CULLEN'S SYNOPSIS.  SYNOPSIS AND NOSOLOGY, being an Arrangement and Definition OF DISEASES, BY WILLIAM CULLEN, M. D. Professor of the Practice of Physic in the University of Edinburgh; First Physician to his Britannic Majesty for Scotland; Fellow of the Royal College of Physicians of Edinburgh; Of the Royal Societies of London and of Edin- burgh; Of the Royal Society of Medicine of Paris, &c. &c. &c. The first Translation from Latin to English. HARTFORD: PRINTED BY NATHANIEL PATTEN. MDCCXCII.  CULLEN'S Arrangement, and Deffinition of Dis- eases. NOSOLOGY is the general History or description of Dis- eases, arranged in systematic order. BY the systematic method the History of Diseases, like the subject of natural History, are arranged into Classes, orders, genera, and species; the Classes are marked by certain symptoms common to each. The vi. orders all agree in having the same marks with the class to which they belong together with some additional ones peculiar to the order. The ge- nera have all the marks and circum- stances, of the Class and order, and besides have some which distinguish the Genus—And the species have all the marks and token of Class, order, and Genus, with the still farther ad- dition of symptoms, or circumstan- ces which give the specific cha- racter. CONTENTS. OF the Classes, Order, Genera and Species. Class 1st. Pyrexia. Order 1st. Febres. Sect. 1st. Of Intermittents. Genus 1st. Tertian. Genus 2d. Quartan. Genus 3d. Quotidian. Sect. 2. Continued fevers. Genus 4. Synocha. Genus 5. Typhus. Species 1st. Typhus Petechialis. —2. Typhus Icterodes. Genus 6. Synochus. viii Order 2. Phlegmasia. Genus 7. Phlogosis Species 1st. Phlogosis Phlegmone. 2. Phlogosis Erythema. Genus 8. Ophthalmia. 1. Idiopathic species 1st. Ophthal- mia membranarum. —2. Ophthalmia (of the Tarsus. 2. Symptomatic. Genus 9. Phrenitis. 1. Idiopathic. 2. Symptomatic. Genus 10th. Cynanche. Species 1st. Cynanche Tonsilaris. 2. Cynanche Maligna. 3. Cynanche trachealis. ix 4. Cynanche parotidea. Genus 11. Pneumonia. Species 1st. Peripneumony. 1. Idiopathic. 2. Idiopathic. 3. Symptomatic. Species 2. Pleurisy. Genus 13. Carditis. 1. Idiopathic. 2. Symptomatic. Genus 14. Peritonitis. Species 1. Peritonitis propria. 2. Peritonitis omentalis. 3. Peritonitis mesenterica. B x Genus 15. Gastritis. 1. Idiopathic. Species 1. Gastritis Phlegmonodea. 2. Gastritis Erysipelatosa. 2. Symptomatic. Genus 16. Enteritis. 1. Idiopathic. Species 1. Enteritis Phlegmonodea. 2. Enteritis Erysipelatosa. 2. Symptomatic. Genus 17. Hepatitis. Genus 18. Splenitis. Genus 19. Nephritis. Species 1st. Idiopathic. 2. Symptomatic. xi Genus 20. Cystitis. Species 1. From Internal causes. 2. External Causes. Genus 21. Hysteritis. Genus 22. Rheumatismus. Genus 23. Odontalgia. Genus 24. Podagra. Species 1st. Podagra regularis. 2. Podagra atonica. 3. Podagra retrograda. 4. Podagra aberrans. Genus 25. Arthrapuosis. Order 3. Exanthemata. Genus 26. Erysipelas. Species 1st. Erysipelas vesiculosum. xii 2. Erysipelas Phlyctænodes Genus 27. Pestis. Genus 28. Variola. Spcies 1st. Variola discreta. 2. Variola confluens. Genus 29. Varicella. Genus 30. Rubeola. Spcies 1st. Rubeola vulgaris. 2. Rubeola variolodes. Genus 31. Miliaria. Genus 32. Scarlatina. Species 1. Scarlatina simplex. 2. Scarlatina Cynanchica. Genus 33. Urticaria. Genus 34. Pemphigus. Genus 35. Aphtha. xiii Species 1. Idiopathic. 2. Symptomatic. Order IV. Hæmorrhagiæ. Genus 36. Epistaxis. Species 1. Idiopathic. 2. Symptomatic. Genus 37. Hæmoptysis. Species 1. Hæmoptysis Plethora. 2. Hæmoptysis violenta. 3. Hæmoptysis phthisica. 4. Hæmoptysis Calculosa. 5. Hæmoptysis vicaria. Species 1. Incipient Phthisis. 2. Confirm'd. Genus 38. Hæmorrhois. xiv Species 1. Hæmorrhois Tumens. 2. Hæmorrhois Procidens. 3. Hæmorrhois fluens. 4. Hæmorrhois Cœca. Genus 39. Menorrhagia. Species 1. Menorrhagia rubra. 2. Menorrhagia abortus. 3. Menorrhagia lochialis. 4. Menorrhagia vitiorum. 5. Menorrhagia alba. 6. Menorrhagia. Nabothi. Order V. Profluvia. Genus 40. Catarrhus. Species 1. Symptomatic. Genus 41. Dysenteria. xv Class II. Neuroses. Order. I. Comata. Genus 42. Apoplexia. Species are Idiopathic and Sympto- matic. 1. Idiopathic. 1. Apoplexia san- guinea. 2. Apoplexia Serosa. 3. Apoplexia Hydrocephalica 4. Apoplexia atrabiliaria. 5. Apoplexia traumatica. 6. Apoplexia Venenata. 7. Apoplexia Mentalis. 8. Apoplexia Calateptica. 9. Apoplexia Suffocata. xvi 2. Symptomatic 1. Of the inter- mittent fever. 2. Continued fever. 3. Phlegmasia. 4. Exanthema. 5. Hysteria. 6. Epilepsy. 7. Podagra. 8. Worms. 9. Ischuria. 10. Scurveys. Genus 43. Paralysis. 1. Idiopathic Species. 1 Paralysis partialis. 2. Paralysis Hemepligia 3. Paralysis paraphlegia. xvii 4. Paralysis venenata. 2. Symptomatic species, 1. Asthenic. 2. Paralytic. 3. Convulsive. Order II. Adinamiæ. Genus 44. Syncope. 1. Idiopathic species. 1. Syncope Cardiaca. 2. Syncope occasionalis. 2. Symptomatic. Genus 45. Dyspepsy. 1. Idiopathic. 2. Symptomatic. Genus 46. Hypochondriasis. Genus 47. Chlorosis. C xviii Order 3. Spasmi. Sect. 1. In the animal functions. Genus 48. Tetanus. Genus 49. Trismus. Species 1. Trismus nascentium. 2. Trismus traumaticus. Genus 50. Convulsio. 1 Idiopathic. 2 Symptomatic. Genus 51. Chorea. Genus 52. Rhaphania. Genus 53. Epilepsy. 1. Idiopathic 1. Epilepsy cerebralis. 2. Epilepsy Sympathic. 3. Epilepsy occasionalis. xix Sec. 2. In the vital functions. Genus 54. Palpitatio. Genus 55. Asthma. 1. Idiopathic. 1. Asthma spontaneum 2. Asthma Exanthematicum. Genus 56. Dyspnœa. 1. Idiopathic. 1. Dyspnœa Catarr- halis. 2. Dyspnœa Sicca. 3. Dyspnœa aerea. 4. Dyspnœa Terrea. 5. Dyspnœa aquosa. 6. Dyspnœa Pinguedinosa. 7. Dyspnœa Thoracica. 8. Dyspnœa extrinseca. 2. Symptomatic. 1. 2. 3. xx Genus 57. Pertussis. Sect. 2. In the natural functions. Genus 58. Pyrosis. Genus 59. Colica. 1. Idiopathic. 1. Colica spasmodica. 2. Colica Pictonum. 3. Colica Stercorea. 4. Colica accidentalis. 5. Colica meconialis. 6. Colica Callosa. 7. Colica Calculosa. Genus 60. Cholera. 1. Idiopathic. 1. Cholera Spontanea. 2. Cholera accidentalis. 2. Symptomatic. Genus 61. Diarrhœa. xxi 1. Idiopathic. 1. Diarrhœa crapu- losa. 2. Diarrhœa biliosa. 3. Diarrhœa mucosa. 4. Diarrhœa Cœliaca. 5. Diarrhœa lienteria. 6. Diarrhœa Hepattirhœa. 2. Symptomatic. Genus 62. Diabetes. 1 Idiopathic. 1. Diabetes insipidus. 2. Symptomatic. Genus 63. Hysteria. Species 1. Retension of the menses. 2. Menorrhagia cruenta. 3. Menorrhagia serosa. xxii 4. Obstruction of the viscera. 5. Fault of the stomach. 6. too great Salacity. Genus 64. Hydrophobia. Species 1. Hydrophobia rabiosa. 2. Hydrophobia simplex. Order IV. Vesaniæ. Genus 65. Amentia. Species 1. Amentia congenita. 2. Amentia senilis. 3. Amentia acquisita. Genus 66. Melancholia. Genus 67. Mania. Species Idiopathic. 1. Mania men- talis. 2 Mania Corporea. xxiii 3. Mania Obscura. Species Symptomatic. 1. Paraphrosyne a venenis. 2.— a pathemate. 3.— febrilis. Genus 68. Oneirodynia. 1. Oneirodynia activa. 2. Oneirodynia Gravans. Class III. Chachexia. Order 1. Marcores. Genus 69. Tabes. Species. 1. Tabes purulenta. 2. Tabes scrophulosa. 3. Tabes venenata. Genus 70. Atrophia. xxiv Species 1. Atrophia. Inanitorum. 2. Atrophia famelicorum. 3. Atrophia cacochymica. 4. Atrophia debilium. Order II. Intumescentiæ. Sect. 1. Adiposæ. Genus 71. Polysarcia. Sect. 2. Flatuosæ. Genus 72. Pneumatosis. Species 1. Pneumatosis. Spontanea. 2. Pneumatosis traumatica. 3. Pneumatosis venenata. 4. Pneumatosis Histerica. Genus 73. Tympanites. Species 1. Tympanites intestinalis. xxv 2. Tympanites abdominalis. Genus 74. Physometra. Sect. III. Aquosæ. Genus 75. Anasarca. Species 1. Anasarca serosa. 2. Anasarca. oppilata. 3. Anasarca exanthematica. 4. Anasarca anæmia. 5. Anasarca debilium. Genus 76. Hydrocephalus. Genus 77. Hydrorachitis. Genus 78. Hydrothorax. Genus 79. Ascites. Species 1. Ascites abdominalis. D xxvi 2. Ascites Saccatus. Genus 80. Hydrometra. Genus 81. Hydrocele. Sect. IV. Soledæ. Genus 82. Physconia. Species 1. Physconia. Hepatica. 2. Physconia Splenica. 3. Renalis. 4. Uterina. 5. ab ovaria. 6. mesenterica. 7. Intestinalis. 8. Omentalis. 9. Polyplachna. 10. Viceralis. xxvii 11. Externa lupialis. 12. Externa schirrodea. 13. Externa Hydatidosa. 14. ab adipe subcutaneo. 15. ab excrescentia. Genus 83. Rachitis. Order III. Impetigines. Genus 84. Scrophula. Species 1. Scrophula vulgaris. 2. Scrophula mesenterica. 3. Scrophula fugax Genus 85. Syphilis. Genus 86. Scorbutus. Genus 87. Elephantiasis. Genus 88. Lepra. xxviii Genus 89. Framboesia. Genus 90. Trichoma. Genus 91. Icterus. Species 1. Icterus Calculosus. 2. Icterus Spasmodicus. 3. Icterus hepaticus. 4. Icterus Gravidarum. 5. Icterus Infantum. Class IV. Locales. Order 1. Dysæsthesiæ. Genus 92. Caligo. Species 1. Caligo lentis. 2. Caligo cornea. 3. Caligo pupillæ. xxix 4. Caligo. humorum. 5. Caligo palpebrarum. Genus 93. Amaurosis. Species 1. Amaurosis compressionis. 2. Amaurosis atonica. 3. Amaurosis spasmodica. 4. Amaurosis venenata. Genus 94. Dysopia. Species 1. Dysopia. Tenebrarum. 2. Dysopia Luminis. 3. Dysopia dissitorum. 4. Dysopia proximorum. 5. Dysopia lateralis. Genus 95. Pseudoblepsis. Species 1. Pseudoblepsis imaginaria xxx 2.— Mutans. Genus 96. Dysecoea. 1. Dysecoea organica. 2.— atonica. Genus 97. Paracusis. Species 1. Paracusis imperfecta. 2. Paracusis Imaginaria. Genus 98. Anosmia. Species 1. Anosmia organica. 2. Anosmia atonica. Genus 99. Agheustia. 1. Agheustia organica. 2. Agheustia atonica. Genus C. Anæsthesia. Species 1. Anæsthesia a spina bifida. xxxi 2. Anæsthesia plethorica. 3. Anæsthesia Nascentium. 4. Anæsthesia Melancholica. Order 2. Dysorexia. Sect. 1. Appetitus erronei. Genus C1. Bulimia. Species 1. Bulimia helluonum. 2. Bulimia Syncopalis. 3. Bulimia emetica. Genus C2. Polydipsia. Genus C3. Pica. Genus C4. Satyriasis. Spcies 1. Satyriasis Juvenilis. 2. Satyriasis furens. Genus C5. Nymphomania. xxxii Genus C6. Nostalgia. 1. Nostalgia simplex. 2. Nostalgia complicata. Sect. 2. Appetitus deficientes. Genus C7. Anorexia. 1. Anorexia humoralis. 2. Anorexia atonica. Genus C8. Adipsia. Genus C9. Anaphrodisia. 1.— Paralytica. 2.— Gonorrhea. Order 3. Dyscinesiæ. Genus C10. Aphonia. 1. Aphonia gutturalis. 2.— trachealis. xxxiii 3— atonica. Genus C11. Mutitas. 1.— organica. 2.— atonica. 3.— sudorum. Genus. C12. Paraphonia. 1.— Puberum. 2.— Rauca. 3.— Resonans. 4.— Palatina. 5.— Clangens. 6.— Comatosa. Genus C13. Psellismus. 1.— hæsitans. F xxxiv 2.— Ringens. 3.— Lallans. 4. Emolliens. 5. Balbutiens. 6.— acheilos. 7.— Lagostomatum. Genus C14. Strabismus. 1.— habitualis. 2.— Commodus. 3.— Necessarius. Genus C15. Dysphagia. Genus C16. Contractura. 1.— Primaria. 2.— Articularis. Order IV. Apocenoses. xxxv Genus C17. Profusio. Genus C18. Ephirosis Genus C19. Epiphora. Genus C20. Ptyalismus. Genus C21. Enuresis. 1.— atonica. 2.— Irritata. Genus C22. Gonorrhœa. 1.— Pura. 2.— Impura. 3.— Mucosa. 4.— Laxorum. 5.— Dormientium. Order V. Epischeses. Genus C23. Obstipatio. xxvi 1.— Debilium. 2.— Rigidorum. 3.— Obstructorum. Genus C24. Ischuria. 1.— Renalis. 2.— ureterica. 3.— vesicalis. 4.— urethralis. Genus C25. Dysuria. 1.— Ardens. 2.— Spasmodica. 3.— Compressionis. 4.— Phlogistica. 5.— Irritata. 6.— Mucosa. xxxvii Genus C26. Dyspermatismus. 1.— Urethralis. 2.— Nodosus. 3.— Præputialis. 4.— Mucosus. 5.— Hypertonicus. 6.— Epilepticus. 7.— Apractodes. 8.— Refluus. Genus C27. Amenorrhœa. 1.— Emansionis. 2.— Suppressionis. 3.— Difficilis. Order VI. Tumores. Genus C28. Aneurisma. xxxviii Genus C29. Varix. Genus C30. Ecchymoma. Genus C31. Schirrus. Genus C32. Cancer. Genus C33. Bubo. Genus C34. Sarcoma. Genus C35. Verruca. Genus C36. Clavus. Genus C37. Lupia. Genus C38. Ganglion. Genus C39. Hydatis. Genus C40. Hydarsthrus. Genus C41. Exostosis. Order VII. Ectopiæ. Genus C42. Hernia. xxxix Genus C43. Prolapsus. Genus C44. Luxatio. Order VIII. Dyalises. Genus C45. Vulnus. Genus C46. Ulcus. Genus C47. Herpes. Genus C48. Tinea. Genus C49. Psora. Genus C50. Fractura. Genus C51. Caries. FINIS.  [1] CLASS. I. PYREXIA. A FREQUENT pulse, coming on af- ter an horror or some degree of cold shivering, considerable heat, many of the functions injured, the strength of the limbs, especially diminished. Order 1st. Febres. Pyrexia, without any primary local affection, following the languor, lassitude, and other symptoms of debility. Sect. 1. Intermittents, arising from the miasma of marshes, with an apyrexia, or intermission, or at least an evident remissi- on, but the disease returns constantly, and for the most with an horror or trembling; there is only one paroxism in a day. A [2] Genus 1st. Tertiana, similar paroxisms with an interval of about forty eight hours, coming on at noon. A. Tertian hath either, I. An apyrexia interposed, 1. Varying the duration of the paroxism. A. The Tertian, whose paroxisms are not extended beyond twelve hours. B. The Tertian whose paroxisms are ex- tended beyond twelve hours. Spurious Tertian. 2. Varying in the return of the paroxism. C. The Tertian returning every day with unequal paroxisms alternately similar to one another. D. The Tertian returning every third day, with two Paroxisms the same day. Duplicate Tertian. E. The Tertian returning every day, with two Pyroxisms on every third day, and only one on the intermediate ones. [3] Triple Tertian. F. The Tertian returning every day, with a notable remission interposed between the odd and the even day, but a less remark- able one between the even and the odd one. Semitertian. 3. Varying in its symptoms. G. The Tertian accompanied with dispositi- on to sleep. H. Accompanied with spasms and convul- sive motions. I. Accompanied with an efflorescence of the skin. K. The Tertian accompanied, with Phleg- masia. 4. Varying in being complicated with other diseases. 5. Varying as to its origin. II. With the interposition only of a remissi- on between the paroxisms. [4] G. II. Quartana. Similar Paroxisms, with an interval of about 74 hours, coming on in the afternoon. I. With the Interposition of an apyrexia. 1. Varying in the Type. A. The Quartan with single Paroxisms, re- turning every fourth day, none on the other days. B. With two paroxisms every fourth day and none on the other days. C. With three paroxisms every fourth day, and none on the intermediate days. D. Of the four days having only the third free from fever, with similar paroxisms every fourth day. E. The Quartan coming on every day, with similar paroxisms every 4th day. 2. Varying in its symptoms. 3. Varying in being complicated with other Diseases. [5] II. With a remission only between the paroxism. G. III. Quotidiana. Similar paroxisms with an Interval of about 24 hours, coming on in the morning. I. With the lnterposition of an apyrexia. 1. Varies in being solitary. A. Universal. B. Partial. 2. Complicated with other diseases. II. With a remission only between the pa- roxisms. Sect. II. Continuæ. Fevers without any in- termission, and not occasioned by marsh miasmata, attended with exacerbations, and remissions, tho' not very remarkable. G. IV. Synocha. Great heat, a frequent strong and hard pulse, high coloured urine, the functions of the sensorium a little disturbed. [6] G. V. Typhus, a contagious disease, the heat not greatly above the natural, the pulse small, weak and for the most part frequent; the urine little changed; the functions of the sensorium very much dis- turbed, and the strength greatly diminished. The species are, I. Typhus petechialis) Typhus for the most part with petechie. Varying in degree. 1. mild Typhus, 2. Malignant Typhus. II. Typhus Icterodes. Typhus with a yel- lowness of the skin. G. VI. Synochus, a contagious disease; a fever composed of a Synocha and Typhus, in the beginning a Synocha, but towards the end a Typhus. Order II. Phlegmasiæ. A Synocha fever, with inflammation or topical pain, the inter- nal functions of the part being at the same time injured, the blood covered with size. [7] G. VII. Phlogosis, pyrexia, redness, heat and painful tension, of some external part. Species are, I. Phlogosis (Phlegmone), of a vivid red colour, a swelling well defined, for the most part elevated to a point, and fre- quently degenerating into an abscess, with a beating or throbbing pain. 1. Varying in form. 2 Varying in its seat. II. Phlogosis (erythema), of a reddish co- lour, vanishing by pressure, of an unequal and creeping circumference, with scarce any swelling, ending in the pealing off the cuticle, in phlyctænæ, or Blisters. The variations are. 1st in the degree of vio- lence. 2. In the remote causes. 3. In being complicated with other diseases. The consequence of a phlogosis are, an imposthume, gangrene, Sphacelus. G. VIII. Ophthalmia. A redness and pain of the Eye, with an inability to bear the light, for the most part with an effusion of Tears. [8] The species and varieties of ophthalmia are. I. Idiopathic. 1. Ophthalmia (of the membranes) in the tunica adnata and the membranes lying under it, or the Coats of the Eye. A. Varying in the degree of the external in- flammation. B. In the internal Coats affected. 2. Ophthalmia (of the tarsus or cartila- ginous edge) of the eye-lids, with swell- ing, erosion, and glutinous exudation. II. Symptomatic. 1. From a Disease of the Eye itself. 2. From disease of other parts, or of the whole body. G. IX. Phrenitis. Violent pyrexia, pain of the head, redness of the face and Eyes, in- ability to endure the light or any noise; watchfulness; a fierce delirium or Typho- mania. I. Idiopathic. [9] II. Symtomatic. G. X. Cynanche. Pyrexia sometimes, in- clining to a Typhus; difficulty of swal- lowing and breathing; with a sensation of narrowness in the fauces. The species are, I. Cynanche (tonsillaris) affecting the mu- cus membrane of the fauces, but especi- ally the Tonsils, with redness and swelling accompanied with a Synocha. II. Cynanche (maligna) affecting the Ton- sils, and mucus membrane of the fauces with swelling, redness, and mucuscrusts of a whitish or ash colour, creeping, and covering ulcers; with a Typhus Fever and exanthemata. III. Cynanche (trachealis) attended with difficulty of respiration, noisy and hoarse Inspiration, loud cough, without any ap- parent Tumour in the fauces, somewhat difficult deglutition, and a Synocha. IV. The Pharyngea. Attended with red- ness in the bottom of the fauces, very dif- B [10] ficult and painful deglutition. Respiration sufficiently free, and a Synocha. V. The Parotidœa. With great swelling of the parotids and maxillary Glands ap- pearing on the outside, the respiration and deglutition but little injured; a Synocha for the most part mild. Deseases of this genus are symptomatic, ei- ther from external or internal causes. G. XI. Pneumonia. Pyrexia, with a pain in some part of the thorax difficult Re- spiration and cough. The species are. I. (Peripneumony) with a pulse not always hard, but sometimes soft, an obtuse pain of the breast, the respiration always diffi- cult; sometimes the patient cannot breathe unless in an upright posture; the face swelled and of a livid colour, the cough for the most part moist, frequently Bloody. 1. Simple Idiopathic peripneumonies. Va- rying in degree. 2. Idiopathic Peripneumonies complicated with fever. [11] 3. Symtomatic Peripneumonies. II. Pleurisy. With a hard pulse; for the most part attended with a pungent pain of one side augmented chiefly during the time of Inspiration, an uneasiness when ly- ing on the side, a most painful cough; dry in the beginning of the Disease, after- wards moist; and frequently bloody. 1. Simple Idiopathic Pleurisies. 2. Pleurisies, complicated (1) with fever (2) with Catarrh. 3. Symtomatic Pleurisies. 4. False Pleurisies. The consequences of Pleurisy are Vomica or Empyema. G. XII. Carditis. Pyrexia, pain about the heart, anxiety, difficulty of breath- ing, cough, unequal pulse, palpitation of the heart and fainting. I. Idiopathic. II. Symtomatic. [12] G. XIII. Peritonitis. Pyrexia, pain of the belly, exasperated by an upright pos- ture, without the proper signs of other abdominal Phlegmasiæ. If the Diagnotics of the following Diseases are given, they may be reckoned as so many species of this genus. The Species are I. Peritonitis, (propria) situated in the Peritonæum properly so called, surround- ing the inside of the abdomen. II. Peritonitis (omentalis) in the peritonœm extended through the omentum. III. Peritonitis (mesenterica) in the peri- tonæum spread through the mesentery. G. XV. Gastritis. Pyrexia, inclining to a Typhus, anxiety, pain and heat of the epigastrium, augmented when any thing is taken into the stomach, an inclination to vomit, and an immediate rejection of every thing swallowed, an hickup. I. Idiopathic. 1. From internal causes. [13] A. Gastritis (phlegmonodea) attended with acute pain and violent pyrexia. 2. From external causes. B. Gastritis (erysipelatosa) with a less vio- lent fever and pain; an erysipelatous red- ness appearing on the fauces. II. Symtomatic. G. XVI. Enteritis. Pyrexia of a Typhus- nature; pungent pain of the Belly, stretching and twisting round the navel; vomiting; the belly obstinately bound. I. Idiopathic. Species are, 1. Enteritis (phlegmonodœa) with acute pain, violent fever, vomiting and constipa- tion of the belly. 2. Enteritis (erysipelatosa) with less accute fever and pain, without vomiting, but ac- companied with a Diarrhœa. II. Symtomatic Species. [14] G. XVII. Hepatitis, Pyrexia, tension and pain of the right Hypocondrium some- times pungent like that of pleurisy, but more frequently obtuse; a pain reaching to the clavicle and top of the right shoulder; a difficulty of lying on the left side, Dis- pnœad, dry cough; vomiting and hickup. G. XVIII. Splenitis. Pyrexia, tension heat and swelling of the left Hypocon- drium, the pain encreasing by pressure, without the signs of Nephritis. G. XIX. Nephritis. Pain in the region of the kidney, often following the course of the ureter, frequent making of water, ei- ther thin or colourless, or very red, vo- miting, stupor of the thigh; with a re- traction or pain of the testicle of the same side. The species are, I. Idiopathic spontaneous. II. Symtomatic. G. XX. Cystitis, Pyrexia, pain and swelling of the Hypochondrium, frequent and pain- [15] ful making of water or Ischuria and Tenes- mus. The species are. I. Those arising from internal causes. II. Those from external causes. G. XXI. Hysteritis, Pyrexia, heat, tensi- on, swelling and pain, of the Hypogastri- um, the os Uteri painful, when touched, vomiting. G. XXII. Rheumatismus, a disease arising from an external and frequently very evi- dent causes, pyrexia, pain about the joints, frequently pursuing the course of the muscles, infesting the knees and other large joints, rather than those of the feet or hands; increased by external heat. The species are either Idiopathic or symto- matic. The former varies in situation. A. In the muscles of the Loins. B. In the Muscles of the Coxendix. C. In the Muscles of the Breast. [16] G. XXIII. Odontalgia, a rheumatism of the jaw; from a caries of the teeth. G. XXIV. Podagra. An hereditary Dis- ease, arising without any evident external cause, but for the most part preceeded by an unusual affection of the stomach, pyrexia, pain of the joint, for the most part of the great toe of the foot, but certainly infest- ing chiefly the wrists and ankles, return- ing by intervals, and often attended with affections of the stomach and other inter- nal parts. I. Podagra (regularis) with a pretty violent Inflammation of the joints, remaining for some days, and by degrees going off with swelling, itching, desquamation of the af- fected part. II. Podagra (atonica) with atony of the stomach or some other Internal part, and either without the usual inflammation of the joints or only with slight and wander- ing pains, and frequently alternated with dyspepsia, or other symptoms of Atony. [17] III. Podagra (retrograda) the inflamma- tion of the joints suddenly receding, and an atony of the stomach and other parts immediately following. IV. Podagra (aberrans) with the inflammation of an in- ternal part, either preceding or not, sud- denly receding an inflammation of the joints. G. XXV. Arthropuosis. deep, obtuse, and long continued pains of the joints or mus- cular parts, frequently following contusi- on, with either no swelling, or a moderate and diffused one; no phlogosis, pyrexia, at first gentle, afterwards Hectic, and at length an imposthume Order. III. Exanthemata. Contagious diseases, affecting a person only once in their life, beginning with fever; after a certain time appear phlogoses, for the most part small and in considerable num- ber and dispersed over the skin. G. XXVI. Variola. a contagious Synocha with vomiting and pain on pressing the epigastrium. On the third day begins, and on the fifth is finished, the eruption of in- C [18] flammatory pustules, which suppurate in the space of eight days, and at last go off in crusts; frequently leaving depressed ci- catrice or Pockpits in the skin. The Species are. I. Variola (discreta) with few, distinct, turg- id pustules, having circular bases, the fe- ver ceasing immediately after the eruption. II. Variola (confluens) with numerous con- fluent, irregular shaped pustules, flaccid, and little elevated; the fever remaining after the eruption. G. XXVII. Varicella, Synocha, papulœ breaking out after a short fever similar to those of the Small Pox, but hardly ever coming to Suppuration, after a few days going of in small scales; never leaving any mark. G. XXVIII. Rubeola, a contagious Syno- cha, with sneezing, epiphora and dry hoarse cough, on the fourth day or a little later, break forth, small clustered, and scarce elevated papulæ, after three days going off in very small branny scales. [19] The Species are. I. Rubeola (vulgaris) with very small con- fluent corymbose papulœ, scarce rising above the skin, varying. 1. In the symptoms being more severe, and the course of the disease less regular. 2. In being accompanied with a quinsy. 3. With a putrid diathesis. II Rubeola (variolodes) with distinct papu- lœ raised above the skin. G. XXIX. Scarlatina. a contagious Syno- cha, on the fourth day of the disease the face swells a little, at the same time an uni- versal redness occupies the Skin in large spots, at length running together, after three days going off in branny scales, fre- quently succeeded by an Anasarca. The Species are. I. Scarlatina (simplex) not accompanied with Cynanche. [20] II. Scarlatina (Cynanchica) with an ulcerous Cynanche. G. XXX. Pestis, an exceedingly contagi- ous Typhus, with the highest debility. On an uncertain day Buboes and carbuncles break forth. It is various in degree, but the species are uncertain. G. XXXI. Erysipelas, a Synocha of two or three days, for the most part attended with drowsiness, often with a delirium. In some part of the Skin, most frequently the face, appears a phlogosis erythema. The Species are I. Erysipelas (vesiculosum) with erythema redness, creeping, occupying a large space and in some parts ends in large Blisters. II. Erysipelas (phlyctænodes) with an erythema formed of a number of papillœ chiefly occupying the trunk of the Body, ending in phlyctænæ or small Blisters. The disease is also symptomatic. [21] G. XXXII. Miliaria, Synochus, with an- xiety, frequent sighing, fœtid sweat, and points on the Skin. On an uncertain day of the disease break out red, small, distinct papulæ, spread over the whole body as well as the Face, the Apices of which after one or two days, become very small, white pustules remaining for a short time. G. XXXIII. Urticaria. An amphemeri- na fever, on the second day of the disease, red spots resembling the stinging of net- tles almost vanishing during the day, but returning in the evening, with the fever, and after a few days going off all together in very small scales. G. XXXIV. Pemphigus, a contagious Typhus, on the first, second, or third day of the disease, Blisters break out in several parts of the body, of the bigness of a bean, remaining for many days, and at last pour- ing out a thin ichor. G. XXXV. Aphtha. Synochus, the tongue somewhat swelled and of a livid colour, as well as the fauces, eschars first appearing in the fauces, but at length occult and oc- cupying the whole internal part of the [22] mouth, of a white colour, sometimes dis- tinct, often running together, quickly growing again when taken off, and re- maining for an uncertain time. The species are. 1 Idiopathic. 2 Symptomatic. Order IV. Hœmorrhagiœ. Pyrexia, with a profusion of blood, without any exter- nal violence, the blood drawn from a vein has the same appearance as in phlegmasiæ. G. XXXVI. Epistaxcis. pain or weight of the head, redness of the face, a profusion of blood from the nose. I. Idiopathic. Varying according to the time of life. 1. Epistaxis, of young people, with the symptoms of an arterious plethora. 2 Epistaxis. of old people, with symptoms of a venous plethora. II. Symptomatic. [23] 1. From internal causes. 2. From external causes. G. XXXVII. Hæmoptysis. redness of the cheeks, a sensation of uneasiness, or pain, and sometimes of heat in the breast, diffi- culty of breathing, tickling of the fauces, either a severe or less violent cough, bring- ing up florid and frequently frothy blood. The Species are. l. Hæmoptysis (plethorica) without any ex- ternal violence and without being pre- ceeded by any cough, or suppression of a customary evacuation. 2. Hæmoptysis (violenta) from external violence applied. 3. Hæmoptysis (phthisica) after a long continued cough, with leanness and debi- lity. 4. Hæmoptysis (calculosa) in which some calculous molecules, for the most part of a calcarious nature are thrown up. [24] 5. Hæmoptysis (vicaria) after the suppressi- on of a customary evacuation. Besides these, there are a number of symptomatic Species mentioned by different authors. The consequence of an Hæmoptysis is, a Phthisis, a wasting and debility of the body, with a cough, hectic fever, and for the most part a purulent expectoration. The Species are. I. An incipient Phthisis, without any expec- toration of pus. II. A confirmed Phthisis, with expectorati- on of pus. Both species vary 1. as to their remote cause. 2. as to the origin of the purulent matter. G. XXXVIII. Hæmorrhois. weight and pain of the head, vertigo, pain of the loins, pain of the arms, livid painful tubercles, from which for the most part blood flows out, which also sometimes drops out of the anus, without any apparent Tumor. The Species are. 1. Hæmorrhois (tumens) external from varicæ. [25] Varying. A. Bloody. B. Mucous. 2. Hæmorrhois (procidens) external from a procidentia ani. 3. Hæmorrhois (fluens) internal, without any procidentia ani. 4. Hæmorrhois (cæca) with pain and swelling of the anus, without any profusion of blood. G. XXXIX. Menorrhagia. Pains of the back, belly, and loins like those of Child birth, an unusually copious flux of the menses or blood from the vagina. The Species are. 1. Menorrhagia (rubra) bloody in women neither with child, or in childbirth. 2. Menorrhagia (lochialis) bloody in child bed women. D [26] 3. Menorrhagia (abortus) bloody in women with child. 4. Menorrhagia (viliorum) bloody from some local disease. 5. Menorrhagia (alba) cerous, without any local disease, in women not with child. 6. Menorrhagia (nabothi) serous in women with child. Order. V. Profluvia. pyrexia, with an in- creased secretion, naturally not bloody. G. XL. Catarrhus. pyrexia, frequent- ly contagious. An increased excretion of mucous, at least efforts to excrete it. The species are for the most part symptomatic. 1. from cold. 2. from contagion. G. XLI. Dysenteria, contagious, pyrexia, frequent mucus or bloody stools, while the alvine fœces are for the most part re- tained, gripes, tenesmus. Varying. 1. Accompanied with worms. [27] 2. With the excretion of small fleshy or se- baceous bodies. 3. With an Intermittent Fever. 4. Without blood. 5. With a Miliary fever. Class II. Neuroses. an injury of the sense and motion, without an Idiopathic Pyrexia or any local affection. Order. 1. Comata, a diminution of volun- tary motion, with sleep, or a deprivation of the senses. G. XLII. Apoplexia. almost all voluntary motion diminished, with sleep more or less profound; the motion of the heart and ar- teries remaining. The Idiopathic species are. 1. Apoplixia (sanguinea) with symptoms of universal plethora, especially of the head. 2. Apoplexia (serosa) with a lucophlegmasia over the whole body, especially in old people [28] 3. Apoplexia (Hydrocephalica) coming on by degrees, affecting infants, or those below the age of puberty, first with lassitude, a slight fever and pain of the head, then with slowness of the pulse, dilatation of the pu- pil of the Eye, and drowsiness. 4. Apoplexia (a trabiliaria) taking place in those of a Melancholic constitution. 5. Apoplexia (traumatica) from some exter- nal injury mechanically applied to the head. 6. Apoplexia (venenata) from powerful sedatives taken internally or applied exter- nally. 7. Apoplexia (mentalis) from a passion of the mind. 8. Apoplexia (Cataleptica) in the contrac- tile muscles, with a mobility of the limbs by external force. 9. Apoplexia (suffocata) from some external suffocating power. [29] The Apoplexy is frequently Somptomatic. 1. of an Intermitting fever. 2. continued fever. 3. Phlegmasiæ. 4. Ex- anthema. 5. Hysteria. 6. Epilepsy. 7. Podagra. 8. worms. 9. Ischuria 10. Scurvys. G. XLIII. Paralysis. only some of the vo- luntary motions diminished, frequently with sleep. The Idiopathic Species are. 1. Paralysis (partialis) of some particular muscles only. 2. Paralysis, (hemiplegia) of one side of the body. Vary according to the constitution of the Body. a. Hemiplegia in a plethoric habit. b. In a leuco plegmatic habit. 3. Paralysis (paraplegia) of one half of the body taken transversly. 4. Paralysis (venenata) from sedative powers applied either externally or internally. [30] II. Species are. A. Symptoms either of an asthenia or palsy, tremor, an alternate motion of a limb by frequent strokes and intervals. The species are. 1. Asthenia. 2. Paraly- tic. 3. Convulsive. Order. II. Adynamiæ. A diminution of the involuntary motions, whether vital or natural. G. XLIV. Syncope, a diminution or even a total stoppage, of the motion of the heart for a little. I Idiopathic. 1. Syncope (cardiaca) returning frequently without any manifest cause, with violent palpitations of the heart, during the inter- vals; from a fault of the heart or neigh- bouring vessels. [31] 2. Syncope (occasionalis) arising from some evident cause. from an affection of the whole system. II. Symptomatic, or symptoms of diseases, either of the whole system, or of other parts besides the Heart. G. XLV. Dyspepsia. anorexia, nausea, vo- miting, inflation, belching, rumination, car- dialgia, gastrodynia, more or fewer of those symptoms at least concuring, for the most with a constipation of the belly, and with- out any other Diseases either of the stomach itself, or of other parts. I. Idiopathic. II. Symptomatic. 1. From a disease of the stomach itself. 2. From a disease of other parts, or of the whole body. G. XLVI. Hypochondriasis, dyspepsia, with languor, sadness and fear without any [32] adequate causes, in a melancholic tempera- ment. G. XLVII. Chlorosis, Dyspepsia, or a de- sire of something not used as food, a pale or discoloured complexion. The veins not well filled, a soft tumour of the whole body, asthenia, palpitation, suppression of the menses. Order. III. Spasmi. irregular motions of the muscles or muscular fibres. Sect. I. In the animal Functions. G. XLVIII. Tetanus. A spastic rigidity of almost the whole Body. Varying accord- ing to the remote cause as it arises either from something, internal, I from cold, or from a wound. It varies likewise, from whatever cause it arises according to the part of the body affected. G. XLIX. Trismus. as spastic rigidity of of the lower jaw. The species are, [33] 1. Trismus (nascentium) seizing infants un- der two months old. 2. Trismus (traumaticus) seizing people of all ages either from wound or cold. G. L. Convulsio, an irregular clonic con- traction of the muscles without sleep. 1. Idiopathic. 2. Symptomatic. G. LI. Chorea, attacking those who have not yet arrived at puberty, most commonly within the 10th or 14th year, with convul- sive motions for the most part of one side, in attempting the voluntary motions of the hands and arms, resembling the gesticula- tions of mountebanks, in walking rather dragging one of their feet after them, than lifting it. G. LII. Raphania. a spastic contraction of the joints, with convulsive agitations and most violent periodical pain. E [34] G. LIII. Epilepsia, a convulsion of the muscles, with sleep. The Idiopathic Species are. 1. Epilepsia (cerebralis) suddenly attacking without any manifest cause, without any sense of uneasiness preceeding, excepting perhaps a Slight vertigo or Scotomia. 2. Epilepsia (Sympathica) without any ma- nifest cause, but preceeded by the sensation of a kind of Air rising from a certain part of the body towards the head. 3. Epilepsia (occasionalis) arising from a ma- nifest irritation and ceasing on the removal of that irritation. Varying according to the difference of the irritating matter, and thus it may arise. From injuries of the head, pain, worms, poison, from the repulsion of the itch, or an effusion of any other acrid humour, from crudities in the stomach, from pasi- ons of the mind, from an immoderate hæ- morrhage, or from debility. [35] Sect. II. In the vital functions. A. In the action of the heart. G. LIV. Palpitatio. A violent and irregu- lar motion of the heart. B. In the action of the Lungs. G. LV. Asthma. a difficulty of breathing, returning by intervals, with a sense of straightness in the breast, and a noisy re- spiration with hissing, in the beginning of the paroxysm there is either no cough at all, or coughing is difficult, but towards the end the cough becomes free, fre- quently with a copious spitting of mucus. The idiopathic species are, 1 Asthma (spontaneum) without any mani- fest cause or other concomitant disease. 2. Asthma (exanthematicum) from the re- pulsion of the Itch or acrid effusion. 3. Asthma (plethoricum) from the suppres- [36] sion of some customary sanguineous evacu- ation or from a spontaneous plethory. G. LVI. Dyspnoea. A continual difficulty of breathing, without any sense of strait- ness, but rather of fullness and infarction in the breast, a frequent cough throughout the whole course of the disease. The Idiopathic species are. 1. Dyspnoea (catarrhalis) with a frequent cough, bringing up plenty of viscid mucus. 2. Dyspnoea. (sicca) with a cough, for the most part dry. 3. Dyspnoea.(ærea) increased by the least change of weather. 4. Dyspnoea. (terrea) bringing up with the cough an earthy or calculous matter. 5. Dyspnoea. (aquosa) with scanty urine and œdematous fat, without any signs of an Hydrothorax. [37] 6. Dyspnoea (pinyuedinosa) in very fat people 7. Dyspnoea (thoracica) from an injury done to the parts surrounding the thorax or from some bad conformation of them. 8. Dyspnoea. (extrinseca) from evident ex- ternal causes. The symptomatic species of dyspnoea are Symptoms. 1. of Diseases of the heart or large vessels. 2. Of swellings in the abdomen. 3. Of various Diseases. G. LVII. Pertussis. a contagious disease, convulsive strangulating cough, reiterated with noisy inspiration, frequent vomiting. Sect. II. In the natural functions. G. LVIII. Pyrosis. a burning pain in the epigastrium with plenty of aqueous humour, for the most part insipid, but sometimes acrids belchings up. [38] G. LIX. Colica. pain of the belly, especi- ally twisting round the navel, vomiting, a constipation. The Idiopathic spcies are. 1. Colica (spasmodica) with retraction of the navil, and spasms of the abdominal muscles. Varying by reason of some symptoms superadded; hence, a. Colica, with vomiting of excrements, or of matters injected by the anus. b. Colica, with inflammation supervening. 2. Colica (pictonum) preceded by a sense of weight or uneasiness in the belly, espe- cially about the navel, then comes on the colic pain, at first slight and interrupted, chiefly augmented after meals, at length more severe and almost continual, with pain of the arms and back, at last ending in a Palsy. Varying according to the na- ture of the remote cause, and hence, a. From metallic poison. [39] b. From acids taken inwardly. c. From Cold. d. From a contusion of the back. 3. Colica (Stercorea), in people subject to costiveness. 4. Colica (accidentalis) from acrid matter taken internally. 5. Colica (meconialis) in new born children from a retention of the meconium. 6. Colica (callosa) with a sensation of stric- ture in some part of the intestines and fre- quently of a collection of flatus with some pain before the constricted part, which flatus also passing through the part where the stricture is felt gradually vanishes. The belly slow, and at last passing only a few liquid fœces. 7. Colica (calculosa) with a fixed hardness in some part of the abdomen, and calculi smetimes passing by the anus. [40] G. LX. Cholera. A vomiting of bilious matter, and likewise a frequent excretion of the same by stool, anxiety, gripes, spasm in the calves of the legs. I. Idiopathic. 1. Cholera, (spontanea) arising in a warm season without any manifest cause. 2. Cholera. (accidentalis) from acrid mat- ters taken internally. II. Symptomatic. G. LXI. Diarrhœa. frequent stools, the disease not infectious, no primary pyrexia. I. Idiopathic. 1. Diarrhœa (crapulosa) in which the ex- crements are voided in greater quantity than naturally. 2. Diarrhœa (biliosa) in which yellow fæces are voided in great quantity. [41] 3. Diarrhœa (mucosa) in which either from acrid substances taken inwardly, or from cold, especially applied to the feet; a great quantity is voided. 4. Diarrhœa (cæliaca) in which a milky hu- mour of the nature of chyle passed. 5. Diarrhœa (lienteria) in which the ali- ments are discharged with little alteration soon after eating. 6. Diarrhœa (hepatirrhœa), in which a bloody serous matter is discharged with- out pain. II. Symptomatic. G. LXII. Diabetes. A chronical profusion of urine, for the most part preternatural and in immoderate quantity. I. Idiopathic. I. Diabetes (mellitus) with urine of the smell colour, and savoury of honey. F [42] II. Diabetes. (insipidus) with limpid, but, not sweet urine. II. Symptomatic. G. LXIII. Hysteria. rumbling of the bow- els. a sensation of a globe turning itself in the belly, assending to the stomach; sleep, convulsions, a great quantity of limpid urine, the mind involuntarily sickle and mutable. The following are by Sauvages reckoned distinct Idiopathic species. but by Dr. Cullen, only varieties of the same Species. A. From a retension of the menses. B. From a menorrhagia (cruenta} C. From a menorrhagia serosa or fluor albus. D. From an obstruction of the viscera. E. From a fault of the stomach. F. From too great Salacity. [43] G. LXIV. Hydrophobia. A dislike and horror at every kind of drink, as occasion- ing a convulsion of the pharynx, induced for the most part, by the bite of a mad animal. The species are. I. Hydrophobia (rabiosa) with a desire of biting the by-standers, occasioned by the bite of a mad animal. II. Hydrophobia. (simplex) without mad- ness, or any desire of biting. Order. IV. Vesaniæ. Disorders of the judg- ment without any pyrexia or coma. G. LXV. Amentia. An imbecility of judg- ment, by which people either do not per- ceive, or do not remember the relations of things. The species are. I. Amentia. (congenita) continuing from a person's birth. [44] II. Amentia. (senilis) from the diminution of the perceptions and memory through extreme old age. III. Amentia. (acquisita) occuring in peo- ple formerly of a sound mind, from evident external causes. G. LXVI. Melancholia. a partial madness, without dispepsia. Varying according to the different subjects concerning which the person raves. And thus is, 1. With an Imagination in the patient con- cerning his body being in a dangerous condition, from slight causes, or that his affairs are in a desperate state. 2. With an Imagination concerning a pros- perous state of affairs. 3. With violent love, without satyriasis or nymphomania. 4. With a superstitious fear of a future state. 5. With an aversion from motion and all the offices of life. [45] 6. With restlessness and an impatience of any situation whatever. 7. With a weariness of life. 8. With a deception concerning the nature of the patients species. The Doctor reckons that there is no such Dis- ease as that called Dœmonomania, and that the Diseases mentioned by Sauvage under that title are either, 1. Species of melancholy as mania or. 2. Of some disease by the spectators falsly ascribed to the influence of an evil spirit or, 3. Of a Disease entirely feigned or, 4. Of a Disease partly true and partly feign- ed. G LXVII. Mania. universal madness. 1. Mania (mentalis) arising entirely from passions of the mind. [46] 2. Mania (corporea) from an evident Dis- ease of the body. Varying according to the different disease of the body. 3. Mania (obscura) without any passion of the mind or evident disease of the Body preceeding. The symptomatic species of mania, are. 1. Paraphroyne from poisons. 2. Paraphrosyne from passion. 3. Paraphrosyne febrilis. G. LXVIII. Oneirodynia. A violent and troublesome imagination in time of sleep. 1. Oneirodynia. (activa) exciting to wake- ing and various motions. 2. Oneirodynia (gravans) from a sense of some weight incumbent and pressing on the breast especially. Class III. Chachexiæ. A depraved habit [47] of the whole or the greatest part of the bo- dy, without primary pyrexia or neurosis. Order. I. Marcores. a wasting of the whole body. G. LXIX. Tabes. Leanness, asthenia, hec- tic, pyrexia. The species are. 1. Tabes (purulenta) from external or in- ternal ulcers or from a vomica. Varying in its situation; hence, 2. Tabes (scrophulosa) in scrophulous con- stitutions. 3. Tabes (venenata) from poison taken in- wardly. G. LXX. Atrophia. Leanness and asthenia without hectic pyrexia. The species are. 1. Atrophia. (inanitorum) from too great evacuation. 2. Atrophia. (famelicorum) from a defici- ency of nourishment. [48] 3. Atrophia (cacochymica) from corrupted nourishment. 4. Atrophia. (debilium) from the function of nutrition being depraved, without any extraordinary evacuation or cacochymia having preceeded. Order. II. Intumescentiæ. An external tumour of the whole or greatest part of the body. Sect. I Adiposæ. G. LXXI. Polysarcia. a troublesome swell of the body from fat. Sect. II. Flatuosæ. G. LXXII. Pnuematosis. a tense elastic swelling of the body crackling under the hand. The species are. 1. Pneumatosis (spontanea) without any manifest cause. 2. Pneumatosis (traumatica) from a wound in the breast. [49] 3. Pneumatosis (venenata) from poison in- jected or applied. 4. Pneumatosis (hysterica) with hysteria. G. LXXIII. Tympanites. a tense, elastic serous swelling of the abdomen, costive- ness, a decay of the other parts. The species are. 1. Tympanites (intestinalis) with a tremour of the abdomen frequently unequal, and with a frequent evacuation of air relieving the tension and pain. 2. Tympanites (abdominalis) with a more evident noise, a more equable tumour, and a less frequent emission of flatus, which also gives less relief. G. LXXIV. Physometra. A slight, elastic swelling in the epigastrium, having the figure and situation of the uterus. Sect. III. Aquosæ or Hydropes. G [50] G. LXXV. Anasarca, a soft inelastic swel- ling of the whole body, or some part of it. The species are. 1. Anasarca (serosa) from a retension of semen on account of the suppression of the usual evacuations or from an increase of the serum, on account of too great a quan- tity of water taken inwardly. 2. Anasarca (oppilata) from a compression of the veins. 3 Anasarca (exanthematica) arising after exanthemata, especially after erysipelas. 4. Anasarca (anæmia) from the thinness of the blood produced by Hœmorrhage. 5. Anasarca (debilium) in weak people after long diseases, or from other causes. G. LXXVI. Hydrocephalus. A soft in- elastic swelling of the head, with the su- tures of the cranium opened. G. LXXVII. Hydrorachitis, A soft slender tumour above the vertebræ of the loins, the vertebræ gaping from each other. [51] G. LXXVIII. Hydrothorax. dyspnoea, paleness of the face, œdematous swellings of the feet, scanty urine, lying down diffi- cult, a sudden and spontaneous waking out of sleep with palpitation, water fluctuating in the breast. G. LXXIX. Ascites. A tense scarce elastic, but fluctuating swellings of the abdomen. The species are. 1. Ascites (abdominalis) with an equal swel- ling of the whole abdomen, and with a fluctuation sufficiently evident; varying according to the cause. A. From an obstruction of the viscera. B. From debility. C. From thinness of the blood. 2. Ascites (saccatus) with a swelling of the abdomen, in the beginning at least, parti- al, and with less evident fluctuation. G. LXXX. Hydrometra. A swelling of [52] the Hypogastrium in women, gradually in- creasing, keeping the shape of the uterus, yielding to pressure and fluctuating, with- out or with pregnancy. G. LXXXI. Hydrocele. A swelling of the scrotum, not painful, increasing by degrees, soft, fluctuating, and pellucid. Sect. IV. Solidæ. G. LXXXII. Physconia. A swelling chief- ly occupying a certain part of the abdo- men, gradually increasing, and neither sonorous or fluctuating. The species are. Physconia hepatica. Physconia splenica. Physconia renalis. Physconia uterina. Physconia ab ovario. Physconia Mesenterica. [53] Physconia Intestinalis. Physconia Omentalis. Physconia Polysplachna. Physconia Visceralis Physconia Externa lupealis. Physconia Externa schirrhodea. Physconia Externa Hydatidosa. Physconia abadipe subcutaneo. Physconia ab excrescentia. G. LXXXIII. Rachitis. A large head, swelling most in the sore part, Ribs de- pressed, abdomen swelled, with a decay of the other parts. Varying. 1. Symple, without any other disease. 2. Joined with other Diseases. Order. III. Impetigines. Chachexiæs, chief- ly deforming the skin and external part of the Body. [54] G. LXXXIV. Scrophula. swellings of the conglobate glands, especially in the neck, swelling of the upper lip and support of the nose, the face florid, skin thin, abdo- men swelled. The species are. 1. Scrophula. (vulgaris) simple external and permanent. 2. Scrophula (mesenterica) simple internal, with paleness of the face, want of appetite, swelling of the abdomen and unusual fœtor of the excrement. 3. Scrophula (fugax) most simple, appear- ing only about the neck, for the most part proceeding from the resorption of the mat- ter of ulcers in the head. 4. Scrophula (americana) joined with the jaws. G. LXXXV. Syphilis. a contagious dis- ease after impure venery, and a disorder of the genitals, ulcers of the Tonsils, of [55] the skin, especially about the margin of the hairs, corymbose papulæ, ending in crusts and crusty ulcers, pains of the bones, ex- ostoses. G. LXXXVI. Scorbutus, in cold coun- tries, attacking after putrescent diet, espe- cially such as is salt and of the animal kind, where no supply of fresh vegetables is to be had, asthenia, stomacace, spots of different colours on the skin, for the most part livid and appearing chiefly among the roots of the hairs. Varying in degree. A. Scorbutus Incipiens b. Scorbutus crescens. c. Scorbutus Inveteratus. Varying in its symptoms. d. Scorbutus Lividus. e. Scorbutus Petechialis. f. Scorbutus Pallidus. g. Scorbutus ruber. h. Scorbutus calidus. [56] G. LXXXVII. Elephantiasis, a contagious disease, thick, unwrinkled, rough, unctuous skin, destitute of hairs, anasthesia in the extremities, the face deformed with pim- ples, the voice hoarse and nasal. G. LXXXVIII. Lepra. The skin rough, with white branny and chopped eschars, sometimes moist beneath, with itching. G. LXXXIX. Framboesia. swelling re- sembling fungi, or the fruit of the mulber- ry, growing on various parts of the skin. G. XC. Tricoma. a contagious disease, the hairs thicker than usual, and twisted into inextricable knots and cords. G. XCI. Icterus. yellowness of the skin and eyes, white fœces, urine of a dark red, tinging what is put into it of a clay colour. The Idiopathic Species, 1. Icterus (calculosus) with acute pain in the epigastric region, increasing after meals, biliary concretions voided by stool. [57] 2. Icterus (spasmodicus) without pain after spasmodic diseases and passions of the mind. 3. Icterus (hepaticus) without pain, after diseases of the Liver. 4. Icterus (gravidarum) arising during the time of pregnancy, and going off after de- livery. 5. Icterus (infantum) coming on in infants a few days after birth. Class IV. LOCALES. an affec- tion of some part, but not of the whole body. Order. I. Dysæsthesiæ. The senses deprav- ed, or destroyed, from a disease of the ex- ternal organs. G. XCII. Caligo. the sight impaired or to- tally destroyed, on account of some opa- que substance interposed between the ob- jects and the retina, inherent in the Eye it- self or the eye-lids. H [58] The species are. 1. Caligo. (bentis) occasioned by an opaque substance or shot behind the pupil. 2. Caligo (corneæ) from an opacity of the cornea. 3. Caligo. (pupillæ) from an ob- struction of the pupil. Varying according to the different causes from which it pro- ceeds. 4. Caligo (humorum) from a disease or de- fect of the aqueous humour. Varying according to the different state of the hu- mour. 5. Caligo (palpebrarum) from a disease in- herent in the eye-lids. G. XCIII. Amaurosis. the sight diminish- ed or totally abolished, without any evi- dent disease of the eye, the pupil for the most part remaining dilated and immovea- ble. The species are. [59] l. Amaurosis (compressionis) after the cau- ses and attended with the symptoms of congestion in the brain. Varying accor- ding to the nature of the remote cause. 2. Amaurosis (atonica) after the causes and accompanied with symptoms of debility. 3. Amaurosis (spasmodica) after the causes and with signs of spasm. 4. Amaurosis (venenata) from poison taken into the body or applied outwardly to it. G. XCIV. Dysopia. a depravation of the light, so that objects cannot be distinctly perceived, except at a certain distance and in a certain situation. The species are. 1. Dysopia (Tenebrarum) in which objects are not seen unless they are placed in a strong light. 2. Dysopia (luminis) in which objects are not distinctly seen unless by a weak light. [60] 3 Dysopia (disistorum) in which distant ob- jects are not perceived. 4. Dysopia (proximorum) in which the nearest objects are not perceived. 5. Dysopia (lateralis) in which objects, are not perceived unless placed in an oblique posture. G. XCV. Pseudoblepsis. when the light is diseased in such a manner that the person imagines he sees things which really do ex- ist or sees things which do exist after some other manner than they really are. The species are. 1. Pseudoblepsis (imaginaria) in which the person imagines he sees things which real- ly do not exist. Varying according to the nature of the ima- gination. 2. Pseudoblepsis (mutans) in which objects really existing appear some how changed. [61] Varying according to the change perceived in the objects and according to the remote cause. G. XCVI. Dysecoea. A diminution or to- tal abolition of the sense of hearing. The species are. 1. Dysecoea (organica) from a disease in the organs, transmitting sounds to the inter- nal ear. Varying according to the nature of the Disease, and of the part affected. 2. Dysecoea. (atonica) without any evi- dent Disease of the organs transmitting the sounds. Varying according to the nature of the cause. G. XCVII. Paracusis. a depravation of the hearing. The species are. 1. Paracusis (imperfecta) in which the sounds coming from external objects are heard, yet it is neither distinctly, nor in the usual manner. [62] Varying. a. With a dullness of hearing. b. With an hearing two acute and sensible. c. When a single external sound is doubled by some internal cause. d. When the sounds which a person desires to hear are not perceived, unless some other violent sound is raised at the same time. 2. Paracusis (imaginaria) in which sounds, not existing externally are excited from internal causes. Varying according to the nature of the sound perceived, and according to the nature of the remote cause. G. XCVIII. Anosmia. a deminution or abolition of the sense of smell. The species are, 1. Anosmia (organica) from a disease in the [63] membrane lineing the internal parts of the nostrils. Varying according to the nature of the disease. 2. Anosmia (atonica) without any evident Disease of the membrane of the nose. G. XCIX. Agheustia. a diminution or abo- lition of the sense of taste. The species are. 1. Agheustia (organica) from a Disease in the membrane of the tongue, keeping off from the nerves those substances which ought to produce taste. 2. Agheustia (atonica) without any evident disease of the tongue. G. C. Anæsthesia. a diminution or aboliti- on of the sense of feeling. The species from Sauvage's, adopted, by Dr. Cullen, are 1. Anæsthesia. a spina bifida. [64] 2.— plethorica 3.— Nascentium. 4.— Melancholia. Order. II. Dysorexiae, error or defect of appetite. Sect. I. Appetitus erronei: G. CI. Bulimia. a desire for food in grea- ter quantities than can be digested. The Idiopathic species are. 1. Bulimia. (helluonum) an usual appetite for food, without any desire of the stomach. 2. Bulimia (syncopalis) a frequent desire of meat on account of a sensation of hunger threatning syncope. 3. Bulimia (emetica) an appetite for a great quantity of meat, which is thrown up im- mediately after it is taken. G. CII. Polydipsia is almost always sym- [65] tomatic and varies only according to the nature of the Disease which accompanies it. G. CIII. Pica. a desire of swallowing sub- stances not used as food. G. CIV. Satyriasis. an unbounded desire of venery in men. The species are, 1. Satyriasis (juvenilis) an unbounded de- sire of venery, the body at the same time being little disordered. 2. Satyriasis (furens) a vehement desire of venery, with a great disorder of the body at the same time. G. CV. Nymphomania. an unbounded de- sire of venery in women. Varying in de- sire. G. CVI. Nostalgia. A violent desire in those who are absent from their country of revisiting it. I [66] 1. Nostalgia (simplex) without any other disease. 2. Nostalgia (complicata) accompanied with other diseases. Sect. II. Appetitus deficientes. G. CVII. Anorexia. want of appetite for food. always symptomatic. The species are. 1. Anorexia (humoralis) from some hu- mour loading the stomach. 2. Anorexia (atonica) from the tone of the fibres of the stomach being lost. G. CVIII. Adipsia. a want of thirst, always a symptom of some Disease affecting the sensorium commune. G. CIX. Anaphrodisia. want of desire for, or impotence to venery. The true species are, [67] 1. An anaphrodisia paralytica. 2. Anaphrodisia gonorrhoica. The false are, 1. Anaphrodisia mariscis. 2. Anaphrodisia ab urethrœ vitio. Order III. Dyscinesiæ. an impediment or depravation of motion from a disorder of the organs. G. CX. Aphonia. a total suppression of the voice without coma or syncope. The species are. 1. Aphonia. (gutturalis) from the fauces or glottis being swelled. 2. Aphonia (trachealis) from a compression of the trachea. 3. Aphonia (atonica) from the nerve of the Larynx being cut. G. CXI. Mutitas. a want of power to pro- nounce words. [68] The species are. 1. Mutitas (organica) from the tongue be- ing cut out or destroyed. 2. Mutitas (atonica) from injuries done to the nerves of the tongue. 3. Mutitas (surdorum) from people being born deaf or the hearing being destroyed during childhood. G. CXII. Paraphonia, a depraved sound of the voice. The species are. 1. Paraphonia (puberum) in which, about the time of puberty, the voice from being acute and sweet, becomes more grave and harsh. 2. Paraphonia (rauca) in which, by reason of the dryness or flaccid tumour of the fauces the voice becomes rough and hoarse. 3. Paraphonia (resonans) in which, by rea- [69] son of an obstruction in the nostrils, the voice becomes hoarse with a sound hissing through the nostrils. 4. Paraphonia (pal- atina) in which, on account of a defect or division of the uvula, for the most part with an hair-lip, the voice becomes ob- scure, hoarse and unpleasant. 5. Paraphonia (clangens) in which, the voice is changed to one acute, shrill and small. 6. Paraphonia (comatosa) in which, from a relaxation of the velum palati and gullet a sound is produced during inspiration. G. CXIII. Psellismus. a defect of articu- lation. The species are. 1. Psellismus (haesitans) in which the words especially the first ones of a discourse, are not easily pronounced, and not without a frequent repitition of the first syllable. 2. Psellismus (ringens) in which the sound of the letter R. is always aspirated, and as it were doubled. [70] 3. Psellismus (lallans) in which the sound of the letter L. becomes more liquid or is pronounced instead of R. 4. Psellismus (emolliens) in which hard let- ters are changed into the symptoms, and then the letter S is much used. 5. Psellismus (balbutiens) in which by rea- son of the tongue being large, or swelled, the labial letters are better heard and often pronounced instead of others. 6. Psellis- mus (acheilos) in which the labial letters cannot be pronounced at all, or with diffi- culty. 7. Psellismus (lagostomatum) in which on account of the division of the palate, the guttural letters are less perfectly pro- nounced. G. CXIV. Strabismus. the optic axes of the eyes not converging. The species are. 1. Strabismus (habitualis) from a bad custom of using only one Eye. [71] 2. Strabismus (commodus) from the greater debility or mobility of one Eye above the other, so that both Eyes cannot be con- veniently used. 3. Strabismus (necessarius) from a change in the situation or shape of the parts of the Eye. G. CXV. Dysphagia. troublesome degluti- tion without injuring respiration or Phleg- masia. G. CXVI. Contractura (a long continued and rigid contraction of one or more limbs. The species are. 1. Contractura (primaria) from the muscles becoming contracted and rigid. a. From the muscles becoming rigid by in- flamation. b. From muscles becoming rigid by spasm. c. From muscles contracted by reason of their antagonists having become paralytic. d. From muscles contracted by an iritating acrimony. [72] 2. Contractura (articularis) from stiff joints. Order IV. Apocenoses. a flux either of blood or some other humour flowing more plentifully than usual, without pyrexia, or an increased impulse of fluids. G. CXVII. Proflusio. a flux of blood. G. CXVIII. Ephidrosis. a preternatural evacuation of sweat. Symptomatic ephidrosis vary according to the nature of the disease which they accom- pany, the different nature of the sweat it- self, and sometimes the different parts of the body which sweats most. G. CXIX. Epiphora. a flux of the lacry- mal humour. G. CXX. Ptyalismus. a flux of saliva. G. CXXI. Enuresis. an involuntary flux of urine without pain. The species are. 1. Enuresis (atonica) after diseases injuring the sphincter of the bladder. [73] 2. Enuresis (irritata) from a compression or irritation of the bladder. G. CXXII. Gonorrhœa. a preternatural flux of humour from the urethra in men, with or without a desire of venery. The species are. 1. Gonorrhœa (pura) in which without any impure venery having preceeded, a humor resembling pus, without dysuria, or pro- pensity to venery flows from the urethra. 2. Gonorrhœa. (impura) in which, after impure venery, a humour like pus flows, from the urethra with dysuria. The con- sequence of this, is 3. Gonorrhœa (mucosa, in which, after an impure gonorrhœa, a mucous humour flows from the urethra with little or no dysuria. 4. Gonorrhœa (laxorum) in which, an hu- mour for the most part pellucid, without any erection of the penis, but with a pro- pensity to venery, flows from the urethra while the person is awake. K [74] 5. Gonorrhœa (dormientiun) in which the seminal liquor is thrown out, with erection and desire of venery, in those who are a sleep and have lascivious dreams. Order. V. Epischeses, suppressions of eva- cuations. G. CXXIII. Obstipation, the stools either suppressed, or slower than usual. The species are. 1. Obstipatio (debilium) in lax, weak, and for the most part dyspeptic persons. 2. Obstipatio (rigidorum) in people whose fibres are rigid, and frequently of a Hy- pocondriac disposition. 3. Obstipatio (obstructorum) with symptoms of the Colica 1st. 2d. 4th. 7th. above- mentioned. G. CXXIV. Ischuria. an absolute suppres- sion of urine. The species are. 1. Ischuria (renalis) coming after a disease of the kidneys, with pain, or troublesome [75] sense of weight in the region of the kid- neys, and without any swellings of the Hy- pogastrium, or desire of making water. 2. Ischuria (urethralis) coming after a disease of the kidneys, with a sense of pain or un- easiness in some part of the ureter, and without any tumor of the Hypogastrium, or desire of making water. 3. Ischuria (vesicalis) with a swelling of the Hypogastrium, pain at the neck of the blad- der, and a frequent stimulus to make water. 4. Iscuria (urethralis) with a swelling of the Hypogastrium, frequent stimulus to make water and pain in some part of the urethra all these species subdivided into many va- rieties, according to their different causes. G. CXXV. Dysuria. a painful and some- how impeded emission of urine. The species are. 1. Dysuria (ardens) with heat of water, without any manifest disorder of the bladder. 2. Dysuria (spasmodica) from a spasm com- municated from other parts to the bladder. [76] 3. Dysuria (compressionis) from the neigh- bouring parts pressing upon the bladder. 4. Dysuria (phlogistica) from an inflamma- tion of the neighbouring parts. 5. Dysuria (irritata) with signs of a stone in the bladder. 6. Dysuria (mucosa) with a copious excre- tion of mucus. G. CXXVI. Dyspermatismus. a flow, im- peded, and insufficient emission of semen in the venereal act. The species are. 1. Dyspermatismus (urethralis) from disease of the urethra 2.— (nodosus) from knots on the cavernous bodies. 3.— (pæputialis) from too nar- row an orifice of the prepuce. 4.— (mucosus) from mucous infarcting the urethra. 5.— (hypertonicus) from too strong an erection of the penis. [77] 6.— (epilepticus)from a spasmo- dic epilepsy happening during the time of coction. 7.— (apractodes (from an im- becility of the parts of generation. 8.— (refluus) in which there is no emission of semen, became it returns from the urethra into the bladder. G. CXXVTI. Amenorrhœa. the menses ei- ther flowing more sparingly than usual, or not at all, at usual time, without pregnancy. The spcies are. 1. Amenorrhœa (emansionis) in those arri- rived at puberty, in whom, after the usual time, the menses have not yet made their appearance, and many different morbid affections have taken place. 2. Amenorrhœa (suppresionis) in adults, in whom the menses which had already begun to flow are suppressed. 3. Amenorrhœa (difficilis) in which the men- ses flow sparingly and with difficulty. Order VI. Tumores. an increased magni- tude of any part without phlogosis. [78] G. CXXVIII. Aneurisma. a soft tumour, with pulsation above the artery. G. CXXIX. Varix. a soft tumour, without pulsation, above the vein. G. CXXX. Ecchymoma. a diffused and scarse eminent, livid tumour. G. CXXXI. Shirrus. an hard tumor of some part, generally of a gland, without pain, and defficultly brought to suppuration. G. CXXXII. Cancer. a painful tumor of a schirrous nature, and degenerating into an ill conditioned ulcer. G. CXXXIII. Buba a suppurating tumour of a conglobate gland. G. CXXXIV. Sarcoma. a soft swelling without pain. G. CXXXV. Verruca. a hard scabrous swelling. G. CXXXI. Clavus. a hard lamellated thickness of the skin. G. CXXXVII. Lupia. a moveable, soft tu- mour below the skin, without pain. [79] G. CXXXVIII. Ganglion an hard, movea- ble swelling, adhereing to a tendon. G. CXXXIX. Hydatis. a cuticular vesica filled with aqueous humor. G. CXL. Hydathrus. a most painful swell- ing of the joints, chiefly of the knee at first scarse elavated, of the same colour with the skin, diminishing the mobility. G. CXLI. Exostosis. a hard tumour ad- hereing to a bone. Order. VII. Ectopiæ. tumours occasioned by the removal of some part out of its pro- per situation. G. CXLII. Hernia. an ectopia of a soft part as yet covered with the skin and other inte- guments. G. CXLIII. Prolapsus. above ectopia, of some soft part. G. CXLIV. Luxatio. The removal of a bone from its place in the joints. Order. VIII. Dyalyses. solution of conti- nuity, manifest to the sight or touch. [80] G. CXLV. Vulnus. a recent and bloody solution of the unity of some soft part, by the motion of some hard body. G. CXLVI. Uulcus. a purulent or ic charous solution of a soft part. G. CXLVII. Herpes. a great number of phlyctina or small ulcers, gathering in clus- ters, creeping or obstinate. G. CXLVIII. Tinea. small ulcers among the roots of the hair of the head, pouring out a humor, which changes to a white friable scurf. G. CXLIX. Psora. Itchy pustules and lit- tle ulcers of an infectious nature, infesting the hands. G. CL. Fractura. bones broken into large fragments. G. CLI. Caries. an ulceration of a bone. FINIS.