any that we possess. 18. Salts of lead. The nitrate and ace- tate of lead are the salts of this metal em- ployed as tests. They will indicate tlie sulphuric, muriatic, and boracic acids, and sulphuretted hydrogen or sulphurct of pot- ash. 19. Soap. A solution of soap in distilled water, or in alcohol, is curdled by water con- taining any earthy or metallic salt. 20. Tartaric acid. This acid is of use in distinguishing the salts of potash, (with which it forms a precipitate of cream of tar- tar,) from those of soda, from which it does not precipitate. The potash, however, must exist in some quantity to be detected by the test. 21. J\'itro-mnriate of plaiina. This sort is still more discriminative betv/een potash and the otiier alkalis, than acid of tartar, and will produce a precipitate with a very weak solu- tion of any salt with potash. 22. .Alcohol. This most useful reagent is applicable in a variety of ways in ana- lysis. As it dissolves some substances found in fluids, and leaves others untouched, it is a means of separating them into two classes, which saves considerable trouble in the further investigation. Those salts which it does not dissolve, it precipitates from their watery solution, but more or less completely according to the salt contained, and the strength of the alcohol, and as a preci- pitant it also assists in many decomposi- tions. R E A'L GAR. ^rlada. Arladar. Au- ripigmentum ruhruni. Arsenicum rubruni faclilium. Abessi. A metallic substance of a red colour, more or less lively and trans- parent, and often crystallized in brilliant needles ; formed by a combination of arsenic with sulphur. See Arsenic. RECEPTA'CULl/M CHY'LI. (Recep- iaculum, from recipio, to receive.) Re- ceptacuhim Pecquefi, because Pecquet first attempted to demonstrate it. Diversorium. Sacculus chyliferus. The existence of such a receptacle in the human body is doubted. In brute animals the receptacle of the chyle is situated on the dorsal ver- tebrae where the lacteals all meet. See Ab- sorbents. RECTIFICATION. (Rectificatio, from rectijlco, to make clear.) A second distillation, in which substances are puri- fied by their more volatile parts being raised by heat carefully managed ; thus, spirit of v.'me, eether, &.c. are rectified by their sepa^ EEC EEC Ration from (he Ipss volatile and foreign mat- ter ■H-hich altered or debased their properties, Re'ctor s?i'ritus. The aromatic part of plants. RE'CTUM. (So named from an orro- neous opinion that it v^as straight.) Rec- tum intestinum. Jipeuthysmtnos. Loi^ga- non, or longaon. Archos. Cyssaros. Tlie last portion of the large intestines termina- ting in the anus. See Intestines. RE'CTUS ABDO'MINIS. Pubio- slemal, of Dumas. This long and straight muscle is situated near its fellow, at the middle and fore part of the abdomen, pa- rallel to the linea alba, and between the aponeuroses of the other abdominal mus- cles. It arises sometimes by a single broad tendon from the upper and inner part of the es pubis, but more commonly by two heads, one of which is fleshy, and origin- ates from the upper edge of the pubis, and the other tendinous, from the inside of the symphysis pubis, behind the pyramidalis mus- cle. From these beginnings, the muscle runs upwards the whole length of the linea alba, and becoming broader and thinner as it as- cends, is inserted by a thin aponeurosis into the edge of the cartilago ensiformis, and into the cartilages of the fifth, sixth, and seventh ribs. This aponeurosis is placed under the pectoral muscle, and sometimes adheres to the fourth rib. The fibres of this muscle are commonly divided by three tendinous intersections, which were first noticed by Berenger, or, as he is commonly called, Carpi, an Italian anatomist, who flourished in the sixteenth century. One of these intjersections is usually where the muscle runs over the cartilage of the seventh rib ; another is at the umbilicus; and the third is between these two. Sometimes there is one, and even two, between the umbilicus and the pubes. When one, or both of these occur, however, they seldom extend more than half way across the muscle. As these intersections seldom penetrate through the whole substance of the muscle, they are all of them most apparent on its anterior surface, where they firmly adhere to the sheath ; the adhesions of the rectus to the posterior layer of the internal oblique, are only by means of cellular membrane, and of a few vessels which pass from one to another. Albinus and some others have seen this muscle extending as far as the upper part of the sternum. The Use of the rectus is to compress the fore part of the abdomen, but more parti- cularly the lower part ; and, according to the difierent positions of the body, it may likewise serve to bend the trunk forwards, or to raise the pelvis. Its situation be- tween the two layers of the internal oblique, and its adhesions to this sheath, secure it in its place, and prevent it from rising into a prominent form when in action ; and lasth', its tendinous intersections enablf? it to contract at any of the intermediate spaces. Re'ctus abdu'cens o'ccli. See Redus externus ocuii. Re'ctus addu'cens o'ccli. See Rectus^ internus oculi. Re'ctus ante'rior bre'vis. See Rectus capitis internus minor. Re'ctus ante'rior lo'ngus. See Rectua capitis internus major. Re'ctus atto'llej^s o'culi. See Rectus superior oculi. Re'ctus ca'pitis anti'cus lo'ngus. See Rectus capitis internus vtnjor. RE'CTUS CA'PITIS INTE'RNUS M A'J R. Rectus internus major, of Al- binus, Douglas, and Cowper. Trachelo- hasilaire, of Dumas, Rectus anterior longus-, of Winslow. This muscle is situated on the anterior part of the neck, close to the vertebrae. It was knoivn to most of tiie ancient anatomists, but was not distinguished by any particular name until Cowper gave it the present appellation, and which has been adopted b_v most writers except Win- slow. It is a long muscle, thicker and broader above than below, where it is thin, and terminates in a point. It arises, by distinct and flat tendons, from the anterior points of the transverse processes of the five inferior vertebrse of the neck, and ascending obliquely upwards, is inserted into the anterior part of the cuneiform process of the occipital bone. The use of this muscle is to bend the head for- wards. RE'CTUS CA'PITIS INTE'RNUS M I'xN' O R. Cowper, who was the first accurate describer of this little muscle, gave it the name of rectus internus minor, which has been adopted by Douglas and Albinus. Winslow calls it rectus anterior brevis, and Dumas petii-trachelo-basilaire. It is in part covered by the rectus major. It arises fleshy from the upper and fore part of the body of the first vertebra of the neck, near the origin of its transverse process, and, ascending obliquely inwards, is in- serted near the root of the condyloid pro- cess of the occipital bone, under the last- described muscle. It assists in bending the head forwards. RE'CTUS CA'PITIS LATERA'LIS. Rectus lateralis Fallopii, of Douglas. Transrersalis anlicus primus, of Winslow. Rectus lateralis, of Cowper, and Tracheli- altoido basilaire, of Dumas. This muscle seems to have been first described by Fallo- pius. Winslow calls it transversalis anticus primus. It is somewhat larger than the rectus minor, but resembles it in shape, and is situated immediately behind the internal jugular vein, at its coming out of the cra- nium. It arises fleshy nom the upper and fore part of the transverse process of the first vertebra of the neck, and, ascending a REO liltle obliquely upvrards and outwards, is inserted into the occipital bone, opposite to the stylo-mastoid hole of the os temporis. This muscle serres to pull the head to one side. RE'CTUS CATITIS POSTI'CUS MA'- JOR. This, which is the rectus major of Douglas and Winslow, the rectus capitis pos- ticus minor, of Albinus, and the spintaxoido- occipiial, of Dumas, is a small, short, and flat muscle, broader above than below, and is situated, not in a straight direction, as its name would insinuate, but obliquely, between the occiput and the second vertebra of the neck, immediately under the complexus. It arises, by a short thick tendon, from the upper and posterior part of the spinous pro- cess of the second vetebra of the neck ; it soon becomes broader, and ascending oblique- ly outwards, is inserted, by a flat tendon, into the external lateral part of the lower semicircular ridge of the os occipitis. The Tise of this is to extend the head, and pidl it backwards. RECTUS CAPITIS POSTICUS M I'iN' R. This is the rectus minor, of Douglas and Winslow, and the luber-altoido- occipiial, of Dumas. It is smaller than the last described muscle, but resembles it in shape, and is placed close by its fellow, in the space between the recti majores. It arises, by a short thick tendon, from the upper and lateral part of a little protube- rance in the middle of the back part of the first vertebra of the neck, and becoming broader and thinner as it ascends, is insert- ed, by a broad flat tendon, into the occipital bone, immediately under the insertion of the last-described muscle. The use of it is to assist the rectus major in drawing the head backwards. Re'ctus cru'ris. See Rectus femoris. Re'ctds de'peimens o'culi. See Rectus inferior ocuH. RE'CTUS EXTE'RNUS O'CULI. Abductor oculi. Indignabundus. The outer straight muscle of the eye. It arises from the bony partition between the foramen op- ticam and lacerum, being the longest of the straight muscles of the eye, and is inserted into the sclerotic membrane, opposite to the outer canthus of the eye. Its use is to move the eve outwards. RE'CTUS FE'MORIS. Rectus sive Crra- ciiis anterior, of Winslow. Rectus cruris, of Albinus, and Ilio-rotulien, of Dumas. A straight muscle of the thigh, situated imme- diately at the fore part. It arises from the OS ilium by two tendons. The foremost and shortest of these springs from the outer sur- face of the inferior and anterior spinous pro- cess of the ilium ; the posterior tendon, which is thicker and longer than the other, arises from the posterior and outer part of the edge of the cotyloid cavity, and from the adjacent capsular ligament. These two ten- dons soon unite, and form an aponeurosis, REG T49 which spreads over the anterior surface of the upper part of the muscle ; and through its whole length we observe a middle tendon, towards which its fleshy fibres nm on each side in an oblique direction, so that it may be styled a penniform muscle. It is inserted tendinous into the upper edge and anterior surface of the patella, and from thence sends off a thin aponeurosis, which adheres to the superior and lateral part of the tibia. Its use is to estend the leg. RE'CTUS INFERIOR O'CULI. De- pressor oculi. Deprimens. Humilis. The inferior of the straight muscles of the eye. It arises within the socket, from below the optic foramen, and passes forwards to be in- serted into the sclerotic membrane of the bulb on the under part. It pulls the eye downwards. Re'ctus i5te'rn0s fe'moris. See Gracilis. RE'CTUS IJJTE'RNUS O'CULI. Mdu- cens oculi. Bibitorius. The internal straight muscle of the eye. It arises from the infe- rior part of the foramen opticum, between the obliquus superior and the rectus inferior, being, from its situation, the shortest muscle of the eye, and is inserted into the sclerotic membrane opposite to the inner an- gle. Its use is to turn the eye towards the nose. Re'ctcs latera'lis fallo'pii. See Rec- tus capitis lateralis. Re'ctos ma'jor ca'pitis. See Rectus ca- pitis posticus major. RE'CTUS SUFE'RIOR O'CULI. Mol- lens oculi. Levator oculi. Super bus. The uppermost straight muscle of the eye. It arises from the upper part of the foramen op- ticum of the sphenoid bone below the levator palpebree superioris, and runs forward to be inserted into the superior and fore part of the sclerotic membrane by a broad and thin tendon. RECURRENT NERVES. Two branches of the par vagum in the cavity of the tho- rax. The right is given oiT near the subcla- vian artery, which it surrounds, and is re- flected upwards to the thyroid gland ; the left a little lower, and reflected around the aorta to the oesophagus, as far as the larynx. They are both distributed to the muscles of the larynx and pharynx. Reddle. A species of ochre or argilla- ceous earth, of a dark red colour, some- times used medicinally as a tonic and ant- acid. Red Saunders. See Pterocarpus santali- nus. R E F R I G E R A'N T I A. (From refri- gero, to cool.) Refrigerants. Medicines which allay the heat of the body or of the blood. REFRIGERATO'RIUM. (From refrige- ro, to cool.) A vessel filled with water to condense vapours, or to make cool any sub- stance which passes through it. ^ REGIMEN. (From rego, to govern.) 750 KEN EEP A term employed in medicine to express the plan or regulation of the diet. Regi'na pra'ti. See Spircea ulmaria. Regions abdominal. See Body. Re'gius mo'rbus. (From rex, a king.) The royal disease, a term applied to the jaun- dice from its golden colour ; as is aqua regia to a mixture of nitric and muriatic acids, be- cause it alone dissolves gold. Regular gout. See Jirthritis. Re'gulus. (Dim. of rex, a king; so call- ed because the alchymists expected to find gold, the king of metals, collected at the bot- tom of the crucible after fusion.) A name given by the alchymists to metallic matters when separated from other substances bj' fu- sion;, as, regulus of antimony, regulus of ar- senic, he. Regulus of antimony. The pure metal an- timony. See .Antimony. Regulus of arsenic. Pure Metallic arsenic. See Arsenic. Reme'dium divi'num. See Imperatoria. Remittent fever. See Febris intermittens. Re'mora ara'tri. (From remoror, to hinder, and aratrum, a plough ; so called be- cause it hinders the plough.) See Ononis spinosa. Remote cause. See Exciting cause. REN. {Ren, -nis,m. Ren. awa too ps/v ; because through them the urine flows.) The kidney. See Kidneys. RENAL ARTERIES. Arterise renales. See Emulgent. RENAL GLANDS. Glandules renales. Renal capsules. Supra-renal glands. The supra-renal glands are two hollow bodies, like glands in fabric, and placed one on each side upon the kidney. They are co- vered by a double tunic, and their cavities are filled with a liquor of a brownish red colour. Their figure is triangular ; and they are larger in the foetus than the kid- neys ; but in adults they are less than the kidneys. The right is affixed to the liver, the left to the spleen and pancreas, and both to the diaphragm and kidneys. They have arteries, veins, lymphatics, and nerves ; Iheir arteries arise from the diaphragmatic, the aorta, and the renal arteries. The vein of the right supra-renal gland empties itself into the vena cava ; that of the left into the renal vein ; their lymphatic vessels go di- rectly to the thoracic duct •, they have nerves common alike to these glands and the kid- neys. They have no excretory duct, and their use is at present unknown. It is sup- posed they answer one use in the foetus, and another in the adult, but what these uses are is uncertain. Boerhaave supposed their use to consist in their furnishing lymph to dilute the blood ruturned after the secretion of the urine in the renal vein ; but this is very im- probable, since the vein of the right supra- renal gland goes to the vena cava, and the blood carried back by the renal vein wants no dilution. It has also been said, that these glands not only prepare lymph, bj which the blood is fitted for the nutrition of the delicate foetus ; but that in adults they serve to restore to the blood of the vena cava the irritable parts which it loses by the se- cretion of bile and urine. Some, again, have considered them as diverticula in the foetus, to divert the blood from the kidneys, and lessen the quantity of urine. The ce- lebrated Morgagni believed their office to consist in conveying something to the tho- racic duct. It is singular, that in children who are born without the cerebrum, these glands are extremely small, and sometimes wanting. RENAL VEINS. See Emulgent. Renal vessels. See Emulgent. Rennet, or Runnet. The gastric juice and conte.;*? of the stomach of calves. It is much employed in preparing tijeesc, snd, in pharmacy, for making whey. To about a pound of milk, in a silver or earthern basin placed on hot ashes, add three or four grains of rennet, diluted with a little water ; as it becomes cold the milk curdles, and the whey, or serous part, separates itself from the caseous part. When these parts appear perfectly distinct, pour the whole upon a strainer, through which the whey will pass, while the curds remain behind. This whey is always rendered somewhat whitish, by a very small and much divided portion of the caseous part ; but it may be separated in such a manner, that the whey will remain limpid and colourless, and this is what is called clarifying it. Put into a basin the white of an egg, a glass of the serum of milk, and a few grains of tartaric acid in powder ; whip the mixture with an ozier twig, and, having added the remainder of the unclarified whey, place the mixture again over the fire until it begins to boil. The tartaric acid completes the coagulation of the white part of the milk which remains ; the white of egg, as it becomes hot, coagulates and envelopes the caseous part. AVhen the whey is clear, filter it through paper ; what passes will be perfectly limpid, and have a greenish colour. This is clarified whey. Re'nuens. (From renuo, to nod the head back in sign of refusal ; so called from its office of jerking back the head.) A muscle of the head. REFELLE'NTIA. (From repeUo, to drive back.) Repellents. Applications are sometimes so named which make diseases recede, as it were, from the surface of the body. REPULSION. All matter possesses a power which is in constant opposition to at- traction. This agency, which is equally powerful and equally obvious, acts an impor- tant part in the phenomena of nature, and is called the power of repulsion. That such a force exists which opposes the approach of bodies towards each other is evi- dent from numberless facts. REP RES •751 Newton has shown that when a convex lens is put upon a flat glass it remains at a distance of the one-hundred-and-thirty-se- venth part of an inch, and a very consider- able pressure is required to diminish this distance ; nor does any force which can be applied bring them into actual mathematical contact ; a force may indeed be applied suf- ficient to break the glasses into pieces, but it may be demonstrated that it does not di- minish their distance much beyond the one thousandth part of an inch. There is, there- fore, a repulsive force which prevents the two glasses from touching each other. Boscovich has shown that when an ivory billiard-ball sets another in motion by strik- ing against it, an equal quantity of its own motion is lost, and the ball at rest begins to move while the other is still at a distance. There exists, therefore, a repulsion be- tween bodies ; this repulsion takes place while they are yet at a distance from each other ; and it opposes their approach to- wards each other. The cause or the nature of this force is equally inscrutable with that of attraction, but its existence is undoubted : it increases, as far as has been ascertained, inversely as the square of the distance, consequently at the point of contact it is infinite. The following experiments will serve to prove the energy of repulsion more fully. Experiment. — When a glass tube is im- mersed in water, the fluid is attracted by the glass and drawn up into the tube ; but, if we substitute mercury instead of water, we shall find a diflerent effect. If a glass tube of any bore be immersed in tliis fluid it does not i-ise, but the surface of the mercury is considerably below the level of that which surrounds it when the diameter of the tube is very small. • In this case, therefore, a repulsion takes place between the glass and the mercury, which is even considerably greater than the attraction existing between the particles of the mercury, and hence the latter cannot rise in the tube, but is repelled, and becomes depressed. Experiment. — When we present the north pole of a magnet A, to the same pole of an- other magnet B, suspended on a pivot, and at liberty to move, the magnet B will recede as the other approaches ; and by following it with A, at a proper distance, it may be made to turn round on its pivot with consi- derable velocity. In this case there is evidently some agency which opposes the approach of the north poles of A and B, which acts as an antago- nist, and causes the moveable magnet to re- tire before the other. There is therefore a repulsion between the two magnets, a re- pulsion which increases Avith the power of the magnets ; which may be made so great that all the force of a strong man is insuf- ficient to make the two north poles touch each other. The same repulsion is equally obvious in electrical bodies, for instance : Experiment. — If two small cork balls be suspended from a body so as to touch one another, and if we charge the body in the usual manner with electricity, the two cork balls separate from each other, and stand at a distance proportional to the quantity of electricity with which the body- is charged ; the balls of course repel each other. Experiment. — If we rub over the surface of a sheet of paper the fine dust of lycopo- dium or puff ball, and then let water fall on it in small quantities, the water will instant- ly be repelled, and form itself into distinct drops, which do not touch the lycopodium, but roll over it with uncommon rapidity. That the drops do not touch the lycopodium, but are actually kept at a distance above it, is obvious from the copious reflection of white light. Experiment. — If the surface of water contained in a basin be covered over with lycopodium, a solid substance deposited at the bottom of the fluid may be taken out of it with the hand without wetting it. In this case the repulsion is so powerful as to defend the hand completely from the contact of the fluid. Res natura'les. (From natura, na- ture.) The naturals. According to Boer- haave, these are life, the cause of life, and its effects. These, he says, remain in some degree, however disordered a person may- be. Rese'da. (From resedo, to appease ; so called from its virtue of allaying inflamma- tion.) The herb wild rocket. Resin, Mack. See Resijia nigra. Resin, elastic. See Indian rubber. Resin tret, elastic. See Indian rubber. Resin, while. See Resina alba. Resin, yellow. See Resina fiava. RES I'N A. (Resina, from fiai, to flow.) Resin. The essential properties of resin are, being in the solid form, insoluble in water, perfectly soluble in alcohol, and in essential and expressed oils, and being inca- pable of being volatilized without decompo- sition. Resins are obtained chiefly from the ve- getable kingdom, either by spontaneous ex- udation, or from incisions made into vege- tables affording juices which contain this principle. These juices contain a portion of essential oil, which from exposure to the air is either volatilized or converted into resinous matter, or sometimes the oil is ab- stracted by distillation. In some plants the resin is deposited, in a concrete state, in the interstices of the wood or other parts of the plant. Resins, when concrete, are brittle, and have generally a smooth and conchoidal fracture ; their lustre is peculiar, they are more or less transparent, and of a colour which is us«ally' some shade of yellow, or l!,Ks RK5 brown ; they are of a greater specilic gravity than water ; they are often odorous and sapid, easily fusible, and, on cooling, become solid. Resi'na a'lba. The inspissated juice of the Finns sylveslris, 6ic. is so called ; and sometimes the residuum of the distillation of oil of turpentine. See Resina flava. Resi'na bla'stica. See Indian rubber. RESI'NA F L A' V A. Resina alba. Yellow resin, Vi'hat reraciins in the still after distilling oil of turpentine, by adding water to the common turpentine. It is of very ex- tensive use in surgery as an active detergent, and forms the base of the unguentum resince flava. RESI'NA LU'TEA NO'VI B E'L- GII. Botany-bay guai. All the informa- 4ion that has been hitherto collected re- specting the history of the yellow gum is the following : The plant that produces it is low and small, with long grassy leaves; but the fructification of it shoots out in a singular manner from the centre of the leaves, on a single straight stem, to the height of twelve or fourteen feet. Of this stem, which is strong and light, like some of the reed class, the natives usually make their spears. The resin is generally dug up out of the soil un- der the tree, not collected from it, and may, perhaps, be that which Tasman calls *•' gum lac of the ground.'' Mr. Boles, surgeon of the Lady Pen- rhyn, gives a somewhat diflerent account ; ^nd as this gentleman appears to have paid ■considerable attention to the subject, his account may certainly be relied upon. Af- ter describing the tree in precisely the same manner as above, he observes, that at the top of the trunk of the tree, long grassy leaves grow in great abundance. The gum is found under these leaves in considerable quantities ; it commonly exudes in round tears, or drops, from the size of a large pea to that of a marble, and sometimes much larger. These are, by the heat of the sun, frequently so much softened, that they fall on the ground, and in this soft state adhere to whatever they fall upon ; hence the gum is frequently found mixed with dirt, wood, the bark of the tree, and various other substances : so that one lump has been seen composed of many small pure pieces of various sizes imited together, which weiglied nearly half a hundred weight. It is produced in such abundance, that one man may collect thirty or forty pounds in the space of a few hours. The convicts have another method of col- lecting it : they dig round the tree, and break off pieces of the roots which always liave some, and frequently considerable quantities of the gum in them. This gum appears nearly, but not entirely, the same as that which e.xudes from the trunk of the tree ; the former is often mixed with a strong smelling resinous substance of a black nature, and is so interwoven iu thi* wood itself, that it is with difficulty separa- ted. The latter appears a pure unmixed re- sinous substance. Several experiments have been made, principally with the view of determining what menstruum would dissolve the gum the most readily, and in the greatest quan- tity, from which it appears alcohol and ether dissolve the most. The diseases in which this resin is admi- nistered, are those of the primae: vi8e, and principally such as arise from spasm, a de- bility, a loss of tone, or a diminished action in the muscular fibres of the stomach and bowels, such as loss of appetite, sickness, vomiting, flatulency, heart-burn, pains in the stomach, &.C. when they were really idiopathic complaints, and not dependent upon any disease in the stomach, or affec- tions of other parts of the body communi- cated to the stomach. In debilities and re- laxations of the bowels, and the symptoms from thence arising, such as purging and flatulency, it has been found of good effect. In certain cases of diarrhoja, however, (and it seemed those in which an unusual degree of irritability prevailed,) it did not answer so well, imless given in small doses, and combined with opiates when the patient seemed to gain greater advantage than when opiates only were had recourse to. In cases of amenorrhaja, depending on (what most of those cases do depend upon) a sluggishness, a debility, and flaccidity of the system, this medicine, when assisted by pro- per exercise and diet, has, by removing the symptoms of dyspepsia, and by restoring the tone and action of the muscular fibres, been found very serviceable. This medicine does not, in the dose of about half a drachm, appear to possess any remarkably sensible operation. It neither vomits, purges, nor binds the belly, nor does it materially in- crease the secretion of urine or perspiration. It has, indeed, sometimes been said to purge, and at others to occasion sweating, but they are not constant effects, and wheu they do occur, it genei'ally depends on some accidental circumstance. It should seem to possess, in a very extensive degree, the pro- perty of allaying morbid irritability, and of restoring tone, strength, and action, to the debilitated and relaxed fibre. When the gum itself is given, it should always be the pure unmixed part ; if given in the form of a draught, it should be mixed in water with mucilage of gum arable ; if made into pills, a small portion of Castile soap may be em- ployed ; it was found the lixiv. sapon. dis- solved it entirely. It is commonly, how- ever, made into a tincture by mixing equal parts of the gum and rectified spirit ; one drachm of this tincture, (containing half a drachm of the pure gum,) made into a draught with water and sirup, by the assist- ance of fifteen grains of gum arabic in mii- RES RES r53 ■cilage, forms an elegant medicine, and at the same time very palatable. Rksi'na ni'gra Colophonia. AVhat re- mains in the retort after distilling the balsam of turpentine from the common turpentine. This name is also given in the London Phar- niacopojia to pitch. RESOLVEi\TS. {Medkamenta Resolven- tia, from resolvo, to loosen.) This term is applied by surgeons to such substances as discuss inflammatory tumours. RESOLUTION. {Resolutio, from resol- ro, to loosen.) A termination of inflamma- tory aflections in which the diseases disap- pear without any abscess, mortification, &z.c. being occasioned. The term is also applied to the dispersion of swellings, indurations, fcc. RESPIRATION. (Respirado, from respiro, to take breath.) Of all tlie changes the blood suffers in passing through our various organs, there are none more essen- tial or remarkable than those occasioned by the influence of the air, which is alternately received into, and expelled from the lungs during the act of respiration. The blood which the veins return to the heart, and which the right ventricle sends into the pulmonary artery, is blackish and heavy ; its temperature only 30 degrees of Reau- mur's thermometer ; if suffered to remain still, it coagulates slowly, and separates a great portion of serum. That which the pulmonary veins bring back to the left cavi- ties of the heart, and which is conveyed into every part of the body by means of the ar- teries, is on the contrary of a red vermillion colour, frothy, lighter, and two degrees warmer ; it is also more easily coagulable, and separates a smaller proportion of serum. All these diflerences, which are so easily per- ceptible, are dependent upon the modifica- tions arising from having been in contact with the atmospheric air. In man, and in all animals of warm blood that have a heart composed of two auricles and two ventricles, the blood which has been carried into all the organs by the arte- ries, and brought back by the veins to the heart, cannot be returned into the arteries without having first passed through the lungs, forming a medium which the blood must necessarily traverse to pass from the right into the left cavities of the heart ; this passage constitutes the pulmonary or smaller circulation. Mayow has given the most accurate idea of the respiratory organ, in comparing it to a pair of bellows, in the inside of which was an empty bladder, the neck of which was adapted to the instrument, and gave entrance to a column of air when its pa- rietes were separated : the air, in fact, does not enter the lungs but when the thorax dilates and enlarges by the separation of its parjetes. To effect respiration, which may be defined the alternate entrance and egress of air in the lungs, the thorax must expand to receive the air, and contract to expel it. The dilatation is called inspiration, the coo- traction expiration ; the latter is always shorter than the other, its causes are more mechanical, and the muscular powers have less influence. The thorax in its usual state dilates only by depressing the diaphragm. The curved fibres of this muscle are made straight by contraction, which causes it to descend to- wards the abdomen, and thus depressing its viscera, push forwards the anterior parietes of this cavity, which sink down when expira- tion succeeds ; the diaphragm is then re- laxed and ascends, being pressed back by the abdominal viscera, on which the large muscles react. When we have occasion for the admission of a great quantity of air into the chest, it not only enlarges in length by the descent of the diaphragm, but its capa- city is likewise increased in every direction. The intercostal muscles then contract, and approximate the ribs between which they are placed ; yet the intercostal spaces be- come larger, particularly at the anterior part ; for whenever oblique lines tend to become perpendicular to a vertical line,, and to form right angles with it, the inter- cepted spaces augment in proportion a-s the lines, having been more oblique, ap- proach the horizontal direction ; besides, as the ribs present a double curvature in re- spect to their length, one on the front, the other on their sides, the convexity of the former is outwards, they separate from the axis of the chest, the cavity ofwhich is en- larged transversely, while the latter curva- ture, agreeable to its edges being augment- ed by a true rotatory motion, has its inferior edge pushed forwards. The thorax there- fore increases both in its right and transverse diameter, each of which has been estimated to expand two lines ; the extension of the vertical diameter dependent on the descent of the diaphragm is much more consider- able. When any cause prevents the diaphragm from descending towards the abdomen, or in any other manner impedes the motion of inspiration, not only the intercostal muscles evidently act to induce a dilatation of the thorax, but also several other auxiliary mus- cles, as the scaleni subscapulares, pectoraIcs:> serraii majores, latis.'^imi dorsi, in contract- ing raise the ribs, and inci-ease the diameter of the thorax in several directions ; the fixed point of these muscles should then be their moveable part, because the cervical spine, the clavicle, scapula and humerus are fixed by other powers which it would be needless to enumerate. Inspiration is a state truly active, an effort of the contractile organs, which must cease, when they fall into a state of relaxation. Expiration, which succeeds, is a passive motion in which few muscles co-operate, and chiefly depends on the re- 95 r54 BES RES action of the elastic parts constituting the structure of the parietes of the chest. It has been seen that the cartilages of the ribs experience a degree of rotation, carrying their upper edge backwards and downwards : w hen the cause that is productive of this action ceases to act, the parts return upon themselves, and carry back tlie sternum on the spine, towards which the ribs descend by their owu gravity. The diaphragm is pushed nearer the thorax by tlie abdominal viscera, on which the large muscles of the abdomen react. In every effort of expiration, as coughing and Yomiting, the muscles not only react in consequence of their owu elasticity, but Ihey still farther contract and approximate the spine, propelling the viscera towards the thorax. The musculus triangularis of the sternum, the subcostales, and the serratus minor inferior may be ranked among the expiratores, but they are seldom emploj'ed, and form too slender and weak powers to contribute much to the contraction of this cavity. When the chest enlarges, the lungs dilate, following the parietes which expand, and each time the thorax dilates in an adult man, from thirty to forty cubic inches of at- mospheric air enter into the lungs. After the atmospheric air has remained for some time in the pulmonary structure, it is ex- pelled by the efforts of expiration, and its quantity is a little diminished. Likewise its composition is not the same : there is found certainly the same proportion of azote, but the oxygen, its vital and respirable part, has suffered great diminution, usually above one third, the place of which is sup- plied by an equal bulk of carbonic acid. it is likewise altered by the admixture of an aqueous vapour, « hich condenses in cold weather in passing out of the nostrils and rnouth. This is known by the name of the humour of pulmonary exhalation. It has been supposed to be formed by peirt of the oxygen of the air combining with hydro- gen, furnished by the blood : but as the oxygen consumed appears to be equivalent only to that, which the carbonic acid con- tains, this notion cannot now be entertained ; and we may consider the aqueous vapour as secreted from the blood. These changes, compared with those the blood has suffered in its passage through the lungs, manifestly indicate a reciprocal action of this liquid and the oxygen of the atmosphere. The dark venous blood, slow of coagulation, and se- parating much serum, loaded with carbon, and having only thirty degrees of heat, gives off to the oxygen of the atmosphere its car- bon, to constitute the carbonic acid, and, as oxygen cannot enter this new combination without disengaging a portion of caloric, which rarefies it into gas, the blood seizes this heat, now liberated with so much greater facility as it proportionably loses its carbon, since according to the ingenious experiments of Crawford, its capacity for caloric thereby augments in the relation of 10 : 11.5. The blood then, in its passage through the lungs, is deprived of carbon and water, and in becoming arterial, is loaded with caloric, which enables it to maintain the temperature of the body. It was supposed that oxygen is also absorbed ; but the most accurate ex- periments do not countenance this notion. Arterial blood becomes venous when any cause suspends or retards its course, as proved by the following experiment of J. Hunter. He tied the carotid of a dog in two places, at about four inches distance ; the blood which came out of that portion of the artery between the ligatures, when opened several hours afterwards, was coagulated and dark like that of the veins. The blood flowing in small veins very inuch resembles that of the arteries ; and often in a copious bleeding, the colour of the blood, at first very dark, becomes gra- dually paler, so that, towards the end of the operation, the blood which flows exhibits more the qualities of that in the arteries, which is occasioned by affording a more easy and direct passage to the blood from the arteries into the veins by emptying the venous system. By means of the absorption of caloric by the blood, we can explain how the function of respiration continues to influence every part of the body, and give rise to heat uni- formly spread throughout ail our organs. In proportion as the blood loses the arterial character, it gives out its caloric, for which its affinity or capacity diminishes as it be- comes venous. If the lungs were the only organs in which the matter of heat could be disengaged, the temperature of these viscera should be very considerably higher than that of other parts, aud experience proves that it is not. Rest harrow. See Ononis. Re'sta bo'vis. The rest harrow is so called because it hinders the plough ; hence rtsta bovis. See Ononis. RESUSCITATION. The restoring of persons apparently dead, to life. Under this head, strictly speaking, is considered the re- storing of those who faint, or have breathed noxious air ; yet it is chiefly confined to the restoring of those who are apparently dead from being immersed in a fluid, or by hanging. Dr. Curry, of Guy's Hospital, has written a very valuable treatise on this subject ; and «uch is its importance, that we have thought proper to insert the follow- ing account : " From considering," he observes, " that a drowned person is surrounded by water instead of air, and that in this situation he makes strong and repeated efforts to breathe, we should expect that the water would enter and completely fill the lungs. This opinion, indeed, was once very ge- neral, and it still continues to prevail RES RE& T55 amon» the common people. Experience, however, has shown, that unless the body lies so long in the water as to have its living principle entirely destroyed, the quantity of fluid present in the iung-s is in- considerable ; and it would seem that some of this is the natural moisture of the part accumulated ; for, upon drowning kittens, puppies, &c. in ink, or other coloured liquors, and afterwards examining the lungs, it is found that very little of the coloured liquor has gained admittance to them. To explain the reason why the lungs of drowned animals arc so free from ■water, it is necessary to observe, that the muscles which form the opening into the wind-pipe are exquisitely sensible, and contract violently upon the least irritation, as we frequently experience when any part of the food or drink happens to touch that part. In the efforts made by a drown- ing person, or animal, to draw in air, the water rushes into the mouth and throat, and is applied to these parts, which immediately contract in such a manber as to shut up the passage into the lungs. This con- tracted state continues as long as the muscles retain the principle of life, upon which the power of muscular contraction depends } when that is gone, they become, relaxed, and the water enters the .wind- pipe, and completely fills it. On dissect- ing the body of a recently drowned animal, no particular fulness of the vessels within the skull, nor any disease of the brain or its membranes are visible. The lungs are also sound, and the branches of the wind- pipe generally contain more or less of a frothy matter, consisting chiefly of air, mixed with a small quantity of colourless fluid. The right cavity of the heart, and the trunks of the large internal veins which open into it, and also the trunk and larger branches of the artery which carries the blood from this cavity through the lungs, are all distended with dark coloured blood, approaching almost to blackness. The left cavity of the heart, on the contrary, is nearly or entirely empty, as are like- wise the large veins of the lungs which supply it with blood, and the trunk and principal branches of the great artei-y which conveys the blood from hence to the various parts of the body. The external blood vessels are empty ; and the fleshy parts are as pale as if the animal had been bled to death. When a body has lain in the water for some time, other appear- ances will also be observable ; such as, the skin livid, the eyes blood-shot, and the countenance bloated and swoln; but these appearances, though certainly un- favourable, do not absolutely prove that life is irrecoverably gone. It is now known, that in the case of drowning, no injury is done to any of the parts essential to life; but that the right cavity of the heart, together with the veins and arteries leading to and from that cavitj', are turgid with blood, whilst every other part is al- most drained of this fluid. The practice of holding up the bodies of drowned per- sons by the heels, or rolling them over a cask, is unnecessary ; the lungs not being filled with any thing that can be evacuated in this way. Therelbre such a practice is highly dangerous, as the violence attend- ing it may readily burst some, of those vessels which are already overcharged with blood, and thus convert what was only suspended animation, into absolute and permanent death. The operation of inflating the lungs is a perfectly safe, and much more efl'ectual method of removing any frothy matter they may contain ; and whilst it promotes the passage of the blood through thern, also renders it capable of stimulating the left cavity of the heart, and exciting it to contraction. As soon as the body is taken out of the water, it should be stripped of any clothes it may have on, and be immediately v.ell dried. It should then be wrapped in dry, warm blankets, or in the spare clothes taken from some of the by-standers, and be removed as quickly as possible to the nearest house that can be got convenient for the purpose. The fittest will be one that has a tolerably large apartment, in which a fire is ready, or can be made. The body may be car- ried in men's arms, or laid upon a door; or, in case the house be at a distance from the place, if a cart can be procured, let the body be placed in it, on one side, upon some straw, with the head and upper part somewhat raised ; and in this position a brisk motion will do no harm. Whatever be the mode of conveyance adopted, par- ticular care should be taken that the head be neither suffered to hang backwards, nor to bend down with the chin upon the breast. When arrived at the house, lay the body on a mattress, or a double blanket, spread upon a low table, or upon a door supported by stools ; the head and chest being elevated by pillows. As the air of a room is very soon rendered im- pure by a number of people breathing in it, for this reason, as well as to avoid the confusion and embarrassment attending a crowd, no more persons should be ad- mitted into the apartment where the body is placed, than are necessary to assist imme- diately in the recovery : in general six will be found sufBcient for this purpose, and these should be the most active and intelli- gent of the bj'-standers. It will be found most convenient to divide the assistants into two sets^ one set being employed in resto- ring the heat of the body, while the other institutes an artificiaVbreathing in the best manner they are able. Every skilful per» son should be provided with a flexible tube made of elastic gum, half a yard in length. ^56 RES KES to introduce into the wind-pipe, and also with a similar tube to which a syringe can be affixed, to be put into the oesophag-us. Should these not be at hand, air should be thrown into the lung^s, in the best manner that can be suggested at the time. Should it still be found that the air does not pass readily into the lungs, immediate recourse must be had to another and more effectual method for attaining that object. As this method, however, requires address, and also some knowledge of the parts about the throat, we would recommend that wKen there is not a medical gentleman pre- sent, the mode already described be tried repeatedly before this be attempted. As a quantity of frothy matter occupying the branches of the wind-pipe, and preventing the entrance of the air into the lungs, is gienerally the circumstance which renders this mode of intlation necessary, the mouth should be opened from time to time to remove this matter as it is discharged. While one set of the assistants are engaged in performing artificial respiration, the other should be employed in communicating heat to the body. The warm bath has been usually recommended for this pur- pose 5 but wrapping the body in blankets, or woollen clothes, strongly wrung out of warm water, and renewing them as they grow cool, besides being a speedier and more practical method of imparting heat, has this great advantage, that it admits of the operation of inflating the lungs being carried on without interruption. Until a sufficient quantity of warm water can be got ready, other methods of resto- ring warmth may be employed ; such as the application of dry warm blankets round the body and limbs; bags of warm grains or sand, bladders or bottles of hot water or hot bricks applied to the hands, feet, and under the arm-pits, the bottles and bricks being covered with flannel : or the body may be placed before the fire, or in the sunshine, if strong at the time, and be gently rubbed by the assistants with their warm hands, or with clothes heated at the fire by a warming-pan. The restoration of heat should always be gradual, and the warmth applied ought never to be greater than can be comfortably borne by the as- sistants. If the weather happen to be cold, and especially if the body has been exposed to it for some time, heat should be applied in a very low degree at first : and if the weather be under the freezing point, and the body, when stripped, feel cold and nearly in the same condition with one that is frozen, it will be necessary at first to rub it well with snow, or wash it with cold water ; the sudden application of heat !n such cases, having' been found very per- nicious. In a short time, however^ ■warmth must be gradually applied. To as:rist in rousing the activity of the vital principle, it has been customary to apply various stimulating matters to different parts of the body. But as some of these applications are in themselves hurtful, and the others serviceable only according to the time and manner of their employment, it will be proper to consider them particu- larly. The application of all such matters in cases of apparent death, is founded upon the supposition that the skin still retains sensibility enough to be affected by them. It is well known, however, that even during life, the skin loses sensibility in proportion as it is deprived of heat, and does not recover it again until the natural degree of warmth be restored. Previous to the restoration of heat, therefore, to a drowned body, all stimulating applications are useless, and so far as they interfere with the other measure.s, are also preju- dicial. The practice of rubbing the body with salt or spirits is now justly con- demned. The salt quickly frets the skin, and has, in some cases produced sores, which were very painful and difficult to heal after recovery. Spirits of all kinds evaporate fast, and thereby, instead of creating warmth, as they are expected to do, carry of!' a great deal of heat from the body. Spirit of hartshorn, or of sal volatile, are liable to the same objection as brandy or other distilled spirits, and are besides very distressing to tilie eyes of the assistants. When there is reason to think the skin has in any degree recovered its sen- sibility, let an assistant moisten his hand with spirit of hartshorn, or eau de lues, and hold it closely applied to one part : in this way evaporation is prevented, and the full stimulant effect of the application obtained. A liniment composed of equal parts of spirit of hartshorn and sallad oil, well shaken to- gether, would appear to be sufficiently stimu- lating for the purpose, and as it evaporates very slowly, will admit of being rubbed on without producing cold. The places to- which such remedies are usually applied, are, the wrists, ankles, temples, and the parts opposite the stomach and heart. The intestines, from their internal situation and peculiar constitution, retain their irritability longer than the other parts of the body, and, accordingly, various means have been pro- posed for increasing the action of their fibres, in order to restore the activity of the whole system. Tobacco-smoke, injected by way of clyster, is what has been generally em- ployed with this view, and the fumigator, or instrument for administering it, makes a part of the apparatus which is at present dis- tributed by the ditTerent societies established for the recovery of drowned persons. Of late, however, the use of tobacco-smoke has been objected to, and upon very strong grounds ; for when we consider that the same remedy is successfully employed with the very opposite infention, namely, that of RES RES <67 lessening- the power of contraction in the muscles, and occasioning the greatest relax- ation consistent with life, it must be ac- knowledged to be a very doubtful, if not dangerous remedy, where the powers of life are already nearly exhausted. Instead of tobacco-smoke, then, we would recommend a clyster, consisting of a pint or more of water, moderately warmed, with the addition of one or two tablespooufuls of spirit of hartshorn, a heaped teaspoonful of strong mustard, or a tablespoonful of essence of peppermint ; in defect of one or other of these, half a gill or more, of rum, brandy, or gin, may be added, or the warm water given alone. This step, however, need not be taken, until artificial respiration has been begun ; for it will answer but little purpose to stimulate the heart through the medium of the intestines, unless we, at the same time, supply the left cavity with blood fitted to act upon it ; which we cannot do without first removing the collapsed state of the lungs, and promoting the passage of the blood through them by a regular inflation. As the stomach is a highly sensible part, and intimately connected with the heart and brain, the introduction of some moderately warm and stimulating liquor into it, seems well calculated to rouse the dormant powers of life. This is very conveniently done by means of the syringe and flexible tube. The quantity of fluid thrown in ought not to ex- ceed half a pint, and may be either warm negus, or water, with the addition of one or other of the stimulating matters recom- mended above, using, however, only half the quantities mentioned there. As soon as the pulse or beating of the heart can be felt, the inside of the nostrils may be occasionally touched with a feather dipt in spirit of harts- horn, or sharp mustard ; it being found by experience, that any irritation given to the nose, has considerable influence in exciting the action of the muscles concerned in respi- ration. When the natural breathing com- mences, the flexible tube and canula should be withdrawn, and any farther inflation that may be necessary, performed by blow- ing into the nostril. Letting blood has been generally thought requisite in every case of suspended animation. The practice, however, does not appear to have been founded on any rational principle at first, and it has been continued from the force of custom, rather than from any experience of its good effiects. In the case of drowned persons there is not, as in those who suffer from hanging or apoplexy, any unusual ful- ness of the vessels of the brain ; and the quantity of blood that can be drawn from the external veins, will not sensibly diminish the accumulation of it in those near the heart. Be- sides, blood-letting, which always tends to Itssen the action of the heart and arteries in the living body, cannot be supposed to have a directly opposite effect in cases of apparent death ; on the contrary, if employed here, it will hazard the entire destruction of those feeble powers which yet remain, and to in- crease and support which all our endeavours should be directed. When the several mea- sures recommended above have been steadily pursued for an hour or more, without any ap- pearance of returning life, electricity should be tried ; experience having shown it to be one of the most powerful stimuli yet known, and capable of exciting contraction in the heart and other muscles of the body, after every other stimulus had ceased to produce the least efiect. Moderate shocks are found to answer best, and these should, at intervals, be passed through the chest in different di- rections, in order, if possible, to rouse the heart to act. Shocks may likewise be sent through the limbs, and along the spine ; but we are doubtful how far it is safe or useful to pass them through the brain, as some have recommended. The body may be conve- niently insulated, by placing it onja door, sup- ported by a number of quart bottles, whose sides are previously wiped with a towel, to remove any moisture they may have con- tracted. By experiments made on different animals, it is found that the blood passes through the lungs most readily when they are fully distended with air ; consequently, that if the lungs of a drowned person are inflated, and kept in the expanded state whilst the electric shock is passed through the chest, the blood accumulated in the right cavity of the heart and its vessels, will move forvvard without any resistance, should the heart be brought to contract upon it. As soon as the shock is given, let the lungs be emptied of the air they contain, and filled again with fresh air ; then pass another shock, and repeat this until the heart is brought into action, or until it appear that all farther attempts are useless. In order more certainly to pass the shock through the heart, place the knob of one discharging rod above the collar-bone of the right side, and the knob of the other above the short ribs of the left: the position of the discharging rods, however, may be changed occasionally, so as to vary the direction of the shock. Two thick brass wires, each about eighteen inches long, passed through two glass tubes, or wooden cases, well varnished, and having at one end a knob, and at the other a ring to fasten the brass chain to, form very con- venient discharging rods ; and by means of them, the shock may be administered with- out the risk of its being communicated to the assistants, or carried off by the skin being wet. When the patient is so far re- covered as to be able to swallow, he should be put into a warm bed, with his head and shoulders somewhat raised hy means of pil- lows. Plenty of warm wine-whey, ale-pos- set, or other light and moderately nourishing drink, should now be given, and gentle sweating promoted, by wrapping the feet ros RES RET and legs in flannels well wrung out of hot water. If the stomach and bowels feel dis- tended and uneasy, a clyster, consisting of a pint of warm water, with a tablespoonful of common salt, or an ounce or more of Glauber's or Epsom salt, dissolved in it, may be administered. The general practice, in this case, is to give an emetic ; but con- sidering that the powers of the machine are still very weak, the agitation of vomiting is certainly hazardous. The patient should on no account be left alone, until the senses are perfectly restored, and he be able to assist himself; several persons having re- lapsed and been lost, from want of proper attention to them, after the vital functions were, to all appearance, completely estab- lished. Either from the distension which Jthe arteries of the lungs have suffered, or from the sudden change from great coldness to considerable warmth, it now and then happens, that the patient is attacked, soon after recovery, with inflammation of some of the parts within the chest. This occurrence is pointed out by pain in the breast or side, increased on inspiration, and accompanied with frequent, and full or hard pulse, and sometimes with cough. Here the taking away some blood from the arm, or the ap- plication of cupping-glasses, leeches, or a blister, over the seat of the pain, will be very proper ; but the necessity for these measures, as well as the time for putting them in practice should be left to the judg- ment and discretion of a medical person. Dull pain in the head, lasting sometimes for two or three days, is by no means an un- frequent complaint in those who are re- covered from this and from the other states of suspended animation ; and here also a moderate bleeding from the neck, either with the lancet or with cupping-glasses, may prove serviceable. In hanging, the external veins of the neck are compressed by the cord, and the return of the blood from the head thereby impeded, from the moment thai suspeosiois takes place ; but as the heart continues to act for a few seconds after the wind-pipe is closed, the blood which is sent to the head during this interval, is necessarily accumu- lated there. Hence it is, that in hanged persons the face is greatly swoln, and of a dark red or purple colour : the eyes are com- monly sufiused with blood, enlarged, and prominent. On dissection, the blood-vessels of the brain are found considerably dis- tended ; but, in general, no further marks of disease appear within the skull. The lungs are found generally quite collapsed, and free from frothy matter. The heart and the large blood-vessels adjoining to it, ex- hibit the same appearances as in the bodies of drowned persons. From the great ac- cumulation of blood in the vessels of the head, many have been of opinion, that hang- ing kills chiefly by inducing apoplexy ; but the following experiment made at Edin burgh several years ago, by an eminent me- dical professor there, clearly proves, that in hanging as well as in drowning, the ex- clusion of air from the lungs is the imme- diate cause of death, A dog was suspended by the neck with a cord, an opening having been previously made in the wind-pipe, be- low the place where the cord was applied, so as to admit air into the lungs. In this state he was allowed to hang for three quarters of an hour, during which time the circulatioti and breathing went on. He was then cut down, without appearing to have sufiiered much from the experiment. The cord was now shifted below the opening into the wind- pipe, so as to prevent the ingress of air to the lungs ; and the animal being again suspended, he was completely dead in a few minutes. Upon the whole, then, it appears, that the same measures recommended for drowned persons, are also necessary here ; with this addition, that opening the jugular veins, or applying cupping-glasses to the neck, will tend considerably to facilitate the restoration of life, by lessening the quantity of blood contained in the vessels of the head, and thereby taking off the pressure from the brain. Except in persons who are very full of blood, the quantity taken away need seldom exceed an ordinary teacupful, which will in general be sufficient to unload the vessels of the head, without weakening the powers of life. R E'T E. A net. A congeries of ves- sels, or any animal substance resembling a net. Re'te malpi'ghh. The fine net-work of the extremities of the .pulmonary arteries. Re'te mira'bile. A net- work of blood- vessels in the basis of the brain of quadru- peds. RE'TE MUCO'SUM. Corpus rcdicu- lare. Corpus Mucosum. Mucus Malpighii. A mucous substance, deposited, in a net- like form, between the epidermis and cutis, which covers the sensible cutaneous papillae, connects the epidermis with the cutis, and gives the colour to the body : in Europeans it is of a white colour, in Ethiopians black. See Skin. RETICULAR (Reticularis, from rete, a net.) Interwoven like a net. RETIFORM. {Retiformis, from rele, a net, and forma, resemblance.) Net -like. RE'TINA. (From rete, a net.) ^mphi- blestroides. The third or innermost membrane of the eye, expanded round the choroid coat to the ciliary ligament. It is the true organ of vision, and is formed by an expansion of the pulp of the optic nerve. Retina'culum. (From retineo, to prop or restrain.) An instrument for keeping the bowels in their place. RETORT. (Retorta, from retorqueos to bend back again ; probably so called be- cause its neck was curved and bent back KHA nuk r59 again.) A chemical vessel emploj^ed for many distillations, and most frequently for those which require a degree of heat superior to that of boiling water. They differ in fonu and materials : when pierced with a little hole in their roof, they are called tubulated retorts. They are made of common glass, stone-ware, and iron. Retra'ctok a'nguh o'ris. See Bucci- RETRAHE'NTES AU'RIS. Poslerior auris, of VVinslow. Retrahentes auricula, of Albinus. Deprimens auriculcE, of Douglas. Relralientes auriculam, of Cowper, and mas- ioido-conchinien, of Dumas. Two small bundles of muscular fibres which arise from the externsd and posterior part of the mastoid process of the temporal bone immediately above the insertion of the sterno-cleido-mas- toideus muscle. They are inserted into that part of the back of the ear which is opposite to the septum which divides the concha and scapha. Their use is to draw the ear back- wards, and stretch the concha. Betrocedent gout. See Arthritis. RETROVERSION. See Uterus, retrover- sion of. REVERBERATORY FURNACE. See Furnace REVULSION. {Revulsio, from revello, to draw away.) An old term used by the hu- moral pathologists, signifying the drawing of humours a contrary way. RHABA'RBARUM, (From Rha, and barbarus, wild ; so called because it was brought from the banks of the Rha, now call- ed the Wolga, in Russia.) See Rheum. Rhaba'rbarum a'lbum. See Convolvu- lus Mechoacanna. Rhaba'rbarum ahtiquo'rum. See Rheum Rhaponticum. Raba'rbarum diosco'ridis. See Rheum Rhaponticum. Rhaba'rbarum MONACHo'RtiM. See Ru- mex patientia. Rhaba'rbarum Sibe'ricum. See RJieum xmdulatum. Rhaba'rbarum XARXA'RictJM. See Rheum. Rhaba'rbarum ve'rum. See Rheum. RHAckiA'LGiA. (From fu^is, the spine of the back, and aXy»j, pain.) A pain in the spine of the back. RHA'CHIS. C^ax's, the spine of the back.) See Spine, Rhachisa'gra. (From pa^n, the spine of the back, and aypa, a prey.) A species of gout fixed in the spine of the back. Rhachi'ta. (From fcc^'h tl>e spine of the back.) A muscle belonging to the spine of the back. Rhachi'tis. See Rachitis. Rhaco'sis. (From ^a»(i5, a rag.) A rag- ged excoriation of the relaxed scrotum. RHA'GADES. (From pyiyvufn^ to break or bruise.) Chaps. Clefts. Malignant, dry, and deep cutaneous fissures. Rhagoi'des. (From fa'(, a grape-stone, and 6/00;, a likeness ; so called from its like- ness in colour to a grape-seed. (Applied to the retiform tunic of the eye. Rha'mni Ba'cc^ Buckthorn berries. RHA'MNUS. (From pxim, to destroy, be- cause of its many thoi'ns.) 1. The name of a genus of plants in the Linnajan system. Class, Pentandria. Order, Monogynia, Buckthorn. 2. The pharmacopoeial name of the purging buckthorn. See Rhamnus catharticus. Rha'mnus catha'rticus. The systematic name of the buckthorn. Spina cervina, Rhamnus solutivus. Spina infectoria. Cer- vispina. Purging buckthorn. The fruit or berries of this shrub, Rhamnus : spinis ter- minalibusfioribus quadrifidis dioicis,foliis ova- iis, caule erecto, of Liuneeus, have been long received into the materia medica : they cou- tain a pulpy deep green juice, of a faint un- pleasant smell, a bitterish, acrid, nauseous taste, which operates briskly by stool, pro- ducing thirst, dryness of the mouth and fau- ces, and severe gripings, unless some dilu- ting liquor be drank plentifully after it : at present it is rarely prescribed except as a drastic purge. The dose is said to be about twenty of the fresh berries in substance ; twice or thrice that number in decoction ; a drachm or a drachm and a half of the dried berries ; an ounce of the expressed juice, or half an ounce of the rob or extract, obtained by inspissating the juice. Rha'mnus fra'ngula. The systematic name of the black alder. Frangula abius, Mnus nigra. This officinal tree is the Rham.- nus : inermis floribus monogynis hermaphro' ditisjfoliis integerrimis, of Linnjeus. All the parts of this tree, as well as of the common alder, are astringent and bitter. The bark is most astringent ; a decoction of it has cured agues, and is often used to re- pel inflammatory tumours of the throat, by wrij^ of gargle. The inner yellow bark of the trunk, or root, given to 3ij., vomits, purges, and gripes ; but joined with aro- matics, it operates more agreeably. An in- fusion, or decoction in water, inspissated to an extract, acts yet more mildly than these. It is mostly employed by the common peo- ple in dropsy and otiier disorders. The berries of alder are pi rgaiive. They are not in use under their own name, but are of- ten substituted for buckthorn berries ; to dis- cover which, it should be observed, that the berries of the black alder have a black skin, a blue juice, and two seeds in each of them ; whereas tlie buckthorn berries have a green juice, and commonly four^eeds. The sub- stitution of one for the other is not of mate- rial consequence, as the plants belong to the same genus, and the berries do not differ greatly. Dr. Murray, of Gottingen, recommends, from his own experience, the leaves of alder chopped in small pieces, and heated over the fire, as the best remedy with which he is ac- 760 RHA quainted for dispersing milk in the breasts. Kha'mnus zi'zYPHUs. The systematic name of the tree which affords the jujubs. See JiijubcB. Rha'phanus. See Raphanus. Rhapontic. a term applied to rhubarb. Rhapontic rhubarb. See Rheum rhaponti- cum. Rhapo'nticum. (The Rha of Pontus, i. e. the Rha, in Russia, a river on whose banks it grew.) See Rlieum rhaponiicum. Rhapo'nticum vulga're officina'rum. See Centaurea. RHATA'NIA. This substance has been long known to the manufacturers of port ■wine ; it is the production of Peru, and is probably the root of the cinchona cordifolia. It is described as externally resembling the root of the rubia tinctorum, to the taste, being aromatic, bitter, and very astringent ; its infusion or decoction turns black with sulphate of iron and precipitates tannin. The principal virtues appear to reside in the cortical part of the root which is thick and resinous. An opinion prevails that the sub- stance sold in the shops under the name of foreign extract of bark is made from the rha- tania. It is well known that the medical virtues of this root are powerfully ionic. In debility of the digestive organs, in chronic rheuma- tism, fluor albus, and in intermittent fevers, it has been employed with good effect. Wliile given in doses similar to chinchona, it has the advantage of being only one third the price of that substance. RHAZES, was born at Rei, in the pro- vince of Khorasan, about the year 852. He is said not to have commenced the study of medicine till more than thirty years old, having previously removed to Bagdad ; but by indefatigable application he obtained the highest reputation ; and was selected to su- perintend the celebrated hospital of that city. He has been considered as the Galen of the Arabians ; and from his assiduous attention during the rest of a long life to the varieties of disease, he obtained the appella- tion of the experienced. He travelled much in the pursuit of knowledge, particularly into his native country ; and was much consulted by Almanzorj the chief of that province, to whom several of his writings are dedicated, as well as by other princes. Abi Osbaia enumerated 226 treatises composed by Rhazes, but only a few of these are preserved through the medium of Latin translations. The ten books, dedicated to Almanzor, were designed by him as a complete body of physic, and indeed may be regarded as the great magazine of all the Arabian medicine : the ninth book in particular, treating of the cure of diseases, was in such general estima- tion for several centuries, as to be used as a text-book by professors. However, they contain little more than the substance of the / RHE writings of the Greek physicians ; thougk certainly the smallpox, find a few other dis- etises, are first distinctly described by Rhazes. He was author also of the first treatise on the diseases of children. The use of che- mical preparations in medicine appears like- wise to have originated with him, or at least with some of the Arabians. He died in the year 932. Besides the ten books above mentioned, and the tract on Smallpox, there are extant by him a sort of conimon- place book, entitled " Continens ;" and six books of Aphorisms, under the title of " De Secretis." Rhe'i ra'dix. Rhubarb root. Rheume. (From ps, the nose, and Paif?), the voice.) A nasal voice. Rhiza'gra. (From ^i^a, the root, and a.y^ivia, to seize.) An instrument for taking out the roots or stumps of teeth. RHO'DIA. (From ^oJsv, a rose ; so called because its root smells like the damask rose.) See RJwdiola. Rhodi'ola rosea. The radix rhodiae of 5onie pharmacopoeias is the produce of the Rhodiola rosea, of Linnajus, called rosewort. When dry, it has a very pleasant smell, re- sembling that of the damask rose. In this odorous matter the medical virtue of the root resides. Poultices in which this root enters as a chief ingredient are said to allay violent pains of the head. Rho'dium Li'GNtJM. (From g»Jiv, a rose ; a wood which smells like roses.) Rho- dium, or rose-wood. The wood or root of a tree supposed to be the Genista cana- riensis, of Linnseus. It is brought from the Canary islands. An essential oil is obtain- ed from it, which is used principally as a perfume, but possesses cordial and corro- borant virtues. It is also an ingredient in the composition of powders for the destruc- tion of rats. RHODODENDRON. (From ^sSiv, a rose, and Btv^pov, a tree ; so called because its flowers resemble the rose.) 1. The name of a genus of plants in the Linneean system. Class, Decandria. Order, Monogynia. 2. The pharmacopoeial name of the olean- der. Rose-bay. See Rhododendron chrysan- thtnum. Rhodode'ndron chrysa'nthemum. The systematic name of the oleander, rose-bay. or yellow rhododendron. This species of rhododendron, /o/u"s oblongis impunciis supra scabris venosissimis, corolla rotata irreguJari gemma Jlorifera ferruginco-iomentosa, has not yet been introduced in Britain ; it is a native of Siberia, affecting mountainous situations, and flowering in June and July. This plant and its medical virtues were first described in 1747, by Gmelin and Hal- ler. Little attention, however, was paid to it, till the year 1779, when it was strongly re- commended by Koelpia as an efficacious medicine, not only in rheumatism and gout, but even in venereal cases ; and it is now very generally employed in chronic rheumatisms, in various parts of Europe. The leaves-, which are the part directed for medicinal use, have a bitterish subadstringent taste. Taken in a large dose, they prove a nar- cotic poison ; and, in moderate doses, they are said to occasion heat, thirst, a degree of delirium, and a peculiar sensatioa of the parts affected. As a powerful and active medicine, this shrub, says Dr. Woodville, may probably be found an addition to the materia medica. Dr. Home, who tried it unsuccessfully in some cases of acute rheumatism, says, " It appears to be one of the most powerful se- datives which we have, as, in most of the trials, it made the pulse remarkably slow, and in one patient reduced it to thirty-eight beats. And' in other cases, in which the rhododendron has been used at Edinburgh, it has been productive of good effects, and accordingly it is now introduced into the Edinburgh Pharmacopoeia. The manner of using this plant by the Siberians, was by put- ting two drachms of the dried leaves in an earthen pot, with about ten ounces of boiling water, keeping it near a boiling heat for a night ; and this they took in the morning, and by repeating it three or four times, ge- nerally effected a cure. Rhodo'jieli. (From goSov, the rose, and jtt£A(, honey.) Honey of roses. IlHtE'ADOs pe'tala. Red poppy petals. RHCE'AS. {Rhceas, -ados, m. From ^nu, to flow.) The wild poppy is sometimes so- called. See Papaver rhceas. RHOMBOIDE'US. (From '^o^Soj, a geo- metrical figure, whose sides are equal but not right-angled, and uli;, resemblance.) Rhomboideus major and minor. Rhomhoidesi of Douglas, Winslow, and Cowper ; and Cervici dorso scapulaire, of Dumas. This muscle, which is so named from its shape, is situated immediately under the trapezius. We find it usually, though not always, divi- ded into two portions, which Albinus de- scribes as two distinct muscles. The upper- most of these, or rhomboideus minor, arises tendinous from the spinous processes of the three inferior vertebrae of the neck, and from the ligamentum colli ; the lowermost, or rhomboideus major, arises tendinous from the spinous processes of the back: the 764 RHir IIHU former is inserted into the basis of the sca- pula, opposite to its spine ; the latter into all the basis of the scapula, below its spine. Its use is to draw the scapula obhquely upwards, and directly backwards. Rhopai.o'sjs. (From focraXov, a club.) A disorder in which the hair cleaves together, and hangs down in clusters resembling clubs. The plaited hair. JRJmbarb. See RJieum. Rlmbarb, monks. See Rumex patientia. Rhubarb, rhaponlic. See Rheum rhaponti- cum. RHUS. (From ^lu, to flow ; so called because it stops fluxes.) The name of a ge- nus of plants in the Linnaean system. Class, Penlandria. Order, Trigynia. The sumach- tree. Rhus be'lgica. The Dutch myrtle is sometimes so termed. See Myrica gals. Rhus coria'ria. Sumach. E!m-leaved sumach. This plant, Rhrus coriaria ; foliis pinnatis obtusiiiscute serratis ovalibus subius villosis, of Linnteus, is a small tree, a native of the south of Europe. It is singular that this is the only species of the genus rhus which is perfectly innocent ; the others be- ing active poisons. Both the leaves and berries of this plant are used medicinally, as astringents and tonics ; the former are the most powerful, and have been long in com- mon use, where they may be easil}' obtained in various complaints indicating tills class of remedies. The berries, which are red, and of a roundish compressed figure, contain a pulpy matter, in which is lodged a brown, hard, oval seed, manifesting a considerable degree of adstringency. The pulp, even when dry, is grateful, and has been disco- vered to contain an essential salt, similar to tliat of wood sorrel. An infusion of the dried fruit is not rendered black by a solu- tion of iron ; hence it appears to be destitute of adstringency. But its acidity is extremely grateful ; therefore, like many other fruits, these berries inay be advantageously taken to allay febrile heat, and to correct bilious putrescency. Rhus rndicans. See Rhus vernix. Rhits tiphinum. The systematic name of the Virginian sumach, whose seeds are said to be useful in stopping haemorrhages. Rhus ^oxicode'ndron. Poison oak, or sumach. This plant is a native of North America. The stems, if cut, exude a milky juice, which inflames the skin. The leaves, now inserted in the pharmacopoeia, are inodorous, and have a mawkish subacrid taste. Their virtues are extracted more perfectly by water than by alcohol. They prove stimulant and narcotic, when taken internally. Dr. Alderson, of Hull, found them successful in several cases of paralysis. They excite a sense of heat and pricking, and irregular twitches in the affected limbs. They have been sometimes useful, also, in herpetic eruptions. The dose may be from half a grain, gradually increased to four grains, two or three times a day. Rhus vernix. Rlius rndicans. The sys- tematic name of a poisonous plant, the efficacy of which Dr. Fresnoi has endea- voured to prove, in the disease called paralysis, and herpetic affections. He, in order that others should not suffer by his experiments, began by taking aa infusion of one of the three foliola of which each leaf of this plant consists ; and as this dose produced no sensible effect, he increased the number to twelve. His urine and perspiration were increased in quantity, and he had some pains in his belly. He re- lates seven cases, in which he thinks he can remove all doubt of the efficacy of this infu- sion, in lierpetic aflections. From these the following are selected : " A country woman," says Dr. Fresnoi, " came to me in the month of July, 1780, to consult me about the herpes fariuosa, with which her face had been covered for more than a year. She was ordered to take an in- fusion of this plant ; and, in six weeks, was entirely free frorn the disease." He likewise relates five cases of paralysis, which were cured by the use of this plant. The leaves of this plant are to be cut when in the greatest vigour, about the mouth of June. " Those who cut this plant," says Dr. F. " wear leathern gloves, on account of its poisonous qualities." The same gentleman observes, he saw one case in which inflammation of the eyelids was produced by the vapour from the plant. Four pounds of the leaves being distilled with thirty-two pounds of water, give it a slight odour, although the plant is entirely free from it. Its taste is pungent, and in- flames the mouth. The decoction which remains in the still is brown, and is gene- rally covered with a light brown pellicle. When strained and evaporated, it gives a shining black extract. The leaves inflame and sv ell the hands and arms of those who take them out of the still, and bring on an itching, which remains for several days. Forty-two pounds of the leaves afford twenty ounces of extract, of a proper consistence for pills. " A girl, in ^'landers," says Dr. Fres- noi, " already subject to fits, laid down some flowers in her bed-room. Next day she told me that she had undergone a great change ; that she had had no fits, and slept much better It occurred to me," says Dr. F. " that the flowers occasioned this change. Next day, the flowers being removed, and the window opened, the convulsions re- appeared ; on their being again introduced, the fits disappeared ; which proved plainly it was the efiect of the flowers. The suc- cess of the extract in tussis convulsiva ex- ceeded my hopes; forty two children being cured of this disorder in Valenciennes, du- ring the end of the year 1786. Four grains BIB EIB "of extract are to be dissolved in four ounces of sirup, of which one table-spoonful, given to the child every third hour, generally abates the cough, and mostly leaves them. ^ RHY'AS (^puas, a disease of the eye.) A decrease or defect of the lachrymal carun- cle. The proximate cause is a native defect ; or it may originate from excision, erosion, or acrimony. This disorder is commonly incu- rable, and it induces an incurable epiphora, or a continual weeping. Rhytido'sis. See Ratidosis. RI'BES. The name of a genus of plants in the Linnaean system. Class, Penlandria. Order, Monogpiia. The currant-tree. Ri'bks ni'grum. Black currant. This indigenous plant, Ribes ; racemis jiilosis, Jloribus oblongis, of Linnaeus, affords larger berries than those of the red, which are said to be peculiarly useful in sore throats, and to possess a diuretic power in a vei-y considera- ble degree. The leaves of the black currant are extremely fragrant, and have been like- wise recommended for their medicinal virtue, which Bergias states to be niundi- ficans, pellens, diuretica. The officinal pre- parations of the berries are the syrupus ribis nigri, and the succus ribis nigri inspissa- ius. Ri'bes ru'brum. Grossularia non spi- nosa. The red currant. Ribes, inerme ; racemis glabris pendulis, Jloribus planiuscu- lis, of Linnffius. The white currant-tree is merely a variety of the red, the fruit of both is perfectly analogous ; therefore, what is said of the one, applies to the other. The red currant is abundantly cultivated in gar- dens, and, from its grateful acidity, is uni- versally acceptable, either as nature presents it, or variously prepared by art, with the addition of sugar. Considered medicinally, it is esteemed to be moderately refrigerant, antiseptic, attenuant, and aperient. It may be used with considerable advantage to allay thirst, in most febrile complaints, to lessen an increased secretion of bile, and to correct a putrid and scorbutic state of the fluids, espe- cially in sanguine temperaments ; but, in constitutions of a contrary kind, it is apt to occasion flatulency and indigestion. RIBS. CoslcE. The ribs are the long curved bones which are placed in an oblique direction at the sides of the chest. Their number is generally twelve on each side ; but, in some subjects, it has been found to be thirteen, and in others, though more rarely, only eleven. They are distinguished into true and false ribs. The seven upper ribs, which are articulated to the sternum, are called true ribs -, and the five lower ones, which are not immediately attached to that bone, are called false ribs. At the posterior extremity of each rib, we observe a small head, divided by a middle ridge into two articulating surfaces, covered with cartilage, which are received into two cavities contigu- ous to each other, and formed in the upper and lower part of each dorsal vertebra, a& we have observed in our description of the spine. This articulation, which is secured by a capsular ligament, is a species of giri- glymus, and allows only of motion upwards and downwards. The head of each rib is supported by a short neck, and immediately beyond this we find a flattened tubercle, af- fording an oblong and slightly convex sur- face, which is articulated with tlie transverse process of the lowest of the two dorsal ver- tebrae, with which its head is articulated. At some little distance from this tuberosity, the rib makes a considerable curve, which is usually called its angle. From the tubercle to the angle the ribs are of considerable thickness, and approaching to a cylindrical shape ; but, from the angle to their anterior extremity, they become thinner and flatter. To this anterior extremity is fixed a long, broad and strong cartilage, which, in each of the true ribs, reaches to the sternum, where its articulation is secured by a capsu- lar ligament, and by other ligamentous fibres. The cartilages of the sixth and se- venth ribs, being longer than the rest, are extended upwards, in order to reach the sternum, the inferior portion of which is about on a level with the fifth rib. The cartilages of these two ribs are usually united into one, so as to leave no space be- tween them. The false ribs are supported in a different manner ; their cartilages ter- minate in an acute point before they reach the sternum, the eighth rib being attached by its cartilage to the lower edge of the car- tilage of the seventh, or last of the true ribs ; the ninth in the same manner to the eighth ; and the tenth to the ninth ; the car- tilages of each rib being shorter than that of the rib above it. The eleventh and twelfth, which are the two lowermost ribs, are not fixed at their anterior extremities like the other ribs, but hang loose, and are supported only by their ligamentous fibres, and by muscles and other soft parts. The external surface of each rib is some- what convex, and its internal surface slightly concave. On the inferior and interior sur- face of these bones we observe along fossa, for the lodgment of the intercostal vessels and nerves. This channel, however, does not ex- tend through the whole length of the rib, be- ing observable neither at the posterior extre- mity, where the vessels have not reached the bone, nor at the fore end, where they are distributed to the parts between the ribs. We seldom see any marks of it in the short ribs, as in the first, second, eleventh, and twelfth. Thus far we have given a description, . which is applicable to the ribs in general; but, as we find them differing from each other in shape, length, situation, and other respects, it will be right to speak of each rib in particular. The first rib, which is the shortest of any, ^66 rjB mc is likewise the most curved. It is broader than the other ribs, and, instead of being placed, as they are, obliquely, and with its edges upwards and downwards, it is situa- ted nearly in a transverse direction, one of its edges being placed inwards, or nearly so. Of these edges, the inner one is sharp, and the outer one somewhat rounded. Its inner surface is smooth, and its superior sur- face is sometimes slightly depressed anterior- ly by the clavicle. The head of this rib, in- stead of being angular, is flattened, and slightly convex, being received into a cavity, which is formed wholly in the first vertebra, and not by two vertebrae, as is the case with the other ribs. The second rib is longer than the first, but shorter than the ribs below it. Its an- gle is placed at a small distance from its tuberosity, and its head is articulated with two vertebrae, like the other ribs. The other ten ribs; (he two last only excepted, differ from the general description we have given, chiefly in the difference of their length, which goes on gradually increasing, from the first or uppermost, to the seventh or last of the true ribs, and as gradually diminishing from that to the twelfth. Their obliquity, in respect to the spine, likewise increases as they descend, as does the dis- tance between the head and angle of each rib, from the first rib to the ninth. The two lowest ribs differ from all the rest in the following particulars : — Their heads, like that of the first rib, are rounded, and received into a cavity formed entirely in the body of one vertebra ; they have no tubercle for their articulation with the transverse processes, to which they are only loosely fixed by ligaments, and, in this respect, the tenth rib is sometimes found to agree with them : they are much shorter tlian the i-est of the false ribs, and the twelfth is still shorter tiian the eleventh. The length of the latter, however, is dif- ferent in different subjects, and is not always found to be the same on both sides. Anteriorly, as we have already ob- served, their cartilages are short and loose, not being attached to the cartilages of the other ribs ; and this seems to be, because the most considerable motions of the trunk are not performed on the lumbar vertebra; alone, but likewise on the lower vertebrae of the back ; so that if these two ribs had been confined anteriorly, like the rest, and like- wise united to the bodies of two vertebra;, and to the transverse process, this disposi- tion would have impeded the motion of the two last vertebrae of the back, and conse- quently would have affected the motion of the trunk in general. The use of the ribs is to give form to the thorax, and to cover and defend the lungs; also to assist in breathing; for they are joined to the vertebrae by regular hinges, which allow of short motions, and to the sternum by cartilages, which yield to the mo- tion of the ribs, and return again when the muscles cease to act. Ribicort. The Plantago lanceolata, of Lin- naeus, or narrow-leaved plantain, is sometimes so termed. Rice See Orysa. R I'C I iN U S. (Quasi piy kwch, a dog's nose ; because they stick to the noses of dogs.) 1. The name of a genus of plants in the Linnaean system. Class, Monoecia. Order. Monadelphia. 2. The pharmacopoEial name of the plant which affords the seed from which the castor- oil is prepared. RiciNUS COMMUNIS. The systematic name of the castor-oil plant. Calaputia major. Ricinus tidgaris. Palma chrisli. Ricinus foliis peltalis siibpalmatis serratis, of Linnaeus. This plant appears to be the KiKi, or Kporuv, of Dioscorides, who ob- serves, that the seeds are powerfully ca- thartic ; it is also mentioned by Aetius, Paulus .ffigineta, and Pliny. The ricinus was first cultivated in England, in the time of Turner, and is now annually reared in many gardens in the neighbourhood of London ; and in that of Dr. Saunders, at Highbury, the plant grew to a state of great perfection. An oil extracted from the seeds of this plant, and known by the name of oleum ricini, palma christi, or castor oil, is the drug to v/liich the pharmaco- poeias refer, and which has lately come into frequent use, as a quick but gentle pur- gative. The London College directs this oil to be expressed from the seeds in the same way as that of the oil of almonds, and with- out the assistance of heat, by which the oil would seem to be obtained in the purest state. However, we have some reason to believe that this method is seldom prac- tised, and that the oil usually employed here is imported from the West Indies, where it is commonly prepared in the fol- lowing manner : — " The seeds being freed from the husks, or pods, which are gathered upon their turning brown, and \\hen be- ginning to burst open, are first bruised in a mortar, afterwards tied up in a linen bag, and then thrown into a large pot, with a suflicient quantity of water, (about eight gallons to one gallon of the seeds,) and boiled till the oil is risen to the surface, when it is carefully skimmed off, strained, and kept for use. Thus prepared, the oil is entirely free from acrimony, and will stay upon the stomach when it rejects all other medicines." Mr. Long remarks, that the oil intended for medicinal use, is more frequently cold drawn, or extracted from the bruised seeds by means of a hand- press. But this it thought more acrimo- nious than that prepared by coction. Dr. Browne is also of this opinion., and prefers iuv ROC r67 the oil prepared by coction to that by ex- pression ; he attributes its greater mildness to the action of the fire, observing that the expressed oil, as well as the mixed juices of the seeds, are far more active and violent in their operation. Dr. Cullen observes, that " this oil, when the stomach can be reconciled to it, is one of the most agreeable purgatives we can em- ploy. It has this particular advantage, that it operates sooner after its exhibition than any other purgative I know of, as it com- monly operates in two or three hours. It seldom gives any griping, and its operation is generally moderate, producing one, two, or three stools only. It is particularly suit- ed to cases of costiveness, and even to cases of spasmodic colic. In the West Indies, it is found to be one of the most certain remedies in the dry belly- ache, or colica pictonum. It is seldom found heating or irritating to the rectum ; and, therefore, is sufficiently well suited to hae- morrhoidal persons. The only inconvenience attending the use of this medicine is, that as an oil it is nau- seous to some persons ; and that, when the dose is large, it occasions sickness at the stomach for some time after it is taken. To obviate these inconveniences, several means have been tried ; and it is found that the most effectual means is the addition of a lit- tle ardent spirit. In the West Indies, they employ rum ; but that I might not withdraw any part of the purgative, I employ the Tine. senncB comp. This added in the poportion of one to three parts of the oil, and very inti- mately mixed, by being shaken together in a phial, both makes the oil less nauseous to the taste, and makes it sit more easy on the stomach. The common dose of this oil is a table-spoonful, or half an ounce ; but many persons require a double quantity. Ri'ciNos ma'jor. See Jatropha curcas. Ili'ciNus vulga'ris. See Ricinus. Rickets. See Rachitis. RI'GOR. A coldness, attended by a shi vering, more or less perfect. Rl'MA. A fissure, or opening ; as the ri- ma laryngis, rimavulvce. Rl'MA GLO'TTIDIS. The opening of the larynx, through which the air passes in and out of the lungs. Ri'mula. (Dim. of rima, a fissure.) A small fissure. RiNiE'us. (From ^/v, the nose.) See Com- pressor naris. Ring-worm. A species of herpes. See Herpes. Ri'sAGON. See Cassumuniar . RI'SUS, SARDO'MCUS. See Sardonic laugh. RIVERIUS, Lazarus, was born at Mont- pelier, in 1539. Being naturally slow in his attainments, he failed in his first examina- tions for a degree ; but this only stimulated him to redoubled exertions, so that in the following spring he accomplished his object at the age of 22. His attachment to study be- came then very great, and eleven years after that period, he was appointed to the profes- sorship of medicine in the university ; which office he filled with great honour till his death, in 1655. Riverius published some valuable works, especially one, entitled " Praxis Medica ;" which appeared at first in a concise form, as a sort of text-book ; but finding it very favourably received by the public, he enlarged and improved it consi- derably ; and it added greatly to his reputa- tion, having passed through numerous edi- tions, as well in the original, as translated into French and English. Rivijius, Augustus Quirinds, was son of a learned physician and critic, Andrew Bachmann, whose name was Latinized into Rivinus, and born at Leipsic in 1652. He graduated at the age of 24, and fifteen years after obtained the professorships of physio- logy and botany in his native university ; he was also associated with many learned bodies ; and he filled these appointments with honour to himself till his death, in 1723. Rivinus distinguished himself chiefly as a systematic botanist ; but his arrange- ment was very defective, being founded oa the number of the petals, and their being regular, or irregular. Though by no means eminent as a practical anatomist, he is said to have discovered a new salivary duct. As a medical writer, he has the merit of faith- ful observation and description in his treatise !' De Peste Lipsiensi," published in 1680. He wrote also on dyspepsia, on in- termittents, and various other subjects. His " Censura iMedjcamentorum officinalium," ranks very high, on account of the freedom with which he attacked opinions, however generally received, which he believed errone- ous ; and to the prevalence of this spirit we owe the great simplification, and other im- provements, which the Materia Medica exhi- bits at present. ROASTING. A chemical process, generally performed in crucibles, by which mineral substances are divided, some of their principles being volatilized, and others changed, so as to prepare them for other operations. Rob. (Rob, dense, Arabian.) An old terra for an inspissated juice. ROBORANTS. (Medicamenta roborantia; from roboro, to strengthen.) Strengthening medicines See Tonics. Rocce'lla. See Lichen roccella. Rochelle salt. See Soda tartarisala. Rockambole. The Allium scorodoprasum, of Linnaeus. The root is used for pickles and high-seasoned dishes. Rock-oil. See Petroleum. Rock-samphire. See Crithmum mariti- mum. Rocket, garden. See Brassica eruca. Rocket} Roman. See Brassica eruca. res R03 R05 Rocket, wild. See Brassica erueastrum. Rore'lla. See D rostra. Ros cALABRi'>"os. The oflScinal manna is sometimes so termed. Ros so'lis. {Ros, dew.) See Droseu to- iundifoiia. RO'SA. 1. The name of a genus of plants in the Linnsan system. Class, Icosandria. Order, Polygynia. The rose. 2. A name sometimes given to the errsi- pelas, because it begins with a redness like that of a rose. Ro'sA a'lea The white rose. The flowers of this species possess similar but inferior virtues to those of the damask. They are directed in some ofiicinal prepara- tions. Ro'sA cANi'sA. Rosa syhestris. Cynor- Thodon. Cynosbatos. The dog-rose, or wild brier, or hip tree. Rosa; germinibus ovaiis peduncniisqite glabris, caule pdiolisque acu- leatis, of Linnajus. The fruit of this tree, called heps, or hips, has a sourish taste, and obtains a place in the London pharmaco- pceia, in the form of conserve. It is seldom employed but to give form to more active re- medies, in pills, boluses, linctuses, 6ic. Ro'sA centifo'lia. The pharmacopceial and systematic name of the damask rose. Rosa damascena. Rosa pallida. The da- mask rose. The pharmacopoeias direct a sirup to be prepared from tlie petals of this rose. Rosa ; germinibus oiaiis pedunculisque hispi- dis, caule hispido aculeato, pelioUs inermibus, of Linnsus ; which is found to be a pleasant and useful laxative for children, or to obviate costiveuess in adults. Most of the roses, though much cultivated in our gardens, are far from being distinctly characterized. Those denominated varieties are extremely numerous, and often permanently uniform ; and the specific differences, as hitherto point- ed out, are in many respects so inadequate to the purpose of satisfactory discrimination, that it becomes a difficult matter to distin- guish which are species and which are varie- ties only. The damask rose seems to be an- other species, widely diflerent from the centi- folia, as appears from the description given of it by Du Roi and Miller. The petals are directed for medicinal use ; they are of a pale red colour, and of a verj- fragrant odour, which, to most people, is extremely agreeable ; and therefore this and most of the other roses are much used as nosegays. We may remark, however, that, in some instances, they have, under certain circumstances, produced alarming symp- toms. The petals " impart their odorous matter to watery liquors, both by infusion and distillation. Six pounds of fresh roses impregnate, by distillation, a gallon, or more, of water, strongly with their fine flavour. On distilling large quantities, there separates from the watery fluid a small portion of a fragrant but}'raceous oil, which liquefies by heat, and appears yellow, but concretes in the cold -into a white mass. A hundred pounds of the flowers, according to the experiments of Tachenius and Hofi'man, aiforded scarcely half an ounce of oil." The smell of the oil exactly resembles that of roses, and is therefore much used as a perfume. It possesses very little pungencvj and has been highly recommended for its cordial and analeptic qualities. These flowers also contain a bitterish substance, which is extracted by water along with the odorous principle, and remains entire in the decoction after the latter has been separated by distillation, or evaporation. This fixed sapid matter of the petals mani- fests a purgative quality ; and it is on this account that the flowers are received in the Materia Medica. Ro'sA damasce'na. See Rosa centifolia , Ro'sA GALLicA. The pharmacopoeial and systematic name of the red rose. Rosa rubra. The flowers of this species, Rosa ; germinibus oralis pedunculisque hispidis, caule petiolisque hispido aculeatis, of Linnaeus, are valued for their adstringent qualities, which are most considerable before the petals expand ; and therefore in this state they are chosen for medicinal use, and ordered by the pharmacopoeias in diflerent preparations, as those of a conserve, or confection, a honey, an infusion, and a sirup. The in- fusion of roses is a grateful cooling subad- stringent, and useful in haemoptysis, and other htemorrhagic complaints : its efiicacy, however, depends chiefly on the sulphuric acid added. Ro'sA pa'elida. See Rosa centifolia. Ro'sa ro'bra. See Rosa gallica. Ro'sA silve'stris. The dog-rose, or JRo- sa canina, of Linnaeus. Rosa'cea. The term gulta rosacea is ap- plied to little rosy-coloured spots upon the face and nose. Rose. See Rosa. Rose, damask. See Rosa centifolia. Rose, dog. See Rosa canina. Rosea radix. See Rhodiola. Rose, red. See Rosa gallica. Rose root. See Rhodiola. Rose, white. See Rosa alba. Rosebay willow herb. This is the Epilobiujn angustifolium, of Linnaeus, com- mon in our woods, in moist situations. The 3-oung shoots are said to be little inferior to asparagus, when boiled. Rosemary. See Rosmarinus. Rosewood. See Rhodium lignum. Rosewort. See Rhodiola. Rosin. See Resina. ROSMARITnUS. ( Q^aasi rosa, fff/.vova, be- cause it smells like myrrh.) 1. The name of a genus of plants in the Linnaean system. Class, Diandria. Order, Monogynia. 2. The pharmacopoeial name of the com- mon rosemary. Rosmarinus horte'ssis. See Rosma- rinus. RGB Mb 76» Rosmari'nps oFFiciSA'i-is. The system^ Stic name of the common rosemary. Ros- ^imrimLshor tends. LiOanotis coronaria. Den- itrolibanus. Rosmarinus officiiialis, of Lin- nau8. The leaves and tops of this plant have a fragrant aromatic smell, and a bit- terish pungent taste. Rosemary is reckoned one of the most powerful of those plants which stimulate and corroborate the nervous system ; it has therefore been recommended In various affections supposed to proceed from debility, or defective excitement of the brain and nerves, as in certain head-aches, deafness, giddiness, and in some hysterical «nd dyspeptic symptoms. The officinal pre- parations of rosemary are, an essential oil from their leaves, or from the herb in flower, a conserve of the flowers, and a spirit for- tnerly called Hungary water, from the :flowery tops. The tops are also used in the compound spirit of lavender, and soap liniment. RosMAFa'sfus sylve'stkis. See Ledum jpalustre. Ro'sTRUM, (From Todo, to gnaw ; be- cause birds use it to tear their food with.) A beak. The piece of flesh which hangs between the division of the hare-lip is called rostrum leporinum. Rotang cane. See Calamus. Rota'tor. (From roiu, to turn.) A tnuscls whose oflice is to wheel about the thigh. RO'TULA. (Dim. of rota, a wheel; so called from its shape.) See Patella. Round-hated sorrel. See Rumex scuialxis. ROUND LIGAMENTS. Ligamenta ro- tunda. A bundle of vessels and fibres con- tained in a duplicature of the peritonaeum, that proceed from the side of the uterus, through the abdominal ring, and disappear In the pudenda. Rube'do. (From ruber, red.) A dif- fused, but not spotted, redness in any part ef the skin ; such as that which arises from blushing. RUBEFACIENTS. {Rubefackntia : from rubefacio, to make red.) Those sub- stances which, when applied a certain time tA (he skin, induce a redness without blis- -tering. RUB E'O L A. (From ruber, red ; or from rubeo, to become red.) Morbilli. The jneasles. A genus of disease in the Class Pyrexia:, and Order Exanthemata, of Cul- !en ; known by synocha, hoarseness, dry- cough, sneezing, drowsiness ; about the fourth day, eruption of small red points, discernible by the touch, -which after three days end in mealy desquamation. The blood, after vensesection, exhibits an inflam- matory crust. In addition to the symptoms already related, it is remarkable, that the eyes and eyelids always show the presence of this disease, being somewhat inflamed and suffused with tears. The synocha continues during the whole progress of the dise^Lss. in systems of nosology, several varieties>of measles are mentioned, but they may all be comprehended under two heads ; the one at- tended with more or less of the symptoms of general inflammation ; the other accompa- nied by a putrid diathesis. The measles may prevail at all seasons of the year as an epidemic, but the middle ol" winter is the time they are usually most pre- valent ; and they attack persons of all ages, but children are most liable to them. They prove most unfavourable to such as are of a plethoric and scrophulous habit. Like the smallpox, they never affect persons but once in their life ; their contagion appears to b& of a specific nature. The eruption is usually preceded by a general uneasiness, chillineSSv and shivering, pain in the liead, in grown persons ; but in children, a heaviness a;nd soreness in the throat ; sickness, and vomit- ing, with otiier affections, such as happen fa most fevers ; but the chief characteristic symptoms are, a heaviness about the eyes, with swelling, inflammation, and a deflnxioa of sharp tears, and great acuteness of sen- sation, so that they cannot bear the light without pain, together with a discharge of serous humour from the nostrils, which produces sneezing. The heat, and other febrile symptoms, increase very rapidly ; ten ■which succeeds a frequent and dry cough, a stuffing, great oppression, and oftentimes retching to vomit, with violent pains in the loins, and sometimes a looseness ; at other times there is great sweating, the tongue foul and white, the thirst very great, and, in general, the fever runs much higher than: in the milder sort of the regular smallpox. The eruptions appear about the fourth or, fifth day, and sometimes about the end of the third. On the third or fourth day from their first appearance, the redness diminishes, the spots, or very small papulee, dry up, the cuticle peels off, and is replaced by a new one. The symptoms do not go off oa the eruption, as in the smallpox, except the vomiting; the cough and head-ache conti- nue, with the weakness and defluxion on the eyes, and a considerable degree of fever. On the ninth or eleventh day, no trace of redness is to be found, but the skin assumes its wonted appearance ; yet, without there have been some considerable evacuations.} either by the skin, or by vomiting, the pa- tient will hardly recover strength, but the cough will continue, the fever return with new violence, and bring on great distress and danger. In the more alarming cases, spasms of tli* limbs, subsultns tendinum, delirium, or what more frequently happens, coma supervene. This last symptom so frequently attends the erttptive fever of measles, that by some prac- titioners it is regarded as one of its diag- nostics. In measles, as in other febrile dis^a^es, 97 770 Kim RUK the syu-vptoms generally suffer some remis- sion towards the mind,) because of its cordial qualities. Marjoram. Sanati'va. (From sano, to cure.) Me- dicines which heal diseases. SANC'l'ORIUS, Sanctorius, was born in 1561, at Capo dTstria. He studied me- dicine at Padua, where he took his degree, and then settled at Venice, and practised with considerable success. At the age of fifty, however, he was appointed professor of the theory of medicine at Padua; in which office he distinguished himself for thirteen years. He was then allowed to retire on his salary, finding his health im- paired by the fatigue of the visits, which he was frequentlj-^ obliged to make in his pro- fessional capacity to Venice ; where he pass- ed the remainder of his life in great reputa- tion. On his death, in 1636, a statue of marble was raised to his memory ; and aa annual oration was instituted by the College of Physicians, to whom he had bequeathed an annuity, in commemoration of his bene- volence. Sanctorius first called the atten- tion of physicians to the_ cutaneous and pul- monary transpiration, which he proved to exceed the other excretions considerably in weight ; and he maintained that this func- tion must have a material influence on the system, and was deserving of great consider- ation in the treatment of diseases. There is, no doubt, much truth in this general ob- servation ; but in its application to practice, he appears to have gone to an extravagant length, and to have contributed much to prolong the reputation of the humoral pa- thology. His treatise, entitled " Ars de Statica Medicina," was first published in 1614, and passed through more than twenty editions, including translations, with various commentaries : it is written in an elegant and perspicuous Latin style. He was also author of a Method of avoiding Errors in Medicine, to which was afterwards added an essay " De Inventione Remediorum ;" and of Commentaries on some of the ancient physicians. Besides the statical chair, by which he contrived to determine the weight of the Ingesta and Egesta, he invented an instru- ment for measuring the force of the pulse, and several others for surgical use ; and he was the first who attempted to determine the temperature of the body by a thermometer, of which, indeed, he is considered as the in- ventor. SAN SAN Sanctum se'men. The worm-seed, or santonicum. Sandara'cha. (From saghad narak, Arab.) A gummy resin ; also a sort of ar- senic. Sandara'cha arabum. This resinous juice appears to have been the produce of a large species of juniper-tree. Sanders. See Pterocarpus santalinus. Sandrack. (An Arabian word.) See Juniperus communis. Sa'ndyx. (From sani duk, red, Arab.) Cerusse burnt till it becomes red. SANGUIFICATION. {Sangwficalio, from sanguis, blood.) A natural function of the body, by which the chyle is changed into blood. The uses of sanguification are the generation of blood, which serves to fill the blood-vessels, to irritate and stimulate the heart and arteries, to generate or cause heat, to secrete the humours, and to excite ♦he vital actions. Sakguina'lis. (From sanguis, blood ; so named from its uses in stopping bleedings.) The Polygonum aviculare, or knot-grass is sometimes so called ; which see. Sanguina'ria. (From sanguis, blood ; so named from its use in stopping bleedings.) The Polygonum aviculare, or knot-grass is sometimes so termed ; which see. Sanguineous apoplexy. See Jlpoplexia. Sanguipu'rgium. (From sanguis, blood, and purgo, to purge.) A gentle fever, or such a one as by its discharges is supposed to purify the blood. SA'NGUIS, {-guinis, m.) See Blood. SA'NGUIS DRACO'NIS. See Calamus rotang. Sa'kguis he'rculis. A name for the crocus. SANGUISO'RBA. The name of a genus of plants in the Linnsean system. Class, Triandria. Order, Monogynia. Sangciso'rba officina'i.is. The system- atic name of the Italian pimpinel ; which is Slot now in use. SANGUISU'GA. (From sanguis, blood, and sugo, to suck.) The leech or blood- sucker. See Leech. Sanicle. See Sanicula. Saiiicle, Yorkshire. See Pinguicula. SANrCULA. (From sano, to heal ; so called from its virtues in healing.) 1. The name of a genus of plants in the Linneean system. Class, Pentandria. Or- der, Digynia. 2. The pharmacopoeial name of sanicle. Sani'cula . ebobace'nsis. Pinguicula, Sanicula montnna. Viola palustris. The Yorkshire sanicle or butter-wort. See Pin- guicula. Sani'cula europe'a. The systematic name of the sanicle. Cucullata. Dodeca- iheon. Symphytum pelrmum. Sanicula mas. Diapensia corlusa. This herb, Sa- nicula Europea, of Linnaeus, was formerly recommended as a mild adstringent^ and is supposed to have received its name from its sanative power. Its sensible qualities are a bitterish and somewhat austere taste, follow- ed by an acrimony which chiefly afi'ects the throat. It is only in use in the present day amongst the country people. Sani'cula mls. See Sanicula. SA'NIES. Ichor. This term is sometimes applied to a thin, limpid, and greenish dis- charge ; and at other times to a thick and bloodv kind of pus. S A'N T A L U M. (From zandal, Arab.) The name of a genus of plants in the Lin- naean system. Class, Telrandriu. Order, Mo- nogynia. Saunders. Sa'ntalum a'lbum. The systematic name of the yellow saunders. Santalum citrimun. Santalum pallidum. Yellow saunders. White saunders wood is of a pale white colour, often with a yellowish tinge, and, being destitute of taste or odour, it is superseded by the santalum citrinum, which is of a brownish yellow colour, of a bitterish aromatic taste, and of a pleasant smell, approaching to that of the rose. Both kinds are brought from the East Indies in billets, consisting of large thick pieces, which, according to Rumphius, are some- times taken from the same, and sometimes from different trees. For though the white and yellow saunders are the wood of the same species of tree, yet the latter, which forms the central part of the tree, is not al- ways to be found in sufficient quantity to repay the trouble and expense of procuring it, especially, unless the trees be old ; while the white, which is the exterior part of the wood, is always more abundant, and is con- sequently much cheaper. Yellow saunders, distilled with water, yields a fragrant essential oil, which thickens in the cold into the consistence of a balsam, approaching in smell to ambergris, or a mixture of ambergris and roses ; the re- maining decoction, inspissated to the con- sistence of an extract, is bitterish, and slightly pungent. Rectified spirit extracts, by digestion, considerably more than water ; the colour of the tincture is a rich yellow. The spirit distilled off is slightly impreg- nated with the fine flavour of the wood ; the remaining brownish extract has a weak smell, and a moderate balsamic pun- gency. The wood is valued highly on account of its fragrance, hence the Chinese are said to fumigate their clothes with it, and to bum it in their temples in honour of their gods. Though still retained in the Materia Me- dica, it cannot be thought to possess any considerable share of medicinal power. Hoff man considers its virtues as similar to those of ambergris ; and some others have esteem- ed it in the character of a corroborant and restorative. Sa'ktalum ci'trinum. See Santalum aU bum. 784 SAP SAP Sa'ntalcm pa'llidum. See Santalum aU hunt. Sa'ntalum ru'brum. Red saunders. See Ptrocarpus santalinus. Santoli'na. (From santaluniy saunders, because it smells like the saunders wood.) See Artemisia santonica. Santoli'na cham^e-cypari'ssus. The sys- tematic name of the lavender cotton. Santo'nicum. (From Santonia, its native place.) See Artemisia Santonica. SAPHE'NA. (Vena saphena ; from ivis, a rushy X«y4>f, a hai'e, and at/pa, a tail ; so called from its resemblance to a hare's-tail.) Hare's- tail. Cotton-grass. SCIATIC ARTERY, .^rteria sciatka. Ischiatic artery. A branch of the internal iliac. SCIATIC NERVE. Js'ervus scialicus, Ischiatic nerve. A branch of a nerve of the lower extremity, formed by the union of the lumbar and sacral nerves. It is divided near the popliteal cavity into the tibial and peroneal, which are distributed to the leg and foot, SCIATIC NOTCH. Ischiatic notch. See Innominatum os. SCIATIC VEIN. Vena sciatica. The vein which accompanies the sciatic artery in the thigh. SCIATICA. Ischias. A rheumatic af- fection of the hip-joint. Sciatica cresses. The iberis or carda- mantica, raised in gardens for culinary pur- poses. S C I'L L A. (Froni .«poft), to harden.) Scleroma. Sclerosis. A hard tumour or in- duration. Sclerophtha'lmia. (From a-KK^pog, hard, and o-Ka7ti\i(!i>^ the earwig ; so called because its leaves re- semble the earwig.) See Asplenium. ScoLopojviACHiE'RiUM. (From a-zohaTra.^, the woodcock, and fAct^capa., a knife; so called because it is bent a little at the end like a woodcock's bill.) An incision- knife. Sco'lymus. (From a-icoxoi, a thorn ; so named from its prickly leaves.) The arti- choke is sometimes so called. See Cz- nara. Sco'PA p.e'gia. The butcher's broom, or knee-holly, was formerly so termed. See Ruscus. ScoRBr'TiA. (From scorbutus, the scur- vy.) Medicines for the scurvy. SCORE U'TUS. (From schorboet, Germ.) Gmgibrachium, because the gums and arms, and gingipedium. because tlw Tge SCO SCO gums and legs, are affected by it. The scurvy. A genus of disease in the Class, Cachexia:, and Order, Impetigines, of Cul- len ; characterized by extreme debility; complexion pale and bloated ; spongy gums ; iirid spots on the skin ; breath offensive ; oedematous svrellings in the legs ; hcemor- I'hages ; foul ulcers ; foetid urine ; and ex- tremely offensive stools. The scurvy is a disease of a putrid nature, much more pre- valent in cold climates than in warm ones, and which chiefly affects sailors, and such as are shut up in besieged places, owing, as is supposed, to their being deprived of fresh provision, and a due quantitity of acescent food, assisted by the prevalence of cold and moisture, and by such other causes as de- press the nervous energy, as indolence, con- finement, want of exercise, neglect of clean- liness, much labour and fatigue, sadness, despondency, &c. These several debilita- ting causes, with the concurrence of a diet consisting principally of salted or putrescent food, will be sure to produce this disease. It seems, however, to depend more on a defect of nourishment, than on a vitiated state ; and the reason that salted provisions • are so productive of the scurvy, is, most probably, because they are drained of their nutritious juices, which are extracted and puu off in brine. As the disease is apt to become pretty general amongst tlie crew of a ship when it has once made its appearance, it has been supposed by many to be of a contagious nature , but the conjecture seems by no means well founded. A preternatural saline state of the blood has been assigned as its proximate cause. It has been contended by some physicians, that the primary morbid affection in this disease is a debilitated state of the solids, arising principally from the want of alir inent. The scurvy comes on gradually, with heaviness, weariness, and unwillingness to move about, together with dejection of spirits, considerable loss of strength, and debility. As it advances in its progress, the countenance becomes sallow and bloat- ed, respiration is hurried on the least mo- tion, the teeth become loose, the gums are spongy, the breath is very offensive, hvid spots appear on different parts of the body, old wounds which have been long healed up break out afresh, severe wander- ing pains are felt, particularly by night, the skin is dry, the urine small in quantity, turning blue vegetable infusions of a green colour ; and the pulse is small, frequent, and, towards the last, intermitting ; but the intellects are, for the most part, clear, and distinct. By an aggravation of the symptoms, the disease, in its last stage, exhibits a most wretclied appearance. The joints become swelled and stiff, the tendons of the legs are rigid and contracted, general emacig^ tion ensues, haemorrhages break forth from different parts, foetid evacuations are dis- charged by stool, and a diarrha3a or dysen- tery arises, which soon terminates the tragic scene. Scurvy, as usually met with on shore, or where the person has not been exposed to the influence of the remote causes before enumerated, is unattended by any violent symptoms, as slight blotches, with scaly eruptions on different parts of the body, and a spon^ess of the gums, are the chief ones to be observed. In forming our judgment as to the event of the disease, we are to be directed by the violence of the symptoms, by the situation of the patient with respect to a vegetable diet, or other proper substitutes, by his former state of health, and by his constitu- tion not having been impaired by previous diseases. Dissections of scurvy have always disco- vered the blood to be in a very dissolved state. The thorax usually contains more or less of a watery fluid, which, in many cases, possesses so high a degree of acri- mony, as to excoriate the hands by coming in contact with it; the cavity of the abdo- men contains the same kind of fluid ; the lungs are black and putrid ; and the heart itself has been found in a similar state, with its cavity filled with a corrupted fluid. la many instances, the epiphyses have been found divided from the bones, the carti- lages separated from the ribs, and several of the bones themselves dissolved by caries. The brain seldom shows any marks of dis- ease. In the cure, as well as the prevention of scurvy, much more is to be done by regi- men, than by medicines, obviating as far as possible the several remote causes of the dis- ease, but particularly providing the patient with a more wholesome diet, and a large proportion of fresh vegetables ; and" it has been found that those articles are especially useful, T/hich contain a native acid, as oranges, lemons, &c. Where these cannot be procured, various substitutes have been proposed, of which the best appear to be the inspissated juices of the same fruits, or the crystallized citric acid. Vinegar, sour croutj and farinaceous substances made to undergo the acetous fermentation, have likewise been used with much advantage ; also brisk fer- menting liquors, as spruce beer, cyder, and the like. Formerly many plants of the Class, Tetradynamia, as mustard, horse-ra- dish, &c. likewise garlic, and others of a stimulant quality, promoting the secretions, were much relied upon, and, no doubt, pro- ved useful to a certain extent. The spongy state of the gums may be remedied by washing the mouth v/ith some of the mineral acids sufficiently diluted, or perhaps mixed SCR SCPw en ■with decoction of cinchona. The stiffness of the limbs by fomentations, cataplasms, and friction ; and sometimes in hot climates, the earth-bath has afforded speedy relief to this symptom. Sco'rdium. (From ^Kopo^ov, garlic ; so called because it smells like garlic) See Teucrium scordium. Sco'ri^. {Scoria, from ctkoj, excrement.) Dross. The refuse or useless parts of any substance. Scorodopra'sum. (From c-y.o^ocfov, gar- lick, and 5rf ats-ov, the leek.) The wild gav- iick or leek shalot. Sco'RODtrM. (A^ro Toy a-Koif o^iiv, from its filthy smell.) Garlick. Scorpi'aca. (From crKop?rtos, a scorpion.) Medicines against the bite of serpents. Scorpioi'bes. (From c-nofrrto;, a scor- pion, and £//of, a likeness ; so called because its leaves resemble the tail of a scorpion.) Scorpiurus. Scorpion-wort. Bird's-foot. Scorpiu'rus. See Scorpioides. SCORZONE'RA. (From escorsa, a ser- pent. Span. ; so called because it is said to be effectual against the bite of all venomous animals.) 1. The name of a genus of plants in the Linnsean system. Class, Syngenesia. Or- der, Polygamia czqualis. 2. The pharmacopoeial name of the offi- cinal viper grass. Scorzone'ra hispa'wica. The systema- tic name of the esculent vipers' grass. Scorzone'ra hu'milis. The systematic name of the officinal vipers' grass. Escor- sonera. Viperaria. Serpentaria hispanica. Goats' grass. Vipers' grass. The roots of this plant, Scorzonera humilis ; caule sub- nudo, unifloro ; foliis lato-lanceolatis, nervo- sis, plants, of Linnaeus, have been sometimes employed medicinally as alesipharmics, and in hypochondrial disorders, and obstructions of the viscera. The Scorzonera hispanica mostly supplies the shops, whose root is es- culent, oleraceous, and against diseases in- efficacious. Scotodi'ne. (From ctkotoc, darloiess, and cf/vo?, a giddiness.) Scolodinia. Scotodi- nos. Scotoma. Scotomia, Giddiness, with impaired sight. SCRIBONIUS, Largcjs, a Roman phy- sician in the reign of Claudius, who wrote a treatise, " De Compositione Medicamen- torum." Many of these formulae are per- fectly trifling and superstitious; and the whole work displays a great attachment to empii-icism. The style is also very deficient in elegance for the time in which he lived, whence he appears to have been a person of inferior education. SCROBI'CULUS CO'RDIS. (Dim. of scrobs, a ditch.) The pit of the stomach. SCRp'FULA. (From scrofa, a swine; because this animal is said to be much sub- ject to a similar disorder.) Scrophula. Struma. Coiras. Chrmas. Ecrue?Ies, Fr. Scrophula. The king's evil. A genus of disease in the Class, Cachexia, and Order Impetigines, of CuUen. He distinguishes four species. 1. Sci'ophula vulgaris, when it is without other disorders external and permanent. 2. Sci'ophula mesenterica, when internal, with loss of appetite, pale countenance, swelling of the belly, and an unusual fcEtor of the excrements. 3. Scro- phula fugax. This is of the most simple kind ; it is seated only about the neck, and for the most part is caused by absorption from sores on the head. 4. Scrophula Americana, when it is joined with the yaws^ Scrophula consists in hard indolent tumours' of the conglobate glands in various parts of the body ; but particularly in the neck, be- hind the ears, and under the chin, which after a time suppurate and degenerate into ulcers, from which, instead of pus, a white curdled matter, somewhat resembling the coagulum of milk, is discharged. The first appearance of the disease is most usually between the third and seventh year of the child's age ; but it may arise at any period between this and the age of puberty ; after which it seldom makes its first attack- It most commonly affects children of a lax habit, with smootli fine skins, fair hair, and rosy cheeks. It likewise is apt to attack such children as show a disposition to ra- cliitis, marked by a protuberant forehead, enlarged joints, and a tumid abdomen. Like this disease, it seems to be peculiar to cold and variable climates, being rarely met with in warm ones. Scrophula is by no means a contagious disease, but, beyond all doubt, is of an hereditary nature, and is often entailed by parents on their children. There are, indeed, some practitioners who wholly deny that this, or any other disease, can be acquired by an hereditary right ; but that a peculiar temperament of body, or predispo- sition in the constitution to some diseases, may extend from both father and mother to their offspring, is, observes Dr. Thomas, very clearly proved. For example, we very frequently meet with gout in young persons of both sexes, who could never have brought it on by intemperance, sensuality, or impro- per diet, but must have acquired the pre- disposition to it in this way. Where there is any predisposition in the constitution to scrophula, and the person happens to contract a venereal taint, this frequently excites into action the causes of the former ; as a venereal bubo not unfre- quently becomes scrophulous, as soon as the virus is destroyed by mercury. The late Dr. Cullen supposed scrophula to depend upon a peculiar constitution of the lympha- tic system. The attacks of the disease seem much affected or influenced by t!je periods of the seasons. They begin usually some time in the winter and spring, and often disappear, or are greatly amended, in sum- mer and autumn. The first appearance ox' dCR itiCR the disorder is commonly iu that of small oval or spherical tumours under the skin, unattended by any pain or discolouration. These appear, in general, upon the sides of the neck, below the ear, or under the chin ; but, in some cases, the joints of the elbows or ankles, or those of the fingers and toes, are the parts first affected. In tliese in- stances, we do not, hov/ever, find small moveable swellings ; but, on the contrary, a tumour almost uniformly surrounding the joint, and interrupting its motion. After soma length of time the tumours become larger and more fixed, the skin which covers them acquires a purple or livid colour, and, being much inflamed, they at last suppurate and break into little holes, from which, at first, a matter somewhat pu- riform oozes out ; but this changes by de- grees into a kind of viscid serous discharge, much intermixedwith small pieces of a white substance, resembling the curd of milk. The tumoui-s subside gradually, whilst the ulcers at the same time open more, and spread unequally in various directions. Af- ter a time, some of the ulcers heal; but other tumours quickly form in different parts of the bod}', and proceed on, in tlie same slow manner as the former ones, to suppuration. In this manner the disease goes on for some years, and appearing at last to have exhausted itself, all the ulcers heal up, without being succeeded by any fresh swellings ; but leaving behind them an ■ugly puckering of the skin, and a scar of considerable extent. This is the most mild form under which scrophula ever appears. In more virulent cases, the eyes are parti- cularly the seat of the disease, and are af- fected with ophthalmia, giving rise to ulce- i'ations in the tarsi, and inflammation of the tunica adnata, terminating not unfrequently in an opacity of the transparent cornea. In similar cases, the joints become affec- ted, they swell and are incommoded by ex- cruciating deep-seated pain, which is much increased upon the slightest motion. The swelling and pain continue to increase, the muscles of the limb become at length much wasted. Matter is soon afterwards formed, and tliis is discharged at small openings made by the bursting of the skin. Being, however, of a peculiar acrhnonious nature, it erodes tlie ligaments and cartilages, and produces a caries of the neighbouring bones. By an absorption of the matter into the sys- tem, hectic fever at last arises, and, in the end, often proves fatal. When scrophula is confined to the exter- nal surface, it is by no means attended with danger, although on leaving one part, it is apt to be renewed in others ; but when the ulcers are imbued with a sharp acrimony, spread, erode, and become deep, without showing any disposition to heal ; when deep- seated collections of matter form amongst ^■he small bones of the hands and feet, or in tile joints, or tubercles in the lungs, with hectic fever, arise, the consequences will be fatal. On opening the bodies of persons who have died of this disease, many of the viscera are usually found in a diseased state, but more particularly the glands of the mesen- tery, which are not only much tumefied, but often ulcerated. The limgs are frequently discovered beset with anumber of tubercles or cysts, wliich contain matter of various kinds. Scrophulous glands, on being ex- amined b}"- dissection, feel somewhat softer to the touch than in their natural state, and when laid open, they are usually found to contain a soft curdy matter, mixed with pus. The treatment consists chiefly in the use of those means, which are calculated to improve the general health ; a nutritious diet, easy of digestion, a pure dry air, gentle exercise, friction, cold bathing, especially in the sea, and strengthening medicines, as the preparations of iron, myrrh, &c. but, parti- cularly the Peruvian bark with soda. Va- rious mineral waters, and other remedies which moderately promote the secretions, appear also to have been often useful. In irritable states of the system, hemlock has been employed with much advantage. Mer- cury is generally injurious to scrofulous persons, when carried so far as to affect the mouth ; yet they have sometimes improved under the use of the milder preparations of that metal, determined principally towards the skin. Moderate antimonials also, decoc- tions of sarsaparilla, mezereon, guaiacum, &;c. burnt sponge, muriate of lime, and other such remedies have been serviceable in many cases, perhaps chiefly in the same way. The applications to scrofulous tumours and ulcers must vary according to the state of the parts, whether indolent or irritable; where the tumours show no disposition to enlarge or become inflamed, it is, perhaps, best to interfere little with them ; but their inflammation must be checked by leeches, &c. and when ulcers exist, stimulant lotions or dressings must be used to give them a disposition to heal ; but if they are in an ir- ritable state, a cataplasm, made, perhaps, with hemlock, or other narcotic. SCROPHULA'RIA. (From scrofula-, the king's evil ; so called from the unequal tu- bercles upon its roots, like scrofulous tu- mours.) The name of a genus of plants in the Linnsean system. Class, Didynamia. Order, Angiospermia. The fig-wort. Scrophttla'ria AftUA'TicA. BetoTiica aquatica. Greater water-figwort. Water- betony. The leaves of this plant, Scropku- laria ;foliis cordatis obiiisis, petiolatis, decur~ rentibus ; caule membranis angulato; race- 7nis tcrminalibus, of Linnasus, are celebrated as correctors of the ill flavour oi senna. They were, also, formerly in high estima- tion against piles, tumours of a scrofulous nature, inflammations. &c sCU SEB ^?&9 bcROPHULA'BiA Mi'woR. The piie-wort is sometimes so called. See Ranunculus Jicaria. Scrophula'ria NODo'sA. The systema- tic name of the figwort. Scrophularia vul- garis. Millemorbia^ ScrophulaHa. Com- mon figwort or kernel- wort. The root and leaves of this plant, Scrophularia ; foliis cor- datis, trinervatis ; caule obtusangulo, of Lin- nasus, have been celebrated both as an in- ternal and external remedy against inflam- mations, the piles, scrophulous tumours and old ulcers ; but they are now only used in this country by the country people. Scrophula'ria vulga'ris. See Scro- phularia nodosa. Scrotal hernia. Hernia scrotalis, Scroiocele. A protrusion of any part of an abdominal viscus or viscera into the scro- tum. See Hernia. SCROTOCE'LE. (From scrotum, and khxii, a tumour.) A rupture or hernia in the scro- tum. SCRO'TUM. (Qwfliz scortum, a skin or hide.) Bursa testiurn. Oscheus. Oscheon. Orchea, of Galen. The common integu- ments which cover the testicles. SCRU'PULUS. (Dim. of scrupus, a small stone.) A scruple or weight of 20 grains. SCULTETUS, John, was born at Ulm in 1595, and, after the requisite studies, graduated at Padua. He then practised with considerable reputation in his native eity, as well in surgery as in physic, and he appears to have been very bold in his ope- rations. He was carried off by an apoplec- tic stroke in 1645. His principal work is entitled, "Armamentarium Chirurgicum," with plates of the instruments ; which was published after his death, and has passed through many editions, and been translated into most European languages. SCURF. Furfur a. Small exfoliations of the cuticle, which take place after some eruptions on the skin, a new cuticle being formed underneath during the exfoliation. Scurvy. See Scorbutus. Scurvy-grass. See Cochlearia officinalis. Scurvy-grass, lemon. See Cochlearia offi- cinalis. Scurvy-grass, Scotch. See Convolvulus soldanella. SCUTIFORM CARTILAGE. See Thy- roid cartilage. SCUTELLA'RIA. (From sculella, a small dish, or saucer, apparently in allusion to the little concave appendage which crowns the calyx.) Some have thought it to be more directly derived from scutellum, a little shield, to which they have compared the shield. The name of a genus of plants in the Linnssan system. Class, Didynamia. Order Gymnospermia. Scutella'ria galericula'ta. The systematic name of the skull-cap. Tertia- T.arin- The Scvfellaria, foliis cordato-lan- ceolcttts, crenatis ;floribus axillaribus, of Lin- naeus, which is common in the hedges and ditches of this country. It has a bitter taste and a garlic smell, and is said to be service- able against that species of ague which at- tacks the patient every other day. SCY'BALA. ^icvSuM. Dry hard ex- crements. Scv'thigus. (From Scythia, its native soil.) An epithet of the liquorice-rootj or any thing brought from Scythia. SEA-AIR is prescribed in a variety of complaints, being considered as more medi- cinal and salubrious than that on land, though not known to possess in its compo- sition a greater quantity of oxygen. This is a most powerful and valuable remedy. It is resorted to with the happiest success against most cases of debility, and particu- larly against scrofulous diseases affecting- the external parts of the body. See Bath) cold. Sea-holly. See Eryngium. Sea-moss. See Fucus helminlhocorton. Sea-oak. See Fucus vesiculosus. Sea-onion. See Scilla. Sea-salt. See Sodce murias. SEA-SICKNESS. A nausea, or tenden- cy to vomit, which varies, in respect of du- ration, in different persons upon their first going to sea. With some it continues only for a day or two ; v/hile with others it re- mains throughout the voyage. The dis- eases in which sea-sickness is principally recommended are asthma and consump- tion. SEA-WATER. This is arranged amongst the simple saline waters. Its cheinical analysis gives a proportion of one of saline contents to about twenty-three and one- fourth of water ; but on our shores it is not greater than one of salt to about thirty of water. Sea-water on the British coast may^ therefore, be calculated to contain in the wine pint of muriated soda 186,5 grains, of muriated magnesia fifty-one, of selenite six grains ; total 243 one-half grains, or half an ounce and three and one-half grains of sa- line contents. The disorders for which the internal use of sea-water has been and may be resorted to, are in general the same for which all the simple saline waters may be used. The peculiar power of sea-water and sea-salt as a discutient, employed either internally or externally in scrofulous ha- bits, is well known, and is attended with considerable advantage when judiciously applied. Sea-wrack. See Fucus vesiculosus. Sealed earths. See Sigillaia terra. SEARCHING. The operation of intro- ducing a metallic instrument through the urethra into the bladder, for the purpose of ascertaining whether the patient has the stone or not, SEBACEOUS GLANDS, (Glm- SEC SEC dula sebacece, from sebum, suet.) Glands •which secrete a sebaceous or suety hu- mour. SEBADfLLA. See Cevadilla. SEBATE. (From sebuTU, suet.) Sebas. Tlie name in the new chemistry of every compound of the acid of fat. Sebe'stejv. (An E^ptian word.) See Cordia myxa. SECA'LE. 1, The name of a genus of plants in the Linna;an system. Class, Tri- andria. Order, Digynia. Rye. 2. The common name of the seed of the Secale cereale, of Linnaeus. Seca'le cerea'le. The systematic name of the rye-plant. It is principally used as an article of diet, and in the Nor- thern countries of Europe is employed for affording an ardent spirit. See Secale. SECONDAR.Y. This term in general denotes something that acts as second or in subordination to another. Thus in diseases we have secondary symptoms. Secondary fever. That febrile affec- tion which arises after a crisis, or the dis- charge of some morbid matter, as after the declension of the small-pox or the measles. SECRETION. The word secretion is used to express that function by which an organ separates from the blood the constitu- ent parts of a fluid, that does not exist in it with its characteristic properties. The difference of secreted humours is visibly connected with that of the organs employed for their formation. Thus arte- rial exhalation, that takes place through- out the whole extent of internal surfaces, to preserve their lubricity, affords nothing but an albuminous serosity, which is only the semm of the blood slightly altered by the weak action of organization veiy little complicated. The analysis of the water in dropsy, which is merely the serosity that continually transudes the surface of serous membranes, as the pleura or peri- tonaeum, has demonstrated that tliis fluid has the greatest resemblance to the serum of the blood, and is only distinguished from it by the variable proportions of albu- men, and the different salts it contains in solution. This first kind of secretion, this perspira- tory transudation, would seem, then, to be a simple filtration or percolation of a liquor already formed in the blood through the po- rous parts of arteries ; yet we must here ac- loiowledge a peculiar action of membranes, the surface of which it perpetually lubri- cates ; without this action tlie serum would remain united to the other constituent of the blood. This kind of action is termed exhalation. The distingTiishable character of this kind of secretion is the absence of an}' mediate structure between the vas efferens and the excretory duct : the minute ai'teries ' and veins that run into the structure of membranes constitute both. After serous transudation, requiring oifly a very simple organization, follows the se-» cretion by cryptse, glandular folicles, and mucous lacunae. Each of these small glands contained in the texture of membranes lining the internal surface of the digestive, aerial, and urinary passages, and which, when con- glomerated, form a.mygdalae, &c. may be compared to a small bottle the bottom of which is round, and the neck short ; the membranous parietes of these vesicular cryptae are supplied with a great quantity of vessels and nerves. It is to the peculiar ac- tion of these that the secretion of mucus by these glands should be attributed. These mucous liquids are less fluid and more viscid than the fluid produced by the first kind of secretion, containing more albumen amd salts ; they are more different from the serum of the blood, and of a more excrementitious nature ; the bottom of these bottle-kind of glands is turned towards the paurts to which the mucous membrane adheres, their mouth or neck opens on the surface contiguous to these membranes. The apertures by which the mucous glands discharge themselves are easy to be per- ceived on the tonsils, mucous surface of the urethi-a, rectum, &c. Secretion and excretion are facilitated by tlie irritation occasioned by the presence of air, aliment, or urine ; by the compression induced by them, and finally, by the peris- taltic contractions of the muscular fibres to which mucous membranes adhere through- out the whole extent of the primac viae. The fluids, which are considerably diffe- rent from the blood, require for their secre- tion organs of a more comphcated struc- ture ; these are called conglomerate glands to distinguish them from lymphatic glands, which are named conglobate. These glands 'are visceral masses, formed by an assem- blage of nerves and evei-y species of vessels disposed in packets, and united by cellular structure ; a proper membrane, or an elon- gation of that which lines the cavity that in- cludes them, surrounds their external sur- face, and separates them from the circumja- cent parts. The arteries do not form an immediate continuation with their excretory ducts, as Ruysch aifirmed ; nor do there exist inter- mediate glands between these vessels as Malpighi believed ; it seems more probable that each gland has its cellular or paren- chymatous substance in the areolae, into which the arteries pour the materials of the fluid they prepare; in consequence of a power peculiar to them, and which forms their distinguishing character. Lymphatics and excretoiy ducts arise from the sides of these little cells, and both these species of vessels absorb ; the latter attracts the secre- ted liquor.carrying it into receptacles, where it accamulates,wliile tlie former receive that part which the action of theorgan c«uld not SEC SEC 801 completely elaborate, or the residue of the secretion. The nerves which always enter more or less into the structure of secretory organs, and come principally from the great sym- pathetics, terminate variously in their sub- stance, and furnish each of them with a par- ticular sensibility, by means of which they distinguish, in the blood brought thither by the vessels, the constituent parts or materials of the humour they are destined to prepare, and select it by a real preference. Besides they cause them to take on a peculiar mode of activity, the exercise of which causes these separate elements to undergo a certain composition, and impresses the fluid produ- ced with specific properties, always relative to the mode of action of which they are the result. Thus the liver retains the constitu- ent principles of bile contained in the blood of the vena portae, elaborates, combines them, and forms the bile, an animal fluid, distinguishable by certain characteristic properties that are subject to variation ac- cording as the blood contains the elements which enter into its composition in a greater or less degree ; according to the increased or diminished disposition of the gland to retain them, and to effect a more or less complete mixture of them. The qualities of the bile dependent on the concurrenc eof all these circumstances, should present so many dif- ferences as the blood contains principles, and as the hepatic organ may offer varieties relative to the composition of the former, and degree of activity of the latter. Hence arise alterations of the bile, the most incon- siderable of which being compatible with health, escape observation, while those which are more complete, and derange the natural order of the functions, become evi- dent by diseases of which they may be some- times considered the eff'ect, and at other times the cause. These alterations of the bile (and what is here said of the secretion of this humour may extend to almost every other secretion of the animal economy) ne- ver extend so far as to prevent it from be- ing distinguished ; it always preserves in a greater or less degree its essential and pri- mitive characters, it never acquires the qualities of another liquor so as to resemble serum, urine, or saliva, &c. The action of secretory glands is not con- tinual, most of them are subject to the alter- nate state of action and rest ; all, as Barden observed, are asleep or awake when any ir- ritation operates on them, or in their vicini- ty, and determines their immediate or sym- pathetic action. Thus saliva is secreted in greater quantity during mastication, &c. When a secretory organ enters into ac- tion, the surrounding parts, or such as are situated in its vicinity, usually sympathize ; for instance, the liver is comprised in the sphere of action of the duodenum, since the repletion of this intestine irritates it, 101 determines a more abundant afflux of hu mours, and a more copious secretion of bile. The blood conveyed to a secretory gland, before it arrives there, suff"ers preparatory changes which dispose it to furnish the constituents of the liquor about to be se- creted. The celerity with which the blood arrives at an organ, and the length, diameter, an- gles of the vessels, and the disposition of their ultimate ramifications, are all cir- cumstances which ought to be observed in the examination of each secretion, since they have an influence on the nature of the secreted fluid, and on the mode in which secretion is effected. When a gland is irritated it becomes the centre of fluxion, and acts on the blood brought by its ves- sels. Secretion dependant on a peculiar action inherent in a glandular organ is assisted by the action of surrounding mus- cles. The glands, after having remained for a longer or shorter time in a state of excita- tion, relax, become collapsed, and fluids are not conveyed to them in such abundance, they remain in a state of sleep, and during repose renew their sensibility, which is con- sumed by long exertion. A remarkable circumstance in secretions is, that they mutually replace and supply each other, so that when the urine is less copious, perspiration is more abundant. A sudden coldness of the skin frequently occasions diarrhoeas, the humours are im- mediately repelled towards the intestinal tube, and pass off" by the mucous glands of the intestines, the action of which is con- siderably increased. Se'ctio Cjesa'rea. See Ccssarian ope- ration. Se'ctio franco'nia. Sectio hypogastri- ca. The high operation for the stone. See Lithotomy. SECUNDINES. The placenta and mem- branes whicli are expanded from its edge, and which form a complete involucrum of the foetus and its v/aters, go under the com- mon term of after-birth, or secundines. The membranes of the ovum have usually been mentioned as two, the amnion and the chorion ; and the latter has again been divided into the true and the false. The third membrane, (which, from its ap- pearance, has likewise been called the vil- lous or spongy, and from the consideration of it as the inner lamina of the uterus, cast off" like the exuviae of some animals, the decidua,) has been described by Har- vey, not as one of the membranes of the ovum, but as a production of the uterus. The following is the order of the mem- branes of the ovum, at the full period of gestation : 1st, There is the outer or con- necting, which is flocculent, spongy, and extremely vascular, completely investing 8(i2 5ED SEE fhe whole ovum, and lining the uterus. 2dly, The middle membrane, which is nearly pellucid, with a very few small blood-vessels scattered over it, and which forms a covering to the placenta and funis, but does not pass between the placenta and uterus, 3dly. The inner membrane, rvhich is transparent, of a firmer texture than the others, and Unes the whole ovum, making, like the middle membrane, a co- vering for the placenta and funis with the two last. The ovum is clothed when it passes from the ovarium into the uterus, where the first is provided for its reception. These membranes, in the advanced state of pregnancy, cohere slightly to each other, though, in some ova, there is a con- siderable quantity of fluid collected be- tween them, which, being discharged when one of the outer membranes is broken, forms one of the circumstaoces which have been distinguished by the name of, by or false waters. Between the middle and inner membrane, upon or near the funis, there is a small, flat, and oblong body, which, in the early part of pregnancy, seems to be a vesicle containing milky lymph, which afterwards becomes of a firm, and apparently .fatty texture. This is called the vesicula umbi- licalis ; but its use is not known. See Pla- centa. Secu'jvdpm a'rtem. According to art. A term frequently used in prescription, and denoted by the letters S. A. which are usu- ally affixed, when the making up of the re- cipe in perfection requires some uncommon tare and dexterity. Secpri'daca. (From securis, an axe ; £6 called because its leaves resemble a small axe.) Henbane. SEDATIVES. (Medicamenta sedativa, from Sedo, to ease or assuage.) Sedantia, medicines which have tlie power of dimi- nishing the animal energy, without destroy- ing life. They are divided into sedativa soponjica, as opium, papfever, hyoscyamus, and sedativa refrigerant ia, as neutral salts, acids, &c. Sedative salt of Homberg. See Boracic acid. Sedenta'ria o'ssa . The os coccygis and ischia. Sedge. See Lis pseudacorus. Sediment. The heavy parts of liquids, which fall to the bottom. Sediment lateriticus. See Lateritious se- diment. SEDLITZ WATER. Seydschutz icater. A simple saline mineral water. From che- mical analysis it appears, that it is strongly impregnated with sulphate of magnesia or Epsom salt, and it is to this, along with brobably the small quantity of muriate of magnesia, that it owes its bitter and sahne taste, and its purgative properties. The jdiseases in which this water is recommended are, crudities of the stomach, hypochon- driasis, amenorrhoea, and the anomaloua complaints succeeding the cessation of the catamenia, oedematous tumours of^ the legs in literary men, haemorrhoidal affections, and scorbutic eruptions. SEDUM. (From sedo, to assuage ; so called because it allays inflammation.) The name of a genus of plants in the Linnseaa system. Class, Decandria. Order, Penla- gynia. Se'ditm a'cre. Illecebra. Vermicularisi^ Piper murale. Sedum minus. Wall-pepper, Stone-crop. The plant thus called is, in its recent state, extremely acrid, like the hydropiper ; hence, if taken in large doses, it acts powerfully on the primse vise, proving both emetic and cathartic ; applied to the skin as a cataplasm, it frequently produces vesications and erosions. Boer- haave, therefore, imagines that its internal employment must be unsafe ; but expe- rience has discovered, that a decoction of this plant is not only safe, but of great efficacy in scorbutic complaints. For which purpose, a handful of the herb is directed, by Below, to be boiled in eight pints of beer, till they are reduced to four, of which three or four ounces are to be taken every, or every other, morning. Milk has been found to answer this pur- pose better than beer. Not only ulcers simply scorbutic, but those of a scrophu- lous, or even cancerous tendency, have been cured by the use of this plant; of which Marquet relates several instances. He likewise found it useful as an external appUcation in destroying fungous flesh, and in promoting a discharge in gangrenes and carbuncles. Another effect for which this plant is esteemed, is that of stopping inter- mittent fevers. Se'ditm lu'teum mura'le. Navel wort. Se'dcji ma'jus. See Sempervivum tec- torurn. Se'dum Mi'jvrs. See Sedum acre. Se'dum tele'phitjm. The systematic name of the oruiTie. Faba crassa. Telephi- um. Fabaria crassvJa. Anacampseros. The plant which bears these names in various pharmacopoeias, is the orpine, Sedum foliis planiusculis serratis, corymbo folioso, caule erecto, of Linnseus. It was formerly ranked as an antiphlogistic, but now forgotten. SEEING. A sensation by which we perceive bodies around us, and their sen- sible qualities. The organ of sight is formed of three parts perfectly distinct ; first, those which serve to protect the globe of the eye, to withdi-aw it suddenly from the influence of light, and to preserve it in a condition necessary for the exercise of its functions. These consist in the supercilia, palpebrse, and lachrymal passages, parts accessory to the organ. The eye-ball itself presents two portions very different from each other, one formed by almost tlie SEE SEE 803 ^hole, and which may be called an optic instrument ; the other, formed by a medul- lary expansion of the optic nerve is the Hnmediate organ of sight ; this is the retina, alone adapted to receive the impression of light, and to be affected by the delicate contact of this extremely subtle fluid. This impression, or sensation, is transmitted to the cerebral organ by the optic nerve, of which the retina is merely the expanded extremity. The eye-brows, as being accessoiy or- gans to vision, have the effect of diminishing the effect of a too strong light by partly absorbing its rays. The supercilia answer this purpose better in proportion to the projection formed, and the darker colour of the hair ; thus we knit the brow trans- versely in passing from dark to a lighted place, the strong light of which has a dis- agreeable effect on the organ of sight. Hence aro^fe the custom of certain southern people, (in whom the eye-brows are, indeed, naturally thicker, and of a darker colour,) to make them blacker, in order the better to fulfil the intention for which they were de- signed. The eye -lids, as concerned in the organs of vision, shade the eyes from the continual action of light ; these, like aU other organs, have occasion for repose, which could not have been procured had the rays of light constantly excited their sensibility. A removal of the eye-lids occasions loss of sleep. The cilia, or hairs, growing upon the margin are destined to prevent insects or other light bodies in the atmosphere from insinuating between tlie globe of the eye and its covering. The anterior part of the eye thus defended against external in- juries, is continually moistened by the tears, tliey also guard against the effects of fric- tion, to which the eye is exposed. See Eye. Luminous rays, emanating from a light object, form a cone, the apex of which corresponds to the point of a body which we are looking at, and its base is applied to the anterior part of the cornea ; all those rays which touch the mirror of the eye, and pass through it, experience a refrac- tion proportioned to the density of the cornea, and to the convexity of this mem- brane ; when approacliing the perpendicu- lar, they pass thi-ough the aqueous humour which is less dense, and meet with the iris. All those rays which fall on this membrane are reflected, and show its colour different in different individuals. It is only the most central rays that penetrate the pupil, and serve for sight : these enter the pupil in greater or less number, according as it may be more or less dilated. The pupil becomes larger or smaller conformable to the expansion or contraction of the iris. The motions of the iris depend entirely on the mode in which light affects the rtelma ; it is of itself insensible to the imp^sioa of luminous rays, as proved by Fontana, who always found it unmoved when he directed rays of light exclusively to it. The rays to which the pupil gives pas- sage pass through the aqueous humour of the posterior chamber ; and soon come into contact with the crystalline lens, which powerfully refracts them, on account of its density and lenticular form. When more approaching the perpendicular by this body, they proceed as far as the retina, through the vitreous humour, which is less dense, and which preserves, without augmentation, the effect of the refraction produced by the chrystalline lens ; the rays assembled into one focus strike only a single point of the retina, and produce an impression that gives us an idea of certain properties of the bodies it reflects. It is generally thought that luminous pyramids, which emanate from all points of the object we behold^ descussate in passing through the globe of the eye, so that the object itself is figured, in a reverse direction. Although the image of each object is traced at the same time in each of our eyes, we have but one sensa- tion, because both sensations are in harmo- ny or combined, and only serve by assisting each other to render the impression strong- er and more durable. The correspondence of affection requires the direction of the op- tic axes on the same objects, and however little this direction be changed we really see double, which happens in strabismus, or squinting. If the eyes possess a too energetic poweir of refraction, either from too great a con- vexity of the coi-nea or crystalline lens, or more considerable density of the humours and excessive depth of the globe of the eye.^ the luminous rays being united too soon,, cross each other, again diverge, fall scatter- ed on the retina, and produce only a confu- sed sensation. In this disease of vision called myopia, patients can only distinguish very- near objects, whence rays are given off which require an instrument possessing a conside- rable power of refraction. In presbyopia, on tiie contrary, the cornea, being too flat^ the crystalline not very convex, or deep- seated, or the humours not sufficiently abundant, cause the rays not to be yet as- sembled, when they fall on the retina ; sa that patients can only observe with distinct- ness remote objects, because the rays that come from them being little divergent, have not occasion to be much refracted. The sen- sibility of the retina, is under certain circum- stances, so much raised, that the eye hardly supports the weakest light. Persons in this situation are called nyctalopes, who distin- guish objects in the midst of what othera consider utter darkness, as a few rays are sufficient to affect their organ of vision. The eyes are not immoveable in the part they occupy, they are directed towards all the objects of which we wish to form a know^ 804 SEi SE3I ledge by different motions, regulated by- four recti and two oblique muscles, and it is observed that there is such a correspond- ence of action in the muscles that move both eyes, that these organs turn at the same time towards the object, so that the visual axes are directed to the same point. Seignette's salt. a neutral salt, which consists of soda, potash, and tartaric acid. It was prepared and made known by a Frenchman named Peter Seignette, towards the end of the seventeenth century. It was then employed in preference to many other medicines long known, which had been equally serviceable ; and by these means, without much trouble, he was enabled to acquire a fortune. It must, however, be allowed, that he was a skilful chemist, who, by his writings, and the invention of various other medicines, had obtained considerable reputation as a philosopher and naturalist. He was established as an apothecary at Ro- chelle ; published papers on various natural objects which he had observed in his neigh- bourhood, in the Memoirs of the Academy of Sciences at Paris, as well as in other works ; and died on the 11th of March, 1719. He recommended this salt, which enrich- ed him, and rendered his name famous, in some small treatises, printed in particular about the year 1662. He called it some- times alkaline salt, sometimes sal polycrest, and sometimes Rochelle sail. After his death, his son continued to prepare and to •vend it with the greatest success. Seignette discovered this salt wliile he was engaged in making soluble tartar, and ac- cording to the old opinion, imagining that both the fixed alkalis were the same, used soda instead of potash. By this means he procured, not without surprise, a salt dif- ferent from the common soluble tartar which he wished to prepare, and from the other well-known salt also. He was indu- ced, therefore, to examine it. The experi- ments of learned chemists discovered the component parts of this salt. The mode of preparing it was then made publicly known ; and, by more accurate examination, the difference before overlooked, between vege- table and mineral alkali, was determined ; by which new light was thrown upon che- mistry, and an important service rendered to a variety of arts. Among those who contributed to bring this salt into repute was Nicholas Lemery, to whom Seignette sent a large quantity of it, which he distributed at Paris, though un- acquainted with its component parts. Its composition was discovered at the same time, about the year 1731, by two French chemists, Boulduc and Geoffroj'^ ; the former published his observations in the Memoirs of the Academy of Sciences ; and the latter communicated his to Sir Hans Sloane, who caused them to be printed in the Philoso- phical Transactions. Neumac, therefore^ was not the first who made known the com- position of Seignette's salt, in his treatise oa Salt-petre ; for Neuman's salt is essentially different ; and he himself confesses that he was not acquainted with the Rochelle salt. See Soda lariarizata. Seleni'tes. (From tFihuv^^ the moon.) A white stone having a figure upon it re- sembling a moon. Sulphate of lime. Sele'nium. (From a-iK»v», the mooa; so called from its usefulness in lunacy.) A kind of peony. Self-heal. See Prunella. Seline. a disease of the nails, in which white spots are occasionally seen in their substance. Seli'num. (From «rgx«»», the moon ; from its supposed usefulness in disorders proceeding from the influence of the moon.) Marsh smallage. SE'LLA TU'RCICA. (Sella, quasi sedda, from sedeo, to sit ; and turcica, from its supposed resemblance to a Turkish sad- dle.) Ephippium. A cavity in the sphenoid bone, containing the pituitary gland, sur- rounded by the four clinoid processes. SELTZER WATER. A saline water, slightly alkaline, highly acidulated with car- bonic acid, containing more of this volatile principle than is sufficient to saturate the al- kali, and the earths which it holds in solu- tion. It is particularly serviceable in relie- ving some of the symptoms that -indicate a morbid affection of the lungs ; in slow hectic fever, exanthematous eruptions of the skin, foulness of the stomach, bilious vomiting, acidity and heart-burn, spasmodic pains in any part of the alimentary canal, and bloody or highly offensive stools. On account of its property in relieving spasmodic pains, and from its rapid determination to the kidneys, and perhaps its alkaline contents, it has been sometimes employed with great advantage in diseases of the urinary organs, especially those that are attended with the formation of calculus. A large proportion of the Seltzer water, either gfenuine or artificial, that is consumed in this country, is for the relief of these disorders. Even in gonorrhoea, either simple or venereal, Hoffmann asserts that advantage is to be derived from this medicine. The usual dose is from half a pint to a pint. Semeca'rpus anaca'rdittm. The syste- matic name, according to some, of the tree which is supposed to afford the Malacca bean. See Avicenna tomentosa, Semeio'sis. (From o-nfjistoce, to notify.) See SemioHce, SE'MEN. 1. The seed, kernel, or stone of the fruit of any vegetable. 2. The seed or prolific liquor secreted in the testicles, and carried through the epidi- dymis, and vas deferens into the vesiculse semin^es, to be emitted sub coitu into the femalei?^?iginaj and there, by its aura, to pe- SEiVI SEM 86d lictFate and impregnate the ovuium in the ovarium* In castrated animals, and in eunuchs, the vesiculae seminales are small, and contract- ed; and a little lymphatic liquor, but no semen, is found in them. The semen is de- tained for some time in the vesiculae semina- les, and rendered thicker from the continual absorption of its very thin part, by the os- culaof the lymphatic vessels. In lascivious men, the semen is sometimes, though rarely, propelled by nocturnal pollution from the ve- siculae seminales, through the ejaculatory ducts (which arise from the vesiculae semi- nales, perforate the urethra transversely, and open themselves by narrow and very nervous mouths at the sides of the caput gallinaginis,) into the urethra, and from it to some distance. But in chaste men the greatest part is again gradually absorbed from the vesiculae seminales through the lymphatic vessels, and conciliates strength to the body. The smell of semen is specific, heavy, affecting the nostrils, yet not disa- greeable. The same odour is observed in the roots of the orchis, the iuli of chesnuts, and the antherae of many plants. The smell of the semen of quadrupeds, when at heat, is so penetrating as to reader their flesh fetid and useless, unless castrated. Thus the flesh of the stag, tempore coitus, is unfit to eat. The taste of semen is fa- tuous and somewhat acrid. In the testes its consistence is thin and diluted ; but in the Tesiculaeseminales, viscid, dense, and rather pellucid: and by venery" and debility it is rendered thinner. Specific gravity. The greatest part of the semen sinks to the bottom in water, yet some part swims on its surface, which it covers like very fine threads mutually connected together in the form of a cobweb. Colour. In the testicles it is somewhat yel- low, and in the vesiculae seminales it acquires a deeper hue. That emitted by pollution or coition, becomes white from its mixture with the whitish liquor of the prostate gland dur- ing its passage through the urethra. In those people who labour under jaundice, and from the abuse of saffron, the semen has been seen yellow, and in an atrabiliary young man, black. Quality. Semen exposed to the atmos- pheric air, loses its pellucidity, and becomes thick, but after a few hours it is again ren- dered more fluid and pellucid than it was immediately after its emission. This phe- nomenon cannot arise from water or oxygen attracted from the air. At length it depo- sits phosphate of lime, and forms a corneous crust. Experiments with semen prove that it turns the syrup of violets green, and dissolves earthy, neutral, and metallic salts. Fresh semen is insoluble in water, until it has un- dergone the above changes in atmospheric air. It is dissolved by alkaline salts. By aBtherial oil it is dried into a pellucid pelli^ cle, like the cortex of the brain. It is dis- solved by all acids, except the oxy-muriatic, by which it is coagulated in the form of white flakes. It is also acted upon by alco- hol of wine. By dry distillation semen gives out a small portion of empyreumatic oil, and volatile alkali. The remaining incinerated carbon affords soda and phosphate of lime. The constituent principles of semen. Che- mical analysis demonstrates that one hun- dred parts of semen contain, 1. Of water f ninety parts. 2. Of animal gluten, six parts. 3. Of phosphate of hme, three parts. 4. Of pure soda, one part. 5. By micros- copical exammation, it is asserted that an immense number of very small animalcula, with round tails called spermatic animalcw les, may be seen. 6. The odorous principlcy which flies off immediately from fresh se- men. It appears to consist of a pecuLar vital principle, and by the antients was called aura seminis. Use. 1. Emitted into the female vagina sub coitu, it possesses the wonderful and stupendous power of impregnating the ovu- ium in the female ovarium. The odorous principle, or aura spermatica only, appears to penetrate through the cavity of "the uterus and Fallopian tubes to the female ovarium^ and there to impregnate the albuminous la- tex of the mature ovuium by its vital power. The otlier principles of the semen appear to be only a vehicle of the seminal aura. 2. la chaste men, the semen returning through the lymphatic vessels into the mass of the blood, gives strength to the body and mind ; hence the bull is so fierce and brave, the castrated ox so gentle and weak ; hence every animal languishes post coitum ; and hence tabes dorsalis from onanism. 3. It is by the stimulus of the semen absorbed, at the age of puberty, into the mass of the hu- mours, that the beard and hair of the pubes, but in animals the horns, are produced ; and the weeping voice of the boy changed into that of a man. Se'mejv adjowaen. a seed imported from the East, of a pleasant smell, a grate- ful aromatic taste, somewhat like savory. It possesses exciting, stimulating, and carmi- native virtues, and is given in the East in nervous weakness, dyspepsia, flatulency, and heart-burn. Se'men aga've. An East Indian seed, exhibited there in atonic gout. Se'mew co'ntra. See Artemisia santo- nica. Se'men sakctcm. See Artemisia santO' nica. SEMI. (5e7ni, from ;?(Micry, half.) Semi, in composition universally signifies half, as semicupium, a half-bath or bath up to the navel ; semilunaris, in the shape of a half- moon. SEMICIRCULAR CANALS. Thes€i h& SEM SEN eaaals are three in number, and take tiielr name from their figure. They belong to the organ of hearing, and are situated in the petrous portion of the temporal bone, and open into the vestibulum. SEMICU'PIUM. Excathisma. Inces- sio. A half-bath, or such as receives only the hips, or extremities. Semi intero'sseus i'ndicis. See M- duetor indicts manus. SEMILUNAR VALVES. The three valves at the beginning of the pulmonary artery and aorta are so termed, from their half moon shape. SEMIO'TICE. (From i(7-a./u.>i, an Indian grain, and uJ'og, likeness.) This term is applied to the little bones, which, from their sup- posed general resemblance to the seeds of the sesamum, are called ossa sesamoidea. They are found at the articulations of the great toes, and sometimes at the joints of the tliumbs ; now and then we meet witli them upon the condyles of the os femoris, at the lower extremity of the fibula, under the OS cuboides of the tarsus, &c. They do not exist in the fcetus, but as we advance in life, begin first to appear in a cartilaginous state, and, at length, in adult subjects, are completely ossified. Age and hard labour seem to add to the number and size of these bones, and being most commonly found wherever the tendons and ligaments are most exposed to pressure from the action of the muscles, they are now generally considered by anatomists as the ossified parts of tendons and ligaments. These bones are usually smooth and flat on the side of the bone on which they are placed ; their upper surface is convex, and, in general, adheres to the tendon that co- vers it, and of which it may, in some mea- sure, be considered as a part. Although their formation seems to be owing to accidental circumstances, yet, as the two at the first joint of the great-toe are much larger than the rest, and are seldom wanting in an adult, it would seem as if these bones were of some utility ; perhaps by removing the tendons farther from the centre of motion, and thus increasing the power of the mus- cles. The ossa sesamoidea of the great-toe and thumb seem likewise to be of use, by forming a groove for lodging the flexor tendons secure from compression. Sesamoidal bones. See Sesamoid bones. SE'SAMUM. (An Egyptian word.) 1. The name of a genus of plants in the Linnaean system. 2. The pharmacoposial name of the Sesa- mum orienlale, of Linnaeus ; which see. Se'samum orienta'le. Sesamum. The seeds of this plant are in much esteem ia South Carolina, where they are called oili/ grain, they are made into soups and pud- dings after the manner of rice. Toasted over the fire, they are mixed with other SEX SEX 811. ingredients, and stewed Into a delicious food. The fresh seed affords a considerable quan- tity of a warm pungent oil, otherwise not un- palatable. In a year or two the pungency leaves it, when the oil is used for sallad, &c. The seeds of the Sesamum indicum are used in the sanae manner. The leaves are also used medicinally in some countries, being of a mucilaginous quality. SE'SELI. (Jl!tfidL TO a-Acea-cti ixxov ; be- cause it is salutary for young fawns.) 1. The name of a genus of plants. Class, Pentandria. Order, Digynia. 2. See Laserpitium siler. Se'seli cre'ticum. There is a great confusion amongst the species of the seseli. The plant which bears this epithet in the pharmacopoeias is the Tordylium officinale, of Linnaeus. The seeds are said to be diu- retic. Se'seli massiliense. See Seseli tor- tuosum. Se'seli tortuo'sum. The systematic name of the hart- wort of Marseilles. Seseli massiliense. This plant is the Seseli tortuo- sum, of Linnaeus. The seeds are directed for medicinal use, and have a warm biting taste, and a greater degree of pungency than those of the Laserpitium. SESQUI. This word, joined with any mimber, weight, measure, &;c. signifies one integer and an half ; sesqui granwn, a grain and an half. SETA'CEUM. (From seta, a bristle; because horse-hairs were first used to keep open the wound.) A seton. See Seton. SETON. Selaceum, An artificial ulcer made under the skin by means of an instru- ment called the seton needle, which carries ■with it a portion of thread or silk, that is moved backwards or forwards, and thus keeps up a constant irritation. Sefterworl. See Helleborus fcetidus. SEVERINUS, Marcus Aurelius, was born in Calabria, in 1580. He graduated at Naples, where he became one of the most celebrated professors in anatomy and sur- gery, He was, however, somewhat harsh in his practice ; and in his work, " De Efflcaci Medicina," condemned his contem- poraries for neglecting the use of the cautery, and of the knife, as practised by the antients. He died in 1656. Many publications were written by him, evincing much boldness and originality of thought, but too great attach- ment to paradox. His treatise on abscesses, in eight books, passed through many editions. He paid considerable attention to compara- tive anatomy, on which subject some of his works are composed. Sk'vum ce'ti. See Physeter macroce- phalus. ,... Se'vum ovi'le. Sevum ovillum. Mutton suet. SEXUAL ACTIONS. Sexual func- tions. Those functions proper to each sex, by which the species is propagated, as the excretion of semen in men ; menstruation,, conception, the evolution of the foetus, par- turition, &c. in women. SEXUAL SYSTEM OF PLANTS. Linnaean system. The sexual system of plants was invented by the immortal Lin- naeus, professor of physic and botany at Upsal, in Sweden. It is founded on the parts of fructification, viz. the stamens and pistils ; these having been observed with more accuracy since the discovery of the uses for which nature has assigned them, a new set of principles has been derived from them, by means of which the distribution of plants has been brought to a greater preci- sion, and rendered more conformable to true philosophy, in this system, than in any one of those which preceded it. The au- thor does not pretend to call it a natural system, he gives it as artificial only, and modestly owns his inability to detect the order pursued by nature in her vegetable productions ; but of this he seems confi- dent, that no natural order can ever be framed without taking in the materials out of which he has raised his own ; and urges the necessity of admitting artificial systems for convenience, till one truly natural shall appear. Linnaeus has given us his Frag- menta methodi naturalis, in which he has made a distribution of plants under various orders, putting together in each such as appear to have a natural affinity to each other ; this, after a long and fruitless search after the natural method, he gives as the result of his own speculation, for the assistance of such as may engage in the same pursuit. Not able to form a system after the natural method, Linnaeus was more fully convinced of the absolute necessity of adopting an artificial one. For the student to enter into the advantages this system, maintains over all others, it is necessary that he be instructed in the science of botany, which will amply repay him for his inquiry. The following is a short out- line of the sexual system. The parts of the fructification of a plant are, 1. The calyx, called also the empalement or flower-cup. 2. The corolla, or foliation, which is the gaudy part of the flower, called vulgarly the leaves of the flower. 3. The stame7is, or threads, called also the chives ; these are considered as the male parts of the flower. 4. The pistil, or pointal, which is the female part. 5. The per jcarp, or seed-vessel. 6. The seed. 7. The receptacle, or base, on which these parts are seated. The four first are properly parts of the flower, and the three last parts of the fruit. It is from the number, proportion, posi- 8ia SEXUAL SYSTEM OF PLANTS, tioQ and other circumstances attending these parts of the fructification, that the classes and orders, and the genera they con- tain, are to be characterized, according to the sexual system. Such flowers as want the stamens, and have the pistil, are termed/emaZe. Those flowers which have the stamens, and want the pistils, are called male. Flowers which have both stamens and pistils are said to be hermaphrodite. JVeuter flowers are such as have neither stamens nor pistils. Hermaphrodite flowers are sometimes dis- tinguished into male hermaphrodites and fe- male hermaphrodites. This distinction takes place when, although the flower contains the parts belonging to each sex, one of them proves abortive or inefiectual ; if the defect be in the stamina, it is a female hermaphro- dite, if in the pistil, a male one. Plants in regard to sex, take also their denominations in the following manner ; 1 . Hermaphrodite plants are such aa bear flowers upon the same root that are all her- maphrodite. 2. ^ndrogynom plants, ^esMch 33, upon the same root, bear both male and female flowers, distinct from each other, that is, in separate flowers. 3. Male plants, such as bear male flowers only upon the same root. 4. Female plants, such as bear female flowers only upon the same root. 5. Polygamous plants, such as, either oa the same or on difl"erent roots, bear herma- phrodite flowers, and flowers of either or both sexes. The first general division of the whole body of vegetables is, in the sexual system, into twenty-four classes ; these again are subdivided into orders ; the orders into ge- nera ; the genera into species ; and the species into varieties, where they are wor» thy of note. A Table of the Classes and Orders. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Classes. Monandria. Diandria. Triandria. Tetrandia. Pentandria. Hexandria. Heptandria. Octandria. Enneandria. Decandria. Dodecaudria. Icosandria. Polyandria. Didynamia. Tetradynamia. Monadelphia. Digynia. Digynia. Digynia. Digynia. Digynia. Digynia. Digj'nia. Digynia. Trigynia. Digynia. Digynia. Digynia. Digynia. Orders. Mouogynia. Monogynia. Monogynia. Monogynia. Monogynia. Polygynia Monogynia. Monogynia. Monogynia. Monogynia. Monogynia. Monogynia. Monogynia. Monogynia. Hexagynia. Polygynia Gymnospermia. Angiospermia. Siliculosa. Siliquosa. Pentandria. Decandria. Enneandria. andria. Pentandria. Pentandria. Trigynia. Trigynia. Tetragynia. Trigynia. Trigynia. Tetragynia. Trigynia. Hexagynia. Trigj'nia. Trigynia. Trigynia. Trigynia. Tetragynia. Tetragynia, Heptagynia. Tetragynia. Pentagynia. Pentagynia. Pentagynia. Tetragynia. Pentagynia » Polygynia. Decagynia. Dodecagynia, Polygynia. Pentagynia, Dodecandria. Poly- Diadelphia. Pentandria. Hexandria. Polyadelphia. Pentandria. Icosandria. Polyandria. Syngenesia. Polygamia aequalis. Polygamia superflua. Polygamia frustranea. Polygamia necessaria. Polygamia segregata. Monogamia. 20. Gynandria. Diandria. Triandria. Tetrandria. Pentandria. Hexandria. Decandria. Dodecandria. Polyandria. 21. Monoecia. Monandria. Diandria. Triandria. Tetrandria. Pentandria. Hexandria. Heptandria. Polyandria. Monadelphia. Synge- nesia. Gynandria. 22. Dioecia. Monandria. Diandria. Triandria. Tetrandria. Pentandria. Hexandria. Octandria. Enneandria. Decandria. Dodecandria. Polyandria. Monadelphia. Syngenesia. Gynandria. 23. Polygamia. Monoecia. Dioecia. Trioecia. 24. Cryptogamia. Filices. Musci. Algae. Fungi. Appendix. Palmae. Explanation of these terms. sive of the principal circumstance that ob-> As these terms in the Greek language, tains in the class to which they are applied, from whence they are taken, are all expres- the explanation of theai will give the reader SEXUAL SYSTEM OF PLANTS, 813 s. »ood insigrht into the proper characters of the several classes, and the sexual dis- tinctions on which they are founded. Monandria; from /novoi) one, and a,v>if, a husband, that is, a stamen. Diandria ; from , a hus- band. Triandria; from rpuc, three, anietyxf, a husband. Tetrandria; (rom rara-ciifii;, four, andstv«/i, a husband. Pentandria ; from tirivls, five, and «v«/j, a husband. Hexandria ; from s|, six, and etrip, a hus- band. Heptandria.; from g?7T£t, seven, and «v;f/>, a husband. Octandria ; from oxtoi, eight, and avw^ , a hiisband. Enneandria ; from svvict, nine, and *v»/!, a husband. Decandria ; from , a husband. It is necessary to observe here, that the flowers must all be hermaphrodite in these classes ; for should the female part be want- ing, the plant would belong to some other class, notwithstanding the number of sta- mina may be such as would otherwise refer it to one of these. Dodecandria; from SceS'tutt, twelve, and jtrup, a husband. Notwithstanding the term implies that the flowers have twelve stamina, the class is not confined to this number, but includes all such hermaphrodite flowers as are furnished with any number of stamina, from twelve to nineteen inclusive. No flowers have yet been discovered that have eleven stamina, which is the reason no class has been allotted to that number. Icosandria; from iix,oa-i, twenty, andav«/>, a husband. Here, again, the title is to be understood with considerable latitude ; for, though it means that the flowers have twenty stamens, yet the plants belonging to this class, though rarely found with less, frequently have a greater number, and are, therefore, not to be known with certainty from the next class, except by the stamina arising from the ca- lyx, not from the receptacle. Polyandria ; from 'stokv;, many, and tivnp, a husband. This class comprehends those hermaphro- dite plants whose flowers have more stamens disunited than twenty, originating from the receptacle. Didynamia ; from d'lc, two, and J'vya./j.tc, power. This term imports the power or superiority of two, and is applied to this class, because its flowers have four stamina, of which there are two longer than the rest. This circum- stance alone is sufficient to distinguish this from the fourth class, where the four sta- mens are equal. Tetradynamia ; ivomTeffo-upi;, four, au^ Jwct/u-n, power. This term implies the power or superiority of four, and accordingly there are in the flowers of this class six stamens, four of which are longer than the rest, which cir- cumstance distinguishes them from those of the sixth class, where they are equal. Monadelphia; from, fiovo;, one, and fttTj?.- 9 Of, a brother. The word here compounded with the nu- merical term signifies a brother. This re- lation is employed to express the union of the filaments of the stamen, which in this class do not stand separate, but join at the base, and form one substance, out of which they proceed as from a common mother, and the title, therefore, expresses a single bro- therhood, meaning, that there is but one set of stamens so united, which distinguishes tliis class from the two following. The number of stamens, it is to be recollected, is not limited. Diadelphia; from (T/j, two, and aJs^cpo?, a brother. This term implies a double brotherhood, or two sets of stamens, united in the man- ner explained in the former class. The number of stamens is not limited. Polyadelphia ; from mroxv^, many, and aSiKi^Bi, a brother. Many brotherhoods or sets of stamens is meant by this term. Syngtnesia ; from a-uv, together, and yt- Vic-t;, generation. This term implies congeneration, for though the stamens stand separate, yet their anthers or tops, which are the parts more immediately subservient to generation, are united in a cylinder, and perform their office together. Gynandria; from yvvyt, a wife, and a.vhf, a husband. This term alludes to the singular circum- stance of this class, in the flowers of which the stamens grow upon the pistil; so that the male and female parts are united, and dc not stand separate, as in other hermaphro- dite flowers. Monoecia ; from juovoj, one, and o/aoj, a, house. The word here compounded with the nu- merical term, signifies a house or habitation. To understand the application of this title, it must be observed, that the plants of this class are not hermaphrodite but androgy- nous ; the flowers that have the stamens wanting the pistil, and those that have the pistil wanting the stamen, so that monoeciOf signifying a sin^e house, alludes to this cir- cumstance, that in this class the male and female flowers are both found on the same plant or house. Dioecia ; from iTk, two, and o/ko?, a house. This term signifies two houses, and is ap- plied to this class, the plants of which are male and female, \q express the circum= S14 SEX SHA stance of the male flowers being on one plant, and the/cfwaZe oti another ; the contrary of ■which is the case of the androgynous class Monoecia. Polygamia; from -nroxu;, many, and ^st- ^of, naptials. This term impliesplurality of marriages. This class produces, either upon the same or different plants, hermaphrodite flowers, and also flowers of one sex only, be it male or female ; or flowers of each sex ; and the latter receiving impregnation from, or giv- ing it to the hermaphrodites, as their sex happens to be ; the parts essential to gene- ration in the hermaphrodite flowers, do not confine themselves to the corresponding parts within the same flower, but become of promiscuous use, which is the reason of giv- ing this title. Cryptogamia; from KfvTrloc, concealed, and yxfjioc, nuptials. This term means a concealment of mar- riages ; the class consists, therefore, of such plants as either bear their flowers concealed within the fruit, or have them so small as to be imperceptible. Explanation of the titles of the orders. Monogynia; from f^ovog, one, and yvvn, a woman, that is, a pistil. Digynia; from Sic, two, and ^uvh, a wo- man. Trigynia; from TfsK, three, and yvvn, a woman. Tetragynia; from ita-a-ttfug, four, and yvvn, a woman. Peniagynia; from '!!i-sv7e, five, and ywyi, a woman. Hexagynia ; from ef, six, and > ov«, a wo- man. Heptagynia; from£w7«, seven, and ywn, a woman. Decagynia; from (Tea*, ten, andj-yvx, a woman. Polygynia; from 'sroxv;, many, and yvvi^, a woman. These are the titles that occur in the thirteen first classes, and the general expla- nation of one pistil, two pistils, &c. will be suflicient to make it appear how they are ■employed in the class. The class didynamia contains the orders : Gymnospermia ; from>u/xvof, naked, and trTTipfxit, a seed. Angiospermia ; from Ayyo;, a vessel, and e-TTtp/xtt, a seed ; which are distinguished by the seed being either naked, or enclosed in a pericarp or seed-vessel. The other two orders in the Class Tetra- dynamia, are founded on a distinction in the pericarp. Siliculosa ; means having a lillle siliqua. Siliquosa, having a siliqua; which is a particular kind of seed-vessel. To explain the orders contained in the Class Syngenesia, viz. Polygamia cequalis, Polygamia superjiua, Polygamia frustranea, Pofygcmia necessaiia, Polygamia segregata. Monogamia, it is necessary to explain what. is meant by polygamy in flowers. It has been before observed, what is meant by po- lygamous plants ; but in respect to flowers, the term is applied to a single flower only, for the flowers of this class being compound, a polygamy arises from the intercommunica- tion of the several florets in one and the same flower. Now, the polygamy ofJlowerSf in this sense of the word, affords four cases which are the foundations of the four first orders of this class : equal polygamy, is when all the flowers are hermaphrodite : superflu- ous polygamy, is when some of the florets are hermaphrodite, and others female only ; for, in this case, as the fructification is perfect- ed in the hermaphrodites, the addition of the females is a superfluity : fru^traneous poly- gamy, is when some of the florets are herma- phrodite, and others neuter ; for, in this case, the addition of the neuters is of no assistance to the fructification : necessary polygamy, is when some of the florets are male, and the rest female ; for, in this case, there being no hermaphrodites, the polygamy arising from, the composition of the florets of different sexes, is necessary to perfect the fructifica- tion : polygamia segregata implies separa- tion ; the plants of this order having partial cups growing out of the common calyx which surround and divide the florets. The Or- der Monogaviia signifies a single marriage, and is opposed to the polygamy of the four other orders ; for in this, although the an- thers are united, which is the essential cha- racter of the flowers of this class, the flower is simple, and not compounded of many flo- rets, as in the other orders. The title of the other orders to that of Trioecia, in the Class Polygamia, have al- ready been explained. Trioecia; from t^sk, three, and oix.o(, a house ; because the polygamy is on three distinct plants, one producing male flowers, another female, and a third hermaphrodite or androgynous. The Class Cryptogamia contains the or- ders of Filices, or ferns ; Musci, or mosses ; Alga, or flags ; Fungi, or mushrooms. This short explanation of the Linnaeau system has been introduced, in order to con- vey a general idea to medical students of its nature, and also the meanings of the several terms. The various medicinal plants will be found systematically arranged under the title Materia Medica. Seydschuts water. See Sedlitz water. Shaddock. A variety of orange. Shallot. A species of onion. SHARP, Samuel, an able and distin- guished surgeon in the middle of the last century, was a pupil of Cheselden, and afterwards studied with great zeal at Paris, lifi is said to have commenced his proles- sion rather late in life ; nevertheless after settling in London, and becoming surgeon to Guy's hospital, his genius and assiduity soon procured him great celebrity and ex- tensive practice. He was elected a Fellow of the Royal Society, and a member of the Academy of Surgery at Paris. He contri- buted to the improvement of his art by two valuable publications, which passed through many editions, and were translated into seve- ral foreign languages. The first of these was a " Treatise on the Operations of Surgery," •with an Introduction on the Nature and Treatment of Wounds, &c. The other work was entitled " A Critical Enquiry into the present State of Surgery," first printed in 1750. Sharp-pointed dock. See Rumex acutus. SHAW, Peter, a physician of consi- derable reputation in the early part of the last century. His first publication was en- titled " New Practice of Physic," in two volumes, 1726 ; containing a brief Descrip- tion of Diseases, and their Treatment. He then published an "Enquiry into the Virtues of the Scarborough Spaw Waters ;" and about the same time his " Chemical Lectures," which was deemed a scientific ■work, and translated into French. He also edited the Edinburgh jDispeusatory ; and gave to the world some other minor publi- cations. Shedding-teeth. The primary or milk- teeth. See Teeth. Shells, prepared. See Testce preparatas. Sherbet. A compound liquor prepared for punch before the spirit is added. Shingles. See Erysipelas. SHRUB, A compound prepared from spirits, lemon-juice and sugar. Si'agdn. 'Xta.yaiv. The jaw. Siagowa'gra. (From a-ntyav, the jaw, and ttypa., a seizure.) The gout in the jaw. SL4LAG0GUES. (Medicamenta Sia- lagoga; from o-iamv, saliva, and efya>, to expel.) Those medicines are so called, which excite an uncommon flow of saliva : such are mercurial preparations, pyrethrum, &c. They are divided into sialagoga topica, as scilla, nicotiana, piper, &c. and sialagoga interna, as the various preparations of mer- cury. Sibbens. A disease resembling syphilis. Sicca'wtia. (From sicca, to dry.) Dry- ing medicines. Siccha'sia. (From o■/;c;^-l3?, weak, weary.) An unpleasant lassitude and debility pecu- liar to women with child. Si'cuLA. (Dim. of sica, a short sword ; so called from its dagger-like root.) The beet. Sicte'dow. (From crtKuoc, a cucumber.) A transverse fracture like a cucumber broken in two parts. Sicyo'ne. (From trmvo?, a cucumber or gourd ; so named from its resemblance to a gourd.) A cucurbit. aiL; 815 SiDERATio. (From sidus, a planet, be- cause it was thought to be produced by the influence of the planets.) An apoplexy ; a blast ; a slight erysipelas. Side'rium. (From e-iS'iifQ;, iron.) An herb so called from its supposed virtues in healing wounds made by iron instru- ments. Sigesbe'ckia orienta'lis. The system- atic name of a plant which is said to be use- ful in removing strangury, and in calculous diseases, gout, and fluor albus. Sight. See Seeing. Sigilla'ta te'rra. ^Sealed earth ; a species of bolar earth made into cakes. Sigi'llum bea't^ MARi'jE. Black bri- ony. Sigi'llum herme'ticum. An hermetic seal ; made by closing the end of a glass tube by melting it. Sigi'llum salomo'nis. (Dim. of signunif a sign. It is called sigillum salominis, So- lomon's seal, because it has upon its root the resemblance of an impression made by a seal.) See Convallaria polygonatum. SIGMOID. {Sigmoides, from the Greek letter a-fyfiit, anciently written C, and eiS'ocy a likeness ; resembling the Greek letter sig- ma.) Applied to the valves of the heart, and sometimes to the cartilages of the aspera arteria, or the semilunar apophysis of the bones. Sigmoide'a flexu'ra. The sigmoid flex- ure, or turn of the colon. Sigmoi'des proce'ssus. Valves of the heart. Si'gna cri'tica. Signs of the crisis of disease. Si'gna diagno'stxca. Diagnostic or dis- tinguishing signs. Si'ler monta'num. Common hartwort. See Laserpilium siler. SI'LEX. {Selag, Heb.) Silex, or sili- ceous earth, is the principal constituent part of a very great number of the compound earths and stones forming the immense mass of the solid nucleus of the globe. It is the basis of almost all the scintillating stones, such as flint, rock crystal, quarts, agate, calcedony, jasper, &c. The sand of rivers and of the sea-shore, chiefly consists of it. It is deposited in vegetable substances form- ing petrified wood, &c. It is likewise pre- cipitated from certain springs in a stalactical form. It has been discovered in several waters in a state of solution, and is found in many plants, particularly grasses and equisetums. Professor Davy has proved that it forms a part of the epidermis of these vegetables. It is never met with absolutely- pure in nature. Properties. — Silex, when perfectly pure, exists in the form of a white powder. It is insipid and inodorous. It is rough to the touch, cuts glass, and scratches or wears away metals. Its specific gravity is about 2.66. It is unalterable by the sfimple com- 81& SIL SIL bastlble bodies. When mixed with water it does not form a cohesive mass. Its mo- leculae when diffused in water are precipi- tated with the utmost facility. It is not acted on by any acid, excepl the fluoric. When in a state of extreme division it is soluble in alkalies ; fused with them it forms glass. It melts with the phosphoric and boracic acids. It is unchangeable in the air, and unalterable by oxygen and the rest of the gazeous fluids. It has been consi- dered as insoluble in water, but it appears "when in a state of extreme division to be soluble in a minute quantity. Method of obtaining Silex. — Siies may be obtained, tolerably pure, from flints, by the following process : Procure some common gun-flints ; expose them in a crucible to a red heat, and then plunge them into cold water ; by this treatment they will become brittle, and easily reducible to powder. Mix them, when pulverized, with three or four times their weight of carbonate of potash, and let the mixture be fused, in a dull red heat, in a silver crucible. We shall thus obtain a compound of alkali and silex, called siliceous potash. Dissolve this compoimd in water, filter the solution, and add to it diluted sulphuric or muriatic acid. An im- mediate precipitation now ensues, and as long as this continues, add fresh portions of acid. Let the precipitate subside ; pour off the fluid that floats above it ; and wash the precipitate with hot water till it comes off tasteless. This powder when dry is silex. In this process the acid added to the solu- tion of flint unites to the potash, and forms sulphate or muriate of potash ; the siliceous earth is therefore precipitated. It is necessary to add an excess of acid, in order that all the foreign earths which are present may be separated. If the solution of flints be diluted with a great quantity of water, as for instance, in the proportion of 24 parts to one, and in this state an acid be poured upon it, no per- ceptible precipitation will ensue ; the silex continues suspended in the fluid, and is in- visible on account of its transparency ; but it may be made to appear by evaporating part of the water. The solution of flint, on account of its affinity with the carbonic acid is also in course of time decomposed by mere contact •with air. Another method of obtaining silex ex- ceedingly pure is to separate it from fluoric acid. SI'LICA. (From silex.) Siliceous earth. See Silex, SiLiGO. ItKiyvig. Fine wheat or rye. Si'nauA. ■ (From silo, a nose turned up, a hooked nose.) A pod or receptacle for seed, consisting of two valves, and in which the seeds are fixed alternately to each suture. Also some plants which bear pods. Si'LiauA DULCis. Sweet-pod. The fruit so called is the produce of the Ceratonia si" liqua, of Linnaeus ; which see. Si'LiauA hirsu'ta. The cowage is some- times so called. See Dolichos. SiLiatxA'sTRTJM. (From siliqua, a pod ; named from its pods.) Judas-tree. The capsicum or Guinea-pepper was so termed by Pliny. See Capsicum. SiLiauo'sAiN'DicA. An American plant J its juice is alexipharmic. Silk-worm, acid of. See Bombic acid, Si'lphidjji. (Zalaph, Arab.) Assafoetida, or the plant which affords it. SILVER. Argentum. This metal is found both native and mineralized, and com- bined with lead, copper, mercury, cobalt, sulphur, arsenic, &c. The principal ores of this metal are the following :— Native silver, antimoniated silver, sulphuret of sil- ver, sulphuretted oxyde of silver and anti- mony, muriate of sUver, native oxyde of silver, &c. It is found in different parts of the earth. The mines of the Erzgeb ii rge or the metalliferous rocks of Mexico and Po- tosi, Bohemia, Norway, Transylvania, &c. are the richest. JVaiive silver possesses all the properties of this metal, and it appears in series of octahedra inserted in one another ; in small. capillary flexible threads intwined together ; in plates ; or in masses. The colour of native silver is white, often tarnished. Silver alloyed with gold forms the auriferous na- tive silver ore. The colour of this ore is a' yellowish white. It has much metallic lustre. The antimoniated silver ore belongs to this class. Silver combined with sulphur, forms the sulphuretted oxyde of silver, or vitreous silver ore. This ore occurs in masses, sometimes in threads, and sometimes crystallized in cubes or regular octahedra. Its colour is dark blueish grey, inclined to black. Its fracture is uneven, and its lustre metallic. It is soft enough to be cut with a knife. It is sometimes found alloyed withr antimony (grey silver ore.) Silver united to muriatic acid forms the corneous silver ore^ (inuriate of silver) which appears under dif- ferent colours and shapes. Silver united to oxygen constitutes the calciform silver ore, of which there are several varieties. The colour of these ores is a lead grey, or greyish black. They occur massive, disseminated, and crystallized. Germany, and other countries of Europe, but more especially Peru and Mexico in South America, contain the principal silver mines. There are, however, silver mines in Ireland, Norway, France, and many other parts of the world. Properties. — Pure silver is very brilliant, white and sonorous. It is the most splendid of all the metals. Its specific gravity is from 10.474 to 11.091, according to the state of its density. It is exceedingly ductile and tenacious. It may be beat out into leaves blM SIN 817 Cuiy me one huadred and sixty tbousaadth part of aa inch thick, and drawn into wire the thousandth part of an inch thick. It melts at 28= of Wedgev/ood's pyrometer. Exposed to a temperature considerably higher it becomes volatilized. Atmospheric air has no eifect upon it, except when it contains sulphurous vapours, sulphuretted or phosphuretted hydrogen gases. It unites to phosphorus and sulphur. It slightly unites with the brittle acidifiable metals; but it readily enters into combination witli the greater number of the other metals. With gold it forms what is termed green gold. Copper renders it harder without much impairing its ductility. Mercury and silver combine and form a crystallizable and fusible alloy. It unites with the rest of tlie metals except cobalt and nickel. It is oxydized and dissolved by several of the acids. The nitric acid attacks it rapidly in the cold. The sulphuric acid requires a boiling heat. The muriatic acid does not act upon it. The acid solutions of silver are decomposable by the alkalies, earths, and by the greater number of the metals. Method of obtaining Silver. — Different me- thods are employed in different countries to extract silver from its ores. In Mexico, Peru, &c. the mineral is pounded, roasted, washed, and then triturated with mercury in vessels filled with v/ater. A mill is em- ployed to keep the whole in agitation. The silver combines by that means v/ith the mer- cury. The alloy thus obtained is afterwards washed to separate any foreign matters from it, and then strained and pressed through leather. This being done, heat is applied to drive off the mercury from the silver, which is then melted and cast into bars or ingots. In order to extract silver from sulphu- retted or vitreous silver ore, the mineral is roasted, and then melted with lead and borax, or some other flux to assist the fusion. By the first operation the sulphur is volatilized, and by the second the silver is obtained, though for the most part alloyed with other metals, from wliich it is sepa- rated by cupellation, or fusion with lead or bismuth. Silver is a perfect metal, of a white colour, and of the most lively brilliancy; next to gold, the most malleable of all metals. It is sometimes found pure, but for the most part in combination with tin or lead. It has neither taste nor smell ; its specific gravity is such, that it looses about the eleventh part of its weight by immersion in water ; and a cubic foot of this metal weighs 270 pounds. Native silver is found in the greatest abun- dance in Peru and Mexico. From this metal is obtained the officinal ar genii nitras. Silver weed. See Potentilla anserina. Simarou'ba. (A patronymic name of America.) S«e Quassia si^narovjja Simarocj'b^ infu'sum. See Lifusian simiirouhm. Si'mItE la'pis. See Bezoar simice. Simple substances. See Elements. Si'mplex o'ctjlus. A bandage for tiie eye. SINA'PE. See Sinapis. SiJTAPEL.^'tJM. (From (Tiva,7ri, mustard, and iKcLiov, oil.) Oil of mustard. Sii>fA'pEOS SE'ME3f. Mustard-seed. Sina'pi jvi'guum. See Sinapis. SINA'PIS. (Oti (Tivii Tovc coTTuc, hc- cause it hurts the eyes.) Eruca. Mapus. 1. The name of a genus of plants in the Linnsean system. Class, Tetradynamia. Order, Siliquosa. Mustard. 2. The pharmacopoiial name of the black mustard. See Sinapis nigra. SiK a'pis a'lba. The systematic name of the white mustard plant, which is directed for medicinal use in the Edinburgh pharma-« copceia. It is somewhat less pungent than the black species. See Sinapis nigra. Sina'pis ni'gPvA. The systematic name of the common black mustard. Jiapus. Eruca. Sinape. Sinapi. Common black mustard. Sinapis nigra ; siliquis glabris ra- cemo appressis, of Linnaaus. The seeds of this species of mustard, which are directed by tlie London College, and those of the Si- napis alba, which are preferred by that of Edinburgh, manifest no remarkable differ- ence to the taste, nor in their effects, and therefore answer equally v/ell for medicinal Etud culinai'y purposes. They have an acrid, pungent taste, and, v/hen bruised, this pun- gency shows its volatility by powerfully af- fecting the organs of smell. Mustard is con- sidered as capable of promoting appetite, assisting digestion, attenuating viscid juices, and, by stimulating the fibres, it proves a genei'al remedy in paralytic affections. Joined to its stimulant qualities, it frequent- ly, if taken in considerable quantity, opens the body, and incre3.ses the urinary dis- charge, and hence it has been found useful in dropsical complaints. Externally, flower of mustard is frequently used mixed with vinegar as a stimulant or sinapism. Sina'pis SE'MEif a'lbum. White mus- tard-soed. Sina'pis se'mew ni'grubi. See Sinapis. SINAPI'SMUS. Sinapismum. Cataplas- ma sinapios. A sinapism or mustard poul- tice. A term given to a mixture of mustard and vinegar in form of poultice, generally applied to the calves of the legs, or soles of the feet as a stimulant, and employed in low states of fevers and other diseases, and intended to supersede the use of a blister. See Cataplasma sinapis. SijfA'pitTM. (From criva.7ri, mustard.) An infusion or decoction of mustai'd-seed, SI'NCIPUT. The fore part of the head , See Caput. ^ Sj'ne pa'rt, . Several muscles, veia5--ar-- 103 aia sib SK! teries, &c. are so called wliicii are without a fellow. See Azygos. SINGU'LTUS. Lygmos. The hiccough. A convulsive motion of the diaphragm aad parts adjacent. SI'NUS. 1. A cavity or depression. 2. In surgery it means a long, narrow, iiollow track, leading from some abscess, diseased bone, &:c. 3. The veins of the dura mater are so termed. They are several in number, the principal of which are, 1. The longitudinal sinus, which rises anteriorly from the crista galli, ascends and passes between the two laminae of the falciform process to where this process ends. It then opens into, 9. Two lateral sinuses, distinguished into right and left, which lie in the crucial spine of the OS occipitis : 3. The inferior longitudi- nal, which is a small sinus situated at the acute inferior margin of the falx. Si'nfs co'x.e. The acetabulum. Si'nus ge'hjE pituita'ritjs. See An- trum of Highmore. SI'NUS LONGITUDINA'LIS. See Lon- gitudinal sinus, SI'NUS MAXILLA'RIS. The antrum of Highmore. A cavity in the cheek. Si'nus MULiE'BRis. Sinus pudoris. The vagina. SI'NUS VE'N^ PORTA'RUM, The entrance into the liver. SINUSES LATERAL. See Lateral si- nuses. Sl'PHiLio. See Syphilis. Sipho'nia ela'stica. The systematic name of the elastic resin-tree. See Indian rubber. Siri'asis. (From a-tfio;, a cavity.) An inflammation of the brain peculiar to chil- dren, and attended with a hoUowness of the eyes and depressure of the fontanella. Si'rium myrtifo'lium. The systema- tic name of the tree which is supposed by some to afibrd the yellow saunders. See Santalum album. Si'sarttm. (Sisa, Heb.) Siser or skirret. Si'sER. See Sisarum. SISON. The name of a genus of plants. Class, Penfandria. Order, Monogynia. Si'soN a'mmi. The systematic name of the plant which affords the ammi verum of ihe shops. The seeds of this plant, Sison, foliis tripinnatis, radicalibus linearibus, cau- linis setaceis, stipularibus longioribus, of Linnffius, have a grateful smell, somewhat like that of origanum, and were formerly administered as a carminative. SISY'MBRIUM. (From a- la-vCc?, fringe ; so named from its fringed roots.) The name of a genus of plants in the Linnsean system. Class, Tetradynamia. Order, Si- liquosa. The water-cress. SiSY'MBRitTM NASTU'RTiTTM. The Syste- matic name of the water-cress. JVastur- Hum aquaticum. Laver odoratum. Crateva i:i'i(m, Cressi. Cnrdamines, Water-cress. 'This indigenous plant, Sisymbrium siliqms deelinatis, foliis pinnatis, foliolis subcordatisp of Linnaeus, grows plentifully in brooks and stagnant waters. The leaves have a moderately pungent taste, emit a quick pe- netrating smell, like that of mustard-seed, but much weaker. Water-cresses obtain a place in the Materia Medica, for their anti- scorbutic qualities, which have been long very generally acknowledged by physicians. The most pleasant way of administering them is in form of a salad. Sisy'mbrium so'phia. The systematic name of the herb sophia. Sophia chintr- gorum. This plant is now almost banished from practice. It was formerly in high es- timation in the cure of wounds. It has been given internally in hysterical aifections and uterine haemorrhages, and the seeds are said to be efficacious in destroying intestinal worms. SITIOLOGY. (Sitiologia. Fromcrthc^ aliment, and xoyos, a discourse or treatise.) A doctrine or treatise on aliment. SrUM. (From auai, to move, from its agitation in water.) 1 . The name of a genus of plants in the Linnaean system. Class, Pentandria. Order, Digynia. 2. The pharmacopoeial name of the creeping water-parsnep. Si'uM aroma'ticum. The amomum is sometimes so called. Si'uM ni'nsi. The systematic name of the plant whose root is called radix ninsi in some pharmacoposias. J^insin, J^indsin, This root was long supposed to be the same as ginseng. It now appears, however, to be the produce of this plant. It possesses similar though weaker properties, than gin- seng. Si'uM nodiflo'rubi. The systematic name of the creeping water-parsnep. Sncm nodijlorum, of Linnaeus. This plant was ad- mitted into the London pharmacoposia in the character of an antiscorbutic. It is not nauseous, and children take it readily if mixed with milk, SKELETON. (Sceleius, from (nahxa,, to dry.) When the bones of the body are preserved in their natural situation, and de- prived of the flesh, the assemblage is called a skeleton. See Bone. Skeleton artificial. The assemblage of all the bones of the animal, when hung in their respective situations by means of wire. See Bone. Skeleton, natural. A skeleton is so termed in opposition to an artificial one, when the bones are retained in their proper places by means of their natural liga- ments. SKIN. (Asp^K. Pellis. Cutis.) When carefully dissected off' and separated from all adventitious matter in a middle-sized man, it weighs about four pounds and; o haie riKi SKI 819 The skin, though apparently a simple membrane, is in reality laminated, consist- in" of several subdivisions ; the outermost lamina is termed with us scarf skin, or cu- ticle ; the second has no English name, is known only to anatomists, and is called rete mucosum ; after these two are removed we come to, as is commonly thought, the surface of the skin itself. When a blister has been applied to the skin of a Negro, if it has not been very stimulating, in twelve hours after a thin transparent grayish membrane is raised, under which we find a fluid. This mem- brane is the cuticle or scarf skin. When this, with the fluid, is removed, the sur- face under them appears black ; but if the blister had been very stimulating, ano- ther membrane, in which this black colour resides, would also have been raised with the cuticle ; this is the rete mucosum, which is itself double, consisting of another gray transparent membrane, and of a black web, very much resembling the nigrum pigmenfum of the eye. When this mem- brane is removed, the surface of the true skin (as has hitherto been believed) comes in view, and is white, like that of an Euro- pean. The rele mucosum gives the colour to the skin ; is black in the Negro ; white, brown, or yellowish, in the European. The reason why this membrane is black in the Negro is, perhaps, that his body may be better able to defend itself against the sun's rays, and that the heat may be prevented from penetrating. The inten- tion of a similar membrane behind the retina in the eye, appears to be not only that of absorbing the superfluous rays of light; but, like the amalgam behind the looking-glass, it may enable the retina to reflect the rays, in order to perfect vision. It is not very improbable that some such purpose, as enabling the cuticle to reflect the sun's rays in those warm climates, ■where the inhabitants originally go naked, may be the intention of nature, in giving them the black membrane. Perhaps, too, the circumstance of the countenance's becoming brown, when exposed to the sun's rays in summer, in our own climate, may be a process of nature to defend her- self against the access of external heat into the body. Both cuticle and rete mucosum send in- numerable processes into the pores of the true skin ; the process of the rete mucosum is always within that of the cuticle, and in contact with the sides of the pore, as formed by the true skin. These processes are remarkable in the cuticle and rete mu- cosum of the elephant, some of them are almost an inch long ; the cuticle, or rete mucosum, or a membrane very similar, having the same properties with these, ap- pears to be also continued into the inside of the mouth, over the tongue, internal surface of the lungs, ossophagus, stomach, and intestinal tube. In most of the last- named parts, the cuticle, however, forms sheaths for viUi, and not processes which line pores. On viewing the surface of the skin, even with the naked eye, we find it porous ; more so in some places than ia others ; and the pores are also larger in some parts than others. Some of these pores are ducts of sabaceous glands, and others serve not only to transmit hairs, but, it is supposed, the greatest part of the per- spirable matter itself. Absorption on the skin also, in all probability, begins on the sides of these pores. They are particularly remarkable about the mouth, nose, palms of the hands, soles of the feet, external ear, scalp, mons veneris, and around the nipple in women. The skin itself was given to man not only for feeling in a general sense, but for perspiration, absorption, and particu- larly for touch, in which he excels all other animals, and which resides, principally, in the tips of the fingers. He was intended for examining, reasoning, forming a judg- ment, and acting accordingly ; he was fitted by this sense to examine accurately the properties of surrounding bodies, not capable of being examined by his other senses. This, among other reasons, was one why he was made erect, that the point of his fingers should not be made callous or less sensible, by walking on them. The skin of human bodies is always of a white colour, in the dead body, let the colour of the rete mucosum be what it may, it is extremely full of pores, and extremely vascular ; a child in full vigour comes into the world from this circumstance, scarlet / it is endowed with intense sensibility : al- most all the pain, in the diff"erent opera- tions of surgery, is past, when we have di- vided the skin. Some parts of the skin have more feeling than others ; the lips, for example, as Haller says, " ad basia destinata.'''' The glans clitoridis, and the glans penis, with a similar intention ; there, though the nerves are not so large as in some other parts, they are longer, more numerous, and endowed with more exqui- site feeling, but where the common offices of life merely are intended, the marks of superior feeling or touch, in the skin, are the projections, above the common surface, of those packets of arteries, veins, and ab- sorbents, called villi ; the nerves are there not only also longer, but larger, as in the points of the fingers and toes. We are not certain that the skin is mus- cular, but it has properties very like those of muscle, it contracts, relaxes, and even vibrates in some places, on certain occa- sions. It is extremelv dif^tensible, tho 820 SME 5iVIE stin of the perincBumhas stretched ia labour from a quarter of an inch to sis inches. It is also extremely elastic, and instantly after labour has returned again to the ori- ginal quarter of an inch ; it is thickest on those parts intended by nature to bear weight or pressure ; of course it is thickest on the back, on tlie soles of the feet, and palms of the hands. It is thinner on the fore part of the body, on the insides of the arms and legs, and where its surfaces touch opposite surfaces. It is extremely thin on the lips, and allows the colour of the blood to sMne through it. It is also extremely thin on the glans penis in men, glans clito- ridis in women, and on the inside of the labia pudendi. Skin dried and dressed is extremely strong and durable, and there- fore employed in making harness for horses, clothing for men, and a variety of other purposes. Skin, scarf. See Cuticle and Skin. SJcink. See Scincus. SKULL. The skull or cranium is that boney bos which contains the brain : it forms the forehead, and every part of the head except the face. It consists of eight bones, namely, one os frontis, one os occi- pitis, one os sphenoides, one os ethmoi- deum, two ossa temporalia, and two ossa parietalia. Slaters. See Onlscus asellus. SLEEP. Somnus. That state of thcv body in which the internal and external senses and voluntary motions are not exer- cised. The end and design of sleep is both to renew, during the silence and darkness of the night, the vital energy which has been exhausted through the day, and to as- sist nutrition. Sloe. See Prunus syhestris. Smallage. See Apium. Small-pox. See Variola. SMELLIE, William, was born in Scotland, where he practised midwifery for nineteen years, and then settled in London. He attained considerable reputation as a lecturer, which he appears to have merited by his assiduity and talents. He intro- duced many improvements in the instru- ments employed in that branch of the pro- fession, and established some useful rules for their application. He was the first writer who, by accurately determining the shape and size of the pelvis, and of the head of the foetus, and considering its true jDOsi- tion in utero, clearly pointed out the whole progress of parturition : and his opinions were subsequently confirmed, especially by his pupil, the celebrated Dr. \V, Hunter. He abolished many superstitious notions, and erroneous customs, that prevailed in the management of parturient women, and of Uie children ; and had the satisfaction of seeing most of these improvements adopted, as vfcW in this, as in other countries of Eu- rope. In 1752 he published the substance of his lectures, in an octavo volume ; to which he added, two years after, a second volume of cases ; and a third appeared, about five years after his death, in 1768. In 1754 he also published a set of anatomi- cal plates, of a large folio size, to elucidate his doctrines farther. SMELLING. The sense of smelling is performed by means of a soft, pulpy, vascular, papillous, porous membrane, which lines the whole internal cavity of the nostrils, and is thicker upon the sep' tum and principal cavity of the nose, but thinner in the sinuses. It is plentifully supplied with very soft nei*ves, the middle of which descend from the first pair, through the holes of the os cribrosi;m to tlie septum narlum ; but in such a manner, that it is very difficult to trace them to tlieir extremities, and into the septum. Other lateral nerves come from the second branch of the fifth pair and its branches^ from that which crosses the pterygoid ca- nal, and from another which descends through the canals of the palate ; and in the maxillarj'^ sinus from the infra-orbital branch, from the dental branch, and from the anterior nerve of the palate. The anterior part of the septum has a twig from the opthalmic, or first bi-anch of the fifth pair. The nostrils are supplied with veiy nu- merous arteries ; from the three nasal branches of the internal maxillary, above, both from the ethmoidal branches, and the frontal and nasal branches ; with lateral arteries from the smaller ophthalmic branch of the internal carotid, and from branches of the palatine artery, and in the sinuses from the infra-orbital, and from the supe- rior dental one. These arteries have the property of exuding blood easily and in great quantitj', without any lesion of con- sequence. The correspondent veins form a vei'v large plexus upon the external pte- rygoid muscle ; then communicate with the sinuses of tlie dura mater ; and, lastly, meet in the external branch of the internal jugular. The arteries supply nourishment, warmth, and mucus. The air, filled with the very subtile, in- visible, pungent, oily, saline, and volatile effluvia, which exhale from almost every known body, being received into the nos- trils, by the action of respiration, and by a peculiar eflbrt for drawing the air into them, carries these particles to the nerves, widely naked, and constantly soft. By these there is excited in the nerves a kind of sensation wliich we call smell, by which we distinguish the several kinds of oils and salts, in a manner somewhat indistinct, difficultly reducible to classes, difficultly recalled to the memory, nevertheless suffi- ciently for our purposes. Tliis sense ia- SMI 3MT 821 fcrms us of unwholesome putridity, of ex- cessive acrimony, and of the bland and viseful nature of substances. And as salt, united with oil, is an object of taste, and as oils, consbined with salts, constitute odours, the affinity of the two senses, which is necessar37 to derive utility from either is apparent. But volatile particles chiefly are distinguished by smell, and fixed ones by the taste ; perhaps because the thick mucous cuticle, spread over the tong;ue, interceps the action of the more subtile salts, which easily affect the softer and less covered nerves of the nostrils. We are ignorant of the reasons why some smells please, and others displease ; pei'- haps custom may have some influence in this respect. The action of smells is strong, but of short continuance ; because particles in a very minute state are applied to naked nerves in the immediate vicinity of the brain. Hence the deleterious and also the refreshing action of odours, by which peo- ple are resuscitated from faintings, and even from drowning. Hence the violent sneezing, excited by acrid particles, the evacuation of the bowels, by the smell of purgatives, and the power of antipathies. Hence the pernicious effects of excessive sneezing, more especially blindness from the great sympathy of the nerves. Amongst the various parts of the nostrils, the sep- tum, and the ossa turbinata, and'their an- terior portions, especially form the organ of smell : since these parts are multiplied in quick-scented animals, forming beauti- ful spires in quadrupeds ; and in fish, being distributed in parallel laminae ele- gantly toothed. SMI'LAX. (From iT/ui.txsva>, to cut; so called from the roughness of its leaves and stalk.) The name of a genus of plants in the Linneean system. Class, Dioecia. Order, Octandria. Rough bind- weed. Smi'lax Chi'na. The systematic name of the China root tree. China. China orientalis. Sankira. Gua.quara. Smilax aspera Chinensis. China root. It was for- merly in esteem, as sarsaparilla now is, in the cure of the venereal disease, and cuta- neous disorders. Smilax Chinese. See Smilax china. Smi'lax sarsapari'lla. The systema- tic name of the plant which affords the sar- saparilla. Sarsaparilla. Smilax aspera Pe- ruviana. Sarsa. Caritillandi. Ivapecanga. Macapatli. Zarza, Zarsaparilla. Salsa- parilla. Zarcaparilla. The root of this plant, Smilax ; caule aculeato angulalo^foliis inermifms ovatis retuso mvcronatis trinerviis, of Linnaeus, has a farinaceous, somewhat bitter taste, and no smell. About two cen- turies ago it was introduced into Spain, as an undoubted specific in syphilitic disorders ; but owing to difference of climate, or other causes, it ba_s not answered the character wiiicli it had acquired in the Spanish Wesi Indies. It is now considered as capable of improving the general habit of body, after it has been reduced by the continued use of mercury. To refute the opinion that sarsaparilla possesses antisyphilitic virtues, Mr. Pear- son of the Lock Hospital, divides the sub- ject into two distinct questions. 1. Is the sarsaparilla root, when given alone, to be safely relied on in the treatment of lues venerea? The late Mr. Bloomfield, his predecessor, and during some years his colleague at the Lock Hospital, has given a very decided answer to this question i " I solemnly declare," says he, " I never saw a single instance in my life where it cured that disorder without the assistance of mercury, either at the same time with it, or when it had been previously taken before the decoction was directed." Mr. Pearson's experience, during many years, coincides entirely with the observations of Mr. Bloornfield. He has employed the sarsaparilla, in powder and in decoctions, in an almost infinite variety of cases, and feels himself fully authorized to assert, that this plant has not the power of curing any one form of the lues venerea. The sarsa- parilla, indeed, like the guaiacum, is capa- ble of alleviating symptoms derived from the venereal virus ; and it sometimes mani- fests the power of suspending, for a time, the destructive ravages of that contagion ; but where the poison has not been previ- ously subdued by mercury, the symptoms will quickly return ; and, in addition to them, we often see the most indubitable proofs that the disease is making an actual progress, during the regular administration of the vegetable remedy. 2. When the sarsaparilla root is given in conjunction with mercury, does it render the mercurial coux-se more certain and effi- cacious ? In I'eplying to this query, it is necessary to observe that the phrase, " to increase the efficacy of mercurj^," may imply, that a smaller quantity of this mi- neral antidote will confer security on an infected person, when sarsaparilla is added to it ; or it may mean, that mercux'y would be sometimes unequal to the cure, without the aid of s^.rsaparilla. If a decoction of this root did indeed possess so admirable a quality, that the quantity of mercury, necessary to effect a cure might be safely reduced, whenever it was given during a mercurial course, it would form a most valuable addition to our Materia Medica. This opinion has been, howevei', unfortu- nately falsified by the most ample experi- ence, and whoever shall be so unwary as to act upon such a presumption, v/ill be sure to find his own and his patient's expecta- tions egregiously disappointed. If the sarsaparilla root be a genuine an- tidote against the sypliilitic virus, it ought •322 .SMI 501i to cure the disease when administered alone ; but, if no direct proof can be ad- duced of its being equal to this, any ar- guments founded on histories where mer- cury has been previously given, or where both the medicines were administered at the same time, must be ambiguous and undecisive. It appears probable, that Sir William Fordyce, and some other persons, enter- tained a notion, that there were certain venereal symptoms which commonly re- sisted the potency of mercury, and that the sarsaparilla was an appropriate remedy in these cases. This opinion, it is pre- sumed, is not correct, for it militates against all Mr. P. has ever observed of the progress and treatment of lues venerea. Indeed those patients who have lately used a full course of mercury, often complain of noc- turnal pains in their Umbs ; they are some- time afflicted with painful enlargements of the elbow and knee-joints; or they have membranous nodes, cutaneous exulcera- tions, and certain other symptoms, resem- bling those which are the offspring of the venereal virus. It may and does often happen, that ap- pearances like these are mistaken for a true venereal affection, and, in consequence of this error, mercury Is administered, which never fails to exasperate the disease. Now, if a strong decoction of sarsaparilla root be given to persons under these circumstances, it will seldom fail of producing the most beneficial effects ; hence it has been con- tended, that symptoms derived from the contagion of lues venerea, which could not be cured by mercury, have finally yielded to this vegetable remedy. It must be ac- knowledged, that representations of this kind have a specious and imposing air ; nevertheless, Mr. Pearson endeavours to prove that they are neither exact nor con- clusive. If any of the above-named symp- toms should appear near the conclusion of a course of mercury, when that medicine was operating powerfully on the whole system, it would be a strange and Inexplicable thing if they could possibly be derived immediate- ly from the uncontrolled agency of the ve- nereal virus. This would imply something like a pal- pable contradiction, that the antidote should be operating with sufficient efficacy to cure the venereal symptoms, for which it was directed, while at the same time the vene- real virus was proceeding to contaminate new parts, and to excite a new order of ap- pearances. One source, and a very common one, to which some of the mistakes committed upon this subject may be traced, is a persuasion that every morbid alteration which arises in an infected person is actually tainted with the venereal virus, and ought to be ascribed to it as its true can=p. Evei'y experienced surgeon must, howc ever, be aware, that very little of truth and reality exists in a representation of this kind. The contagious matter, and the mineral spe- cific, may jointly produce, in certain habits of body, a new series of symptoms, which, strictly speaking, are not venereal, which cannot be cured by mercury, and which are sometimes more to be dreaded than the simple and natural effects of the venereal virus. Some of the most formidable of these appearances may be sometimes removed by sarsaparilla, the venereal virus still remain- ing in the system ; and, when the force of that poison has been completely subdued by mercury, the same vegetable is also capable of freeing the patient from what may be called the sequelae of a mercurial course. The root of the sarsaparilla is sometimes employed m rheumatic affections, scrofula, and cutaneous complaints, where an acri- mony of the fluids prevails. Smy'rnion horte'nse. The master- wort has been so termed. See Impera- tovid* SMY'RNIUM. (So called from VAj myrrh, the smell of the seed resembling that of myrrh very much,) The name of a genus of plants. Class, Pentandria. Or- der, Digynia. Smy'rwium olusa'trum. The syste- matic name of the plant called Alexanders. Hipposelinum. Smyrnium. Macerona. Her- ba Alexandrina. Grielum agrioselinum. Common Alexanders. This plant was for- merly cultivated in our gardens, for culi- nary use, but is now superceded by celeiy. These seeds are bitter and aromatic, and the roots are more powerfully bitter. They stand recommended as resolvents, diuretics, and emmenagogues, though seldom used m medical prescriptions. Snail. See Limax. Snail-seeded glasswoTt. See Salsola kali. Snakeroot, Virginian. See Aristolochia Serpentaria. Snakeweed. See Polygonum bistorta. Snakeicood, See Colubrinum lignum. SneezewoTt. See Achillea ptarmica. SNEEZING. A convulsive action of the muscles of the chest from irritation of the nostrils. Snuff. See Nicotiana. Soap. See Sapo. Soap-berry. See Sapindus saponaria. Soapwort. See Saponaria. Socotorine aloes. An epithet of the bes.t aloes which are brought from Socotora. See Aloe. SO'DA. (An Arabian word.) The name now generally given by chemists and physicians to the mineral alkali. It is obtained from several sources, bat principally from plants growing on the sea coast. It occurs in the mineral kingdom. JiOD dOD 82a uaited with sulphuric, muriatic, aud boracic acids ; it is also found iu large quantities in Egypt, combined with carbonic acid. It appears to be deposited in large impure masses, under the surface of the earth, in various countries, from which it is extracted by running waters. Thus it is found after the spontaneous evaporation of the water, mixed with sand in the bottom of lakes in Hungary ; in the neighbourhood of Bilin in Bohemia ; and in Switzerland. It occurs also in China, and near Tripoli, in Syria, Egypt, Persia, and India. It frequently oozes out of walls and crystallizes on their surface. Like potash, it is procured by lixiviation from the ashes of burnt plants, but only from those which grow upon the sea shores. The variety of plants employed for this purpose is very considerable. In Spain, soda is procured from different spe- cies of the salsola and salicornia, and the talis maritima. The zostera maritima is burnt in some places on the borders of the Baltic. In this country we burn the various species of fuci ; and in France they burn the chenopodium maritimum. The alkali thus procured is more or less pure according to the nature of the particu- lar plant from which it is obtained. The greatest part, however, is a subcarbonate of soda. See Soda impura. In order to obtain it in a state of purity, the subcarbonate of soda must be treated, like the potash of commerce, with lime and ardent spirit. Properties of Soda. — Soda differs parti- cularly from potash by the following pro- perties :— In the fire it is rather more fu- sible. When exposed to the contact of the air it attracts water and carbonic acid, but it does not liquefy like potash, it merely ac- quires a pasty consistence, and at last crum- bles into powder. It is not altered by Ught. It attracts sulphur and sulphuretted hydro- gen more feebly. It adheres less strongly to the acids. It fuses and dissolves alumine more easily. All its other properties, its volatization by a very high degree of heat, its acrid causticity, its solubility, its combina- tions with sulphur, &:c. resemble those of potash, though not exactly the same. Sir H. Davy, having discovered the com- position of potassa, submitted soda likewise to the same modes of analysis, and discovered that it too contains a substance of very singu- lar properties, analogous to the base of po- tassa, though still essentially different from it, and that this base combined with oxygen forms soda. When soda v;as submitted to the Galvanic action in the mode already described with regard to potassa, the results were similar, globules of a metallic appearance were pro- duced at the negative surface, which often burnt at the moment of their formation, and sometimes exploded with violence, separat- ing into smaller globules which darted through the air in a state of vivid combustion. When these were produced an aeriform fluid was disengaged at the positive surface, which proved to be pure oxygen. The reproduc- tion of soda from this substance was similar to that of potassa from ths base of that alkali. When the base of soda was exposed to the air, a crust of alkah formed on its sur- face, and oxygen was absorbed. When heated, confined in a portion of oxygen gas, a rapid combustion with a brilliant white flame took place, and soda was produced ia the state of a solid white mass. The theory of the decomposition of soda is the same with that of potassa. The combustible base, like other combustible substances, is repelled by positively electrified surfaces, and attracted by negatively electrified sur- faces ; and the oxygen follows the contrary order. Hence their separation and evolu- tion. From the results of the combustion of the base of soda in oxygen gas. Sir H. Davy inferred that one hundred parts of soda con- sist of eighty of base and twenty of oxygen. From the results of its oxidation by the de- composition of water, the proportions were estimated to be seventy-seven of base and twenty-three of oxygen. The mean propor^ tions of these two modes are 78.5, and 21.5, The base of soda therefore combines with rather a larger proportion of oxygen than the base of potassa. To the base of soda Sir H. Davy from its analogy to the metals has given the name of SODIUM. The following are its properties :— Sodium is white, opaque, and, when ex- amined under a film of naptha, has the lustre and general appearance of silver. It is exceedingly malleable, and is much softer than any of the common metallic substances. When pressed upon by a platina blade, with a small force, it spreads into thin leaves, and a globule of the one- tenth or one twelfth of Em inch in diameter is easily spread over the surface of a quarter of an inch, and this property does not di- minish when it is cooled to 32"^ Fahren- heit. It conducts electricity and heat in a simi- lar manner to the basis of potassa ; and small particles of it inflame by the Galvanic sparky and bum with bright explosions. Its specific gra*^_ is less than that of wa- ter. It swims in oiTbf sassafras of the spe- cific gravity 1.096, water being one, and sinks in naptha of the specific gravity .861. By mixing together oil of sassafras and naptha, until a fluid was formed in which the globule of sodium remained at rest above or below, Sir H. Davy found its spe- cific gravity to be to that of water nearly as nine to ten, or more accurately as .9348 tol. Sodium bas a much higher point of fo 824 .-CD SOD sion than potassium, its parts begin to lose their cohesion at about 120° Fahrenheit, and it is perfectly fluid at about 180°, so that it readily fuses under boiling naptha, it is also less volatile, it remains iixed in a state of ignition at the point of fusion of plate glass. When sodium is exposed to the atmos- phere it immediately tarnishes, and by de- grees becomes covered with a white crust, which deliquesces much more slowly than the substance that forms on the basis of po- tassa. This crust is pure soda. The basis of soda combines with oxygen slowly without any luminous appearance, at common temperatures, and, when heated, this combination becomes much more rapid, but no light is emitted until it has a.cquired a temperature nearly that of ignition. The flame that it produces in oxj^gen gas is wliite, and it sends fortli bright sparks, occasioning a very beautiful effect ; in common air it bums with light of the colour of that pro- duced during the combustion of charcoal, but much brighter. When thrown upon water it produces a vi- olent efiervescence with a loud hissing noise, it combines with the oxygen of the water to form soda, which is dissolved, and its hy- drogen is disengaged. In this operation there is no kuninous appearance ; but vrhen it is thrown into hot water, the decomposition is more violent, and in this case a few scintil- lations are observed at the surface of the fluid, owing to small particles of the base, which are thrown out of the water suflicient- ly heated to burn in passing through the at- mosphere. And when a globule is brought in contact with a small particle of water, or with moistened paper, the heat produced, (there being no medium to carry it off ra- pidly,) is usually sufficient for the accession of the sodium. The base of soda, when thrown upon the strong acids, acts upon them with great ener- gy. When nitrous acid is employed, a vivid inflammation is produced: with muriatic and sulphuric acid there is much heat ge- nerated, but no light. When plunged be- neath the surface of the acids, it is rapidly oxygenated ; soda is produced and combines with the acid. Sodium, in its degrees of oxidation, has precisely similar habits with the base of po- tassa. When it is fused with dry soda in certain quantities, there is a division of oxy- gen between the alkali and the base, and a deep brown fluid is produced, which becomes a dark grey solid on cooling, and which at- tracts oxygen from the air, or which decom- poses water, and becomes soda. The same body is often formed in the ana- lytic processes of decomposition, and it is generated when the basis of soda is fused in tubes of the purest plate glass. Sodium, when heated with hydrogen gas, does not, like potassium, appear to be dis- solved, and as no luminous appearance at- tends the oxidation of it in cold water, it does not appear to be capable of combining even with nascent hydrogen. There is scarcely any difference in the visible phenomena of the agencies of tlie ba- sis of soda, and that of potassa on sulphur, phosphorus, and the metals. It combines with sulphur in close vessels fiUed with the vapour of naptha with great vividness, with light, heat, and often with explosion from the vaporization of a portion of sulphur, and the disengagement of sul- phuretted hydrogen gas. The sulphuretted base of soda is of a deep grey colour. The phosphurct has tlie appearance of lead, and forms phosphate of soda by exposure to the air, or by combustion. Sodium combines with the metals ; in the quantity of one-fortieth, it renders mercury a fixed solid of the colour of silver, and the combination is attended with a considerable degree of heat. It makes an alloy %vith tin, without changing its colour, and it acts upon gold and lead when heated. In its state of alloy it is soon converted into soda by exposure to air, or by the action of wa- ter, which it decomposes with the evolution- of hydrogen. The amalgam of mercury and sodium seems to form triple compounds with other metals. It likewise combines with sul- phur, and forms a triple compound of a dark grey colour. So'da aceta'ta. a neutral salt formed of a combination of acetic acid with the mi- neral alkali. Its virtues are similar to those of the acetate of potash. So'da boraxa'ta. See Borax. Soda, carboyiafe of See Soda carbonado So'da hispa'nica. See Soda impura. So'da hispa'it ica pfrificata. See Sods suhcarbonas. So'da impu'ra. Impure soda. Soda, Barilla. Bariglia, Barillor. Anatro^n. Natron. Anaton. Nitrum antiquorum, Aphroniirum. Baurach. Sal alkalinus Jixus fossilis. Carbonas soda impurus, Sub- carbonas soda impura. Soda. Barilla is the term given, in commerce, to the impure mineral alkali, or imperfect carbonate of soda, imported from Spain and the Levant. It is made by burning to ashes different plants that grow on the sea-shore, chiefly of the genus salsola. Many have referred it to the Salsola kali, of Linnaeus ; but various other plants, on being burned, are found to afford this alkali, and some in a greater proportion than tnis : these are. The Salsola sativa, Lin. Salsola sonda, Lofling. Kali hispanicum supinum annu- uin s'edi-foliis brevibus. Kali d'^Alicante. This grows abundantly on that part of the Spanish coast which is washed by the Medi- terranean sea. This plant is deservedly first enumerated by Professor Murray, as it supplies all the l7e=^ soda coc=umed in Eu- SOD SOC 825 ?Dpe, which by us is called Spanish or Aii- cant soda, and by the Spanish merchants Barilla de Alicante. Salsola soda, Lin. Kali majus cochleaio seniine. Le Salicor. This species, which grows on the Frencih Mediterranean coast, is much used in Languedoc for the prepa- ration of this salt, which is usually exported to Sicily and Italy. Salsola tragus, Lin. affords an ordinary kind of soda, with which the French fre- quently mix that made in Lauguedoc. This adulteration is also practised by the Sicilians, who distinguish the plant by the term sal- vaggia. Salicornia herbacea, Lin. is common in salt marshes and on the sea-shore all over Europe. Linnaeus prefers the soda obtain- ed from this plant to that of all the others ; but though the quantity of alkali which it yields is very considerable, it is mixed with much common salt. Salicornia arabica, Lin. Mesembryanihe- mum modifiorum, Lin. Plantago squarrosa, Lin. All these, according to Alpinus, af- ford this alkali. It has also been procured from several of the fuci, especially F. vesi- culosus, and distinguished here by the name kelp. Various other marine plants might also be noticed as yielding an impure soda by combustion ; but the principal are con- fined to the genus salsola, and that of sali- cornia. The salsola kali, on the authority of Rawolf, is the species from which the salt is usually obtained in eastern countries : which is brought to us in hard porous masses, of a speckled brown colour. Kelp, a still more impure alkali, made in this country by burning various sea-weeds, is sometimes called British barilla. The ma- ^ rine plants, collected for the purpose of pro- curing barilla in this country, are the sal- sola kali, salicornia Europsea, zostera ma- ritima, triglochen maritimum, chenopodium maritimum, atriplex portulacoides et litto- ralis, plantago maritima, tamarix gallica, eryngium maritimum, sedum telephium, dipsacus fullonum, 8ic. &c. It is to be regretted, that the different kinds of soda which are brought to Eu- ropean markets, have not been sufficiently analyzed to enable us to ascertain with tole- rable certainty the respective value of each : and, indeed, while the practice of adulterat- ing this salt continues, any attempts of this kind are likely to prove fruitless. The best information on this subject is to be had from Jessica, Mascorelle, Cadet, Bolare, and S^— tini. In those places where the,, prepara- tion of soda forms a considerable l)ranch of commerce, as on the coast of the Mediter- ranean, seeds of the salsola are regularly sown in a proper situation near the sea, which usually shoot above ground in the course of a fortnight. About the time the seeds become ripe, the plants are pulled up by the roots, and exposed in a suitable place 104 to dj-y, where their seeds are collected ; this being done, the plants are tied up in bun- dles, and burned in an oven constructed for the purpose, where tW; ashes are then, while hot, continually stirreS with long poles. The saline matter, on becoining cold, forms a hard solid mass, which is afterwards broken in pieces of a convenient size for exporta- tion. According to chemical analysis, the im- pure sodas of commerce generally contain a portion of vegetable alkaU, and neutral salts, as muriate of soda, and sulphate of potash, and not unfrequently some portion of iron is contained in the mass ; they are, there- fore, to be considered as more or less a compound, and their goodness to be esti- mated accordingly. The Spanish soda, of the best sort, is in dark-coloured masses, of a blueish tinge, very ponderous, sonorous, dry to the touch, and externally abounding with small cavities, without any offensive smell, and very salt to the taste ; if long exposed to the air, it undergoes a degree of spontaneous calcination. The best French soda is also dry, sonorous, brittle, and of a deep blue colour, approaching to black. The soda which is mixed with small stones, which gives out a fetid smell on solution, and is white, soft, and deliquescent, is of the worst kind. So'da muria'ta. See SodcB murias. So'da muria'tica. See SodcB murias, So'da phosphora'ta. Phosphorated soda» Alkali miner ale phosphor atum, of Bergman, This preparation is a compound of phospho- ric acid and soda, and therefore called phos- phas soda, in the new chemical nomenclature. It is cathartic in the dose of half an ounce to an ounce ; dissolved in gruel it is not un- pleasant, and it is said to be useful, in scro- phula, bronchocele, rachitis, and gout in small doses. Soda, subcarbonate of. See Sodm subcar- bonas. Soda, subcarbonate of, dried. See Sodm subcarbonas exsiccata. Soda, sulphate of. See Sodm sulphas. So'da tartariza'ta. Tartarized soda, formerly known by the names of sal rupel- lensis, sal polychrestum Seignetti, and lately by that of natron tartarisatum. " Take of subcarbonate of soda twenty ounces ; super- tartrate of potash, powdered, two pounds ; boiling water ten pints. Dissolve the sub- carbonate of soda iu the water, and add gradually the supertartrate of potash ; filter the solution through paper, and evaporate it until a pellicle forms upon the surface ; then set it by that crystals may form. Having poured away the water, dry these crystals upon bibulous paper." This salt consists of tartaric acid, soda, and potash, the soda only combining with the superabundant acid of the super salt ; it is therefore, a triple salt, and it has been judged by the London College more convenient to express 826 SOD iOL • this difference by the adjective tartaneata, than to iutroduce the three words necessaiy to its description. It possesses mildly ca- thartic, diuretic, and deobstruent virtues, and 13 admiuisterdd in doses from one drachm to an ounce, as a cathartic, and in tlie dose of twenty to thirty grains in abdo- minal physconia, and torpidity of the kid- neys. See Seignette's salt. Soda, tartanzed. See Soda tartarizata. So'd^ bo'ras. Borate of soda. See Borax, So'djE CARBO.'ifAS. Carbonate of soda. '•' Take of subcarbonate of soda, a pound ; subcarbonate of ammonia, three ounces ; distilled water, a pint. Ha\dno: previously dissolved the soda in water, add the ammo- nia, then by means of a sand bath apply a heat of 1 80° for three hours, or until the ammonia be driven off. Lastly, set the so- lution by to crystallize. The remaining so- lution may be evaporated and set by in the same manner that crystals may again form." This salt, which is called also aerated soda, and natron, bears to the subcarbonate of soda the same relation that the carbonate of potash does to its subcarbonate. It is pre- pared in the same way, possesses tlie same comparative advantages, and contains, in like manner, double the quantity of carbonic acid. So'D^ Mir'RiAS. Muriate of soda. Alkali minerale salinum. Sal communis. Sal culina- ris. Salfontium. Sal gemmm. Sal marmus. Matron muriatum. Soda muriata. Common culinary salt. This salt is more abundant in nature than any other. It is found in prodigious masses in the internal part of the earth, in Calabria, in Hungary, in Musco- vy, and more especially Weilicska, in Po- land, near Mount Capax, where the mines are verj' large, and afford immense quan- tities of 5alt. It is also obtained by several artificialmeans from sea- water. It possesses antiseptic, diuretic, and resolvent qualities, and is frequently employed in form of clys- ter, fomentation, lotion, pendilu^num, and bath, in obstipation, against worms, gan- grene, scrophulous tumours, hepetic erup- tions, arthritis, fee. SO'DiE SUBBO'RAS. See Borax. So'DjE subcarbo':sas. Subcarbonate of soda, formerly called natron prceparatum and sal sodce. " Take of impure soda, powdered, a pound ; boiling distilled water, half a gallon. Boil the soda in the water for half an hour, and strain the solution ; let tlie solution evaporate to two pints, and be set by, that crystals may form. Throw away tJie remaining solution." The pure ci-ystals, thus formed of Alicant barilla, are colourless, transparent, lamellated, of a rhomboidal figure ; and one hundred parts are found to contain twenty of alkali, six- teen of aerial acid, and sixty-four of water ; >-'!(: upon keeping the crystals for a length of time, li the air be not excluded, the water evaporates, and they assume the form of a white powder. According to Inslin, one ounce of water, at the temperature 62° of Fahr. dissolves five drachms and fifteen grains of the crystals. This salt consists of . soda imperfectly satiurated with carbonic acid, and is, therefore, called sodce subcarbo' nas. It is given in doses of from ten grains to half a draclim as an attenuant and antacid ; and joined with bark and aromatics, it is highly praised by some in the cure of ecro- phula. It is likewise a powerful solvent of mucus, a deobstruent anddiui'fetic ; and has been thought an antidote against oxide of arsenic and corrosive sublimate. The other diseases in which it is administered are those arising from an abundance of mucus in the primse viae ; calculoxis complaints, gout, some affections of the skin, rickets, tinea capitis^ crusta lactea, and worms. Externally it is recommended by some in the form of lotion^ to be applied to scrophulous ulcers. So'b^ subcarbo'nas exsicca'ta. Diiied subcarbonate of soda. " Take of subcarbo- nate of soda, a pound. Apply a boiling heat to the soda in a clean iron vessel, until it becomes perfectly dr}-, and constantly stir it with an iron rod. Lastly, reduce it into powder.' ' Its virtues are similar to those ef the subcarbonate. So'dje stj'LPHAS. Sulphateof soda, ccan- monly known by the name of natron vitriO" latum, and formerly sal caiharticus Glauberi, " Take of the salt which remains after the distillation of muriatic acid, two pounds. Boiling water, two pints and a half. Dissolve the salt in the water, then add gradually as much subcarbonate of soda as may be requi= red to saturate the acid : boil the solution away until a pellicle forms upon the surface, and, after having strained it, set it by, that crystals may form. Having poured away the water, dry these crystals upon bibulous pa- per." It possesses cathartic and diuretic qualities, and is in high esteem as a mild cathartic. It is found in the mineral king- dom, formed by nature, but that which is used medicinally is prepared by art. The dose is from one drachm to one ounce. SOL. The sun. Gold was so called by the older chemists. Sola'meu. (From solor, to comfort.) Anise-seed is named solamen intestinornm, from the comfort it affords in disorders of the intestines. SoLAKo'iDES. (From solanuni, nightshade, and itSog, likeness.) Bastard nightshade. SOLA'NUM. (From solor to comfort, because it gives ease by its stupifyiag qua- lities.) 1. The name of a genus of plants in the Linnaeau system. Class, Pentandria. Or- der, Monogynia. Nightshade. 2. The pharmacopoeial name of tlie sore- rv.m nisrw^- 30L 30L l:!Oi.A'wJ?M dulcama'ra. The sj'stema- tic name of the bitter-sweet. Dulcamara Solanum scandens. Glycypicros, sive ama- vadiUcis. Solanum lignosum. 'S.T^vyjto^-, of Theophrastus. Woody nightshade. Sola- num : caule mermifrutescentejlexuosa ; fo- iiis suptrionbus hastatis ; racemis cymosis, of Linnaeus. The roots and stalks of this nightshade, upon being chewed, first cause a sensation of bitterness, which is soon follow- ed by a considerable degree of sweetness ; and hence the plant obtained the name of bitter-sweet. The berries have not yet been applied to medical use ; they seem to act powerfully upon the primal vias, excitating violent vomiting and purging. Thirty of them were given to a dog, which soon be- came mad, and died in the space of three hours ; and, upon opening his stomach, the berries were discovered to have undergone ao change by the powers of digestion ; there can, therefore, be little doubt of the delete- rious effects of these berries ; and, as they are very common in the hedges, and may be easily mistaken, by children, for red cur- rants, which they somewhat resemble, this circumstance is the more worthy of notice. The stipites, or younger branches, are di- rected for use in the Pharm. and they may be employed either fresh or dried, making a proportionate allowance in the dose of the latter for some diminution of its powers by drying. In autumn, when the leaves are fallen, the sensible qualities of the plant are said to be the strongest; and, on this account, it should be gathered in au- tumn rather than spring. Dulcamara does not manifest those strong narcotic qualities lyhich are common to many of the night- shades ; it is, however, very generally ad- mitted to be a medicine of considerable effi- cacy. Murray says it promotes all the se- cretions ; Haller observes, that it partakes of the milder powers of the nightshade joined to a resolvent and saponaceous quality ; and the opinion of Bergius seems to coincide with that of Murray ; — " Virtus : pellens urinam, sudorem, menses, lochia, sputa ; inundificans." The diseases in which we find it recommended by diflferent authors, are extremely various ; but Bergius con- fines its use to rheumatisms, retentio men- sium, et lochiorum. Dulcamara appears, also, by the experiments of Razoux and others, to have been used with advantage in some obstinate cutaneous afiections. Dr. Cullen says, "We have employed only the stipites, or slender twigs of this shrub ; but, as we have collected them, they come out very unequal, some parcels of them being very mild and mert, and others of them con- siderably acrid. In the latter state, we have employed a decoction of them in the cure of rheumatism, sometimes with advantage, but at other times without any effect. Though the dulcamara is here inserted in the catelogue of diuretics, it has never appeared to us as powerful in this way ; for, in all the trials made here, it has hardly ever been observed to be in any measure diuretic." This plant is generally given in decoction, or infusion, and, to prevent its exciting nau- sea, it is ordered to be diluted with milk, and to begin with small doses, as large doses have been found to produce very dangerous symptoms. Razoux directs the following ; 5t Stipitum dulcam. rec. drac. ss ina quae font. uuc. 16 coquatur ad unc. 8. This was taken in the dose of three or foui^ drachms, diluted with an equal quantity of milk, every four hours. Linnsus directs two drachms, or half an ounce of the dried stipites, to be infused half an hour in boil- ing water, and tlien to be boiled ten mi- nutes ; and of this decoction he gives two tea-cups full morning and evening. For the formula of a decoction of this plant, acconling to the London Pharm. see Decoc' turn dulcaynarcE. SoLA'jfUM f(e'tidtjm. The thorn-apple plant is sometimes so called. See Datura stramonium. Sola'num letha'le. See Atropa bella- donna. Sola'num hgwo'sum. The bitter-sweet is sometimes so termed. See Solanum duU camara. Sola'jvvm melo'ngesa. The systema- tic name of the mad apple plant. Its oblong egg-shaped fruit are often boiled in their native places, in soups and sauces, the same as the love apple ; are accounted very nu- tritive, and are much sought after .by the votaries of Venus. Sola'jvum wi'grum. The systematic name of the garden nightshade, which is highly deleterious. Sola'wum sa'nctum. The syslepiatio name of the Palestine nightshade. The fruit of which is globular, and ia Egypt much eaten by the inhabitants. Sola'kum tuberg'sttm. Batabas. So- lanum esculentum. Kippa. Kelcngit. Pa- pas Americanus. Pappus Amencanus Con- volvulus Indicus. Tbe potatoe plant, a na- tive of Peru. An extremely nutritious and wholesome vegetable. Potatoes were first, brought into Europe by Sir Francis Drake, 1486, and planted in London. Sola'jsum vesica'Aitjm. The winter cherry plant is so caUed by Caspar Bauhin. See Physalis alkeke'/gi. Soldahe'lla. {A solidando^ from its uses in healing iresh wounds.) The sea convolvulus. S^e Convolvulus soldanella. So'len. (2toK»v.) A tube or cliannel. A cradle for a broken limb. Solena'riPM. (Dim. oi a-uxnv, a tube.) A catheter. SO'LEUS. (From solea^ a sole, from its shape being like the sole fish.) See Gas- trocnemius internus. SOLIDA'GO. (From solido, to make firm ; so called from its uses in consolida- 823 HON SOU tiag wounds.) The name ot a genus of plants ia the Liunseaa system. Class, Syn- genesia. Order, Polygamia superflua. The herb comfrey. Solida'go virgatt'rea. The systema- tic name of the golden rod. Virga aurea. Herba dorea. Conyza coma aurea. Sym- phytum. PetrcBum. Elichrysum. Conso- lida saracenica. Golden rod. The leaves and flowers of this plant are recommended as aperients and corroborants in urinary ob- structions, ulcerations of the kidneys and bladder, and it is said by some to be parti- cularly useful in stopping internal haemor- vhages, SOLIDS. In anatomy, are the bones, ligaments, membranes, muscles, nerves, and vessels. So'lium. (From solus, alone; so called because it infests the body singly.) The tape-worm. Solomon's seal. The convallariapoly- gonatum. Useful as an outward application for bruises ; dried and powdered it is said to be antidysenteric, and if beaten into a con- serve with sugar whilst it is green, is recom- mended in leucorrhcEa. SoLSE'auicM. (From sol, the sun, and sequor, to follow, so, called because it turns its flowers towards the sun.) Marigold or turnsole. Solvent. See Menstruum. SOLUTION. An intimate commix- ture of solid bodies with fluids, into one seemingly homogeneous liquor. The dis- solving fluid is called a menstruum or sol- vent. SoLUTi'VA. (From solvo, to loosen.) Lax- ative medicines, gentle purgatives. Somnambulism. Sleep-walking. See Oneirodynia. Somni'fera. (From somnus, sleep, and fero, to bring.) Opiates ; medicines which induce sleep. Sokchi'tes. (From (^oyyji, the sow- thistle ; so named from its resemblance to the sonchus.) The herb hawkweed. SO'NCHUS. (Jlctfct TO (Tuov ;ts£/i', from its wholesome juice.) The name of a ge- nus of plants in the Linnaean system. Class, Syngenesia. Order, Pol. cequalis. The sow-thistle. So'nchus olera'ceus. The systematic jaame of the sow-thistle. Most of the spe- cies of sonchus abound with a milky juice, which is very bitter, and said to possess diuretic virtues. This \s sometimes em- ployed with that intention. Boiled it may be eaten as a substitute for cabbage. Soot. Fuligo. A volatile matter, aris- ing from coals, wood, and other fuel along with the smoke. It is used as a material for making muriate of ammonia. At no very remote period our dispensatories con- tained directions for a tincture of soot ; the most material ingredient of which, however, _^B£ assafoetida. So'PHiA. (From a-o^oc, wise ; so named from its great virtues in stopping fluxes.) Flix-weed or flux-weed. So'pHiA chirurgo'rxjm. See Sisymbri- um Sophia. SOPHISTICATION. A term employ- ed in pharmacy, to signify the counterfeit- ing or adulterating any medicine. This practice unhappily obtains with most dealers in drugs, &c. ; and the cheat is carried on so artificially by many as to prevent a disco- very even by persons of the most discerning faculties. Sophroniste'res. (From a-ax^fovi^o), to become wise ; so called because they do not appear till after puberty.) The last of the grinding-teeth. Sopho'ra heptaphy'lla. The syste- matic name of the shrub whose root and seeds are sometimes called anlicholerica ; they are both intensely bitter and said to be useful in cholera, colic, and dysury. Sopie'ntia. (From sopiOf to make sleep.) Opiates. SO'POR. Profound sleep. SOPORIFEROUS. {Soporifera medi- camenta; from sopor, sleep, and fero, to hear.) A term given to those medicines which induce sleep. See Anodynes. So'ra. (Arab.) The nettle-rash. Soreastre'lla. (From sorbeo, to suck up, because it stops haemorrhages.) The herb burnet. SO'RBUS- (From sorbeo, to suck up; because Us fruit stops fluxes.) The name of a genus of plants in the Linnaean sys- tem. Class, Icosandria. Order, Trigynia, The service-tree. So'rbus aucupa'ria. The wild service- tree. The berries of this plant are adstrin- gent, and, it is said, have been found ser- viceable in allaying the pain of calculous afiiections in the kidneys. SO'RDES. When the matter discharged from ulcers is rather viscid or glutinous, it is thus named. The matter is frequently of a brownish-red colour, somewhat resembling the grounds of coffee, or grumous blood mixed with water. Sordes, Sariies, and Ichor, are all of "them much more foetid than purulent matter, and none of them are altogether free from acrimony ; but that which is generally termed lehor is by much the most acrid of them, being fre- quently so sharp and corrosive as to de- stroy large quantities of the neighbouring parts. Sore, bay. A disease which Dr. Mose- ly considers as a true cancer, commencing with an ulcer. It is endemic at the Bay of Honduras. Sore-throat. See Cynanche. Sorrel, common. See Rumex acetosa. Sorrel, French. See Rumex scutatus. Sorrel, round-leaved. See Rum^x scutatus. Sorrel, wood. See Oxalis acetosella. SOUND. An instrument which snr- SPA geons introduce through the urethra into the bladder, to discover whether there is a stone in this viscus or not. Sour dock. See Rumex acelosa. Southernwood. See Artemisia abrotanum. Sow-bread. See Cyclamen. SPA WATER. This mineral water ap- pears to be a very strongly acidulous chaly- beate, containing more iron and carbonic acid than any other mineral spring. What applies to the use of chalybeates will apply to this water. Spain, pellitory of. See Anthemis Fy- relhrum. Spanish fiy. See Lytta. Spanish liquorice. See Glycyrrhiza. Spargano'sis. (From a-7ra.p-ya.a>, to swell.) A milk abscess. SPA'P-TIUM. The name of a genus of plants in the Linnaean system. Class, Dia- delphia. Order, Decandria. Spa'rticm scopa'rium. The systematic name of the common broom. Genista. The tops and leaves of this indigenous plant, Spartium ; foliis ternatis solitariisque, ramis inermibus angulatis, of Linnaeus, are the parts that are employed medicinally ; they have a bitter taste, and are recommended for their purgative and diuretic qualities, in hydropic cases. SPASM. {Spasmus, from a-7ra.u>, to draw.) A spasm or convulsion. An invo- luntary contraction of the muscular fibres, or that state of the contraction of muscles which is not spontaneously disposed to al- ternate with relaxation, is properly termed spasm. When the contractions alternate with relaxation, and are frequently and pre- ternaturally repeated, they are called con- vulsions. Spasms are distinguished by au- thors into clonic and tonic spasms. In clonic spasms, which are the true convulsions, the contractions and relaxations are alternate, as in epilepsy ; but in tonic spasms the member remains rigid, as in locked jaw. See Convulsion, Tonic spasm, and Tetanus. SPA'SMI. Spasmodic diseases. The third order of the Class, Neuroses, of Cul- len ; characterized by a morbid contraction or motion of muscular fibres. Spasmodic colic. See Colica. Spasmology. (Spasmologia, from a-7ra.cr- /^o{, a spasm, and xoyo^, a discourse.) A treatise on convulsions. SPA'SMUS CY'NICUS. The spasmus cynicus, or sardonic grin, is a convulsive affection of the muscles of the face and lips on both sides, which involuntarily forces the muscles of those parts into a species of grinning distortion. If one side only be affected, the disorder is nominated tor- tura oris. When the masseter, buccinator, temporal, nasal, and labial muscles, are involuntarily excited to action, or contort- ed by contraction or relaxation, they form a species of malignant sneer. It some- tim.es arises from eatins hemlock, or other SPH 329 acrid poisons, or succeeds to an apoplectic stroke. Spathome'le. (From o-TretQ-^, a sword^ and ^j-nKn, a probe.) An edged probe. Spa'txjla. (Dim. of spatha, a broad in- strument.) An instrument for spreadin"" salve. Also a name of the herb spurge- wort, from its broad leaves. Spearmint. See Mentha viridis. Spearwort, water. See Ranunculus fiam- mula. SPECIFIC. A remedy that has an infallible efficacy in the cure of disorders. The existence of such remedies is doubted- Speci'llum. (From specie, to examine.) A probe. SPE'CULUM A'NI. An instrument for distending the anus whilst an operation is performed upon the parts within. SPE'CULUM MATRI'CIS. An instru- ment to assist in any manual operation be- longing to the womb. SPE'CULUM O'CULI. {Speculum, from specio, to view.) An instrument used by oculists to keep the eyelids open and the eye fixed. SPE'CULUM O'RIS. An instrument to force open the mouth. Spe'culum ve'weris. See Achillea millefolium. Speech. See Voice. Speedwell, female. See Antirrhinum ela- tine. Speedioell, male. See Veronica. Speedwell, mountain. See Veronica. SPERxMA-CETI. (From a-Tripy.a., seed, a. a-TrufO), to sow, and cete, or cetus, the whale.) See Physeter. SPERMA'TICA. Belonging to the testi- cle and ovary, as the spermatic artery, chord, and veins. SPERMATOCE'LE. (a-7ripf^a.roKuxn, from a-TTifif/.a,, seed, and zn^n, a tumour.) Epididymis distensa. A swelling of the testicle or epididymis from an accumulation of semen. It is known by a swelling of those organs, pain extending to the loins without inflammation. Spermatopoe'tica. (From o-'^ripf/.sc, and Troiio), to make.) Medicines which increase the generation of seed. SPHACELI'SMUS. (From a-cco, to de- stroy.) A mortification of any part. See Gangrene. Sph^noi'des. See Sphenoides. SpHjEri'tis. (From a-ditpsc; a globe.) A fleshy globular protuberance. SPHENOI'DES OS. (From a-, to shut up.) The name of several muscles, whose office is to shut or close the aperture around which they are placed. SPHI'NCTER ANI. Sphincter exter- nus, of Albinus and Douglas. Sphincter cutanev.s, of Winslow, and coccigio-cutanS- sphincter, of Dumas. A single muscle of the anus, which shuts the passage through the anus into the rectum, and pulls down the bulb of the urethra, by which it assists in ejecting the urine and semen. It arises from the skin and fat that surrounds the verge of the anus on both sides, near as fair as the tuberosity of the ischium ; the fibres are aTad.ually collected into an oval form, sH SPl aai aiici surround the extremity ol the rectum. It k inserted by a narrow point into the pe- rineum, acceleratores urinsc, and transversi perinei ; and behind into the extremity of the OS coccygis, by an acute termination. Sphi'ncter a'si ctJTA'NEus. See Sphincter ani. Sphi'ncter a'ni exte'rncs. See Sphincter ani. Sphi'itcter a'ni inte'rwus. Albinus and Douglas call the circular fibres of the muscular coat of the rectum, which sur- round its extremity, by this name. Sphi'ncter cdta'neus. See Sphincter ami. Sphi'ncter extb'rnus. See Sphincter ani. Sphi'ncter gu'lje. The muscle which contracts the top of the throat. Sphi'ncter I/Abio'ritm. See Orbicula- m oris. Sphi'ncter o'ris. See Orbicularis oris. SPHI'NCTER VAGI'NiE. Constrictor cunni, of Albinus. Second muscle of the clitoris, of Douglas, and anulo-syndesmo- clitoridien-, of Dumas. This muscle arises from the sphincter ani and from the posterior side of the vagina near the perinaeum ; from thence it runs up the side of the vagina, near its external orifice, opposite to the nym- phae, covers the corpus cavernosum, and is inserted into the crus and body or union of the crura clitoridis. Its use is to contract the moutli of the vagina. Sphingo'nta. (From (n^iyla, to bind.) Astringent medicines. Sphondt'litjbi. (From <77rovSu\oi, ver- tebra; named from the shape of its root; or probably because it was used against the bite of a serpent, called o-ttovJ^vkk .) This is supposed to be the brankursine. See Acanthus mollis. SPI'CA. 1. An ear of corn. 2. A band- age resembling an ear of corn. Spi'ca bre'vis. Fox-tail plant. Spi'ca ce'ltica. See Valeriana celtica. Sfi'ca f^'mina. Common lavender. Spi'ca i'ndica. See Nardus indica. Spi'ca ingttina'lis. A bandage for rup- tures in the groin. Spi'ca inguina'lis du'plex. Double bandage for ruptures. Spi'ca kas. Broad-leaved lavender. Spi'ca na'rdi. See J^ardvs indica. Spi'ca si'mplex. A common roller or bandage. SPIGE'LIA. (From spica, an ear of com ; so called from its spicated top.) 1. The name of a genus of plants in the LiHnaean system. Class, Pentandria. Or- der, Moiwgynia, 2. The name in some pharmacopceias for the Spigilia anlhelmia. Spig-e'lia ANTHE'tariA. The systema- tic name of the spigelia of some pharmaco- poeias. It is directed as an aatheltointic ; its virtues are very similar to those of4:he In- dian pink. See Spigelia marilandica. Spige'lia lonicera. See Spigelia ma," rilandica. Spige'lia marila'ndica. Spigelialonj,' cera. Perennial worm-grass, or Indian pink. Spigelia ; caule tetragono^foliis omnibus op' positiSf of Linnajus. The whole of this plauat, but most commonly the root, is employed as an anthelmintic by the Indians and inhabi- tants of America. Dr. Hope has written in favour of this plant, in continued and remit- ting low worm-fevers ; besides its property of destroying the worms in the primse vise, it acts as a purgative. Spigelian lobe. See Liver. SPIGELIUS, Adrian, was born at Brus- sels in 1578. He studied at Louvain, and afterwards at Padua, where he took his de- gree. He became thoroughly skilled in every branch of his profession, particularly in anatomy and surgery ; and, after travel- ling some time to the diiferent schools ia Germany, he settled in Moravia, where he was soon appointed physician to the States of the Province. In 1616 he was invited to occupy the principal professorship in anato- my and surgery at Padua, where he acquit- ted himself with so much success, that he was created a Knight of St. Mark, and pre- sented with a collar of gold. He died in 1625. His writings evince him to have pos- sessed very extensive medical knowledge. The first, which he published, contains some interesting information concerning the vir- tues of plants, respecting which he appears to have learnt much from the Italian pea- santiy. He wrote also concerning some diseases, and other matters. But the most valuable of his works are those composed oa anatomical subjects, published after his death by his son-in-law, Crema. Spignel. . See .Mthusa meum. Spike. See NardusAndica. Spikenard. See Jft^dus indica. Spila'nthus acme'lla. Achmellu. Achamella. The systematic name of the balm -leaved spilanthus which possesses a glutinous bitter taste and a fragrant smell. The herb and seed are said to be diuretic and emmenagogue, and useful in dropsies, jaundice, fluor albus, and calculous com- plaints, given in infusion. SPI'NA. (Q^uasi spiculina, dim. of spica.) 1. A thorn. 2. The back-bone; so called from the thorn-like processes of the verte- brae. 3. The shin-bone. Spi'na a'cida. See Berberis. Spi'na acu'ta. The haAvthorn, Spi'na ^egypti'aca. The Egyptian thorn or sloe-tree. See Acacia vera. Spi'na a'lba. The white thorn-tree. Spi'na ara'bica. The chardon or Ara* bian thistle. SPI'NA BI'FID A . Hydrops medulliB spi- nalis. Hydrocele spiinalis, Hydrorachitis asiij ^n 9PI svinosa. A tumour upon the spine of new- born children immediately about the lower vertebrae of the loins, and upper parts of the sacrum ; at first it is of a dark blue co- lour; but in proportion as it increases in size, approaches nearer and nearer to the colour of the skin, becoming perfectly dia- phanous. From the surface of this tumour a pellu- cid watery fluid sometimes exudes, and this circumstance has been noticed by different authors. It is always attended with a weak- ness, or, more properly speaking, a paraly- sis of the lower extremities. The opening of it rashly has proved quickly fatal to the child. Tulpius, therefore, strongly dissuades U3 from attempting this operation. Acrel mentions a case where a nurse rashly open- ed a tumour, which, as she described it, was a blood bag on the back of the child at the time of its birtli, in bigness equal to a hen's e^, in two hours after which the child died. Prom the dissection it appeared that the bladder lay in the middle of the os sacrum, and consisted of a coat, and some strong membrane, which proceeded from a long fissure of the bones. The extremity of the spinal marrow lay bare, and the spinal duct, in the os sacrum, was uncommonly wide, and distended by the pressure of the waters. Upon tracing it to the head, the brain was found nearly in its natui-al state, but the ventricles contained so much water that the infundibulum was quite distended with it, and the passage between the third and fourth ventricle was greatly enlarged. He likewise takes notice of another case, •vsrhere a child lived about eight years la- bouring under this complaint, during which time it seemed to enjoy tolerable health, though pale. Nothing seemed amiss in him, but such a degree of debility as rendered him incapable to stand on his legs. The tumour, as iu the former case, was in the middle of th^s sacrum, of the big- ness of a man's fist, with little discolouring ; and upon pressing it became less. When opened it was found full of water, and the coats were the same as in the former, but the separation of the bones was very con- siderable. The spinal marrow, under the tumour, was as small as a pack-thread, and rigid ; but there were no morbid appear- ances in tlie brain. Spi'na bi/rghi monspe'lieksis. Ever- green privet. SPI'NA CERVl'NA. (So called from its thorns resembling those of the stag.) See Rhamnus catharticus. Spi'na Hi'p.ci. The goats'-thorn of France, yielding gum-tragacanth. Spi'ija infecto'ria. See Rhamnus ca- tharticus. Spi'wa purga'trix. The purging thorn. Spi'na solstitia'lis. The calcitrapa ofl&cinalis. Barnaby's thistle. SPI'NA VENTO'SA, (The term of spi- na seems to have been applied by the km." bians to this disorder, because it occasions a prickling in the flesh like the puncture of thorns; and the epithet ventosa is added, because, upon touching the tumour, it seems to be filled with wind, though this is not the cause of the distension.) Spirnz ventositas. Teredo. Fungus articuli. Arthrocace. Si- deratio ossis. Cancer ossis. Gangrmna oS' sis, and some French authors term it exos- tosis. When children are the subjects of this disease, M. Severinus calb it Padar' throcace. A tumour arising from an inter- nal caries of a bone. It most frequently occurs in the carpus and tarsus, and is known by a continual pain in the bone, and a red swelling of tlie skin, which has a spongy feel. Spina'chia. See Spinacia. SPINA'CIA. (From I/«t, wild vine; from the resemblance of its leaves to those of the vine.) See Delphinium. Sta'phyle. (STstc^iuxw. A grape or raisin ; so called from its resemblance.) The uvula. Staphyli'wus. {Staphylinus, sc. mus- culus, from ^Tct^uxit, the uvula.) See Asygos uvulce. Stapyli'nus exte'rnfs. See Circum- Jlexus. SxAPHYLi'jfus gr^co'rum. StaplvyU- nus sylvestris. The wild carrot. STAPHYLOMA. (From Tct^vKi,, a grape ; so named from its being thought to resemble a grape.) Stapkylosis. A disease of the eye-ball in which the cornea loses its , natural transparency, rises above the level of the eye, and successively even projects beyond the eye-lids, in the form of an elon- gated, whitish, or pearl-coloured tumour, which is sometimes smooth, sometimes un- even, and is attended with a total loss of sight. The proximate cause is an effusion of thick humour between the lamellte of the cornea, so that the internal and external superficies of the cornea very much protu- berates. The remote causes are, an habitual ophthalmia, great contusion, and frequently a deposition of the variolous humour in the small-pox. The species are : 1st. Staphyloma tolale, which occupies the whole transparent cornea; this is the most frequent species. The symptoms are, the opaque cornea protuberates, and if in the form of a cone, increasing in magnitude, it pushes out and inverts the lower eye-lid ; and sometimes the morbid cornea is so elongated, as to lay on the cheek, causing friction and excoriation. The bulb of the eye being exposed to the air, sordes gene- rate, the inferior palpebra is irritated by the cilia, and very painful red and small papil- lae are observable. 2d. Staphyloma racemosum, is a staphy- loma formed by carnous tubercles, about the size of a small pin's head. 3d. Staphyloma partiale, which occupies some part of the cornea : it exhibits an opaque tumour prominent from the cornea, similar to a small blueish grape. 4th. Staphyloma scleroticce is a blueish tumour attached to some part of the sclero- tica, but arising from the tunica albuginea. 5th. Staphyloma pellueidum, in which the cornea is not thickened or incrassated, but very much extended and pellucid. 6th. Staphyloma complicatum, which is complicated with an ulcer, ectropium, car- uncles, or any other disorder of the eye. 7th. Staphyloma iridis. For this species see Ptosis iridis. Starthistle. The i-oots of this plant, Carlina acaitlis, of Linnaeus, are said to be 840 STA STE diuretic, and by some recommended in »ravel and jaundice. STARCH. Amylum. The fecula of wheatea flour. See Amylum. Starch is one of the constituent parts in all mealy farinaceous seeds, fruits, roots, and other parts of plants. Our common starch Is made from wheat. It is not necessary that the grain be first bruised in mills. The entire com, well cleansed, is soaked in cold water until the husks separate ; and the grains, having become quite soft, give out, by pressure, a milky fluid. The grains are then taken out of the water by means of a sieve, put into a coarse linen sack, and transferred into the treading- tub ; where they are trodden, after cold water has been poured upon them. By this operation the starchy part is washed out, and mingUng with the water makes it milky. The water is now drawn oS", running through a sieve into the settling- tub. Fresh water is again eS'used upon the grains, and the same operation is continued till the water in the treading-tub is no longer rendered milky. The starch here precipitates by repose from the water that held it suspended ; during which, especially in a warm season, the mucilaginous sac- charine matter of the flour, that was dis- solved by the water, goes into the acetous fermentation. From this cause the starch grows still purer and whiter. The water is next let off from the starch, which is several times more washed with clear fresh water ; the remaining part of which is suffered to drip through linen cloths supported by hur- dles, upon which the wet starch is placed. When the starch has fully subsided, it is wrapt in, wrung between these cloths, or pressed, to extort still more of the remain- ing liquid. It is afterwards cut into pieces, which are laid in airy places on slightly burnt bricks to be completely dried, partly by the free currency of air, and partly by the bricks imbibing their moisture. Lastly, the outer crust is scraped off, and they are broken in- to smaller pieces. In the sacks wherein the corn was trodden there remain its husks and glutinous parts ; and this residuum is employed as food for cattle. STA'TICE. (From sstTt^ee, to stop, so named from its supposed property of re- straining haemorrhages.) The name of a genus of plants in the Linnsean system. Class, Pentmidria. Order, Pentagynia. The herb sea-thrift. Sta'tice LiMo'iyiuM. The systematic name of the sea-thrift. Behen rubrum. Li- trwnium. Limonium majus. Behen. Sea- lavender, or red behen. The roots possess astringent and strengthening qualities, but not in a very remarkable degree. Stationa'ria fe'eris. a stationary fe- •"■er. So Sydenham called those fevers which happen when there are certain general cuui stitutions of the years, which owe their ori- gin neither to heat, cold, dryness, nor mois= ture, but rather depend on a certain secret and inexplicable alteration in the bowels of the earth, whence the air becomes impreg- nated with such kinds of effluvia as subject the body to particular distempers, so long as that kind of constitution prevails, which, after a certain course of years, declines and gives way to another. Stavesacre. See Delphinium staphisagria, STEATOCE'LE. (From s-s«/i, suet, and nnKn, a tumour.) A collection of a suety substance in the scrotmn. STEATO'MA. (From nttp, suet.) An encysted tumour, whose contents are of a suety consistence. STEEL. Chalybs. The best, hardest, finest, and closest grained iron, combined with carbon by a particular process. Stelochi'tes. See Osteocolla. Ste'lla. (From TiK\a>, to arise.) A star. A bandage with many crossings like a star. Stella'ria. (From stella, a star ; so named from the star-like disposition of its leaves.) Stitch- wort. Ladies mantle. Ste'ma. (From rx^Mi, to stand.) The penis. Siemless milkvetch. See Astragalus cx- capus. STENO, Nicholas, was born at Co- penhagen in 1638. Having studied with great diligence, under the celebrated Bar- tholin, he passed several years in visiting the best schools in different parts of Europe. His reputation was thus increased, so that about the age of 29 he was appointed phy- sician to Ferdinand 11. Grand Duke of Tuscany, with a liberal salary. He was afterwards honoured with the esteem of Cosmo III. who selected him as preceptor to his son. He had been led by the elo- quence of Bossuet, to change from the Pro- testant to the Roman Catholic persuasion; which proved an obstacle to his accepting the invitation of Frederic III. to return to Copenhagen ; but the succeeding King of Denmark, not imposing any religious restraint, he was induced about the year 1672, to go to his native city, where he was appointed professor of anatomy. But find- ing his situation less agreeable than he had expected, he resumed the education of the young prince at Florence. Some time after this he embraced tli? ecclesiastical profession, was speedily appointed a bishop, and thea vicar apostohcal to all the states of the north, in which capacity he became a zealous preacher in various parts of Germany, and died in the course of his labours in 1686. The works extant by him relate principally to medical subjects. He was a diligent cultivator of anatomy, and made some dis- coveries relative to the minute structure of the eye, and other parts : which are de= riTE STE Ml tailed in papers communicated to tiie acade- my of Copenhagen, and in some small works published by himself. Stknothora'ces. (From rsvof, narrow, and Qeeftt^, the chest.) Those who have narrow chests are so called. STERILITY. Barrenness, in opposi- tion to fertility. In women this sometimes happens from a miscarriage, or violent la- bour injuring some of the genital parts ; but one of the most frequent causes is the sup- pression of the menstrual flux. There are other causes, however, arising from various diseases incident to those parts ; by which tlie uterus may be unfit to receive or retain the male seed ; — from the tubse Fallopianse being too short, or having lost their erective power ; in either of which cases no concep- tion can take place ; — from universal debi- lity and relaxation ; or a local debility of the genital system ; by which means, the parts having lost their tone, or contractile power, the semen is thrown off immediately post coitum ; — from imperforation of the va- gina of the uterus, or tubse, or from diseased ova, &c. STERNO. Names compounded of this word belong to muscles which are attached to the sternum ; as, Sterno-cleido hyoide'us. See Sterno- hyoideus. STERNO-CLEIDO MASTOIDE'US. Stemo-mastoideus and deido-mastoideus, of Albinus. Mastoideus, of Douglas and Cowper, and sterno-clavio-mastoidien, of Dumas. A muscle on the anterior and lateral part of the neck, which turns the head to one side and bends it forward. It arises by two distinct origins ; the anterior tendinous and fleshy, from the top of the aternum near its junction with the clavicle ; the posterior fleshy, from the upper and an- terior part of the clavicle ; both unite a little above the anterior articulation of the clavi- cle, to form one muscle, which runs oblique- ly upwards and outwards to be inserted, by a thick strong tendon, into the mastoid pro- cess of the temporal bone, which it sur- rounds; and gradually becoming thinner, is inserted as far back as the lambdoidal suture. STERNO COSTA'LES. Vesalius con- sidered these as forming a single muscle on each side of a triangular shape; hence we find the name of triangularis adopted by Douglas and Albinus ; but Verb ey en, who first taught that they ought to be described as four or .five distinct muscles, gave them the name of sterno costales ; and in this he is very properly followed by Winslow, Hal- ier, and Lieutaud. These muscles are situated at each side of the under surface of the sternum, upon the cartilages of the third, fourth, fifth, and sixth ribs. Their number varies in different subjects ; very often there are only three, 106 sometimes five, and even six, but most nsu- ally we find only four. The lowermost of the sterno costales, or what would be called the inferior portion of the triangularis, arises tendinous and fleshy from the edge and inner surface of the lower part of the cartilago ensif'ormis, vv^here its fibres intermix with those of the diaphragm and transversalis abdominis. Its fibres run nearly in a transverse direction, and are in- serted, by a broad thin tendon, into the in- ner surface of the cartilage of the sixth rib. and lower edge of that of the fifth. The second and largest of the sterno cos- tales, arises tendinous from the cartilago en- siformis and lower part of the sternum, late- rally, and, running a little obliquely out- wards, is inserted into the lower edge of the cartilage of the fifth and sometimes of the fourth rib. The third arises tendinous from the sides of the middle part of the sternum, near the cartilages of the fourth and fifth ribs, and ascending obliquely outwards, is inserted into the cartilage of the third rib. The fourth and uppermost, which is tiie most frequently wanting, arises tendinous from the beginning of the cartilage of the third rib and the adjacent part of the ster- num, and running almost perpendicularly upwards, is inserted by a thin tendon (which covers a part of the second intei^nal inter- costal,) into the cartilage and beginning of the bony part of the second rib. All these muscles are more or less inter- mixed with one another at their origin, and this probably occasioned them to be consi- dfered as one muscle, Fallopius informs us, that the plate Vesalius has give of them was taken from a dog, in which animal they are much larger than in man. Douglas has endeavoured to account for this difference, but his explanation is far from being satis- factory. STERNO HYOIDE'US. As this mus- cle arises from the clavicle, as well as from the sternum. Wmslow calls it s/ernocleido hyoideus. It is a long, flat, and thin mus- cle, situated obliquely between the sternum and OS hyoides, behind the lower part of the mastoideus, and covering the sterno-lkyroi- rfews and the hyo-thyroideus. It arises, by very short tendinous fibres, from the cartila- ginous part of the first rib, from the uppei- and inner part of the sternum, from the capsular ligament that connects that bone with the clavicle, and commonly from a small part of the clavicle itself; from thence, ascending along the anterior and lateral part of the neck, we see it united to its fellow, opposite to the inferior part of the larynx, by means of a thin membrane, which forms a kind of linea alba. After this the two muscles separate again, and each passing over the side of the tliyroid cartilage is in- serted into the bapis of the os hyoides, im- 842 STE ,STL mediately behind the insertion of tiie iast- described muscle. Its use is to draw the os hyoides down- wards. STERNO-MASTOIDE'US, See Sler- no-cleido-masloideus. STERNOTHYROIDE'US. Sterno-thy- roidien, of Dumas. This is flat and thin, like the sterno-hyoideus, but longer and broad- er. It is situated at the fore part of the neck, between the sternum and thyroid cartilage, and behind the sterno-hyoideus. It arises broad and fleshy from the upper and inner part of the sternum, between the cartilages of the first and second ribs, from each of which it receives some few fibres, as well as from the clavicle, where it joins with the sternum. From thence, growmg somewhat narrower, it ascends, and, passing over the thyroid gland and the cricoid cartilage, is in- serted tendinous into the lower and posterior . edge of the rough line of the thyroid carti- lage, immediately under the insertion of the sterno-hyoideus. Now and then a few of its fibres pass on to the os hyoides. Its use is to draw the thyroid cartilage, and consequently the larynx, downwards. STE'RNUM. Pectoris os. The breast- bone. The sternum, os pectoris, or breast- bone, is the oblong, flat bone, placed at the fore part of the thorax. The ossification of this bone in the foetus beginning from many different points at the same time, we find it, in young subjects, composed of several bones united by cartilages ; but as we ad- vance in life, most of these cartilages ossify, and the sternum, in the adult state, is found to consist of three, and sometimes only 8f two pieces, the two lower portions being united into one ; and very often, in old sub- jects, the whole is formed into one bone. But, even in the latter case, we may still observe the marks of its former divisions ; so that, in describing the bone, we may very properly divide it into its upper, middle, and inferior portions. The upper portion forms an irregular square, which, without much reason, has, by many writers, been compared to the figure of a heart as it is painted on cards. It is of considerable thickness, especially at its upper part. Its anterior surface is irre- gular, and slightly convex; posteriorly, it is somewhat concave. Its upper middle part is hollowed, to make way for the tra- chea. On each side, superiorly, we observe an oblong articulating surface, covered with cartilage in the recent subject, for receiving the ends of the clavicles. Immediately be- low this, on each side, the bone becomes thinner, and we observe a rough surface for receiving the cartilage of the first rib, and, almost close to the inferior edge of this, we ^d the half of such another surface, which combined with a similar surface in the mid- dle portion of the sternum, serves for the articulation of the cartilage of the seconti rib. The middle portion is much longer, nar-= rower, and thinner than the former ; but is somewhat broader and thinner below than above, where it is connected with the upper portion. The whole of its anterior surface is slightly convex, and within it is slightly concave. Its edge, on each side, affords four articulating surfaces, for the third, fourth, fifth, and sixth ribs ; and parts of articulating surfaces at its upper and lower parts, for the second and seventh ribs. About the middle of this portion of the sternum we sometimes find a considerable hole, large enough in some subjects to ad- mit the end of the little finger. Sylvius seems to have been the first who described it. Riolanus and some others after him have, without reason, supposed it to be more frequent in women than in men. In the recent subject it is closed by a cartilaginous substance ; and, as it does not seem destined for the transmission of vessels, as some writers have asserted, we may, perhaps, very properly, with M. Hunauld, consider it as an accidental circumstance, occasioned by an interruption of the ossification, before the whole of this part of the bone is com- pletely ossified. The third and inferior portion of the ster- num is separated from the former by a line, which is seldom altogether obliterated, even in the oldest subjects. It is smaller than the other parts of the bone, and descends between the ribs, so as to have been con- sidered as an appendix to the rest of the sternum. From its shape, and its being constantly in a state of cartilage in young subjects, it has been commonly named car- tilago xiphoides, ensiformis, or sword-like cartilage ; though many of the antients gave the name of xiphoides to the whole sternum ; comparing the two first bones to the handle, and this appendix to the blade of the sword. The shape of this appendix varies in differ- ent subjects ; in some it is longer and more pointed, in others shorter and more obtuse, Veslingius has seen it reaching as low as the navel, and incommoding the motion of the trunk forwards. , In general it termi- nates obtusely, or in a single point ; some- times however, it is bifurcated, and Eusta- chius and Haller have seen it trifid. Very often we find it perforated, for the transmis- sion of branches of the mammary artery. In the adult it is usually ossified and tipped with cartilage, but it very often continues cartilaginous through life, and Haller once found it in this state in a woman who died io her hundredth year. The substance of the sternum, internally, is of a light, spongy texture, covered exter- nally with a thin bony plate ; hence it hap- pens that this bone is easily fractured. From the description we have given of it, its uses STO STO 843 may be easily understood. We have seen it serving for the articulation of seven true ribs on each side, and hence we shall find it of considerable use in respiration. We likewise observed, that it is articulated with each of the clavicles. It serves for the ori» gin and insertion of several muscles ; it supports the mediastinum ; and lastly, de- fends the heart and lungs ; and it is obser- vable, that we find a similar bone in almost all animals that have lungs, and even in such as have no ribs, of which latter we have an instance in the frog. Sternutamento'ria. See ^chilleaptar- mica, STE'RTOR. A noisy kind of respira- tion, as is observed m apoplexy. A snoring, or snorting. STHE'NIA. A term employed by the followers of Dr. Brown, to denote that state of the body which disposes to inflammatory dbeases in opposition to those of debility, which arise from asthenia. Stibia'lia. (From stibium, antimony.) Antimonials. Medicines whose chief in- gredient is antimony. Sti'bii esse'ntia. Antimonial wine. STI'BIUM. (2:t, to turn.) A twisting of the intestines. STROTHULUS. A papulous eruption peculiar to infants, and exhibiting a variety of forms, which are described by Dr. Wil- Ian, under the titles of intertinctus, albidtcSf confertus, volaticus, and candidus. 1. Strophulus, intertinctus, from inter- tinge, to spot here and there,) usually called the red-gum, and, by the French, Efflorescence benigne. The papulse cha-o racterizing this affection, rise sensibly above the level of the cuticle, are of a vivid red colour, and commonly distinct from each other. Their number and extent varies much in different cases. They appear most constantly on the cheeks, fore-arm, and back of the hand, but are sometimes dif- fused over the whole body. The papula: are, in many places, intermixed with stig- mata, and often with red patches of a larger size, which do not, however, occasion any elevation of the cuticle. A child's skin thus variegated, somewhat resembles a piece of red printed linen ; and hence this einiption was formerly called the red gown, a term which is still retained in several counties of England, and may be found in old diction- aries. Medical writers have changed the original word for one of a similar sound, but not, more significant. The strophulus ■'.nterHncttis has not, in general, any ten- STR STR. Ii4a dency to become pustalai', a few small pus- tules, containing a straw-coloured, watery fluid, occasionally appear on the back of the hand, but scarcely merit attention, as the fluid is always re-absorbed in a short time, without breaking the cuticle. The erup- tion usually terminates in scurf, or exfolia- tion of the cuticle ; its duration, however, is very uncertain ; the papulae and spots some- tim.es remain for a length of time, without an obvious alteration; sometimes disappear and come out again daily ; but, for the most part, one eruption of them succeeds another, at longer intervals, and with more regu- larity. This complaint occurs chiefly within the two first months of lactation. It is not always accompanied with, or preceded by any disorders of the constitution, but ap- pears occasionally in the strongest and most healthy children. Some authors connect it with aphthous ulcerations common in chil- dren, supposing the latter to be a part of the same disease diffused along the internal surfaces of the mouth and intestines. The fact, however, seems to be, that the two affections alternate with each other : for those infants who have the papulous eruption on the skin are less liable to aphthae ; and ■when the aphthae take place to a considerable degree, the skin is generally pale and free from eruption. The strophulus intertincius is, by most writers, said to originate from an acidity, or acrimonious quality of the milk taken into a child's stomach, communicated afterwards to the blood, and stimulating the cutaneous excretories. This opinion might, ■without difficulty, be proved to have little foundation. The predisposition to the som- plaint maybe deduced from the delicate and tender state of the skin, and from the strong determination of blood to the surface, which e'vidently takes place in Infants. The papu- lous eruption is, in many cases, connected with a weak, irritable state of the alimentary canal, and consequent indigestion. For if it be by any means suddenly repelled from the surface, diarrhoea, vomiting, spasmodic affections of the bowels, and often general disturbance of the constitution succeed ; but as soon as it re-appears, those internal com- plaints are wholly suspended. Dr. Arm- strong and others have particularly noted this reciprocation, which makes the red- gum, at times, adisease of some importance, though in its usual form, it is not thought to be in any respect dangerous. On their remarks a necessary caution is founded, not to expose infants to a stream of very cold air, nor to plunge them unseasonably in a cold bath. The most violent, and even fa- tal symptoms have often been the conse- quence of such imprudent conduct. 2. The Strophultcs albidus, by some termed the tvhite-gum, is merely a variety of strophulus intertinctus, but deserves some notice on account of the different ap- pearance of its papulae. In place of those described as characterizing the red-gum^ there is a number of minute whitish speckSj a little elevated, and sometimes, though not constantly, surrounded by a slight redness. These papulae, when their tops are removedj do not discharge any fluid ; it is, however, probable that they are originally formed by the deposition of a fluid, which afterwards concretes under the cuticle. They appear chiefly on the face, neck, and breast, and are more permanent than the papulae of the red gum. In other respects, they have the same nature and tendency, "ciud require a similar plan of treatment. Although a dis- tinctive name has been applied to this erup» tion, when occurring alone, yet it is propej:' to observe, that, in a great number of cases, there are red papulae and spots intermixed with it, which prove its connection with the strophulus intertinctus. 3. The Strophulus confertus. (From con- fercio, to crowd together.) An eruption of numerous papulae, varying in their size, ap- pears on different parts of the body in in- fants, during dentition, and has thence been denominated the tooth-rash. It is sometimes also termed the rank red-gum. About the fourth or fifth month after birth, an eruption of this kind usually takes place on the cheeks and sides of the nose, extending sometimes to the forehead and arms, but rarely to the trunk or body . The papulte on the face are smaller, and set more closely together than in the red-gum; their colour is not so vivid, but they are generally more permamcnt^ They terminate at length with slight exfolia- tions of the cuticle, and often appear again ia the same places, a short time afterwards. The papulae which, in this complaint, occa- sionally appear on the back or loins are much larger, and somewhat more distant from each other, than those on the face. They are often surrounded by an extensive circle of inflammation, and a few of them contain a semi-pellucid watery fluid, which is re-ab- sorbed when the inflammation subsides. In the seventh or eighth month, the strophulus confertus assumes a somewhat different form; one or two large irregular patches appear on the arms, shoulder, or neck ; in which the papulae are hard, of a considerable size, and set so close together, that the whole surface is of a high red colour. Most commonly the fore-arm is the seat of this eruptioUj the papulae rising first on the back of the hand, and gradually extending upwards along the arm. Sometimes, however, the eruption commences at the elbow, and pro- ceeds a little upwards and downwards on the outside of the arm. It arrives at its height in about a fortnight, the papulae then begin to fade, and become flat at the top, afterwards the cuticle exfoliates from the part affected, which remains discoloured, rough, and irregular, for a week or two longer. 4n, obstinate and very painful modifica" »46 STB STR tion of this disease takes place, though not often, on the lower extremities. The pa- pulae spread from the calves of the legs to the thighs, nates, loins, and round the body, as high as the navel ; being very numerous and close together, they produce a continu- ous redness over all the parts above-men- tioned. The cuticle, presently, however, shrivel- led, cracks in various places, and finally se- parates from the skin in large pieces. Du- ring this process a new cuticle is formed, notwithstanding which the complaint recurs in a short time, and goes through the same course as before. In this manner successive eruptions take place, during the course of three or four months, and perhaps do not cease till the child is one year old, or some- what more. Children necessarily suffer great uneasiness from the heat and irritation occasioned by so extensive an eruption, yet while they are affected with it, they often remain free from any internal or febrile complaint. This appearance should be dis- tinguished from the intertrigo of infants, which exhibits an uniform, red, smooth, sM- ning surface, without papulse ; and which affects only the lower part of the nates and inside of the tliighs, being produced by the stimulus of the urine, kc. with which the child's clothes are almost constantly wetted. The strophulus confertus, where the child is otherwise healthy, is genei-ally ascribed to a state of indigestion, or some feverish com- plaint of the mother, or nurse. Dr. Willan, however, asserts that he has more frequent- ly seen the eruption when no such cause was evident. It may, with more probability, be considered as one of the numerous symp- toms of irritation, arising from the inflamed and painful state of the gums in dentition : since it always occurs during that process, and disappears soon after the first teeth have cut the gums. 4. The Strophulus volaticus, (from volo to fly,) is characterized by an appearance of small circular patches, or clusters of papu- lae, arising successively on different parts of the body. The number of papulaea in each cluster is from six to twelve. Both the papu- lae and their interstices are of a high red co- lour. These patches continue red, with a lit- tle heat, or itching, for about four days, when they turn brown, and begin to exfo- liate. As one patch declines, another ap- pears at a small distance from it ; and in this manner the complaint often spreads gradu- ally over tile face, body, andlimbs, not ter- minating in less than three or four weeks. During that time tlie child has sometimes a quick pulse, a white tongue, and seems un- easy and fretful. In many cases, however, the eruption takes place without any symp- toms of internal disorder. The above com- plaint has been by some wi'iters denomina- ted ignis volaticus infantum : under this title Asti'uc and Lorry have described one of the forms of crusta lactea, in which a succesive eruption of pustules takes place on the same spot generally about the mouth or eyes, in children of different ages, and sometimes in adults. The maculoe. volaticce infantum men- tioned by Wittichius, Sennertus, and Sebi- zeus, agree in some respects with the stro- phulus volaticus ; but they are described by other German authors as a species of erysi- pelas, or ELS irregular efiBorescences affecting the genitals of infants, and often proving fa- tal. The strophulus volaticus is a complaint by no means frequent. In most cases which have come under Dr. Willan' s observation, it appeared between the third and sixth month ; in one instance, however, it occur- red about ten days after birth, and con- tinued three weeks, being gradually diffu- sed from the cheeks and forehead to the scalp, afterwards to the trunk of the body and to the extremities ; when the patches exfoliated, a red surface was left, with a slight border of detached cuticle. 3. Strophulus candidus. (From candeo, to shine.) In this form of strophulus, the papulae are larger than in any of the fore- going species. They have no inflammation round their base ; their surface is very smooth and sliining, whence they appear to be of a lighter colour tlian the adjoining cuticle. They are diffused, at a conside- rable distance from each other, over the loins, shoulders, and upper part of the aims ; in any other situation they are sel- dom found. Tliis eruption affects infants about a year old, and most commonly succeeds some of the aCute diseases to which they are liable. Dr. Willan has observed it on their recovery from a catarrhal fpver, and after inflamma- tion of the bowels, or lungs. The papulae continue hard and elevated for about a week, then gradually subside and disap- pear. STRU'MA. (From struo, to heap up.) This term is applied by some authors to scrofula, and by others to an induration of the thyroid gland, which is endemial to the Tyrolese, Swiss, and others. Strii'men. (From struma^ a scrofulous tumour.) A herb so called from its uses in healing strumous tumours. Strf'thium. (From r/)u9o?, a sparrow ; so named from the resemblance of its flow- ers to an unfledged sparrow.) The master- wort. See Imperatoria. Strychkoma'nia. (From rpu;^;vof, night- shade, and^Avtd, madness.) So theantients called the disorder produced by eating the deadly nightshade. STRY'CHNOS. (From rpvxo', to tor- ment ; so named from its properties of pro- ducing insanity.) The name of a genus of plants in the Linnaean system. Stry'chkos mux vo'mica. The systema- tic name of the tree whose seed is called the bTR poiEon-uut. JVux vomica. JSux viettUa. The nux vomica, lignum colubrinum, and faba sancti Ignatii, have been long known in the Materia Medica as narcotic poisons, brought from the East Indies, while the vegetables which produced them were un- known, or at least not botanically ascer- tained. By the judicious discrimination of Linnae- us, the nux vomica was found to be the fruit of the tree described and figured in the Hor- tus Malabaricus, under the name of Cani- ram, ciicurbitifera malabariensis, of Pluke- net ; Vomica, of Linnaeus. Now called Strychnos nux vomica. To this genus also, but upon evidence less conclusive, he likewise justly referred the colubrinum. But the faba sancti Ig- natii he merely conjectured might belong to this family, as appears by the query, An Strychni species? which subsequent disco- veries have enabled us to decide in the ne- gative ; for, in the Supp. Plant, it constitutes the new genus Ignatia, which Loureiro has lately confirmed, changing the specific name amara to that oi pkilippinica. The strych- nos and ignatia are, however, nearly al- lied, and both rank under the Order, Sola- naceie. Dr. Woodville has inquired thus far into the botanical origin of these productions, from finding that, by medical writers, they are generally treated of under the same head, and in a very confused and indiscri- minate manner. The seed of the fruit, or berry of this tree, Strychnos nux vomica, is the officinal nux vomica : it is flat, round, about an inch broad, and near a quarter of an inch thick, with a prominence in the mid- dle on both sides, of a grey colour, covered with a kind of woolly matter ; and internally hard and tough like horn. To the taste it is extremely bitter, but has no remarkable smell. It consists chiefly of a gummy mat- ter, which is moderately bitter ; the resinous part is very inconsiderable in quantity, but intensely bitter ; hence rectified spirit has been considered its best menstruum. Nux vomica is reckoned amongst the most powerful poisons of the narcotic kind, especially to brute animals; nor are in- stances wanting of its deleterious effects upon the human species. It proves fatal to dogs in a very short time, as appears by various authorities. HiUefeld and others found that it also poisoned hares, foxes, wolves, cats, rabbits, and even some birds, as crov/s and ducks ; and Loureiro relates, that a horse died in four hours after taking a drachm of the seed in a half-roasted state. The effects of this baneful drug upon dif- ferent animals, and even upon those of the same species appear to be rather uncertain, and not always in proportion to the quantity of the poison given. With some animals it produces its effects almost instantaneoixsly ; .^TR i^47 with othei's, not till after several hours, when laborious respiration, followed by torpor, tremblings, coma, and convulsions, usually precede the fatal spasms, or tetanus, with which this drug commonly extinguishes life. From four cases related of its mortal ef- fects upon human subjects, we find the symptoms corresponded nearly with those which we have here mentioned of brutes ; and these, as well as the dissections of dogs killed by this poison, not showing any injury done to the stomach or intes- tines, prove that the nux vomica acts im- mediately upon the nervous system, and destroys life by the virulence of its narcotic influence. The quantity of the seed necessary to pro- duce this effect upon a strong dog, as appears by experiments, need not to be more than a scruple ; a rabbit was killed by five, and a cat by four, grains : and of the four persons to whom we have alluded, and who unfortu- nately perished by this deleterious drug, one was a girl ten years of age, to whom fifteen grains were exhibited at twice for the cure of an ague. Loss, however, tells us, that he took one or two grains of it in substance, without discovering any bad effect : and that a friend of his swallowed a whole seed without injury. In Britain, where physicians seem to ob- serve the rule Saltern non nocere, more strictly than in many other countries, the nux vomica has been rarely, if ever, em- ployed as a medicine. On the continent, however, and especially in Germany, they have certainly been guided more by the axiom, " What is incapable of doing much harm, is equally unable to do much good." The truth of this remark was lately very fully exemplified by the practice of Baron Storck, and is farther illustrated by the me- dicinal character given of nux vomica, which from the time of Gesner till that of a mo- dern date, has been recommended by a suc- cession of authors as an antidote to the plague, as a febrifuge, as a vermifuge, and as a remedy in mania, hypochondriasis, hy- steria, rheumatism, gout, and canine mad- ness. In Sweden, it has of late years been successfully used in dysentery ; but Bergius, who tried its effects in this disease, says, that it suppressed the flux for twelve hours, which afterwards returned again. A wo- man, who took a scruple of this dru<^ night and morning, two successive days. is said to have been seized with convul- sions and vertigo, notwithstanding which the dysenteric symptoms returned, and the disorder was cured by other medicines; but a pain in the stomach, the effect of the nux vomica, continued afterwards for a long time. Bergius, therefore, thinks it should only be administered in the character of a tonic and anodyne, in small do=es. ffrom five to 348 ST¥ STY ten grains,) aud not till after proper laxa- tives have been employed. Loureiro recom- mends it as a valuable internal medicine in fluor albus ; for which purpose he roasts it till it becomes perfectly black and friable, %yhich renders its medicinal use safe, without impairing its efficacy. It is said to have been used successfully in the cure of agues, and has also been reckoned a specific in py- rosis, or water-brash. Stry'chnos voLtr'BiLis. The systema- tic name of the tree which was supposed to afford the Jesuit's bean. See Ignatia amara. Stupefacie'wtia. (From stupefacio, to stupefy.) Narcotics. Stt/pha. (From rv^wj to bind.) iS^w- pa. Stuppa. A stupe ; the same as fomen- tation. STUTOR. (From slupeo, to be sense- less.) Insensibility. Stu'for de'stitjsi. Commonly called teeth-on-edge. Stu'ppa. See Stuphd. Stye. See Hordeolum. Sty'gia. (From Styz, a name given by the poets to one of the rivers in hell.) A water made from sublimate, and directed in old dispensatories, so called from a supposi- tion of its poisonous qualities. The Aqua Regia is also thus sometimes called, from its corrosive qualities. Sttliform. {Siyhformis ; from stylus, a bodkin, and forma, a likeness.) Shaped like a bodkin, or style. Styli'scus. (From tukoz, a bodkin.) A tent made in the form of a bodkin. STYLO. Names compounded of tliis word belong to muscles which are attached to the styloid process of tlie temporal bone ; as, STTLO-cERATO-HTOiDE'trs. See Stylo- hyoideus. Sttlo-chondro-hyoide'tts. See Stylo- hyoideus. STYLO GLO'SSUS. {Musculus stylo- glossus.) Stylo-glosse, of Dumas. A mus- cle situated between the lower jaw and os hyoides laterally, which draws the tongue aside and backwards. It arises tendinous and fleshy from the styloid process, and from the ligament which connects that pro- cess to the angle of the lower jaw, and i& inserted into the root of the tongue, runs along its sides, and is insensibly lost near its tip. ST Y'LO-HYOIDE'US. (Musculus stylo- hyoideus.) Slylo-hyoidien, of Dumas. A muscle situated between the lower jaw and OS hyoides laterally, which pulls the os hyoides to one side and a little upwards. It is a small, thin, fleshy muscle, situated between the styloid process and os hyoides, under the posterior belly and middle tendon of the digastricus, near the upper edge of that muscle. It arises, bv a long, thin tendon, from the basis aud posterior edge of the styloid pro^ cess, and, descending in an oblique direc- tion, is inserted into the lateral and anterior part of the os hyoides, near its horn. The fleshy-belly of this muscle is usually perforated on one or both sides, for the passage of the middle tendon of the digas- tricus. Sometimes, though not always, we find another smaller muscle placed before the stylo-hyoideus, which, from its having nearly the same origin and insertion, and the same use, is called stylo-hyoideus-alter. It seems to have been first known to Eustachius ; so that Douglas was not aware of this circum- stance when he placed it amongst the mus- cles discovered by himself. It arises from the apex of tlie styloid process, and some* times, by a broad and thin aponeurosis, from the inner and posterior part of the angle of the lower jaw, and is inserted into the appendix, or Uttle horn, of the os hy- oides. The use of these muscles is to pull the OS hyoides to one side, and a little upwards. Stylg-htoide'us a'lteb. See Styho- hyoideus. STYLO-MASTOID FORAMEN. Fo- ramen slylo-mastoideum. A hole between the styloid and mastoid process of the tem- poral bone, through which the portio dura of the auditory nerve passes to the tem- ples. STYLO-PHARYNGE'US. {Musevlut stylo-phary-ageus.) Stylo -ihyro-pharyngieit, of Dumas. A muscle situated between the lower jaw and os hyoides laterally, which dilates and raises the pharynx and thyroid cartilage upwards. It arises fleshy from the root of the styloid process, and is inserted into the side of the pharynx and back part of the thyroid cartilage. Sttmato'sis. (From rua, to have a priapism.) A violent erection of the penis, with a bloody discharge. Stypte'ria. (From rw?*, to bind; so called from its astringent properties.) Alum. STYPTICS. {Medicamentastyptica, from s-y a reed, in which it was used to be preserved.) 1. The name of a genus of plants in the Llnuaean system. Class, Decandria. Or- der, Monogynia. 2. The pharmacopoeial name of the Sty- rax calamita. Sty'rax a'i>ba. See Myroxylon perwi' ferum. Sty'rax be'nzoiw. The systematic name of the tree which affords the gum benzoin. >Ui3 dUB M& Ben&Qe. Benjainum. Assa dulcis. lis&a odorata. Liquor cyreniacus. Balzoinum. Benzoin. Benjui. Benjuin. Gum-ben- jamin. This substance is classed, by modem chemists, among the balsams. There are. two kinds of benzoin : bensoe amygdaloides, which is formed of white tears, resembling almonds, united together by a brown, matter; and common benzoin^ ■yhich is brown, and without tears. The tree which affords the balsam, formerly called Laurv^ benzoin. Benznifera. Arbor henici, is the Styrax, foliis oblongis acumi- natis, subtus tomentosis, racemis composilia iongiludine foliorum, of Dryander, from which it is obtained by incisions. The benzoin of the shops is usually in very large brittle masses. When chewed, it j^oparts very little taste, except that it im- presses on the palate a slight sweetness ; its smell, especially when rubbed or heated, is extremely fragrant and agreeable. It has rarely been used medicinally in a sim- ple state, but its preparations are much esteemed against inveterate coughs and phthisical complaints, unattended with much fever ; it has also been used as a cosmetic, and in the way of fumigation, for the reso- lution of indolent tumours. The acid of benzoin is employed in the tiactura cam- phorcE composita, and a tincture is directed to be made of tlie balsam. Sty'rax calami'ta. Storasinthecane, because it was formerly brought to us iu reeds, or canes. See Styrax benso-in. Sty'rax cola'ta. Strained storax. Sty'rax li'suida. Liquid storax. See Liquidambra. Sty'rax officina'lis. The systematic came of the tree which affords the solid storax. Officinal storax. Styrax, foliis otatis, sublus villosis, racemis simplicibus folio brevioribus, of Linn^us. There are two kinds of storax to be found in the shops, the one is usually in irregular com- pact masses, free from impurities, of a reddish-brown appearaace, and interspers- ed with whitish tears, somewhat like gum ammoniac, or benzoin ; it is extremely fra- grant, and upon the application of heat readily melts. This has been called storax in lump, red storax ; and when in separate tears, storax in tears. The other kind, which is called the common storax, is in large masses, very light, and bears no ex- ternal resemblance whatever to the former storax, as it seems almost wholly composed of dirty saw-dust, caked together by resi- nous matter. Storax was formerly used in catarrhal complaints, coughs, asthmas, ob- structions, &c. In tlie present practice it is almost totally disregarded, notwithstand- ing it is an efi&cacious remedy in nervous diseases. Sty'rax ro'^ka. Red storax, or storax m the tear. Sttbace'tas cp'fri. gee Verdigris. SuhaxaLaie of copper. See f'erdigris^, Stjbala'ris ve'^-a. The vein of thie axilla or arm-pit, Subcareo'nas pota'ss.£. See Poiasm: subcarbonas. S0BCARBo'^"A3 fe're,!. -See Ferri sub- carbonas. SuBCARBo'a"AS FLc'r-iBi. See Ply.mbi subcarbonas. Subcartilagi'neuji. (¥Tomsuh, under,, and cartilago, a cartilage,) The hypochen- drium, or part of the body which lies unde;: the cartilages of the spurious ribs. SUBCLAVIAN ARTERY. (From sud^ under, and clavis, a key, because the cla- vicles were supposed to resemble the key of the antients,) The right subclavian arises from the arteria innominata, and proceeds under the clavicle to the axilla. The left subclavian arises from the arch of the aorta, and ascends under the left clavicle to the axilla. The subclavians in their course give off the internal mam- mary, the cervical, the vertebral, and the superior intercostal arteries, SUBCLAVIAN VEIN. This receives the blood from the veins of the arm, ^d runs into the vena cava superior, SUBCLA'VIUS. {J\Iusculus suhclcixius j from sub, under, and clavicv.la, the channel bone, as being situated under the clavicle, or channel bone.) Subclavianus, Cosio- claviculqire, of Dumas. A muscle, situated on the anterior part of the thorax, which pulls the clavicle downwards and forwards- It arises tendinous from the cartilage that joins the first rib to the sternum, is in- serted after becoming fleshy into the infe- rior part of the clavicle, which it occupies from within an inch of the sternum as far outwards as to its connection, by a liga- ment, with the coracoid process of the scapula. SUBCRURiE'I, Two little muscular slips sometimes found under the crurseus; they are inserted into the capsular ligament, which they pull up. SUBCUTANEOUS GLANDS. Glm^ dul(E subeutanem. These are sebaceous glands lying under the skin, which they perforate by their excretory ducts. SiTBCUTA'NErs. The platysma aiyoides muscle. SuBER. Cork. The cork-tree. See Quercus suber. Su^LiMAME'NTUM. (From sublimo, to lift up.) The pendulous substance which floats in the middle of the urine. Sublimate. See Hydrargyri oxyinurias. SUBLIMATION. {Sublimalio, from sublimo, to raise or sublime.) This chemi- cal process differs from evaporation only ia being confined to solid substances. It is usually performed either for the purpose of purifying certain substances, and disen- g;aging them from extraneous matters ,' or else to reduoe ioto vapour, and combine^ 107 850 SUB BUC uader that form, principles which would have united with greater difficulty if they had not been brought to that state of ex- treme division. As all fluids are volatile by heat, and consequently capable of beihg separated, in most cases, from fixed matters, so va- rious solid bodies are subjected to a similar treatment. Fluids are said to distil, and solids to sublime, though sometimes both are obtained in one and the same opera- tion. If the subliming matter concretes into a soli4 hard mass, it is commonly called a sublimate ; if into a powdery form, flowers. The principal subjects of this operation are volatile alkaline salts ; neutral salts, composed of volatile alkali and acids, as sal ammoniac ; the salt of amber, and flowers of benzoin, mercurial preparations, and sulphur. Bodies of themselves not vola- tile are frequently made to sublime by the mixture of volatile ones ; thus iron is carried over by sal ammoniac in the preparation of the flores martiales, or ferrum ammonia- turn. The fumes of solid bodies in close ves- sels rise but a little way, and adhere to that part of the vessel where they con- crete. SUBLI'MIS. See Flexor brevis digilo- Tiim pedis, and Flexor sublimis perforatus. SUBLINGUAL GLANDS. Glandu- le sublinguaks vel Barlholinianm vel Rivi- niance. The glands which are situated un- der the tongue, and secrete saliva. Their excretory ducts are called Rivinian from their discoverer. SUBLUXA'TIO. A sprain. SUBMERSION. {Submersio, from sub, under, and mergo, to sink.) Drowning. A variety of the apoplexia suflbcata. Sau- vages terms it asphyxia immersorum. Stjbmtj'rias htdrar'gyri. See Hi/- drargyri submurias. Sueorbita'rius. The suborbitary nerve; a branch of the fifth pair. SUBSCAPULA'RIS. (Musculus sub- scapularis, from sub, under, and scapula, the shoulder-blade.) Sous-scapulo-trochi- nien, of Dumas. The name of this muscle sufficiently indicates its situation. It is composed of many fasciculi of tendinous and fleshy fibres, the marks of which we see imprinted on the under surface of the sca- pula. These fasciculi, which arise from all the basis of that bone internally, and like- wise from its superior, as w^ell as from one half of its inferior costa, unite to form a con- siderable flat tendon which adheres to the capsular ligament, and is inserted into the upper part of the lesser tuberosity at the head of the os humeri. The principal use of this muscle is to roll the arm inwards. It likewise serves to bring it close to the ribs ; and, from its ad- hesion to the capsular ligament, it prevents that membrane from being pinched. SUBSU'LTUS TE'NDINUM. SuhsuU tus, from subsulto, to leap.) Weak convul- sive motions or twichings of the tendons, mostly of the hands, generally observed in the extreme stages of putrid fever. Sitbu'bbres. (From sub, under, ani ubera, the breasts.) This term hath been used by some writers for those infanta who yet suck, in distinction from those who ai'e weaned, and then are called eocuberes, Succa'go. The rob or conserve of fruit. SUCCEDA'NEUM. A medicine substi- tuted for others. Stjccejvturia'ti Mu'scuLi. The pyra- midal muscles of the belly. Succenturia'ti re'aes. Two glands lying above the kidneys. SUCCINATE. Succinas. Salts form- ed by the combination of the acid of amber, or succinic acid, with diflisrent bases ; as, succinate of potash, succinate of copper. Sic. Sfcci'ngens membra'ka. The dia- phragm. SUCCINIC ACID. Acidum suecini- cum. Sal suecini. The succinic acid is drawn from amber by sublimation in a gentle heat, and rises in a concrete form into the neck of the subhming vessel. The operation must not be pushed too far, nor by too strong a fire, otherwise the oil of amber rises along with the acid. SU'CCINUM. (From suceus, juice; because it was thought to exude from a tree.) See Aniber. Su'cciNUM cine'reum. The ambergris is so called by some authors. See Amber' gris. Su'cciNXTM GRi'sEUM. The ambergrls is sometimes so called. See Ambergris. Su'cciNUM o'leum. See Oleum suecini. Su'cciNUM prepara'tum. Prepared amber. See Amber. Succi'SA. (From succido, to cut; so named from its being indented, and as it were cut in pieces.) Devil's bit. A spe- cies of the genus Scabiosa. Su'cci scorbu'tici. The juice of Eng- lish scurvy-grass, &c. Succory. See Cichorium. Su'ccuBtrs. See Incubus. SUCCUS. Juice. "Su'ccus aca'ci^ ve'r^. See Acoiia ■vera. Su'ccus aconi'ti spissa'tps. See^co- nitum. Sf'ccfs BA'ccffi sambu'ci bpissa'tus. An aperient and deobstruent extract, often employed diluted with water in the cure of catarrhal afiiections. Su'ccus bellado'nNwE sPissA'^fs. See Atropa Belladonna. Su'ccus cicu't^e spissa'tus. See Co- nium. 3l"G SUL n StCCUo C0CHLEARI.15 C03IP0'SITUS. A Warm aperient and diuretic, mostly exhibit- ed in the cure of diseases of the skin arising from scurvy. Su'ccus cyreni'acus. Juice of laser- wort. Sc'ccus ga'stricus. See Gastric juice. Su'ccus GLTCiRRHi'zjE. Spanish liquo- rice. Su'ccus HELioTRo'pii. See Corton tinc- torium. Su'ccus hyoscy'ami spissa'tus. See Hyoscyamus. Su'ccus i'ndicus pu'rgans. Gamboge. Su'ccus LACTU'C^ VlRo's^ SPISSa'TUS. See Lactuca virosa. Su'ccus limo'nis spissa'tus. Bee Citrus medica, Su'ccus LiauoRi'TiJE. Spanish liquorice. Su'ccus prum^o'rum sylve'strium. ./Ica- cia Germanica. See Prunus spinosa. Su'ccus spissa'tus eacco'rum sambu'ci. Rob of elder-berries. SUDA'MINA, {Sudamen, from sudor, sweat.) Hidroa. Boa. Vesicles resem- bling millet-seeds in form and magnitude, which appear suddenly, without fever, espe- cially in the summer-time after much labour and sweating. Suda'tio. (From sudor, sweat.) A sweating. See Ephidrosis. SuDATO'RiuM. (From sudo, to sv/eat.) A stew or sweating-house. Su'dor a'nglicus. Called also Hydro- Tvosus. Hydropyretos. Gargeatio. The sweating sickness of England ; an endemic fever. Dr. CuUen thinks it a species of typhus. This disorder is thus named from its first appearing in this island, and ac- quires the title of sudor, from the patient suddenly breaking out into a profuse sweat, which forms the great character of the dis- ease. SUDORI'FICA. (Sudorifica, sc. medi- camenta, from sudor, sweat, and facio, to make.) Hydrolica. Hydrotopsea. A sy- nonym of diaphoretics. See Diaphoretics. Suffime'ntum. (From suffimen, a per- fume.) Hypocapnisma. A suffumigation, a perfume. Suffi'tus. The same. Suffoca'tio hyste'rica. a convulsive affection of the throat. Suffoca'tio stri'dula. The croup. Suffumigation. (Suffumigatio, from sub, under, and fumigo, to smoke.) The burning odorous substances to remove an evil smell, or destroy miasma. Suffu'sio. (From suffundo, to pour down ; so called because the antients sup- posed the opacity proceeded from something running under the crystalline humour.) A cataract. Suffu'sio AURiGiwo'sA. A jaundice. Sugar. See Saccharunu Sugar of Lead. See Plumhi superacelas. Sugar of Milk. A substance produced. iVoui whey, which, if not sour, contains a saline substance to which this name has been given. v SuGiLLATiojy. (Sugillatio. From su- gillo, to stain.) A bruise. A spot or mark made by a leech or cupping-glass. SU'LCUS. A groove or furrow ; gene- rally applied to the bones. SU'LPHAS. (From sulphur, brim- stone.) A sulphate or salt formed by the union of the sulphuric acid with different bases. Su'lphas alumino'sus. Alum. See ./llumen. Su'lphas ammon'i^. Alkali volatile vi- triolatum, of Bergman. Sal ammoniacum secretum, of Glauber. Vitriolum ammonia- cale. This salt has been found native in the neighbourhood of some volcanoes. It is esteemed diuretic and deobstruent, and ex- hibited in the same diseases as the muriate of ammonia. Su'lphas cu'pri. See Cup ri sulphas. Su'lphas fe'rri. See Ferri sulphas. Su'lphas hydra'rgyri. See Hydrar- gyrus vitriolatus. Su'lphas siagjve'si^. See Magnesm sulphas. Su'lphas pota'sSjE. See Potassm sul- phas. Su'lphas so'd^. See Sedce sulphas. Su'lphas zi'nci. See Zinci sulphas. Sulphate. See Sulphas. Su'lphite. Sulphis. A salt formed by the combination of the sulphurous acid with different bases : as sulphite of potash, am- moniacal sulphite, &c. SU'LPHUR. Abric. Alcubrith. An- pater. Appebrioc. Aquala. Aquila. Chi- bur. Chybur. Cibur. Sulphur, which is also known by the name of brimstone, is the only simple combustible substance which nature offers pure and in abundance. It was the first known of all. It is found in tlie earth, and exists externally in depo- sitions, in sublimed incrustations, and on the surface of certain waters, principally near burning volcanoes. It is found com- bined with many metals. It exists in ve- getable substances, and has lately been dis- covered in the albumen of eggs. Sulphur in the mineral kingdom is either in a loose powder, or compact ; and then either detached or in veins. It is found in the greatest plenty in the neighbourhood of volcanoes or pseudo-volcanoes, whether modern or extinct as at SolfutarQ, &c. and is deposited as a crust on stones contiguous to them, either crystallized or amorphous. It is frequently met with in mineral waters, and in caverns adjacent to volcanoes; some- times also in coal-mines. It is found in combination with most of the metals. When united to iron it forms the mineral called martial pyrites, or iron pyrites. All the ores known by the name oi pyrites, of which there are a vast variety, are combinations of .-^UL SUL sulphur with diifereut metals ; and bjence the names of copper, tin, ai-senical, &c. pyrites. It exists likewise in combination with alu- ftiine and lime ; it then constitutes different kinds of schistus, or alum ores. Physical Properties. — Sulphur is a conl- bustible, dry, and exceedingly brittle body, of a pale lemon-yellow colour. Its specific gravity is 1.990. It is destitute of odour, except when rubbed or heated. It is of a peculiar faint taste. It frequently crystal- lizes in entire or truncated octahedra, or in needles. If a piece of sulphur of a con- siderable size, be very gently heated, as for example, by holding it in the hand and squeezing it firmly, it breaks to pieces with a crackling noise. It is a non-conductor of electricity, and hence it becomes electric by friction. When heated, it first softens be- fore it melts, and its fusion commences at 3-18° Fahr. ; it is capable of subliming at a lower temperature ; and takes fire at 560° . In the beginning of fusion it is very fluid, but by continuing the heat it grows tough, and its colour changes to a reddish brown. If in this condition it be poured into water, it remains as soft as wax, and yields to any impression. In time, however, it hardens again, and recovers its former consistence. It unites with most of the earths and with all alkalies, and becomes soluble, when thus combined, in water. It imites to most of the metals, and renders them brittle and fusible. It is soluble in oils ; water takes up a minute quantity, as does ardent spirit by means of heat. It dissolves in hydrogen gas. It does not readily combine with char- coal, but unites to phosphorus by fusion. Sulphur, like all combustible bodies, burns in proportion to the quantity of oxy- gen which combines with it. Sulphur, heated in a close vessel, sublimes without alteration. It is not changed by exposure to air. It is attacked by the nitric acid when poured on it in its fused state. If melted sulphur be exposed in the open air to an increase of heat, it takes fire and burns with a blue flame and suffocating vapour. The result of this combustion is sulphurous acid. According to the slow or rapid combustion, it absorbs different quan- tities of oxygen, and the produced acid dif- fers in its properties. Method of obtaining Sulphur. — A prodi- gious quantity of sulphur is obtained from Solfatara in Italy. This volcanic country every where exhibits marks of the agency of subterraneous fires ; almost all the ground is bare, and white ; and is every where sensibly warmer than the atmosphere, in the greatest heat of summer ; so that the feet of persons walking there are burnt thi'ough their shoes. It is impossible not to observe the sulphur, for a sulphurous vapour which rises througli different apertures is every ■xthere perceptible, and gives reason to be- lieve that tliere is a subterraneous fire ubj* derneath from which that vapour proceeds. From pyrites sulphur is extracted in the! large way by the following process : Pyrites is broken into small pieces, and put into large earthen tubes which are ex- posed to the heat of &. furnace. A square vessel of cast iron, containing water, is con- nected as a receiver with the tube in the fur- iaace. The action of the fire proceeds, and the sulphur, being thus melted, is gradually accumulated on the water in the receiver. It is then removed from this receiver, and melted in large iron ladles ; in consequence of which, the earthy parts with which it was contaminated are made to subside to the bottom of the ladle, leaving the purified sulphur above. It is then again melted and suffered to cool gradually, in order to free it from the rest of the impurities. It is then tolerably pure, and constitutes the sulphur iVe meet with in large masses or lumps in the market. In order to form it into rolls, it is again melted and poured into cylindrical wooden moulds, in these it takes the form in which Sve usually see it iii commerCCj as roll sul- phur. Flowers of sulphur, as they are called, are formed by subliming purified sulphur with a gentle heat in close rooms, where the sub- limed sulphur is collected, though the article met with in general under that name is no- thing but sulphur finely powdered. Method of purifying Sulphur. — Take one part of flowers of sulphur, boil it in twenty parts of distilled water in a glass vessel for about a quarter of an hour ; let the sulphur subside, decant the water, and then wash the sulphur repeatedly in distilled water ; having done this, pour over it three parts of pure nitro-muriatic acid, diluted with one part of distilled water, boil it again in a glass vessel for about a quarter of an hour, decant the acid, and Wash the sulphur in distilled water till the fluid passes tasteless, or till it does not change the blue colour of tincture of cabbage, or litmus. The sulphur thus carefully treated is pure sulphur fit for phi- losophical experiments. Sulphur has been long an esteemed article of the Materia Medica ; it stimulates the system, loosens the belly, and protnotes the insensible perspiration. It pervades the whole habit, and manifestly transpires through the pores of the skin, as appears from the sulphurous smell of persons who have taken it, and from silver being stained in their pockets of a blackish colour. In the stomach it is probably combined with hydrogen. It is a celebrated remedy against cutaneous diseases, particularly psora, both given internally and applied externally. It has likewise been recommended in rheuma- tic pains, flying gout, rickets, atrophy, coughs, asthmas, and other disorders of the breast and lungs, and particularly in catarrhs iiVL SUL 853 lof the chronic kirn3, also in colica pictonum, worm cases, and to lessen salivation. In haemorrhoidal affections it is almost specific ; but in most of these cases it is advantageously combined with some cooling purgative, especially supertartrat^ of potash. The preparations of sulphur directed to be used by the London and Edinburgh Col- leges, are the Sulphur lotum, Sulphur prae- cipitatum, and Sulphur sublimatum. Sc'lPHUR ANTIMO'WII I^RjECIPITA'tUM. Sulphur auratum antimonii. This prepa- ration of antimony appears to have rendered that called kermes mineral unnecessary. It is a yellow hydro-sulphuret of antimony, and therefore called hydro- sulphur etum stibii iuteum. As an alterative and sudorific it is in high estimation, and given in diseases of the skin and glands ; and joined with calo- mel, it is one of the most powerful and pe- netrating alteratives we are in possession of. Su'LPHtfR acra'tum ANTiMo'wii. See Sviphur antimonii prcecipitatum. Su'lphur lo'tuM:. Washed sulphur. Flo- res sulphuris loti. " Take of sublimed sul- phur, a pound. Pour on boiling water so that the acid, if there be any, may be en- tirely v/ashed away ; then dry it." The dose is from half a drachm to two drachms. Si/lphur pr^ecipita'tum. Lac sulphu- ris. " Take of sublimed sulphur, a pound, fresh lime, two pounds, water, four gallons ; boil the sulphur and lime together in the water, then strain the solution through pa- per, and drop in as much muriatic acid as maybe necessary to precipitate the sulphur; lastly, wash this by repeated affusions of wa- ter until it is tasteless." This preparation is mostlj' preferred to the flowers of sulphur, in consequence of its being freed from its impurities. The dose is from half a drachm to three drachms. Su'lphur spblima'tum. Sublimed sul*- phur. See Sulphur. Su'lphcr vi'vum. Native sulphur. Sulphur-wort. See Peucedanum. Sulphurated hydrogen gas. See Hydrogen gas, sulphuretted. Sulphure. See Sulphuret. Sulphureous acid. See Sulphurous acid gas. Sulphuret. Sulphurettun. Sulphure. A combination of sulphur with different al- Ikaline, earthy, and metallic bases, Sulphure'tum ammo'nij5e. Hepar sul- phuris volatile. ■•Boyle's or Beguine's fu- ming spirit. Sulphuret of ammonia is ob-> tained in the form of a yellow fuming liquor, by the ammonia and sulphur uniting whilst in a state of gas during distillation. It ex- cites the action of the absorbent system, and diminishes arterial action, and is given inter- nally in diseases arising from the use of mer- cury, phthisis, diseases of the skin, and the phlegmasiae ; externally it is prescribed in the form of bath in paralysis, contractura, p?ofa, and other cutaneous diseases. Sulphure'tum ca'lcis. Hepar calcisi Sulphuret of lime. It is principally used as a bath in various diseases of the skin. Sulphure'tum hydra'rgtri ni'gruM6 See Hydrargyri sulphuretum riigrum. Sulphure'tum hydra'rgyri ru'- BRUM. See Hydrargyri sulphuretum ru* brum. Sulphure'tum pota'ss^. See Potassm sulphuretum. Sulphure'tum so'd^e. A combination 6f soda and sulphur. Sulphure'tum sti'bii wati'vum; SuU phuretum stibii nigrum. Antimonium cru- dum. Native sulphuret of antimony^ It is from this ore that all our preparations of antimony are made. See Antimony i SULPHURIC ACID, Acidum sulphu- ricum. Oil of vitriol. Vitriolic acid. Sul- phuric acid consists of sulphur, w;hich con- stitutes its basis, and of oxygen. It fre- quently occurs in combination with alkalis, earths, and metals ; but seldom in a state of purity, and whether at all, has been doubt- ed. For chemical, medical, and other pur- poses, it is obtained by the rapid combustion of sulphur with nitre, and the decomposi- tion of metallic and earthy sulphates by fire. If melted sulphur be exposed in open air to an increased heat, it takes fire, is entirely consumed, and burns with a flame, and an acid suffocating vapour. The sulphur is by this combustion changed to an acid. If the heat by which burning sulphur is consumed be only weak, its flame is blue, and the acid then generated is imperfect, very volatile^ and aeriform. This imperfect sulphuric acid is the sulphurous acid. The sulphuric acid may be obtained by different methods ; that prepared in England is by the combus- tion of sulphur ; for which purpose peculiar apartments, with their insides lined Avith lead, are constructed, in order to enclose the burning sulphur. But because the sul- phur would in that situation be soon extin- guished, and never burn with due vivacity, about the eighth part of its weight of nitre is mingled with it to supply vital air, with- out which no combustion can exist. Both the water at the bottom of the chamber, and also the aqueous vapours conveyed into it, imbibe the sulphuric acid as it forms. The weak or dilute acid thus obtained is collected and concentrated by evaporating the superfluous water in glass vessels. Sul- phuric acid, concentrated in this manner, is sold under the name of English oil ofvi^ trial, oleum vilrioli, to distinguish it from another species, called Saxon oil of vitriol f which is obtained from green vitriol by dis- tillation. Every kind of concentrated sul- phuric acid, formerly found in commerce, was prepared by distillation from green vi- triol, or copperas ; and it is on this account that the sulphuric acid is generally calletl vitriolic acid. Oil of vitriol is a very strong arid, burns and corrodes the skin. When. Sa4 SUL sUL pure, it has neither colour nor smell, but is Very apt to turn more or less brown, and of a sulphureous odour, by combustible, ani- mal, and vegetable matter, as is usually the case with what is sold in the shops. If sul- phuiic acid be highly concentrated, it con- geals at a temperature of 48°, and becomes a crystalline mass, formerly termed glacial oil of vitriol . Mixed with water it becomes hot, and is then termed spirit of vitriol. Sulphuric acid is a powerful antiseptic and tonic : it is given, properly diluted, in the dose of from one to three drops with cin- chona and other medicines in the cure of fevers and debilities, and it is often applied externally, when veiy much diluted, against psora and some chronic affections of the skin. Str'LPHUR.is flo'res. See Sulphur sub- limatum. SULPHUROUS ACID GAS. Several philosophers have paid attention to the pro- perties of this gas and its combinations ; but BerthoUet was the first who published an accurate account of it, which Fourcroy and Vauquelin, have investigated still more completely. Their paper is inserted in the .Annates de Chimie, II. 54. and copied into JVicholson' s Journal, vol. I. />. 313. When sulphur is united to oxygen it forms an acid. "When the quantity of oxy- gen is sufficient to oxygenate a given quan- tity of sulphur completely, the result is a perfect acid called sulphuric acid. If a less quantity of oxygen is made use of, the result is an imperfect acid, capable of tak- ing the gaseous state. To this gaseous fluid the name of sulphurous acid gas is given. It becomes obvious from this, that sulphurous acid gas has the same relation to sulphuric acid as phosphorous acid has to the phosphoric acid. At least this gas oc- cupies the middle place between sulphur and sulphuric acid. Properties. — Sulphurous acid gas is a permanently elastic aereform fluid at the ordinary pressure and temperature of our atmosphere. Its odour is strong and suffo- cating. It cannot maintain combustion, nor the respiration of animals. . Its weight is more than double that of atmospheric air. Its specific gravity according to Bergman is 0.00246, and 0.00251, according to Lavoi- sier. It is not inflammable. One hundred cubic inches of it weigh nearly 63 grains. It is composed, according to Fourcroy, of 85 sulphur and 15 oxygen, but subsequent ex- periments have made the proportions equal. It is acid ; it first reddens and then destroys the greater part of the vegetable colours. It exerts little action on the metals, and has a weak attraction to alkalis and earths. It has the property of whitening silk and giv- ing it a lustre. Priestley, Bergman, Ber- thoUet, &c. say that at high temperatures it deposits sulphur, but Fourcroy and Vau- quelin, in consequence of some new experi- ments, deny this assertion. Phosphorous has no action upon it. Its attraction for oxygen when dry, at the common tempera- ture, is very feeble, but, if the smallest quantity of moisture be present, the union of the two gases is much favoured. At high temperatures the combination is more spee- dily effected. When a mixture of sulphu- rous acid gas and oxygen gas is made to pass through an ignited tube, the two gases com- bine, and sulphuric acid is formed. Wheu this gas is passed into water cooled down to the freezing point, the union is very rapid. Water cooled to forty degrees absorbs one- third part of its weight of sulphurous acid gas. It speedily melts ice. Water satura- ted with it may be frozen without parting with its gas ; but when water, which has been saturated with it is exposed to heat, it is filled with a vast number of bubbles which continually increase and rise to the sui'face ; these bubbles are the gas separa- ting from it. It is absorbed by oU, ether, and sulphuric acid, the latter when satura- ted with it acquires the property of smoak- ing when exposed to air ; its colour is al- tered to a yellowish-brown, and its odour is penetrating like that of the gas. When the acid thus saturated with the gas, is ex- posed a few degrees below the freezing point, it congeals or freezes into a crystal- line mass. The same happens when sub- mitted to distillation. It decomposes nitric and oxymuriatic acid, and dissolves cam- phor. Sulphurous acid gas and hydrogen gas have no action upon each other at com- mon temperatures, but if they are passed through an ignited tube, a decomposition is effected. Charcoal likewise decomposes sulphurous acid gas at a high temperature. Monge and Clouet affirm that, by extreme artificial cold and a strong pressure exerted at the same time, they rendered sulphurous acid gas fluid. Methods of obtaining Sulphurous Acid Gas. — 1 . Take one part of mercury and four of concentrated sulphuric acid ; put them into a glass retort connected with the pneu- matic quicksilver-trough, and apply tlie heat of a lamp to the mixture till it boils. On continuing the heat, as the mercurj' is acted upon, sulphurous acid gas will be ob- tained in abundance. In this case a partial decomposition of the sulphuric acid takes place. The mercury abstracts part of its oxygen and becomes converted into an oxyde ; the sulphuric acid, in consequence of the loss of oxygen, be- comes converted into sulphurous acid, which tak^s the gaseous form at the common tem- perature. 2. Sulphurous acid gas may likewise be obtained by the slov/ combustion of sulphur in a close vessel. Explanation. — During the burning of the sulphur in a confined quantity of atmo- spheric air, it combines with the oxygen SUP SUP 655 contalnecl in it ; this, however, Qot being sufficient to oxygenate the sulphur com- pletely, the result is an imperfect aeriform acid, or sulphurous acid gas, which remains mixed with the azote. 3. Sulphurous acid gas may also be ob- tained by decomposing sulphite of potash or soda, either by heat alone, or by the affusion of acids. 4. If charcoal be moistened with sulphu- ric acid, and then exposed to distillation, the product are carbonic acid gas and sulphur- ous acid gas. During this operation the charcoal attracts part of the oxygen of the sulphuric acid, and forms carbonic acid gas. The sulphu- ric acid is therefore partly de-oxidated and becomes converted into sulphurous acid gas. 5. Sulphurous acid gas is likewise formed by distilling sulphur with the oxides of mer- cury, lead, tin, manganese. Sic. In these processes the sulphur attracts the oxygen of the metallic oxides, and becomes converted into sulphurous acid gas, while the oxydes are partially restored to the me- tallic state. Water impregnated with sulphurous acid gas forms SuLPHTJROrS ACID. 1. To prepare sulphurous acid take one part of mercury and four of concentrated sulphuric acid, put them into a retort fur- nished with a receiver, and connected with Burkitt's or Pepy's apparatus. The sul- phurous acid gas which is disengaged is ab- sorbed by the water in the vessel, and con- stitutes sulphurous acid. 2. Sulphurous acid is likewise formed du- ring the slow combustion of sulphur, when water is present. The salts formed by the combination of sulphurous acid with different bases, are called sulphites. ; Sulphur, vjashed. See Sulphur latum. Sulphur, precipitated. See Sulphur prce- cipifatum. Sultanfiower. The Centaurea moschata, of Liunseus. Sumach. (Sumak, from samak, to be red ; so called from its red berry.) See Rhus coriaria. Sumach, elm-leaved. See Rhus coriaria. Su'men. (Arab.) The lower or fat part of the belly. Sun-dew. See Drosera rotwadifolia. Superace'tas pltj'mbi. Superacetate of lead. See Plumbi superacetas. Sitperarse'nias pota'ssje. Superarse- niate of potash. A compound of potash with excess of arsenic acid. It was called Mac- quer'^s Arsenical Salt, from its discoverer ; and has been sometimes given in medicine, possessing similar properties to those of the white oxyde of arsenic. Supe'rbtts. See Rectus superior oculi. SUPERCI'LIUM. See Eyebrow. Scperci'lium ve'weris. The milfoil or yarrow was once so termed. See Achillea millefolium. SUPERFCETATION. {Superfcetatio, from super, above or upon, and fatus, a fostus.) The impregnation of a woman al- ready pregnant. SxjpERGEMiNA'Lis. (From super, above and gemini, the testicles.) The epididymis, or body above the testicles. Sfpergenfa'lis. (From super, above, and genu, the knee.) The patella, or knee- pan. SupERiMPREGjrA'Tio. (From super, above, and impregnatio, a conception.) Su- perfoetation. Superior au'ris. See Attollens aw rem. Superli'gula. (From super, above, and ligula, a Uttle tongue, the glottb.) The epiglottis. Superpurga'tio. (From swper, beyond, 3.ndpurgo, to purge.) An excessive evacu- ation by stool. Superscapula'ris. From super, upon, and scapula, the shoulder-blade.) A muscle seated upon the scapula. SUPINATION. (Supinatio, from supi- nus, placed upward.) The act of turning the palm of the hand upwards, by rotating the radius upon the ulna. SUPINATOR. (From supinus, up- wards.) A name given to those muscles which turn the hand upwards. Supina'tor bre'vis. See Supinator rU' dii brevis. Supina'tor Lo'jrGus. See Supinator ra- dii longus. SUPINATOR RA'DII BRE'VIS. Su- pinator brevis, site minor, of Winslow, and epicondylo-radial, of Dumas. This smsill muscle, which is tendinous externally, is situated at the upper part of the fore-arm under the supinator longu^, the extensor carpi radialis brevis, the extensor carpi ul- naris, the extensor digitorum communis, and the extensor minimi digiti. It arises tendinous from the lower and anterior part of the outer condyle of the os humeri, and tendinous and fleshy from the outer edge and posterior surface of the ulna, adhering firmly to the ligament that joins the radius to that bone. From these origins its fibres descend forwards and inwards, and are inserted into the upper, inner, and ante- rior part of the radius around the cartilagi- nous surface, upon which slides the tendon of the biceps, and likewise into a ridge that runs downwards and outwards below this surface. This muscle assists in the supination of the hand bv rolling the radius outwards. SUPINATOR RA'DII LO'NGUS. Su- pinator longus, of Albinus. Supinator longus sive major, of Winslow, and humerO' sus radial, of Dumas. A long flat muscle covered by a very thin tendinous fascia, and situated immediately under the integuments 856 SUR SWA along the outer convex surface of the radius. It arises, by very short tendinous fibres, from the anterior surface and outer ridge of the OS humeri, about two or three inches above its external condyle, between the brachialis internus and the triceps brachii ; and likewise from the anterior surface of the external intermuscular membrane, or ligament, as it is called. About the middle cf the radius, its fleshy fibres terminate in a fiat tendon, which is inserted into tlie in- ner side of tiie inferior extremity of the ra- dius, near the root of its styloid process. This muscle not only assists in rolling the radius outwards, and turning the palm of the hand upwards, on which account Riola- nus first gave it the name of supinator, but it likewise assists in pronation, and in bend- ing the fore-arm. SUPPOSITO'RIUM. (From sub, under, and pono, to put.) A suppository, i. e. a substance to put into the rectum, there to remain and dissolve gradually. Suppressed menses. See Amenorrhcea. SUPPURATION. (Suppuratio, from suppuro, to suppurate.) That morbid ac- tion by which pus is deposited in inflam- matory tumours. See Pus, SrpRA costa'les. a portion of tlie in- tercostal muscles. See Intercostal mus- cles. SUPRA SPINA'TUS. (Musculus supra- spinatus.) Supra spinatus sen supersca- pularis, of Cowper, and sous-spino-scapulo- truchiterien, of Dumas. This muscle, which was first so named by Riolanus, from its situation, is of considerable thickness, wider behind than before, and fills the whole of the cavity or fossa that is above the spine of the scapula. It arises fleshy from the whole of the base of the scapula that is above its spine, and likewise from the spine itself, and from the superior costa. Opposite to the basis of the coracoid process, it is found beginning to degenerate into a tendon, which is at first covered by fleshy fibres, and then passing under the acromion, adheres to the capsular ligament of the os humeri, and is inserted into the upper part of the large tuberosity at the head of the os humeri, This muscle is covered by a thin fascia, which' adheres to the upper edge and supe- rior part of the basis, as well as to the upper edge of the spine of the scapula. The prin- cipal use of the supra spinatus seems to be to assist in raising the arm upwards ; at the same time by drawing the capsular liga- ment upwards, it prevents it from being pinched between the head of the os humeri and that of the scapula. It may likewise serve to move the scapula upon the hu- merus. SURA. (Arab.) The calf of the leg ; the fibula. SURFEIT. The consequence of excess in eating or drinking, or of something unwholesoKie or improper in these articles. It consits in a heavy load or oppression of the stomach, with nausea, sickness, impede^ perspiration, and at times eruptions on the skin. SURGERY. {Chirurgia, from ^uf, the hand, and i^yov, labour.) A branch of the science of medicine, having for its object the cure of external diseases. S0S scro'fa. The systematic name of the hog, which afibrds lard. Suspended animation. See Resuscitation, SUSPENSO'RIUM. (From suspendeo, to hang.) A suspensory ; a bag, or bandage, to suspend the scrotum. Suspenso'ricm he'patis. The broad ligament of the liver. Suspensc'rius te'stis. The cremaster muscle of the testicle. Susu'rrus . (From sv.surro, to murmur.) An imaginary sound in the ear. SUTURE. {Sutura, from sua, to join together.) Called also clavata comtnis- sura, 1. In surgery this term signifies the uni-^ ting the lips of a wound by sewing. A number of difierent kinds of sutures have been recommended by writers on surgery, but all of them are now reduced to two ; namely, the twisted, and the interrupted, called also the knotted suture. The twisted suture is made in the following manner % having brought the divided parts nearly into contact, a pin is to be introduced from the outside inwards, and carried out througli the opposite side to the same distance from the edge that it entered at on the former side ; a firm wax ligature is then to be passed around it, making the figure of 8^ by which the wounded parts are drawn gently into contact. The number of pin? is to be determuied by the extent of the wound ; half an inch, or at most three quar- ters, is the proper distance between two pins. The interrupted suture is practised where a number of stitches is required, and the interruption is only the distance be-? tween the stitches. 2. In anatomy the word suture is applied to the union of bones by means of denti- form margins, as in the bones of the cra^r nium. See Temporal, sphenoidal, sygomatiCf transverse, coronal, lambdoidal, and sagittal sutures. Swallow-wort. See Aselepias vincetoxi- cum. SWAMMERDAM, John, was bom at Amsterdam in 1637, and displayed an early predilection for natural history, particularly entomology. At Leyden, where he studied physic, he was distinguished by his skill wd assiduity iii anatomical experiments and the art of making preparations ; and on taking his degree there in 1667, he published a thesis on Respiration. At this time he began to practise his invention of injecting the vessels with ceraceous matter, from which anatomy has derived very inaportaat SWi SYD advaulages. Iq the dissection of iusects he was singularly dexterous by the aid of in- struments of his own inventioa. The Graod Duke of Tuscany invited him about this period to Florence on very liberal terms, but he declined the offer from aversion to a court-life, and to any religious restraints. In 1669 he published in his native language •* A General History of Insects," afterwards reprinted and translated into French and Latin, the latter with splendid figures. In 1672 another work appeared, entitled " Mi- raculum Naturae," detailing the Structure of the Uterus ; of which there were many subsequent editions. By intense application he became hypochondriacal and infatuated with mysticism, so as to abandon all his scientific pursuits ; and his constitution was worn out by his mortifications, so that he died in 1680. Several of his papers, which came long after into the hands of Boerhaave, were published under the title of " Biblia Naturae ;" in which the history of bees is particularly esteemed. Sweat. See Perspiration. Sweating, immense. See Ephidrosis. Sweet marjoram. See Origanum majo- tana. Sweet navew. See Brassica rapa. Sweet rush. See Andropogon scmnan- thus. Sweet sultan. The Centaurea moschala, i3i Linnaeus. Sweet willow. See Myrica gale. SWIETEN, Gerard Van, was born at Leyden in 1700. From the loss of both his parents, his early education is said to have been somewhat neglected ; but being sent at sixteen to the university of Louvain, he soon distinguished himself by his superior attainments. He then returned to his native place, and became a favourite pupil of the illustrious Boerhaave ; and after studying seven years took the degree of doctor in 1725 : and so much had he profited by the instructions of that great master, as well as by his own unwearied researches, that he was immediately appointed to a medical professorship, which he occupied for many years with great reputation. At length, however, his success excited envy, and there being a law, which prohibited those not professing the religion of the State from holding any public appointment. Van Swie- ten, being a Roman Catholic, was obliged to resign his chair. He devoted the leisure thus acquired to the composition of his ex- cellent commentaries on the Aphorisms of Boerhaave : and while engaged in this work, he was invited by the Empress Maria Theresa to settle at Vienna, which he ac- cepted in the year 1745, after stipulating, that he should be allowed to follow his usual mode of life, v/hicii v/as not well adapted for a court. The intellectual and nioral endowments of this physician qualifi- ed him in every respect for conducting the medical school at Vienna ; and that science in Germany was ultimately essentially be- nefited by his exertions. He executed, during eight years, the office of professor with singular zeal, and having obtained the full confidence of his royal mistress, he was enabled to reform many abuses, and procure great advantages for the study of medicine in that city. His extensive erudi- tion gained him the farther honour of being entrusted with the interests of learning in general in the Austrian dominions ; he was appointed Imperial Librarian, President of the Censorship of Books, &:c. ; and also created a Baron of the Empire. He was likewise voluntarily enrolled in the list of almost all the distinguished literary societies of Europe. The inflexibility of his charac- ter led him to maintain a long opposition to small-pox inoculation. He died in 1772, and a statue was erected to his memory by the Empress at Vienna. His commentaries will always maintain their reputation, from the immense number of facts, well selected and well arranged, and the judicious sum- mary of antient and modern medical know- ledge, which they contain. He also pub- lished another useful work on the Diseases which prevail in Armies. SWIETE'NIA. (Named after Van Swie- ten.) The name of a genus of plants. Class, Decandria. Order, Monogynia, Swiete'nia maha'gohi. The systema- tic name of the mahogany tree. The bark of the wood of this tree is of a red colour in- ternally ; has an astringent bitter taste ; and yields its active matter to water. It has been prepared as a substitute for Peruvian bark, and has been used as such with ad- vantage. Dose half a drachm. Swine-pox. See Varicella. Stco'ma- (From i7i/k«, a fig.) A wart or excrescence resembling a fig. Syco'sis. The ophthalmia trachoma of Sauvages ; also a fungous ulcer ; and ac- cording to others the tumour on the anus called marisca. SYDENHAM, Thomas, was born at Winford-Eagle, in Dorsetshire, about the year 1 624. He was entered at Oxford ; but during the civil war, when that city was occupied by the royal party, he retired to London. On this occasion, the illness of his brother brought him acquainted with Dr. Coxe, an eminent physician, who, finding Sydenham undecided as to tho choice of his profession, persuaded him to study medicine on his return to Oxford. Accordingly, in 1648, he took tho degree of bachelor of physic, and about the same period obtained a fellowship ; then pur- suing his studies a few years longer, he procured a doctor's degree from Cambridgej and settled as a physician in Westminster. The extensive practice^ which he is said to 108 SYD rxx^i have enjoyed from 1660 to 1670, must be chiefly ascribed to the superior success of the means employed by him, which, being so different from those previously in use, became more readily a matter of notoriety ; for after the restoration, his connections could have contributed little to his advancement. He appears to have paid little attention to the prevailing^ medical doctrines, being early persuaded that the only mode of acquiring a correct knowledge of his art was to ob- serve diligently the progress of diseases, whence the natural indications of cure might be derived ; in which opinion he had the sanction of the celebrated Mr. Locke. It was to febrile diseases that he first ap- plied this inductive method, and it cost him several years of anxious attention to satisfy himself as to the proper mode of treating them : the result of which he published in 1666, under the title of " Methodus cu- Fandi Febres," and again, nine years after, with additional remarks, suggested by sub- sequent experience. His writings are not altogether free from hypothesis ; but he seems to have been little influenced by these in his practice ; and by closely observing the operations of nature, and the effects of remedies, he was enabled to introduce very essential improvements. In small-pox es- pecially, by checking the eruptive fever by means of cool air, and other afttiphlogistic means, he ascertained that the eruption and consequent danger were greatly diminished : ■which plan applies likevifise to other eruptive and febrile diseases, as has been since deter- mined by general experience. His sagacity was also manifested in the correct histories, which he has left, of some diseases, as par- ticularly small-pox, measles, gout, and hystaria. He was likewise very attentive to the varieties occurring, especially in febrile disorders at different seasons, or in different years ; and was led to suppose these connected with a particular constitu- tion of the air. He had been subject, for above thirty years, to gout, and stone in the kidney, which impaired his constitution, and at last terminated his life, in 1689. After his death, a manual of practice, com- posed for his son, was published under the title of " Processus Integri in Morbis fere omnibus curandis." Sydenham ever main- tained the character of a generous and public spirited man; he conducted himself without that arrogance which too often ac- companies original talent ; and he has been universally acknowledged the first physician of his age. The numerous editions of his works, both singly and collectively, in almost every country of Europe, the defe- rence paid to his authority, and the com- mendations bestowed upon him by almost ail practical writers since, amply prove the solidity of his title to the high reputation attached to his name.' The college of phy- sicians, though he was only late in life admitted a licentiate, have subsequently placed his bust ia their hall, near that of Harvey. St'lphium. Asafostida is so termed by- some writers. See Ferula asafcetida. SY'LVIUS, Francis De le Boe, was boim at Hanau, m 1614. He took his degree at Basle, and then visited, for im- provement, some of the chief universities in France and Germany. He settled first at his native place, but removed to Amsterdam, where he enjoyed a high reputation for several years, till he was called to Leyden, in 1638, to assume the office of first pro- fessor of medicine. He soon drew toge- ther, by his genius and eloquence, a nu- merous audience from all parts of Europe. He was one of the earliest advocates for Harvey's doctrine of the circulation of the blood, and chiefly effected its reception into that school. But, on the other hand, he materially retarded the progress of medicine by a fanciful hypothesis, which attracted much notice, referring all diseases to che- mical changes, produciug an excess of acid, or of alliali. His works were chiefly con- troversial tracts, in which he defended his peculiar notions. He died in 1672. Sy'lvius, James Du Bois, was born at Amiens in 1478. Having chosen the profession of physic, he studied diligently the writings of the antients, especially Hip- pocrates and Galen ; and was no less assi- duous in the pursuit of other branches of medicine, particularly anatomy, pharmacy^ and botany. Before taking a degree, he undertook a private course of lectures at Paris, in which he so distinguished himself^ that in two years he collected a crowd of pupils from various parts of Europe ; but the jealousy of the Parisian physicians obliged him to go to Montpellier, in 1520y for the purpose of graduation. His ex- treme parsimony, however, would not per- mit the necessary expenses ; and he was at last successful in compromising his dif- ferences with the Parisian faculty. He subsequently continued his lectures with very great success, and in 1550 he was appointed professor of medicine at the royal college ; but his death occurred five years afterwards. His works were popular during the reign of the old school, but are now obsolete. As an anatomist, he merits great praise, having made various discoveries, notwithstanding the fejv opportunities he had of human dissection. He wrote with great violence against Vesalius, his pupil, because he had presumed to correct Galen. SYMBLETHARUM. (From a-uv, with, and fiKi plication to study, or giving way to grief, fear, or great anxiety, by depriving the body of a part of its accustomed clothing, by ex- posing any one particular part of it, whilst the rest is kept of its usual warmth, or by exposing it generally or suddenly to cold when heated much beyond it usual tempe- rature ; these we may, therefoi-e, look upon as so many causes giving an effect to cold which it otherwise might not have produced. Another frequent cause of fever seems to be breathing air contaminated by the vapours arising either directly or originally from the body of the person labouring under the dis- ease. A peculiar matter is supposed to ge- nerate in the body of a person affected with fever, and this floating in the atmosphere, and being applied to one in health, will no doubt often cause fever to take place in him, which has induced many to suppose that this infectious matter is produced in all fe-i vers whatever, and that tliey are all, more or less, contagious. The effluvia arising from the human body, if long confined to one place without being diffused in the atmosphere, will, it is well known, acquire a singular virulence, and will, if applied to the bodies of men, become the cause of fever. Exhalations, arising from animal or vegetable substances in a state of putrefaction, have been looked upon as another general cause of fever : marshy or moist grounds, acted upon by heat for any length of time, usually send forth exha- lations which prove a never-failing source of fever, but more particularly in warm cli- mates. Various hypotheses have been main- tained, with respect to the proximate cause of fever ; some supposing it to be a lentor or viscidity prevailing in the mass of blood, and stagnating in the extreme vessels; others, that it is a noxious matter introduced into or generated in the body, aiid that the Sim SYN S6i UJcreased action of the heart and arteries is an efibrt of nature to expel the morbific mat- ter ; others, that it consisted in an increased secretion of bile ; and others again, that it is to be attributed to a spasmodic constric- tion of the extreme vessels on the surface of the body ; which last was the doctrine taught by the late Dr. Cullen. An attack of this fever is generally mark- ed by the patient's being seized with a con- siderable degree of languor or sense of de- bility, together with a sluggishness in mo- tion, and frequent yawning and stretching ; the face and extremities at the same time become pale, and the skin over the whole surface of the body appears constricted; he then perceives a sensation of cold in his back, passing from thence over his whole frame, and this sense of cold continuing to increase ; tremoi's in the limbs, and rigors of the body succeed. With these there is a loss of appetite, want of taste in the mouth, slight pains in the head, back, and loins, small and frequent respirations. The sense of cold and its ef- fects after a little time become less violent, and are alternated with flushings, and at last, going off altogether, they are succeeded by great heat diffused generally over the •whole body ; the face looks flushed, the skin is dry, as likewise the tongue ; universal restlessness prevails, with a violent pain in the head, oppression at the chest, sickness at the stomach, and an inclination to vomit. There is likewise a great thirst and costive- ness, and the pulse is full and frequent, beating, perhaps, 90 or 100 strokes in a minute. When the symptoms run very high, and there is a considerable determination of blood to the head, a delirium will arise. In this fever, as well as most others,, there is generally an increase oi symptoms to- wards evening. If the disease is likely to prove fatal, either by its continuing a long time, or by the severity of its symptoms, then a starting of the tendons, picking at the bed-clothes, involuntary discharges by urine and stool, coldness of the extremities, and hiccoughs, "will be observed ; where no such appear- ances take place, the disease will go through its course. Ai a fever once produced will go on, al- thougli its cause be entirely removed, and as the continued or fresh application of a cause of fever neither will increase that which is already produced, nor occasion a new one, there can be no certainty as to the duration of fever, and it is only by attending to cer- tain appearances or changes, which usually take place on the approach of a crisis, that we can form any opinion or decision. The symptoms pointing out the approach of a crisis, are the pulse becoming soft, mode- rate, and near its natural speed ; the tongue losing its fur and becoming clean, with an al^atement of thirst ; the skin being coverwH "With a gentle moisture, and feeling soft to the touch ; the secretory organs performing their several offices ; and the urine deposi- ting flaky crystals of a dirty red colour, and becoming turbid on being allowed to stand any time. Many physicians have been of opinion, that there is something in the nature of all acute diseases, except those of a putrid kind, which usually determines them to be of a certain duration, and, therefore, that these terminations, when salutary, happen at cer- tain periods of the disease rather than at others, unless disturbed in their progress by an improper mode of treatment, or the ari- sing of some accidental circumstance. These periods are known by the appellation of cri- tical days ; and from the time of Hippo- crates down to the present, have been pretty generally admitted. The truth of them^, Dr. Thomas thinks, can hardly be disputed, however they may be interrupted by various causes. A great number of phenomena show us, that both in the sound state and the diseased, nature has a tendency to observe certain periods ; for instance, the vicissitude^ of sleeping and watching occurring with such regularity to every one ; the accurate periods that the menstrual flux observes, and the exact time of pregnancy in all viviparous animals, and many other such instances that might be adduced, all prove this law. With respect to diseases, every one mast have observed the definite periods which take place in regular intermittents, as well those universal as topical ; in the course qf true inflammation, which at the fourth, or at the farthest the seventh day, is resolved., or after this period changes into either ab- scess, gangrene, or schirrhus; in exanthe- matous eruptions, which, if they are favou- rable and regular, appear on a certain and definite day ; for example, the smail-pox about the fourth day. AH these appear to be founded on immutable laws, according to which the motions of the body in health and in disease are governed. The days on which it is supposed the ter« mination of continued fevers principally hap- pens, are the third, fifth, seventh, ninth, eleventh, fourteenth, seventeenth, and twentieth. A simple continued fever terminates al- ways by a regular crisis in the manner be- fore mentioned, or from the febrile matter falling on some particular parts, it excites inflammation, abscess, eruption, or destroys the patient. Great anxiety, loss of strength, intens^e heat, stupor, delirium, irregularity in the pulse, twitchings in the fingers and liands, picking at the bed-clothes, startings of tlie tendons, hiccoughs, involuntary evacuations by urine, and stool, and such like sj^mptoms^ point out the certain approach of death. On the contrary, when the senses remain clear and distinct, the febrile heatabate^ the 109 SYP ':iY¥ akin is soft and moist, the pulse becomes moderate and is regular, and the urine de- posits flaky crystals, we may then expect a speedy and happy termmation to the dis- ease. The usual appearances which are to be observed on dissection of those who die of this fever, are an effusion within the cra- nium and topical affections perhaps of some viscera. This disease being of a mixed nature, the treatment must be modified accordmgly. In the beginning the same plan is to be pursued, as in synocha, except that we must be more sparing in the use of the lancet, in proportion as there is less power in the system, to main- tain the increased action of the heart and ar- teries ; although if any important part should be much affected, we must act more vigo- rously, to prevent its disorganization, and the consequent destruction of life. When the character of the disease is changed, the means proper will be such as are pointed out under the head of Typhus. SYNO'VIA. (A term of no radical mea- ning, coined by Paracelsus.) Hydarthros. Mucilago. An unctuous fluid secreted from certain glands in the joint in which it is con- tained. Its use is to lubricate the cartilagi- nous surfaces of the articulatory bones, and to facilitate their motions. Synovial glands. Glandulw synovia. The assemblage of a fatty fimbriated struc- ture within the cavities of some joints, SYNTENO'SIS. (From cw, with, and TEVfflv, a tendon.) A species of articulation where the bones are connected together by tendons. Stjvte'xis. (From b-uvth^o!, to dissolve.) A marasmus or colliquative wasting of the body. SY'NTHESIS. (From , to con- cur.) The reduction of a fracture. Syhtulg'tica. (From (xwovKoce, to cica- trise.) Medicines which heal wounds. SY'PHILIS. (The name of a shepherd, who fed the flocks of king Alcithous, who, proud of their number and beauty, insulted the sun ; as a punishment for which, fable relates, that this disease was sent on earth ; or from s"«|>xoc, filthy.) Lues venerea. Mor- bus Gallicus. A genus of disease in the Class, Cachexia, and Order, Impetigines, of Cullen. Towards the close of the memo- rable fifteenth century, about the year ] 494 or 1495 the inhabitants of Europe were greatly alarmed by the sudden appearance of this disease. The novelty of its symp- toms, and the wonderful rapidity with which it was propagated throughout every part of the known world, soon made it an important object of medical inquiry. In common language, it is said a person has syphilis or is posed when the venereal poisoa has been received into, or is diffused thi'ough the system, and there produces its peculiar effects, as ulcers of the mouth or fauces, spots, tetters, and ulcers of the skin, pains, swelling, and caries of the bones, &c. But as long as tlie effects of the poison are local and confined to or near the genitals, the disorder is not called syphilis, lues vene- rea, nor pox; but distinguished by some particular name, according to its different seat or appearance ; such as gonorrhoea ve- nerea, chancre or bubo. The venereal disease is always produced by a poison. Concerning the nature of this poison, we know no more than we do about that of the small-pos or any other conta- gion : we know only that it produces peculiar effects. The smallest particle of this poiso^ is sufficient to bring on the most violent dis- order over the whole body. It seems to spread and diffuse itself by a kind of fer- mentation and assimilation of matter ; and, like other contagions, it requires some time after being applied to the human body, before it produces that effect. It is not known whether it has different degrees of acrimony and volatility, or whether it is always the same in its nature, varying only with regard to the particular part to which it is applied, or according to the different habit and consitution or particular idiosyn- crasy of the person who receives the in- fection. We know that mercury possesses a certain and specific power of destroying the venereal virps ; but we are quite uncer- tain whether it acts by a sedative, adstriu- gent, or evacuant quality ; or if not, perhaps, rather by a chemical elective attraction whereby both substances uniting with one another are changed to a third, which is no more hurtful, but has some new properties entirely distinct from those which any of them had before they were united. The variolous miasma, we know, produces its effects in about twenty or twenty-four days after the infection is received from the at- mosphere, and eight or ten days^if by inocu- lation, but the venereal virus se'^ms to keep no particular period. At some times, and, perhaps, in particular persons, I)r. Swe- diaur has seen chancres arise in the space of twelve hours, nay, in a still shorter time, -indeed he mentions in a few minutes, after an impure coition ; whereas in most cases, they make their appearance only in as many days. The generality of men feel the first symptoms of a clap between tiie second and fifth days after an impure coitus; but there are instances where they do not appear till after as many weeks or months. Dr. S. was consulted by a young man, who was seized with a violent discharge from the glans along with a phimosis, but without any chancres, four weeks after coi- tion ; and during all the interval, he felt not the least symptom of the disease. Some years ago, a gentleman went out from Lon- don, in seemingly perfect health, to the SYP SYF 867 East Indies ; but on his arrival in that liot climate, after a voyage of four months, a violent clap broke out before he went on shore, though he could have received no in- fection during the voyage, as tliere was not a woman on board. There are instances which render it probable that the virus may lie four, five, or six weeks, and perhaps longer, on the surface of the genitals before it is absorbed ; and were it not then to pro- duce a chancre, might probably not be ab- sorbed at all. We see daily esEimples, where common women communicate tlie in- fection to different men in the space of seve- ral weeks, while they themselves have not the least symptom of syphilis local or uni- versal, the poison lying all that time in the vagina harmless, and generally without be- ing absorbed. How long tlie venereal vi- rus may lurk in the body itself, after it has been absorbed into the mass of blood, before it produces any sensible effect, is a matter of equal uncertainty. There is scarcely a practitioner who has not observed instances of its remaining harmless for weeks or even months in the body. Dr. Swediaur had a case, where, after laying dormant for half a year, it broke out with unequivocal symp- toms. But the following instance, if to be depended upon, is still more extraordinary : Some years ago, says the above writer, I was consulted by a gentleman about a sore throat, which I declared to be venereal. My patient was astonished ; and assured me that for nine years past he had not had the least venereal complaint, nor had he any reason to believe he had since received any infec- tion ; but that he had been in the East Indies, where he was affected with a violent clap. On his return to Europe, being to appear- ance in good health, he married, and conti- nued perfectly free of any such complaint ever since. By a mercurial course, how- eveiv the complaint for which he applied to me was completely removed. With regard to its effects, the venereal poison follows no constant rule : for though, in general, it affects first the throat, where it produces ul- cerations, in others it exerts its virulence on the skin or bones. Whilst the greatest part of mankind are thus easily affected by this poison, there are some few who seem to be altogether unsusceptible of the infection : as happens equally with the variolous con- tagion, though they go into infected places, and expose themselves to inoculation or every hazard by which the disease is gene- rally coiTununicated. Some persons are more liable than others to be infected who are seemingly of the same habit ; nay, the very same person seems to be more liable to be infected atone time than another, and those who have been once infected seem to be more liable to catch the infection a second time, than those who never were infected before with the dijease. The climate, season, asre, state of health, idiosyncrasy, are, perhaps, as iu other diseases, the necessary predisposing causes. The same difference is observable in the progi-ess made by the disease after the patient is infected. In some the progress is slow, and tlie disease appears scarcely to gain any ground, while in others it advances with the utmost rapidity, and speedily pro- duces the most terrible symptoms. Whe- ther the venereal poison can be absorbed into the system, without a previous excori- ation, or ulceration of the genitals, or some other parts of the surface of the body, is still a matter of doubt. Several cases, however, have occurred which render it highly proba- ble, if not certain, that the poison really is now and then absorbed, without any pre- vious oxcoriation or ulceration whatsoever, and thus produces buboes and other vene- real symptoms in the body. It has been asserted by the earliest and even by some late writers, that it may be caught by lying in the same bed or living in the same room with or after an infected person. What may have been the case at the commencement of the disease cannot be said, but the most accurate observations and experiments which have been made upon the subject, do not confirm this to be the case in our times. Nor are nui'ses infected in the Lock-Hospital, where they live night and day with patients in all stages of the distemper. The fact seems to be, that patients in our times are apt to impose uix)n themselves or upon physicians and surgeons, with regard to this matter ; and the above opinion easily gains ground among the vulgar, especially in countries where people are more influenced by pre- judices, superstition, servile situation in life, or other circumstances. Hence we some- times hear the most ridiculous accounts given in those countries by friars and com- mon soldiers, of the manner by which they came to this disorder : such as piles, gravel, colics, contusions, fevers, little-houses, ly- ing in suspected beds, or lying in bed with a suspected person, retention of the se- men, coition with a woman in menstru- ation, the use of cider, bad wine or beer, &c. Another question undecided is, whether the venereal poison ever infects any fluid of our body, besides those of the mucous and lymphatic system. Does the venereal poi- son in an infected woman ever affect the milk, and consequently can the infection be conveyed to the infant by the milk alone, without any venereal ulcer on or about the nipples ? It is equally a matter of uncer- tainty whether the venereal disease is ever conveyed from an infected father or mother, by coition, to the foetus, provided their ge- nitals are sound ; or, whether a child is ever affected with venereal symptoms in the ute- rus of an infected mother. Such infected infants as came under the observation of 868 bYi? STff Df. Swediaui? or of his friends, whose prac- tice afforded them frequent opportunities of seeing new-born infants, seemed rather to militate against the opinion. Neither he nor any of them, have ever been able to ob- serve ulcerations or other symptoms of a venereal kind upon new-born children; and such as make their appearance four, sis, or eight, or more days afterwards, on the geni- tals, anus, Ups, mouth, &c. may rather be supposed to arise by infection during the passage from ulcers in the vagina of the mother, the skin of the infant being then nearly in as tender a state as the glans penis, or the labia ; and this perhaps at the time when an absorption of the venereal poison might easier take place without a previous excoriation, or ulceration of the skin. All the ways, therefore, by which we see, in our days, the venereal poison communi- cated from an unhealthy to a healthy per- son may be reduced to the following heads : 1. By the coition of an healthy person with another who is infected with venereal disease of the genitals. 2. By the coition of an healtliy person with another, apparently healthy, in whose genitals the poison lies concealed, without having yet produced any bad symptom. Thus a woman who has perhaps received the infection from a man two or three days before, may during that time infect, and often does infect the man or men who have to do with her aftervvards, without having any symptoms of the disease visible upon herself; and, vice versa, a man may infect a woman in tlie same manner. Such in- stances occur in pi'actice every day. 3. By sucking ; in this case the nipples of the wet nurse may be infected by ve- nereal ulcers in the mouth of the child : or vice versa, the nipples of the nurse being infected, will occasion venereal ul- cei's in the child's nose, mouth, or lips. It is uncertain, as mentioned above, whe- ther the venereal poison was ever pro- pagated by means of tlie milk from the breast. 4. By exposing to the contact of venereal poison any part of the surface of the body, by kissing, touching, &c. especially if the parts so exposed have been previously exco- riated, wounded, or ulcerated by any cause whatever. In this manner we frequently see venereal ulcers arise in the scrotum and thighs ; and there are some well attested instances where the infection took place in the fingers of midwives or surgeons. Se- veral instances are recorded of venereal ulcers in the nostrils, eyelids, and lips of persons who had touched their own genitals, or those of others, affected at the time with local venereal complaints, and then rubbed their nostrils, &c. with the fingers, without previously washing the hands. There v/^as a few ye;?rs ago i a Lond.on. a mela-nCholy e"xampie of a young lady, who, after having drawn a decayed tooth, and replaced it with one taken immediately from a young woman apparently in perfect health, was soon after affected with an ulcer in the mouth. The sore manifested symptoms of a venereal nature ; but such was its obstinacy, that it resisted the most powerful mercurial reme- dies, terminatuig at last in a caries of the maxilla with a most shocking erosion of the mouth and face, by which the unhappy pa- tient was destroyed. During all this, how- ever, we are informed that not the smallest venereal symptom was perceived in the woman from whom the sound tooth was procured. 5. By wounding any part of the body with a lancet or knife infected with the venereal virus. In this instance there is a similarity between the venereal poison and. that of the small-pox. There are several examples of the latter being produced by bleeding with a lancet which had been pre- viously employed for the purpose of inocu- lation, or of opening variolous pustules, without being properly cleaned afterwards. In Moravia, in tlie year 1577, a number of persons who assembled in a house for bath- ing, had themselves, according to the custom of that time, scarified by the barber, were all of them infected with the venereal dis- ease, and treated accordingly. Krato, the physician, and Jordan who gave a descrip- tion of this distemper, are both of opinion that it was communicated by means of the scarifying instrument. And Van Swieten relates several instances where the lues was communicated by a similar carelessness ia cleaning the instrument used in bleeding or scarification.. The venereal poison applied to the ure- thra and vagina produce a clap. See Go- norrhaa. Coming into contact with other parts it produces a chancre or bubo and constitutional symptoms. Chancre is the primary and immediate consequence of ino- culation witli true venereal matter in any of the ways which have been mentioned, and may arise in any part of the human body : but it generally shows itself in the pudenda, because the infecting medium is there first taken up in the one sex, and com- municated by contact to the other. It is not, however, peculiar to these parts, for whenever the same kind of fluid is applied to a scratch on the hand, finger, lip, or nip- ple, the same consequence will follow. There can be no doubt but that the slightest abrasion possible, or breach of the cuticle, is sufficient to give a speedy admission to this destructive poison. A chancre makes its appearance either with a slight inflam- mation which afterwards ulcerates, or there arises a small pimple or pustule filled with a transparent fluid, which soon breaks and forms into a spreading ulcer. The period at which it makes its appearaacs after ii>» j3YF SYP 8^9 fectlou is veiy various, being most couimon- ly in five or six days, but in some cases not till after the expiration of as many weeks. There is both a local and general predispo- sition to chancres : Jews and Mahommedans, from the constant exposure of the glans and loss of the prepuce, have the cuticle of the glans penis of much firmer texture than Siose who have not been circumcised ; and they are, from this circumstance, much less subject to chancres than the rest of mankind. For the same reason they who, from the shortness of the prepuce, generally keep the glans uncovered, are not so liable to tlie diseases as those who have long narrow pre- putia ; for persons thus formed constantly keep the surface of the glands and prepuce moist and tender, and almost at every co- habitation are liable to abrasions and to ex- coriations. There is an intermediate state of the ve- nereal disease between a local and constitu- tional affection, which arises from the ab- sorption of venereal matter from some surface to which it has been applied. The glands situated nearest the parts thus af- fected are apt to become swelled and in- flamed, so as to give rise to what is termed bubo ; and the parts of generation usually coming first in contact with the matter, so the glands in the groin generally afford this particular symptom. In most cases the ve- nereal virus is absorbed from a chancre or an ulcer in the urethra ; but instances have occurred where a bubo has arisen without either gonorrhoea or any kind of ulceration, and where the matter appears to have been absorbed, without any erosion of the skin or jnucous membrane. A bubo comes on with a pain in the g)Poin, accompanied with some degree of hardness and swelling, and is at first about the size of a kidney bean, but continuing to increase, it at length becomes as large as an egg, occasions the person to experience some difficulty in walking, and is attended with a pulsation and tlirobbing in the tu- mour, and a great redness of the skin. In aame cases the suppuration is quickly com- pleted, in others it goes on very slow, and in others again the inflammatory appearan- ces go off without any formation of pus. In a few instances the glands have been known to become scirrhous. The following are the characteristics of a venereal bubo. The swelling is usually confined to one gland, the colour of the skin where inflam- mation prevails, is of a florid red, the pain fe very acute, the pi-ogress from inflam- mation to suppuration and ulceration is ge- nerally very rapid, the suppuration is large in proportion to the size of the gland, and there is only one abscess. , A bubo is never attended with danger, where the inflamed gland proceeds on regu- larly to suppuration, but in pai'ticular cases it acquires an indolence after coming to a \ certain length, arising from a scrophulous taint, or by being combined with erysipelas it terminates in gangrene and occasions a great loss of substance. This termination is however, more frequently met with in hospitals than in private practice, and may partly be attributed to the contaminated state of the air of the wards wherein vene- real patients are lodged. A constitutional taint is the third form under which it has been mentioned, that the venereal poison is apt to show itself, and which always arises in consequence of the matter being absorbed and carried into the circulating mass of fluids. The absorptioa of it may, however, take place in three ways. 1st. It may be carried into the circulation, without producing any evident local effect on the part to which it was first applied. 2dly. It may take place in consequence of some local affection, such as either go- norrhoea, chancre, or bubo : And, 3dly. It may ensue from an application of the matter to a common sore or wound, similar to what happens in inoculating for the small-pox. The most general way, however, in which a constitutional taint is produced, is by an absorption of the matter, either from a chancre or a bubo. When venereal matter gets into the sys- tem, some symptoms of it may often be observed in the course of six or eight weeks^ or probably sooner ; but in some cases, it will continue in the circulating mass of fluids for many months before any visible signs of its effects are produced. The sjrs- tem being completely contaminated, it then occasions many local effects in different parts of the body, and shows itself under a vai'iety of forms, many of which put on the appearance of a distinct disease. We may presume that this variety depends wholly on the difference of constitution, the different kind of parts affected, and the different state these parts were in at the time the matter or poison was applied. The first symptoms usually show them- selves on the skin and in the mouth or throat. When on the skin, reddish and brownish spots appear here and there on the surface, and eruptions of a copper coloux' are dispersed over different parts of the body, on the top of which there soon forms a thick scurf or scale. This scurf falls off after a short time and is succeeded by another, and the same happening several times, and at length casting off deep scabs, an ulcer is formed v/hich discharges an acrid foetid matter. When the matter is secreted in the glands of the throat and mouth, the tongue will often be affected so as to occa- sion a thickness of speech, and the tonsils, palate, and uvula will become ulcerated so as to produce a soreness and difficulty of swallowing, and likewise a hoarseness in the 870 SYK iiPv voice. In a venereal nicer of the tonsil a portion of it seems as if it was dug; out ; it is, moreover, very foul, and has a thick white matter adhering to it, which cannot be washed off. By these characteristic marks it may, in general, readily be distmguished from any other species of ulceration in these parts. If the disease affects the eyes, obstinate inflammation, and sometimes ulceration will also attack these organs. The matter sometimes falls on deep- seated parts, such as the tendons, liga- ments, and periosteum, and occasions hard, painful swellings to arise, known by the name of nodes. When the disease is suffered to take its own course, and not counteracted by proper remedies, the patient will in the course of time, be alBicted with severe pains, but more particularly in the night time; his countenance will become sallow, his hair will fall off, he will loose his appetite, strength and flesh, his rest will be much disturbed by night, and a small fever of the hectic kind will arise. The ulcers in the mouth and throat being likewise suffered to spread, and to occasion a caries of the bones of the pa- late, an opening will be made from the mouth to the nose, and the cartilages and bones of the nose being at length corroded away, this will sink on a level with the face. Some constitutions will bear up for a con- siderable time against the disease, whilst others again will soon sink under a general weakness and irritation produced by it. If the disorder is recent, and the constitution not impaired by other diseases, a perfect cure may easily be effected ; but where it is of long standing, and accompanied with the symptoms of irritation which have been mentioned, the cure will prove tedious, and in many cases uncertain, as the constitution and sti'ength of the patient may not admit of his going through a course of medicine sufficient to destroy tlie poison, or his health may be in such a state, as that only a very small quantity of mercury can be adminis- tered even at considerable intervals. The general appearances to be observed on dissection of those who die of lues, are, caries of tlie bones, but more particularly those of tlie cranium, often communicating ulceration to the brain itself, togetlier with enlargements and indurations of the lympha- tic glands, scirrhus of several of the organs, particularly the liver and lungs, and exosto- ses of many of the hardest bones. St'pfjilis i'kdica. The yaws. Sy'philis POLo'jficA. A variety of ve- nereal disease. Sy'PHiLis vea'e'PvEA. See Si/philis. Syr'i^ o'lefm. a fragrant essential oil, obtained by distilling the canary balsam plant, or moldavica. Stf^rian kerb mmdch. See Tettcrmm mci' mm. Syri'gmps. (See Paracusis.) Syri'nga. (From a-vpty^, a pipe ; so called because from its branches, pipes were made after the removal of the pitii.) The pipe-tree. Syri'jsgmos. See Paracusis. Syrin go'tomum. (From ^vjiiy^, a fistu- la, and T«(Mva), to cut.) An instrument, to cut fistulas. Sy'rius. (Heb.) A pipe. A syringe, A fistula. Syrmai'smus. (From trvp/mtti^aj to eva-^ cuate.) A gentle evacuation by vomit or stool. Si/rup of buckthorn. See Syncpus rhamni. Syrup of ginger. See Syrupus zingiberis. Syrup of lemon. See Syrv/pus limonum. Syrup of marsh-mallows. See Sy^rupus althcBCE. Syrup of mulberry. See Syrupus mori. Syrup of orange. See Syrupus aurantii. Syrup of poppy. See Syrupus papaveris. Syrup of red poppy. See Syrupus Rhcea- dos. Syrup of roses. See Syrupus rosce. Syrup of saffron. See Syrupus croci. Syrup of senna.^ See Syrupus senna. Syrup of Tolu. See Syrupus Tolutanus, SYRUPUS. (Serab, a potion, Arab.) 1 . When sugar is dissolved in any vege= table liquor, to the consistence of thin honey, a medical preparation is formed called a syrup ; which, if obtained from a single plant, is called simple ; but if from more than one, compound. To keep syrups without fermenting, it is necessary that their temperature should be attended to, and kept as near 55° as possible. A good cellar will answer this purpose, for there are few sum- mers in which the temperature of such a place rises to 60^. 2. The name syrup is also given, when sugar is dissolved Ln water ; and in the pre- sent pharmacopoeia this is termed simple syrup. See Syrupus simplex. Syru'pus ace'ti. Sugar and vinegar. A refrigerating and antiseptic syrup. Syru'pus alth^'^. Syrup of marsh- mallow. Syrupus ex althcea. Syrupus de althaa. " Take of the fresh root of marsh- mallow, bruised, half a pound ; refined su- gar, two pounds ; water, a gallon. Boil down the water with the marsh mallow- root to half, and press out the liquor when cold. Set it by for 24 hours, that the fsecu- lencies may subside ; then pour off the liquor, and having added the sugar, boil it down to a proper consistence." An emollient and demulcent ; mostly given to allay tickling coughs, hoarseness, &:c. in conjunction wilij other remedies Syru'pus aura'ktii. Syrup of orange. Syrupus corticis aurantii. Syrupus e cortici- bus aurantiorum. Syrupus de coriice auraU' tiorum. " Take of fresh orange-peel, two ounces ; boiling-water, a pint ; refined sugar, thi'ee pounds- Macerate the orange-peel is dYK &YK svi the water for 12 hours in a covered ressel ; then pour off the liquor and add the sugar." A pleasant bitter and stomachic. Stru'pcs caryophy'lli ru'bri. a ■Hrarm and stimulating syrup Syru'pcs co'lchici. . An acrid and diu- retic compound given in dropsies. Syru'pus co'rticis aura'jvtii. See Syrupus auraniii. Syru'pus cro'ci. Syrup of saffron. " Take of saffron, an ounce ; boiling water, a pound ; refined sugar, two pounds and a half. Macerate the saffron in the water for 12 hours in a covered vessel, then strain the liquor, and add the sugar." This imparts a beautiful colour to liquids, and is sometimes employed as a cordial. Amongst the vul- gar, syrup of saffron is in high esteem in measels, small-pox, &c. Stru'pcs limo'num. Syrup of lemon. Syrupus sued limonis, Syrupus e succo li- monum. Syrupus e succo citrorum. " Take of lemon-juice, strained, a pint ; refined sugar, two pounds. Dissolve the sugar in the lemon-juice in the manner directed for simple syrup." A very pleasant, cooling, and acid syrup, which may be exhibited with advantage in febrile and bilious affec- tions. Syru'pps mo'ri. Syrup of mulberry. Syrupus mororum. " Take of mulberry- juice, strained, a pint ; refined sugar, two pounds. Dissolve the sugar in the mulber- ly-juice in the manner directed for simple syrup.^ ' Syrup of mulberries is very grate- ful and aperient, and may be given with such intentions to children. Syru'pps papa'veris, Syrupus papaveris albi. Syrupus e meconio. Syrupus de me- conio, sive diacodium. " Take of capsules of white poppy, dried and bruised, the seeds being separated, 14 ounces ; refined sugar, two pounds ; boiling water, two gallons and a half. Macerate the capsules in the water for 24 hours, then boil it down by means of a water-bath to one gallon, and press out the liquor strongly. Boil down the liquor again, after being strained, to two pints, and strain it while hot. Set it by for 12 hours, that the fseculencies may subside : then boil down the clear liquor to a pint, and add the sugar in the manner directed for simple syrup." It should be kept in stone bottles and in a cellar. A useful anodyne prepara- tion which may be added with advantage to a vast variety of medicines against diseases of the bowels, coughs, &c. Syru'pus papa'veris erra'tici. See Syrupus rhceados. Syru'pus rh(e'ados, Syrupus papaveris erraiici. Syrupus de papavere erralico. Syrup of red-poppy. " Take of red-poppy petals, fresh, a pound ; boiling- water, a pint and two fluid ounces ; refined sugar, two pounds and a half. Having heated the water in a water-bath, add gradually the red-poppy pe- tals, frequently stirring them ; then having removed tiie vessel, macerate for twelve hours ; next press out the liquor, and set it by to settle ; lasth/, add the sugar, as directed for simple syrup." This is a very mild anodyne, and used more for the colour, than for its medical properties. Syrtj'pxjs rha'mwi. Syrup of buckthorn. "Take of the fresh juice of buckthorn-ber- ries, four pints ; ginger-root, sliced, all- spice, powdered, of each half an ounce ; re- fined sugar, three pounds and a, half. Set by the juice for three days that the fascu- lencies may subside, and strain. To a pint of the clea.r juice add the ginger and all- spice ; then macerate in a gentle heat foui" hours, and strain ; boil down what remains to one pint and a half, mix the liquors, and add the sugar in the manner directed for simple syrup." This preparation, in doses of three or four spoonfuls, operates as a brisk cathartic. The principal inconvenience attending it is_, that it is very unpleasant, and occasions a thirst and dryness of the mouth and fauces, and sometimes violent gripes ; these effects may be prevented by drinking liberally of water-gruel, or other warm liquids during the operation. Syru'ptjs ri'bis ni'gri. Syrup of black cvirrants. Aperient and diuretic qualities are attributed to this preparation. Syru'ptjs ro's^. Syrup of roses. Sy- rupus rosarzim solutivus. Syrupus e rosis siccis. "Take of damask-rose petals, dried, seven ounces ; refined sugar, six pounds ; boiling-water, four pints. Macerate the rose-petals in the water for twelve hoursj and strain ; then evaporate the strained liquor, by means of a water-bath, to two pints and a half; then add the sugar in the manner described for simple syrup." A useful laxative for children. From 3j» to vss. Syru'pus ru'bi ivm'i. Syrup of raspber- ry. A pleasant aperient syrup for children, Syru'pus scilli'ticus. Expectorant and diuretic. Syru'pus se'kn^. Syrup of senna. " Take of senna-leaves, two ounces ; fen- nel-seed, bruised, an ounce ; manna, three ounces ; refined sugar, a pound ; v/ater, boiling, a pint. Macerate the senna-leaves and fennel-seeds in the water for an hour with a gentle heat ; strain the liquor, and mix with it the manna and sugar ; then boil to the proper consistence." A useful purgative for children. Syru'pus si'mples. Syrupus. Simple syrup. " Take of refined sugar, two pounds and a half; water, a pint. Dissolve the sugar in the water in a water-bath ; then set it aside for twenty-four hours : take off the scum, and if there be any faeculencies, pour off the clear liquor from them." Syru'pus Toluta'nus. Syrup of Tolu* " Take of balsam of Tolu, an ounce ; 872 SYR SYS water, boiling, a pint ; refined sugar, two pounds. Boil the balsam in the water half an hour in a covered vessel, occasionally stirring it, strain the liquor when it is cold, and then add the sugar in the manner di- rected for simple syrup." A useful bal- samic syrup, calculated to allay tickling coughs and hoarsenesses. Syru'pus vi'oLiE. A pleasant laxative for young children. Syru'pus zingi'beris. Syrup of ginger. " Take of ginger-root, sliced, two ounces ; water, boiling, a pint ; refined sugar, two pounds. Macerate the ginger-root in the water for twenty-four hours, and strain, then add the sugar in the manner directed for symple syrup." A carminative and stomachic syrup. Dose from one to tlirfet drachms. SYSSARCO'SIS. (From ffw, and cra/>f flesh.) A species of union of bones in which one bone is united to another by means of an intervening muscle. In this manner the OS hyoides is connected with the sternum and other parts. System, absorbent. See Msorbents and Lymphatics. System^ genital. The parts of genera- tion. System, nervous. See J^erve. System, vascular. The arteries and veins. SY'STOLE. (From a-u^e\Kai, to con? tract.) The contraction of the heart. T, J. BANDAGE. A bandage so named from its figure. It is principally used for supporting the dressings, after tlie operation for fistula in ano, in diseases of the perinae- um, and those of the groins, anus, k.c. Tab a' CUM. (From Tobago, the island from whence it was first brought.) Tobac- co. See JVicotiana. Tabe'lla. (Dim. of tofewZa, a table.) A lozenge. TA'BES. (From tabesco, to consume or pine away.) A wasting of the body. A genus of disease in the Class, Cachexia, and Order, Marcores, of CuUen ; characte- rized by emaciation and weakness, attended with hectic fever, but without any cough or spitting, which last symptoms distinguish it from phthisis. It has three species : 1. Tabes purulenta, from an ulcerous discharge: 2. Tabes scrofulosa, from a scrofulous habit : 3. Tabes venenata, from poison. See .^iro- phy. Ta'bes coxa'ria. Phthisis ischiadica. A wasting of the thigh and leg from an ab- scess or other cause in the hip. Ta'bes borsa'lis. Lordosis. Dr. Cul- len makes it a variety of atrophia inanito- Tum. Hippocrates calls it tabes ossis sacri. At present by the name of tabes dorsalis is understood a wasting of the body, attended at first with pain in the back or loins, and afterwards also in the neck and head, cau- sed by a too early or a too frequent use of \'enery. Ta'bes nutri'cubi. A variety of atro- phia inanitorum. Ta'bes o'ssis sa'crji. Hippocrates' name ftr tabes dor.»alis. Ta'bes pttlmona'hS. A name fdr phthisis. Ta'bes rebta'lis. An abscess of the kidney. Ta'bes stphili'tica. A variety of the atrophia cacochymica. Tacamaha'cca. (Indian.) See Fagara oclandra. Ta'ctus. See Touch. Tm'da. (Aet/tT*, from J'ah), to burn.) A torch. A species of pine which burns like a torch. A medicated torch for fumigations* T.E'NIA. (Ta-ivtn, a Hebrew word, signifying a fillet ; bo named from its re- semblance to a fillet or piece of tape.) The tape-worm. A genus of intestinal worms ; characterized by a long, flat, and jointed body. Species; 1. TcEnia osculis margi- nalibus, the long tape-worm, and the so^ lium of authors, which is peculiar to this country, Russia, France, &c. : 2. Tcenia osculis superficialibus, the broad tape-worm^ which is peculiar to the inhabitants cjf Switzerland, &c. See Worms. Talc. See Talcum, Ta'lcum. (From talc, German.) Talc. A white, grey, yellow, or greenish substance of a soft and soapy touch, formed of trans^ parent laminae placed upon each other. Talc is composed of pure magnesia mixed with near twice its weight of silex and le^s than its weight of alumine. There are se- veral different appearances of talc. The greenish foliaceous Venice talc was former- ly used medicinally, as possessing antacid and aperient qualities. Ta'lpa. (From tw^ao?, blind.) Talptt- ria. A mole. Also, a tumour resembling I'AM B. inole in eating, and creeping ilnder the skin. Ta'lus. a synonym of Astragalus. See ^Istragalus. Tamalapa TRA. The Indian leaf is so termed by some authors. See Laurus cassia. Tamarind. See Tamanndus. TAMARrWDUS. (From tamar or lama- rindi, which is, in the Arabian language, a synonym of the dactylus or date.) 1. The name of a genus of plants. Class, Monadelphia. Order, Triandria. The ta- marind tree. 2. The pharmacopceial name of the ta- jnarind fruit. Tamari'ndus i'ndica. The systematic Dame of the tamarind-tree. Oxyphmnicon. Siliqua arabica. Balampulli. Tamar cea secla oxyphcETiicia. Acacia hidica. The pulp of the tamarind, with the seeds, con- nected together by numerous tough strings or fibres, are brought to us freed from the outer shell, and commonly preserved in sirup. According to Long, tamarinds are prepared for exportation at Jamaica, in the following manner: "The fruit or pods are gathered in June, July, and August, when full ripe, which is known by their fragility or easy breaking on small pressure between the finger and thumb. The fruit taken out of the pod, and cleared from the shelly frag- ments, is placed in layers in a cask, and boiling sirup, just before it begins to granu- late, is poured in, till the cask is filled : the sirup pervades every part quite down to the bottom, and when cool the cask is headed for sale." The tamarind is employed as a laxative, and for abating thirst or heat in va- rious inflammatory complaints, and for cor- recting putrid disorders, especially of a bili- ous kind, in which the cathartic, antiseptic, and refrigerant qualities of the fruit have been found equally useful. When intended merely as a laxative, it may be of advantage (Dr. Woodville observes) to join it wilh manna or purgatives of a sweet kind, by which its use is rendered safer and more ef- fectual. Three drachms of the pulp are usually sufficient to open the body, but to prove moderately cafhartic, one or two ounces are required. It is an ingredient in Ibe confectio cassia, and confectio senna. Tamari'scds. (From Tamarik, abster- sion, Heb. named from its properties of cleansing and purifying the blood.) See Tamarix gallica, TA'MARIX. The name of a genus of plants. Class, Peniandria. Order, Digmia. The tamarisk tree. Ta'marix ga'llica. The systematic name of the tamarisk tree. Tamariscus. Tamarisk. The bark, wood, and leaves of this tree, were formerly employed medici- nally, though seldom used at present. The former for its aperient and corroborant vir- tAR 873 lues in obstructions of the liver ; the latter in icterus, hesraoptysis, and some afiectlons of the skin. Tame-poison. See JJsclepias vincetoxicum. TANACE'TUM. (Corrupted from tana- sia, athanasia, the old name for tansy.) 1. The name of a genus of plants in the Linnsean system. Class, Syngenesia. Or- der, Polygamia superftua. Tansy. 2. The pharmacopceial name of the tansy. See Tanacetum vulgare. Tanace'tum balsami'ta. The systema- tic name of the officinal alecost. Balsa- mita mas. Balsamita major. Tanacetuvi horlense. Costus hortorum. Costmary, or alecost. The plant which bears this name in the pharmacopoeias, is the Tanacttum halsamita ; foliis oralis, inlegris, serratis, of LinnEeus. A fragrant-smelling herb, some- what like that of mint ; formerly esteemed as a corroborant, carminative, and emmena- gogue. Tanace'tum horte'kse. See Balsamita 7nas. Tanace'tum vulga're. The systematic name of the common tansy. Tanasia. Jllhanasia. Parlhenium mas. Tanacelwn vulgare; foliis. bipinnat is incisis serralis, of Linnaeus. The* leaves and flowers of tansy have a strong, not very disagreeable smell, and a bitter somewhat aromatic taste. The virtues of tansy are tonic, stomachic, anthel- mintic, emmenagogue, and resolvent. It has been much used as a vermifuge ; and tes- timonies of its efficacy are given by many respectable physicians. Not only the leaves but the seeds have been emplo3'ed with this intention, and substituted for those of san- tonicum. We are told by Dr. Clark, that in Scotland tansy was found to be of great service in various cases of gout ; and Dr. Cullen, who afterwards was informed of the effect it produced upon those who had used the herb for this purpose, says, '< I have known several who have taken it without any advantage, and some others who re- ported that they had been relieved from the frequency of their gout." Tansy is also recommended in the hysteria, especially when this disease is supposed to proceed from menstrual obstructions. This plant may be given in powder to the quantity of a drachm or more for a dose ; but it has been more commonly taken in in- fusion, or drank in tea. Tana'sia. See Tanacetum. Tansy. See Tanacetum. Tansy, wild. See Poleniilla. Tape-worm. See Tania. Tapioca. See Jatropha manihot. Tapping. See Paracentesis. Ta'psus barba'tus. See Verbascum. Tar. See Pinus ^Ivestris. Tar, Barbadoes. See Petroleum harha' dense. Tae-water. a once celebrated remedy, 110 «74 TAK TAS but now neglected raore than it deserves. It is made by infusing tar in water, stirring it from time to time, and lastly pouring oft" the clear liquor now impregnated with the colour 3nd virtues of the tar. It is drunk in many chronic affections, particularly of the lungs. Taranti'smus. (From tarantula, the ani- mal whose bite is supposed to be cured only by music.) The desire of dancing which is produced by the bite of the tarantula. Tara'htui.a. (From Taranta, a city in IMaples, where they abound.) A kind of venomous spider, whose bite is said to be cured by music. Tara'xacum. (From rafccffaai, to alter or change ; because it alters the state of the blood.) See Leontodon. Taha'xis. (From r 0.^0.9 tta, to disturb.) A slight ophthalmy or inflammation of the eye. Ta'rchon sylve'stris. See Achilha ptarmica. Tare. See Erviim. Ta'rsj exte'nsor mi'nor. See Plantaris. TA'RSUS. Tafffo;. 1. The instep or that part of the foot which is between the leg and metatarsus : it is composed of seven bones, viz. the astragalus, os calcis, os na- viculare, os cuboides, and three ossa cunei- formia. 2. The thin cartilage situated at the edges of the eyelids to preserve their firmness and shape. TARTAR. (Tartarum, from raplapos, infernal ; because it is the sediment or dregs.) 1. The concretion which fixes to the in- side of hogsheads containing wine. It is alloyed with much extractive and colouring matter, from which it is purified by decoc- tion with argillaceous earths and subsequent crystallization. By this means it becomes perfectly white, and shoots out crystals of tartar, consisting of a peculiar acid called acid of tartar, imperfectly saturated with potash ; it is therefore a super-tartrate of that alkali, which, when powdered, is the cream of tartar of the shops. Its virtues are eccoprotic, diuretic, and refrigerant, and it is exhibited in abdominal uhysconia, dropsy, inflammatory and bilious fevers, dyspepsia, from rancid or fat substances, bilious diarrhoea and colic, hsemorrhoids and obstipation. 2. A name heretofore given to many offi- cinal preparations, containing the acid of tartar; but in consequence of recent changes in the chemical nomenclature superseded by appellations more expressive of the re- spective compositions. TARTARIC ACID. Jciduvi iartaricmn, Sal essentiale tartari. Acidum tartari essen- tiale. Tartareous acid. To obtain the pure tartaric acid, take two pounds of the crys- tals, and dissolve them in water, into whick chalk is to be thrown by degrees till the liquid is saturated. A precipitate is formed, which is a true tartrate of lime, is tasteless, and cracks between the teeth. This tartrate is put into a cucurbit, and nine ounces of sulphuric acid, with five ounces of water, are poured on it After twelve hours diges- tion, with occasional stirring, the tartaric acid is set at liberty in the solution, and may be cleared of the sulphate of lime by means of cold water. The virtues of this acid are antiseptic, refrigerant, and diuretic. It is used in acute fevers, scurvy, and haemor- rhage. Tartar, cream of. The popular name of the purified supertartrate of potash. Tartar, emetic. See Anlimonium tartari- zatum. Tartar, oil of. See Potassm subcarbonatis liquor. Tartar, regenerated. See FotasscB acetas, Tartar, salt of. See Potassce subcarbonas. Tartar, soluble. See Potassm tartras. Tartar, spirit of. If the crystals of tartar be distilled by a strong heat, without any additional body, they furnish an empyreu- matic acid, called the pyrotartareous acid, or spirit of tartar, and a very fcetid empy- reumatic oil. Tartar, vitriolated. See Potassce sui' pkas. Ta'rtarum eme'ticum. See Antimonium tartarizatum. Ta'rtarum regenera'tum. See Potassce acetas. Ta'rtarum solu'bile. See Potassce. tar- iras. Ta'rtarus ammo'ni*. See Tartras a»i- monice. Ta'rtarus chalybea'tus. See Ferrum tartarizatum. Ta'tras ammo'ni*. Alkali volatile tar- tarizatum, of Bergman. Sal ammoniacum tartareum. Tartarus ammoniae. A salt composed of tartaric acid and ammonia, its virtues are diaphoretic, diuretic, and deob- struent. It is prescribed in fevers, atonic exanthemata, catarr'a, arthritic and rheuma- tic arthrodynia, hysteric spasms, &c. Ta'rtras pota'ss^. See Potasses: tar- tras- Ta'rtras pota'ss^ aci'dulus. Cream of tartar. See Tartar. Ta'rtras pota'ss^ aci'dulus ferra'tds. Globuli martiales. Tartarus chalybeatus. Mars solubilis. Ferrum potabile. Its vir- tues are adstringent. It is principally used externally in the form of fomentations or bath in contusions, distortions, and luxa- tions. Ta'rtras PoxA'ssiE aci'dulus stibia'tus. See Antimonium tartarizatum. Ta'rtras so'oiE. See Soda tartarizata. TASTE. Gustus. The organ of tasfe TEA TEE differs but slightly from that of touch. It appears, by certain experiments, to be seated chiefly in those nervous papillre of the tongue which are formed from the minute ends of the ninth or lingual pair of nerves ; for neither does sugar, applied to any other part of the mouth, excite the least sense of taste in the mind ; nor any other sapid body, unless it contain something vehemently penetrating ; in which case the palate, root of the tongue, uvula, and even the oesopha- gus, are affected by the sapid acrimony. That sensation, which is sometimes excited in the stomach, oesophagus, and fauces, by the regurgitation of the aliments, seems also to belong to the tongue, to which the sapid vapours are applied. Nature designed the diversity of flavours, that animals might know those things most proper for their food ; for in general, there is no aliment unhealthy, that is of an agree- able taste ; nor is any tiling ill tasted that is fit for the food of man. We here take no notice of excess, by which the most heahhy food may become prejudicial, or of minerals, which are not furnished by nature, but pre- pared by art. Thus nature has invited man to take the food necessary for his subsistence, both by the pain called hunger, and by the pleasure arising from taste. But animals, which do not learn from example and the instruction of others, distinguish flavours most accurately, and, admonished by that test, abstain cautiously from unhealthy food ; and, therefore, herbivorous animals espe- cially, to which a very great diversity of ali- ments mixed with noxious plants are offered, are furnished with such long papillae, and so elegant a structure of the tongue, for which man has less occasion. TA'XIS. An operation, by which those parts which have quitted their natural situ- ation are replaced by the hand without the assistance of instruments, as in reducing hernia, he. Tea. See Thea. TEAR. Lackryma. The limpid fluid secreted by the lachrymal glands, and flow- ing on the surface of the eyes. The organ which secretes this liquid is the lachrymal gland, one of which is situated in the external canthus of each orbit, and emits six or seven excretory ducts, which opeti on the internal surface of the upper eyelid above its tarsus, and pour forth the tears. The tears have mixed with them an arterious roscid vapour, which exhales from the internal surface of the eyelids, and ex- ternal of the tunica conjunctiva, into the eye. Perhaps the aqueous humour also transudes through the pores of the cornea on the surface of the eye. A certain part of this aqueous fluid is dissipated in the air ; but the greatest part, after having performed itsofllce,is propelled by the orbicular muscle, which so closely constringes the eyelid to the ball of the eye, as to leave no sjiace between. unless in the internal angle, where the tears are collected. From this collection the tears are absorbed by the orifices of the puncta lachrymatia; from thence they are propelled througii the lachrymal canals, into the la- chrymal sac, and flow through the ductus nasaiis into the cavity of the nostrils, under the inferior concha nasaiis. The lachrymal sac appears to be formed of longitudinal and ti'ansverse muscular fibres ; and its three orifices furnished with small sphincters, as the spasmodic constriction of the puncla lachry malia proves, if examined with a probe. The tears have no smell but a saltish taste, as people who cry perceive. They are of a transparent colour and aqueous consistence. The quantity, in its natural state, is just sufficient to moisten the surface of the eye and eyelids ; but from sorrow, or any kind of stimulus applied to the surface of the eye, so great is the quantity of tears secreted, that the puncta lachrymalia are unable to absorb them. Thus the greatest part runs down from the internal angle of the eyelids, in the form of great and copious drops upon the cheeks. A great quantity also descends, through the lachrymal passages into the nostrils ; hence those \?ho cry have an in- creased discharge from the nose. Use of the fears. — 1. They continually moisten the surface of the eye and eyelids, to prevent the pellucid cornea from drying and becoming opaque, or the eye from con- creting with the eyelids. 2. They prevent that pain, which would otherwise arise from the friction of the eyelids against the bulb of the eye from continually winking. .3. They wash and clean away the dust of the atmo- sphere, or any thing acrid that has fallen into the eye. 4. Crying unloads the head of congestions. TEETH. (Dens, a tooth ; quasi edens, from edo, to eat.) Small bones fixed in the alveoli of the upper and under jaw. In early infancy Nature designs us for the softest aliment, so that the gums alone are then suflScient for the purpose of manduca- tion ; but as we advance in life, and require a different food, she wisely provides us with teeth. These are the hardest and whitest of our bones, and, at full maturity, we usually find thirty-two in both jaws, viz. sixteen above, and as many below. Their number varies indeed in different subjects ; but it is seldom seen to exceed thirty-two, and it will very rarely be found to be less than twenty-eight. Each tooth may be divided into two parts, viz. its body, or that part which ap- pears above the gums ; and its fangs or root, which is fixed into the socket. The bound- ary between these two, close to the edge of the gum, where there is usually a small cir- cular depression, is called the neck of the tooth. The teeth of each jaw are commonly divided into three classes; but before each of 876 T£E XEB thtseis treatedof in particular, it wili be right to say sometiiing of their general structure. Every tooth is composed of its corlex or enamel, and its internal bony substance. The enamel, or as it is sometimes called, the vitreous part of tiie tooth, is a very hard and compact substance, of a white colour, and peculiar to the teeth. It is found only upon the body of the tooth, covering tlie "outside of the bony or internal substance. When broken it appears fibrous or striated ; and all the stria; are directed from the cir- cumference to the centre of the tooth. This enamel is thickest oj* the grinding surface, and on the cutting edges or points of the teeth, becoming gradually thinner as it ap- proacbes the neck, where it terminates in- sensibly. Some Avriters have described it as being vascular, but it is certain that no injection will ever reach this substance ; that it receives no tinge from madder ; and that it affords no appearance of a circulation of fluids. The bony part of a tooth resembles other bones in its structure, but is much harder than the most compact part of bones in general. It composes the inner part of the body and neck, and the whole of the root of the tooth. This part of a tooth, when completely formed, does not, like the other bones, receive a tinge from madder, nor do the minutest injections penetrate into its substance, although many writers have asserted the contrary. Mr. Hunter has been therefore induced to deny its being vascular, although he is aware that the teeth, like other bones, are liable to swellings, and that they are found anchylosed with their sockets. Re supposes, however, that both these may ^e original formations j and, as the most convincing proof of their not being vascular, lie reasons from the analogy between them and other bones. He observes, for instance, that in a young animal that has been fed with madder, the parts of the teeth which were formed before it was put on madder diet will appe^' of their natural colour, but that such as were formed while the animal w ; the madder, will be of a red colour , eas, in other bones, the hardest parts cio susceptible of the dye, though more slowly than the parts which are growing. Again he tells us, that if you leave off feeding the animal with madder a considerable time before you kill it, you will find the above appearances still subsisting, with this addition, that all the parts of the teeth which were formed after leaving off the madder will be white. This experiment proves that a tooth once tinged does not loss its colour; whereas other bones do (though very slowly) return again to their natural appearance : and, as the die in this case toust be taken into the habit by absorbents, be is led to suspect that the teeth are with- out absorbents as well as other vessels. These arguments are very ingenious, but they are far from being satisfactory. The facts adduced by Mr. Hunter are capable of a different explanation from that which he has given them ; and when other facts are added relative to the same subject, it will appear that this bony part of a tooth has a circulation through its substance, and even lymphatics, although, from the hardness of its structure, we are unable to demonstrate its vessels. The facts which may be ad- duced are, 1st. We find that a tooth recently drawn and transplanted into another socket, becomes as firmly fixed after a certain time, and preserves the same colour as the rest of the set ; whereas a tooth that has been long drawn before it is transplanted, will nevei- become fixed. Mr. Hunter, indeed, is aware of this objection, and refers the suc- cess of the transplantation, in the first in- stance, to the living principle possessed by the tooth, and which he thinks may exist in- dependent of a circulation. But however ap- plicable such a doctrine maybe to zoophytes, it is suspected that it will not hold good in man, and others of the more perfect ani- mals : and there does not appear to be any doubt but that, in the case of a transplanted tooth, there is a real union by vessels. 2dly. The swelling of the fangs of a tooth, which in many instances are known to be the effects of disease, and which are ana- logous to the swelling of other bones, are a clear proof of a similarity of structure, especially as we find them invested with a periosteum. 3dly. It is a curious fact, though as yet perhaps not generally known, that, in cases of phthisis pulmonalis, the teeth become of a milky whiteness, and in some degree, transpare.'^it; does not this prove them to have absorbents ? Each tooth has an inner cavity, which, beginning by a small opening at the point of the fang., becomes larger, and terminates in the body of the tooth. This cavity is sup- plied with blood vessels and nerves, which pass through the small hole in the root. In old people this hole sometimes closes, and the tooth becomes then insensible. The teeth are invested with a periosteum from their fangs to a little beyond their bony sockets, where it is attached to the gums. This membrane seems to be common to the tooth which it encloses, and to the sockets which it lines. The teeth are likewise se- cured in their sockets by a red substance called the gvnis, which every where covers the alveolar processes, and has as many per- forations as there are teeth. The gums are exceedingly vascular, and have something like cartilaginous hardness and elasticity, but do not seem to have much sensibility. The gums of infants, which perform the offices of teeth, have a hard ridge extending through tiieir whole length ; but in old people, who have lost their teeth, this ridge is wanting. The three classes into which the teeth are commonly divided are, inciso' rtSf caninif and morales, or g^nnders. 'lEE TEE S77 The incisores are the four teelli in the fore part of each jaw ; they derive their name from their use in dividing and cutting the food in the manner of a wedge, and have each of them two surfaces, which meet in a sharp edge. Of these surfaces, the anterior one is convex, and the posterior one some- what concave. In the upper jaw they are usually broader and thicker, especially the two middle ones, than those of the under jaw, over which they generally fall by being placed a little obliquely. The canini or cuspidati are the longest of all the teeth, deriving their name from their resemblance to a dog's tusk. There is one of these teeth on the inside of the incisores, so that there are two in each jaw. They are the longest of all the teeth. Their fangs differ from that of the incisores only in being much larger, and their shape may be easily described to be that of an incisor with its edge worn off, so as to end in a narrow point instead of a thin edge. The canini not being calculated for dividing like the incisores, or for grinding, seem to be in- tended for laying hold of substances. Mr. Hunter remarks of these teetJi, that we may trace in them a similarity in shape, situation, and use, from the most imperfect carnivo- rous animal, which we believe to be the hu- man species, to the lion, which is the most perfectly carnivorous. The molares, or grinders, of which there are ten in each jaw, are so called, because from their size and figure they arc calculated for grinding the food. The canini and in- cisores have only one fang, but the tiiree last grindersintheunderjaw have constantly two fangs, and the same teeth in the upper jaw three fangs. Sometimes these fangs are divi- ded into two points near their base, and each of these points has, perhaps, been sometimes considered as a distinct fang. The grinders likewise differ from each other in their ap- pearance. The two first on each side, which Mr. Hunter appears to have distinguished veiy properly by the name of bicuspides, seem to be of a middle nature between the incisores and grinders ; they have in general only one root, and the body of the tooth ter- minates in two points, of which the anterior ©ne is the highest, so that the tooth has in some measure the appearance of one of the canini. The two grinders beyond these, on each side, are much larger. Their body forms almost a square with rounded angles ; and their grinding surface has commonly five points or protuberances, two of which are on the inner, and three on the outer part of the tooth. The last grinder is shorter and smaller than the rest, and, from its coming through the gums later than the rest, and sometimes not appearing till late in life, is called dens sapientia. The variation in the number of teeth usually depends on these denf«s sapientiae. Having thus described the appearance of the teeth in the adult ; the manner of their formation and growth in the foetus is next to be considered. We shall find that the alveolar process, which begins to be formed at a very early period^, appears about the fourth month, only as a shallow longitu- dinal groove, divided by slight ridges into a number of intermediate depressions, which are to be the future alveoli or sockets. These depressions are at first filled with small pulpy substances, included in a vascular membrane ; and these pulpy substances are the rudiments of the teeth. As these advance in their growth, the alveolar processes be- come gradually more completely formed. The surface of the pulp first begins to harden ; the ossification proceeding from one or more points, according to the kind of tooth that is to be formed. Thus in the incisores and canini, it begins from one point ; in the bi- cuspides, from two points, corresponding with the future shape of those teeth ; and in the molares from four or five points. As the ossification advances, the whole of the pulp is gradually covered with bone, except- ing its under surface, and then the fang begins to be formed. Soon after the forma- tion of this bony part, the tooth begins to be encrusted with its enamel ; but in what manner this is deposited we are as yet un- able to explain. Perhaps the vascular membrane, which encloses the pulp, m^y serve to secrete it. It gradually crystallizes upon the surface of the bony part, and con- tinues to increase in thickness, especially at the points and basis of the tooth, till some time before ti)e tooth begins to pass through the gum ; and when this happens, the ena- mel seems to be as hard as it is afterwards, so that the air does not appear to have the least effect in hardening it, as has been sometimes supposed. — While the enamel is thus forming, the lower part of the pulp is gradually lengthened out and ossified, so as to form the fang". In those teeth which are to have more than one fang, the ossification begins from different parts of the pulp at one and the same time. In this manner are formed the incisores, the canini, and two molares on each side, making in the whole twenty teeth, in both jaws, which are suffi- cient for the purposes of manducation early in life. As the fangs of the teeth are formed, their upper part is gradually pushed up- wards, till at length, about the seventh, eighth, or ninth month after birth, the inci- sores, which are the first formed, begin to pass through the gum. The first that ap- pears is generally in the lower jaw. The canini and molares not being formed so soon as the incisores, do not appear till about the twentieth or twenty-fourth month. Some- times one of the canini, but more frequently one of the molares, appears first. The danger to which children are exposed. 878 TEE TEE during the time of dentition, arises from the pressure of the teeth in the gum, so as to irritate it, and excite pain and inflammation. The effect of this irritation is, that the gum wastes, and becomes gradually thinner at this part, till at length the tooth protrudes. In such cases, therefore, we may, with great propriety, assist nature by cutting the gum. These twenty teeth are called temporary, or jnilk teeth, because they are all shed between the age of seven and fourteen, and are sup- plied by others of a firmer texture, with large fangs, which remain till they become affected by disease, or fall out in old age, and are therefore called the permanent or ^dtilt teeth. The rudiments of these adult teeth begin to be formed at different periods. The pulp of the first adult incisor, and of the first adult grinder, may be perceived in a foetus of seven or eight months, and the ossification begins in them about six months after birth. Soon after birth the second in- cisor, and canine tooth on each side, begin to be formed. About the fifth or sixth year the first bicuspis, and about the seventh the second bicuspis begins to ossify. These bi- cuspides are destined to replace the tempo- rary grinders. All these permanent teeth are formed in a distinct set of alveoli; so that it is not by the growing of one tooth under another in the same socket, that the uppermost tooth is gradually pushed out, as is commonly imagined ; but the temporary teeth, aud those which are to succeed them, being placed in separate alveoli, the upper sockets gradually disappear, as the under ones increase in size, till at length the teeth they contain, having no longer any support, consequently fall out. But, besides these twenty teeth, which succeed the temporary ones, there are twelve others to be added to make up the number thirty-two. These twelve aire three grinders on each side in both jaws ; and in order to make room for this addition, we find the jaws grow as the teeth grow,J50 that they appe'hr as completely filled with twenty teeth, as they are after- wards with thirty-two. Hence, in children, the face is flatter and rounder than in adults. The first adult grinder usually passes through the gum about the twelfth year ; the second, ivhich begins to be formed in the sixth or seventh year, cuts the gum about the seven- teenth or eighteenth ; and the third, or dens sapientiae, which begins to be formed about the twelfth year, passes through the gum between the age of twenty and thirty. The dentes sapientiae have, in some instances, been cut at the age of forty, fifty, sixty, and even eighty years ; and it sometimes hap- pens, that they do not appear at all. Some- times likewise it happens, that a third set of teeth appear about the age of sixty or se- venty. Diemerbroeck tells us that he him- self, at the age of fifty-six, had a fresh canine tooth in the place of one he had lost several years before } M. du Fay saw two incisores and two canini cat the gum in a man aget! eighty-four ; Mr. Hunter has seen two fore teeth shoot up in the lower jaw of a very old person; and an account was lately published of a man who had a complete set of teeth at the age of sixty. Other instances of the same kind are to be met with in authors. The circumstance is curious, and from the time of life at which it takes place, and the return of the catamenia, which sometimes happens to women at the same age, it has been very ingeniously supposed, that there is some effort in nature to renew the body at that period. The teeth are subject to a variety of acci- dents. Sometimes the gums become so af- fected as to occasion them to fall out, and the teeth themselves are frequently rendered carious by causes which have not hitherto been satisfactorily explained. The disease usually begins on that side of the tooth which is not exposed to pressure, and gra- dually advances till an opening is made into the cavity : as soon as the cavity is exposed, the tooth becomes liable to considerable pain, from the air coming in contact with the nerve. Besides these accidental means by which the teeth are occasionally affected, old age seldom fails to bring with it sure and na- tural causes for their removal. The alveoli fill up, and the teeth consequently fall out. The gums then no longer meet in the fore part of the mouth, the chin projects forwards and the face being rendered much shorter, the whole physiognomy appearsconsiderably altered. Having thus described the form- ation, structure, growth, and decay of the teeth, it remains to speak of their uses ; the chief of which we know to be in mastica- tion. And here we cannot help observing the great variety in the structure of the hu- man teeth, which fits us for such a variety of food, and which, when compared with the teeth given to other animals, may in some measure enable us to explain the nature of the aliment for which man is intended by Nature Thus, in ruminating animals, we find incisores only in the lower jaw, for cut- ting the grass, and molares for grinding it; in graminivorous animals, we see molares alone ; and in carnivorous animals, canine teeth for catching at their prey, and inci- sores and molares for cutting and dividing it. But, as man is not designed to catch and kill his prey with his teeth, we observe that our canini are shaped differently from the fangs of beasts of prey, in whom we find them either longer than the rest of the teeth, or curved. The incisores likewise are sharper in those animals than in man. Nor are the molares in the human subject similar to the molares of carnivorous ani- mals ; they are flatter in man than in these animals; and, in the latter, we likewise find them sharper at the edges, more calcu lated to cut and tear the food, and by their greater strength, capable of breaking the TEM TEM S79 bones of animals. From these circumstances, therefore, we may consider man as partaking of the nature of these difi'erent classes ; as approaching more to the carnivorous than to the herbivorous tribe of animals ; but upon the whole formed for a mixed aliment, and fitted equally to live upon flesh and upon vegetables. Those philosophers, therefore, who would confine a man wholly to vege- table food, do not seem to have studied na- iure. As the molares are the last teeth that are formed, so they are usually the first that fall out ; this would seem to prove, that we require the same kind of aliment in old age as in infancy. Besides the use of the teeth in mastication, they likewise serve a secondary purpose, by assisting in the arti- culation of the voice. Teething. See Dentition and Teeth. Te'gula hibe'rnica. See Lapis Hiberni- cus. TEGUMENTS, COMMON. Under this term anatomists comprehend the cuticle, rete mucosum, skin, and adipose membrane as being the covering to every part of the body except the nails. See Skin. TE'LA. A web of cloth. The cellular membrane is so called from its likeness to a fine web. TE'LA CELLULO'SA. See Cellular mein- brane. Tele'piiium. (Because it heals old ul- cers, such as that of Telephus, made by Ulysses.) See Sedum teltphium. TELLU'RIUM. A very scarce metal of a tin white colour, and a high metallic lus- tre, found in nature alloyed with gold, sil- ver, and lead, in the aurum paradoxicum and sylvanite. TEMPERAME'NTUM. (From tem-pe- ro, to mix together.) The peculiar con- stitution of the humours. Temperaments liave been variously distinguished : the di- vision most generally received is into the sanguineous, phlegmatic, choleric, and me- lancholic. TEMPLE. The lateral and flat parts of the head above the ears. TEMPORALIS ARTERIA. The tem- poral artery. A branch of the external ca- rotid, which runs on the temples and gives off the frontal artery. TEMPORAL BONES, Ossa tempora- lia. Ossa temporum. These two bones, which are situated one on each side of the head, are of a very irregular figure. They are usually divided into two parts, one of which, from the manner of its connection with the neighbouring bones, is called os squamosum, and the other os petrosum, from its irregula- rity and hardness. In both these parts there are processes and cavities to be described. Externally there are three processes; one anterior, called zygomatic process, which is stretched forwards to join with the os mala;, and thus forms the bonyjugum under which the tem- poral muscle passes ; one posterior, called the mastoid or mamillary process, from its resemblance to a nipple ; and one inferior, called the styloid process, from its shape, which is said to resemble that of the ancient stylus scriptorius. In young subjects this process is united with the bone by an inter- mediate cartilage, which sometimes, even in adults, is not completely ossified. Three muscles have their origin from this process, and borrow half of their names from it, viz. stylo-glossus, stylo-hyoideus, and stylo- pharyngeus. Round the root of this pro- cess there is a particular rising of the os pe- trosum, which some writers describe as a process, and, from its appearance with the styloid, have named it vaginalis, others de- scribe the semicircular ridge of the meatus auditorius externus as a fifth process, to which they give the name of auditory. The depressions and cavities are, 1. A large fossa, which serves for the articulation of the lower jaw ; it is situated between the zy- gomatic auditory, and vaginal processes, and is separated in its middle by a fissure into which the ligament that secures the ar- ticulation of the lower jaw with this bone is fixed. The fore part of this cavity, which receives the condyle of the jaw, is covered with cartilage ; the back part only with the periosteum. 2. A long fossa behind the mastoid process, where the digastric muscle has its origin. 3. The meatus auditorius externus, the name given to a large funnel- like canal that leads to the organ of hearing. 4. The stylo-masioid hole, so called from its situation between the styloid and mastoid processes. It is likewise called the aque- duct of Fallopius, and affords a passage to the portio dura of the auditory or seventh pair of nerves. 5. Below and on the fore part of the last foramen we observe part of the jugular fossa, a thimble-like cavity, in which the beginning of the internal jugular vein is lodged. 6. Before, and a little above this fossa is the orifice of a foramen, through which pass the internal carotid artery and two filaments of the intercostal nerve. This conduit runs first upward and then forward, forming a kind of elbow, and terminates at the end of the os petrosum. 7. At this part of the ossa temporum we observe the orifice of a canal which runs outwards and backwards in a horizontal direction, till it terminates in the cavity of the ear called tympanum. This canal, which in the recent subject is continued from the ear to the mouth, is called the Eustachian tube. 8. A small hole behind the mastoid process, which serves for the transmission of a vein to the lateral sinus. But this, like other foramina in the skull that serve only for the transmis- sion of vessels, is neither uniform in its situation, nor to be met with in every sub- ject. The internal surface of these bones may easily be divided into three parts. The first, uppermost and largest, is the squamous 880 TEM TEN part, which is slightly concave from the im- pression of the brain. Its seiiiicircular edge is sloping, so that the external lamella of the bone advances farther than the inter- nal, and thus rests more securely on the pa- rietal bones. The second and middlemost, which is the petrous part of the bone, forms a hard, craggy protuberflnce. nearly of a triangular shape. On its posterior side we observe a large foramen, which is the meatus auditorious internus ; it receives the double nerve of tlie seventh pair, viz. the portio dura and portio mollis of that pair. About the middle of its anterior surface is a small foramen which opens into the aqueduct of Fallopius, and receives a twig of the portio dura of the seventh pair of nerves. This foramen, having been thus described by Fal- lopius, and by him named hiatus, is some- times called hiatus Fallopii. Besides these, we observe other smaller holes for thetrans- misslon of blood-vessels and nerves. Be- low this craggy protuberance is the third part, which, from its shape and connection with the OS occipitis by means of the lamb- doidal suture, may be called the lambdoidal angle of the temporal bone. It is concave from the impression of the brain ; it helps to form the posterior and inferior fossae of the skull, and has a considerable furrow, in which is lodged part of the lateral sinus. The tem[)oral bones differ a little in their structure from the other bones of the cra- nium. At their upper parts they are very thin, and almost without diploe, but below they have great strength and thickness. In the foetus, the thin upper part, and the lower craggy part, are separated by a cartilagi- nous substance : there is no appearance ei- ther of the mastoid or styloid processes, and, instead of a long funnel-like meatus audito- riuE externus, there is only a smooth bony ring, within which the membrana tympani is fastened. Within the petrous part of these bones there are several cavities, pro- cesses, and bones, which belong altogether to the ear, do not enter into the formation of the cranium, and are described under the article Ear. The ossa temporum are con- nected by suture with the ossa parietalia, the OS occipitis, the ossa malariira, and the os sphenoides, and are articulated with the lower jaw. TEMPORA'LIS; (Temporalis, sc. mv.s- culus.) jlrcardi-iemporo-maxillaire, of Du- mas. This muscle, which Winslow has named the crotaphites, arises fleshy from the lower, lateral, and anterior part of the pa- rietal bone ; from all the squamous portion of the temporal bone; from the lower and lateral part of the os frontis ; from the pos- terior surface of the os malae ; from all the temporal process of the sphenoid bone ; and sometimes from a ridge at the lower part of this process. This latter portion, however, is often common to this muscle and the pte- rygoideus externus. It is of a semicircular shape, and its radiated fibres converge, so as to form a strong middle tendon, which passes under the jugum, and is inserted into the coronoid process of the lower jaw, to which it adheres on every side, but more particularly at its fore part, where the in- sertion is continued down to the body of the bone. This mjscle is covered by a pretty strong fascia, which some writers have erro- neously described as a part of the aponeu- rosis of the occipito-frontalis. This fascia adheres to the bones, round the whole cir- cumference of the origin of the muscle, and, descending over if, is fixed below to the ridge where the zygomatic process be- gins, just above the meatus auditorius, to the upper edge of the zygomatic process itself, and anteriorly to the os malee. This fascia serves as a defence to the muscle, and likewise gives origin to some of its fleshy fibres. The principal use of the temporal muscle is to draw the lower jaw upwards, as in the action of biting; and as it passes a little forwards to its insertion, it may at the same time pull the condyle a little back- v.'ards, though not so much as it would have done if its fibres had passed in a direct line from their origin to their insertion, because the posterior and lower part of the muscle passes over the root of the zygomatic pro- cess, as over a pully. TE'JN'DO ACHI'LLIS. See jlchillis tendo. TENDON. (Tendon, from tendo, to stretch.) The white and glisteningextremity of a muscle. See Muscle. TENE'SMUS. (From ruvn,, to constringe ; so called from the perception of a continual constriction or bound state of the part.) A continual inclinatioi;i to go to stool, without a discharge. TE'NSOR. (From toirfo, to stretch.) A muscle whose otfice is to extend the part to which it is fixed. Te'nsor pa'lati. See Circumjlexus. TE'NSOR TY'MPAKI. Internus aurb, of Douglas and Cowper. Internus mallei, of Winslow, and salpingo-malleen, of Dumas. A muscle of the ear, which pulls the malleus and the membrane of the tympanum to- wards the petrous portion of the temporal bone, by which the membrana tympani is made more concave and tense. TE'NSOR VAGl'NiE FE'MORIS. Fa- scialis. Membranosus, of Douglas. Mcm- branus vet fascia lata, of Cowper, and Ilio aponturosi-femoral, of Dumas. Mv^culus aponeurosis, vel fascia lata, of Winslow. A muscle, situated on the outside of the thigh, which stretches the membranous fas- cia of the thigh, assists in the abduction of the thigh, and somewhat in its rotation in- wards. It arises by a narrow, tendinous, and fleshy beginning from the external part of the anterior, superior, spinous process iER ot the ilium, anch is inserted a little below the great trochanter into the membranous fascia. , TENT. A roll of lint for dilating open- in,?s, sinuses, &c. See Spon^ia pneparata. TENTO'RIUM. A process of the dura mater, separating the cerebrum from the cerebellum. It extends from the internal Ijorizoutal spine of the occipital bone, di- rectly forwards to the sella turcica of the sphenoid bone. Teuebe'll\. (Dim. of tcrnhra, a piercer or gimblet.) A trepan or instrument for sawing out circular portions of the skull. A trephine. TEREBI'iSTHINA. (From ■ripi?>,h;, the turpentine-tree.) Turpentine, the produce of pine-trees. Terebi'nthina argentokate'nsis. Stras- burg turpentine. This species is generally more transparent and less leimcious than either the Venice or Chio turpentines. It is of a yellowish brown colour, and of a more agreeable smell than any of the iiu-- pentines, except the Chio. It is extracted in several parts of Germany, from the red and silver fir, by cutting out, successively, narrow strips of the bark. In some places a resinous juice is collected from under the bark called Lachryma abiegna, and oleum abietinum. Terebi'nthina. canadensis. Canada tur- pentine. A production of the pinus balsa- mea ; which see. Teeeei'nthina chi'a. Cyprus turpentine. The resin obtained from the pistacia terebin- ihns ; which see. Terebi'nthina commd'nis. See Pinus si/lvesiris. Terebi'nthina cy'pria. See Pistacia terebinthus. Terebi'nthina vene'ta. Venice turpen- tine ; so called because we are supplied with it from the Venetians. See Pinus larix. Terebi'nthina vulga'ris. Common tur- pentine. The liquid resin of the pinus syl- vestris. See Turpentine. Tj:rebi'nthinje o'leum. The oil distilled from the liquid resin of the pinus sylvestris. TE'RES. Round, smooth. 1. The name of some muscles and ligaments. 2. The name of the ascaris lumbricoides, or round worm, which infests the intestines. See Worms. Te'res ligame'ntusi. The ligament at the bottom of the socket of the hip joint. TE'RES MA'.IOR. {Teres, sc. .Musculus major. Teres, round, smooth.) Riolanus, who was the first that distinguished this and the other muscles of the scapula by particu- lar appellations, gave the name of teres to this and the following muscle, on account of their longand round shape. Anguli-scapulo- humeral, of Duinas. This muscle, which is TER 881 longer and thicker than the teres minor, is situated along the inferior cosia of thesca- pula, and is in part covered by the deltoides. It arises fleshy from the outer surface of the inferior angle of the scapula, (where it covers some part of the infra spinatus and teres minor, with both which its fibres in- termix,) and likewise from the lower and posterior half of the inferior costa of the sca- pula. Ascending obliquely towards the os humeri, it passes under the long head of the triceps brachii, and then becomes thinner and flatter to form, a thin tendon of about an inch in breadth, and somewhat more in length, which runs immediately behind that of the lalissimus dorsi, and is inserted along with it into the ridge at the inner side of the groove that lodges the long head of the bi- ceps. These two tendons are included in a common capsula^ besides which the tendon of this muscle adheres to the os humeri, by two other capsulse which we find placed one above the other. This musele assists in the rotatory mo- tion of the arm, asid likewise in drawing it downwards and backwards; so that we may consider it as the congener of the lalis- simus dorsi. TE'RES Mi'NOR. Marginisus-scapvlo- trochiterien, of Dumas. This muscle seems to have been first described by Fallopius. The teres minor is a thin fleshy muscle, situated along the inferior edge of the infra- spinatus, and is in part covered by the pos- terior part of the deltoides. It arises fleshy from all the convex edge of the inferior costa of the scapula ; from thence it ascends obliquely upwards and forwards, and terminates in a flat tendon, which adheres to the lower and posterior part of the capsular ligament of the joint, aiid is inserted into the lower part of the great tuberosity of the os humeri, a little below the termination of the infra-spinatus. The tendinous membrane, which is con- tinued from the infra-spinatus, and spread over the teres minor, lil^ewise forms a thin septum between the two muscles. In somo subjects, however,they are so eloselyunited, as to be with diflSculty separated from each other. Some of the fibres of the teres mi- nor are intermixed with those of the teres major and subscapularis. 'fhe uses of this muscle are similar to those of the infra-spinatus. TE'RETRUM. (From npia, to pierce.) The trepan. Termina'lia ee'nzoin. The Benjamin gum-tree. Termi'nthijs. (From n^fuv^ss, the tur- pentine-tree.) • Albaiis. Black and ardent pustules, mostly attacking the legs of fe- males ; so called from their resemblance to the fruit of the turpentine-tree. Ill SS2 T£a TET Ternaey. Consisting of the numbef three, which some chemical and mystical writers have made strange woik witli ; but the most remarkable distiiictioii of this kind, and the only one worth notice, is that of Hippocrates, who divides the parts of a bu- man body into continentes, contenta, and impetum facientes, though the latter is re- solvable into tlie mechanism of the two for- mer, rather than any thing distinct in itself. TE'RRA. Earth, as distinguished from minerals and metals and precious stones. Tu'rra cario'sa. Rotten bone, a species of non-effervescent chalk, of a brown colour. Te'rra ca'techu. See Jlcacia catechu. Te'kra damna'ta. Terra moriua. Con- demned earth is the remainder, after some distillations, where all that will rise is drawn off ; the same as Caput mortuum. Te'rra folza'ta ta'rtari. The acetate of potash. Te'rra Japo'nica. Japan earth. Cathou. Faufd. Cdlchu. Casehii. Catechu. Cadt- chu. Cashow. Caitchu. Castjoe. Cachu. Cate. Kuatli. The natives call it CvM ; the English who reside there, Cutch. It was call- ed Japan earth, because it was long supposed to be an earthy substance from Japan. It ii the inspissated juice of a species of acacia, which grows in greet abundance in the king- dom of Bahar, prepared from a decoction of the inner part of the wood. From the negligent method in which it is dried in little kilns dug for that purpose, it acquires the «arthy appearance it in general has, from which circumstance it takes its name. In the kingdom of Bahar, besides being much used in medicine, it is employed for many purposes in arts, particularly for painting the beams of houses, to defend them from ver- min. See .Acacia catechu. Te'kra Le'msia. Earth of Lemnos. See Bole. Te'rra Livo'nica. See Bole. Te'rra mari'ta. The curcuma or tur- meric root is sometimes so called. Te'hra mo'rtua. See Terra damnata. Te'rra posdero'sa sali'ta. See Mu- rias barytcE. Te'rra sigilla'ta. See Bolt. Te'rra: o'leum. See Petroleum. Te'rrea absorbe'ntia. Absorbent earths, distinguishable from other earthy and stony substances by their solubility in acids, as chalk, crabs' claws, oyster-shells, egg-shells, pearl, coral, &.c. Tk'rthra. (From T£/)^/)ov, a crane.) The middle and lateral parts of the neck. Tertian ague. See Febris infennittetTs. Tertia'na du'peex. a tertian fever that returns every day ; but the paroxysms are unequal, every other fit being alike. Tertia'na duplica'ta. A tertian fever returning every other day ; but there are "^WG paroxysms in one day. Teri'ia iSA FE'BEis. See Febris ItitermU' tens. Te'rtiaka TRi'pLEx. A tertian fever re- turning every day, every other day there are two paroxysms, and but one in the interme- diate one. Tertiana'ria. (From ierliana, a species of intermittent fever which is said to be cured by this plant.) The plant which is thus called in some pharmacopoeias is the Scutellaria galericula'a ; which see. Te'rtium sal. (From tenius, third.) A neutral salt as being the product of an acid and an alkali, making a third body different from either. Te'ssera. (From -Ea-iraiia, four.) A four- square bone. The cuboid bone. Te'sta proba'trix. (Quasi tosta, from iorreo, to burn.) A cupel or test. A pot for separating baser metals from gold and silver. Testa'do. (From testa, a shell ; because it is covered with a shell.) A tortoise, a snail. An ulcer, which, like a snail, creeps under the skin. Te'sta. Oyster-shells. Te'st.i; pr.4;para't^. "Wash the shells previously cleared of dirt, with boiling water, then prepare them as is directed with chalk." Te'stes ce'rebri. See Tubercula qua- drigemina. TESTICLE. Testis. Orchis. They are also called didymi, and by some perin. Two little oval bodies situated within the scrotum, and covered by a strong, white, and dense coat, called tunica albuginea testis. Each testicle is composed of small vessels bent in a serpentine direction, arising from the sper- matic artery, and convoluted into little heaps, separated from one another by cellular par- titions. In each partition there is a duct re- ceiving semen from the small vessels; and all the ducts constitute a net which is attach- ed to the tunica albuginea. From this net- work twenty or more vessels arise, all of which are variously contorted, and, being re- flected, ascend to the posterior margin of the testis, where they unite into one common duct, bent into serpentiue windings, and forming a hard body called the epididymis. The spermatic arteries are branches of the aorta. The spermatic veins empty them- selves into the vena cava and emulgent vein. The nerves of the testicle are branches of the lumbar and great intercostal nerve. The use of the testicle is to secrete the semen. Testicle, swelled. See Hernia humoralis. Testi'c0lus. {Tesliculxis, dim. of testis.') A small testicle. Also the orchis plant, so named from the resemblance of its roots to a testicle. Testi'culus cani'kus. See Orchis mas- cula. TE'STIS. (A witness, the testes being the witnesses of our manhood.) See Testicle. Tetaso'mata. (From Tirason/, to smooth-) TET TET 8^3 Telanothra. IWedicines which smooth the skin, and remove wrinkles. TETANUS. (From mvco, to stretch.) Spasm with rigidity. Convuldo indica. Ho- lolonicos. Rigor nervosus. A genus of dis- ease in the C\ass, .Yeuroses, and Order, Spas- mi, of Cullen ; characterized by a spasmo- dic rigidity of almost the whole body. The varieties of tetanus are, 1. Opisthotonos, where the body is thrown back lay spasmo- dic contractions of the muscles. 2. Empros- thototws, the body being bent forwards. 3. Trismus, the locked jaw. Tetanus is otten symptomatic of sj'philis and worms. These affections arise more frequently in Warm climates than ia cold ones, and are very apt to occur when much rain or moist- vire quickly succeeds excessively dry and sultry weather. They attack persons of all ages, sexes, temperaments, and complexions, but the male sex more frequently than the female, and those of a robust and vigorous constitution than those of a weak habit. An idea is entertained by many. Dr. Thomas observes, that negroes are more predisposed to attacks of tenanus than white people ; they certainly are more frequently afiected Avith it, but this circumstance does not arise from any constitutional predisposition, but from their being more exposed to punctures and wounds in the feet, by nails, splinters of wood, pieces of broken glass, k.c. from usually going bare-footed. Tetanic atlections are occasioned either by exposure to cold, or by some irritation of the nerves, in consequence of local injury by puncture, incision, or laceration. Lace- rated wounds of tendinous parts prove, in ■warm climates, a never-failing source of these complaints. In cold climates, as well as in warm ones, the locked jaw, or trismus, frequently arises in consequence of the am- putation of a limb. When the disease has arisen in conse- quence of a puncture, or any other exter- nal injur}', the symptoms show themselves generally about the eighth day, but when it proceeds from any exposure to cold, they generally make their appearance much sooner. In some instances it comes on suddenly, and with great violence ; but it more usual- ly makes its attack in a gradual manner ; in which case, a slight stiffness is at first per- ceived in the back part of the neck, which, after a short time, becomes considerably in- creased, and at length renders the motion of the head both difficult and painful. With the rigidity of the head there is likewise an uneasy sensation at the root of the tongue, together with some difficulty in swallowing, and a great tightness is per- ceived about the chest, with a pain at the extremity of the sternum, shooting into the back. A stiffness also takes place in the jaws, which soon increases to such a height, that the teeth become so closely set together as not to admit of the smallest opening. This is what is termed the locked jaw. In some cases, the spasmodic affection extends no further. In others the spasms at this stage of the disease, returning with great frequency, become likewise more ge- neral, and now affect not only the muscles of the neck and jaws, but likewise those of the whole spine, so as to bend the trunk of the body very forcibly backwards, and this is what is named opsithotonos. Where the body is bent forwards, the disease is call- ed emprosthotonos. During the whole course of the disorder, tiie abdominal muscles are violently affected with spasm, so that the belly is strongly retracted and feels very hard, most ob' _. stinate costiveness prevails, and both the "^ flexor and extensor muscles of the lower extremities are commonly affected at the same time, so as to keep the limbs rigidly extended. The flexors of the head and trunk be- come at length so strongly affected, as to balance the action of the extensor, and to keep the head and trunk so rigidly extended and straight as to render it incapable of being moved in any direction. The arms, which were little affected before, are now likewise rigidly extended, the tongue also becomes affected with spasm, and being convulsively darted out, is often much injured by the teeth at that moment snap- ping together. It is to this state of the dis^ ease that the term tetanus has been strictly applied. The disorder continuing to advance, every organ of voluntary motion becomes affected ; the eyes are rigid and immoveable in their sockets, the countenance is hideously dis- torted, and expresses great distress; the strength is exhausted, the pulse becomes irregular, and one universal spasm puts a [leriod to a most miserable state of exist- ence. Attacks of tetanus are seldom attended with any fever, but always with violent pain, and the spasms do not continue for a constancy, but the muscles admit of some remission in their contraction, which is re- newed every ten or fifteen minutes, espe- cially if the patient makes the least at- tempt to speak, drink, or alter his posi- tion. When tetanic affections arise in conse- quence of a wound, puncture, or lacera- tion, in warm climates. Dr. Thomas ob- serves, they are almost sure to prove fatal. The locked jaw in consequence of an ampu- tation, likewise proves usually fatal. When these affections are produced by an exposure to cold, they may in most cases be removed by a timely use of proper remedies, although a considerable space will probably elapse before the patient will be able to recover his former strength. 884 TET TEU On dissections of this disease, slight effu- sions within the cranium have been observed in a few instances ; but in by far the greater number., nothing particular has been disco- covered., either in llie brain or any other organ. The general indications are, l.To remove any local irritation -.vhich may appear to have excited the disease; 2. To lessen the gene- ral irritability, and spasmodic tendency; 3. To restore the tone of the system. — If a thorn, or other extraneous substance, be lodged in any part, it must be extracted ; any spicula of bone, wliich may have brought on the disease after amputation, should be removed ; a punctured wound ought to be dilated ; k.c. Some have proposed dividing the nerve going to the part, or even ampu- tating this, to cut off the irritation ; others paralysing the nerves by powerful sedatives, or destroying them by caustics ; others again exciting a new action in the part by active stimulants ; but the efficacy, and even pro- priety of such measures is doubtful. To fulfil the second indication, various means have been proposed. The abstraction of blood, recommended by Dr. Rush, might, perhaps, appear adviseable in a vigorous ple- thoric habit in the beginning of the disease, but it has generally proved of little utility, or even hurtful, and is rather contra-indica- ted by the state of the blood. Purging is a less questionable measure, as costiveness ge- nerally attends the disease, and in many ca- ses it has appeared very beneficial, especially when calomel was employed. It has been found, also, that a salivation, induced by mercury, has sometimes greatly relieved the disorder; but in other instances it has failed altogether. The remedy, which has been oftenest employed, and with the most de- cided advantage, is opium, and sometimes prodigious quantities of it hftve been exhi- bited; indeed small doses are useless, and even largo ones have only a temporary effect, so that they must be re[)eated, as the violence of the symptoms is renewed ; and where the patient cannot swallow, it may be tried in clyster, or freely rubbed into the skin. Other sedative and antispas- modic remedies, have been occasionally re- sorted to, as hemlock; tobacco, musk, cam- phor, fee. but for the most part with less satisfactory results. The warm bath has sometimes proved a useful auxiliaiy in cold climates ; but the cold bath is much more relied upon, especially in the West Indies, usually in conjunction with the liberal use of opium. In Germany, alkaline baths, and the internal use of the sam.e remedies, are stated to have been decidedly serviceable. Others have advised the large use of bark and wine, which seem, however, rather cal- culated to be preventives, or to fulfil the third indication ; yet wine may be employed rather as nom'ishment, since in severe cases of the disease little else can be taken. Elec- tricity seems too hazardous a remedy to he tried in a general affection, especially in the muscles of respiration : but if confined to the jaw, it may be useful in a mild form. At the period of convalescence, the strength must be restored by suitable diet and me'di^r cines, the cold bath, regular exercise, fcc. • and removing the patient from the West Indies to a colder climate, till the health is fully established, would be a very proper precaution. TeTART^'i'S. {TtraliraKic, fourth.) A quartan fever. Tetramyr'um. (From rirpscs, four, and ^i/pav, an ointment.) An ointment of four ingredients. Tetrangu'ria. (From Tirpa;, four, and ayfos, a cup ; so called because its fruit re- sembles a cup divided into four parts.) The citrul. Tetrapha'rmacum. (From rsrpa;, four, and 9aptiaxot, a drug j A medicine compo- sed of four ingredients. Tetters. See Herpes. TEU'CRIUM. (From Teiicer, who dis- covered it.) The name of a genus of plants in the Linnjean system. Class, Didyna- mia. Order, Gyninosptrmia. The herb speedwell. Teo'crium cAPiTa'xuM. The systematic name of the poley mountain of Montpelier. Poliion montanum . This plant, Teucriuin capitatum, of Linnaeus, bears the winter of our climate, and is generally substituted for the candy-species. Tec'crium cham^e'drys. The system- atic name of the common germander. Cha- madrys. Chumadrys viinor repens, vulga- ris. Quercula calamandrina. Trissago. Cfiamccdrops, of Faulus Jigineta, and Ori- basius. This plant, creeping germander, small germander, and English treacle ; Teucrium ; foliis ameiformi-ovatis, imisis, crenatis, petiolatis ; floribus ternis; caulihvs procmnbentibus, stibpilosis, of Linnaeus, has a moderately bitter, and somewhat aromatic taste. It was in high lepute amongst the ancients in intermittent fevers, rheumatism, and gout; and where an aromatic bitter is wanting, germander may be administered with success. The best time for gathering this herb is when the seeds are formed, and the tops are then preferable to the leaves. When dry, the dose is from 3ss to 3j. Ei- ther water or spirit will extract their vir- tue ; but the watery infusion is more bitter. This plant is an ingredient in the once ce- lebrated powder called from the Duke of Portland. Teu'cricm CHAMa;'piTYs. The system- atic name of (he ground pine. Chajncepiiys. Arthelica. Arthretiea. .kjuga. Miga. ha arlhritica. Holocyron. ionia. Sideritis. Common ground-pine. 'ihis low hairy plant, Teucrium ; foliis trifidis, liiiearibus, integerrimis ; florihus sessilibus, laleralibv.s, solitariis; cav.le diffusa, of Linnseus, has a THA THE SS5 moderately bilter taste, and a resinous, not disagreeable smell, somewhat like that of the pine. The tops or leaves are recom- mended as aperients and corroborants of the nervous system, and said to be particularly serviceable in female obstructions and para- lytic disorders. Teu'crium cre'ticum. The systematic name of the poley mountain of Candy. Polium creticum. The tops and whole herb enter the antiquated compounds mithridate and theriaca. The plant is obtained from the island of Candy; has a moderately aro- matic smell, and a nauseous bitter taste. It is placed amongst the aperients and corrobo- rants. Teu'crium iva. Chamapitys mosckaia. Iva moschata nionspeliensiutn. Chamcepitys miihyllus. The Teucrium iva, of Linnaeus. French ground-pine. It is weaker, but of similar virtues to chamsepitys. Teu'crium ma'rum- The systematic name of the Syrian herb mastich. Marum Syria- cum. Marum creticum. Mojorana Syriaca. Marum verum. Marum Cortusi. Chamedrys incana maritima. Marum germander, or Sy- rian herb mastich. This shrub is the Tat- criumjfoliis inlegtrrimis ovatis acuiispetiola- Us, subtus tomtntosis ; Jioribus racemods se- cundis, of Linnaeus. It grows plentifully in Greece, Egypt, Crete and Syria The leaves and younger branches, when recent, on be- ing rub'ued betwixt the fingers, emit a vola- tile aromatic smell, which readily excites sneezing ; to the tasle they are bitterish, ac- companied with a sensaiion of heat and acrimony. Judging from these sensible qualities of the plant, it may be supposed to possess very active powers. It is re- commended as a stimulant aromatic, and deobstruent ; and Linnsus, Rosenstein, and Bergius, speak highly of its utility. Dose, ten grains to half a drachm of the powdered leaves, given in wine. At pre- sent, however, marum is chiefly used as an errhine. Teu'crium monta'num. The, systematic name of the common poley mountain. Teu'crium po'lium. The systematic name of the golden poley mountain. Teu'crium sco'rdium. The systematic name of the water germander. Scordium. Trissago palustris. Chamctdrys palusiris allium redolens. Water germander. The leaves of this plant have a smell somewhat of the garlic kind, from which circumstance it is supposed to take its name : to the taste they are bitterish and slightly pungent. The plant was formerly in high estimation, but is now justly fallen into disuse, although re- commended by some in antiseptic cataj>lasms and fomentations. Teu'thkum. (TtuSpoy) The herb po- lium. THA'LAMI NERVORUM OP- TICO'RUM. (ea!A«^,,-, a bed.) Two bo- dies, which form in part the optic nerve, placed near to each other, in appearance white, protruding at the base of the late- ral ventricles, and running in their direc- tion invvfards, a little downwards, and up- wards. Thalasso'bieli. (From iaXa-aaa,, the sea, and i^eX/, honey.) A medicine composed of sea-water and honey. THALI'CTRUM. (From ea.xx», to flou- rish.) 1. The name of a genus of plants in the Linnaean system. Class, Folyartdria, Order, Poiygynia. 2. Tlie pharmacopoiial name of the poor man's rhubarb. Thah'ctrum fla'vum. The systematic name of the poor man's rhubarb. The root of this plant is said to be aperient and sto- machic, and to come very near in its vir- tues to rhubarb. It is a common plant in this country, but seldom used medici- nally. Tha'psia. (From Thapsus, the i.sland where it was found.) The deadly carrot. Thapsia asclepias, of Linnaeus. The root operates violently both upwards and down- wards, and is not used in the present prac- tice. Tha'psus. (From the island Thapsus.) The great white mullein, or cows lung- wort. THE'A. Tea. There are two species of this tree; viz. 1. The bohea, or black tea; and 2. The viridis, or green tea; both of which are natives of China or Japan where they attain the height of five or si.x feel. Great pains are taken in collecting the leaves siyigty, at three different times, viz. about the middle of February, in the be- ginning of March, and in April. Although some writers assert, that they are first expo- sed to the steam of boiling water, and then dried on copper-plates ; yet it is new under- stood that such leaves are simply dried on iro7i plates, suspended over a fire, till they become dry and shrivelled ; when cool; they are packed in tin boxes to exclude the- air, and in that stale exported to Europe. Teas are divided in Britain into three kinds of green, and five of bohea. The former class includes, I. Imperial or bloom lea, having a large leaf, a faint smell, and being of a light green colour. 2. Hyson, which has small curled leaves, of a green shade inclining to blue. 3. Singlo tea, thus termed from the place where it is culti- vated. The boheas comprehend : 1. Sou- chong, which, on infusion, imparts a vel- lowish green colour. 2. Camho, a fine tea, emitting a fragrant violet smell, and yield- ing a pale shade ; it receives its name from the province where it is reared. 3. Pekoe tea is known by the small white flowers that are mixed with it. 4. Congo has a SS,6 THE THO larger leaf than the preceding variety, and yields a deeper tint to water ; and 5. Com- mon bohea, tlie leaves of whicii are of an uniform green colour. There are besides other kinds of tea, sold under the names of gunpoivder tea, &c. which differ from the pre- ceding, only in the minuteness of their leaves, and being dried with additional care. Much has been said and written on the medicinal properties of tea ; in its natural state it is a narcotic plant, on which account the Chinese refrain from its use till it has been divested of this property by keeping it at least for twelve months. If, however, good tea be drunk in moderate quantities, with sufficient milk and sugar, it invigorates the system, and produces a temporary ex- hilaration ; but v.hen taken too copiously, it is apt to occasion weakness, tremor, palsies, and various other symptoms arising from narcotic plants, while it contributes to ag- gravate hysterical and hypochondriacal com- plaints. Tea has also been supposed to pos- sess considerable diuretic and sudorific vir- tues, which, however, depend more on the quantity oivioxm water employed as a vehicle than the quality of the tea itself. Lastly, as infusions of these leaves are the safest re- freshment after undergoing great bodily fa- tigue or mental exertion, they afford an agreeable beverage to those who are exposed to cold weather- "t the same time tending to support and promote perspiration, which is otherwise liable to be impeded. The'a germa'nica. Fluellin ; male speed- well. See Veronica. Theba'ica. (A Thebaide regione, from the country about the ancient city of Thebes in Egypt, where it flourished.) The Egyp- tian poppy. THEBE'SII FORA'MINA. The orifices of veins in the cavities of the heart. THE'CA VERTEBRA' LIS. (The- ca, from nhiM, to place.) The vertebral canal. Thely'pteris. (From f/iXu;, female, and sr«p;j, fern.) The female fern. The'nar. (Thenar, sc. musculus) See Flexor brevis poUicis maims. Theobro'ma caca'o. (Theobroma, from 6e»/, the gods, and fipat/n-a, food ; so called from the deliciousness of its fruit : Cacao, an Indian term.) The systematic name of the tree which affords cocoa and chocolate. Theodo'ricum. (From Qui, the gods, and ^aipov, a gift.) The pompous name of some antidotes. ■ THERAPEI'A. (From BipaTrtuo), to heal.) Tkerapia. The art of healing dis- eases. THERAPEUTICS. {Therapeutica, from Sepas^Euiw, to cure.) Tkerapia. Methodus medendi. That branch of medicine which treats of the operation of the different means employed for curing diseases, and of the ap- plication of these means. Theri'aca. From ^fts, a viper or venomous wild beast.) Treacle, or molas- ses : also a medicine appropriated to the cure of the bites of venomous animals, or to resist poisons. Theri'aca andro'machi. The Venice or Mithridate treacle ; a composition of sixty-one ingredients, prepared, pulverized, and with honey formed into an electuary. Theri'aca c^lestis. Liquid laudanum. Theri'aca commu'ms. Common treacle, or molasses. The'riaca damo'cratis. An old pre- paration usually called Confectio Damo- ciatis. Theri'aca Edine'nsis. Edinburgh tbe- riaca. The thebaic electuary. Theri'aca Germano'bum. A rob of juniper-berries. Theri'aca Londine'nsis. A cataplasm of cummin seed, bay-berries, germander, snake-root, cloves, and honey. Theri'aca rustico'rum. The roots of the' common garlic were so called. See Jillium. Therio'ma. (From Byipiow, to rage like a wild beast.) A malignant ulcer. The'rmjE. Warm baths or springs. See Mineral waters. THERMOMETER. (Thermometrum, from dipfiti, heat, and fAirpov, a measure.) An instrument for measuring the degrees of heat. See Caloric. Thizh-hone. See Femur. THIRST. Sitis The sensation by which we experience a desire to drink. The seat of this sensation appears to be either in the fauces or the stomach. Thistle, carline. See Carlina acaulis. Thistle, holy. See Centaurea benedicta. Thistle, pine. See Carlina gummifera. THLA'SPI. (From fixas;, to break, be- cause its seed appears as if it were broken or bruised.) 1. The name of a genus of plants in the Linneean system. Class, Tetradynamia. Or- der, Siliculosa. 2. The pharmaceutical name of the herb penny-cress. Two species of thlaspi are directed in some pharmacopoeias for medici- nal uses ; — the Thlaspi arvense, of Linnaeus, or treacle mustard, and Thlaspi campestre, of Linnaeus, or mithridate mustard. The seeds of both have an acrid biting taste ap- proaching to that of common mustard, with which they agree nearly in their pharmaceu- tic qualities. They have also an unpleasant flavour, somewhat of the garlic or onion kind. Thla'spi arve'nse. The systematic name of the treacle mustard. See Thlaspi. Thla'spi campe'stre. The systematic name of the mithridate mustard. ' See Thlaspi. THORACIC DUCT. Ductus thora- cicus. Ductus Pecquettii. The trunk of the absorbents ; of a serpentine form, an,d about the diameter of a crow-quill. It lies THl THY 8S7 >ilion the dorsal vertebrae, between the aorta and vena azygos, and extends from the pos- terior opening of the diaphragm to the angle formed by the union of the left subclavian and jugular veins, into which it opens and evacuates its contents. In this course the thoracic duct receives the absorbent vessels from almost every part of the body. THORAX. (From B-opia, to leap, be- cause in it the heart leaps.) The chest. That part of the body situated between the neck and the abdomen. The external parts of the thorax are, the common integuments, the breasts, various muscles, and the bones of the thorax. (See Boiie and Respiration.) The parts within the cavity of the thorax are, the pleura and its productions, the lungs, heart, thymus gland, cesophagus, thoracic duct, arch of the aorta, part of the vena cava, the vena azygos, the eighth pair of nerves, and part of the great intercostal nerve. Thorn, Egyptian. The Mimosa niloiica, of Linnseus. See Acacia vera. Thorn-apple. See Daiuria slramonium. Thorn, black. See Prunus spinosa. THRO'MBUS. (From ^poB^, to disturb.) A small tumour which sometimes arises after bleeding, from the blood escaping from the vein into the cellular structure surround- ing it. Thrush. See Aphtha. Thry'ptica. (From ifu-prria, to break.) Lithontriptics, medicines which are said to have the power of destroying stones in the bladder. Thu'ris cortex The cascarilla and eleutheria barks, were so called. See Cro- ton cascarilla. Thus. (From Sua, to sacrifice, so called from its great use in sacrifices.) See Juni- veras Lycia, and pinus abies. Thus jud.s;o'rum. See Thymiama. Thus ma'scultjm. See Juniperus lycia. THUY'A. (From hov, odour, so named from its fragrant smell.) Thuja. The name of a genus of plants. Class, Monoecia. Or- der, Monadelphia. . Thuy'a occidenta'lis. The systematic name of the tree of life. Tlvaya ; strobilis IcBvibus ; squamis obtusis, of Linnaeus. Ar- bor viice. The leaves and wood were for- merly in high estimation as resolvents, su- dorifics, and expectorants, and were given in phthisical aftections, intermittent fevers, and dropsies. Thylaci'tis. (From hXaKo;, a seed- vessel, so called from its large head.) The white garden poppy. Thy'mbra. (From h/io;, thyme; so named because it smells like thyrne.) See Satureja. Thy'mbra hispa'nica. The name given by Tournefort to the common herb mas- tich. ?>ee Thymus moitichina. Thyme, lemon. See Thymus serpyllum. Thyme, mother of. See Thymus serpyllum. Thvmelce A. (From Sv/jiu, an odour, be- cause of its smell.) See Daphne gnidium. Thymia'jia. (From ^iiy.cc, an odour, so called from its odoriferous smell.) Musk- wood. Thus judmorum. A bark in small brownish grey pieces, intermixed with bits of leaves, seeming as if the bark and leaves had been bruised and pressed together, brought from Syria, Cilicia, Sic. and sup- posed to be the produce of the liquid storax- tree. This bark has an agreeable balsamic smell approaching to that of liquid storax, and a sub-acrid bitterish taste, accompanied with some slight adstringency. Tiiy'miujsi. (From (u/xo;, thyme, because it is of the colour of thyme.) A small wart upon the skin. Thymoxa'lme. (From ^uy.c;, thyme, o^v; acid, and aXs, salt.) A compo'sition of thj"me, vinegar, and salt. THY'MUS. (As-a Tou ^vfiso, because it was used in faintings ; or from S^w^a, an odour, because of its fragrant smell.) 1. The name of a genus of plants in the Linnasan system. Class, Didynamia. Or- der, Gymnospermia. Thyme. 2. The pharmacopceial name of the com- mon thyme. See Thymus vulgaris. 3. A small indolent carnous tubercle like a wart arising about the anus, or the pu- denda, resembling the flowers of thymej from whence it takes its name. 4. (S-vfios, the thymus gland.) A gland of considerable size in the foetus, situated ia the anterior duplicature or space of the me- diastinum, under the superior part of the sternum. An excretory duct has not yet been detected, but lymphatic vessels have been seen going from it to the thoracic duct. Its use is unknown. Thy'mus citra'tus. See Thymus set' pyllum. Thy'mus cre'ticds. The plant which, bears this name in some pharmacopoeias is the Satureja capifata, of Linnaeus ; which see. Thy'mus masti'china. The systematic name of the common herb mastich. Marvvi vulgare. Sampsuchus. Clinopodium maS' tichina gallorum. Thymbra hispanica. Jaca indica. Thymus maslichina, of Linnasus. A low shrubby plant, a native of Spain, which is employed as an errhine. It has a strong agreeable smell, like mastich. Its virtues are similar to those of marum syria- cum, but less powerful. Thy'mus serpy'llum. The systematic name of the mother of thyme. Serpyllum. Serpillum. Gilarum. Serpyllurn vulgare minus. Wild or mother of thyme. Thymus: floribus capitatis, cuulibu^ repenlibus, foliis planis obtusis bad ciliatis, of Linnaeus. This plant has the same sensible qualities as those of the garden thyme, but has a milder and rather more grateful flavour. Lemon thyme, the Serpyllum citratum, is merely a variety of the Thymus Serpyllv.rn, of Linnaeus. It S88 TIB js very pungent, and has a paiticulariy grateful odour, approaching to that of le- mons. Thy'mus vulga'ris. The systematic name of the common thyme. This herb, the Thyinus : erectus foliis revolutis ovatid, Jioribu^ verticillato spicalis, of Linnteus, Las 'an agreeable aromatic smell, and a warm pungent taste. Its virtues are said to be resolvent, emmenagogue, tonic, and stoma- chic ; yet tiiere is no disease mentioned in which its use is particularly recommended by any writer on the materia medica. THYRO. jSames compounded with this word belong to muscles, which are attached to the thyroid cartilage ; as, THYRO AKYTyE:>OIDEXFS. Mvsculus thyro-aryt(znoideus.) A muscle, situated about the glottis, which pulls the arytenoid cartilage forwards nearer to the middle of the thyroid, and consequently shortens and relaxes the ligament of the larynx. THYRO-HYOIDE'US. {Musculus ihyro- hyoideus.) A muscle, situated between the OS hyoides and trunk, which pulls the os hyoides downwards, and the thyroid carti- lage upwards. Thyro-pharynge'us. See Constrictor pharyngis inferior. Thyro-pharyngo-staphili'.nus. See Fa- lato pharyngms. Thyro-staphili'sus. See Pulalo pharyn- geus. " THYROID CARTILAGE. (CarlHago tkyroidea,irom S-vpio;,a shield, and uoos: re- semblance, from its supposed resemblance to a shield.) Scutiform cartilage. The car- tilage which is placed perpendicular to the cricoid cartilages of the larynx, constituting the anterior, superior, and largest part of the larynx. It is harder and more prominent in men than in women, in whom it forms the ponium adami. THYROID GLAND. Glandula thyroi- dea. A large gland situated upon the cri- coid cartilage, trachea, and horns of the thyroid cartilage. It is uncertain whether it be conglobate or conglomerate. Its ex- cretory duct has never been detected, and its use is not yet known. TI'BIA. {Tibia, the hautboy, qu. tubin, from tuba, a tube ; so called from its pipe- like shape.) Facile majus; Arundo major ; Fosilus ; and, from its resemblance to an old musical instrument. Canna major ; Canna-domestica cruris. The largest bone of the leg. It is of a long, thick and trian- gular shape, and is situated on the internal part of the leg. Its upper extremity is large, and flattened at its summit, where we observe two articulating surfaces, a little concave, and separated from each other by an intermediate irregular protuberance. Of these two cavities, the internal one is deep- est, and of an oblong shape, while the ex- ternal one is rounded, and more superficial. Each of these, in the recent subject, is co- vered by a cartilage, which extends to the intermediate protuberance, where it termi- nates. These tw'o little cavities receive the condyles of the os femoris, and the eminence between them is admitted iuto the cavity which is seen between the two condjdes of that bone ; so that this articulation affords a siiecimen of the complete ginglymus. Be- hind the intermediate protuberance, or tu- bercle, is a pretty deep depression, which serves for the attachment of a ligament, and likewise to separate the two cavities from each other. L'nder the edge of the external cavity is a circular fiat surface, covered with cartilage, which serves for the articulation of the libula ; and at the fore part of the bone is a considerable tuberosity of an inch and a half in length, to which tbe strong ligametit of the rotula is fixed. The body of the tibia is smaller than its extremities, and, being of a triangular shape, affords three surfaces. Of these, the exter- nal one is broad, and slightlj'' hollowed by muscles above and below ; the internal sur- face is broad and flat, and the posterior sur- face is narrower than the other two, and nearly cylindrical. This last has a slight ridge runniog obliquely across it, from the outer side of the u])per end of the bone to about one third of its length downwarcb. A little below this we observe a passage for the medullary vessels, which is pretty consider- able, and slants obliquely downwards. Of the three angles which separate these sur- faces, the anterior one, from its sharpness, is called the spine, or shin. This ridge is not straight, but describes a figure like an Italic /, turning first inwards, then outwards, fand lastly inwards again. The external angle is more rounded, and' serves for the attachment of the interrosseous ligament ; and the inter- nal one is more rounded still by the pres- sure of muscles. The tibia enlarges again a little at its lower extremity, and terminates in a pretty deep cavity, by which it is articulated with tlie uppermost bone of the foot. This ca- vity, in the recent subject, is lined with car- tilage. Its internal side is formed into a considerable process, called malleolus inter- 7iv.s, which, in its situation, resembles the styloid process of the radius. This process is broad, and of considerable thickness, and from it ligaments are extended to the foot. At its back part we find a groove, lined with a thin layer of cartilage,, in which slide the tendons of the flexor digitorum longus, and of the tibialis posticus ; and a little be- hind this is a smaller groove, for the tendon of the flexor longus poUicis. On the side opposite to the malleolus internus, the ca- vity is interrupted; and immediately above it is a rough triangular depression, which is furnished with cartilage, and receives the lower end of the fibula. The whole of this lower extremity of the bone seems to be turned somewhat out- TIN TIN 88a- Vv-ards, so that the malleolus iiiternus is situ- ated more forwards than the inner border of tlie upper extremity of the bone. In the fcetus both ends of the tibia are cartilaginous, and become afterwards epi- physes. TIBIAL ARTERIES, ^rferim iibiales. The two principal branches of the popliteal artery : the one proceeds forwards, and is called the anterior tibial ; the other back- wards, and is called the posterior tibial ; of which the external tibial, the fibular, the ex- ternal and infernal plantar, and the plantal srch, are branches. TIBIA'LIS ANTI'CUS. (Musculus tibia- lis andcus.) Tibio-sus-metatarsien, of Dumas. A flexor muscle of the foot, situated on the leg, which bends the foot by drawing it up- wards, and at the same time turns the toes inwards. TiBiA'trs gra'cii.is. See Planlaris. TIBIA'LIS POSTI'CUS. {Musculus tibi- alis posticus.) Tibio-tarsien, of Dumas. A flexor muscle of the foot, situated on the leg, which extends the foot, and turns the toes inwards. TIC DOULOUREUX. A painful affec- tion of the nerves, wliich mostly attacks the face, particularly that branch of the fifth pair, which comes out of the infra-orbitary foramen. Ti'glia gra'sa. See Croton tiglium. TILBURY WATER. This is found at West Tilbury in E^ex. It is an aperient and chalybeate now seldom used medicinally. TTLIA. (nTsXEa, ulmus, the elm-tree.) 1. The name of a genus of plants in the Linnajan system. Class, Polyandria. Or- der, Monogynia. 2. The pharmacopoeial name of the lime, <«• linden-tree. Ti'lia europ^'a. The systematic name of the lime-tree. The flowers of this tree are supposed to possess anodyne and anti- spasmodic virtues. They have a moderately strong smell, in which their virtue seems to consist, and abound with a strong mucilage. They are in high esteem in France. See Tilia. Ti'lli gra'na. See Croton tiglium. Ti'lmus. (From r/XXa, to pluck.) FIoc- eitatio or picking of bed-clothes, observable in the last stages of some disorders. TiMAC. The name of a root imported from the East Indies, which is said to pos- sess diuretic virtues, and therefore exhibited in dropsies. It is not known from what plant it is obtained. TIN. Stannum. Jupiter of the alche- mists. It has been much doubted whether this metal is found native. In (he opinion of Kirwan there are sufficient authorities to determine the question in the affirmative. The native oxyde of tin, or tin stone, occurs both massive and crystallized. Its colour is a dark brown, sometimes yellowish grey. When crystallized, it is somewhat transpa- rent. The wood tin ore is a variety of the native oxyde, termed so from its fibrous texture. This variety has hitherto been found only in Cornwall. It occurs in frag- ments which are generally round, and its colour is brown, sometimes inclining to yel- low. Tin is also found mineralized by sul- phur, associated always with a portion of copper, and often of iron. This ore is called tin pyrites. Its colour is yellowish grey. It has a metallic lustre, and a fibrous or lamellated texture ; sometimes it exhibits prismatic colours. Tin is comparatively a rare metal, as it is not found in great quan- tity any where but in Cornwall or Devon- shire ; though it is likewise met with in the mines of Bohemia, Saxony, the island of Banca, the peninsula of iMalacca, and in the East Indies Properties of Tin. — Tin is of a brilliant white colour, though not quite so white as silver. It is one of the lightest of the me- tals ; its specific gravity, when hammered, being 7.299. It is very fusible, melting at about 442'' Fahr. By intense heat it is vo- latilized. It becomes oxydized by a mode- rate degree of heat. It easily bends and emits a noise, called the crackling of tin. It is exceedingly soft and ductile. It may be reduced to very thin leaves. Tinfoil, or tin leaf, which is tin beat out, is about one thousandth part of an inch thick. It has scarcely any sound. Tin resists the action of the air. It crystallizes in rhombs formed of small octahedra. It unites, by fusion, with phosphorus and sulphur. It does not decompose water alone, or in the cold ; but easily by means of many other bodies. It decomposes the sulphuric acid, and unites with the sulphurous acid. It decomposes the nitric acid, and is very soluble in muri- atic acid. Nitromuriatic acid acts on it very readily. It is slightly soluble in the fluoric and boracic acids. Piiosphoric acid attacks it by heat. Tartaric acid has no perceptible action on it. The oxalic and acetic acids dissolve it in small quantities. The alkalis appear to have some action on it by heat. It combines with sulphuret of potash by fusion. It unites with the greater number of the metals with facility. It decomposes mu- riate of mercury, and muriate of ammonia. It causes nitrate of potash to detonate. It takes fire spontaneously in oxymuriatic acid gas, and is capable of combining with two different proportions of oxygen. Method of obtahwig Tin — In order to obtain tin from its ore, a mere fusion of it, with pounded charcoal, is sufficient. Or, a certain quantity of the ore is first freed from sulphur and arsenic by torrefaction : after which it is mixed with equal parts of potash, one half of common resin, and two parts of black flux ; the mixture is then fused in a -crucible covered with charcoal, by means of which the metal is recovered ifl its metallic state. In order to obtain 112 U90 TLN" II >r pure tin, let the tin obtained before be rapidly dissolved in strong nitric acid with heat. Thus some of the metals it may con- fain will be held in solution, and others be- eome oxydized, but muriatic, or nitro-muri- atic acid will, on digestion, take up these oxydes, and after sufficient ablution, leave that of tin, which may afterwards be redu- ced by mixing it when pulverized with dou- ble its weight of a flux formed of equal parts of pitch and borax, or resin and boras, and putting it into a covered crucible, lined with charcoal, which must be placed in a forge, and strongly heated for a quarter of an hour. TI'NC^ OS. (Tinea, a tench.) The mouth of the uterus is so called by some writers, from its resemblance to a tench's mouth. TincAL. See Borax. Tincto'rius. (From tingo, to die.) An epithet of a species of broom used by dyers : the genista tinctoria of Linnaeus. T I N C T U'R A. (From tingo, to die.) A tincture. A solution of any substance in spirit of wine. Rectified spirit of wine is the direct menstruum of the resins, and essential oils of vegetables, and totally extracts these active principles from sun- dry vegetable matters, which yield them to water not at all, or only in part. It dis- solves likewise the sweet saccharine matter of vegetables, and generally those parts of animal bodies in which their peculiar smell and taste reside. The virtues of many vegetables are ex- tracted almost equally by water and recti- fied spirit ; but in the watery and spirituous tinctures of them there is this difference, that the active parts in the watery extractions are blended with a large proportion of in- ert gummy matter, on which their solubility in this menstruum in a great measure de- pends, while rectified spirit extracts them almost pure from gum. Hence, when the spirituous tinctures are mixed with watery liquors, a part of what the spirit had taken up from the subject generally separates and subsides, on account of its having been freed from that matter, which, being blended with it in the original vegetable, made it soluble in water. This, however, is not universal, for the active parts of some vegetables, when extracted by rectified spirits, are not precipitated by water, being almost soluble in both menstrua. Rectified spirit may be tinged by vegeta- bles of all colours, except blue: the leaves of plants, in general, will give out little of their natural colour to watery liquors, but communicate to spirit the whole of their green tincture, which for the most part proves elegant, though not very durable. Fixed alkaline salts deepen the colour of spirituous tinctures ; and hence they have been supposed to promote the dissolving power of the menstruum, though this does not appear from experience ; in the trials which have been made, no more was found to be taken up in the deepcoloured tinctures than in the paler ones, and often not so much ; if the alkali be added after the ex- traction of the tincture, it will heighten the colour as much as when mixed with the in- gredients at first. The addition of these salts in making tinctures is not only needless but prejudicial, as they generally injure the flavour of aromatics, and superadd a quality sometimes contrary to the intention of the medicine. Volatile alkaline salts, in many cases, pro- mote the action of the spirits. Acids gene- rally weaken it ; unless when the acid has been previously combined with the vinous s[)irit into a compound of new qualities, called dulcified spirit. Tihctu'ra a'loes. Tincture of aloes. " Take of the extract of spike aloe, pow- dered, half an ounce : extrc\;t of liquorice, an ounce and a half; water, a pint ; rec- tified spirit, four fluid ounces. Macerate in a sand-bath until the extracts are dissolved, and then strain.'' This preparation pos- sesses stomachic and purgative qualities, but. should never be given where there is a te»- dency to hiemorrhoids. In chlorotic cases and amenorrhcea it is preferred to other pur- ges. The dose is from half to a whole fluid ounce. Tinctu'ra a'loes co^bpo'sita. Com- pound tincture of aloes, formerly called Elixir aloes : Elixir proprietatis. " Take of extract of spike aloe, powdered, saft'ron, of each three ounces ; tincture of myrrh, two pints. Macerate for fourteen days, and strain." A more stimulating compound than the former. It is a useful application to old indolent ulcers. The dose is from half a fluid drachm to two. Tinctu'ra aloes vitriola'ta. With the bitter infusion a drachm or two of this elegant tincture is extremely serviceable against gouty and rheumatic aff'ections of the stomach and bowels, and also in the weaknesses of those organs which frequent- ly attend old age. Ti'nctura assafce'tidje. Tincture of assafcetida, formerly known by the name of tindura fmtida. " Take of assafcetida, four ounces ; rectified spirit, two pints. Macerate for fourteen days, and strain." Diluted with water, this is mostly given in all kinds of fits, by the vulgar. It is a useful preparation as an antispasmodic, especially in conjunction with sulphate of zinc. The dose is from half a fluid drachm to two. Ti'hctura aura'stii. Tincture of orange- peel, formerly tindura corticis aurantii. " Take of fresh orange-peel, three ounces ; proof spirit, two pints. Macerate for TIN TIN S91 fourteen days, and strain." A mild and pleasant stomachic bitter, Tinctu'ra. benzoi'ni compo'sita. Com- pound tincture ot" benzoin, formerly known hy the names ot tindura benzoes composiia, and balsamiim traumaticum. " Take of benzoin, three ounces; storax balsam, strained, two ounces ; balsam of Tolu, an ounce ; extract of spiked aloe, half an ounce; rectified spirit, two pints. Mace- rate for fourteen days, and strain." This tincture is more generally applied exter- nally to ulcers and wounds than given inter- nally, though possessing expectorant, anti- spasmodic, and stimulating powers. Against coughs, spasmodic aft'ections of the stomach, and bowels, and diarrhoea, produced by ulcerations of those parts, it is a veiy excel- lent medicine. The dose, when given inter- nally, is from half a fluid drachm to two. TiNCTURA calu'mb^. Tiiicture of ca- lumba, formerly called iinctura columba. " Take of calumba root, sliced, two ounces and a half; proof spirit, two pints. Macerate for fourteen days, and strain." This tincture contains the active part of the root, and is generally given with the infusion of it, as a stomachic and adstrin- gent. Tinctu'ka ca'mphor.5: compo'sita. Cora- pound tincture of camphor, formerly called tindura opii camphorata; and elixir pare- goricum. " Take of camphor, two scruples ; opium, dried and powdered, benzoic acid, of each a drachm ; proof spirits, two pints. Macerate for fourteen days, and strain." The London college has changed the name of this preparation, because it was occa- sionally the source of mistakes under its old one, and tincture of opium was some- times substituted for it. It diflfers also from the former preparation in the omission of the oil of aniseed, which was often com- plained of as disagreeable to the palate, and to which, as an addition, no increase of power could be affixed. The dose is from half a fluid drachm to half a fluid ounce. Tinctu'ra cantha'ridis. See Tinctura lyltcB. Tinctu'ra ca'psici. Tincture of cap- sicum. "Take of capsicum berries, an ounce ; proof spirit, two pints. Macerate for fourteen days, and strain." Tinctu'ra cardamo'mi. Tincture of car- damom. " Take of cardamom seeds, bruised, three ounces ; proof spirit, two pints. Ma- cerate for fourteen days, and strain." A powerful stimulating carminative. In spasm of the stomach, an ounce with some other diluted stimulant is given with advantage. The dose may vary according to circum- stances, from half a drachm to an ounce and upwards. Tinctu'ra cakdamo'mi compo'sita. Compound tincture of cardamom, formerly called tindura stomachica. "Take of car- damom seeds, carra way-seeds, cochineal, of each, powdered, two drachms ; cinnamon bark, bruised, half an ounce ; raisins, stoned, four ounces ; proof spirit, two pints. Ma- cerate for fourteen days, and strain." A useful and elegant carminative and cordial. Tlie dose from half a fluid drachm to half a fluid ounce and upwards. Tinctu'ra cascari'll^. Tincture of cascarilla. "Take of cascarilla bark, pow- dered, four ounces ; proof spirit, two pints Macerate for fourteen days, and strain." A stimulating aromatic tonic, that may be exhibited in debility of the bowels and stomach, and in those cases of fever in which the Peruvian bark proves purgative. The dose from half a drachm to two drachms. Tinctu'ra casto'rei. Tincture of cas- tor. " Take of castor, powdered, two ounces ; rectified spirit, two pints. Ma- cerate for seven days, and strain." A powerful stimulant and antispasmodic, most- ly exhibited in hysterical affections in a di- lute form. The dose is from half a fluid drachm to two. Tinctu'ra catechu. Tincture of cate- chu, formerly known by the name tindura japonica. "Take of extract of catechu, three ounces ; cinnamon bark, bruised, two ounces; proof spirit, two pints. Macerate for fourteen days, and strain." An aromatic adstringent, mostly given in protracted diarrhoea. The dose is from half a fluid drachm to two. Tinctu'ra cincho'n.e. Tincture of cin- chona. Formerly known by the name of tindura corlicis peruviani simplex. " Take of lance-leaved cinchona bark, powdered, seven ounces ; proof spirit, two pints. Ma- cerate for fourteen days, and strain." Tlie dose is from a fluid drachm to half a fluid ounce. For its virtues see Cinchona. Tinctu'ra cincho'n^ ammonia'ta. Am- moniated tincture of cinchona. Volatile tincture of bark. " Take of lance-leaved cinchona bark, powdered, four ounces ; aro- matic spirit of ammonia, two pints; mace- rate for ten days and strain." Tinctu'ra cincho'n^ compo'sita. Com- pound tincture of cinchona. " Take of iance-Ieaved cinchona bark, powdered, two ounces ; orange peel, dried, an ounce and a half;serpentary root, bruised, three drachms, saS'ron, a drachm ; cochineal, powdered, two scruples ; proof spirit, twenty fluid ounces. Macerate for fourteen days, and strain." The dose is from one fluid drachm to half a fluid ounce. For its virtues see Cinchona. Tinctu'ra cinnamo'mi. Tincture of cin- namon. Formerly called aqua cinnamomi fortis. " Take of cinnamon bark, bruised, three ounces ; proof spirit, two pints. Ma- cerate for fourteen days, and strain." The dose is from a fluid drachm to three or more. Tinctu'ra cinnamo'mi compo'sita. Com- pound tincture of cinnamon. Formerly S9-2 TIN. TIN called tinrtiira aromaiic. " Take of cin- namon bark, bruised, six drachms ; carda- mom seeds, bruised, three drachms ; long pepper, powdered, ginger-root, sliced, of each two drachms; proof spirit, two pints. Macerate for fourteen days, and strain." The dose is from half a fluid drachm to two or more. Tinctu'ba digita'lis. Tincture of fox- glove. " Take of fox-glove leaves, dried, four ounces : proof spirit, tw o pints. Ma- cerate for fourteen days, and strain." This tincture is introduced in the London Phar- macopoeia as possessing the properties of the plant in a convenient, uniform, and per- manent form ; it is a saturated tincture, and in the same proportions has been long used in general practice. The dose is fiom ien to forty minims. For its virtues see Digitalis. Tinctc'ra fe'rri aceta'tis. This pre- paration is directed in the Dublin pharma- copoeia, with acetate of potash, two ounces ; sulphate of iron, one ounce ; and rectified spirit, two pints. Tinctu'ra fe'rri ammonia'ti. Tinc- ture of ammoniated iron, formerly called tinctura ferri ammoniacalis : tinciura Jlorum martialium, tincUira martis mynsichti. *« Take of ammoniated iron, four ounces; proof spirit, a pint. Digest and strain." This is a most excellent chalybeate in all atonic aifections, and may be given with cinchona in the cure of dropsical and other cachetic diseases. The dose is from half a fluid drachm to two. Tisctu'ra fe'rri muria'tis. Tincture of muriate of iron. Formerly called tinctura martis in spirilu salts ; tinciura martis cum spiritu salis j and lately known by the name of tinciura ferri muriati. " Take of sub- carbonate of iron, half a pound ; muriatic acid, a pint ; rectified spirit, three pints. Pour the acid upon the sub-carbonafe of iron in a glass vessel, and shake it occasion- ally for three days. Set it by that the faces, if there be any, may subside ; then pour off the solution, and add the spirit." Mr. Cline strongly recommends this in iscliuria and many diseases of the kidneys and urinary passages. The dose is from ten to twenty drops. It is a good chalybeate, and service- able against most diseases of debility with- out fever. Tikctu'ka GESTiA'NiE coMPo'siTA. Com- pound tincture of gentian. Formerly called tinctura amara. " Take of gentian root, sliced, two ounces ; orange-peel, dried, an ounce; cardamom seeds, bruised, half an ounce; proof spirit, two pints. Macerate for fourteen days, witli a gentle heat, and strain." The dose is from one fluid drachm to two. For its virtues see Gentianu. Tinctu'ra guai'aci. Tincture of guaia- cum. " Take of guaiacum resin, powdered, half a pound; rectified spirit, two pints. Macerate for fourteen days, and strain." This tincture, which possesses all the active parts of this peculiar vegetable matter, is now first introduced into the London Phar- macopceia. The dose is from one fluid drachm to two. For its virtues see Guaia- cum. Tinctu'ra guai'aci ammonia'ta. Am- moniated tincture of guaiacum. Formerly called tinctura guaicina volalilii. " Take of guaiacum resin, powdered, four ounces ; aromatic spirit of ammonia, a pint and a half. Macerate for fourteen days, and strain." The dose is from one fluid drachm to two. Tinctu'ra helle'bori ni'gri. Tincture of black hellebore. Formerly called tinctura melampodii. " Take of black hellebore-root, sliced, four ounces ; proof spirit, two pints. Macerate for fourteen days, and strain." The dose is from half to a whole fluid drachm. For its virtues consult Helleborus niger. Tinctu'ra hu'mci.i. Tincture of hop. "Take of hops, five ounces; proof spirit, two pints. Macerate for fourteen days, and strain." Various modifications of the pre- parations of this bitter have lately been strongly recommended by Mr. Freke, (Ob- servations on Kumulus Lupulus,) and em- ployed by many practitioners, who believe that it unites sedative and tonic powers, and thus forms a useful combination. The dose is from half to a whole fluid drachm. See Hmnulus. Tinctu'ra hyoscyami. Tincture of henbane. " Take of henbane leaves, dried, four ounces; i^roof spirit, two pints. Ma- cerate for fourteen dfiys, and strain." That the henbane itself is narcotic is abundantly proved, that the same power is also found in its tincture is also certain, but to produce the same eftects requires a much larger dose. In some of the statements made to the Col- lege of Physicians of London a different opinion has been given, and twenty-five drops have been considered as equivalent to twenty of tincture of opium ; it does not produce costiveness, or the subsequent con- fusion of head which follows the use of opium, and will therefore be, even if its powers be weaker^ of considerable use. The dose is from ten minims to one fluid drachm. Tinctu'ra jala'p^s;. Tincture of jalap, formerly called tinctura jalapii. " Take of jalap-root, powdered, eight ounces ; proof spirit, two pints. Macerate for fourteen days, with a gentle heat, and strain." The dose is from one fluid drachm to half a fluid ounce. For its virtue see Convolvulus jalapa. Tinctu'ra ki'no. Tincture of kino. " Take of kino, powdered, three ounces ; proof spirit, two pints. Macerate for four- teen days, and stiain " All the astringency of kino is included in this preparation. The dose is from half a fluid drachm to two. See Kino. TIN TIN 893 TiNCTU RA ly'tTjE. Tinctiirc of blister- sng fly. Formerly called iinclura canlhari- dis : — tinctura caidharidum. " Take of blistering flies, bruised, three drachms ; proof spirit, two pints. Macerate for four- teen days, and strain." In the last edition of the London pharmacopoeia, the colouring matter of the former preparation is omitted as useless, and the proportion of the fly in- creased. It is a very acrid, diuretic, and stimulating preparation, which should al- ways be administered with great caution from its known action on the parts of gene- 2"ation. In chronic eruptions on the skin, and dropsical diseases of the aged, it is often very useful when other medicines have been inert. The dose is from half a fluid drachm to two. Tinctu'ra my'rrh^. Tincture of myrrh. " Take of myrrh, bruised, four ounces; rec- tified spirit, two pints ; water, a pint. Ma- cerate for fourteen days, and strain." The dose is from half to a whole fluid drachm. For its virtues see Myrrha. Tinctu'ra o'pii. Tincture of opium. "Take of hard opium, powdered, two oun- ces and a half; proof spirit, two pints. Ma- cerate for fourteen days, and strain." The dose is from ten minims, or twenty drops, to half a fluid drachm. For its virtues see Opium. Tinctu'ra ehe'i. Tincture of rhubarb. Formerly known by the names of tinctura rhabarbari, and tinctura rkabarbari spirituo- sa. "Take of rhubarb-root, sliced, two ounces : cardamom-seeds, bruised, half an ounce; saffron, two drachms; proof spirit, two pints. Macerate for fourteen days, with a gentle heat, and strain." The dose is from half a fluid ounce to one and a half. For its virtues see Rheum. Tinctu'ra rhe'i compo'sita. Compound tincture of rhubarb. Formerly caWed tinc- tura rhabarbari composita. " Take of rhu- barb-root, sliced, two ounces ; liquorice- root, bruised; half an ounce ; ginger-roof, sliced, saffron, of each two drachms ; proof spirit, a pint ; water, twelve fluid ounces. Macerate for fourteen days, with a gentle heat, and strain." This is a mild stomachic aperient. The dose is from half a fluid ounce to one and a half. Tinctu'ra sci'll^:. Tincture of squill. " Take of squill-root,- fresh dried, four oun- ces ; proof spirit, two pints. Macerate for, fourteen days, and strain." The virtues 'of this squill (see Scilla) reside in the tincture, which is administered in doses of from twenty drops to a fluid drachm. Tinctu'ra se'nn^. Tincture of senna. Formerly called elixir salutis. " Take of sensia-leaves, three ounces ; carraway-seeds, bruised, three drachms; cardamom-seeds, bruised, a drachm; raisins, stoned, four ounces ; proof spirit, two pints. Macerate for fourteen days, with a gentle heat, and strain." A carminative, aperient, and pur- gative in doses from two fluid drachms to a fluid ounce. See Cassia senna. Tinctu'ra serpenta'ri^. Tincture of serpentary. Formerly called tinctura ser- pentaricB virginiaiim. " Take of serpentary- root, three ounces ; proof spirit, two pints. Macerate for fourteen days, and strain." This tincture possesses, in addition to the virtues of the spirit, those of the serpenfaria. The dose is from half a fluid drachm to two- See Aristolochia serpentaria. Tinctu'ra valeria'n^. Tincture of va- lerian. Formerly called tinctura valeriancR simplex. " Take of valerian-root, four ounces; proof spirit, two pints. Macerate for fourteen days, and strain." A useful an- tispasmodic in conjunction with others. The dose is from half a fluid drachm to two. See Valeriana. Tinctura valeria'njE ammonia 'ta. Am- moniated tincture of valerian. Formerly called tinctura Valeriana volatilis. " Take of valerian-root, four ounces ; aromatic spirit of ammonia, two pints. Macerate for fourteen days, and strain." A strong antispasmodic and stimulating tincture. The dose is from half a fluid drachm to two. Tinctu'ra vera'tri. A very active alte- rative, recommended in the cure of epilepsy and cutaneous eruptions. Its administration requires great caution ; the white hellebore being a powerful poison. Tinctu'ra zingi'beris. Tincture of gin- ger. " Take of ginger-root, sliced, two oun- ces; proof spirit, two pints. Macerate for fourteen days, and strain. A stimulating carminative. The dose is from a fluid drachm to three. Tincture of aloes. See Tinctura aloes. Tincture of assafatida. See Tinctura assa- fcetidce. Tincture of black hellebore. See Tinctura hellebori nigri. Tincture of blistering fly. See Tinctura lyttcB. Tincture of calumba. See Tinctura ca- lunibm. Tincture of capsicum. See Tinctura cap- sici. Tincture of cardamum. See Tinctura car- damotni. Tincture of cascarilla. See Tinctura cas- carilla. Tincture of castor. See Tinctura cas- torei. Tincture of catechu. See Tinctura ca- techu. Tincture of cinchona. See Tinctura cin- chonce. Tincture of cinnamon. See Tinctura cin- namomi. Tincture of fox-glove. See Tinctura di- gitalis. S94 TIT TOE Tincture of guaiacum. See Tinctura giiaiaci. Tincture of guaiacum, ammoniated. See Tinctura guaiaci ammoniata. Tinctvre of ginger. See Tinctura zingibe- ris- Tincture of henbane. See Tinctura hyo- set/ami. Tincture of hops. See Tinctura humuli. Tincture of jalap. See Tinctura jalapce. Tincture of kino. See Tinctura kino. Tincture of myrrh. See Tinctura myrrhce. Tincture of opium. See Tinctura opii. Tincture of orange-peel. See Tinctura au- rantii. Tincture of rhubarb. See Tinctura rhei. Tincture of senna. See Tinctura sennce. Tincture of serpentary. See Tinctura ser- pentarice. Tincture of squills. See Tinctura scillce. Tincture of valerian. See Tinctura vale- riancE. Tincture of valerian, ammoniated. See Tinctura Valeriana ammoniata. Tincture, compound, of aloes. See Tinc- tura aloes composita. Tincture, compound, of benzoin. See Tinctura benzoini composita. Tincture, compound, of camphor. See Tinctura camphor oe composita. Tincture, compound, of cardamom. See Tinctura cardanwmi composita. Tincture, compound, of cinnamon. See Tinctura cinnamomi composita. Tincture, compound, of cinchona. See Tinctura cinchona composita. Tincture, compound, of gentian. See Tinctura gentiarue composita. Tincture, compound, of rhubarb. See Tinctura rhei composita. Tl'NEA CA'PITIS. (Tinea, from teneo, to hold.) The scald-head. A genus of dis- ease in the Class, Locales, and Order, Dia- lyses, of Cullen ; characterized h»y small ul- . cers at the root of the hairs of the head, which produce a friable white crust. Tin-glass. See Bismuth. TINNITUS AU'RIUM. See Paracusis. T I T A' N I U M. This is a lately disco- vered metal. It was first noticed by Mac- gregor as existing in the state of an oxyde, mixed with iron, manganese, and silex, in a greyish-black sand found in the vale of Me- nachan in Cornwall, and thence named menachanite, or oxyde of titanium, com- bined with iron. It has since been disco- vered by Klaproth, in an ore named tita- nite, or oxyde of titanium, combined with lime and silex. This ore is generally met with crystallized in four-sided prisms, not longer than a quarter of an inch. Its co- lour is a yellowish red, or blackish brown ; it is opaque and of an imperfect lustre. It breaks with a foliated, uneven, or con- choidal fracture. It exists also in an ore called red schorl of Hungary, or red oxyde of titanium. This ore, which is found generally crystallized in rectangular prisms, is of a brownish red colour, of the specific gravity 4.2, and its texture foliated. In all these ores titanium exists in the state of an oxyde. Properties of Titanium. — Titanium has been only obtained in very small aggluti- nated grains. It is of a red yellow and. crystalline texture, brittle, and extremely refractory. When broken with a hammer while yet hot from its recent reduction, it shows a change of colours of purple, violet, and blue. In a very intense heat it is vo- latilized. Most of the acids have a striking action on this metal : though nitric acid has little eftect upon it. It is very oxidable by the muriatic acid. It is not attacked by the alkalis. Nitro-muriatic acid converts it into a white powder. Sulphuric acid when boiled upon it is partly decomposed. It is one of the most infusible metals. It does not combine with sulphur, but it may be united to phosphorus. It does not alloy with copper, lead, or arsenic, but combines with iron. Method of obtaining Titanium. — It is ex- tremely difficult to reduce the oxyde of tita- nium to the metallic state. However, the experiments of Klaproth, Hecht, and Vau- quelin, have proved its reducibility. Ac- cording to the two latter, one part of oxyde of titanium is to be melted with six of pot- ash ; the mass, when cold, is to be dissolved in water. A white precipitate will be formed which is carbonate of titanium. This carbonate is then made into paste with oil, and the mixture is put into a crucible filled with charcoal powder and a little alumine. The whole is then exposed for a few hours to the action of a strong heat. The metallic titanium will be found in the form of a black- ish puff'ed up substance, possessing a metal- lic appearance. Tithy'malds. (From ri§os, a dug, and fitcXo;, tender ; so called from its smooth leaves and milky juice.) Spurge. Two plants are directed for medicinal purposes by this name. See Euphorbia paralias, and Esula minor. TiTHYMALus CTPARi'ssius. See Esula minor. Tithy'malus para'lios. See Euphorbia paralias. TiTHYMELiE'A. See Daphne gnidium. TiTi'LLicuM. (From titilfo, to tickle ; so called from its being easily tickled.) The arm-pit. Toad-flax. See .Antirrhinum linaria. Tobacco. See JVicotiana. Tobacco, English. See JVicotiana ruslicu. Tobacco, Virginian. See JVicotiana. TOES. Digiti pedis. They consist of three distinct bones, disposed in rows, called xoy Ton 89.:i phalanges, or ranks of the toes. The great toe has but two phalanges ; the others have three ranks of bones, which have nothing particular, only the joints are made round and free, formed by a round head on one bone, and by a pretty deep hollow for re- ceiving it, in the one above it. . Tolu balsam. See Toluiftra balsamum. Tolui'fera ba'lsamum. The systematic name of the tree which affords the Tolu balsam. Balsamum Tolutanum. Balsam of Tolu. The tree Toluiftra balsamum, of Linnasus, from which this balsam is pro- cured, grows in South America, in the pro- vince of Tolu, behind Carthagena, whence '.ve are supplied with the balsam, which is brought to us in little gourd-shells. The balsam is obtained by making incisions into the bark of the tree, and is collected into spoons, which are made of black was, from which it is poured into proper vessels. It thickens, and in time becomes concrete : it has a fragrant odour, and a warm sweet- ish taste. It dissolves entirely in alcohol, and communicates its odour and taste to water, by boiling. It contains acid of ben- zoin. This is the mildest of the balsams. It has been used as an expectorant; but its powers are very inconsiderable, and it is at present employed principally on account of its flavour, somewhat resem- bling that of lemons. It is directed, by the pharmacopoeias, in the syrupus Tolu- tanus, tinctura Tolutana, and syrupus balsa- micus. Toluta'num ba'lsamum. See Toluiftra. balsamum. ToMEi'uM. (From rs^ya/, to cut.) An in- cision-knife. Tomenti'tia. (From tomejilum, a flock of wool ; so called from its soft coat.) Cot- ton-weed. TOiME'NTUM CE'REBRI. (To- mentum, a flock of wool.) The small vessels that penetrate the cortical substance of the brain from the pia mater, which, when separated from the brain, and adher- ing to the pia mater, give it a flocky appear- ance. TONIC SPASM. (Spasmus tonicus, Tav/»of, from Tsiva, to pull or draw.) Con- Iradura aspasmo. A rigid contraction of the muscles, without relaxation, as in trismus, tetanus, &,c. See Tetanus. TONICS. (Mtdicamenla tonka, from Tovoai, to Strengthen.) Medicines which in- crease the lone of the muscular fibre ; such as vegetable bitters ; also stimulants, adstrin- gents, &.C. TONGUE. Lingua. A soft fleshy viscus, very moveable in every direction, situated inferiorly in the cavity of the mouth, and constituting the organ of taste. It is divided into a base, body, and back, an inferior surface and two lateral parts. It is composed of muscular fibres, covered by a nervous membrane, on which are a great aumber of nei'vous papillae; particular- ly at tiie apex and lateral parts ; the rete niucosum, and epidermis. The arteries of the tongue are branches of the ranine and labial. The veins empty tliemsel^es into the great Unguals, which proceed to the ex- ternal jugular. The nerves come from the eighth, ninth, and fifth pair. The use of this organ is for chewing, swallowing, sucking, and tasting. See also Taste. TONSILS. Tonsilla. Amygdala;. Tales. Tales. Tolles. Two oblong, suboval glands, situated one on each side of the fauces, and opening into the cavity of the mouth by twelve or more large excretory ducts. Tootk. See Teeth. Tooth-ache. See Odontalgia. TO'PHUS. (Toph, Hebrew.) A topb. Epiporoma, a soft swelling on a bone. The concretion on the teeth or in the joints of gouty people. Also gravel. TO'PICA. (From n-ffoi, a place.) Medi- cines applied to a particular place. Topina'ria. a species of tumour in the skin of the head. To'rculak. (From iorqueo, to twist.) The tourniquet; a bandage to check hae- morrhages after wounds or amputations. TO'RCULAR HERO'PHILI. (Torcular, from torqueo, to twist.) Lechenon. Lenos. The press of Herophilus. That place where the four sinuses of the dura mater meet to- gether, first accurately described by Hero- philus, the anatomist. Tordy'lium officina'le. (Tordylium, quasi tortilium, from torqueo, to twist ; so named from its tortuous branches.) The systematic name of the officinal seseli creli- cum. The seeds are said to be diuretic. Tormentil. See Tormentilla. TORMENTI'LLA. (From tonnentum, pain ; because it was supposed to relieve pain in the teeth.) 1. The name of a genus of plants in the Linna?an system. Class, Icosandria. Order, Monogynia. 2. The pharmaccpceial name of the up- right septfoil. Tormenti'lla ere'cta. The systematic name of the upright septfoil. Heplaphyllum. Consolida rubra. Tormentilla ■■ caule erecti- usculo, foliis sessilibus, of Linnajus. The root is the only part of the plant which is used medicinally ; it has a strong styptic taste, but imparls no peculiar sapid flavour : it has been long held in estimation as a pow- erful adstringent ; and as a proof of its effi- cacy in this way, it has been substituted for oak bark in the tanning of skins for leather. Tormentil isordered in the pulvis cretce com- posilus, of the London Pharmacopoeia. See Tormentilla. TO'RMINA. Gripes. Pains in the bow- els. T O'R P R. A numbness, or deficient sensation. Tortico'llis. (From iorqueo, to twist, and collum, the neck.) The wry neck. Tobtd'ea o'ssis. Thelocked jaw. 896 TOU TRA To'ta bo'na. See Chenopodium Bonus Henricus. TOUCH. Tactm. The sensation by which we perceire any thing that is applied to the skin. The orscan of touch is formed by the nervous panillcB, which are situated all over the skin, but aiore especially at the points of the fingers. Touch-me-not. See J^oli me tangere. Tonch-ivond. See Agaricus. TOURNEFORT, Joseph Pittos de, was born at AiX; in Provence, in lo56. Ke was destined for the church, but a taste for natural knowledge led him, at his father's death, to change for the profession of phy- sic. He, therefore, qualified himself tho- roughly in anatomy, chemistry, and other branches of medical study, and likewise dis- tinguished himself as an elegant writer and lecturer ; but he displayed especially an ar- dent devotion to botany, which ever after made the chief object of his life. His zeal in this pursuit led him to encounter consi- derable danger in exploring the Alps, Py- renees, &c. during several seasons, passing the intermediate winters at Montpelier ; but he is said to have graduated at Orange. His merits, as a botanist, soon became conspicu- ous at Paris, and the superintendance of the royal garden was resigned to him by Fagon. In this school he soon drew together a crowd of students ; but anxious for farther improvements, he travelled into the neigh- bouring countries, and thus greatly enriched Lis collections. He was admitted a mem- ber of the Academy of Sciences, and of the Medical Faculty at Paris ; and was likewise decorated with the Order of Saint Michael. He published about the same period several botanical works, of which the principal is entitled, "Institutions Rei Herbariee." In the year 1700 he set out, under royal patronage, on a voyage to the Levant, with the view of investigating the plants of an- cient writers, and making new discoveries ; and on his return, after two years, he wrote a very interesting and valuable account of the expedition in French, which was not published, however, till after his death. This took place in 1703, inconsequence of a hurt in the breast, which he received from a carriage. He left his collection of plants to the king, who bestowed in return a pen- sion of a thousand livres on his nephew. Besides the botanical works published by him, he is said to have left several others in manuscript. One object, which had occu- pied much of his attention, was to determine the medical virtues of plants by a chemical analysis ; but the loss of these labours is not to be regretted, as tliose of GeofFroy, on the same plan, turned out to be without any solid advantage. The elegance and facility of Tournefort's botanical method gained him many followers at first : but it has since been superseded by that of Linnseus, which is much more systematic and comprehen- sive. Still, however, it must be acknow- ledged, that the generic distinctions, esta- blished by the former botanist, and most ac- curafeiy delineated, have been the principal foundation of subsequent improvements. TOURNIQUET. (French, from iourner, to turn.) An instrument used for stopping the Sow of blood into a limb. Toxica'ria macassarie'nsis. An Indian poison obtained from a tree hitherto unde- scribed by any medical botanist, known by the name of Boas-upas : it is a native of South America. Concerning this plant various and almost incredible particulars have been related, both in ancient and mo- dern times ; some of them true, others pro- bably founded on superstition. Rumphius testifies that he had not met with any other more dreadful product from any vegetable. And he adds, that this poison, of which the Indians boast, was much more terrible to tiie Dutch than any warlike instrument. He likewise says, it i.s his opinion, that it is of (he same natural order, if not of the same genus, of the cestrum. Tosicode'ndruh. (From toS,ixov, a poison, and hv^pov, a tree.) The poison-tree, which is so noxious that no insects ever come near it. See Ehus toxicodendron. TOXICOLOGY {Toxicologia, from t«^«v, an arrow or bow ; because the darts of the ancients were usually besmeared with some poisonous substance ; and Xaytn, a dis- course.) A dissertation on poisons. See Poison. TO'XICUM. (From ro^av, an arrow, which was sometimes poisoned.) Any deadly poison. Toxite'sia. The arfemisia, or mugwort. THRABE'CULA. (Thrahecidn, a small beam.) This word is mostly applied by anatomists to the small raedullai-y fibres of the brain, which constitute the commis- sures. T R A'C E E A. (So called from its roughness ; from rpap^^us, rough.) The windpipe. The trachea is a cartilaginous and membranous canal, through which the air passes into the lungs. Its upper part, which is called the lar3'nx, is composed of five cartilages. The uppermost and smallest of these caitilages is placed over the glottis or mouth of the larynx, and is called epi- glottis, as closing the passage to the lungs in the act of swallowing. The sides of the larynx are composed of the two arytenoid cartilages, which are of a very complex figure, not easy to be described. The ante- rior and larger part of the larynx is made up of two cartilages, one of which is called tby- roides or scutiformis, from its being shaped like a buckler : and the other cricoides or annularis, from its resembling a ring. Both these cartilages may be felt immediately under the skin, at the fore part of the tho- rax ; and the thyroides, by its convexity, forms an eminence called the pomum adaraij TRA TRA 897 tvhich is usually more considerable in the male than in the female subject. All these cartilages are united to each other by means of very elastic ligamentous fibres ; and are enabled, by the assistance of their several muscles, to dilate or contract the passage of the larynx, and to perform that variety of motion which seems to point out the larynx, as the principal organ of the voice ; for when the air passes out through a wound in the trachea, it produces no sound. These cartilages are moistened by a mu- cus, which seems to be secreted by minute glands situated near them. The upper part of the trachea, and the cricoid and thyroid cartilages, are in some measure covered an- teriorly by a considerable body, which is supposed to be of a glandular structure, and from its situation is called the thyroid gland, though its excretory duct has not yet been discovered, or its real use ascertained. The glottis is entirely covered by a very fine membrane, which is moistened by a con- stant supply of a watery fluid. From the larynx the canal begins to take the name of trachea, or aspera arleria, and extends from thence as far down as the fourth or fifth ver- tebrae of the back, where it divides into two branches, which are the right and left bron- chial tube. Each of these bronchia rami- fies through the substance of that lobe of the lungs, to which it is distributed, by an infinite number of branches, which are formed of cartilages separated from each other like those of the trachea, by an in- tervening membranous and ligamentary substance. Each of these cartilages is of an angular figure ; and as they become gra- dually less and less in their diameter, the lower ones are in some measure received into those above them, when the lungs, after being inflated, gradually collapse by the air being pushed out from them in expiration. As the branches of the bronchia become more minute, their cartilages become more and more angular and membranous, till at length they become perfectly membranous, and at last become invisible. The trachea is furnished with fleshy or muscular fib.'-es, some of which pass through its whole ex- tent longitudinally, while the others are car- ried round it in a circular direction, so that by the contraction or relaxation of these fibres, it is enabled to shorten or lengthen itself, and likewise to dilate or contract the diameter of its passage. The trachea and its branches, in all their ramifications, are furnished with a great number of small glands which are lodged in their cellular substance, and discharge a mucous fluid on the inner surface of these tubes. The cartilages of the trachea, by keeping it constantly open, afford a free passage to the air which we are obliged to be inces- santly respiring ; and its membranous part, by being capable of contraction or dilata- tion, enables us to receive and exi>el the air in a greater or less quantity, and with more or less velocity, as may be required in sing- ing and declamation. This membranous structure of (he trachea posteriorly, seems likewise to assist in the descent of the food, by preventing that impediment to its pas- sage down the oesophagus, which might be expected, if the cartilages were complete rings. The trachea receives its arteries from the carotid and subclavian arteries, and its veins pass into the jugulars. Its nerves arise from the recurrent branch of the eighth pair, and from the cervical plexus. Trachela'gra. (From rpay^nXdi, the throat, and ayfa, a seizure.) The gout in the neck. Trache'lium (From rfa^^Xoe, the throat ; so called from its etficacy in dis- eases of the throat.) The herb throat-wort. T R A C H E L O. (From rpa;^;j)Xof, the neck.) Names compounded of this word belong to muscles which are attached to the neck. Tracheloce'le. (From -rpaxiia, the wind-pipe, and K.r,Xti, a tumour.) A wen or tumour upon the trachea. TRACHELO-MASTOIDE'US. A muscle situated on the neck, which assists the complexus, but pulls the head more to one side. It is the complexus minor seu mastoideus lateralis, of Winslow. Trachelo- masloidien, of Dumas. It arises from the transverse processes of the five inferior cer- vical vertebrae, where it is connected with the transversalis cervicis, and of the three superior dorsal, and it is inserted into the middle of the posterior part of the mastoid process. Trachelo'phyma. (From rfa^^^ St the throat, and (py^a, a tumour.) A swelling of the bronchial gland. Trache'los. (From T^a;);i/?, rough, be- cause of the rough cartilages.) The wind- pipe. TRACHEOTOMY. (Trackeotomia, from rpa^iia, the trachea, and n/zva, to cut.) Laryngolomia. A synonym of broachoto- my. See Broncholomy. TRACHO'MA. (From rpaxys, rough.) An asperity in the internal superficies of the eyelid. The efiiects are a violent oph- thalmia, and a severe pain, as often as the eyelid moves. The species are, 1. Trachoma sabulosum, (vom sand falling between the eye and the eyelid of persons travelling, blown by a high wind ; this hap- pens chiefly in sabulous situations, and may be prevented by spectacles for the purpose, or by guarding against the flights of sand by covering the eyes. 2. Trachoma carunculosum, which arises from caruncles, or fleshy verrucae, growing in the internal superficies of the eyelid. This species of the trachoma is called mo- rum palpebree internae, because the tuber- / culous iaternal superficies appears of a livid / 113 / S98 TRA TRA red like a mulberry. Otiiers call these ca- runculEe pladorotes. 3. Trachoma herpetkum, which are hard pustules in the internul superficies of the eye- lids. This is also called finosis, and palpe- bra ficosa, froni its reseniiilance to the gra- nulated substances in a cut fig. With the Greeks it is nominated atomablepharou, or proptoris. Tragacanth gum. See Astragalus. T R A G A C A' N T H A. (Fron-i T^ayo;, a goat, and axav^a., a thorn ; so called from its pods resembling the goat's beard.) See ^^stragalus. TRA'GICUS. (Musculus fragicus.) A proper muscle of the ear, which pulls the point of the tragus a little forward. Tra'gium. (From Tfayo;, a goat ; so named from its filtliy smell.) Bastard dit- tany. Trago'certjs. (From rfayos, a goat, and xi-as, a horn ; so named from the supposed resemblance of its leaves to the horn of a goat.) The aloe. TRAGOPO'GON. (From rpay»;, a goat, and iruyaiv, a beard ; so called because its downy seed, while enclosed in the calyx, resembles a goat's beard.) 1. The name of a genus of plants in the Linnaean system. Class, Syngenesia. Or- der, Polygamia. 2. The pharmacopceial name of the com- mon goat's beard. Tragopo'gon prate'kse. The systema- tic name of the common goat's beard. The young stems of this plant are eaten like as- paragus, and are a pleasant and wholesome food. The root is also excellent, and was formerly used medicinally as a diuretic. See J'ragopogon. Tragopy'rum. (From r^ayo;, goat, and vupov, wheat; so named from its beard.) Buckwheat. Trago'rchis. (From T?a.yot, a goat, and efx''i a testicle ; so named from the suppo- sed resemblance of its roots to the testicles of a goat.) A species of orchis. Tragori'gan0m. (From rpaycs, a goat, and e?iyavoii, marjoram ; so called because goats are fond of it.) A species of wild mar- joram. Tragoseli'num. (From rpuyo;, a goat, and fiXivsy, parsley ; named from its hairy coat like the beard of a goat.) The burnet saxifrage was so called. See Fimpinella. TRA'GUS. (Tpay«f, a goat; so called from its having numerous little hairs, or from its being hairy like the goat.) A small cartilaginous eminence of the auricular or external ear, placed anteriorly, and connect- ed to the anterior extremity of the helix. It is beset with numerous little hairs, defend- ing, in some measure, the entrance of the external auditory passage. TRA'LLIAN, Alexander, a learned and ingenious physician, who was born at Tralles, in Lydia, and flourished at Rome under the emperor Justinian, about the middle of the sixth century. Like Hippo- crates, he travelled over various countries to improve his knowledge. Besides impro- ving upon many of the compositions thea employed, he invented several others: and particularly introduced the liberal use of the preparations of iron. He principally follow- ed the practice of Hippocrates and Galen, but not indiscriminately. He appears, how- ever, to have had too great faith in charms and amulets, which was the common error of the age in which he lived. Tra'mis. (Tpaf/,i;.) Raphe. The line which divides the scrotum, and runs on to the anus. TRANSFUSION. ( Tramfusio, from tram- fundo, to pour from one vessel into another.) The transmission of blood from one animal to another by means of a canula. TRANSPIRATION. {Transpiraiio, from trans, through, and spiro, to breathe.) A sy- nonym of perspiration. See Perspiration. TRANSUDATION. The same as perspi- ration. TRANSVERSA'LIS ABDO'MINIS. A muscle situated on the anterior part of the abdomen. It arises internally or posteriorly from the cartilages of the seven lower ribs, being there connected with the intercostals and diaphragm, also from the transverse pro- cess of the last vertebra of the back, from those of the four upper vertebrae of the loins, from the inner edge of the crista ilii, and from part of Poupart's ligament, and it is in- serted into the inferior bone of the sternum, and almost all the length of the linea alba. Its use is to support and compress the abdo- minal viscera. Transversa'lis ASTi'ctJS pri'mcs. See Rectus capitis lateralis. Transversa'lis CERvi'cis. See Longis- simiis dorsi. Transversa'lis co'lli. A muscle, situ- ated on the posterior part of the neck, which turns the neck obliquely backwards, and a little to one side. Trajtsversa'lis do'rsi. See Muliifidus spince. Transversa'lis ma'jor co'lli. See Lon- gissimus dorsi. Transversa'lis pe'dis. (Musculus tratu- versali-s pedis.) A muscle of the foot, which it contracts, by bringing the great toe and the two outermost toes nearer each other. TRANSVERSE SUTURE. Sutura trans- versalis. This suture runs across the face, and sinks down into the orbits, joining the bones of the skull to the bones of the face ; but with so many irregularities and inter- ruptions, that it can scarcely be recognised as a suture. Transverso-spira'les. See- Multifidus spina. TRANSVE'RSUS AU'RIS. (Mus- culus transversus auris.) A muscle of the TRA TR! 899 gxternal ear, which draws the up{)er part of the concha towards the helix. TRANSVE'RSUS PERIN^'l. (Mnscu- lus transversus perineei.) A muscle of the organs of generation, which sustains and keeps the periiiceutu in its proper place. Transfe'rsus perin^'i a'lter. Prosta- licus inferior, of Winslow. A small muscle oGcasionally found accompanying the for- mer. TRAPA. (A term given by Linneeus, whose idea is certainl)' taken from the war- like instrument called caltrop, the tribulus of the ancients, which consisted of four iron radiated spikes, so placed, that one of them must always stand upwards, in order to wound the feet of the passengers. Such is the figure of the singular fruit of this genus ; hence named by Touriiefort tribuloides. Calciirapa, an old botanical term of similar meaning to tribulus, is comj)ounded, per- haps, of calcOy to tread or kick, and r^t-Tru, to turn, because the caltrops are continualiy kicked over if they fail of their intended mischief: here we have the immediate origin of trapa.) The name of a genus of plants, Class, Tdrandria. Order, Monogynia. Tra'pa na'taks. The systematic name of the plant which affords the nux aquatica. Tribulus aquaticus. Caltrops. The fruit is of a quadrangular and somewhat oval shape, including a nut of a sweet farinaceous fla- vour, somewhat like that of the chestnut, which is apt to constipate the bowels and produce disease ; however, it is said to be nutritious and demulcent, and to be useful in diarrhoeas from abraded bowels, and against calculus. Likewise a poultice of these nuts is said to be efficacious in resolving hard and indolent tumours. TRAPE'ZIUM. (A four-sided figure ; so called from its shape.) The first bone of the second row of the carpus. TRAP E'Z I U S. {Musculus trapezius, from r^ariZioi, four-square ; so named from its shape.) Cucullaris. A muscle situated immediately under the integuments of the posterior part of the neck and back. It arises by a thick, round, and short tendon, from the lower part of a protuberance in the middle of the occipital bone back- wards, and from the rough line that is extended from thence towards the mastoid process of the os temporis, and by a thin membranous tendon, which ccwers part of the complexus and splenius. It then runs downwards along the nape of the neck, and rises tendinous from the spinous pro- cesses of the two lowermost vertebrae of the neck, and from the spinous processes of all the vertebrae of the back, being in- separably united to its fellow, the whole length of its origin, by tendinous fibres, which, in the nape of the neck, form what is called ligamenium colli, or the cervical ligament. It is inserted fleshy into the broad and posterior half of the clavicle, tendinous and fleshy into one half of the acromion; and into almost all the spine of the scapula. This, muscle serves to move the scapula in different directions. Its upper descend- ing fibres pull it obliquely upwards ; its middle transverse ones pull it directly backwards ; its inferior fibres^ which ascend obliquely upwards, draw it obliquely down- wards and backwards. The upper part of the muscle acts upon the neck and head, the latter of which it draws backwards, and turns upon its axis. It likewise concurs with other muscles in counteracting the flexion of the head for- wards. TRAPEZOI'DES OS. The second bone of the second row of the carpus; so called from its resemblance to the trapesium, or quadrilateral geometrical figure. Traumatic (From -r^av^a, a wound.) Any thing relating to a wound.) Traveller's joy. See Clematis vitalba. - Treacle. See Theriaca. Treacle, mustard. See Thlaspi. Trefoil, marsh. See Menyanihes trifo- liata. TRE'MOR. An involuntary trembling of parts. TREPAN. Trephine. An instrument used by surgeons to remove a portion of bone from the skull. TREPHINE, ^ee Trepan. TREVV, Christopher Jasies, was born at Lauflen, in Franconia, in 1695 ; and set- tled as a physician at Nuremburg, where he gained so much reputation, as to be made director of the academy " Naturae Curioso- rum." He also contributed much towards establishing a society under the title of " Conimercium Literarium Noricum," for the advancement cf medical and natural knowledge, which published some valuable memoirs. To these societies he communi- cated several papers, and he also published some splendid works in anatomy and bota- ny. He died in 1760. Triangula'ris. See Sternocostales and Depressor angnli oris. Tri'bulus aqua'ticus. (Tribulus, from rg^tSai, to vex, an instrument of war to be thrown in the way lo annoy the enemy's horse : hence the name of an herb from its resemblance to this instrument.) See Tra- pa natans. Tricauda'lis. (From tres, three, and Cauda, a tail.) A muscle whh three tails. TRI'CEPS ADDU'CrOR FE'MORIS. Triceps, from tres, three, and caput, a head : having three heads. Under this appellation are comprehended three distinct muscles. See Adductor brevis, longus, and mag7ius fe- moris. Tri'ceps ac'ris. See Rctrahentes auris. StifO IM TRI TRl CEPS EXTE'iNSOR CU BITI. This muscle, which occupies all the posterior part of the os humeri, is described as two distinct muscles by Douglas, and as three by Winslow. The upper part of its long head is covered by the deltoides : the rest of the muscle is situated immediately under the integuments. It arises, as its name indicates, by three heads. The first, or long head, (the long head of the biceps externus, of Douglas ; anconeus major, of Winslow, as it is called,) springs, by a fiat tendon of an inch in breadth, from the anterior extremity of the inferior costa of the scapula, near its neck, and below the origin of the teres minor. The second head, (the short head of the biceps externus, of Douglas; anconeous fixternus, of Winslow,) arises by an acute tendinous, and fleshy beginning, from the upper and outer part of the os humeri, at the bottom of its great tuberosity. The third head, (bracliialis externus of Douglas; anconeus inlernus of Winslow,) which is the shortest of the three, originates by an acute fleshy beginning, from the back part of the OS humeri, behind the flat tendon of the latissimus dorsi. These three portions unite about the middle of the arm, so as to form one thick and powerful muscle, which adheres to the os humeri to within an inch of the elbow, where it begins to form a broad tendon, which, after adhering to tije capsular ligament of the elbow, is inserted into the upper and outer part of the ole- cranon, and sends off a great number of fibres which help to form the fascia on the outer part of the fore-arm. The use of this muscle is to extend the fore- arm. T R I C H I'A S 1 S. (From ^^/?, a hair.) Trichia. Trichosis. Entropton. Disli- ehiasis. Districhiasis. Capillitium. Disti- chia. A disease of the eye-lashes, in which they are turned in towards the bulb of the eye. Trichi'smus. (From i^i^, hair.) A spe- cies of fracture which appears like a hair, and is almost imperceptible. TRICHO'MA. (From r^ixa, the hair) The plaited haip. See Plica. Tricho'manks. (Prom rf/%«f, hair, and (tMvo;, thin, lax ; so called because it resem- bles fine hair.) Common maiden-hair. See Jisplenium. Tricho'sis. See Plica. TRICHU'RIS. (From af/|, a hair.) The long hair-worm. See Worms. TRICUSPID VALVES. {Valvula tri- cuspides, from tres, three, and cvspis, a point; so called from their being three- pointed.) The name of the valve in the right ventricle. Trifoil, ivater. See Menyanthes trifoliata. T R I F O'L I U M. (From tres, three, and folium, a leaf; so called because it Jias three leaves on each stalk.) The name of a genus of plants in the Linnseaii system. Class, Pentandria. Order, Mono- gynia. Trefoil. Trifo'lium aceto'sum. The wood-sor- rel was so called. See Oxalia acetosella. Trifo'lium aqua'ticum. See Menyan- thes trifoliata. Trifo'lium arve'nse. Hare's-foot tre- foil or lagopodium. Trifo'lium ac'reum. Herb trinity ; no- ble liverwort. Trifo'lium caballi'ncm. Melilotus. Trifo'lium c^eru'leum. Sweet trefoil. Trifo'lium falca'tum. The Auricula muris. See Hieracium pilosella. Trifo'lium fibri'num. See Menyanthes- trifoliata. Trifo'lium hepa'ticum. See Anemon& hepatica. Trifo'lium melilo'tus officina'lis. The systematic name of the officinal melilot. Mt- lilolus. Lotus sylvestris. Sertula campana^ Trifolium caballinum. Coroda regia. Tri- folium odoratum. Common melilot. This plant has been said to be resolvent, emollient, anodyne, and to participate of the virtues of chamomile. Its taste is unpleasant, sub- acrid, subsaline, but not bitter : when fresh it has scarcely any smell , in drying it ac- quires a pretty strong one of the aromatic kind, but not agreeable. The principal use of melilot has been in clysters, fomentations, and other external applications. Trifo'lium odora'tum. See Trifolium melilolus officinalis. Trifo'lium paludo'sum. See Menyan- thes trifoliata. TRIG E'M I N I. {Trigeminus, from tres^ three, and geminus, double; three-fold.) The fifth pair of nerves, which arise from the crura of the cerebellum, and are divided within the cavity of the cranium into three branches, viz. the orbital, superior, and infe- rior maxillary. The orbital branch is di- vided into the frontal, lachrymal, and nasal nerves ; the superior maxillary into the spheno-palatine, posterior alveolar, and in- fra-orbital nerves ; and the inferior maxilla- ry into two branches, the internal lingual, and one more properly called the inferior maxillary. TRIGONE'LLA. (Trigonella, a diminu- five of trigona, three-sided, alluding to its little triangular flower.) 'The name of a genus of plants. Class, Diadelphia. Or- der, Decandria. Trigone'lla fce'num grm'cvm. The systematic name of the fcenugreek. Ftenum grcecum. Buceras. JEgoccras. Fenu- greek. Trigonella fanum grcecutn, legumi- nibus sessilihus strictis erectiuscuUs subfalcatis acuminatis, caule erecto, of Linnaeus. A native of Montpelier. The seeds are brought to us from the southern parts of France and Germany ; they have a strong disagreeable smell, and an unctuous farinaceous taste, accompanied with a slight bitterness. They TRO ape esteemed as assisting tlie formation of pus, in inflammatory tumours ; and the meal, whh that intention, is made into a poultice with milk. Trimta'tis he'kba. See Anemone hepa- tica. Trinity-herb. See Anemone hepaiica. Tripa'strum ape'llidis. Tripastrum Archimedis A surgical instrument for ex- tending fractured limbs; so named be- cause it resembled a machine invented by Apellides or Archimedes, for launching of ships, and because it was worked with three cords. Triquk'tra ossi'cula. ( Triquetrus, from /res, three.) Ossicula Wormiana. The tri- angular-shaped bones, which are found most- ly in the course of the lambdoidal suture. TRI'SMUS. (From rp/^*/, to gnash.) Locked jaw. Spastic rigidity of the under jaw. Capistrum, of Vogel. Dr. Cullen makes two species. 1. Trismus nascentium, attacking infants during the two first weeks from their birth. 2. Trismus traumaticus, attacking persons of all ages, and arising from cold or a wound. See Tetanus. Trissa'go. (Qiiasi tristago, from tristis, sad ; because it dispels sadness.) The com- mon germander is sometimes so called. See Teucyium chamadrys. Trissa'go pallu'stris. The water-ger- mander was so called. See Teiicrium scor- dium. TRiTiEo'pHYA. (From rfijaws, tertian, and ^fl», importing a like nature or original ) It is an epithet of a fever much of a nature with a t€rtain, and taking its rise from it. Some call it a continued tertain. It is re- mittent or intermittent. Trit^eo'phya cau'sus. The fever called eausus by Hippocrates. Trit^'us. T^iraios. The same as Tritceo- phya. TRl'TICUM (From tero, to thresh from the husk.) See Wheat. Tri'ticum repe'hs. Gramen caninum. Gramen Dioscoridis. Gramen repens. Lo- liaceum radice repente. Dog's grass. Couch grass. A very common grass, the roots of which are agreeably sweet, and possess ape- rient properties. The expressed juice is re- commended to be given largely. Trito'rium. (From tritus, beat small.) A mortar. Also a glass for separating the oil from the water in distilling. TROCAR. (Corrupted from un trois quart, French, a three quarters, from the three aides with which the point is made.) The name of an instrument used in tapping for the dropsy. TROCHA'NTER. (From r^tx"' to run ; because the muscles inserted into them per- form the olfice of running.) Two pro- cesses of the thigh bone, which are distin- TRO 901 guisbed into the greater and lesser. See Fe- mur. Trochi'sci a'myli. Starch lozenges are used in tickling coughs and acidities of the stomach and bowels. Trochi'sci cre'tje These are exhibited in cardialgia, acidities of the primse viae and diarrhcea. Trochi'sci glvcyrrhi'z.«:. A pectoral and demulcent lozenge. Trochi'sci GLYCYRRHi'z.aE cum o pio. This lozenge possesses pectoral and anodyne qua- lities, but requires that the quantity be regu- lated, one grain of opium being contained in a drachm. Trochi'sci MAGNE'si.aE. Extremely ser- viceable in pyrosis and flatulent colic. Trochi'sci ni'tri. An attenuating dia- phoretic, calculated to remove viscid plegra arising from inflammatory angina. Trochi'sci su'lphdris. Aperient and antiscorbutic. T R O C H IS C U S. (Dim. of t^d^'i, a wheel.) A troch or round tablet. Troches and lozenges are composed of powders made up with glutinous substances into little cakes, and afterwards dried. This form is princi- pally used for the more commodious exhibi- tion of certain medicines, by fitting them to dissolve slowly in the mouth, so as to pass by degrees into the stomach ; and hence these preparations have generally a considerable fiortion of sugar or other materials grate- ul to the palate. Some powders have like- wise been reduced into troches, with a view to their preparation, though possibly for no very gooa reasons : for the moistening them and afterwards drying them in the air, must on this account be of greater injury, than any advantage accruing from this form can counterbalance. General rules for making troches. 1. If the mass prove so glutinous as to stick to the fingers in making up, the hands may be anointed with any sweet or aroma- tic oil ; or else sprinkled with starch, or li- quorice powder, or with fiour. 2. In order to thoroughly dry the troches, put them on an inverted sieve, in a shady airy place, and frequently turn them. 3. Troches are to be kept in glass vessels, or in earthen ones well glazed. TRO'CHLEA. {Tfox>^iK, a pulley, from r^tXi", to run.) A kind of cartilaginous pul- ley, through which the tendon of one of the muscles of the eye passes. Tkochlea'ris. See Obliquus superior oculi. TROCHLEATO'RES. The fourth pair of nerves are so called, because they are in- serted into the rnusculous trochlearis of the eye. See Pathetici. T ROC HO IDES. (From r^ox'h a wheel, and nhs, resemblance.) Axea com- missnra. A species of diarthrosis, or move- / S02 TKO TUB able connection of bones, in which one bone rotates upon another ; as the first cervical vertebra upon the odontoid process of the second. TRONCHIN, Theodore, was born at Ge- neva in 1709, and went to sludy under Boer- haave at Leyden, where he graduated in 1730. He then settled at Amsterdam, be- came a member of the College of Physicians, and an iiispeclor of hospitals; and distin- guished himself as a zealous promoter of inoculation. In 1754 he returned to Gene- va, and ranked among the most eminent practitioners in Europe : a chair of medi- cine was instituted in his favour, and *?ie So- ciety of Pastors admitted him into their body. He was employed by the Duke of Orleans, and other persons of rank at Paris, to inoculate their children : and performed the same office for the Duke of Parma. In 176G he accepted the appointment of prin- cipal physician to the Duke of Orleans ; though he had previously declined an invi- tation from the Empress of Russia His practice appears to have been simple and judicious, and his conduct marked by hu- manity and charity. He had little time for writing, but beside his inaugural dissertation he published a treatise on the Colica Picto- num in 1757, and contributed several articles to the Encyclopedia, and to the Memoirs of the Academy of Surgery: and to an edition of the works of Baillou he gave a Preface on the State of Medicine. He had the ho- nour of being a member of the chief medi- cal and scientific societies in Europe. His death happened in 1781. TROPiE'OLUM. (A diminutive of tro- pmum, or rpavxm, a warlike trophy. This fanciful but elegant name was chosen by Linnffius for this singular and striking genus, because he conceived the shield-like leaves and the brilliant flowers, shaped like golden helmets, pierced through and through, and stained with blood, might well justify such an allusion.) The name of a genus of plants. Class, Odandria. Order, Monogynia. Trop^'oldm ma'jus. The systematic name of the Indian cress. Kasturtium indi- cura. Mriviola. Flos sanguineus inonardi. Naslurtium peruvianum. Cardamindum tni- nus. Greater Indian cress or nasturtium. This plant is a native of Peru ; it was first brought to France in 1684, and there called La grande capucint. In its recent state this plant, and more especially its flowers, have a smell and taste resembling those of water- cress; and the leaves, on being bruised in a mortar, emit a pungent odour, somewhat like that of horse-radish. By distillation with water they impregnate the fluid in a considerable degree with the smell and fla- vour of the plant. Hence the antiscorbutic character of the nasturtium seems to be well founded, at least as far as we are able to judge from its sensible qualities: therefore in all those cases where the warm and anti- scorbutic vegetables are recommended, this plant may be occasionally adopted as a plea- sant and effectual variety. Patients to whom the nauseous taste of scurvy-grass is intole- rable, may find a grateful substitute in the nasturtium. The flowers are frequently used in salads, and the capsules are by many highly esteemed as a pickle. The flowers, in the v/arm summer months, about the time of sunset, have been observed to emit sparks like those of the electrical kind. Triiffle. See Lycoperdon tuber. TU'BA EU.tTACHIA'iNA. Tuha £risio- ielica. £quaducus. Aqucedudus Fallopii. Meatus siccus. Palalinus ductus. Ductus auris palatitius. The auditory tube. The Eustachian tube, so called because it was first described by Eustachius, arises in each ear from the anterior extremity of the tym- panum by means of a bony semi-canal ; runs forwards and inwards, at the same time be- coming gradually smaller ; and after perfo- rating the petrous portion of the temporal bone, terminates in a passage partly cartila- ginous and partly membranous, narrow at the beginning, but becoming gradually lar- ger, and ending in a pouch behind the soft palate. It is through this orifice that the pi- tuitar}' membrane of the nose enters the tympanum. It is always open, and afibrds a free passage for the air into the tympa- num; hence persons hear better with their mouth open. TU'BA FALLOPIA'NA. Tuba Fallopi- na. The Fallopian tube first described by Fallopius. The uterine tube. A canal in- cluded in two laminaj of the peritonseum, which arises at each side of the fundus of the uterus, passes transversely, and ends with its extremity turned downwards at the ovarium. Its use is to grasp the ovum, and convey the prolific vapour to it, and to con- duct the fertilized ovum into the cavity of the uterus. TUBERCLE. Tuberculum. A hard superficial tumour, circumscribed and per- manent : or proceeding very slowly to sup- puration. TUBE'RCULA QUADRIGE'MINA. Cor- pora qundrigemina. Eminenlivs. quadrige- mincB. Four white oval tubercles of the brain, two of Avhich are situated on each side over the posterior orifice of the third ventricle and the aqueduct of Sylvius. The ancients called them nates and testes, from their supposed resemblance. TUBERCULUM ANNUL ARE. The commencement of the medulla ob- longata. TUBERCULUM LOWE'RL An eminence on the right auricle of the heart TUN TUN 903 tvhere the two venae cavas meet ; so called iVom Lower, wbo first described it. TU'BULl LACTl'FERI. The ducts or tubes in the nipple, through which the milk passes. TULP, Nicholas, was the son of an opu- Jent merchant, and born at Amsterdam, in 1593. Having studied and graduated at Ley- den, he settled in his native city, and rose to a high rank, not only in his profession, but also as a citizen. He was made burgomaster in 1652, and in that station resisted the inva- sion of Holland by Lewis XIV. twenty years after, and thus saved his country ; on which occasion a medal was struck to his ho- nour. He died in 1674. His three hooks of Medical Observations have been several times reprinted, and contain many valua- ble physiological remarks. He is said to have been amongst the first who observed Ihe lacteal vessels. TU'MOUR. A swelling. TUMO'RES. {Tumor, from tumeo, to swell.) Tumours. An order in the Class, Locales, of Cullen's nosology, comprehend- ing partial swellings without inflammation. TUNBRIDGE WATER. Tunbridge Wells is a populous village in the county of Kent, which contains many chalybeate springs, all of which resemble each other very closely in their chemical properties. Two of these are chiefly used, which yield about a gallon in a minute, and therefore afford an abundant supply for the numerous invalids who yearly resort thither. The analysis of Tunbridge spring proves it to be a very pure water, as to Ihe quantity of solid matter; and the saline contents (the iron excepted) are such as may be found in almost any water that is used as common drink. It is only as a chalybeate, and in the quantity of carbonic acid, that it differs from common water. Of this acid it con- tains one twenty-second of its bulk. The general operation of this chalybeate water is to increase the power of the secretory system in a gradual, uniform manner, and to im- part tone and strength to all the functions ; hence it is asserted to be of eminent service in irregular digestion ; flatulency ; in the incipient stages of those chronic disorders, which are attended with great debility ; in chlorosis ; and numerous other complaints incident to the female sex. The prescribed method of using the Tunbridge water, ob- serves Dr. Saunders, is judicious The whole of the quantity daily used, is ta!:en at about two or three intervals, beginning at eight o'clock in the morning, and finishing about noon. The dose at each time varies from about one to three quarters of a pint ; according to the age, sex, and general con- stitution of the patient, and especially the duration of the course, for it is found that these waters lose much of their effect by long habit. TUNGSTEN. {Tungsten, Swed. pon- derous stone.) This metal, which is never found but in combination, is by no means common. The substance known to mine- ralogists, under the name of tungsten, was, after some time, discovered to consist of lime, combined with the acid of this metal. This ore is now called tungsiate of lime, and is exceedingly scarce. It has been found in Sweden and Germany, both in masses and crystallized, of a yellou'ish white, or grey colour. It has a sparry appearance, is siiining, of alamellated texture, and semi- transparent. The same metallic acid is likewise found united to iron and manga- nese ; it then forms the ore called Wolfram^ or tungstale of iron and manganese. This ore occurs both massive and crystallized, and is found in Cornwall, Germany, France, and Spain. Its colour is brownish black, and its texture foliated. It has a metallic lustre, and a lamellated texture ; it is brittle and very heavy ; it is found in solid masses in the state of layers interspersed with quartz. These two substances are therefore ores of the same metal. Properties. — Tungsten appears of a steel- grey colour. Its specific gravity is about 17.6. It is one of the hardest metals, but it is exceedingly brittle ; and it is said to be almost as infusible as platina Heated in the air it becomes converted into a yellow pulverulent oxyde, which becomes blue by a strong heat, or when exposed to light. Tungsten combines with phosphorus and sulphur, and with silver, copper, iron, lead, tin, antimony, and bismuth ; but it does not unite with gold and platina. It is not at- tacked by sulphuric, nitric, or muriatic acids; nitro-muriatic acid acts upon it very slightly. Ii is oxydizable and acidifiable by the nitrates and hyperoxyrauriates. It colours the vitrified earths or the vitreous fluxes, of a blue or brown colour. It is not known what its action may be on water and different oxydes. Its action on the alkalis is likewise unknown. It is not employed yet, but promises real utility, on account of its colouring property, as a basis for pig- ment, since the compounds it is said to form with vegetable colouring matters, afford co- lours so perman&nt, as not to be acted on by the most concentrated oxymuriatic acid, the great enemy of vegetable colours. Methods of obtaining Tungsten. — The me- thod of obtaining metallic tungsten is a pro- blem in chemistry. Scheele, Bergman, and Graelin, did not succeed in their attempts to procure it. Klaproth tried to reduce the yellow oxyde of this metal with a variety of combustible substances, but without success, Messrs. Ruprecht and Tondy say they have obtained this metal by using combustible substances alone : and by a mixture of com- bustible and alkaline matter. The loiiu.viug process is recommended by Richter, an ingenious German chemist. Let equal parts of tungstic acid and dried f 904 TCJR TUS blood be exposed for some time to a red heat in a crucible ; press the black powder, which is formed into another smaller cruci- ble, and expose it again to a violent heat in a forge, for at least half an hour. Tungsten will then be found, according to this chemist, in its metallic state in the crucible. TU'NICA. (j1 tutnrh corpore, because it defends the body.) A membrane or cover- ing, as the coats of the eye, &.c. Tu'nica acinifo'rmis. The uvea or pos- terior lamella of the iris. To'nica albogi'nea o'cuLi. See Con- junctive membrane. Tc'nica albugi'nea te'stis. See^lbu- ginea testis. Tu'nica abachnoide'a. See Jirachnoid membrane. Tu'kica cELLtJLo'sA ruy'schii. The se- cond coat of tiie intestines. Tu'nica choroide'a. See Choroid mem- brane. Tu'nica conjuncti'va. See Conjunctive membrane. Tu'nica co'rnea. See Cornea. Tu'nica filamento'sa. The false or spongy chorion. Tu'nica re'tina. See Retina. Tu'nica vagina'lis te'stis. A continu- ation of the peritona?um through the ingui- nal ring, which loosely invests the testicle and spermatic cord. Tu'nica villo'sa. The villous or inner folding coat of the intestines. TUNGSTATE. Timstas. A salt formed by the combination of the tungstic acid, with different bases, as tungslate of lime, &-C. Turbeth, mineral. See Hydrargyrus vitri- olatvs. Turbeth root. See Convolvulus turpe- thum. TURBINATED BONES. {Ossa tur- binata, from lurbino, to sharpen at the top, shaped like a sugar-loaf.) The superior spongy portion of the ethmoid bone, and the inferior spongy bone, are so called by some writers. Turbina'tum. The pineal gland. Turbiih. A cathartic Eastern bark ; a spe- cies of cicely. Tu'rcica se'lla. See Sella turcica. Turmeric. See Curcuma. Turnhoof. A vulgar name of the ground- ivy. See Glecoma hederacea. Turnip. See Brassica rapa. Turnip, French. See Brassica rapa. TURPENTINE. The different tur- pentines employed medicinally are, the China or Cyprus turpentine, (see Pistacia terebinlhus,) the common turpentine, (see Terebinthi7ia communis,) and the Venice turpentine, (see Pinus larix.) All these have been considered as hot, stimulating corroborants and detergents; qualities which they possess in common. They stimulate the primse vise, and prove laxative ; when carried into the blood-vessels they excite the whole system, and thus prove servicea- ble in chronic rheumatism and paralysis. Turpentine readily passes off by urine, which it imbues with a peculiar odour ; also by per- spiration and by exhalation from the lungs ; and to these respective effects are ascribed the virtues it possesses in gravelly com- plaints, scurvy, and pulmonic disorders. Turpentine is much used in gleets, and fluor albus, and in general with much success. The essential oil, in which the virtues of tur- pentine reside, is not only preferred for ex- ternal use, as a rubefacient, but also inter- nally as a diuretic and styptic ; the latter of which qualities it possesses in a very high degree. Formerly turpentine was much used as a digestive application to ulcers, &.c. but in the modern practice of surgery, it is almost wholly exploded. Turpeth, mineral. See Hydrargyrus vi' triolatus. Turpe'thum. (From Turpethjlnd.) Tur- beth. See Convolvulus turpethum. Turpe'thum minera'le. See Hydrargy- rus vitriolatus. TURU'NDA. (A terendo, from its being rolled up.) A tent or suppository. TUSSILA'GO. (From tussis, a cough? because it relieves coughs.) 1. The name of a genus of plants in the Linnaean system. Class, Sytigenesia. Order, Polygamia superflua. 2. The pharmacopoeial name of the colts- foot. See Tussilago farfara. Tussila'go fa'rfara. (Farfara, from farfarus the white poplar ; so called because its leaves resemble those of the white pop- lar.) The systematic name of the coltsfoot. Becliium. Bechion. Calce.um equinum. Chamaleuce. Filius antepatrem. Farfarella. Farfara. Tussilago vulgaris Farfara bechi- um. Ungula caballina. Coltsfoot. Tussilago farfara ; scapo unijloro imbricato, foliis sub- cordatis angulatis denticulatis. The sensible qualities of this plant are very inconsidera- ble ; it has a rough mucilaginous taste, but no remarkable smell. The leaves have al- ways been esteemed as possessing demulcent and pectoral virtues, and hence they have been exhibited in pulmonary consumptions, coughs, asthmas, and catarrhal affections. It is used as tea, or given in the way of infu- sion with liquorice-root or honey. Tussila'go petasi'tes. (From virecfo;, a bat ; so named because its leaves are shaped like a hat.) The systematic name of the butter-bur. Petasites. Pestilent wort. Tussilago petasites, of Linnaeus. The roots of this plant are recommended as aperient and alexipharmic, and promise, though now forgotten, to be of considerable activity. They have a strong smell, and a bitterish acrid tafte, of the aromatic kind, but not agreeable. TU'SSIS. A cough. A sonorous conr cussion of the breast, produced by the vio- TYP TYt 905 }ent and, for the most part, involuntary mo- tion of the muscles of respiration. It is symptomatic of many diseases. Tu ssis cQNVuLsi'vA. See Pertussis. Tu'ssis exanthema'tica. a cough at- tendant on an eruption. Tu'ssis FERiN/i See Pertussis. Tu'tia. (Persian.) Pompholgx. Cad- mia. Tutty. A grey oxyde of zinc ; it is generally iormed by fusing brass or copper, mixed with blende, when it is incrusled in the chimneys of the furnace. Mixed with aiiy common cerate, it is applied to the eye, in debilitated states of the conjunctive mem- brane. Tu'tia prepara'ta. Prepared tutty is often put into collyria, to which it imparts an adstringent virtue. Tutty. See Tutia. Tylo'sis. (From tvXos, a callus.) Tylo- ma. An induration or callus of the margin of the eyelids. Ty'mpani membua'na. See Membrana tympani. TYMPANITES. (From Ti/^^ravov, a drum; so called because the belly is dis- tended with wind, and sounds like a drum when struck.) Tympeuiy. An elastic dis- tention of the abdomen not readily yielding to pressure, and sounding like a drum, with costiveness and atrophy, but no fluctuation. Species : 1, Tympanites intestinalis, a lodg- ment of wind in the intestines, known by the discharge of wind giving relief 2. Tym- panites abdominalis, when the wind is in the cavity of the abdomen. TY'MPANUIM. {TvfiTTccvov. A drum.) The drum or barrel of the ear. The hollow part of the ear in which are lodged the bones of the ear. It begins behind the membrane of the tympanum, which terminates the ex- ternal auditory passage, and is surrounded by the petrous portion of the tem|)oral bone. It terminates at the cochlea of the labyrinth, and has opening into it four foramina, viz. the orifices of the Eustachian tube and mas- toid sinus, the fenestra ovalis, and rotunda. It contains the four ossicula audilus. TY'PHA. (From rKpos, a lake, because it grows in marshy places.) The name of a genus of plants in the Linnaean system. The cat's tail. Typhoma'nia. (From ruip/u, to burn, and fiavia, delirium.) A complication of pliren- sy and lethargy with fever. TY'PHUS. (From Tuipo;, stupor.) A species of continued fever, characterized by great debility, a tendency in the fluids to putrefaction and the ordinary symptoms of fever. It is to be readily distinguished from the inflammatory by the smalluess of the pulse and the sudden aad great debility which ensue« on its first attack ; and, in its more advanced stage, by the petechioe, or purple spots, which come out on various parts of the body, and the fetid stools which are discharged ; aad it may be distinguished from a nervous fever by the great violence of all its symptoms on its first coming on. The most general cause that gives rise to this disease, is contagion, applied either im- mediately from the body of a person labour- ing under it, or conveyed in clothes or mer- chandise, &c. ; but il may be occasioned by the effluvia arising from either animal or vegetable substances in a decayed or putrid state ; and hence it is, that in low and marshy countries it is apt to be prevalent when intense and sultry beat quickly suc- ceeds any great inundation A want of proper cleanliness and confined air are like- wise causes of this fever ; hence it prevails in hospitals, gaols, camps, and on board of ships, especially when such places are much, crowded, and the strictest attention is not paid to a free ventilation and due cleanli- ness. A close stfcte of the atmosphere, with damp weather, is likewise apt to give rise to putrid fever. Those of las fibres, and who have been weakened by any previous debi- litating causC: such as poor diet, long fast- ing, hard labour, continued want of sleep, &.C. are most liable to it. On the first coming on of the disease, the person is seized with languor, dejection of spirits, amazing depression and loss of mus- cular strength, universal weariness and sore- ness, pains in the head, back, and extremi- ties, and rigors ; the eyes appear full, heavy, yellowish, and often a little inflamed ; the temporal arteries throb violently, the tongue is dry and parched, respiration is commonly laborious, and interrupted with deep sigh- ing; the breath is hot and offensive, the urme is crude and pale, the body is costive, and the pulse is usually quick, small, and hard, and now and then fluttering and un- equal. Sometimes a great heat, load, and pain are felt at the pit of the stomach, and a vomiting of bilious matter ensues. As the disease advances, the pulse in- creases in frequency, (beating often from 100 to 1.30 in a minute :) there is vast debi- lity, a great heat and dryness in the skin, oppression at the breast, with anxiety, sigh- ing and moaning ; the thirst is greatly in- creased ; the tongue, mouth, lips and teeth are covered over wiih a brown or black te- nacious fur; the speech is inarticulate, aijd scarcely intelligible ; tlie patient mutters much; and delirium ensues. The fever con- tinuing to increase still more in violence, symptoms of putrefaction show themselves; the breath becomes highly offensive ; the urine deposits a black and fetid sediment; the stools are dark, offensive, and pass off insensibly ; hBemorrhages issue from the gums, nostrils, mouth, and other parts of the body ; livid spots or petechise, appear on its surface ; the pulse intermits and sinks; the extremities grow cold ; hiccups ensue ; and death at last closes the tragic scene. When this fever does not terminate fa- tally, it generally begins, ia cold climates, to 114 906 TYP TYP diminish about the commencement of the third week, and goes off gradually towards the end of the fourtli, without any very evi- dent crisis ; but in warm climates if seldom continues above a week or ten days, if so long. Our opinion, as to the event, is to be formed by the degree of violence. in the symptoms, particularly after petechia ap- pear, although in some instances recoveries have been effected under the most unpro- mising appearances. An abatement of fe- brile heat and thirst, a gentle moisture dif- fused equally over the whole surface of the body, loose stools, turbid urine, rising of the pulse, and the absence of delirium and stupor, may be regarded in a favourable light. On the contrary, petechias, with dark, offensive, and involuntary discharges by urine and stool, fetid sweats, haemorrha- ges, and hiccoughs, denote the almost cer- tain dissolution of the patient. The appearances usually perceived on dissection, are infiammations of the brain and viscera, but more particularly of the stomach and intestines, which are now and then found in a gangrenous state. In the muscular fibres there seems likewise a strong tendency to gangrene. In the very early period of typhus fever it is often possible, by active treatment, to cut short the disease at once ; but where it has established itself more firmly, we can only employ palliative measures to diminish its violence, that it may rcn safely through its course. Among the most likely means of accomplishing the first object is an eme- tic ; where the fever runs high we may give antimonials in divided doses at short inter- vals till full vomiting is excited ; or if there he less strength in the system, ipecacuanha in a full dose at once. Attention should next be paid to clear out the bowels by some suf- ficiently active form of medicine ; and as the disease proceeds, we must keep up this function, and attempt to restore that of the skin and the other secretions, as the best means of moderating the violence of vascu- lar action. Some of the preparations of mercury, or if there be tolerable strength, those of antimony, assisted by the saline compounds, may be employed for this pur- })ose. The general antiphlogistic regimen is to be observed in the early part of the disease, as explained under synocha. In cases where the skin is uniformly very hot and dry, the abstraction of caloric may be more actively made by means of the cold affusion, that is. throwing a quantity of cold water on the naked body of the patient ; which measure iias sometimes arrested the disease in its first stage : and when the power of the system is less, sponging the body occasionally with cold ivater, medi- cst-ed, perliaps, with a little salt or vinegar, may be substituted as a milder proceeding. But where the evolution of heat is even de- ficient such means would be highly impro- per . and it may be sometimes adviseable to employ the tepid bath, to promote the opera- tion of the diaphoretic medicines. If under the use of the measures already detailed, cal- culated to lessen the violence of vascular ac- tion, tiie vital povrers should appear mate- rially falling off, recourse must then be had to a more nutritious diet, with a ii:oderate quantity of wine, and cordial or tonic medi- cines. There is generally an aversion from animal food, whence the mucilaginous ve- getable substances, as arrow-root, Sic ren- dered palatable by spice, or a little wine, or sometimes mixed with milk, may be direct- ed as nourishing and easy of digestion. If, however, there be no marked septic ten- dency, and the patient cloyed with these articles the lighter animal preparations, as calves-foot jelly, veal broth, &;c. may be allowed. The extent to which wine may be carried, must depend on the urgency of the case, and the previous habits of the indi- vidual ; but it will commonly not be neces- sary to exceed half a pint, or a pint at most, in the twenty-four hours; and it should be given in divided portions, properly diluted, made, perhaps, into negus, whey, &.c. ac- cording to the liking of the patient. The preference should always be given to that which is of the soundest quality, if agreea- ble: but where wine cannot be afforded, good malt liquor, or mustard whey may be substituted. Some moderately stimulant medicines, as ammonia, aromatics, serpent- aria, &.C. may often be used with advantage, to assist in keeping up the circulation : also those of atonic quality, as calumba,cusparia; cinchona, &c. occasionally in their lighter l^orms ; but more especially the acids. These are, in several respects, useful ; by promo- ting the secretions of the primae viae, &c. they quench thirst, remove irritation, and manifestly cool the body ; and in the worst forms of typhus, where the putrescent ten- dency appears, they are particularly indi- cated from their antiseptic power ; they are also decidedly tonic, and indeed those from the mineral kingdom powerfully so. These may be given freely as medicines, the carbonic acid also in the form of brisk fer- menting liquors ; and the native vegetable acids, as they exist in ripe fruits, being ge- nerally very grateful, may constitute a con- siderable part of the diet. In the niean time, to obviate the septic teiidency, great attention should be paid to cleanliness and ventilation, and keeping the bowels regular by mild aperients, or clysters of an emollient or antiseptic nature : and where aphtha ap- pear, acidulated gargles should be directed. If the disease indices more to the nervous form, with much mental anxiety, tremors, and other irregular affections of the muscles, or organs of sense, the antispasmodic medi- cines may be employed with more advan- tage, as Esther, camphor, musk^ &.c. but TYP TYR 9Q3 particularly opium. ; which should be given in a full dose, sufficient to procure sleep, provided (here be no appearances of deter- mination of blood to the head ; and it may be useful to call a greater portion of ner- vous energy to the lower extremities by the pediluvium, or other mode of applying warmth, or occasionally by sinapisms, not allowing Ihesc to produce vesication. But if there should be much increased vascular action in the brain, more active means will be required, even the local abstraction of blood, if the strength will permit ; and it will be always right to have the head shaved, and kept cool by some evaporating lotion, and a blister applied to the back of the neck. In like manner other important parts may occasionally require local means of relief. Urgent vomilisig may, perhaps, be checked by the efi'ervescing mixture ; a troublesome diarrhoea by small doses of epium, assisted by aromatics, chalk, and other astringents, or sometimes by small doses of ipecacuanha ; profuse perspirations by the infusum rosee, a cooling regimen, OLC. Typhus jegypti'acus. The plague of Egypt. Ty'phus ca'ecerum. The jail-fever. Ty'phus castre'ksis. The camp-fever. Ty'phus gka'vior. The severe species of typhus. Ty'phus ictero'des. Typhus with symp- toms of jaundice. Ty'phus mi'tior. The low fever. Ty'phus nervo'sus. The nervous fever. Ty'phus petechia'ms. Typhus with purple spots. Tyri'asis. Tupi^fi;. A species of leprosy in which the skin may be easily withdrawn from the flesh. Tyro'sis. (From rvpau,Xo coagulate.) A disorder of the stomach, from milk curdled in it. u. U LCER. (Ulcus, from iXxas, a sore.) A purulent solution of continuity of the soft parts of an animal body. Ulcers may arise from a variety of causes, as all those which produce inflammation, from wounds, specific irritations of the absorbents, from scurvy, cancer, the venereal or scrophulous virus, he. The proximate or immediate cause is an increased action of the absorb- ents, and a specific action of the arteries, by which a fluid is separated from the blood upon the ulcerated surface. Tbey are va- riously denominated; the following is the most frequent division : 1. Tfie simple ul- cer, which takes place generally from a su- perficial wound. 2. The sinuous, that runs under the integuments, and the orifice of which is narrow, but not callous. 3. The fistulous ulcer, or fistula, a deep ulcer, with a narrow and callous orifice. 4. The fun- gous ulcer, the surface of which is covered with fungous flesh. 5. The gangrenous, which is livid, fetid, and gangrenous. 6. The scorbutic, which depends on a scorbutic acrimony. 7 The venereal, arising from the venereal disease. 8 The cancerous ul- cer, or open cancer, (see Cancer.) 9. The carious ulcer, depending upon a carious bone. 10. The inveterate ulcer- which is of long continuance, and resists the ordinary applications. 11. The scrophulous ulcer, known by its having arisen from indolent tumours, its discharging a viscid, glairy matter, and its indolent nature. Ulcerated sore throat. See Cynanche. Ulma'ria. (From ulmus, the elm ; so named because it has leaves like the elm.) See Spircea ulmaria. U'LMUS. 1. The name of a genus of plants in the Linnaean system. Class, Perk- tandria. Order, Digynia. 2. The pharmacopceial name of the com- mon elm. See Ulmus camp es^ris. U'lmus campe'stris. The systematic name of the common elm. Ulmas ; foliis du- plicato-serratis, basi incequalibus, of Linnaeus. The inner tough bark ofthis tree, which is di- rected for use by the pharraacopceias, has no remarkable smell, but a bitterish taste, and abounds with a slimy juice, which has been recommended in nephritic cases, and exter- nally as a useful application to burns. It is also highly recommended in some cutaneous affections allied to herpes and lepra. It is mostly exhibited in the form of decoction. by ailing four ounces in four pints of wa- ter to two pints ; of which from four to eight ounces are given two or three times a day. U'L N A. (From uXz-jr,, the ulna, or cubit.) Cubitus. The larger bone of the fore-arm. ft is smaller and shorter than the OS humeri, and becomes gradually smaller as it descend; to ibe wrist. We may 908 LLX UNG divide it into its upper and lower exlreini- ties, and its body or middle part. At its upper extremity are t^vo considerable pro- cesses, of which the posteiior one and largest is named olecranon, and the smaller and anterior one the coronoid process. Be- tween these two processes; the estremity of the bone is formed into a deep articulating cavity, which, from its semicircular shape, is called \he greater sigmoid cavity, to distin- guish it from another, which has been named the lesser sigmoid cavity. The olecranon begins by a considerable tuberosity, which is rough, and serves for the insertion of mus- cles, and terminates in a kind of hook, the concave surface of which moves upon the pulley of the os humeri. Tliis process forms the point of the elbow. The coronoid pro- cess is sliarper at its estremity than the ole- cranon, but is much smaller, and does not reach so high. In bending the arm it is re- ceived into the fossa at the fore part of the pulley. At the external side of tlie coronoid process is the lesser sigmoid cavitj', which is a small, semilunar, articulating surface, lined with cartilage, on wliicii the round head of the radius plays. At the fore part of the coronoid process we observe a small tuberosity, into which the tendon of the bra- chialis inlernus is inserted. The greater sigmoid cavity, the situation of which we just now mentioned, is divided into four surfaces by a prominent line which is in- tersected by a small sinuosity that serves for the lodgment of mucilaginous glands. The whole of this cavity is covered with cartilage. The body, or middle part of the ulna, is of a prismatic or triangular shape, so as to afford three surfaces, and as many angles. The external and internal surfaces are flat and broad, es])ecially the external one, and are separated by a sharp angle, which, from its situation, may be termed the internal angle. This internal angle, which is turned towards the radius, serves for the attachment of the ligament that con- nects the two bones, and which is therefore called the interosseous ligament. The pos- terior surface is convex, and corresponds •with the olecranon. The borders, or angles, which separate it from the other two sur- faces, are somewhat rounded. At about a third of the length of this bone from the fop, in its fore part, we observe a channel for the passage of vessels. The lower extremity is smaller as it descends, nearly cylindrical, and slightly curved forwards and outwards. Just before it terminates it contracts, so as to form a neck to the small head v.ith which it ends. On the outside of this little head, answering to the olecranon, a small process, called the styloid process, stands out, from which a strong ligament is stretched to the Wrist. The head has a rounded articulating surface, on its internal side, which is covered with cartilage, and received into a semilu- paf cavity formed at the lower end of the radius. Between it and the os cuneiforme^ a moveable cartilage is.interposed, which is continued from the cartilage that covers the lovver end of the radius, and is connected by ligamentous fibres to the styloid process of the ulna. The ulna is articulated above with the lower end of the os humeri. This articulation is of the species called gingly- mus, it is articulated also, both above and below to the radius, and to the carpus at its lowest extremity. Its chief use seems to be to support and regulate the motions of the radius. In children, both extremities of this bone are first cartilaginous, and afterwards epiphyses, before they are completely united to the rest of the bone. Ijlnar artery. See Cubital artery. Ulnar nerve. See Cubital nerve. Ulna'ris exte'knus. See Extensor carpi ulnaris. Ulna'ris inte'rnus. See Flexor carpi ulnaris. UMBILICAL CORD. Funis umhilicalis. Funiculus umhilicalis. The navel-string. A cord-like substance of an intestinal form, about half a yard in length, that proceeds from the navel of the foetus to the centre of the placenta. It is composed of a cutaneous sheath, cellular substance, one umbilical vein, and two umbilical arteries ; the former conveys the blood to the child from the pla- centa, and the latter return it from the child to the placenta. Umbilical hernia. See Hernia umhili- calis. UMBILICAL REGION. Regio umhilica- lis. The part of the abdominal parietes about two inches all round the navel. UMBILI'CUS. The navel. Umbili'cds mari'nus. Cotyledon marina. Jlndrosace. .Acetabulum marinum. Jin- drosace Matthioli. Fungus pf.trosus inari- nus. A submarine production found on rocks and the shells of fishes, about the coast of Montpulier, Sic. It is said to be, in the form of powder, a useful anthelmintic and diuretic. UiVCIFORM BONE. (Os wnciforme, from uncus, a hook, and forma, a like- ness.) The last bone of the second row of the carpus or wrist; so named from its hock-like process, which projects towards the palm of the hand, and gives origin to the great ligament by which the ten- dons of the wrist are bound down. See Bones. U N G U E'N T U M. (From ungo, to anoint.) An ointment. The usual consist- ence of ointments is about that of butter. The following are among the best for- mula3. Ungue'nt0m cantha-'ridis. See Ungue7i- tum lyltcE. Ungue'ntum ceta'cei. Ointment of spermaceti, formerly called linimentmn at- biimy and latterly, .unguentum spermaceti. UN© UNO 9Q9 " Take of spermaceti, six drachms ; white wax, two drachms ; olive oil, thrive fluid ounces. Having melted them together over a slow fire, constantly stir the mixture until it gets cold." A simple emollient oint- ment. Ungue'ntum cicu'ts. Hemlock oint- ment. " Take of the fresh leaves of hem- lock, and prf^pared hog's lard, of each four ounces. The cicuta is to be bruised in a marble mortar, after which the lard is to be added, and the two ingredients thoroughly incorporated by beating. They are then to be gently melted over the fire, and after being strained through a cloth, and the fibrous parts of the hemlock well pressed, the ointment is to be stirred till quite cold." To cancerous or scrophulous sores this ointment may be applied with a prospect of success. U.ngue'ntum e'lemi coaipo'situm. Com- pound ointment of elemi, formerly called linimentum arccni and unguenlum e gummi elemi. " Take of elemi, a pound ; com- mon turpentine, ten ounces; prepared suet, two pounds ; olive oil, two fluid ounces. Melt the elemi with the suet, then remove it from the fire, and immediately mis in the turoentine and oil, then strain the mixture through a linen cloth." Indolent ulcers, chilblains, chronic ulcers after burns, and indolent tumours are ofteu removed by this ointment. Ungue'ntdm hydra'rgyri fo'rtius. Strong mercurial ointment, formerly call- ed unguentum carultum fortius. " Take of purified mercury, two pounds ; pre- pared lard, twenty-three ounces; prepared suet, an ounce. First rub the mercury with the suet and a little of the lard, until the glofeules disappear ; then add the remain- der of the lard, and mix." In very geneial use for mercurial frictions. It may be em- ployed in almost all cases where mercury is indicated Ungue'ntum hydra'rgyri mi'tius. Mild mercurial ointment, formerly called un- guentum cceruleuni mitius. " Take of strong mercurial ointment, a pound ; prepared lard, two pounds. Mix." Weaker than the former. Ungue'ntum hydra'rgyri sitra'tis. Un- gue)Uum hydrargyri nitrati. Ointment of nitrate of mercury. " Take of purified mercury, an ounce; nitric acid, eleven fluid drachms; prepared lard, six ounces; olive oil, four fluid ounces. First dissolve the mercury in the acid, then, while the li- quor is hot, mix it with the lard and oil, melted together." A stimulating and de- tergent ointment. Tinea capitis, psoroph- thalmia, indolent tumours on the margin of the eyelid, and ulcers in the urethra, are cured by its application. Ungue'ntum hydra'rgyri nitra'tis mi'- Tius. Weaker only than the former. Ungue'ntu3I hydra'rgyri kitkico-o'xy- Di. Ointment of nitric oxyde of mercurj^ " Take of nitric oxyde of mercury , an ounce ; white wax, two ounces ; prepared lard, six: ounces. Having melted together the wax and lard, add thereto the nitric oxyde of mercury in very fine powder, and mix." A most excellent stimulating and escharotio ointment. Ungue'ntum hydra'rgyri pr.ecipita'ti ALBi. Ointment of white precipitate of mercury, formerly called unguenlum e mer- curio prcEcipitato albo, and latterly unguen- tum calcis hydrargyri albce. " Take of white praecipitate of mercury, a drachm ; prepared lard, an ounce and half. Having melted the lard over a slow fire, add the precipitated mercury, and mix." A useful ointment to destroy vermin in the head, and to assist in the removal of scald head, venereal ulcers of children, and cutaneous eruptions. Ungue'ntum ly'tt.s:. Unguentum cantha- ridis. Ointment of the blistering-fly. "Take of the blistei'ing-fly, rubbed to a very fine powder, two ounces ; distilled water, eight iiuid ounces ; resin cerate, eight ounces ; boil the water with the blistering-fly to one half, and strain ; mix the cerate with the li- quor, and then let it evaporate to the pro- per consistence." This is sometimes used to keep a blister open ; but the savine cerate is to be preferred. Ungue'ntum ophtha'lmicum. Ophthal- mic ointment of Jania. <• Take of prepared hog's lard, half an ounce ; prepared tutty, Armenian bole, of each two drachms ; white precipitate, one drachm. Mix." This ce- lebrated ointment may be used for the same diseases of the eye and eyelid as the ung. hydrarg. nitratis. It must be at first weak- ened with about twice its quantity of hog's lard. Ungue'ntum pi'cis a'rid.5:. See Un- guentum resincE nigrce. Ungue'ntum pi'cis Li'Q,uiDyE. Tar oint- ment, formerly called unguentum picis; un- guentum e pice. " Take of tar, prepared suet, of each, a pound. Meltthem together, and strain the mixture through a linen cloth." This is applicable to cases of tinea capitis, and some eruptive complaints; also to some kinds of irritable sores. Ungue'ntum resi'nje fla'v^. Yellow basilicon is in general use as a stimulant and detersive ; it is an elegant and useful form of applying the resin. Ungue'ntum resi'njE Ni'cRiE. Unguen^ tnm picis aridce.. Pitch ointment, formerly called unguentum basilicum nigrum vel tetra- pharmacum. " Take of pitch, 3'ellow wax, yellow resin, of each nine ounces; olive oil, a pint. Melt them together, and strain the mixture through a linen cloth." This is useful for the same pur[)oses as the tar oint- ment. Ungue'ntum sambu'ci. Elder ointment, formerly called unguentum sambucinum. "Take of elder tlowers, two pounds; 910 URA URA preparetl iarJ, two pounds. Boil the elder flowers in tlie lard until they become cri?p, then strain the ointment through a linen cloth." A cooling and emollient prepa- ratioa. Ukgoz'stum su'lphtjris. Sulphur oint- ment, formerly called ungv.eMtum esulphure. " Take of sublimed sulphur, three ounces; prepared lard, half a pound. ?.]ix." Tlie most effectual preparation to desfroy the itch. It is also serviceable in the cure of other cutaneous eruptions. Usgue'.n'tu.m su'lphitris cojipo'sitcm. Compound sulphur ointment, " Take of sublimed sulphur, half a pound : white hellebore root, powdered, two ounces ; ni- trate of potash, a drachm; soft soap, half a pound ; pi-epared lard, a pound and half. Mix." This preparation is introduced into the last London pbarmacopreia as a more efficacious remedy for itch than common sulphur ointment. In the army, where it is generally used, the sulphur vivum, or native admixture of sulphur wilh various heteroge- neous matters, is used instead of sublimed sulphur. Usgue'ntum vera'tri. White hellebore ointment, formerly called wiguenium helle- bori albi. " Take of while hellebore root, powdered, two ounces; prepared lard, eight ounces ; oil of lemons, twenty minims. Mix." Ungue'ktcm zi'nci. Zinc ointment. "Take of the oxyde of zinc, an ounce; prepared lard, sis ounces. Mis." A very useful application to chronic ophthalmia and relaxed ulcers. U'NGUIS. (From o^vh a hook.) 1. The nail. The nails are horny lamina situated at the extremities of the fingers and toes. 2. An abrcess or collection of pus be- tween the lamellae of the cornea transparens of the eye ; so called froiii its resemblance Id the lunatcd portion of the nail of tlie finger. 3. The lachrymal bone is so named from its resemblance to a nail of the finger. U'ngula cap.alt.i'na. See Tusiilago. Umo'sES. {Unio, pi. uniones, from ■unus, one ; so called because there is never more than one found in the same shelK or according to others, for that many being found in one shell not any one of them is like the other.) Pearls. See Marga- rita. U'R A C H U S. (From cv^av, urine, and e;^iy, to contain.) Unnacitlmn. The liga- mentous cord tiiat arises from the basis of the urinary bladder, which it runs along, and terminates in tlie umbilical cord. In the fcetuses of brute animals, which the an- cients mostly dissected, it is a hollow tube and conveys the urine to theallantoid mem- brane. Uka'cicm. (From cv^ciyc;: the hinder pari of an arrn^rv) The apex or extreme point of the heart. Ueasi'sccs. (From auaav^s, the firma- ment ; so called from its arch.) The j)a!ate. URANIUM. This metal was disco- vered by Kiaproth in the year 1789. It ex- ists combined with sulphur, and a portion of iron, lead, and silex, in the mineral term- ed Pechhiende, or oxyh of vranhnn. Com- bined with carbonic acid it forms the chal- colite, or green mica: and raixt with oxyde of iron, it constitutes (he uranilic oclire. It is always found 'n the state of an oxyde with a greater or smaller portion of iron, or mi- neralized with sidpbur and copper. The ores of uranium are of a blackish colour, in- clining to a dark iron grey, and of a mode- rate splendour; they are of a close texture, and when broken present a somewhat une- ven, and in the smallest particles a conchoi- dal surface. They are found in the mines of Saxony. Properties of Uranium. — Uranium exhi- bits a mass of small metallic globules, agglutinated together. Its colour is a deep grey on the outside, in the inside it is a pale brown. It is very porous, and is so soft, that it may be scraped with a knife. It has but little lustre. Its specific gravity is between eight and nine. It is more difficult to be fused than even manganese. When intensely heated with phosphate of soda and ammonia, or glacial phosphoric acid, it fuses Vvith them into a grass-greea glass. With soda or boras it melts only into a grey, opaque, scoriaceous bead. It is soluble in sulphuric, nitric, and muriatic acids. It combines with sulphur and phos- phoius, and alloys with mercury. It has not yet been combijied wilh other combus- tible bodies. It decomposes the nitric acid and becomes converted into a yellow oxyde. The action of uranium alone upon water, fcc. is still unknown, probably on account of its extreme scarcity. Method of obtaining Uranium. — In order to obtain uranium, the pechhiende is first freed from sulphur by heat, and cleared from the adhering impurities as caretully as possible. It is then digested in nitric acid ; the metallic matter that it contains is thus completely dissolved, while part of the sulphur remains undissolved, and part of it is dissipated under the form of sulphuret- ted hydrogen gas. The solution is then pre- cijiitated by a carbonated alkali. The pre- cipitate has a lemon-yellow colour when it is pure. This yellow carbonate is made in- to a paste with oil, and exposed to a violent heat, bedded in a crucible well lined with charcoal Kiaproth obtained a metallic globule 28 grains in weight, by forming a ball of 50 grains of the yellow carbonate with a little was, and by exposing this ball rn a cruci- URE URf 911 ble lined with charcoal to a heat equal to 170" of Wedgewood's pyrometer. Richter obtaijied in a single experiment 100 grains of this metal, which seemed to be free from all admixture Urce'ola. (From tirceo^iis, a small pitch- er ; so named from its uses in scouring glazed vessels.) Tlie herb fever-few. Ure'do. (From uro, to burn.) An itch- ing or burning sensation of the skin, which accompanies many diseases. The nettle- rash is also so called. URETER. (From ov^ov, urine.) The membranous canal which conveys the urine from the kidney to the urinary bladder; at its superior part it is considerably the lar- gest, occupying the greatest portion of the pelvis of the kidney ; it then contracts to the size of a goosequill, and descends over the psoas magnus muscle and large crural vessels into the pelvis, in which it perforates the urinary bladder very obliquely. Its in- ternal surface is lubricated with mucus to defend it from the irritation of the urine in passing. URETERITIS. (From (iu/»ir»jp, the ure- ter.) An inflammation of the ureter. Urete'ricus. (From ou^jith/j, the ureter, or oupartiptri; , an inflammation of the ureter.) Applied to an ischury, or suppression of urine, from an inflanirnationof the ureter. Ureteroli'thicus. (From ovp'^T»p, the ureter, and Xihs, a stone.) Applied to an is- chury from a stone in the ureter. Ureterothromboi'des. (From oupnrrip, the ureter, ^pou,Sos, grumous blood, and £/*«;, a likeness.) Applied to an ischury from gru- nious blood in the ureter. Ureterophlegjia'ticus. (From ov^/trtip, the ureter, and --bXtyfia. phiegm.) Applied to a suppression of urine from pituitous matter in the ureter. URETEROpy'icus. (From cvpriTTif, the Hreter; and -nruav, pus) Applied to an ischury from purulent matter in the ure- ter. Ureterostoma'ticus. (From dufnrno, the ureter, and ?«,<*«, a mouth ) Applied to a suppression of urine from an obstruction in the lower orifice of the ureter. URETHRA. (From aypov, the urine ; because it is the canal through which the urine pmsses.) A membranous canal run- ning from the neck of the bladder through the inferior part of the penis to the extre- mity of the glans penis, in which it opens by a longitudinal oiilice, called meatus urinarius. In this course it first passes through the prostate gland, which portion is distinguished by the name of the pros- tatical urethra; it tiien becomes much dilated, and is known by the name of the bulbous part, in which is situated a cuta- neous eminence called the caput gallinaginis or vemmonianum. around which are ten or twelve orifices of the excretory ducts of the prostate gland, and two of the sper- matic vessels. The remaining part of the urethra contains a number of triangular mouths, which are the lacuna;, or openings of the excretory ducts of the mucous glands of the urethra. Urethralmi'nthicus. (From «yp'/j9^«, the urethra, and iX/xmSe;, worms.) Applied to an ischury from worms in the tirethra. Urethri'ticus. (From iiuor,6^irig , an in- flammation of the urethra.) ' Applied to a suppression of urine from an inflammation of the urethra. URETHRi'TIS. (From ou^>,8^o,, the ure- thra.) An inflammation in the urethra. See Gonorrhoea. Urethuohymeno'des. (From dv^nS^Ut the urethra, and i/^»v, a membrane.) Appli- ed to an ischury from a membrane obstruct- ing the urethra. Urethroli'thicus. (From ov^n9^a, the urethra, and kih;. a stone.) Applied to a suppression of urine from a stone in the ure- thra. Urethromeo'ides. (From ay^/j^ga, the urethra, and i^oi^Qoiir,;, like a grumous con- cretion.) A caruncle in the urethra. Urethrophlegma'ticus. (From ov^yfi^a, the urethra, and ipxsyiMa, phlegm.) Applied to an ischury from mucus obstructing the urethra. Urethro-py'icus. (From ev^rtB^a., the urethra, and wkov, pus.) Applied to a sup- pression of urine from pus collected in the urethra. Ure'tica. (From nu^ov, urine.) Medi- cines, which promote a discharge of urine. U'rias. (From ov^ov, urine.) The ure- thra. URINARY BLADDER. Vesica Uri- naria. The bladder is a membranous pouch, capable of dilatation and contraction, si- tuated in the lower part of the abdomen, immediately behind the symphysis jiubis, and opposite to the beginning of the rectum. Its figure is nearly that of a short oval. It is broader on the fore and back, than on the lateral parts; rounder above than below, when empty ; and broader below than above when full. It is divided into the body, neck, and fundus, or upper part ; the neck is a portion of the lower part, which is con- tracted by a sphincter muscle. This organ is made up of several coats, the upper, pos- teriur, and lateral parts are covered by a reflection of the peritoneum ; which is con- nected by cellular substance to the mus- cular coat. This is composed of several strata of fibres, the outermost of which are mostly longitudinal, the interior becoming gradually more traiisverse, connected toge- ther by reticular membrane. Under this is the cellular coat, which is nearly of the same structure with the tunica nervosa of the stomach, Winslow describes the in- ternal or villous coat as somewhat granulated and glandular ; but this has been disputed by subsequent anatomists. However, a mucous ihiid is poured out continually from it, which defends it from the acri» 913 UKl URI Hiony of the urine. Sometimes the internal surface is found very irregular, and full of rugse, which appear to be occasioned merely by the strong contraction of the muscular fibres, and may be removed by distending 3t. The sphincter does not seem to be a distinct muscle, but merely formed by the transvei'se fibres being closely arranged about the neck. The urine is received from the ureters, which enter the posterior part of the bladder obliquely ; and when a certain degree of distention has occurred, the muscular fibres are voluntarily exerted to expel it. URINE. (Urina ; aypov, from epouu, to rush out.) The saline liquid, secreted in the kidneys, and dropping down from them, gultatim, through the ureters, into the cavity of the urinary bladder. The secre- tory organ is composed of the arterious ves- sels of the cortical substance of the kidneys, from which the urine passes through the uriniferous tubuli and renal papillae, into the renal pelvis : whence it flows drop by drop, through the ureters, into the cavity of the urinary bladder : where it is detained some hours, and at length, when abundant, eliminated through the urethra. The urine of a healthy man is divided in general into, 1. Crude, or that which is emitted one or two hours after eating ; this is for the most part aqueous, and often vitiated by some kinds of food. 2. Coded, which is eliminated some hours after the digestion of the food, as that which is emitted in the morning after sleeping. This is generally in smaller quantity, thicker, more coloured, more acrid than at any other time. Of such cocted urine, the colour is usually citrine, and not unhandsome. The degree of heat agrees with that of the blood ; hence in atmospheric air it is ■warmer, as is perceived if the hand be washed with urine. The specific gravity is greater than water, and that emitted in the pjorning is always heavier than at any other *time. The smell of fresh urine is not dis- agreeable. The taste is saltish and nauseous. The consistence is somewhat thicker than water. The quantity depends on that of the liquid drink, its diuretic nature, and the tem- perature of the air. Changes of urine in the air. — Preserved in an open vessel, it remains pellucid for some time, and at length there is perceived at the bottom, a nubecula, or little cloud, con- solidated as it were from the gluten. This nubecula increases by degrees, occupies all the urine, and renders it opaque. The natu- sal smell is changed into a putrid cadaverous one ; and the surface is now generally co- vered with a cuticle, composed of very mi- nute crystals. At length the urine regains its transparency, and the colour is changed from a yellow to a brown ; the cadaverous smell passes into an alkaline ; and a brown. grumous sediment falls to the bottom, filled with white particles, deliquescing in the air, and so conglutinated as to form, as it were, little soft calculi. Thus two sediments are distinguishable in the urine ; the one white and gelatinous, and separated in the beginning ; the other brown and grumous, deposited by the urine when putrid. Spontaneous degeneration. — Of all the flu- ids of the body, the urine first putrefies In summer, after a few hours, it becomes fur- bid, and sordidly black ; then deposits a co- pious sediment, and exhales a fetor, like that of putrid cancers, which at length be- comes cadaverous. Putrid urine effervesces with acids, and if distilled, gives off", before water, a urinous volatile spirit. The properties of healthy urine, are, 1. Urine reddens paper stained with turn- sole and with the juice of radishes, and therefore contains an acid. This acid has been generally considered as the phosphoric, but Thenard has shown that in reality it is the acetic. 2. If a solution of ammonia be poured into fresh urine, a wljite powder precipitates, which has the properties of phosphate of lime. 3. If the phosphate of lime precipitated from urine be examiiied, a little magnesia will be found mixed with it Fourcroy and Vauquelin have ascertained that this is owing to a \itt\e phosphate of magnesia which urine contains, and which is decomposed by the alkali employed to precipitate the phos- phate of lime. 4. Proust informs us that carbonic acid ex- ists in urine, and that its separation occasions the froth which appears during the evapora- tion of urine. 5. Proust has observed, that urine kept in new casks deposits small crystals, which elfloresce in the air, and fall to powder. These crystals possess the properties of the carbonate of lime. 6. When fresh urine cools, it often lets fall a brick-coloured precipitate, which Scheele first ascertained to be crystals oiuric acid. All urine contains this acid even when no sensible precipitate appears when it cools. 7. During intermitting fevers, and espe- cially during diseases of the liver, a copious sediment of a brick-red colour is deposited from urine. This sediment contains tbe ro- sacic acid of Proust. 8. If fresh urine be evaporated to the con- sistence of a sirup, and muriatic acid be then poured info it, a precipitate appears which possesses the properties of benzoic acid. 9. When an infusion of tannin is dropped info urine, a white precipitate ajipears, hav- ing the properties of the combination of tannin and albumen or gelatine. Their quantity in healthy urine is very small, often indeed not sensible. Cruickshaaks found L'RI URI 1113 tbat the precipitate aftbrded by tannin in healthy urine amounted to l-240tb part of the weight of the urine. 10. If urine be evaporated by a slow fire ♦otlie consistence of a thick sirup, it assumes a deep brown colour, and exhales a foetid ftmmoniacal odour. When allowed to cool, it concretes into a mass of crystals, composed of all the component parts of urine, if four times its weight of alcohol be poured into this mass, at intervals, and a slight heat be applied, the greatest part is dissolved. The alcohol which has acquired a brown colour is to be decanted off, and distilled in a retort in a sand heat till the mixture has boiled for some time and acquired the consistence of a sirup. By this time the whole of the alcohol has passed off, and the matter, on cooling, crystallizes in quadrangular plates, which intersect each other. This substance is urea, which composes 9-20ths of the urine, pro- vided the watery part be excluded. It is this substance which characterizes urine; and constitutes it what it is, and to which the greater part of the very singular phenomena of urine are to be ascribed. 11. According to Fourcroy and Vauque- lin, the colour of urine depends upon the urea; the greater the proportion of urea the deeper the colour. But Proust has detected a resinous malt er in urine similar to the resin of bile, and to this substance he ascribes the colour of urine. 12 If urine be slowly evaporated to the consistence of a sirup, a number of crystals make their appearance on its surface, these possess the properties of the muriate of soda. 13. The saline residuum which remains after the separation of urea from crystallized urine by means of alcohol, has been long known by the names o^ fusible salt of urine, and microcosmic salt. When these salts are examined, they are found to have the pro- perties of phosphates. The rhomboidal prisms consist of phosphate of ammonia united to a little phosphate of soda, the rec- tangular tables, on the contrary, are phos- phate of soda united to a small quantity of phosphate of ammonia, urine then con- tains phosphate of soda and phosphate of ammonia. 14. When urine is cautiously evaporated, a few cubic crystals are often deposited among the other salts, these crystals have the properties of muriate of ammonia. 15 When urine is boiled in a silver basin, it blackens the basin, and if the quantity of urine be large, small crusts of sulphuret of silver may be detached. Hence we see that urine coulams sulphur. Urine then contains the following sub- stances; 1. Water. 2. Acetic acid. 3 Phosphate of Imei. 4. Phosphate of magnesia. 5. Carbonic acid. 6. Carbonate of lime. 7. Uric acid. 8. Rosacic acid. 9. Benzoic acid. 10. Albumen. 11. Urea. 12. Resin. 13. Muriate of soda. 14. Phosphate of soda. 15. Phosphate of ammonia. 16. Muriate of ammonia. 17. Sulphur. No liquor in the human body, however, is so variable in respect to quantity and qua- lity, as the urine ; for it varies, 1 In respect to age : m the fcelus it is ino- dorous, insipid, and almost aqueous ; but as the infant grows, it becomes more acrid and foetid ; and in old age more parti- cularly so. 2 In respect to drink : it is secreted in greater quantity, and of a more pale colour, from cold and copious draughts. It be- comes green from an infusion of Chinese tea. 3. hi respect to food : from eating the heads of asparagus, or olives, it contracts a peculiar smell ; from the fruit of the opuntia, it becomes red ; and from fasting, turbid. 4. In respect to medicines : from the ex- hibition of rhubarb root, it becomes yellow ; from cassia pulp, green ; and from turpen- tine it acquires a violet odour. 5. In respect to the time of the year: m the winter the urine is more copious and aqueous ; but in the summer, from the in- creased transpiration, it is more sparing, higher coloured, and so acrid that it some- times occasions strangury. The climate in- duces the same difi'erence. 6. In respect of the muscular motion of the body : it is secreted more sparingly, and concentrated by motion ; and is more copiously diluted, and rendered more crude by rest. 7. In respect of the affections of the mind .- thus fright makes the urine pale. Use. — The urine is an excrementitious fluid, like lixivium, by which the human body is not only liberated from the superflu- ous water, but also from the superfluous salts, and animal earth ; and is defended from corruption. Lastly, the vis medicatrix naturae some- times eliminates many morbid and acrid substances with the urine ; as may be ob- served in fevers, dropsies, &c. URINE, RETENTION OF. A want of the ordinary secretion of urine. In reten- tion of urine there is none secreted : in a suppression, the urine is secreted but can- not be voided. Urine, suppression of. See Ischuria. URI'NA. See Urine. Urina'culum. See Urachus. Vri'sm a'rdor. See Bysu, ia. Ukina'ru. (From urina, urine ; so 115 S14 \:in rtJE named from its diuretic qualities.) The herb dandelion. See Leoniodon Taraxacum. Urocri'sia. (From ««;«», urine, and K?ifio, to judge.) The judgment formed of diseases by the inspection of urine. URORRHa;'A. (From ou?«v, the urine, and fi'M, to flow.) 4. discharge of the urine through the eroded perinesum. Ursi'na ra'dix. The root of the plant called baldmoney. See JEihusa meum. Urosco'pia. (From ou^ov, the urine, and irx,oTici), to inspect.) Inspection of urine, that a judgment of diseases may be made from its appearance. URTi'CA. {Ah urendo ; because it ex- • cites an itching and pustules like those pro- duced by fire.) 1. The name of a genus of plants in the Linnaean system. Class, mo- noecia. Order, Tetrandria. The nettle. 2. The pharmacopcsial name of the com- mon nettle. See Urtica dioica. Urti'ca dioica. The systematic name of the common stinging-nettle. This plant is well known, and though generally despi- sed as a noxious weed, has been long used for medical, culinary, and economical pur- poses. The young shoots in the spring pos- sess diuretic and antiscorbutic properties, and are with these intentions boiled and eaten instead of cabbage greens. Urti'ca mo'rtua. See Lamium album. Urti'ca pilcli'fera. The systematic name of the pillbearing nettle. Urtica Ro- inana. The plant which bears this name in the pharmaccpceias is the Urtica pilulifera, of Linnaius. The seed was formerly given against diseases of the chest- but is now de- servedly forgotten. To raise an irritation in paralytic limbs the fresh plant may be em- ployed as producing a more permanent sting than the common nettle. Urti'ca Roma'na. See Urtica 'piluli- fera. Urti'ca u'rzns. The systematic name of a lesser nettle than the dioica, and possessing similar virtues. URTICA' R I A, (From urtica, a net- tle.) Ftbris urlicala. Uredo. Purpura ■urticata. Scarlatina urtica. The nettle- rash. A species of exanthematous fever, Ttnown by pyrexia and an eruption on the skin like that produced by the sting of tlie nettle. The little elevations, called the net- tie-rash, often appear instantaneously, espe- cially if the skin be rubbed or scratched, and seldom stay many hours in the same place, and sometimes not many minutes. No part of the body is exempt from them ; and where many of them rise together, and continue an hour or two, the parts are often consider- ably swelled, which particularly happens in the arms, face, and hands. These erup- tions will continue to infest the skin, some- times in one place and sometimes in another, for one or two hours together, two or three times a day, or perhaps for the greatest part of twenty-four hours. In some constitu- tions, they last only a few days, in othei.:' manv months. URTTCA'TIO. (From urtica, a nettle.) The whipping a paralytic or benumbed limb with nettles, in order to restore its feelings. U'sNEA. Muscus cranii hatnani. See Li- chen saxatilis. Utera'ria. (From uterus, the womb.) Medicines appropriated to diseases of the womb. Uterine fury. See Nymphomania. UTERUS. Vffri^a,. Matrix. Jlger na- tures. Hystera. Metra. Utrieulus. The womb. A spongy receptacle resembling a compressed pear, situated in the cavity of the pelvis above the vagina, and between the urinary bladder and rectum. The form of the uterus resembles that of an oblong pear flattened, with the depressed sides placed towards the ossa pubis and sa- crum ; but, in the impregnated state, it be- comes more oval, according to the degree ot' its distension. For the convenience of de- scription, and for some practical purposes, the uterus is distinguished into three parts. The fundus, the body, and the cervix ; the upper part is called the fundus, the lower the cervix, the space between them, the extent of which is undefined, thebody. The uterus is about three inches in length, about two in breadth at the fundus, and one at the cervix. Its thickness is different at the fundus and cervix, being at the former usually rather less than half an inch, and at the latter some- what more -. and this thickness is preserved throughout pregnancy, chiefly by the enlarge- ment of the veins and lymphatics ; there being a smaller change in the size of the ar- teries. But there is so great a variety in the size and dimensions of the uterus in dif- ferent women, independent of the states of virginity, marriage, or pregnancy, as t© prevent any very accurate mensuration. The cavity of the uterus corresponds with the external form ; that of the cervix leads from the OS uteri, where it is very small, in a straight direction, to the fundus, where it is expanded into a triangular form, with two of the angles opposed to the entrance into the Fallopian tubes ; and at the place of junction between the cervix and the body of the uterus the cavity is smaller than it is in any otiier part. There is a swell or fulness of all the parts towards the cavity, which is sometimes distinguished by a prominent line running longitudinally through its middle. The villous coat of the vagina is reflected over the os uteri, and is continued into the membrane which lines the cavity of the ute- rus. The internal surface of the uterus is corrugated in a beautiful manner, but the rugce, or wrinkles, which are longitudinal, lessen as they advance into the uterus, the fundus of which is smooth. In the intervals between the rugae are small orifices, like those in the vagina, which discharge a mu' UIE UTE 915 Giis, serving, besides othei" purposes, that of closing the os uteri very curiously and per- fectly during pregnancy. The substance of tbe uterus, which is very firm, is composed of arteries, veins, lymphatics, nerves, and muscular fibres, curiously interwoven and connected together by cellular membrane. The muscular fibres are of a pale colour, and appear also in their texture somewhat diflferent from muscular fibres in other parts of the body. The arteries of the uterus are the spermatic and hypogastric. The sper- matic arteries arise from the anterior part of the aorta, a little below the emulgents, and sometimes from the emulgents. They pass over the psose muscles behind the perito- naeum, enter between the t^^'o laminae or duplicature? of the periioneeum which form the broad ligaments of the uterus, and pro- ceed to the uterus, near the fundus of which they insinuate themselves, givingbranches in their passage to the ovaria and Fallopian tubes. The hypogastric arteries are on each side a considerable branch of the internal iliacs. They pass to the sides of the body of the uterus, sending off a number of smaller branches, which dip into its substance. Some branches also are reflected upwards to the fundus uteri, which anastomose with the spermatic arteries, and others are reflected downwards, supplying the vagina. The veins which reconduct the blood from the uterus are very numerous, and their size in the unimpregnaled state is proportioned to that of the arteries ; but their enlargement during pregnancy is such, that the orifices of some of them, when divided, will admit even of the end of a small finger. The veins anastomose in the manner of the arte- ries which they accompany out of the uterus, and then, having the same names with the arteries, spermatic and hypogastric, the for- mer proceeds to the vena cava on the right side, and on the left to the emulgent vein ; and the latter to the internal iliac. From the substance and surfaces of the uterus an infinite number of lymphatics arise, which follow the course of the hypo- gastric and spermatic blood-vessels. The first pass into the gland of the internal iliac plexus, and the other into the glands which are situated near the origin of the spermatic arteries. Of these Nuck first gave a de- lineation. The uterus is supplied with nerves from the lower mesocolic plexus, and from two small flat circular ganglions, which are situ- ated behind the rectum. These ganglions are joined by a number of small branches from the third and fourth sacral nerves. The ovaria derive their nerves from the renal plexus. By the great number of nerves these parts are rendered very irritable, but it is by those branches which the uterus receives from the intercostal, that the inti- mate consedt between it and various other parts is chiefly preserved. The muscular fibres of the uterus have been described in a very different manner by anatomists, some of whom have asserted that its sub- stance was chiefly muscular, with fibres running in transverse, orbicular, or reti- culated order, whilst others have contended that there were no muscular fibres whatever in the uterus. In the unimpregnated ute- rus, when boiled for the purpose of a more perfect examination, the former seems to b(» a true representation ; and wlien the uterus is distended towards the latter pail of preg- nancy, these fibres are very thinly scattered ; but they may be discovered in a circular di- rection, at the junction between the body and the cervix of tbe uterus, and surround- ing the entrance of each Fallopian tube in a similar order. Yet it does not seem reason- able to attribute the time of labour to its muscular fibres only, if we are to judge of the po\ver of a muscle by the number of fibres of which it is composed, unless it is presumed that those of the uterus are stronger than in common muscles. With respectto the glands of the uterus, none are discover- able dispersed through its substance upoa the inner surface of the cervix ; between the ruga; there are lacuna which secrete mucus, and there arc small follicles at the edge of the OS uteri. These last are only observable in a state of pregnancy, when they are mucli enlarged. From the angles at the fundus of the uterus, two processes of an irregular round form originate, called from the name of the first describer, the Fallopian tubes. They are about three inches in length, and, becoming smaller in their progress from the uterus, have an uneven, fringed termination, called the fimbria. The canal which passes through these tubes is extremely small at their origin, but it is gradually enlarged, and ter- minates with a patulous orifice, the diameter of which is about one third of an inch, sur- rounded by the fimbriag. It is also lined by a very fine vascular membrane, formed into serpentine plicfe. Through this canal, the communication between the uterus and ovaria is preserved. The Fallopian tubes are wrapped in duplicatures of the perito- na?uin, which are called the broad ligaments of the uterus ; but a portion of their ex- tremities, thus folded, hangs loose on each side of the pelvis. From each lateral angle of the uterus, a little before and below tLs Fallopian tubes, the round ligar.ients arise, which are composed of arteries, veins, lym- phatics, nerves, and a fibrous structure. These are connected together by cellular membrane, and the whole is much enlarged during pregnancy. They receive their out- ward covering from the peritonaeum, and jiass out of the pelvis through the ring of the external oblique muscle to the groin, where the vessels subdivide into small branches, and terminate at the mons veneris and contiguous parts. From the insertion, of these ligaments into the groin, the reason 916 UTE UVU appears why that part generally suffers ia ail the diseases and affections of the uterus, and why the iuguinal glands are in women so often found in a morbid or enlaiged state. The duplicatures of the peritonaeum, in which the Fallopian tubes and ovaria are involved, are called the broad ligaments of the uterus. These preveut the entangle- ment of the parts, and aie conductors of the vessels and nerves as the mesentery is of those of the intestines. Both the round and broad ligaments alter their position during pregnancy, appearing to rise lower and more forward than in the unimpregnated state. Their use is supposed to be that of prevent- ing the descent of the uterus, and to regu- late its direction when it ascends into the cavity of the abdomen; but Vvbether they answerthese purposesmaybe much doubled. The use of the womb is for menstruation, conception, nutrition of the fcetus, and par- turition. The uterus is liable to many dis- eases, the principal of which are prolapsus u/eri, procidtidia uteri, hydatids, dropsy of the uterus or tympanites uteri, moles, ulcer- ation, fcc. UTERUS, RETROVERSION OF, By the term retroversion, such a change of the position of the uterus is understood, that the fundus is turned backwards and downwards upon its cervix, between the vagina and I'ectum, and the os uteri is turned forwards to the pubis, and upwards in proportion to the descent of the fundus, so that by an esaminalion per taginam, it cannot be felt, or not wiiliout difficulty, when the uterus is retroverted. By the same examination there may also be per- ceived a large round tumour, occupying the inferior part of the cavity of the pelvis, and pressing the vagina towards the pubes. By an examination per anum, the same tumour may be felt, pressing the rectum to the hollow of the sacrum, and if both these examinations are made at the same time, we may readily discover that the tumour is confined witiiia the vagina and rectum. Besides the knowledge of the retroversion which may be gained by these examinations, it is found to be accompanied with other very distinguishing symptoms. There is in every case, together with ex- treme pain, a suppression of urine ; and by the continuance of this distension of the bladder, the tumour formed by it in the abdomen often equals in size, and resem- bles in shape, the uterus in the sixth or seventh months of pregnancy ; but it is necessary to observe, that the suppression of urine is frequently absolute only before the retroversion of the uterus, or during the time it is retroverted ; for when the retroversion is completed, there is often a discharge of urine, so as to prevent an in- crease of the distension ot the bladder, though not in a sufficient quantity to re- aiove it. There is also an obstinate con- stipation of the bowels, produced by the pressure of the retroverted uterus upon the rectum, which renders the injection of a clyster very difficult, ur even impossible. But it appears that all the painful symp- toms are chiefly in consequence of the suppression of urine ; for none of those parts which are apt to sympathise in affec- tions or diseases of the uterus are disturbed by its retroversion. The retroversion of the uterus has generally occurred about the third month of pregnancy, and some- times after delivery it may likewise happen, Vw'here the -uterus is, from any cause, en- larged to the size it acquires about the third month of pregnancy, but not with such facility as in the pregnant state, be- cause the enlargement is then chiefly at the fundus. If the uterus is but little en- larged, or if it be enlarged beyond a cer- tain time, it cannot well be retroverted ; for, in the first case, should the cause of a retroversion exist, the weight at the fundus would be wanting to produce it; and in the latter the uterus would be raised above the projection of the sacrum, and supported by the spine. Utrica'kia. (From uter, a bottle ; so named from its appendages at the end of the leaves resembling bottles, to contain water.) A name of the nepenthes, or won- derlu! plant. Utri'culus. (Dim. of vter, a bottle ; so called from its shape.) The womb. U'VA. (Quasi iividu: fi-am its ja'ice.') An unripe grape. A tumour on the eye resem- bling a grape. U'vA grui'na. Crane-berrie.s. They are brought from New-England, and are reckon* ed antiscorbutic. U'vA pa'ssa ma'jor. The raisin. See Vitis vinifera. U'vA pa'ssa mi'nor. The dried currant. See Vitis corinthica. U'va u'rsi. Bear's whortle-berry. See .Arbutus. U'VE.A. (From uva, an unripe grape.) The posterior lamina of the iris ; so called because, in beasts, which the ancients chiefly dissected, it is of the colour of ua- ripe grapes. U'VULA. (Dim. of uva, a grape.) Co- lumella. Cion. Gargareon. Columna oris. Gurgulio. Interseplum. The small conical fleshy substance hanging in the middle of the velura pendulum palati, over the root of the tongue. It is composed of the common membrane of the mouth, and a small muscle resembling a worm which arises from the union of the palatine bone, and descends to the tip of the uvula. It was called Pa'aio stophilinus, by Douglas, and Siaphilinus epistaphilinus. by VVinslow. By its contrac- tion the uvula is raised up. Uvula'kia. (From uvula, because it cured diseases of the uvula.) See Rmcus hypoglossmn. VACr \'AG 9i: V. V. A'ccA. The cow. Vacca'ria. (From vacca, a cow ; be- cause it is coveted by cows.) The herb cow's-basil. VACCIiNATlON. The insertion of the matter lo produce the cowpox. See Variola vaccina. VACCI'NIUM. (Quasi baccinixim,{rom its berry.) The name of a genus of plants in the Linnaean system. Class, Octandria Or- df r, Monogynia. Vacci'nidm mykti'lltjs. The systematic name of the myrtle-berry. The berries which are directed in pharmacopoeias by the name of bacca myrtillorum, are the fruit of the Vaccinivm myrtillus, of Linnaeus. Pre- pared with vinegar they are esteemed as an- tiscorbutics, and when dry possess astringent virtues. Vacci'nium oxtco'ccos. The systematic name of the cranberry-plant. Oxycoccos. Va£cinia pahislris. Vitis idcea palusiris. Moor-berry The cranberry. The berries of the Vaccinium oxycoccos, of Linnaeus, are inserted in some pharmacopoeias. They are about the size of our haws, and are pleasant- ly acid, and cooling, with which intention they are used medicinally in Sweden. In this country they are mostly preserved and made into tarts. Vacci'nidm vi'tis wje'a. The system- atic name of the red whortle-berry. Vitis idcea. The leaves of this plant, vaccinium vitis ida:a, of Linnasus, are so adstringent as to be used in some places for tanning They are said to mitigate the pain attendant on calculous diseases, when given internally in the form of decoction. The ripe berries abound with a grateful acid juice ; and are esteemed in Sweden as ajierient, antiseptic, and refrigerant, and often given in putrid diseases. V A OTIS' A. Vagina uteri. That canal which leads from the pudendum or exter- na! orifice to the uterus, is called the va- gina, it is .somewhat of a conical form, with the narrowest part downwards, and is described as being five or sis inches in length, and about two in diameter. But it would be more proper to say, that it is capable of being extended to those dimen- sions ; for in its common stftte, the os uteri is seldom found to be more than three inches from the external orifice, and the vagina is contracted as well as shortened. The vagina is composed of two coats, the first or innermost of which is villous inter- spersed with many excretory ducts, and (Contracted into plicae, or small transverse folds, particularly at the fore and back part, but- by child-bearing Ihesp are les- sened or obliterated. Tiie second coat is composed of a firm membrane-, in which muscular fibres are not distinctly observa- ble, but which are endov.ed tn a certain de- gree, with contractile powers like a mnscle. This is surrounded by cellular membrane, which connects it to the ne'.glibouring parts. A portion of the upper and posterior part of the vagina is also covered by the perito- nasum. The entrance of the vagina is con- stricted by muscular fibres originating from the rami of the pubis, which run on each side of the pudendum, surrounding the pos- terior part, and executing an equivalent of- fice, though they cannot be said to form a true sphincter. The upper part of the vagina is connected to the circumference of the os uteri, but not in a straight line, so as to render the cavity of the uterus a continuation of that of the vagina. For the latter stretches be- yond the former, and, being joined to the. cervix, is reflected over the os uteri, which by this mode of union, is suspended with protuberant lips in the vagina, and permitted ta change its position in various ways and directions. When, therefore, these parts are distended and unfolded at the time of labour, they are contiuued into each other, and there is no pan vvhic!) can properly be coiisidered as the precise begin- ning of the uterus or termination of the va- gina. The diseases of the vagina are, first, such an abbieviatiou and contraction as renri^- it unfit for the uses for which it was desig.ned : secondly, a cohesion of the sides in consequence of preceding ulceration : thirdly, cicatrices after an ulceration of the parts : fourthly, excrescences : Sflhiy, fluor albus. This abbreviation and con- traction of the vagina, which usually ac- company each other, are produced by original defective formation, and they are seldom discovered before (iie time of mar- riage, the consummation of which they sometimes prevent. The curative inten- tions are to relax the parts by the use of emollient applications, and to dilate thena to their pjroper size by sponge, or other tents, or, which are more effectual, by bougies gradually enlarged. But the cir- cumstances which attend this disorder, are sometimes such as mijcht lead us to form an erroneous opinion of the disease. A case of this kind, which was under Dr. Den- man's care, from the strangury, from tfee SIS VAG VAL heat of the parts, and the profuse and in- flammatory discliarge, was suspected to proceed from venereal infection ; and with that opinion the patient had been put upon a course of medicine composed of quick- silver, for several weeks, without relief. When she applied to the Dr. he prevailed upon her to submit to an examination, and found the vagina rigid, so much contracted as not to exceed half an inch in diameter, nor more thau one inch and a half in length. The repeated, though fruitless attempts which had been made to com- plete the act of coition, had occasioned a considerable inflammation upon Ihe parts, and all the suspicious appearance before- mentioned. To remove the inflammation she was bled, took some gentle purgative medicines, used an emollient fomentation, and afterwards some unctuous applications ; she was also advised to live separate from her husband for soiiic iia.fe J'he inflam- mation being gone, tents of various sizes were introdueed into the vagina, by which it was distended, though not very amply. She then returned to her husband, and in a few months became pregnant. Her la- bour, though slow, was not attended with any extraordinary difficulty. She was de- livered of a full-sized child, and afterwards suffered no inconvenience. Anotlier kind of constriction of the external parts some- times occurs, and which seems to be a mere spasm. By the violence or long con- tinuance of a labour, by the morbid state of the constitution, or by the negligent and improper use of instruments, an in- flammation of the external parts, or vagina, is sometimes produced in such a degree as to endanger a mortification. By careful management this consequence is usually prevented : but in some cases, when the constitution of the patient was prone to disease, the external parts have sloughed away, and in others, equal injury has been done to the vagina. But the effect of the inflammation is usually confined to the internal or villous coat, which is sometimes cast off wholly or partially. An ulcerated surface being thus left, when the disposi- tion to heal has taken place, cicatrices have been formed of different kinds, ac- csrding to the depth and extent of the ulceration, and there being no counterac- tion to the contractile state of the parts, the dimensions of the vagina become much reduced, or, if the ulceration should not be healed, and the contractibility of the parts continue to operate, the ulcerated sur- faces being brought together may cohere, and the canal of the vagina be perfectly closed. Cicatrices in the vagina very seldom be- come an impediment to the connection be- tween the sexes ; when they do, the same kind of assistance is required as was recom- ipeuded in the natural contraction or abbre- viation of the part ; they always give way fa the pressure of the head of the child in the time of labour, though in many cases with great difliculty. Sometimes (he appearances may mislead the judgment ; for the above author was called to a woman in labour, who was thought to have become pregnant, though the hymen remained unbroken ; but, on making very particular inquiry, he disco- vered that this was her second labour, and that the part, which, from its form and situa- tion, was supposed to be the hymen, with a small aperture, was a cicatrice, or unnatural contraction of the entrance into the vagina, consequent to an ulceration of the part after her former labour. Fungous excrescences arising from any part of the vagina or ute- rus, have been distinguished, though not very properly, by the general term polypus. See Poli/pus. V_;gjna Or NERVES. The outcr covering of nerves. By some it is said to be a pro- duction of the pia mater only, and by others of the dura mater, because it agrees with it in tenacity, colour and texture. Vagisa of tendons, a loose membranous sheath, formed of cellular membrane, invest- ing the tendons and containing an unctuoHS juice, which is secreted by the vessels of its internal surface. Ganglions are nothing more than an accumulation of this juice. Vagina'lis tu'nica te'stis. See Tunica vaginalis testis. Va'gum par. See Par vagum. Valerian, celtic. See Valeriana cellica. Valerian, garden. See Valeriana major. Valerian, great. See Valeriana major. Valerian, lesser. See Valeriana. Valerian, u-ild. See Valeriana. VALERIANA. (From FaJerius, who first particularly described it.) 1. The name of a genus of plants in the Linnaean system. Class, Triandria. Order, MonogyTiia. Valerian. 2. The pharmacopceial name of the wild valerian. See Valeriana officinalis. Valeria'na ce'ltica. The systematic name of the celtic nard. A'ardv.s Cellica. Spica Celiica Dioscoridis. Celtic nard. Va- leriana Celfica, of Linnseus. The root of this plant, a native of the Alps, has been re- commended as a stomachic, carminative, and diuretic. At present it is only used in this country in the theriaca and mithridate, though its sensible qualities promise some considerable medicinal powers. It has a moderately strong smell, and a warm, bitter- ish, subacrid taste. Valeria'na ma'jor. Phu. The garden valerian. The root of this plant, Valeriana phu, of Linnajus, is said to be efficacious in removing rheumatism, especially the sciati- ca, and also inveterate epilepsies. Valeria'na mi'nor. See Valeriana. Valeria'na officina'lis. The system- atic name of the wild valerian. Valeriana mirwr. Ofncinal valerian. Valeriana offi' VAL VAR 919 thiaiia ; fioribui iriandris, foliis ovmibuspin- tmtit, of LinnaBus. The root of this plant has been long extolled as an etBcacious re- medy iu epilepsy, which caused it to be ex- hibited in a variety of other compIaiHts termed nervous, in which it has been found highly serviceable. Il is also in very gene- ral use as an antispasmodic, and is eshihitfid in convulsive hysterical diseases. A simple and volatile tincture are directed in the phar- macopoeias. Valeria'ka phu. The systematic name of the garden valerian. See Valeriana ma- jor. Valeria'na sylye'stris. See Vale- riana. Va'llum. (From vallus, a hedge stake ; so called from the regular trench-like dispo- sition of the hairs.) The eyebrows. VALSALVA, Anton. Maria, was born at Imola in 1666, and placed at a proper age under Malpighi at Bologna, where he applied so closely, as to impair his health. He took his degree at the age of twenty-one, and connecting surgery with physic, acquired high reputation. He sim- plified the instruments in use, banished the practice of cauterizing the arteries after amputation, and employed manual opera- tions in the cure of deafness. In 1697 he was chosen professor of anatomy in the university, and under his direction the school acquired great celebrity: among other distinguished pupils of his, Morgagiii must be reckoned, whose chief work, " De Sedi- bus et Causis Morborum," contains many dissections by Valsalva. As he advanced in life he became corpuleut and lethargic, and zn 1723 v.^as carried off by an apoplectic stroke. His museum was bequeathed to the Institute of Bologna, and his surgical Instruments to the Hospital for Incurables. The principal of his works is a treatise " De Aure Humana ;" and after his death, three of his dissertations on Anatomical Subjects were printed by Morsagni. VALVE. {Valva ; irom valveo, to fold up.) A thin and transparent membrane situated v>'ithin certain vessels, as arteries, veins, and absorbents, whose office appears to be to prevent the contents of the vessel from flowing back. Valve of the colon. The end of the iliac portion of the small intestine entei-sthe )arge one obliquely, and projects somewhat within it, so as to form a kind of valve- called from its discoverer the valve of Tulpius, also the valve of the cascum. Valves, semilunar. See Semilunar valves. Valves, tricuspid. See Tricuspid valves. Valves, triglochin. See Tricuspid valves. VA'LVULA. (Dim. of valva.) A little valve. Va'lvula co'li. See Intestines. Va'lvula Eusta'chii. a membranous scBiilunar valve, which separates the right auricle from the inferior vena cava, first de- scribed by Eustachius. Va'lvula tu'lpii. See Valve of the colon. VA'LVULA CONKIVE'iNTES. The semilunar folds Ibrmeci of )be villous coat of the intestiiii-rr, duodenum, and jejunum. Their use appears to be lo increase the in-; ternal sui-face of the intestines. VA'LVULiE MITRA'LES. See Milrdl valves. VA'LVUL.E SEMILUNA'RES. See5e- milunar valves. VA'LVULJE TRIGLOCHI'NES, See Tricuspid valves. pMniUa''^ ( ^^^ ZjDzrfenrfrum vanilla. Vapora RiuM. (From vapor, vapour.) A vapour-bath Va'ri. See lonlkus. Va'ria. (From varius. changeable.) The smallpox , also small red pimples in the face. VARICE'LLA. (Dim. of varia, the smallpox ; so called from its being change- able.) Variola lymphatica The chicken- pox. A genus of disease iu the Class, Py- rexicB, and Order. Exantiiemata, of Cullen ; known by moderate synocha ; pimples bear- ing some resemblance to the smallpox, quickly forming pustules, which contain a fluid matter, but scarcely purulent, and after three or four days from their first appear- ance, desquamate. VARICOCELE (From varix, a dis- tended vein, and y,-/tX-/i, a tumour.) A swel- ling of the veins of the scrotum, or sper- matic cord • hence it is divided into the scrotal varicocele, \vhich is known by the appearance of livid and tumid veins on the scrotum ; and varicocele of the spermatic cord, known by feeling hard verBiiform vessels in the course of the spermatic cord. Varicocele mostly arises from excessive walking, running, jumping, wearing of trus- ses, and the like, producisjg at first a slight uneasiness in the part, which, if not remedied, continues advancing towards the loins. V ART' OLA. (From varius, changing colour, because it disfigures the skin.) The smallpox. A genus of disease in the Class, Pyrexia?, and Order, Exanthemata, of Cul- len ; distinguished by synocha ; eruption of red pimples on the third day, which on the eighth day contain pus, and afterwards dry- ing, fall oft in crusts. It is a disease of a very contagious nature, supposed to have been introduced into Eu- rope from Arabia, and in which tiiere arises a fever, that is succeeded by a number of little inflammations in the skin, which proceed to suppuration, the matter formed thereby being capable of producing the dis- order in another person. It makes its at- tack on people of all ages, but the young 920 VAR VAR of both sexes are more liable to it than those who are much advanced in life . and it may prevail >tf all seasons of the year, but in ge- neral is mo.>l prevalent in the spring and summer. The smallpox is distinguished into the distinct and conflueist, implying that in the former, the eruptions are perlectly separate from each other, and that in the latter, they run much into one another. Both -pecies are produced either by breathing an* impregnated with the effluvia arising from the bodies of those who labour under the disease, or by the introduction of a small quantity of the variolous matter info the habit by inoculation ; and it is probable that the diiference of the smallpox is not owing to any difference in the contagion, but depends on the state of the person to whom it is applied, or on certain circum- stances coficurring with the application of it. A variety of opinions have been enter- tained respecting the effect of the variolous infection on the fcetus in utero ; a sufficient number of instances, however, has been re- corded, to ascertain that the disease may be communicated from the mother to the child. In some cases, the f)od5' of the child, at its birtn lias been covered with pustules, and the nature of the disease has been most satis- factorily ascertained by inoculating with matter taken from the pustules. In other cases, there has been no appearance of the disease at the time of the birth, but an erup- tion and other symptoms of the disease have appeared so early, as to ascertain that the infection must have been received previ- ously to the removal of the child from the uterus. Four different stales, or stages, are to be observed in the smallpox : first, the fe- brile ; second, the eruptive ; third, the ma- turative ; and fourth, that of the declination or scabbing. When the disease has arisen naturally, and is of the distinct kind, the eruption is commonly preceded by a redness in the eyes, soreness in the throat, pains in the head, back, and loins, weariness and faintness, alternate fits of chilliness and heat, thirst, nausea, inclination to vomit, and a quick pulse. In some instances these symptoms pre- vail in a high degree, and in others they are very moderate and trifling. In very young children, startings and convulsions are apt to take place a short time previous to the appearance of the eruption, always giving great alarm to those not conversant with the frequency of the occurrence About the third or fourth day from the first seizure, the eruption shows itself in little red spots on the face, neck, and breast, and these continue to increase in number and size for three or four longer, at the end of which time, they are to be observed dis- persed over several parts of the body. If the pustules are not very numerous, the febrile symptoms will generally go olf on the appearance of the eruption, or they will become very moderate. 11 sometimes happens that a number of little spots of an erysipelatous nalureare interspersed amongst the pustules ; but these generally go in again, as soon as the suppuration commen- ces, which is usually about the fifth or sixth day, at which period, a small vesicle, con- taining an almost colourless fluid, may be observed upon the top of each pimple. Should the pustules be perfectly distinct and separate from each other, the suppuration will probably be completed about the eighth or ninth day, and they will then be filled with a thick yellow matter ; but should they run much into each other, it will not be completed till some days later. When the pustules are very thick and numerous on the face, it is apt about this time to become much swelled, and the eye- lids to be closed up, previous to whicb, there usually arises a hoarseness, and diffi- culty of swallowing, accompanied with a considerable discharge of viscid saliva. A.bout the eleventh day. the swelling of the face usually subsides, together with the affection of the fauces, and is succeeded by the same in the hands and feet, after which the pustules break, and discharge their con- tents ; and then becoming dry, they fall in crusts, leaving the skin which they covered of a brown-red colour, which appearance continues for many days. In those cases where the pustules are large, and are late in becoming dry and falling off, they are very apt to leave pits behind them ; but where they are small, suppurate quickly, and are few in number, they neither leave any marks behind them, nor do they occasion much affection of the system. In the confluent smallpox, the fever which precedes the eruption is much more violent than in the distinct, being attended usually with great anxiety, heat, thirst, nau- sea, vomiting, and a frequent and contracted pulse, and often with coma or delirium. In infants, convulsive fits are apt to occur, which either prove fatal before any eruption appears, or they usher in a malignant species of the disease. The eruption usually makes its appearance about the third day, being frequently pre- ceded or attended with a rosy efiBorescence, similar to what takes place in the measles ; but the fever, although it suffers some slight remission on the coming out of the eruption, does not go off as in the distinct kind ; on the contrary, it becomes increased after the fifth or sixth day, and continues considerable throughout the remainder of the disease. As the eruption advances, the face being thickly beset with pustules, becomes very much swelled, the eyelids are closed up, so as to deprive the patient of sight, and a VAR VAR 921 gentle salivation ensues, wliicli, {ovvard3 the eleventh day, is so viscid as to be spit up with great difficulty. In children, a diar- rhcea usually attends this stage of the dis- ease instead of a salivation, which is to be met with only in adults The vesicles on the top of the pimples are to be perceived sooner in the confluent smallpox than in the distinct; but they never rise to an emi- nence, being usually flatted in ; neither do they arrive to proper suppuration, as the fluid contained in them, instead of becoming yellow, turns to a brown colour. About the tenth or eleventh day, the swelling of the face usually subsides, and then the hands and feet begin to puff up and swell, and about the same time the vesicles break, and pour out a liquor that forms into brown or black crusts, which, upon falling off, leave deep pits behind them tliat con- tinue for life ; and where the pustules have run much into each other,they then disfigure and scar the face v-jry considerably. Sometimes it happens that a putrescency of the fluids takes place at an early period of the disease, and shows itself in livid spots interspersed amongst the pustules, and by a discharge of blood by urine, stool, and from various parts of the body. In the confluent smallpox, the fever, which, perhaps, had suSered some slight remission from the time the eruption made its appearance to that of maturation, is often renewed with considerable violence at this last-mentioned period, which is what is called the secondary fever, and this is the most dangerous stage of the disease. It has been observed, even amongst the vulgar, that the smallpox is apt to appear' immediately be- fore or after the prevalence of the measles. Another curious observation has been made relating to the symptoms of these complaints, namely, that if, while a patient labours under the smallpox, he is seized with the measles, the course of the former is retarded till the eruption of the measles is finished. The mea- sles appear, for instance, on the second day of the eruption of smallpox, the progress of this ceases, till the measles terminate by des- quamation, and then it goes on in the usual way. Several ceises are, however, recorded in the Medical and Physical Journal, as like- wise in the third volume of the Medical Com- mentaries, in which a concurrence of the smallpox and measles took place without the progress of the former being retarded. The distinct smallpox is not attended with danger, except when it attacks pregnant women, or approaches nearly in its nature to that of the confluent; but this last is always accompanied with considerable risk, the degree of which is ever in proportion to the violence and permanence of the fever, the number of pustules on the face, and the disposition to putrescency which prevails. When there is a great tendency this way the disease usually proves fatal between the eighth and eleventh day, but, in some cases, death is protracted till the fourteenth or sixteenth. The confluent smallpox, al- though it may not prove immediately mor- tal, is very apt to induce various morbid affections. Both kinds of smallpox leave behind them a predisposition to inflammatory com- plaints, particularly to ophthalmia and visce- ral inflammations, but more especially of the thorax ; and they not unfrequently excite scrophula into action %vhich might otherwise have laid dormant in the system. The regular swelling of the hands and feet upon that of the face subsiding, and its continuance for the due time, may be re- garded in a favourable light. The dissections which have been made of confluent smallpox, have never discovered any pustules internally on the viscera. From them it also appears that variolous pustules never attack the cavities of the body, except those to which the air has free access, as the nose, mouth, trachea, the larger branches of the bronchia, and the outermost part of the meatus auditorius. In cases of prolap- sus ani, they likewise frequently attack that part of the gut which is exposed to the air. They have usually shown the same morbid appearances inwardly, as are met with in putrid fever, where the disease has been of the malignant kind. Where the febrile symptoms have run high, and the head has been much affected with coma or delirium, the vessels of the brain appear, on removing the cranium and dura-mater, more turgid, and filled with a darker coloured blood than usual, and a greater quantity of serous fluid is found, particularly towards the base of the brain. Under similar circumstances, the lungs have often a darker appearance, and their moisture is more copious than usual. When no iniianjmatory affection has supervened; they are most usually sound. The treatment of smallpox will differ materially according to the species of the disease. In the distinct, ushered in by syno- chal pyrexia, it may be occasionally proper in persons of a middle age, good constitu- tion, and plethoric habit, to begin by taking away a moderate quantity of blood ; the exhibition of an emetic will be generally ad- viseable, provided there be no material ten- derness of the stomach ; the bowels must then be cleared, antimonial and otherdiapho- retics employed, and the antiphlogistic regi- men strictly enforced. It is particularly useful in this disease, during the eruptive fever, to expose the patient freely to cold air, as taught by the celebrated Sydenham ; and even the cold affusion may be proper, where there is much heat and redness of the skin, unless the lungs be weak. After the erup- tion has come out, the symptoms are usually so much mitigated, that little medical inter- ference is necessary. But the confluent smallpox requires more management ; after lid 922 VAI VAR evacuating the prirn^ viae, and employing other means to moderate the fever in the beginning, the several remedies adapted to support the strength and counteract the septic tendency, must be resorted to, as the disease advances, such as have been enume- rated under typhus. The chief points of difference are, that bark may be more freely- given to promote the process of suppuration, and opium to relieve the irritation in the sliin ; when the erupiion has come out, it will be generally proper to direct a fulf dose of this remedy every night to procure rest, using proper precautions to obviate its con- fining the bowels,or determining to the head. Where alarming convulsions occur also, opium is the medicine chiefly to be relied upon, taking care subsequently to remove any source of iriitation from the primce viae. Sometimes the tepid bath may be usefuf under these circumstances, and favour the appearance of the eruption, where the skin is pale and cold, the pulse weak,&.c. Where at a more advanced period the pustules flat- ten, and alarming symptoms follow, the most powerful cordial and antispasmodic remedies must be tried, as the confectio opii, ffither, wine, Sic. For the relief of the brain, or other important part, particularly affected, local means may be used, as in typhus. To prevent the eyes being injured, a cooling lotion may be applied, and blisters behind the ears, or even leeches to the temples. VAPJ'OL VACGI'.VA.. The cow- pox. Any pustulous disease affecting the cow, may be called the cowpox : whether it arises from an over-distension of the udder, in consequence of a neglect in milking the cow, or from the sting of an insect, or any other cause. But the species which claims our particular attention, is that which was recommended to the world by Dr. Jenner, in the year 1798, as a substitute for the smallpox. This, which originates from the grease in the horse's heel, is called the genuine cowpox ; all other kinds are spu- rious. That the vaccine fluids fraught with such unspeakable benefits to mankind, derives its origin from this humble source, however it may mortify human pride, or medical va- nity, is confirmed by the observations and experiments of competent judges. For proofs of this assertion, the reader may con- sult the works of Dr. Jenner ; the Medical and Physical Journal ; and a treatise on the subject by Dr. Loy, of which an analysis is given in the Annals of Medicine for the year 1801 ; and Mr. Ring's work on this disease, which contains the whole mass of evidence that has appeared concerning it. The genuine cowpox appears on the teats of the cow,, in the form of vesicles, of a blue colour approaching to livid. These vesicles are elevated at the margin, and de- pressed at the centre. They are surrounded with inflammation. The fluid they contain' is limpid. The animals are indisposed ; and the secretion of milk is lessened. Solutions of the sulphates of zinc and copper are a speedy remedy for these pustules ; otherwise they degenerate into ulcers- which are ex- tremely troublesome. It must, however, be recollected, that much of the obstinacy attending these cases is owing to the friction of the pustules, in consequence of milking. It is probable, that a solution of the supera- cptate of lead would be preferable to irri- tating ajiplications. Similar effects are produced in the hands of the milkers, attended with febrile symp- tcrns, and sometimes with tumours in the axilla. Other parls, where the cuticle is abraded, or which are naturally destitute of that defence, are also liable to the same affection, provided active matter is applied. It even appears that, in some instances, pus- tules have been produced by the application of vaccine virus to the sound cuticle. One case of this kind may be found in a letter from Dr. Fowler, of Salisbury, to Dr. Pear- son, published in the first work of Dr. Pear- son on this subject. The spurious cowpox is white ; and an- other criterion is, that both in the brute ani- mal and in the human subject, when infected with the casual cowpox, the sores occasion- ed by the genuine species are more difficult to heal, than those which are occasioned by the spurious kind. It is of the utmost im- portance to distinguish the genuine from the spurious sort, which is also, in some degree, infectious ; since a want of such dis- crimination would cause an idea of security against the smallpox, which might prove delusive. Dr. Jenner has elucidated one point of the first importance, relative to the genuine cowpox itself It had frequently been ob- served, that when this disorder prevailed in a farm, some of the persons who contracted it by milking were rendered insusceptible of the smallpox, while others continued liable to that infection. This is owing to the different periods at which the disease was excited in the human subject ; one per- son, who caught the disease while the virus was in an active state, is rendered secure from variolous contagion ; while another who received the infection of the cowpox when it had undergone a decomposition, is still susceptible of the smallpox. This un- certainty of the prevention, the value of which is beyond all calculation, is probably the reason why it was not before introduced into practice. From the violent opposition which vac- cine inoculation has met with, in conse- quence of certain apparent failures in the casual way, it may be doubted whether the public would ever have adopted the practice, had not this fallacy been detected by Dr. Jenner. To him also we are indebted for VAR VAK 923 another discovery of the first importance, namely, that the pustule excited in the hu- man subject by vaccine matter, yields a fluid of a sicajlar nature with that which was in- serted. This experiment, so essential to the general propagation of the practice, and so happy in its result, was never before at- tempted. It was reserved to crown the la- bours of Dr. Jenner. A considerable number of instances are en record, to prove that farriers and others who receive infection from the heel of a horse, are either partly or totally deprived of the susceptibility of the smallpox. When Dr. Jenner first published an account of his discoveries, this point was enveloped in some degree of obscurity. He then con- ceived, that the matter of grease was an imperfect preservative against the smallpox. This opinion was founded on the following circumstance : It had been remarked, that farriers either wholly escaped the smallpox, or had that distemper in a milder manner than other people. This, however, is easily reconcileable to reason, if we only suppose, that in some cases the infection is commu- nicated when the virus possesses all its pro- phylactic virtue ; and in others when its specific quality is in some measure lost. This variation in the effects produced by the virus of the horse, inclined Dr. Jenner to believe that it was modified, and under- went some peculiar alteration in the teats of the cow. He now concludes, that it is perfect when it excites the genuine disease in the cow ; yet a considerable advantage is derived from its being transferred to the latter animal, the nipples of which furnish a more obvious and a more abundant source of this inestimable fluid, than its original element, the horse. This theory, that the preservative against variolous contagion is perfect when it issues from the fountain-head, and comes imme- diately from the hands of nature, is conso- nant with reason and consistent with analo- gy. Thus one obstacle more to the univer- sal adoption of the practice is removed. Another point respecting vaccine inocu- lation, which has been much controverted, is the permanency of its efiect. Instances have been known where persons have es- caped the smallpox for a number of years and yet have ultimately proved not insus- ceptible of its infection. When such per- sons had previously undergone the vaccine disease, their apparent security was errone- ously ascribed to that cause ; but we have not even a shadow of proof, that the cow- pox possesses in the least degree the pro- perty of a temporary prophylactic, since it appears not even to retard the eruption of the smallpox, where previous infection has been received. By this remark, it is not meant to be as- serted, that it never supersedes or modifies the smallpox, for we have great reason to believe ihalsuch beneficial eflects often Piow from vaccination; but where an eruption of the smallpox actually takes place after vaccine inoculation, the two diseases fre- quently coexist, without retarding each other in the smallest degree. It is, therefore, contrary to ail reason and analogy, to con- sidorthecowpox as a mere temporary preser- vative ; it is nothing less than a perfect and permanent security against that terrible disease. A number of cases are recorded by Dr. Jenner, and other authors, who have writ- ten on this subject, in which persons who have received the cowpox by casual in- fection, twenty, thirty, forty, and fifty years before, still continued insusceptible of va- riolous contagion, in whatever form it was applied. As the cowpox destroys the susceptibility of the smallpox, so the smallpox destreys that of the cowpox. To this general rule, however, a few exceptions are said to have occurred. Certain it is, that a pustule has now and then been excited by the insertion of vaccine virus, in those who have had the smallpox, and that this pustule has been known to yield the genuine virus ; but it is not equally certain that the pustule has been perfect in all respects. Possibly it may have been defective in point of size or duration ; in respect to its areola, or the limpidity of its contents. That such a pustule has, in some instances, yielded effectual virus, is admitted ; but this is no more than what has often hap- pened in cases where persons who have had the smallpox are a second time submitted to that infection in the same form. The artificial cowpox in the human sub- ject is much milder than the casual disease ; and incomparably milder than the smallpox, even under the form of inoculation. It neither requires medicine nor regimen ; it may be practised at any season of the year ; and, not being infectious by effluvia, one person may be inoculated without endan- gering the life of another. This affection produces no pustulous eruptions. W'hen such attend vaccine ino- culation, they are owing to some adven- titious cause, such as the smallpox, which it is well known may coexist with the cow- pox. The vaccine vesicle is confined to the parts where matter is inserted : it is, there- fore, entirely a local and an inoculated disease. Nevertheless, it is certain, that eruptions of other kinds, in some instances, attend vaccine inoculation ; such as a nettle- rash, or an eruption resembling a tooth-rash, but rather larger than what is commonly called by that name. Among other singularities attending the cowpox, the mildness of the disease, under the form of inoculation, has been urged as an argument against the practice, the cause appearing, to ordinary comprehensions, in- adequate to the effect. This, it must be 9-2i VAR \"AR allowed, is the best apology that can be of- fered for scepticism on tliat point; but it will weigh but little when put into the scale against actual observation, and incontro- vertible fact. The efficacy of the cowpox as a safeguard against the smallpox, rests, perhaps, on more extensive evidence, and a BQore solid foundation, than any other axiom in the whole circle of medical science can boast. That the cowpox is not infectious by ef- fluvia, is naturally concluded from its never being communicated from one person to another in the dairies ; where the disease is casual, and appears under its worst form. The same inference may be drawn from its never spreading in a family, when only one person is inoculated at a time. To confirm this proposition more fully, the vaccine pus- tules have been ruptured, and persons who have never had the disorder have been suf- fered to inhale the eflSuvia several times a day, but to no purpose. This is no more than might be expected, in an affection where the pustulous appearance on the sur- face of the body is nearly local. As to the constitutional indisposition, it is seldom considerable, unless there is a com- plication of this with some other distemper ; and whenever any unfavourable symptoms appear, they may in general be traced to some other cause. We have indeed great reason to believe, that no ill consequence ever arises from the cowpox itself, unless from ignorance or neglect But notwithstanding the symptoms are £0 mild, they frequently occur at a very early period. A drowsiness "vvhich is one of the most common attendants of the dis- ease, is often remarked by the parents them- selves, within forty-eight hours after the matter is inserted. In a majority of cases, a slight increase of heat is perceptible, toge- ther with an acceleration of the pulse, and other signs of pyrexia; but not in such a degree as to alarm the most timorous mo- ther. Sometimes the patient is restless at nights ; and now and then a case is met with, in which vomiting occurs, but in many cases, no constitutional indisposition whatever can be perceived. Even then, the cowpox has never failed to prove an effectual preservative against the small- pox, provided the pustule has been per- fect. This being the grand criterion of the se- curity of the patient, too minute an atten- tion cannot be paid to its rise, progress,iand decline. The best mode of inoculating is by making a very small oblique puncture in the arm, near the insertion of the deltoid muscle, with the point of a lancet charged with fluid matter. In order to render infection more certain, the instrument may be charged again, and wiped upon the puncture. ' In places where the patient is likely to be exposed to variolous contagion, it is adviseable to inoculate in more places than one, but unless there is imminent danger of catching the smallpox, it is better not to make more than one puncture in each arm, lest too much inflammation should ensue. The vaccine fluid may be taken for in- oculation as soon as a vesicle appears ; but if the vesicle is punctured at a very early period, it is more apt to be injured. When virus is wanting for inoculating a considera- ble iiumber, it is better to let the pustule remain untouched, till about the eighth day, by which time it has in general acquired a reasonable magnitude. After that day, if the pustule has made the usual progress, the matter begins to lose its virtue; but it may, in general, be used with safety, though with less certainty of producing infection, till the areola begins to be extensive. The first sign of infection commonly appears on the third day. A small red spot, rather elevated, may be perceived at the place where the puucture was made. Sometimes, however, the mark of infec- tion having succeeded is not visible till a much later period. It may be retarded, or even entirely prevented, by any other disorder, such as dentition, or any com- plaint attended with fever, or by extreme cold. Another frequent cause of a slow progress in the pustule, or a total failure of success, is debility. Sometimes it is impossible to discover any sign of infec- tion for above a fortnight. In this re- spect the cowpox is subject to the same laws and liable to the same variation, as the smallpox. When a considerable inflammation ap- pears within two or three days after inocu- lation, there is reason to suspect that in- fection has not taken place; and if sup- puration ensues, that suspicion ought, in general; to stand confirmed. Now and then, however, it happens, that after the spurious pustule, or more properly speak- ing, the phlegmon, has run its course, which is within a few days, a vesicle begins to appear, bearing every characteristic of the genuine vaccine disease, and yielding a limpid and efficient virus for future in- oculations. In this case the patient is as perfectly secured from all danger of the smallpox, as if no festering of the puncture had preceded. The occurrence of such a case, though rare, is worthy to be recorded ; because some practitioners have concluded a spurious pustule to be a certain proof of failure. The areola commonly begins to be ex- tensive on the ninth day, and to decline about the eleventh or twelfth. At this period also the pustule begins to dry; the first sign of which is a brown spot in the centre. In proportion as this increases VAU \'AR 92§ Jhe surrounding efflorescence decreases, till at lengtli nothing remains but a circular Ecab, of a dark brown mahegany colour, approaching to black. Sometimes it re- sembles the section of a tamarind stone ; and it often retains the depression m the centre, which characterizes this disease be- fore exsiccation takes place. Instances have been iinowH; where tl;e vaccine pustule, though regular, and per- fect in all other respects, has been totally destitute of areola ; at least, where neither the medical practitioner, on visiting the pa- tient, nor the attendants have remarked any appearance of that sym{)tom. In these cases, the patient has proved as insusceptible of variolus infection, as if the surrounding efflorescence had covered the whole arm. it must, however, be confessed that we have no proef of the non-existence of an areola in these cases. It might have been trivial ; it might have been transient ; yet it might have been eflfectual. There is, however, greater reason to believe, that the surround- ing efflorescence, though usually a concomi- tant circumstance, is not an essential requi- site to the vaccine disease. If by any accident the vesicle is ruptured, suppuration often ensues In this case more attention than ordinary ought to be paid to the progress, and to all the phe- nomena of the local affection : both on ac- count of the uncertainty of success in the pustule, as a prophylactic ; and the greater probability of tedious ulceration. If there is room for the least doubt of the sufficiency of the first inoculation, a second ought to be performed without delay. This, if unnecessary, is seldom attended with in- convenience, and never with danger. Ei- ther no effect is produced, or a slight fester- ing, which terminates in a few days. An exception occurs, but rarely, where a spu- rious, or perhaps, even a genuine pustule, takes place, in those persons who are known to have had the cowpox or the smallpox already ; but this cannot be the least cause of alarm to any one who knows the benign character of the distemper. Various topical applications, both stimu- lant and sedative, have been recommended, in order to allay the violence of inflamma- tion. If the operation for the insertion of matter is not unnecessarily severe, nor the pustule irritated by friction, or pressure, or other violence, no such applieations are ne- cessary. Nevertheless, if either the anxiety of the professional man, or the importunity of a tender parent, should demand a devia- tion from this general rule, any of the fol- lowing remedies may be had recourse to. The pustule may be touched with very di- luted sulphuric acid ; which should be per- mitted to remain on the part half a minute, and then be washed off with a sponge dipped in cold water. This has been igno- rantiy, or artfully, called an escharotic ; but any one who tries the opplication will soon discover that its operation is mild and harmless. To avciu cavi! and misrepresentation, it is belter to sp^jly asal!^r;;(e lotion compresses, dipped in such a lotion may be enplied at anytime when inflammation runs iiign, and renewed as occasion leq'iires. if the pustiilf should thance to be broken, a drcj- of the liq. piumiji swbacet. undi- luted^ may be applied as ftn exsiccant : but if ulceration threatens to become obsilviate, or extensive, a mild cataplasm is the best resource: In case the ulceration is only superficial and not attended with immo- derate inflammation, a bit of any adhesive pluster, spread on linen, will prove the most convenient dressing, and seldom fail of success. It will, in general, be unneces- sary to renew it oftener than every other day. These minute observations no one will despise, unless there be any person so igno- rant as not to know that the care of the arm is almost the whole duty of the medical practitioner in vaccine inoculation ; and that nothing disgusts the public so much against the practice, as a sore arm, and the ill con- sequences which, from ajieglect of that symptom, too often ensue. When fluid virus cannot be procured, it is necessary to be cautious how it is pre- served in a dry state. The most improper mode is that of keeping it on a lancet ; for the metal quickly rusts, and the vaccine matter becomes decomposed This method, however, is as likely to succeed as any, when the matter is not to be kept above two or three days. If the virus be taken on glass, care must be taken not to dilute it ' much ; otherwise it will in all probability fail. Cotton thread is a very commodious ve- hicle. If it is intended to be sent to any considerable distance, it ought to be repeat- edly dipped in the virus. No particular caution is necessary with regard to the ex- clusion of air ; nevertheless, as it can be done with so little trouble, and is more satisfactory to those who receive the mat- ter, it is better to comply with the prac- tice. On this account it may be enclosed in a glass tube, or in a fobaccopipe sealed at each end, or between two square bits of glass, which may, if necessary be also charged with the matter, and wrapped in gold-beat- er's skin. Nothing is more destructive to the effi- cacy of cowpox matter than heat • on this account it must not be dried near the fire, nor kept in a warm place. The advan- tage of inserting it in a fluid state is so great, that it is to be wished every prac- titioner would endeavour to keep a con- stant supply for his own use, by inocu- 926 VAS VEI lating bis patients in succession, at such periods as are most likely to answer that purpose. The rapidity with which this practice now spreads in various parts of the globe, justi- fies our cherishing a hope, that it will ere long extinguish that most dreadful pesti- lence, and perpetual bane of human felicity, the smallpox. Va'rius. (From varus, unequal, so call- ed from the irregularity of its shape.) The cuboid bone is called os varium, from its ir- regular shape. VA'RIX. (From varus, i. e. ohtorius.) A dilatation of a vein. A genus of disease in the Class, Locales, and Order, Ticmores, of Cullen ; known by a soft tumour on a vein which does not pulsate. Varicose veins mostly become serpentine, and often form a plexus of knots, especially in the groins and scrotum. VAROLl, CosTANZo, was born at Bolog- na in 1542, and became a professor of phy- sic and surgery in his native city. At thirty he was invited by Pope Gregory XKI. to settle at Rome as his first physician, and professor in the College of Sapienza. He was advancing in reputation by his anato- mical discoveries, as well as in his practice, when a premature death cut him off" in 1573 He was particularly distinguished in the Anatomy of the Brain, which he de- scribed in his work " De Nervis Opticis, &c ;" and among the parts discovered, or more accurately demonstrated by him, was that formed by the union of the crura cere- bri, and cerebelli, which has been since called the Pons Varoli, and which gives ori- gin to several nerves. After his death was published " De Resolutione Corporis Huma- ni," an anatomical compendium, chiefly ac- cording to the ancients, but with several new observations. VAS DE'FERENS. {Vas, a vessel and deferens, from defero, to convey.) A duct which arises from the epydidymis,and passes through the inguinal ring in the spermatic cord into the cavity of the pelvis, and termi- nates in the vesicula seminalis. Its use is to convey the .semen secreted in the testicle, and brought to it by the epididymis into the vesicula seminalis. VA'SA BRE'VIA. The arteries which come from the spleen and run along the large arch of the stomach to the dia- phragm. VA'SA DEFERE'NTIA. See Vas defe- rens. VA'SA VORTICO'SA. The contorted Tessels of the choroid membrane of the eye. VA'STUS EXTE'RNUS. (Vastus, so called from its size.) A large, thick, and fleshy muscle situated on the outer side of the thigh: it arises by a broad thick tendon, from the lower and anterior part of the great trochanter, and upper part of the iinea aspera ; it likewise adheres by fleshy fibres, to the whole outer edge of thai rough line. Its fibres descend obliquely forwards, and after it has run four or five inches downwards, we find it adhering to the anterior surface and outer side of the cru- rajus, with which it continues to be connect- ed to the lower part of the thigh, where we see it terminating in a broad tendon, which is inserted into the upper part of the patella laterally, and it sends off an aponeurosis that adheres to the head of the tibia, and is Gon» tinned down the leg. VA'STUS INTE'RNUS. This muscle, which is less considerable than the vastus externus, is situated at the inner side of the thigh, being separated from the preceding by the rectus. It arises tendenous and fleshy from be- tween the fore part of the os femoris, and the root of the lesser trochanter, below the insertion of the psoas magnus, and the ilacus internus ; and from all the inner side of the Iinea aspera. Like the vastus externus it is connected with the cruraeus, but it continues longer fleshy than that muscle. A little above the knee we see its outer edge uniting with the inner edge of the rectus, after which it is inserted tendinous into the upper part and inner side of the patella, sending off an aponeu- rosis which adheres to the upper part of the tibia. VEIN. (Vena, from venio, (o come, because the blood comes through it.) Veins are long membranous canals, which conti- nually become wider, do not pulsate, and return the blood from the arteries to the heart. All veins originate from the extre- mities of arteries only, by anastomosis, and terminate in the auricles of the heart; e. g-. the vense cavce in the right, and the pul- monary veins in the left auricle. They are composed, like arteries, of three tunics or coats, which are much more slender than in the arteries, and are supplied internally with semilunar membranes, or folds called valves. Their use is to return the blood to the heart. The blood is returned from every part of the body, except the lungs, into the right auricle, from three sources: 1. The vena cava s^iperior, which brings it from the head, neck, thorax, and superior extremities. 2. The vena cava inferior, from the abdo- men and inferior extremities. 3. The coronary vein receives it from the coronary arteries of the heart. 1. The vena cava superior. This vein terminates in the superior part of the right auricle, into which it evacuates the blood, from the right and left subclavian vein, and the vena asygos. The right and left subclavian veins receive the blood from the head and upper estremities, in the VET VEI 927 following maDiier. The veins of the fin- gers, called digitals, receive the blood from the digital arteries, and enipty it into, The cephalic of the thumb, which runs on the back of the hand along the thumb, and evacuates itself into the external radial. The sahaiella, which runs along the little linger, unites with the former, and empties its blood into the internal and external cubi- tal veins. At the bend of the fore-arm are three veins, called the great cephalic, the basilic, and the median. The great cephalic runs along the superior part of the fore-arm, and receives the blood from the external radial. The basilic ascends on the under side, and receivas the blood from the external and in- ternal cubital veins, 'dnd some branches which accompany the brachial artery, called vence satellites. The median is situated in the middle of the fore-arm, and arises from the union of several branches. These three veins all unite above the bend of the arm, and form The brachial vein, which receives all their blood, and is continued into the axilla, where it is called The axillary vein. This receives also the blood from the scapula, and superior and inferior parts of the chest, by the superior and inferior thoracic vein, the vena muscula- ris, and the scapularis. The axillary vein then passes under the clavicle, where it is called the subclavian, which unites with the external and in- ternal jugular veins, and the vertebral vein which brings the blood from the vertebral sinuses ; it receives also the blood from the mediastinal, pericardiac, diaphragmatic, thymic, internal mammary and laryngeal veins, and then unites with its fellow, to form the vena cava superior, or, as it is sometimes called, vena cava descendens. The blood from the external and internal parts of the head and face is returned in the following manner into the external and internal jugulars, which terminate in the subclavians. The frontal, angular, temporal, auricular, sublingual, and occipital veins receive the blood from the parts after which they are named ; these all converge to each side of the neck, and form a trunk, called the ex- ternal jugular vein. The blood from the brain, cerebellum, medulla oblongata, and membranes of these parts, is received into the lateral sinuses, or veins of the dura mater, one of which empties its blood through the foramen lace- rum in basi cranii on each side into the inter- nal jugular, which descends in the neck by the carotid arteries, receives the blood from the thyroideai and internal maxillary veins, and empties itself into the subclavians with- in the thorax. The vena azygos receives the blood from the bronchial, superior cesophageal, vertebral', and inlercoslal veins, and empties it into the superior cava. 2. Vena cava inferior. The vena cava in- ferior is the trunk of all the abdominal veins and tiiose of the lower extremities, from which parts the blood is returned in the fol- lowing manner. The veins of the toes, called the digital veins, receive the blood from ilie digital arteries, and (onn on the back of tlie foot three branches, one on the great toe, called the cephalic, another which runs along the little toe, called the vena saphena. and a third on the back of the foot, ve7ia dorsalis pedis ; and those, on the sole of the foot evacuate themselves into the plantar veins. The three veins on the upper part of the foot coming together above the ankle, form the anterior tibial ; and the plantar veins with a branch from the calf of the leg, called the sural vein, {arva the posterior tibial ; a brand) also ascends in the direction of the fibula, called the peroneal vein. These three branches unite before the ham, into one brancii, the subpopliteal vein, which ascends through the ham, carrying all the blood from the foot : it then proceeds upon the anterior part of the thigh, where it is termed the crural or femoral vein, receives several muscular branches, and passes under Pou- part's ligament into the cavity of the pelvis, where it is called the external iliac. The arteries which are distributed about the pelvis evacuate their blood into the exter- nal hemorrhoidal veins, the hypogastric veins, the internal pudendal, the ve7ia magna ipsius penis, and obturatory veins, all of which unite in the pelvis, and form the internal iliac vein. The external iliac vein receives the blood from the external pudendal veins, and then unites with the internal iliac at the last %'er- tebra of the loins ; after which it forms with its fellow the vena cava inferior or ascendens, which ascends on the right side of the spine, receiving the blood from the sacral, lumbar, emulgeni, right spermatic veins, and the veiia cava hepatica ; and ha- ving arrived at the diaphragm, it passes through the right foramen, and enters the right auricle of the heart, into which it evacuates all the blood from the abdominal viscera and lower extremities. Vena cava hepatica. This vein ramifies in the substance of the liver, and brings the blood into the vena cava inferior from the branches of the ve7ia porta, a great vein which carries the blood from the ab- dominal viscera into the substance of the liver. The trunk of this vein, about the fissure of the liver, in which it ia situated, 928 VEN VER is divided into the hepatic and abdomiaal portions. The abdominal portion is com- posed of the splenic, meseraic, and internal hcemorrkoidal ileitis. These three venous branches cairy all the iilood from the sto- mach, spleen, pancreas, omentum, mesen- tery, gall-blaiider and tlie small and large intestines, inio the siiius of the vena portse. The hepatic portion o, the vena portee enters the substance of the liver, divides into innumerable ramificstions, which secrete the bile, and the su[K'n1uous blood passes into corresponding branches of the vena cava hepatica. The action of the veins. Veins do not pulsate ; the blood which they receive from the arteries Hows tlirough them very slowly, and is conveyed to the right auricle of the heart, by the contractility of their coats, the pressure of tlie blood from the arteries, called the vis a lergo, the contrac- tion of the muscles, and respiration ; and it is prevented from going backwards in the vein by the valves, of which there are a great number Vejuca ou guaco. a plant which has the power of curing and preventing the bite of venomous serpents Velame'ntum bomby'cinum. The inte- rior salt membrane of the intestines, VELUM Pii'NDULUM PALATI. Ve- lum. Velum pulalinum. The soU palate. The soft part of the palate, which forms two archeS; affixed laterally to the tongue and pharynx. VE'N V A'ZYGOS. '&i:e Mygosvein. Ve'na meuine'nsis- See Medineiuis vena. VE'iNTA PO'RTiE {Vena portce, a por- tando, because through it things are carried.) Vena portarnm. Tiie great vein,situaied at the entrance of the liver, whic.i receives the blood from the abdominal viscera, and car- ries it into the substance of the liver It is distinguished into the hepatic and abdominal portion : the former is ramified through the substance of the liver, and carries the blood destined for the formation of the bile, which is returned by branches to the trunk of the vena cava; the latter is composed of three branches, viz. the splenic, mesenteric, and internal haemon-hoidal veins. See Vein, Ve'sje la'cte^. The lacteal absorbents were so called. See Lacteals. Venereal disease. See Gonorrhma and Syphilis Ve'nter. a term formerly applied to the larger circumscribed cavities of the body, as the abdomen and thorax. VENTRICLE. A term given by anato- mists to the cavities of the brain and heart. See Cerebrum and Heart. Ventri'culus pulmona'ris. The right ventricle of the heart. Ventri'culus succenturia'tus. That portion of the duodenum, which is sur- rounded by the peritoneum, is sometimes so large as to resemble a second stomach, and is so called by some writers. Ve'nus. Copper was commonly so called by the cliemists. VERA'TRUM. 1. The name of a genus of plants in the Linncean system. Class, Polygamia. Order, Monoecia. 2. The pharmacopceial name of white hellebore. See Veratrum album. Vera'trum a'lbum. Helleborns dlbus. Elleborum album. White hellebore, or ve- ratrum. Veratrum album; racemo supra- decomposito, corollis erectis, of Linnaju?. This plant is a native of Italy, Switzerland, Austria, and Russia. Every part of the plant is exlremely acrid and poisonous. The dried root has no particular smell, but a durable, nauseous, and bitter taste, burning the mouth and fauces: when powdered, ami applied to issues, or ulcers, it produces gri- ping and purging ; if snuffed up the nose, it proves a violent sternutatory. Gesner made an infusion of half an ounce of this root with two ounces of water; of this he took two dracbms, which produced great heat about the scapulae and in the face and head, as well as the tongue and throat, followed by singultus, which continued till vomiting was excited. Bergius also experienced very distressing symptoms, upon ta.eting this in- fusion. The root taken in large doses, dis- covers such acrimony, and operates by the stomach and rectum with such violence, that blood is usually discharged ; it likewise acts very powerfully upon the nervous sys- tem, producing great anxiety, tremors, ver- tigo, syncope, aphonia, interrupted respi- ration, sinking of the pulse, convulsions, spasms, and death. Upon opening those who have died of the effects of this poison, the stomach discovered marks of inflamma- tion, with corrosions of its internal coat. The ancients exhibited this active medicine in maniacal cases, and it is said with suc- cess. The experience of Greding is some- what similar : out of twenty-eight cases, ia which he exhibited the bark of the root col- lected in the spring, five were cured. In almost every case that he relates, the medi- cine acted more or less upon all the excre- tions ; vomiting and purging were very ge- nerally produced, and the matter thrown off the stomach was constantly mixed with bile ; a florid redness frequently appeared on the face, and various cutaneous efflores- cences upon the body ; and, in some, pleu- ritic symptoms, with fever, supervened, so as to require bleeding ; nor were the more alarming affections of spasms and convul- sions unfrequent. Critical evacuations were also very evident ; many sweating profusely, in some the urine was considerably increa- sed, in others the saliva and mucous dis- charges : and uterine obstructions, of long duration, were often removed by its use. Veratrum has likewise been found useful VEK in epilepsy, and other convulsh'e com- plaints: but the diseases in which its effi- cacy seems least equivocal, are those of the skin, as itch, and different prurient erup- tions, herpes, morbus pediculosus, lepra, scrophula, Stc. ; and in many of these it has been successfully employed both internally and externally. As a powerful stimulant and irritating medicine, its use has been re- sorted to in desperate cases only, and even then it ought first to be exhibited in very small doses, as a grain, and in . a diluted state, and to be gradually increased, accord- ing to the effects, which are generally of an alarming nature. VERA'TRDM NI'GRUM. See Helle- borus niger. VERBA'SCUM. (Quasi barbascum, from its hairy coat.) 1. The name of a genus of plants in the Linnasan system. Class, Pentandria. Or- der, Monogynia. Mullein. 2. The pharmacopceial name of the yellow and black mullein. Verba'scom ni'grum. The systematic name of the black mullein. Candela regia : Tapsus barbatus : Candelaria : LMnaria. The Verbascum nigrum and Verbascum thapsus appear to be ordered indifferently by this name in the pharmacopoeias. The Howers, leaves, and roots, are used occa- sionally as mild adstringents. The leaves possess a roughish taste, and promise to be of service in diarrhoeas and other debilitated states of the intestines. Verba'scum tua'psus. The systematic name of the yellow mullein. See Verbas- cum nigrum. VERBE'JMA. (Quad kerbena, a name of distinction for all herbs used in sacred rites.) Vervain. 1. The name of a genus of plants in the Linnaian system. Class, Decandria. Order, Monogynia. 2. The pharmacopceial name of the ver- vain. See Verbena officinalis. Verbe'na fce'mina. The hedge mus- tard is sometimes so called See Erysi- mum. Verbe'na officina'lis. The systematic name of vervain. Verbenaca. Peristerium. Hierobotane cephalalgia. Htrba sacra. Ver- vain. This plant is destitute of odour, and to the taste manifests but a slight degree of bitterness and adstringency. In former times the verbena seems to have been held sacred, and was employed in celebrating the sacri- ficial rites ; and with a view to this, more than the natural power of the plant, il was worn suspended about the neck as an amulet. This practice, thus founded on supersti- tion, was, however, in process of time, adopted in medicine ; and, therefore, to ob- tain its virtues more effectually, the vervain VER 929 was directed to be bruised before it was ap. pended to the neck ; and of its good effects thus used for inveterate head-aches, Fo- restus relates a remarkable instance. In still later times it has been employed in the way of cataplasm, by which we are told the niost severe and obstinate cases of cephalal- gia have been cured, for which we have the authorities of Etmuller, Hartman, and more especially De Haen. Notwithstanding those testimonies in favour of vervain, it has de- ser%'edly fallen Mnto disuse in Britain; nor has the pamphlet of Mr. Morley, written professedly to recommend its use in scro- phulous affections, had the effect of resto- ring its medical character. This gentleman directs the root of vervain to be tied with a yard of white satin ribbon round the neck, where it is to remain till the patient recovers. He also has recourse to infusions and oint- ments prepared from the leaves of the plant, and occasionally calls in aid the most active medicines of the Materia Medica. VERDIGRIS. An impure subacetate of copper. It is prepared by stratifying copper plates with the husks of grapes, after the expression of their juice, and when they have been kept for some time imperfectly exposed to ttre air, in an apartment warm but not too dry, so as to pass to a state of fermentation, whence a quantity of vinegar is formed. The copper plates are placed in jars in strata, with the husks thus pre- pared, which are covered. At the end of twelve, fifteen, or twenty days, these are opened : the plates have an efflorescence on their surfaces of a green colour and silky lustre : they are repeatedly moistened with water ; and at length a crust of verdigris is formed, which is scraped off by a knife, is put into bags, and dried by exposure of these to the air and sun. It is of a green co- lour, with a slight tint of blue. In this preparation the copper is oxy- dized, probably by the atmospheric air, aided by the afBniiy of the acetic acid ; and a por- tion of this acid remains in combination with the oxyde, not sufficient, however, to produce its saturation. When acted on by water, the acid, with such a portion of oxyde as it can retain in solution, are dissolved, and the remaining oxyde is left undissolved. From this analysis of it by the action of wa- ter, Proust inferred that it consists of 43 of acetate of copper, 27 of black oxyde of cop- per, and 30 of water, this water not being accidental, but existing in it in intimate combination. Verdigris is used as a pigment in some of the processes of dyeing, and in surgery it is externally applied as a mild detergent in cleansing foul ulcers, or other open wounds. On account of its virulent properties, it ought not to be used as a medicine without professional advice ; and in case any portion of this poison be accidentally swallowedj 117 930 \£K V£K emetics should be first given, and afterwards cold wafer, gently alkalized, ought to be drunk in abundance. V E R M E Y E N, Philip, was born in 1648 at Vesbronck, in the county of Waes, and assumed the clerical profession ; but an inflaDKTiation of his leg having rendered amputation necessary, he was determined afterwards co study medicine. He accord- ingly graduated and settled at Louvain, Avhere he was nominated ^ofessor of ana- tomy in 1689, and four years after_ of sur- t'ery also. His application was indefati- gable, so that he ' attained distinguished eminence, and attached to his school a great number of disciples. His celebrity was principally the result of a work entitled ••' Anatoni'ia Corporis Humaui,'' which passed through many editions with improve- mentsj and superseded the Compendium of Bartholine. He published also a Compen- dium of Medicine, a Treatise on Fevers, fee. Veejuice. An acid liquor prepared from grapes or apples, that are unfit to be con- verted into wine or cider. It is also made from crabs. It is principally used in sauces and ragouts, though it sometimes forms an ingredient in medicinal composi- tions. Verhicola'ris. See Sedum acre. Vermiform process. Protuberaniia ver- miformis. The substance which unites the two hemispheres of the cerebellum like a ring, forming a process. It is called vermi- form, from its resemblance to the contortions of worms. VERMIFUGES. (Vermifuga, from vermis, a worm, and fugo, to drive away.) See Anthelminiics. Vtrmillion. See Cinnabar, Ve'rmis mo'rdicans. Vermis repens. A species of herpetic eruption on the skin. Ve'rmis terre'stris. See Earth-worm. VERNEY, GuicHARD-JosEPH DO, was the son of a physician at Tours, and born in 1648. After studying at Avignon, he re- moved, at nineteen, to Paris, where he ac- quired high reputation as an anatomical lec- turer. He was admitted, nine years after, into the Academy of Sciences, whose me- moirs he enriched by his researches in natu- ral history. In 1679 he was nominated pro- fessor of anatomy at the Royal Gardens, His work on the Organ of Hearing appear- ed about four years after, and was trans- lated into various languages. He continued the pursuit of natural history with great ardour, and even to the detriment of his health, yet he was enabled, by a good con- stitution, to reach his eighty-second year. He bequeathed his valuable anatomical pre- parations to the academy. After his death a treatise on the Diseases of the Bones was published from his manuscripts; and sub- sequently various other papers, under the title of " CEuvres Anatom." - VERO'A'ICA. 1. The name of a genus of plants in the Linnaean system, Clasiss Diandria. Order, Monogynia. Speedwell. 2. The pharmacopoeial name of the male veronica. See Veronica officinalis. Vero'nica officika'lis. The systemetic name of Ibe plant which is called in the piiarmacopceias Veronica mas. Thea Ger- manica. Belonica pauli. ChanKsdrys. Vf.- ronica officinalis; spicis lateralibus pedun- culaliis ; foliis oppositis ; cav.le procumbenle, of Linnffius, is not unfrequent on dry barren grounds and heaths, as that of Hampstead, flowering in June and July. This plant was formerly used as a pectoral against coughs and asthmatic afl'ections, but it is now justly forgotten. Vero'nica beccabu'nga. Beccabimga. Anagallis aquatica. Laver Germanicnm, veronica aquatica. Cepcea. Water-pim- pernel and brook-lime. The plant which bears these names is the Veronica becca- bunga; racemis lateralibus, foliis ovatis pla- nis, caule reptnte, of Linnaeus. It was formerly considered of mnch use in several diseases, and was applied externally to wounds and ulcers : but if it have any pe- culiar efficacy, it is to be derived from its antiscorbutic virtue. As a mild refrigerant juice, it is preferred where an acrimonious state of the tluids prevails, indicated by pru- rient eruptions upon the skin, or in what has been called the hot scurvy. To derive much advantage from it, the juice ought to be taken in large quantities, or the fresh plant eaten as food. Verricula'ris tc'nica. The retina of the eye. VE'RTEBR^E. (From veriq, to turn.) The spine is a long bony column, which extends from the head to the lower pai't of the trunk, and is composed of irregular bones, which are called vertebrcfi. The spine may be considered as being composed of two irregular pyracpids, which are united to each other in that part of the loins where the last of the lumbar vertebrae is united to the os sacrum. The vertebrje which form the upper and longest pyramid are called true vertebrae ; and those which compose the lower pyramid, or the 03 sacrum and coccyx, are termed false vertebrse, because they do not in every thing resemble the others, and particularly •because, in the adult state, they become perfectly immoveable, while the upper ones continue to be capable of motion. For it is upon the bones of the spine that the body turns, and their name has its derivation from the Latin verb verto, to turn, as ob- served above. The true vertebras, from their situations with respect to the neck, back, and loins, are divided into three classes, of cervicaJ, dorsal, and lumbar vertebrcE. We will first consider the general structure of all fhese, and then separately describe their different classes. VER VEK 931 In each of the vertebrae, as ia oLiier bones, we may remark the body of the bone, its processes and cavities. Xhe body may be compared to part of a cylinder cut off transversely; convex before, and concave behind, where it makes part of thfe cavity of the spine. Each vertebra has commonly seven pro- ceases. The first of these is the spinous process, which is placed at the back part of the vertebra, and gives the name of spiwe to the whole of this bony canal. Two others are called transverse processes, from their situation with respect to the spine, anu are placed on each side of the spinous process. The four others, which are called oblique processes, are much smaller, than the other three. There are two of these on the upper and two on the lower part of each vertebra, rising from near the basis of the transverse processes. They are sometimes called articular processes, because they are articulated with each other; fliat is, the two superior processes of one vertebra are arti- culated with the two inferior processes of the vertebra above it ; and they are called oblique processes, from their situation with respect to the processes with which they are articulated. These oblique processes are articulated to each other by a species of ginglymus, and each process is covered at its articulation with cartilage. There is in every vertebra, between its body and apophyses, a foramen, large enough to admit a finger. These foramina correspond with each other through all the vertebrae, and form a long bony conduit, for the lodgment of the spinal marrow. Besides this great hole, there are four notches on each side of every vertebra, be- tween the oblique processes and the body of the vertebra. Two of these notches are at the upper, and two at the lower part of the bone. Each of the inferior notches, meet- ing with one of the superior notches of the vertebra below it, forms a foramen ; whilst the superior notches do the same with the inferior notches of the vertebra above it. These four foramina form passages for blood-vessels, and for the nerves that pass out of the spine. - The vertebra? are united together by means of a substance, compressible like cork, which forms a kind of partition between the several vertebras. This intervertebral substance seems, in the fajtus, to approach nearly to the nature of ligaments ; in the adult it has a great resemblance to cartilage. When cut horizontally, it appears to consist of concentrical curved fibres ; externally it is firmest and hardest; internally it becomes thinner and softer, till at length, in the centre, we find it in the form of a raucous substance, which facilitates the motions of the spine. Genga, an Italian anatomist, long ago observed, that the cliange which takes place in these intervertebral cartilages, (as they are usually called,) in advanced life, occa- sions the decrease in stature, and the stoop- ing forwards, which are usually to be observed in old people. The cartilages then become shrivelled, and consequently lose, in a great measure, their eslasticify. But, besides this gradual effect of old age, these cartilages' are subject to a temporary diminution, from the weight of tlie body in an erect posture, so that people who have been long standing, or who have .carried a considerable weight, are found to be shorter than when they have been long in bed. Hence we are taller in the morniHg than at night. This fact, though seemingly obvious, was not ascertained till of late years. The difference in such cases depends on the age and size of the subject ; in tall, young people, it will be nearly an inch ; but in older, or shorter persons, it will be less considerable. Besides the connection of the several ver- tebra, by means of these cartilages, there are likewise many strong ligaments, which unite the bones of the spine to each other. Some of these ligaments are estenal, and others internal. Among the external liga- ments, we observe one which is common to all the vertebrae, extending, in a longitudinal direction, from the fore part of the body of the second vertebra of the neck, overall the other vertebra;, and becoming broader as it descends towards the os sacrum, where it becomes thinner, and gradually disappears. This external longitudinal ligament, if we may so call it, is strengthened by other shorter ligamentous fibres, which pass froni one vertebra to another, throughout the whole spiue. The internal ligament, the fibres of whicii, like the external one, are spread in a longitudinal direction, is extend- ed over the back part of tiie bodies of the vertebra, where they help to form the cavity of the spine, and reaches from the foramen magnum of the occipital bone to the os sacrum. We may venture to remark, that all the vertcbrcB diminish in density and firmness of texture, in proportion as they increase in size, so that the lower vertebras, though larger, are not so heavy in proportion as those above them. In consequence of this mode of structure, the size of the vertebrae is increased without adding to their weight; and this is an object of no little importance in a part of the body which, besides flexibi- lity and suppleness, seems to require light- ness as one of its essential properties. In the fcetus, at the ordinary time of birth, each vertebra is found to be composed of three bony pieces, connected by cartilages which afterwards ossify. One of these pieces is the body of the bone; the other two are the posterior and lateral portions, which form the foramen for the medulla spinalis. The oblique processes are at that time com- plete, and the transverse processes beginning 932 VER VER to be formed, but the spinous processes are totally wanting. The cervical vertibrcs are seven in num- ber, their bodies are smaller and of a firmer texture than the other bones of the spine. The transverse processes of these vertebrae are short, and forked for the lodgment of muscles ; and, at the bottom of each of these processes, there is a foramen, for the passage of the cervical artery and vein. The spi- nous process of each of these vertebrae is like- wise shorter than the other vertebrae, and forked at its extremity; by which means it allows a more convenient insertion to the muscles of the neck. Tlieir oblique pro- cesses are more deserving of that name than either those of tire dorsal or lumbar verte- brae. The uppermost of these processes are slightly concave, and the lowermost slightly convex. This may suffice for a general de- scription of these vertebrae ; but the first, second, and seventh, deserve to be spoken of more particularly. The first, which is called Jfkis, from its supporting the head, differs from all the other vertebrae of the sjiine. It forms a kind of bony ring, which may be divided into its anterior and posterior arches, and its lateral portions. Of these, the an- terior arch is the smallest and flattest ; at the middle of its convex fore part we observe a small tubercle which is here what the body is in the other vertebrae. To this tubercle a ligament is attached, which helps to strength- en the articulation of the spine with the os occipitis. The back part of this anterior portion is concave, and covered with carti- lage, where it receives the odontoid process of the second vertebra. The posterior por- tion of the vertebra, or. more properly spea'c- ing, the posterior arch, is larger than the anterior one. Instead of a spinous process, we observe a rising, or tubercle, larger than that which we have just now described, on the fore part of the bone. The lateral por- tions of the vertebra project, so as to form what are called the transverse processes, one on each side, which are longer and larger than the transverse processes of the other vertebrae. They terminate in a roundish tubercle, the end of which has a slight bend downwards. Like the other transverse pro- cesses, they are perforated at their basis, for the passage of the cervical artery. But, be- sides these transverse processes, we observe, both on the superior and inferior surface of these lateral portions of the first vertebra, an articulating surface, covered with cartilage, answering to the oblique processes in the other vertebrae. The uppermost of th ese are oblong, and slightly concare, and their ex- ternal edges rise somewhat higher than their internal brims. They receive the condyloid processes of the os occipitis, with vvbich they are articulated by a species of gingly- mus. The lowermost articulating surfaces, or the inferior oblique processes, as they are called, are large, concave, and circular, and are formed for receiving the superior oblique processes of the second vertebra ; so that the atlas differs from the rest of the cervical ver- tebrae in receiving the bones, with which it is articulated both above and below. In the foetus we find this vertebra composed of five, instead of three pieces, as in the other vertebrae. One of these is the anterior arch ; the other four are the posterior arch and the sides, each of the latter being composed of two pieces. The transverse process, on each side, remains long in a state of epiphysis with respect to the rest of the bone. The second vertebra is called dtnlata, from the process on the upper part of its body, which has been, though perhaj^s improperly, compared to a tooth. This process, which is the most remarkable part of the vertebra, is of a cylindrical shape, slightly flattened, however, behind and before. Anteriorly it has a convex, smooth, articulating surface, where it is received by the atlas, as we ob- served in our description of that vertebra. It is by means of this articulation that the rotatory motion of the head is performed ; the articulation of the os occipitis with the superior oblique processes of the first verte- bra, allowing only a certain degree of mo- tion backwards and forwards, so that when we tnrn the face either to the right or left, the atlas moves upon this odontoid process of the second vertebra. But as the face cannot turn a quarter of a circle, that is, to the shoulder, upon this vertebra alone, without being liable to injure the medulla spinalis, we find that all the cervical vertebrae concur in this rotatory motion, when it is in any considerable degree ; and indeed we see many strong ligamentous fibres arising from the sides of the odontoid process, and pass- ing over the first vertebra, to the os occipitis, which not only strengthen the articulation of these bones with each other, but serve to regulate and limit their motion. It is on this account that the name of moderators has sometimes been given to these ligaments. The transverse processes of the vertebra dentata are short, inclined downwards, and forked at their extremities. Its spinous process is short and thick. Its superior oblique processes are slightly convex, and somewhat larger than the articulating sur- faces of the first vertebra, by which me- chanism, the motion of that bane upon this second vertebra is performed with greater safety. Its inferior oblique processes have nothing singular in their structure. The seventh vertebra of the neck differs from the rest chiefly in having its spinous process of a greater length, so that, upon this account, it has been sometimes called rerlebra prominens. The dorsal vertebras, which are twelve in number, are of a middle size, betv.-een the cervical and lumbar vertebrae ; the upper ones gradually losing their resemblance to those of the neck, and the lower ones com- VER VER 933 ing nearer to those of the loins. The bodies of these vertebra; are more flattened at their sides, more convex before, and more con- cave behind, than the other bones of the spine. Their upper and lower surfaces are horizontal. At their sides we observe two depressions, one at theirupper, and the other at their lower edge, which, united with simi- lar depressions in the Yertebree above and below, form articulating surfaces, covered with cartilage, in which the heads of the ribs are received. These depressions, how- ever, are not exactly alike in all the dorsal vertebrs ; for we find the head of the first rib articulated solely with the first of these vertebrae, which has therefore the whole of the superior articulating surface within itself, independent of the vertebra above it. We may likewise observe a similarity in this respect in the eleventh and twelfth of the dorsal vertebrae, with which the eleventh and twelfth ribs are articulated separately. Their spinous processes Bre long, flattened at the sides, divided at their upper and back part into two surfaces by a middle ridge, which is received by a small groove in the inner part of the spinous process immediately above it, and connected to it by a ligament. These spinous processes are terminated by a kind of round tubercle, which slopes con- siderably downwards, except in the three lowermost vertebrae, where they are shorter and more erect. Their transverse processes are of considerable length and thickness, and are turned obliquely backwards. Anteriorly they have an articulating surface, for recei- ving the tuberosity of the ribs, except in the eleventh and twelfth of the dorsal vertebrae to which the ribs are articulated by their heads only. In the last of these vertebra; the transverse processes are very short and thick, because otherwise they would be apt to strike against the lowermost ribs, when we bend the bodj' to either side. The lumbar vertebra, the lowest of the true vertebrae, are five in number. They are larger than the dorsal vertebrae. Their bodies are extremely prominent, and nearly of a circular form at their fore part; poste- riorly they are concave. Tiieir intermediate cartilages are of considerable thickness, es- pecially anteriorly, by which means the cur- vature of the spine forwards, towards the abdomen, in tiiis part, is greatly assisted. Their spinous processes are short and thick, of considerable breadth,- erect, and termi- nated by a kind of tuberosity. Their ob- lique processes are of considerable thickness; the superior ones are concave, and turned inwards ; the inferior ones convex, and turned outwards. Their transverse processes are thin and long, except in the first and last vertebra, where they are much shorter, that the lateral motions of the trunk might not be impeded. The inferior surface of all these vertebrae is slightly oblique, so that the fore part of the body of each is somewhat thicker than its hind part; but this is more particularly observable in the lowermost ver- tebra, which is connected with the os sacrum. Many anatomists describe the os sacrum and the OS coccygis when considering the bones of the spine, whilst others regard them as belonging more properly to the pelvis. These bones the reader may consult. It now remains to notice the uses of the spine. We find the spinal marrow lodged in this bony canal, secure from external injury. It defends the thoracic and abdominal viscera, and forms a pillar which supports the head, and gives a general firmness to the whole trunk. To give it a firm basis, we find the bodies of the vertebra? gradually increasing in breadth as they descend ; and to fit it for a variety of motion, it is composed of a great number of joints, with an interme- diate elastic substance, so that to great firmness there is added a perfect flexi- bility. We have already observed, that the lower- most and largest vertebrae are not so heavy in proportion as those above them ; their bodies being more spongy, excepting at their circumference, where they are more immediately exposed to pressure ; so that nature seems every where endeavouring to relieve us of an unnecessary weight of bone. But behind, where the spinal marrow is more exposed to injury, we find the pro- cesses composed of very hard bone ; and the spinous processes are in general placed over each other in a slanting direction, so that a pointed instrument cannot easily get between them, excepting in the neck, where they are almost perpendicular and leave a greater space between them. Hence, in some countries, it is usual to kill cattle by thrusting a pointed instrument between the occiput and the atlas, or between the atlas and the second vertebra. Besides these uses of the vertebrae in defending the spinal marrow, and in articulating the several vertebrae, as is the case with the oblique processes, we shall find that they all serve to form a greater surface for the lodgment of muscles, and to enable the latter to act more powerfully on the trunk, by affording them a lever of considerable length. In the neck, we see the spine projecting somewhat forwards, to support the head, which, withoutthis assistance, would require a greater number of muscles. Through the whole length of the thorax it is carried in a curved direction backwards, and thus adds considerably to the cavity of the chest, and consequently affords more room to the lungs, heart, and large blood-vessels. In the loins, the spine again projects forwards, in a direction with the centre of gravity, by which means the body is easily kept in an erect posture ; for otherwise we should be liable to fall forwards. But, Rt its in- 934 VES VIB ferior part, it again recedes baciiwards, and' helps to form a cavity called the pel- vis, in which the urinai'y bladder, intes- tinuoi recluin, and other viscera, are placed. pius. His medical and surgical writings are not held in much estimation. VESA NLE (From Vesanus, a matt man.) The fourth order in the Class JVeu- roses, of Culleu's nosological arrangement; In a part of the body that is composed comprehending diseases in which the judg- of so great a number of banes, and con- structed tor such a variety of motion, as the spine is, luxation is more to be ex- pected than fracture ; and this is very wisely guarded nsaiiist in every direction, hy the many processes that are to be found in each vertebra, and by the cari'lages, ligaments, and other means of connection, Avhich we have described as uniting them together. Vertebral artery. Arleria vertebralis. A branch of the subclavian, proceeding through the vertebrae to within the cranium, where, witii its fellow, it forms the basilary artery, the internal auditory, and the poste- rior arteiy of the .Tlura mater. VERTEX. The crown of the head. Vertic^/lia o'ssa. See Parietal bones. Ve'rticis OS. See Parietal bones. VERTIGO. Giddiness. Vervain. See Verbena. Vermin, female. See Erysimum. VESA'LIL'S, Andrew, was born at Brussels qbout the year 1514. After par- Euinghis studies at different universities and serving for two years professionally with the Imperial arm j": he settled at Padua, and taught anatomy with great applause : which he subsequently continued at some otherschools in Italy. \n 1544 he became physician to Charles V., and resided chiefly at the Imperial Court. About twenty years after, in the midst of iiis professional career, an extraordinary circumstance occurred, which was the cause of his ruin. Being sum.- moned to examine the body of a Spanish gentU?man, and having begun the operation too precipitately, the heart v\as observed to palpitate ; in consequence of which he was accused before tiie Inquisition : but the in- terposition of Philip II. procured him to be merely enjoined to make a pilgrimage to the Holy Land. While at Jerusalem he was invited to the anatomical chair at Pa- dua, but on his return the ship was wrecked on the coast of Zante, where he soon after died. Vesalius has been represented as the first person who lescued anatomy from the slavery imposed upon it by deference to an- cient opinions, and led the w^ay to modern improvements. His first publication of note was a set of Anatomical Tables, which was soon followed by his great work " De Cor- poris Humani Fabrica," printed at Basil in 1543, and often since in several countries. The earliest impressions of the plates are most valued, but the explanations were made sub.^equently more co+'rect. In a treatise " De Radicis Chin^ Usu," he se- verely criticised the errors of Galen, which engaged him in a controversy with Fallo- ment is impaired, without either coma or pyrexia. VESrCA. (Dim. of vas, a vessel.) A bladder. VESrCA FE'LLIS. The gall-bladder. See Gall-bladder. VESICA URINA'RIA. The urinary bladder. See Urinary bladder. VESiCATORIES. (Vesicatoria, from ve- sica, a bladder; because they raise a bladder.) See Epispastics. VESICLE. (Vesicula, a diminutive of vesica, a bladder.) An elevation of the cuticle, containing a transparent watery fluid. Vesi'ccla fe'llis. The gall-bladder. Vesi'culjE Di'v^ eVrbars. The con- fluent small-pox. Vesi'cul^ gingiva'rum. The thrush. VESrCUL^ FULMONA'LES. The air cells which compose the greatest part of the lungs, and are situated at the termination of the bronchia. VESI'CULiE SEMINA'LES. Two membranous receptacles, situated on the back part of the bladder above its neck. The excretory ducts are called ejaculatoiy ducts. They proceed to the urethra, into which they open by a peculiar orifice at the top of the verumontanum. They have vessels and nerves from the neighbouring parts, and are well supplied with absorb- ent vessels, which proceed to the lym- phatic glands about the loins. The use of the vesiculre seminales is to receive the semen brought into them by the vasa de- ferentia, to retain, somewhat inspissate, and to excern it sub coiiu into the urethra, from whence it is propelled into the vagina uteri. Vesicular ferer. See Pemphigus. VESTI'BULUM. A round cavity of the internal ear, between the cochlea and semicircular canals, in which are an oval opening communicating with the cavity of the tympanum and the orifices of the semi- circular canals. It is within this cavity and the semicircular canals, that the new appa- ratus, discovered by the celebrated neurolo- gist Scarpa, lies. He has demonstrated membranous tubes, connected loosely by cellular texture, within the bony semicircu- lar canals, each of which is dilated in the cavity of the vestibule into an ampulla; it is upon these ampullas, which commu- nicate by means of an alveus communis, that branches of the portio mollis are ex- panded. Veto'nica co'rdi. See Befoniea. VI'BEX. (Vibex, sing., plu. nUces.) liie large purple spots which appear under the skin in certain malignant fevers. VIBRI'SS^. {Vibrissa, from vibro, to quaver.) Hairs growing in the nostrils. See Capiirus. VICHY WATER. Is obtained frona the' tepid mineral springs that arise in the vicinity of Vichy, in France. On account of its chalybeate and alkaline ingredients, it is taken internally, being reputed to be of great service in bilious colics, diarrhoeas, and in disorders of the stomach, especially such as arise from a relaxed or debilitated state of that organ. These waters are likewise very useful when employed as a tepid bath, particu- larly in rheumatism, sciatica, gout, fee. By combining the interna! use with the exter- nal application, they have often etiected a cure where other remedies had failed to aiford relief. Vi'ciA fa'ba. The systematic name of the common bean plant. It is a native of Egypt. There are many varieties. Beans are very wholesome and nutritious to those whose stomachs are strong, and accustomed to the coarser modes of living. In delicate stomachs they produce flatulency, dyspepsia, cardialgia, &.c. especially when old. See Legumina. Victoria'lis lo'nga. See Mlium -vido- rialis. VIEUSSENS, Raymond, was borh at a village in Rovergne, graduated at Mont- pellier, and in 1671 w-as chosen physician to the Hospital of St. Eloy. The result of his anatomical researches in this situation was published under the title of Neurology, and gained him great reputation. His name be- came known at Court, and Mad. de Mont- pensier made him her physician. After her death he returned to Montpellier, and direct- -*' ed his attention to chemistry ; and having found an acid in the caput mortuum of the blood, be made this the ground work of a new medical theory. In advanced life his writings were multiplied without augmenting his reputation. He died in 1726. VIGILANCE. Pervigilium. Vigilance, when attended by anxiety, pain in the head, loss of appetite, and diminution of strength, is by Sauvages and Sagar, considered as a genus of disease, and is called agrypnia. VERRU'CA. A wart. VEKRtrcA'RiA. (From Verruca, a wart; because it was supposed to destroy warts.) The herb turnsole. VI'NCA. (From vincio, to bird ; be- cause of its usefulness in making bands.) The name of a genus of plants in the Lin- naean system. Class, Pentandria. Order, Monogynia, The herb periwinkle, or per- vincle. Vi'kca mi'nor. The systematic name of the lesser periwinkle. Vinca jjervinca. Cle- matis dapknoides major. It possesses bitter and adstringent virtues, and it is said to be VIO 935 efficacious in stopping nasal hemorrhages when bruised and put i.nto the uose. Boiled^ it forms a useful adstriugent gargle in com- DJon sore tbroatj and it is given by some in ptithisical L-Oi^.j/iaJiiis. Vi'nca pervi'kca. See Vinca minor. ViivcETo'xicuM. (From xinco, to over- come, and ioxicum, poison > so named from its supposed virtues of resisting and expel- ling poisons.) See Aschpias. Pine. See Vitis. Vine, white See Bryonia alba. Vine, wild. See Bryonia alba. Vinegar. See Jicetum. Vinegar, distilled, iree Acetum. Vinegar, spirits of. See Jlcetum. VI'NUM See Wine. Vi'num A'LOis, Wine of aloes. For- merly knowrf by the names of tinctura hierce, and tindufa sacra. " Take of extract of spiked aloe, eight ounces ; canella bavk, two ounces; wine, six pints ; proof spirits, two pints. Rub the aloes into powder with white sand, previously cleansed from any im- purities : rub the canella bark also into powder ; and after having mixed these pow- ders together, pour on the wine and spirit. Macerate for fourteen days, occasionally shakingthe mixture, andafterwardsstrain." A stomachic purgative, calculated for the aged and phlegmatic, who are not troubled with the piles The dose is from half to a whole fluid ounce. Vi'ndm antimo'nii. In small doses this proves alterative and diaphoretic, and a large dose emetic ; in which last intention it is the common emetic for children. Vi'num anti3io'nii tartariza'ti. See Antimonii.m tartar izalum. V]'ncm fe'rri. Wine of iron,, formerly called vinum ctialybeatum- " Take of iron filings, two ounces , wine, two pints. Mix and set the mixture by for a month, occa- sionally shaking it ; then filter it through paper " For its virtues, see Ferrum tarta- risatum. Vi'Ki'ai iPECACUA'NH.a;. Wine of ipeca- cuanha. " Take of ipecacuanha root- brui- sed, two ounces ; wine, two pints. Mace- rate for fourteen days, and strain." The dose, when used as an emetic, is from two fluid drachmi to half a fluid ounce. Vi'num o'pii. Wine of opium, formerly known by the names of laudanum liquidum Sydenhami, and tindura thebaica. " Take of extract of opium, an ounce ; cinnamon bark, bruised, cloves, bruised, of each a drachm ; wine, a pint. Macerate for eight days, and strain." See Opium. Vi'num veea'tri. Wine of white helle- bore. " Taks of white hellebo.'-e root, sliced, eight ounces ; wine, two pints and a half; macerate for foui-teen days, and strain." See Verairum. VrOLA. (From lov, because it was first found in Ionia.) 1. The name of a genus of plants in ^m vio VliJ the Linnaean system. Class, Syn^tntala. Order, Monogynia. The violet. 2. The pharraacopceial name of the Sweet violet. See Viola adorata. Vi'oLA cani'na. The dog violet. The root of this plant, Viola canina, of Linnaeus, possesses the power of vomiting and purging the bowels ; with which intention a scruple of the dried root must be exhibited. It ap- pears, though neglected in this country, virortLy of the attention of physicians. Vi'oLA IPECAC ua'nha. The plant which was supposed to aiford the ipecacuanha root. Vi'oLA lu'tea. The wall-flower was so called. See Cheiranthus cheiri. Vi'oLA odora'ta. The systematic name of the sweet violet. Viola acaulis, foliis eordatis, stolonibus repentibus, of LinnEeus. The recent flowers of this plant are received into the catalogues of the Materia Medica. They have an agreeable sweet smell, and a mucilaginous bitterish taste. Their vir- tues are purgative or laxative, and by some they are said to possess an anodyne and pectoral quality. The officinal preparation of this flower is a sirup, which, to young children, answers the purpose of a purgative ; it is also of considerable utility in many chemical inquiries, to detect an acid or an alkali ; the former changing the blue colour to a red, and the latter to a green. Vi'ola palu'steis. See Finguicula. Vi'oLA TRi'coLOR. Harts-ease. Pan- sies. This well-known beautiful little plant grows in corn-fields, waste and cultivated grounds, flowering all the summer months. It varies much by cultivation ; and by the vivid colouring of its flowers often becomes extremely beautiful in gardens, where it is distinguished by various names. To the taste, this plant in its recent slate is ex- tremely glutinous, or mucilaginous, ac- companied with the common herbaceous flavour and roughness. By distillation with water, according to Haase, it affords a small quantity of odorous essential oil, of a somewhat acid taste. The dried herb yields about half its v.'eight of watery ex- tract, the fresh plant about one eighth. Though many of the old writers on the Materia Medica represent this plant as a powerful medicine in epilepsy, asthma, ulcers, scabies, and cutaneous complaints, yet the viola tricolor owes its present cha- racter as a medicine to the modern autho- rities of Starck, Metzger, Haase, and others, especially as a remedy for the crusta lactea. For this purpose, a handful of the fresh herb, or half a drachm of it dried, boiled two hours in milk, is to be strained and taken night and morning. Bread, with this decoction, is also to be formed into a poultice and applied to the part. By this treatment, it has been observed, that the eruption during the first eight days increases, and that the urine, when the medicine succeeds, has an odour similar to that of cats ; but on continuing the use of the plant a suflScient time, the smell goes oft', the scabs disappear, and the skin recovers its natural purity. Instances of the suc- cessful exhibition of this medicine, as cited by these authors, are very numerous ; in- deed this remedy, under their management,, seems rarely, if ever, to have failed. It appears, however, that Mursinna, Acker- niann, and Henning, were less fortunate in the employment of this plant ; the last of whom declares, that in the diffei'ent cutaneous disorders in which he used it, no benefit was derived. Haase, who admini- stered this species of violet in various forms, and large doses, extended its use to many chronic disorders ; and from the great immber of cases in which it proved success- ful, we are desirous of recommending it to a farther trial in this country. It is remarkable that Bergius speaks of this plant as a useful mucilaginous purga? live, and takes no notice of its efficacy in the crusta lactea, or in any other disease. Viola'ria. See Viola. Violet, dog. See Viola canina. Violet, siveef. See Viola odorata. Viper. See Vipera. Viper-grass. See Scorzonera. VI'PERA. {Quod vi pariat ; because it was thought that its young eat through the mother's bowels.) The viper or adder. See Coluber berus. Viper a' Ri A. See Aristolochia serpenta- ria. Viperi'na. (From vipera, a snake ) so called from the serpentine appearance of its roots.) See Aristolochia serpentaria. Viperi'na virginia'na. See Jlristolochia serpentaria. Vi'kga au'rea. See Solidago virga aurea. Virga'ta sutc'ra. The sagittal suture of the skull. Virgina'le clau'strum. The hymen. Virginian tobacco. See Kicotiana, Virgin's bower, upright. See Clematis recta. Virgin's milk. A solution of gum ben- zoin. VI'RUS. A synonym of contagion. See Contagion. VIS CONSERVA'TRIX. See Vis medv- catrix naturcB. VIS ELA'STICA. Elasticity. VIS INE'RTliE. The propensity to rest inherent in nature. VIS I'NSITA. This property is defined by Haller to be that power by which a muscle, , when wounded, touched, or irri- tated, contracts, independent of the will of the animal that is the object of the expe- riment, and without its feeling pain. See Irrilability. VIS MEDICA'TRIX NATU'R.^. Vis conservatrix. A term employed by phy- sicians to express that healing power in an animated body, by which, when diseased. VIS VIT 937 tlie body is euabled to regain its healthy actions. VIS MO'RTUA. That property by which a muscle, after the death of the ani- mal, or a muscle, immediately after having been cut out from a living body, con- VIS N E R V O'S A. This property is considered by Whytt to be another power of the muscles by which they act when exci- ted by the nerves. VIS PLA'STICA. That facility of for- mation which spontaneously operates in animals. VIS \ TE'RGO. Any impulsive power. VIS VI'T^. The natural power of the animal machine in preserving life. Vi'scuM ALBUM. Mistletoe. This singu- lar parasitical plant most commonly grows on apple-trees, also on the pear, hawthorn, service, oak, hazel, maple, ash, lime-tree, willow, elm, horn-beam, Lc. It is suppo- sed to be propagated by birds, especially by the field-fare and thrush, which feed upon its berries, the seeds of which pass through the bowels unchanged ; and along with the excrement adhere to the branches of trees where they vegetate. The mistletoe of the oak has, from the times of the ancient druids, been always pre- ferred to that produced on other trees ; but it is now well known that the viscus quercus differs in no respect from others. This plant is the t^ of the Greeks, and was in former times thought to possess many medicinal virtues ; however, we learn but little concerning its efficacy from the ancient writers en the Materia Medica, nor will it be deemed necessary to state the extraordinary powders ascribed to the mistletoe by the crafty designs of druidical knavery. Both the leaves and branches of the plant have very little smell, and a very weak taste of the nauseous kind. In distilla- tion they impregnate water with their faint unpleasant smell, but yield no essentiS oil. Extracts, made from them by water, are bitterish, roughish, and subsaline. The spi- ritous extract of the wood has the greatest austerity, and that of the leaves the greatest bitterness. The berries abound with an ex- tremely tenacious and most ungrateful sweet mucilage. The viscus quercus obtained great reputa- tion for the cure of epilepsy ; and a case of this disease, of a woman of quality, in which it proved remarkably successful, is mentioned by Boyle. Some years after- wards its use was strongly recommended in various convulsive disorders byColbach, who has related several instances of its good effects. He administered it in substance in doses of half a drachm, or a drachm, of the wood or leaves, or an infusion of an ounce. This author was followed by oihers, who have not only given testimony ci the efficacy of the mistletoe in different convulsive affections, but also in those com- plaints denominated nervous, in which it was supposed to act in the character of a tonic. But all that has been written in favour of this remedy, which is certainly well deserving of notice, has not prevented it from falling into general neglect , and the colleges of London and Edinburgh have, perhaps not without reason, expunged it from their catalogues of the Materia Medica. VISCUS. Any organ or part which has an appropriate use, as the viscera of the ab- domen, &tc. Vision. See Seeing. Vision, defective. See Dysopia. Vi'sus cefiguka'tds. See Metanwr^ phopsia. Vi't^ a'reor. See Jirhor vitm. Vi'tje li'gnum. See Guaincuin. Vital actions. See Vital functions. VITAL FUNCTIONS. Vital actions. Those actions of the body upon which lifft immediately depends, as the circulation of the blood, respiration, heat of the body, &c. See Action. Vital principle. See Life. Vit4'lba. Traveller's joy. See Clema- tis recta. Vi'tex. (From vieo, to bind.) Agnus custus. The chaste tree. Vitex agnus vas- tus ;foliis digitalis, serratis, spicis verticillatis, of Linneeus. The seeds are the medicinal part, which have, when fresh, a fragrant smell, and an acrid aromatic taste. For- merly they were celebrated as antaphrodi- siacs ; but experience does not discover in them any degree of such virtue, and some have ascribed to them an opposite one. They are now fallen into disuse. Vi'ti Sa'ltps. See Chorea. VITILI'GO. (From viteo, to infect.) See Jllphus. Vi'TIS. 1. The name of a genus of plants in the Linnaean system. Class, Pen- tandria. Order, Monogynia. 2. The pharmacopceial name of the grape. See F^^^s vinifera. ViTis a'i.ba. See Bryonia alba. Vi'tis cori'nthica. This affords the Uva passa minor. Passn corinthiaca. The currant. The dried fruit of the vitis corin- thiaca. Their virtues are similar to those of the raisin. Vi'tis id«'a. See Vaccinium. Vi'tis sylve'stris. White bryony. Vi'tis vini'fera. The systematic name of the grape-tree. Vitis ; foliis lobatis sinua- tis 7indis, of Linnffius. Vine leaves and the tendrils have an adstringent taste, and were formerly used in diarrhceas, haemorrhages, and other disorders requiring refrigerant and styptic medicines. The juice or sap of the vine, called lachryma, has been re- commended in calculous disorders : and it is said to be an excellent application to weak eyes and specks of the cornea. The 118 938 vol VOX unripe fruit bas a harsb, rough, sour taste ; its expressed juice, called verjuice, was for- merly much esteemed, but is now super- seded by the juice of lemons ; for external use, however, particularly in bruises and pains, verjuice is still employed, and consi- dered to be a very useful application. The dried fruit is termed Uva pa.isa major. Passula major. The raisin. Raisins are jjrepared by immersing the fresh fruit into a solution of alkaline salt and soap-ley, made boiling hot, to which is added some olive oil, and a small quantity of common salt, and afterwards drying them in the shade. They are used as agreeable, lubri- cating, acescent sweets in pectoral decoc- tions, and for ohtunding the acrimony in other medicines, and rendering them grate- ful to the palate and stomach. They are directed in the decodum hordei compositum, tinctura senna, and tindura cardamomi com- posita. See also Wine and £cetum. Vitra'ria. The peltitory of the wall. VITREOUS HUMOUR. Humor vi- freiis. The pellucid body which fills the whole bulb of the eye behind the crystal- line lens. The vitreous substance is com- posed of small cells which communicate with each other, and ai-e disten^ied with a transparent fluid. Vitriol, acid of. See Sulphuric acid. Vitriol, blue. See Cupri sulphas. Vitriol, green. See Ferri sulphas. Vitriol, Roman. See Cupri sulphas. Vitriol, sweet spirit of. See Spirilus alhe- ris sulphurici. Vitriol, white. See Zi7ici sulphas. Vilriolated kali. See PotasstE sulphas. ViTRi'oLUM. (From vitrum, glass ; so called from its likeness to glass. Hollan- dus says this word is fictitious, and com- posed from the inhiais of the following sentence ; Vade in terrain rimando, inve- ■nies, optimum lapidem veram medicinam.) Calcadinum. Calcatar. Calcotar. Calcan- ilios. Calcantham. Calcitea. Vitriol, or sulphate of iron. VlTRl'OLUM a'LBUM. ScC ZlHCt Sul- phas. ViTRi'oLUM cceru'leum. See Cupri sul- phas. VrrRi'oLUM Roma'num. See Cupri sul- phas. ViTRi'oLUM vi'ride. Scb Fcrri sul- phas. VITRUM. Glass. Vi'trum antimo'nii. Glass of antimony. Antimony first calcined, then fused in a crucible. Vi'trum antimo'nti cera'tum. A di- aphoretic compound exhibited in the cure of dysenteries arising from checked perspi- ration. Vi'trum hypoclepti'cum. A funnel to separate oil from water. VOICE. Vox. The principal organ of the voice is the larynx : for, when it is injured, the air passes through the windpipe without yielding any sound. VoLSELLA. A probang, or instrument to remove bodies sticking in the throat. VO'LVULUS. (From volvo, to roll up.) The iliac passion, or inflammation in the bowels, called twisting of the guts. Vo'lvulus terre'stris. Small bind- weed. The convolvulus minor. VOMER. Named from its great re- semblance to a ploughshare. It is a slea- der thin bone separating the nostrils from each other, consisting of two plates much compressed together, very dense and strong, yet so thin as to be transparent ; these two plates seem at every edge to separate from each other, and thus a groove is formed at every side. — 1. This groove on the upper edge, or, as it may be called, its base, is wide, and receives into it the projecting points of the ethmoid and sphenoid bones, and thus it stands very firmly and securely on the skull, and capable of resisting blows of considerable violence. — 2. The groove, upon the lower part, is narrower, and re- ceives the rising line in the middle of the palate plate, vvhere the bones join to form the palate suture. At the fore part it is united by a ragged surface, and by some- thing like a groove, to the middle cartilage of the nose, and as the vomer receives the other bones into its grooves, it is as it were, locked in on all sides, receiving support and strength from each, but more particularly from the thick and strong membrane which covers the whole, and which is so continu- ous as to resemble a periosteum, or rather a continued ligament from its strength ; thus theslender vomerpossesses sufficient strength to avert from it all those evils which must inevitably have occurred, had it been less wisely or less strongly constructed. VOMICA. (From vomo, to spit up ; be- cause it discharges a sanies.) An abscess of the lungs. Vo'aucA liquo'ris ^te'rni. Quick- silver. VOMITING. Vomitio. A forcible ejectidfci of food, or any other substance, from the stomach, through the oesophagus and mouth. It is either idiopathic, whea arising from a cause in the stomach itself; or symptomatic, when originating from dis-. eases seated in any other part of the body. Its immediate cause is an antiperistaltic, spasmodic, convulsive constriction of the stomach and pressure of the diaphragm and abdominal muscles. It is an effort of na- ture to expel whatever molests or is trouble- some in the stomach. Vomiting of hlood. See Hcsmatemesis. Vo'mitus crue'ntos. See Hceinaleme- sis. Voracious appetite. See Bxdimia. Vox ABSci'ssA. Hoarseness, a loss of voice. VUL VUL 939 Vulsa'go. The asarabacca was so called. See Asarum. Vulnkra'ria. (From vulnus, a wound.) Medicines which heal wounds. An herb named from its use in healing woiinds. Vulnkra'kia A'tiUA. Arquebusade. Vu'r.Kus sclope'ticum. A gun-shot wound. VU'LVA. (Quasi valva, the aperture to the womb ; or quasi volva, because tlie fcetus is wrapped up in it.) The pudendum mu- liebre, or parts of generation proper to wo- njen ; also a foramen in the brain. Vl'lva'kia. (From vulva, the womb ; so named from its smell, or use in disorders of the womb.) Stinking orach. See Cheno- podium vulvaria. w trAKE robin. See ^mm. Wall-flower. See Ckeiranthiis chtiri. Wall-pellilory. See Parittaria. fVall-pepper. See Stdwm acre. Wabiut. See Juglans. W A L T H E R, AuGusTiKE Frederic, a physician, was appointed in 1723) professor of anatomy and surgery at Leyden. Se- veral of his dissertations on anatomical sub- jects are commended, and have been re- printed by Haller. The best of his larger pieces is " De Lingua Humana Libellus," in quarto. As a botanist he published a Catalogue of the Plants in his own garden, and a work on the structure of Plants. He died about the year 1746. WALTON W A T E R. A mineral spring near Tewkesbury in Gloucestershire, containing a small portion of iron dissolved in fixed air ; of absorbent earth combined with hepatic air ; of vitriolated magnesia, and muriated mineral alkali ; but the pro- portions of these constituent parts have not been accurately ascertained. Walton water is chiefly efficacious in obstructions and other affections of the glands. WATER, ^qua. According to the opinion of modern chemists is a compound fluid, made up of two substances, neither of which can be exhibited separately, ex- cept in the gaseous form ; and when aeri- form, they are known, the one as hydrogen gas, or InHammable air; the other as oxy- gen gas, or vital air. These gases, in the proportion of about two measures of hydro- gen to one of ox3'gen, when united chemi- cally, and reduced from the form of an air to that of a liquid, constitute the fluid, water. It is transparent, without colour, smell, or taste ; in a very slight degree compres- sible ; when pure, not liable to spontaneous change ; liquid in the common temperature of our atmosphere, assuming the solid form at 32° Fahrenheit, and the gaseous at 212", but returning unaltered to its liquid state oa lesumtng any degree of hf at between these points ; capable of dissolving a greater num- ber of natural bodies than any other fluid whatever, and especially those known by the name of the saline ; performing the most important functions in the vegetable and animal kingdoms, and entering largely into their composition as a constituent part. The simple waters are the following : 1. Dislilled wafer. This is the lightest of all others, containing neither solid nor gas- eous substances in solution, is perfectly void of taste and smell, colourless and beautifully transparent, has a soft feel, and wets the fin- gers more readily than any other. It mixes uniformly with soap into a smooth oi)aline mixture, but maybe added to a solution of soap in spirit of wine without injuring its transparency. The clearness of distilled water is not impaired by the most delicate chemical re-agents, such as lime-water, a solution of barytes in any acid, nitrated sil- ver, or acid of sugar. When evaporated in a silver vessel it leaves no residuum ; if pre- served from access of foreign matter floating in the air, it may be kept for ages unaltered in vessels upon which it has no action, as it does not possess within itself the power of decomposition. As it freezes exactly at 32° of Fahrenheit, and boils at 213° under the atmospherical pressure of 29.8 inches, these points are made use of as the standard one.s for thermometrical division ; and its specific weight being always the same under the mean pressure and temperature, it is em- ployed for the comparative standard ef spe- cific gravity. Pure distilled water can only be procured from water which contains no volatile mat- ters that will rise in distillation, and continue still in union with the vapour when con- densed. Many substaikes are volatile du- ring distillation, but most of the gases, such as common air, carbonic acid, and the like, are incapable of uniting with water at a high teroperature : other ijsdJws, hswever, such as MO WAT ▼egetable essential oil, and, in general, much of that which gives the peculiar odour to ve- getable and animal matter, will remain in water after distillation. So the steam of ma- ny animal and vegetable decoctions has a certain flavour which distinguishes it from pure water ; and the aqueous exhalation from living bodies, which is a kind of distillation, has a similar impregnation. To obtain distilled water perfectly pure, much stress was laid by former chemists on repeating the process a great number of times; but it was found-by Lavoisier, that rain water once distilled, rejecting the first and last products, was as pure a water as could be procured by any subsequent distil- lations. Distilled water appears to posses a higher power than any other as a solvent of all ani- mal and vegetable matter, and these it holds in solution as tittle as possible altered from the state in which they existed in the body that yielded them. Hence the great practi- cal utility. of that kind of chemical analysis which presents the proximate constituent parts of these bodies, and which is efiected particularly by the assistance of pure water. On the other hand, a saline, earthy, or other- wise impure water, will alter the texture of some of the parts, impair their solubility, produce material changes on the colouring matter, and become a less accurate analy- ser on account of the admixture of foreign contents. Distilled water is seldom employed to any extent in the preparation of food, or in ma- nufactures, on account of Ihe trouble of pro- curing it in large quantities ; but for pre- paring a great number of medicines, and in almost every one of the nicer chemical pro- cesses that are carried on in the liquid way, this water is an essential requisite. The on- ly cases in which it has been used largely as an article of drink, have been in those im- portant trials made of the practicability of procuring it by condensing the steam of sea water by means of a simpl^ apparatus adapt- ed to a ship's boiler; and these have fully shown the ease with which a large quantity of fresh water, of the purest kind, may be had at sea, at a moderate expense, whereby one of the most distressing of all wants may be relieved. There are one or two circum- stances which, seem to show that water, when not already loaded with foreign mat- ter, may become a solvent for concretions in urinary passages. At least, we know that very material advantage has been derived in these castis from very pure natural springs, and hence a course of distilled water has been recommended as a fair subject of ex- periment. 2. Rain water, the next in purity to dis- tilled water, is that which has^ undergone a natural distillation from the earth, and is condensed in the form of rain. This is a wqiter so nearly approaching to absolute pu- WAT rlty as probably to be equal to distilled water for every purpose except in ihe nicer chemi- cal experiments. The foreign contents ot rain water appear to vary according to the state of the air through which it falls. The heterogeneous atmosphere of a smoky town will give some impregnation to rain as it passes through, and this, though it may not be at once perceptible on chemical exami- nation,will yet render it liable to spontaneous change ; and hence, rain water, if long kept, especially in hot climates, acquires a strong smell, becomes full of animalcula, and in some degree putrid. According to Mar- graatf, the constant foreign contents of rain waterappear to be sometraces of the muriatic and nitric acids ; but as this water is always very soft, it is admirably adapted for dissol- ving soap, or for the solution of alimentary of colouring matter, and it is accordingly used largely for these purposes. The specific gravity of rain water is so nearly the same as that of distilled water, that it requires the most delicate instruments to ascertain the difference. Rain, that falls in towns, ac- quires a small quantity of sulphate of lime aad calcareous matter from the mortar and plaster of the houses. 3. Ice and siiaw water. This- equals raia. water in purity, and, when fresh melted, contains no air, which is expelled during, fieezing. In cold climates and in high latitudes, thawed snow forms the constant drink of the inhabitants during winter;, and the vast masses of ice which float orp the polar seas afford an abundant supply to the mariner. It is well known, that in a weak brine, exposed to a moderate freezing cold, it is only the watery part that congealsj leaving the unfrozen liquor proportionably stronger of the salt. The same happens: with a dilute solution of vegetable acids, with fermented liquors, and the like ; and advantage is taken of this property to reduce the saline part to a more concentrated form Snow water has long lain under the imputa- tion of occasioning those strumous swellings in the neck which deform the inhabitants of many of the Alpine valleys ; but this opinion is not supported by any well authenticated- indisputable facts, and is rendered still more- improbable, if not entirely overturned, by the frequency of the disease in Sumatra^ where ice and snow are never seen, and its being quite unknown in Chili and in Thibet, though the rivers of these coun- tries are chiefly supplied by the melting of the snow, with which the mountains are covered. 4. Spring water. Under this comprehen- sive class are included all waters Uiat spring from some depth beneath the soil, and are used at the fountain head, or at least before they have run any considerable distance eje- posed to the air. It is obvious that spring water will be as various in its contents as the substances that compose the soil through- WAT WAT 941 which it flows. When the ingredients are not such as to give any peculiar medical or sensible properties, and the water is used lor common purposes, it is distiriguished as a hard or soft spring, sweet or brackish, clear or turbid, and the like. Ordinary springs insensibly pass into mineral springs, as their foreign contents become mare no- table and uiicommon ; though sometimes waters have acquired great medical repu- tation from mere purity. By far the greater number of springs are cold ; but as they take their origin at some depth from the surface, and below the in- fluence of the external atmosphere, their temperature is, in general, pretty uniform during every vicissitude of season,aiid always several degrees higher thaa the freezing point. Others, again, arise constantly hot, or with a temperature always exceeding the summer heat; and the warmth posessed by the water is entirely independent of that of the atmosphere, and varies little, winter or summer. One of the principal inconveniences in almost every spring water, is its h&i'dness, owing to the presence of earthy salts, which, in by far the greats number of cases, are only the insipid substances, chalk, and sele- nite, which do not impair the taste of the water; whilst the air which it contains, and its grateful coolness, render it a most agree- able, and generally a perfectly innocent drink ; though sometimes, in weak stomachs, it is apt to occasion an uneasy sense of weight in that organ, followed by a degree of dyspepsia. The quantity of earthy saJts varies considerably ; but, in general, it ap- pears that the proportion of five grains of these in the pint will constitute a hard water, unfit for washing with soap, and for many other purposes of household use or manufac- tures. The water of deep wells is always, ceteris paribus, much harder than that of springs which overflow their channel ; for much agitation and exposure to air produce a gradual deposition of the calcareous earth ; and hence spring water often incrusts to a considerable thickness the inside of any kind of tube through which it flows, as it arises from the earth. The specific gravity of these waters is abo, in general, greater than that of any other kind of water, that of the sea excepted. Springs that overflow their channel, and form to themselves a limited bed, pass insensibly into the state of stream, or river water, and become thereby altered in some of their chemical properties. 5. liiver water. This is in general much softei- and more free from earthy salts than the last, but contains less air of any kind ; for, by the agitation of a long current, and in mo«t cases a great increase of tempera- ture, it loses common air and carbonic acid, and, with this last, much of the lime which it held in solution. The specific gravity thereby becomes less, the taste not so harsh, but less fresh and agreeable^ and out of a hard spring is often made a stream of suffi- cient purity for most of the purposes where a soit water is required. Some streams, how- ever, that arise from a clean siliceous rock, and flow in a sandy or stony bed, are from the outset remarkably pure. Such are the mountain lakes and rivulets in the rocky districts of Wales, the source of the beauti- ful waters of the Dee, and numberless other rivers that flow through the hollow of every valley. Switzerland has long been celebrated for the purity and excellence of its waters, which pour in copious streams from the mountains; and give rise to some of thfe finest rivers in Eurcpe. An excellent ob- server and naturalist, the illuslrious Haller, thus speaks of the Swiss waters, " vulgari- bus aquis Helvetia super omnes fere Europaj regiones excellit. Nusquam liquidas ilia* aquas et crystalli simiUiinas se mihi obtulisse memini postquam ex Helvetia excessi. Ex scopulis enim nostrae per puros silices per- colataj nulla terra vitiantur." Some of them never freeze in the severest winter, the cause of which is probably, as Haller con- jectures, that they spring at once out of a subterraneous reservoir so deep as to be out of the reach of frost, and during their short course when exposed to day they have not time to be cooled down from 53<^, their original temperature, to befow the freezing point. Some river watei-s, however, that do not take their rise from a rocky soil, and are indeed at first considerably charged with foreign matter, during a long course, even over a rich cultivated plain, become remarkably pure as to saline contents, but often fouled with mud, and vegetable or animal exuviae, which are rather suspended than held in true solution. Such is that oS the Thames, which, taken up at London at low water, is a vei-y soft and good water^ and, after rest and filtration, it holds but a very small portion of any thing that could^ prove noxious or impede any manufacture. It is also excelfentiy fitted for sea-store > but it here undergoes a remarkable spon- taneous change. No water carried to seas becomes putrid sooner than that of the Thames. When a cask is opened after being kept a month or two, a quantity of inflammable air escapes, and the water is so black and offensive as scarcely to be borne* Upon racking it off, however, into large earthen vessels, (oil jars are commonly used for the pur})ose,) and exposing it to the air, it gradually deposits a quantity ou black slimy mud, becomes clear as crys* tal, and remarkably sweet and palatable. The Seine has as high a reputation iR France, and appears from accurate experi- ments to be a river of great purity. It might be expected that a river which has passed by a large town, and received all its irapuritie?; and been used by numerous 94fi WAT WHA dyers, tanners, hatters, and the like, that crowd to its banks for the convenience of plenty of water, should thereby acquire SHch a foulness as to be very perceptible to chemical examination for a considerable distance below the town ; but it appears, from the most accurate examination,, that where the stream is at all considerable, these kinds of impurity have but little in- fluence in permanently altering the quality of the water, especially as they are for the most part only suspended and not truly dissolved : and, therefore, mere rest, and especially filtration, will restore the water to its original purity. Probably, there- fore, the most accurate chemist would find it difficult to distinguish water taken up at London, from that procured at Hampton Court, after each has been purified by sim- ple filtration. 6. Stagnated waters. The waters that present the greatest impurities to the senses, are those of stagnant pools, and low marshy countries. They are filled M'ith the remains of animal and vegetable matter undergoing decomposition, and, during that process, becoming in {)art soluble in water, thereby affording a rich nutriment to the succession of living plants and insects which is supplying the place of those that perish. From the want of suf- ficient agitation in these waters, vegetation goes on undisturbed, and the surface be- comes covered with conferva and other aquatic plants ; and as these standing wa- ters are in general shallow, they receive the full influence of the sun, which further promotes all the changes that are going on within them. The taste is generally vapid, and destitute of that freshness and agree- able coolness which distinguish spring water. However, it should be remarked, that stagnant waters are generally soft, and many of the impurities are only sus- pended, and therefore separable by filtra- tion ; and perhaps the unpalatableness of this drink has caused it to be in worse credit than it deserves, on the score of salu- brity. The decidedly noxious effects pro- duced by the air of marshes and stagnant pools, have been often supposed to extend to the internal use of these waters; and often, especially in hot climates, a resi- dence near these places has been as much condemned on one account as on the other, and, in like manner, an improve- ment in health has been as much attributed to a change of water ns of air. Water-brash. See Pyrosis. Water-cress. See Sisymbrium nastur- tium. Water-docli. See Rumex hydrolapathum. Water-flag, yellow. See 7m pseuda- torus. Water-germander. See Teucrium scor- ditim. Waler^fiemp. See Enpatorium. Wath-lily, white. See JVymphcca alba. Water-lily, yellow. See jYymphcea lulea. Water-parsnip. See Sinm. Water-pepper. See Polygomim hydro- piper. Water zizania. A reed-like plant, sisania aqitatica, of Linnaeus; which see. Waters, mineral. See Mineral waters. Wax. See Cera. WEDEL, George Wolffgang, was born in 1645, at Golzan in Lusatia, and graduated at Jena in 1667 ; where, after a temporary exercise of his profession at Gotha, he became medical professor ; in which station he continued with reputation for almost half a century. He combined witii bis skill in medicine a considerable acquaintance with mathematics and philo- logy, as well as with the oriental and clas- sical languages. He was an associate to the Academy Naturaj Curiosorum, and to the Royal Society of Berlin, physician to several German sovereigns, a count palatine/ and an imperial counsellor. Notwithstand- ing these high offices and numerous engage- ments, he was attentive to the poor, and assiduous in his literary labours. He is celebrated for his pharmaceutical knowledge, and iiis elegance of prescriptions, so that many of his compositions have been adopted in dispensatories. Of his works, besides his academical dissertations, the principal are " Opiologia ;" " Pharmacia in Artis for- mam redacta ;" " De Medicamentorunx Facultatibus ;" '< De Morbis Infantum ;" and " Exercitationes Medico-Philologicae." WEPFER, John James, was born ia 1620 at Schaffhausen, and after visiting several universities in Italy, graduated at Basil, and settled in his native place. His reputation was extensive there and in Ger- many, and he attained, by his dissections and experiments, a high rank among those- who have contributed to improve medical science. In 1658, he published a cele- brated work, entitled " Observationes Ana- tomical, &c," since often reprinted with the title of " Historia Apoplecticorum." In an epistle " De Dabiis Anatomicis," he asserted the entire glandular structure of the liver, prior to Malpighi. Another valuable work is called " Cicutee Aquaticae Historia et Noxse." His constitution- was injured by attendance, at an advanced age, on the duke of Wurtemburg,. and the imperial army under his command ; and he was carried off by a dropsy in 1695. His papers were published by two of his grandsons in a work entitled " Obser- vationes Medico-Practicse, &.c," To the Ephemerides Naturaj Curiosorum be made several valuable communications, being a member of that society. WHARTOi\, Thomas, was born in Yorkshire in 1610, and educated at Cam- bridge. He afterwards became a private tutor at Oxford ; but on the commence- WHE WHE a43 ment of the civil wars he removed to London, and engaged in the practice of physic. On the surrender of Oxford to the parliament in 1646^ he obtained a doctor's degree there, became a member of the College of Physicians in Loudon, and got into considerable practice. In 1752 he read lectures on the glands before the college, and he afterwards published a work on that subject, entitled " Adeno- graphia ;" the descriptions cannot be relied upon, being chiefly taken from brutes ; yet there are some useful observations on the diseases of those organs. His name has been affixed to the salivary ducts on the side of the tongue. WHEAT. The seeds of the TrUicum hibernum, and (Estivuvi, of Linnajus, are so termed. It is to these plants therefore we are indebted for our bread, and the va- rious kinds of pastry. Wheat is first ground between millstones, and then sift- ed to obtain its farina or flour. The flour of wheat may be separated into its three constituent parts, in the following manner. The flour is to be kneaded into a paste with water in an earthen vessel, and the water continue pouring upon it from a cock ; this liquid, as it falls upon the paste, tal^s up from it a very fine white powder, by means of which it acquires the colour and consistency of milk. This process is to be continued till the water run off clear, when the flour will be separated into three distinct parts: 1. A grey elastic matter that sticks to the hand, and on account of its properties has gained the name of the glutinous, or vegeto-animal part. 2. A white powder which falls to the bottom of the water, and is the fccculurn or starch. S. A matter which remains dissolved in the water, and seems to be a sort of mucilagi- nous extract. Flour, from whatever species of corn oh- tained, is likewise disposed to vinous fer- mentation, on account of its saccharine contents, the aptitude for fermentation of these mealy seeds increases if they be first converted into malt ; inasmuch as by this process, the gluten which forms the germ is separated, and the starchy part appears to be converted into saccharine matter. The making of malt, for which purpose barley and wheat are generally chosen, is as follows: The grains are put in the malting tub, and immersed in cold water, in a temperate and warm season, changing this fluid several times, especially in hot weather, and they are thus kept soaking till they he sufficiently soft to the touch. Upon this they are piled up in heaps on a roomy, clean, airy floor, where, by the heat spontaneously taking place, the vege- tation begins, and the grains germinate. To cause the germination to go on uni- formly the heaps are frequently turned. In this state the vegetation is suffered to continue till the germs have about two thirds or three fourths of the lengtk of the corn. It is carried too far when the leafy germs have begun to sprout. For this reason limits are set to the ger- mination by drying the malt, which is effected by transferring it to the kiln, or by spreading it about in spacious airy lofts. Dried in the last way, it is called air-dried malt, in the first kiln-malt. In drying this latter, care must|.be taken that it does not re- ceive a burnt smell, or be in part coHverted into coal. From this malt, beer is made by extractioa with water and fermentation. With this view, a quantity of malt, freed from its germs, and sufficient for one in- tended brewing, is coarsely bruised by grinding, and in the mash-tub first well mixed with some cold, then scalded with hot water, drawn upon it from the boiler. It is afterwards strongly and uniformly stirred. When the whole mass has stood quietly for a certain time, the extract, (mash,) or sweet wort, is brougiit into the boiler, and tlie malt remaining in the tub is once more extracted by infusion with hot water. This second extract, treated in like man- ner, is added to the first, and botii are boiled together. This clear decoction is now drawn off, and called boiled wort. To make the beer more fit for digestion, and at the same time to deprive it of its too great and unpleasant sweetness, the wort is mixed with a decoction of hops, «or else these are boiled with it. After which it ought to be quickly cooled, to prevent its transition into acetous fermentation, which would ensue if it were kept too long in a high temperature. On this account the wort is transferred into the cooler, where it is eiposed with a large surface to cold air, and from this to the fermenting tub, that by addition of a sufficient portion of recent yest it may begin to ferment. When this fermentation has proceeded to a due degree, and the yest ceases to rise, the beer is conveyed into casks, (casked,) placed in cool cellars, where it finishes its fermentation, and where it is well kept and preserved, under the name of barrelled beer, with the pre- caution of filling up occasionally the va- cancy caused in the vessels by evaporation ; or the beer is bottled before it has done fermenting, and the bottles are stopped a little before the fermentation is completely over. By so doing the bottled beer is ren- dered sparkling. In this state it frequently bursts the bottles, by the disengagement of the carbonic acid gas which it contains, and it strongly froths, like Ciiampaign, when brought into contact with air on being pour- ed into another vessel. Beer well prepared should be limpid 9^4 WHE WHI and clear, possess a due quantity of spirit, and excite no disagreeable sweet faste, and contain no disengaged acid. By these properties it is a species of vinous beve- rage, and is distinguished from wine in the strict sense, and other liquors of that kind, by the much greater quantity of mucilaginous matter which it has received by extraction from the malted grains, but which also makes it more nourishing. Brown beer derives its colour from maTt strongly roasted in the kiln, and its bitterish taste from the hops. Pale beer is breu'ed from malt dried in the air, or but slightly roasted, with but little or no hops at ail. Wheat, buck. See Polygonum- fagopy- Tv,m. Wheat-, Eastern buck. See Polygonum di- ■naricaium. Wheal, Indian. See Zea mays. Wheat, Turkey. The Turkey wheat is a native of America, where it is much culti- vated, as it is aiso in some parts of Europe, especially in Italy and Germany. There are many varieties, which differ in the colour of the grain, and are frequently raised in our gardens by way of curiosity, whereby the plant is well known. It is the chief bread corn in some of the southern parts of America, but since the introduction of rice into Carolina, it is but little used in the north- ern colonies. It makes a main part too of the food of the poor people in Italy and Ger- many. This is the sort of wheat mentioned In the book of Ruth, where it is said that Boaz treated R,uth with parched ears of corn dipped in vinegar. This method of eating the roasted ears of Turkey wheat is still practised in the East; they gather in the ears when about half ripe, and having scorched (hem to their minds, eat them with as much satisfaction as we do the best flour bread. In several parts of South America they parch the ripe corn, never making it into bread, but grinding it between two stones, mix it with water in a calabash, and so eat it. The Indians make a sort of drink from this grain, which they call bici. This liquor is very windy and intoxicating, and has nearly tlie taste of sour small beer : but they do not use it in common, being too iazy to make it often, and therefore it is chiefly kept for the cf-lebration of feasts and ■jveddings, at which times they mostly get intolerably drunk with it. The manner of making this precious beverage, is to steep a parcel of corn in a vessel of water till it grows sour, then the old women, being pro- vided with calabashes for the purpose, chew some grains of the corn in their mouths, and spitting it into the calabashes, empty them spittle and all, into the sour liquor, having previously drawn off the latter into another vessel. The chewed grain soon raises a fermenta- tion, and when this ceases, the liquor is lei off from the dregs, and set by till wanted. In some of the islands in the South Sea, where each individual is bis own lawgiverj it is no uncommon thing for a near relation to excuse a murderer for a good drunken bout of ciri. WHISPERING. A lowness of speech, caused by uttering the words so feebly, as not to produce any vibration of the larynx. White sicelling. See -.irthropuosis and Hy- darthrus WHITES. Leucorrfioea. Fluor albus. This disease is marked by the discharge of a thin white or yellow matter from the uterus and vagina, attended likewise with some de- gree of fffitor, smarting in making water, pains in the back and loins, anorexia and atrophy. In some cases the discharge hrof so acrid a nature, as to produce effects ou those who are connected with the woman, somewhat similar to venereal matter, giving rise to excoriations about the glans penis and praeputium, and occasioning a weeping from the urethra. To distinguish leucorrhtea from gonor- rhoea, it will be very necessary to attend to the symptoms. In the latter the running is constant, but in a small quantify ; there is much ardor urinje, itching of the pu- denda, swelling of the labia, increased in- clination to venery, and very frequently an enlargement of the glands in the groin ; whereas in the former the discharge is irregular, comes away often in large lumps, and in considerable quantities, and is neither preceded by, nor accompanied with, any inflammatory affection of the pudenda. Immoderate coition, injury done to the parts by difficult and tedious labours, fre- quent miscarriages, immoderate Sowings of the menses, profuse evacuations, poor diet, an abuse of tea, and other causes, giving rise to genera! debility, or to a laxity of the parts more immediately concerned, are those which usually produce the whites, vulgarly so called, from the discharge being common- ly of that colour. Fluor albus, in some cases, indicates that there is a disposition to disease in the uterus, or parts connected with it, especially where the quantity of the discharge is very copious, and its quality highly acrimo- nious. By some the disease has been con- sidered as never arising from debility of the system, but as being always a primary affection of the uterus Delicate women, with lax fibres, who remove from a cold climate to a warm one, are, however, very apt to be attacked with it, without the part-s having previously sustained any kind of in- jury. The disease shows itself by an irregular discharge, from the uterus and vagina, of a fluid which, in different women, varies tauch in colour, being either of a white, WIL WIN 945 green, yellow, or brown hue. In the be- ginning it is, however, most usually white and pellucid, and in the progress of the complaint acquires the various discolora- tions, and ditferent degrees of acrimony, from whence proceeds a slight degree of smarting in making water. Besides the discharge, the patient is frequently af- flicted with severe and constant pains in the back and loins, loss of strength, failure of appetite, dejection of spirits, paleness of the countenance, chiiiiness, and lan- guor. Where the disease has been of long continuance, and very severe, a slow fever, attended with difficult respiration, palpitations, faintings, and anasarcous swell- ings of the lower extremities, often en- sues. A perfect removal of the disorder will at all times be a difficult matter to procure ; but it will be much more so in cases of long standing, and where the discharge is accom- panied with a high degree of acrimony. In tiiese cases, many disorders, such as prolap- sus uteri, ulcerations of the organ, atrophy and dropsy, are apt to take place, which in the end prove fatal. Where the disease terminates in death, tiie internal surface of the uterus appears, on dissection, to be pale, flabby, and re- laxed ; and where organic affections have arisen, much the same appearances are to be met with as have been noticed under the head of menorrhagia. Whortle-btrry, bears. See Arbutus uva txrd. Whorlle-berrij, red. See Vaccinium vitis idcea. WHYTT, Robert, was born in 1714 at Edinburgh, where he studied physic, and after visiting the medical schools at Lon- don, Paris, and Leyden, settled in the exercise of his profession, became a fellow, then president of the college, and chairman of the Institutions of Medicine in that uni- versity. As a medical practitioner and teacher, and also as a writer, he acquired deserved celebrity. The first of his publi- cations was an " Essay on the vital and other involuntary Motions of Animals," 1751, in which he opposed the Stahlian Theory, and ascribed them to the operation of stimuli. Four years after his "Physio- logical Essays" appeared, in which he sup- poses the circulation assisted by an oscilla- tory motion of the minute vessels, and treats of scHsibiiity and irritability. He also wrote on the Use of Lime-water in Calcu- lous Complaints ; ^ind on Nervous Diseases; and contributed likewise some papers to the Edinburgh Essays. The Observations on Hydrocephalus, were published after his death, which occurred in 1766, after labour- ing long under a complication of chronic eom|)laints. Widow-ivail. See Daphne mezereum. TVild carrot. See Daucm sijlvestris. Wild cucumber. See Momordica elate- rium. Wild navetv. See Brassica napus. WILLIS, Thomas, was born in Wilt- shire, about the year 1621, and entered at Oxford with a view to the clerical profes- sion ; but he afterwards changed to physic, took his bachelor's degree in 1646, and commenced practice at the university. He distinguished himself by his steady attach- ment to the Church of England, and also by his love of science, so that he became one of the first members of that philosophi- cal society at Oxford, which laid the found- ation of the Royal Society of London. He was ambitious of excelling as a chemist, and published in 1659 a treatise on Ferment- ation, and another on Fevers, with a dis- sertation on the Urine. After the Restora- tion he was appointed to the Sedleian pro- fessorship of Natural Philosophy, and re- ceived his doctor's degree. In 1664 he published his celebrated work " Cerebri Anatome," with a description of the Nerves ; which was followed after three years by his " Palhologia Cerebri et Nervosi Generis," in which he treats of Convulsive Diseases, and the Scurvy. In the mean time he had settled in London, and being nominated a physician in ordinary to the King, was ad- vancing to the first rank in practice. His next publication was on Hysteria and Hy- pochondriasis. In 1672 he produced an- other work, " De Aniraa Brutorum ;" which he supposed like the vital principle in man of a corporeal nature. The year fol- lowing he began to print his "Pharmaceu- tice Rationalis," which he did not live to complete, being carried off by a pleurisy in his fifty-fourth year. His works engaged great attention at first, and are still admired, though modern improvements have dimi- nished their value. They are written in aH elegant Latin style. Willow, crack. Sec Salix. Willow, siceet. See Myrica gale. Willow, white. See Salix. Willow-herb. See Lylhrum salicaria. Willmv-herb, rostbay. See Epilobium an- gustifulium. Willow-leaved oak. See Quercus phellos. WINE. Vimim,. The fermented juice of the ripe fruit of the Vitis vinifera, of Linnaeus ; which see. The wines princi- pally used in medicine are, the vinum al- hiini hispanicurfi, or sherry, vinnm canarium, canary or sack wine, the vinum rhenunum, or Rhenish wine, and the vinum rnbrum, or Port wine. On a chemical investigation, all wines consist chiefly of water and alcohol, besides some vegetable acid, the carbonic acid, tartar, and an adstringent gummi-resinous matter in which the colour of the red wine resides, and which is ex- pressed from the husks of the grape. They differ from each other in the proportion of these ingredients, and particularly in that Os 119 040 WIN wm alcohol, uhich they contain. The qualities of wines depend not only njion the differ- ence of the grapes, as containing more or less of saccharine juice and the acid matter uhich accompanies it, but also upon circum- 5(aiicc5 attending the process of fermentation. IS'ew wines are liable to a strong degree of acescency when taken into the stomach, and (hereby occasion much flatulency and eruc- tations of acid matter ; heartburn and vio- lent pains in the stooiach from spasms are also often produced ; and the acid matter, by passing into the intestines and mixing with the btle, is apt to occasion colics or ex- cite diarrhoeas. Sweet wines are liicewise more disposed to become acescent in the stomach than others •. but as the quantity of alkohol whichlhey contain is more consider- able than appears sensibly to the taste, their acescency is thereby in a great measure coun- s Hu- maiii," first appeared at Paris in 1732, 4to. It was frequently repriniad- and translated into various languages : and is still regarded as of standard authority. It was intended as a plan of a large work, which, however, he did not finish. He reached the advanced age of ninety-one. Winter bark. See Wmteranus cortex. Whiter cherry. See Physalis alkekengi. Wi.n'te'ra arosia'tica. The systematic name of the winter bark tree. See Win- ter anus cortex. Wintera'nus co'rtex. Winteranus cor- tex mugellanicus. The bark of the Wirdera aromatica, pedunculis aggregaiis ierminali- bus, pistillis quatuor ; it is very much allied in its properties to the canellu alba. See Canella alba. Wintera'nps spu'rius. See Canella alba. WISEMAN, Richard, was first known as a surgeon in the civil wars oi Charles I., and accompanied Prince Charles, when a fugitive,, in France, Holland, and Flanders. He served for three years in the Spanish navy, and returning with the prince to Scotland, was made prisoner in the battle of Worcester. After his liberation in 1652, he settled in London. When Charles II. was restored, he became eminent in his pro- fession, and was made one of the serjeant- surgeons to the king. In 1676 he appears, from the preface to his works, to have been a sufferer by ill heslth for twenty years; but the time of his death is not known. The result of his experience was given in " Se- veral Surgical Treatises on Tumours, Ul- cers, Diseases of the Anus, Scrofula, Wounds, Gunshot Wounds, Fractures and Luxations, and Syphilis." He seems to have given a faithful account of more than six hundred cases, recording his failures as Avell as his cures. He advocated the •'- 15- cacy of the royal touch in scrophula, though the fallacy is evident even from his own narration. His writings have long been re- garded as standard authority. WITHERLNG, William, was born iu 1741, and finished his medical education at Edinburgh, where he took his degree at twenty-five. From Stafford, where he first settled and married, he removed to Bir- mingham, and speedily attained a vei-y ex- tensive practice by hh skill and assiduity. without neglecting his scientific pursuits, which were chiefly in botany and chemistry. He was author of several valuable publica- tions : " A Botanical Arrangement of British Plants," which appeared at fii'st in 1776, in two volumes, 8vo., but progres-- ively increased to four ; a translation of Bergman's '• Sciagraphia Regni _ Mine- ralis ;" and some chemical and mineralo- gical papers contributed to the Royal So- ciety, of which he was a fellow. '■ Account of the Scarlet Fever, &c. ;" " Accoimt of the Fox-glove," with practical remaiks on the Dropsy and other diseases, published iii 178.3. His lungs being weak, he found it necessary in the winter of 1793 to go to Lisbon, and afterwards to relax from his professional exertions. His death occurred in 1799. Wolfs' bane. See Aconitum. Wolfs' bane, blue. See jlconitum. Womb. See Uterus. JVomb, inflammation of. See Hysteriiis. Wood-louse. See Oniscus asellus. Wood-sorrel. See Oxalis acetosella. WOODVILLE, William, was born at Cockermoulh, in 1752. After serving a short apprenticeship to an apothecary, he graduated at Edinburgh in 1775. Then passing some time on the continent, he set- tled near his native place, and practised there for five or six years. He next came to London, and was soon appointed a phy- sician to the Middlesex Dispensary. In 1790, he published the first part, which was afterwards completed in four quarto vo- lumes, of a highly vah:able work, entitled "Medical Botany." The following year he was elected physician to the Small-pox Hospital; andin executingthe duties of that ofllce, he displayed the highest zeal He gave a manifest proof of his attention to the subject, by publishing in 1796 the first part of a " History of the Small-pox in Great- Britain, Lc. ;" but the discovery of vaccina- tion superseded the necessity of completing that work. Dr Woodville was duly im- pressed with the importance of what had been announced by Dr. Jenner; but feel- ing a proper degree >>' scepticism at first, he was anxious to investigate the practice fuUy, before he gave it his sanction, tin- fort's n.-'^^ly, he was led into an error at the outset, l/y not keeping in recollection, that the atmosphere of the hospital was loaded with variolous conta;;ion, whence some un- pleasant results appeared ; but this being suggested to him, he was induced, on more mature consideration, strenuously to advo- cate the practice of vaccination ; and by the excellent opportunities he enjoyed, he con- tributed very materially to its rapid success. He died in 1805. WOODWARD, John, %yas born in Derbyshire, in 1664, and put apprentice to some trade in London ; but evincing an ardour for science, Dr. Barwick took him 9-IS WOR WOR into his family) and for four years instruct- ed liim in medicine and anatomy ; after which he procured him the medical profes- sorehip at Gresham College. He published about this time an essay towards a Natural History of the Earth, which, though exe- cuted without suflBcient preparation, pro- cured his election into the Royal Society. In 1695 he was created M. D. by Arch- bishop Tenison, and the year after obtained the same degree from Cambridge ; whence he Was admitted into the College of Physi- cians as a fellow in 1702. He, however, pursued his inquiries into natural history and antiquities for some time with great zeal. In 1718 he published a work, entitled " The State of Physic and of Diseases," containing some fanciful theories, which were ably confuted by Dr. Freind, both lu- dicreusly and seriously. He died at Gre- sham College in 1727, bequeathing his per- sonal property to the university of Cam- bridge, for the endowment of an annual lectureship, on some subject taken from his own writings. Soon after Jiis death, a cata- logue of his fossils was published, and in 1737} his " Select Cases and Consultations in Physic," containing some valuable ob- servations. He supposed the vital principle to reside not in the nerves, but in the blood and other parts of the body ; and he made many experiments to establish the vis insita of muscles. Woody nightshade. See Solanum dulca- mara. Worm-hark. See Geoffrma. Worm-grass, perennial. See Spigelia, Worm, guinea. See Dracunculus. Worm, ring. See Herpes. WORMS. Vermes. There are several kinds of animals which infest the human body. Their usual division is into those which inhabit only the intestinal canal, as the ascarldes, Sic. ; and those which are found in other parts, as hydatids, Sic. Such is the nature and office of the human sto- mach and intestines, that insects and worms, or their ovula, maj"- not unfrequently be conveyed into that canal with those things that are continually taken as food ; but such insects, or worms, do not live long, and sel- dom, if ever, generate in a situation so dif- ferent from their natural one. Besides these, there are worms that are nev.&f found in any other situation than the human sto- mach, or intestines, and which there gene- rate and produce their species. Thus it ap- pears that the human stomach and intestines are the seat for animalcula, which are trans- lated from their natural situation, and also for worms proper to them, Which live in no other situation. First Cla.is. This containo those which are geiierated and nourished in the human intestinal canal, and which there propagate their species. Second Class Comprehends those insects or worms thai accidentally enter the human prima3 viae ab extra, and which never propagate their spe- cies in that canal, but are soon eliminated from the body ; such are several species of Scarabczi, the Lumbricus ttrreslris, the Fas- cioluy the Gordius inteslinalis, and others. — The second class belongs to the province of nalural history. The consideration of the first class belongs to the physician, which, from the variety it atfords, may be divided into different orders, genera, and species. Order I. Round worms. Genus I. Intestinal ascarides. Character. Body round, head obtuie, and furnished with three vesicles Species I. .iscaris lumbricoidss. The long round worm, or lumbricoid ascaris. Character. When full grown, a foot in length. Mouth triangular. II. ..Ascaris vermicularis. The thread or maw-worm. Character. When full grown, half an inch in length, tail terminates in a fine point. Genus II. Intestinal trichurides. Character. Body round, tail three times the length of the body, head without vesi^ cles. Species. Trlckuris vulgaris. The trichu- ris, or long thread-worm. Character. The head furnished with a proboscis. Order II. The flat worms. Genus I. Intestinal tape-worm. Character. Body flat and jointed. Species I. Tania osculis marginalibus. The long tape-worm. Character. The oscula are situated upon the margin of the joints. II. Toenia osculis superjicialibvs. The broad tape-worm. Character. The oscula are placed upon the flattened surface. These worms were all known to the an- cients, the trichuris only excepted, and are mentioned in the works of Hippocrates, Galen, Celsus, Paulus .^gineta, and Pliny. Worms may readily be distinguished by the following symptoms, viz. variable appe- tite, fcetid breath, acid eructations and pains in the stomach, grinding of the teeth during sleep, picking of the nose, paleness of the countenance ; sometimes dizziness, hau'd- ness and fulness of the belly; slimy stools, with occasional griping pains, more particu- larly about the navel, heat and itching about the anus ; short dry cough ; emaciation of the body ; slow fever, with evening exacer- bations and irregular puise, and sometimes convulsive fits. Wm-mseed. See Artemisia santonica. Wormwood. See Artemisia absinlhium. Wormwood, mourdain. The Artemisia glaciaiis, of Linnsus, which is common WOR ^bout tlie Alps, and similar in its virtues to the common wormwood Wormwood, Roman. See Jrlemisia ab- sinthium- Wormwood, sea. See Artemisia mari- lima. Wort. An infusion of malt. Tiiis has been found useful in the cure of the scurvy. Dr. Macbride, in his very ingenious expe- rimental essays, having laid down as a prin- ciple, "that the cure of the scurvy depends on the fermentative quality in the remedies made use of," was led to inquire after a substance capable of being preserved during a long sea voyage> and yet containing mate- rials by which a fermentation might occa- sionally be excited in the bowels. Such a •one appeared to him to be found in malt, which is well known to be the grain of bar- ley, brought suddenly to a germinating state by heat and moisture, and then dried, whereby its saccharine principle is deve- loped, and rendered easy of extraction by watery liquors. The sweet infusion of this he proposed to give as a dietetic article to scorbutic persons, expecting that it would ferment in their bowels, and give out its fixed air, by the antiseptic powers of which the strong tendency to putrefaction in this disease might be corrected. It was some time before a fair trial of this proposed remedy could be obtained ; and different re|M)rts were made concerning it. By some cases, however, published in a postscript of the second edition of the doc- WRI 949 tor's work in 1767, it appears that scorbutic complaints of the most dangerous kind have actually been cured at sea by the use of wort. Its general effects were to keep the patient's bowels open, and to prove highly nutritious and strengthening. It some- times purged too much, but this effect was easily obviated by the tinctura thebaica. Other unquestionabile cases of its success in this disease are to be seen in the London Medical Essays and ln(]uirics. The use of wort has hence been adopted in other cases where a strong putrid dispo- sition in the fluids appeared to prevail, as is cancerous and phagedenic ulcers ; and in- stances are published in the fourth volume of the work abovementioned of its remark- ably good effect in these cases. As the efficacy of the malt infusion de- pends upon its producing changes in the whole mass of fluids, it is obvious that it must be taken in large quantities for a con- siderable length of time, and rather as an article of diet than medicine. From one to four pints daily have generally been direct- ed. The proportion recommended in pre- paring it, is one measure of ground malt to three equal measures of boiling water. The mixture must be well stirred, and left to stand, covered, three or four hours. It should be made fresh every day. IVoundwort. See Laserpiliicm cf^ird' nium. Wrist, bones of. See Bones. X. JLala'ppa. (From the province of Xa- lappa in New Spain, whence it comes.) Jalap. XA'NTHIUM. (From ^stvSer, yellow; so named because it is said to make the hair yellow.) The lessef burdock. This herb, Xanthium. strumarium, of L!nna3us, was once esteemed in the cure of scrophula, but, like most other remedies against this disease, proves ineffectual. The seeds are administered Jnternally in some countries against erysipelas. Xa'nthiui-' stkuma'rium. The system- atic name for the lesser burdock. See Xanthium. XERA'SIA. (From ^upo^, dry.) An excessive tenuity of the hairs simiiar to down. Xerocoli.y'rium. (From ^Jipoc, dry, and iioxKvfioy,^. collyrium.) A dry collyriuna. Xeeomy'rum. (From |»^j?, dry, and p.vfoy, an ointment.) A dry ointment. Xkrophtha'lmia. (Sitfcs, dry, andt o^Sax^**, an inflammation of the eye.) A dry inflaramatioh of the eye without dis- charge. Xi'pHiuM. (From ^i' fine powder may be formed sn the same manner as chalk is directed tr 952 ZBS 2IR be prepared," Tlie propertifts of this oxyde are analogous to those of the sulphate, (ex- cept that it is hardly active enough to excite vomiting, ) if given in larger doses : but it is more precarious in its effects ; and chiefly used at present as an external astrin- gent. Zl'iVCI SU'LPHAS. Zincimi vilrio- lalum. Vitriolum album. Sulpliate of zinc. White vilriol. This occurs native, but not sufficiently pure for medical use. It is thus prepared in the pharmacopceia. *' Take of zinc, broken to little pieces, tiiree ounces; sulphuric acid, by weight, five ounces ; water, four pints. Mix them in a glass vessel, and when the effervescence is over, filter tlie solution through paper; then boil it down, till a pellicle appears, and set it by to crystallize." This prepara- tion is given internally in the dose of from 9j to 3ss, as a vomit. In small doses it cures dropsies, intermitting headaches, and some nervous diseases; and is a powerful antispasmodic and tonic. A solution of white vitriol is also used to remove gleets, gonorrhoeas, and for cleaning foul ulcers, having an astringent or stimulant effect, ac- cording to its strength. Zl'NCUM. See Zinc. Zi'ncum calcina'tuim. See Zinci Oxy- dum. Zi'nccm viTKiOLi'TtTM. ScB Zincl sul- phas. Zi'ncdm titrioi.a'tum puhifica'tum. See Zinci sulphas. Zi'ngi. An ancient name of the stel- lated aniseed. See Illicium anisatv.m. Z IN GIBER. (ZiyFt^ipt;, Indian.) Zingiber album. ZiMigiber nigrum. Zingi- ber commune. Zinziber. Ginger. Amo- tnum zingiber, of Linna3us. The white and black ginger are both the produce of the same plants the difference depending Tipon the mode of preparing them. Ginger 13 generally considered as an aromatic, and less pungent and heating to the system than might be expected from its effects upon the organ of taste. It is used as an antispas- raodic and carminative. The cases in which it is more immediately serviceable are fia- tulent colics, debility, and laxity of the sto- mach and intestines ; and in torpid and ]>h!egmatic constitutions to excite brisker vascular action. It is seldom given but in fombination with other medicines. In the pharmacopreias it is du'ected in the form of a sirup and condiment, and in many com- position'; ordered as a subsidiary ingredient. ZiNGIEKT. ALBUn. The TOOt of the «H!0- mnm zingider, of Linnaeus, is so termed when deprived of its radicles and sordes. Zi'jNf:M'.>:n coMiMu'.N'E. See Zingiber. ZiNGiBKH ni'gul'm. The '.'oot of the Amomum zingiber, of Linn83us, is so called when suffered to dry witii its radicles and the sordes which usually hang to it. ZfiVN, John Godfrey, was born fa* 1726, studied under Haller at GoMingen^ and became botanical professor in that uni- versity. His first experiments were under- taken, to ascertain the sensibility of differ- ent parts of the brain ; be then proceeded to the examination of the eye, on which he published a work in much estimation. The result of his botanical labours ap- peared in severe} i)aper3, and in a catalogue- of the plants about Gottingen, arranged according to the plan of his preceptor. He died prematurely in 1758. He was a mem- ber of several learned societies. Zi'nziber. See Zingiber. ZIRCON. An earth discovered in the year 1793, by Klaproth of Berlin, in th& Zircon or Jargon, a gem first brought from the island of Ceylon, but also found in Fiance, Spain, and other parts of Europe. Its colour is either grey, greenish, yellow- ish, reddish brown, or purple. It has little lustre, and is nearly opaque. Zircon is likewise found in another gem called the hyacinth. This stone is of a yellowisli red colour mixed with brown. It possesses lustre and transparency. Properties. — Zircon has a white colour^ is exceedingly heavy, and rough or harsh to- the touch like silex. It has neither taste nor odour, and is insoluble in water, but forms with it a kind of jelly. It melts with boras into a transparent colourless glass. It suffers in a charcoal crucible a pasty fusion by intense heat, and contracts in its dimensions, acquiring a grey colour and scintillating hardness. In this state it is very hard and insoluble in acids. Its specific gravity is 4.3. Neither air nor combustible bodies act upon it. It is solu- ble in water, but retains while drying in the air a large quantity of it, which gives it the semi-transparency and appearance of a yel- low jelly, or gum arable ; it exhibits the same vitreous fracture. It unites with all the acids and forms salts, differing from those of the other bases by being decompo- sable by alurnine, glucine, the alkalis, and by mere heal. It fuses with alurnine and silex. It is insoluble even by boiling in a solution of alkalis, neither can it be fused with them by means of heat; but it is solu- ble in alkaline carbonates. By these properties this earth may be dis- tinguished from every other. It is still of no use in the arts. Method of obtaining Zircon. ^Reduce the mineral to powder, mix it with three times its weight of potash, and fuse it in a crucible. Wash (he obtained mass in dis- tilled water, till the whole of the potash be extracted; then dissolve the residuum as far as possible in diluted muriatic acid. Boil the solution to precipitate any silex it may contiiin, filter it, and gradually add iolution of potash. The zircon will now ZYG ZZ 953 become precipitated. Wash it repeatedly in ZYGOMATIC SUTURE. Sutura sy~ distilled water and dry it. gomalica. The union of the zygomatic ZiZA'.MA a^ua'tica. The systematic process of the temporal bone to the cheek name of a reed whose grain is much es- bone. teemed. The rFa^ersizama grows in the ZYGOMA'TICUS MA'JOR. This mu3- swampy parts of Jamaica and Virg'nia. cle arises from the cheek bone near the The Indians are exceedingly fond of its zygomatic suture, taking a direction down* grain, and account it more delicious than wards and inwards to the angle of the rice. mouth; it is a long slender muscle, which Zi'zTPH03. The jujubes were formerly ends by mix'ng its fibres with the orbicu- 30 called. See Rhamnus zizyphus. laris oris and the depressor of the lip. Zo'na. (From fwvy^/, to surround.) ZYGOMA'TICUS MOOR. This mus- Zoster. The shingles. cle arises a little higher up than the zygo- ZOOLOGY. (Zoologia, from ^ujov, an maticiis major, upon the cheek bone, but animal, and mI'oc, a discourse.) Thct nearer the nose ; it is much more slender part of natural history which treats of ani- than that muscle, and is often wanting. It mals. is the zygomatic muscle that marks the face ZOONO'MIA. (From ^aiov, an animal, with that line which extends from the cheek and vojMo?, a law.) The laws of organic bone to the corner of the luouth, which is life. particularly distinguishable in somepersons. ZOOTOMY. (Zootomia, from ^acv, an The zygomatic muscles pull the angles of animal, and rt/^vai, to cut.) The dissection he mouth up as in laughter, and from, in of animals. this way, reudering the face distorted, it Zo'sTER. (From ^ovwfM, to gird.) A has obtained the name of distortor oris, kind of erysipelas which goes round the Ihe strong action of this muscle is more body like a girdle. ptrticularly seen in laughter, rage, or grin- Zu'cHAR. (Arab.) Sugar. iiiig- ZYGO'MA. (From ^uhg, a yoke ; be- ^ytho'gai-a. ZuBoj^dtxcL. Beer and milk, -cause it transmits the tendon of the tempo- which make together what we commonly ral muscle like a yoke.) The cavity under cal, posset-drink; a term often to be met the zygomatic process of the temporal bone, with in Sydenham. and OS malae. Z2. The ancients signify Myrrh by these ZYGOMATIC PROCESS. An apophy- two letters, from ^fxvi>r,i, a name for it sis of the OS jugale, and another of the common among tliem ; but the late wri- temporal bone are so called. ters use them only for the ■Zinzibe.r, ginger. THE END. 120 COLUMBIA UNIVERSITY LIBRARIES This book is due on the date indicated below, or at the expiration of a definite period after the date of borrowing, as provided by the rules of the Library or by special arrange- ment with the Librarian in charge. DATE BORROWED DATE DUE DATE BORROWED DATE DUE C28(i14i)m100 H76 1822