None
- of Menstrual Period, Pathology and Treatment, 449. - Severe, Leeches for, 257. "Headache in the Stomach," see Angina Abdominis. Healthy Persons, Functional Cardiac Murmurs in, 215-6. Heart, see also Apex, Artificial Cir- culation, Auricles, Auricular Base, Cardiac, Dog's Heart, Embryonic Heart, Fatty, Fibroid, & Parenchymatous Degeneration, Frog's Heart, Hypertrophy, Invertebrate, Lymph Hearts, Palpitation, Pulse, Rabbit's, Sheep's & Turtle's Heart, Valves, Ven- tricles, Ventricular, Verte- brate, <Cc. - Accelerating, Nerves of. Functions of, 71-2. - Action of, Arrest of, in Systole by Perfusion with Calcium, 285. - - Co-ordination of, with Blood- pressure, How Maintained, ir<en.,i8. with that of other Vessels, Nerve-control of, 52-3. - Action on, of - - Aconite, 829. - - Adrenalin, 276, 315. - - Alcohol, 835. - - Alkaline Bases, 834. - - Ascites, 225-8. - - Caffeine, 817-8, 488. - - Camphor, 488. - - Chloral, 484. - - Cocaine, 829. - - Coughing, 229. - - Digitalin, 438. - - Digitalis, 117,295,296,299,307,488. Drawbacks, 812. Nullified by High Bodily Tem- perature, 281. INDEX 493 Heart, Action on, of Digitalis (cant.) in Toxic Strength, Stages, &c., in, 301-5. — Disease of Suprarenal Gland, according to Portion Affected , 289-90. - - Emotion , 158. - - Flatulence, and Treatment, 176, 225 et sqq., (figs.) 226, 358. --Heat and Cold, 92-4. - - Inhalations of Oxygen, &c., 240, 260, How Best Given, and in What Combinations, 241-3, (figs-) 242-3. - - Inorganic Salts, 285-6. - - Irritation of Vagus Trunk (see also Vagus, below), 267. - - Massage and Graduated Move- ments, 157-8, 236 et sqq., (figs.) 157, 240. - - Massage and Best, 236-8. - - M uscarine, 278. - - Nauheim Treatment, 249. - - Nicotine, 315, 323, 324. - - Nutrients, 284. - - Pituitary Gland, 289. - - Plasters over, 262-3, (fig.) 263. - - Strophanthus, 155-6, 217, 812, 813, 407, 409, 413, 418, 483, 488, 440, 445. - - Strychnine, 316-7, 438. - - Vagus, 65 et sqq., 178, (fig.) 300. - Activity of, Nutrition Dependent on, 155. - Afferent and Sensory Nerves of, Functions, 64-5. - after Death, in Relation to Section or Stimulation of Vagi, 70 & n. - in Angina Pec tor is, 189-90. - Arrest of, in Diastole, from Excess of Potassium, and Stimula- tion of Vagus, 286. - - ill Systole from Digitalis poison- ing, 296. - Auricle as Motor of Circulation, 25. - Block Fibres in, 28, 81. - and Blood-vessels, - - Action on, of Alcohol, 355. Alkaline Bases, Different Effects in, 334. Digitalis \(q. v.), 296, 807, 312,483. - - Drugs Acting Indirectly upon, 284. • Nicotine, 315, 323. - Characteristics of, 55-6. - Comparison between, and a Medusa, Romanes's Experiments, 33 et $qq. Heart (cont.) - Conduction of Stimuli in, by Nerves as well as Muscle, 46-7, (fig.) 45. - Contractile Power of, on What Dependent, 150-1, Increased by Cardiac Tonics, 294. - Contraction of, 21, 55, Drugs Caus- ing (see Caffeine, Digitalis, do., & Vaao-constrictors), 298. — Mode of, Instruments for Inves- tigating, 123-6. - - from Suprarenal Extract, 190. - Dilatation, Active, of, 55. - - Diminished by Nauheim Treat- ment, Author's Personal Ob- servations on, 249. - - in Endocarditis, Treatment, 376. — Feebleness due to, 158. - Dilated and Contracted, showing Action of Valves (fig.), 75. - - and Failing Compensation, Symptoms, 219. — Functional Murmurs with, Rationale of, 75, 215. - Displacement or Tilting of, by — Stomach Distention and Flatu- lence, Results, 176, 225 et qq., 230; Treatment, 289, - Tight-lacing, &c., 227-8. - Diseases of, see Heart Disease, below. - Examination of, by X-Rays, 138. - Excised, Exposed, Isolated. - - Effect on, of Lack of Oxygen and Accumulation of CO2, 151. - - Experiments on, as to Action of Drugs, 344. - - Extra Systoles in, how Induced, 171-2. - - Fibrillation of, Stopped by Camphor, 316. - - Glucose as Nutrient for, 287. - - Sound Made, when Beating against Board, 76. - Extrinsic Nerves of, 63 et tqq. - Failing, Sugar Treatment of, 253, 287. - Failure, Senile, How to Avert, 452 - Feeble, Heat Beneficial to, 263. - Feebleness of (see also Weakness bel»w), Effect of, on - - Nutrition of --- Blood-vessels, 157-8, (fig.) 157. --- Itself, 154-6. - Gallop Rhythm of, Causes and Indications, 211-2. 494 INDEX Heart (co»t.) - Health of, on What Dependent, 880. - Inflammation of, Causes, and Forms, 151-2. - Inhibitory Centre for, How Functioning, 67-8 ; Excessive Action of, and Bradycardia, 166-7. - Intrinsic Nerves of, 52, 64, (fig.) 85. - Ligatured, Slowing or Stoppage of, Prevented by Strychnine, 31 7. - Movements of, 25-6 et sqq. - a Muscle, Nuirition-laws of, 897. - Muscular Cells of, Transverse Contraction of, as Affecting Cardiac Poisons, 270-1. - - Fibres of, 60-2, Action on, of Digitalis, 298. - Muscular Structure, 50-2. - Nerves of, 68-73. - Nodes of (see A.V. & 8. A.), Accel- erator Nerves probably act- ing through, 72. - - Stimuli to, Origin of, 56. - Kceud Vital of, Experiments on, of Kronecker and Schmey, 61-2, (flg.) 62. - Normal Position of, relative to Stomach, 225-6, (fig.) 226. - Nutrition of, 150-1, 154-5. - - Best Nutrient of, 284. - Organic Diseases of, see under Diseases. - Pacemaker of (S.A. Node), 58, 72. - Perfusion of, as affecting Inhibi- tory Power of Vagus, 71. - Peripheral Nervous System of, Action on, of Caffeine and other Purin Bodies, 317-8. - Physiology of General, 25 et sqq. - - Bibliography, 47-9. - - Mammalian, 50. - - Bibliography, 78-83. - Plasters over, 262-3, (fig.) 268. - Protoplasmic Connective Cells, 58. - Purkinje's Fibres in, 28. - Quickening of, Mechanism of, 72-3. - Refractory period of, 4, 6, 14, 42 et sqq., 271. - Rest or Sleep of, 4-6, 14, 44, Effect on, of Massage, 238. - Rhythm, Effect on, of Aconite, 829. - Right Side, Course of Blood from, 77. - - Engorged Conditions of, Benefit in, of Bleeding, 258-9. - - Extra Tension in, in Recum- bency, 234. Heart, Right Side, (cont.) - - Feebleness of, as Cause of Cardiac Asthma, 444-5. - Self Massage of - - Action on, of Digitalis, 808. Massage, Exercises, and Rest, 288, 240, (fig.) 240. Oxygen Inhalations, 241, (figs.) 242, 243. - - in Relation to Nutrition, 154-5. - Sensitiveness of, 186-7. - Skiagrams of, How Obtained, 188-9. - Slowing of, Mechanism of, 72-8. - - Methods of, by Combined Rest and Massage, 288. - - by Stimulation of Venous Sinus, 324. - Sounds of, see Cardiac Murmurs, and Sounds of the Heart. - Stimulation of, Effects, 56. - - Methods, 90, 415, 422-3. - Stoppage of (see also Arrest, above), by, or from - - Blocking of Coronary Arteries, 162-4. - - Imperfect Anaesthesia, 178, 179. - - Puncture of Nceud Vital, 61-2. - - Reflex Stimulation of Vagus, 72-3. - - Various Causes, 177 et sqq., Val- salva's Experiment, 172, 228. - When Caused by Digitalis, 313. - Strength of, in Relation to Diastolic Pressure, 118. Resistance, How Estimated, 115 et sqq. - - Shown by Sphygmograph, 129-82, 138. - Suction Action of, 9, 154-5, (figs.) 155. - Tone in, Nature and Limits of, 288-9 ; How Maintained, 289. - Two Sides of, Affections of, 161. - Valves of (see also under Names), Action of, 73 et sqq., Ap- paratus for Demonstrating (fig.), 74. - - Insufficiency of, 75, (figs.) 75. - Walls of, Hypertrophied, First Sound with, 212, 213. - Weakness of, from - - Block of Coronary Arteries, 153. '- - Diphtheria, 160-1. - - Various Causes, Results on Pulse, 158 - Work of, Involved in - - Getting into Bed, 238. - - Going Upstairs, 233, 407. INDEX 495 Heart-block. Bigeminal Pulse from, 169-70, (fig.) 170. - Bradycardia due to, 167. - Causes, 32, 86, 59-61, 68-70, 306, * 421, (fa.) 69. - Condition like, induced by Er- langer's Experiments, 169. - Definite, Prognosis, 437. - Diagnosis, methods, 137, 188. - Functional, 60-1. - GaskeH's Experiments on, in Frog's Heart, Sl-2, 40, 58, (figs.) 32. - Indications of, on Sphygmograms of Venous Pulse, 137. - Opposite Action of Vagus as to, 68, 69-70, (figs.) 36, 69. - as Part Cause of Stokes- Adams Syndrome, 168, 169. - Tendency of Digitalis to produce, 421. Heart Disease(s), see also under Names. - Acute, see also Rheumatism, Acute. — Attention concentrated on the Affected Organ, 380. - - Causes, 367-8. - - Clothing for Patients, 370. — Convalescence from, Treatment, 879. - - Early Signs to be watched for, 867. - - Use of Thermometer, 367-8. - - Flatulence in, How Avoided or Dealt with, 374. - - Medicines for, 374-5. - - Rest in, 368, 369. - - Sponging of Patients, 370-1. - - Treatment, 366 tt sqq. - Adalin as Suitable Hypnotic in, 436. - Age-Incidence of Mortality in, 202. - Chronic, General Principles of Treatment in, 380 et sqq. - - Exercise in, 155, 367. - Indirect Treatment in, 882. - Irregular Action in, Causes other than in the Organ itself, 882. - Points to heed, Treatment, 366-7. - - Valvular, Treatment, 402 et iqq. - Functional Treatment, 411, et sqq. - Insomnia in, Form of Opium or Morphine in, 480. - Nauheim Treatment for, 243. - Organic, 210 et sqq. - - Bibliography, 230-1. - Other Forms of, 228-9. - Recovery in, How to Aid, 366-7. - Surgical Treatment of, 408. - Vicious Circle of, 229. Heat, see also Hot, Warm, <fc Warmth. - Applications of, Locations for, in - - Cerebral Haemorrhage, 456. - - Headache, 448. - - Heart Feebleness, 263. - Causing Insomnia, Treatment, 427-8. - Flushes of, 177, Treatment, 449-50. Heat and Cold, see also Cold, & Temperature. - Action of, Sedative and Stimulant, 263. - - Ettect of, on Capillaries, 132, (fig.) ib. Pulmonary, 94. Circulation, 92 et sqq., 258-7. Heart, 92-4. Pulse-rate, 6, 162-3. Splanchnic and Intestinal Blood-vessels, 20. Hedonal, as Hypnotic, 435. Helleborein, Action of, on Frog's Ventricle. 270. Helleborusniger (Christmas rose),3] 1. Hemianopsia, Causes, 185. Hemiplegia, Causes, 145, 186, 202. - Transient, Raynaud's Disease associated with, 197. Hemisiue Tabloid, in Graves's Dis- ease, 416. Hepatitis, Leeches over Liver to Relieve, 258. High Tension (see also Arterial Ten- sion), in Aorta, Accentuation of Second Sound due to, 210-1. Hill and Barnard's Form of Sphygmo- manometer, 104. Hill's Sphygmomanometer, 102. Hippurates, of Ammonium, in Senile High Tension, 454. - of Ammonium and Sodium, in Angina, 443. - as Vaso-dilators, 330, Action on Kidneys, 340. Hippuric Acid, Conversion of, into Benzoic Acid, 91<6». Hirschfelder's Recording Sphygmo- mauometer, 115. Hirudin preventing Clotting, 96. His, Bundle of, 57, Clamping of, Heart-block due to, 59. - - Lesions with Heart-block,, as Cause of Stokes - Adams Syndrome, 168. Hoarseness, from Excessive Smoking, 327. Hollow Muscular Organs, Cause of Pain in, 186. 496 INDEX Honey, in Treatment of Failing Heart, Drawbacks, 287. Hormones, Nature and Functions of, 898. Horse, Blood-pressure, Average in, 96. Hot Baths - - Air, for Cardiac Pain, 257. - - Water, Effects of Dilation ofVessels, from putting Feet into, Author's Ex- perience, 254. Palpitation induced by,415,428. - Drinks, in Belief of Faintness, 422. - Sponging of Anus, in Pruritus ani, 429. - Water, Digestive Value of, Hints on Taking, 385-6. - - Bag, preferable to Stone Bottle for Warming Cold Feet, &c., 426, a Warning on, 427. to Stimulate Feeble Cardiac Action, 263. Huka-Smoking, and.Inhalation, 325-6. Hiirthle's Manometer, 96. Hyderabad Chloroform Commission, on Tight-lacing, 227. Hydra, Fresh-water, Neuro-muscular Cells in, 28-9, (figs.) 29. Hydrocathartics, Nature and Uses, 352-3. Hydrochloric Acid, after Meals to Aid Digestion, 387-8. Hydrocyanic Acid, Dilute, as Local Gastric Sedative in Paroxys- mal Tachycardia, 419 Hydrogen Peroxide, as Mouth-wash, 383, 426. Hydrostatic Pressure as affecting Blood-flow in Veins, 9. Hydroxylamine, as Vaso-dilator, 338, 389. Hyoscyamine, Effects of, on Ventri- cular Contraction, differing with Temperature, 282. Hyperdichrotic Pulse, Cause, 181. Hypertrophy,Cardiac,fromAtheroma of Coronary Artery, 153-4. - - Good and Bad Sides of, 452. - - in Rabbits with Experimental Aortic Regurgitation, 406. - - X-Ray Diagnosis, 188. - - of Ventricular Walls as affecting First Sound. 212-3. Hypnotics, Three Classes, Action, 433 et sqq. Hypodermic Injections of - - Morphine, in Cardiac Asthma, 445. Hypodermic Iig'ections of (coat.) - - Morphine (font.) in Endocarditis Pain, 376. - - Strychnine, in Cerebral Throm- bosis, 456 ; in Cardiac Failure e in Acute Rheumatism, 875. Hypoxanthine, 288. Hysteria, False Angina in, 193. ICE, and Iced Water, in Faintness, 423; in Paroxysmal Tachy- cardia, 418. Ice-bag over Heart as Sedative, 268, 376, 413. Ichthyol, for Chronic Urticaria, 450-1. Imperial Drink, in Rheumatic Fever, 373. Inaudibility of First Heart Sound, Prognosis, 212. Incision, for Pericardial Effusion, 377. Incompetence, tee Aortic d Mitral. - Secondary, Functional, 219, 228. India-rubber Bag laid over moist Flannel, as Substitute for Poultice, 257. Indians, Blood-pressure maxima in, 110. Indigo Carmine, with Caffeine, Action of, Deductions from, 349. Infective Diseases, Cardiac Weakness from, Bradycardia associated with, 167, form of, 168. Fatty Degeneration in, 151, 152, 153, 160, 161. Gallop Rhythm, indicative of, 212. Inflammation, Chronic, Bradycardia from, 166. - of Heart, Endocardium, and Peri- cardium, Causes and Forms, 151-2. - Local , Reduction of, by - - Aconite, 253. - - Heat and Cold, 253-7. Hot Air Bath, -257. Poultices, 255-7. - of Mitral Valves, Causes and Effects, 220. - of Nasal Antra, or Sinuses, Head- ache from, 447 - in Pericarditis, Blisters for, 263. - Repair of Tissues, the aim of, 451-2. Inflammatory Processes, Effect of, on Valvular Orifices, 215. Influenza, Blood-pressure Low after, 181. INDEX 497 Influenza (cont.) - Bradycardia after, 167, 168, Treat- ment, 420-1. - Heart Disease due to, 368-9. Influenza Bacillus, Effect of, on Myocardium and. on Vagus, 152. Inhalation(s) of Ammonia or Chloro- form, Effect on Rabbit's Heart, 73. - of Oxygen, Effect on Heart, 240, 260, How Best Given, 240 et sqq., (Jigs.) 242, 243. - in Tobacco-smoking, Objections to, 325-0. Inhibition, 38. - in Frog's Heart, Action of Vagus, 39-40. - - Apparatus for, 26, 324. Stannius's Experiments on, 40-2, Author's Diagrams illustrating (figs.), 41. - in Medusae, 39. • - in Turtle's Heart, 39. Inhibitory Centre in Medulla, Action of, on Pulse-rate, 161-2. - Fibres of Vagus, Functions of, 64, how Exercised, 66 et sqq. ; Effect of Stimulating, 324; Experimental Paralysis of, Results, 71-2. - Nerves of Heart (see also Vagus), Over-action of, Results, 64, 158. - - Reflex Stimulation of, 72-3. Inotrope, 56. Insomnia, Causes and Theory of, 200, 363-4, 424 et sqq. ; Conditions associated with, 364, 416 ; Treatment and Diet, 255, 364. 424 et sqq. Inspiration, Deep, Action of, on Vagus, 419. - Suction, exerted by, Action of, on Circulation, 9. Instruments for Estimation of Blood- pressure, 15, 16, 101 et sqq., 114-5. Intercostal Neuralgia, Cardiac Pain from, 440-1. Intermission of Heart from Gastric Irritation, 78. Intermittent and Irregular Pulse (see also Dichrotic, <Cc.), 169, 437. Intestinal Antiseptics and Disin- fectant!", Uses, 359-60, 450-1. Intestinal Blood-vessels and Circula- tion, Action on, of - - Cold and Heat, 20. - - Digitalis, 311, & Congeners, 334-5. - Congestion, Diminished by Massage and Rest, 238. Intestinal Contraction, induced by Pituitrin, 319. - Digestion, Process of, 393. - Dilatation, or Distention, Action of, on Vagus, 438; Asafoetida Enema in, 361. - Flatulence (see also Flatulence), Carminatives for, 361. - Gases, 360, 374, the Chief, 355, 357. - Glands, Digestive Fluid from, 392 ; Hormones of, 393. - Inhibition, by Adrenalin, 815. Intestines, Blow on, Heart Stoppage from, 178, (fig.) ib. - Effect on, of Disordered Circula- tion, 229. - - of External Pressure, and In- ternal Distention, 186. - Muscular Wall of, Paresis of, Action on, of Pituitrin, 362. - Parts of, acted on by Hydro- cathartics, 353. - Reflex Stimulation from, of Vagus, Effects on Heart, 73. Intracranial Pressure, Bradycardia from, 166. Intra-Muscular Administration of Guipsine, in Angina Pectoris, 444. Pituitrin, Conditions in which Useful, 319, 862. Intrinsic Nerves of Heart, 52 et sqq., (fig.) 85. Action on, of Digitalis, 307. - - Functions of, in Epicardium, 52-4. Pericardium, 64-5. Inurement, as affecting Drug-action, 273, 279-80. Invertebrates, Hearts of, without Ganglion Cells, Action on, of Vagus, 66. Inverted Sphygmograins, 135, (fig.) ib. Involuntary Muscles, Action on, of Atropine, Curare, Nicotine, &c., 274-5. - - Tone in, 288-9. Iodide of - Ammonium in Angina Pectoris, 444. - Ethyl, in Angina, or Cardiac Asthma, 241-3, 445, (figs.) 242, 243. 498 INDEX Iodide of (conf.) - Potassium in - - Aneurism Pain, 455. - - Angina, varying tolerance of, 443-4. Cardiac Asthma, 445. - - Carotid Atheroma, for In- somnia, 432. - - Cerebral Thrombosis of Syphil- itic Origin, 457. Pericardial Effusion, 377. - - Stokes- Adams Disease, 421. - Use of, Drawbacks to, 340-1. - Sodium, in Angina Pectoris, 444 ; Use of. Drawbacks to, 340-1. Iodides, in Belief of Headache, 448. - Organic Compounds of, in Angina Pectoris, 444. - in Senile Conditions of Blood- vessels, Steady use of, 453. - Some Effects of, 842. - in Syphilitic Heart-block, 437. Iodine, Tincture of, Painting on, &c. - - Anus, for Pruritus ani, 430. - - Gums, for Pyorrhoea alveolaris, 383. - - Tonsils, as Antiseptic, 883. lodoglidine, in Angina, 444. lodoprotein, in Angina, 444. lohydrin, in Angina, 444. Ionic Medication for Cardiac Pain, 877, 441. lothion, in Angina, 444. Ipecacuanha, with Opium, in Dover's Powder, 864. Iron, in Apex-pain, in Women, 188. - as Tonic for Bradycardia of Fever Convalescence, 421. - - and Iron and Arsenic in Anaemia Palpitation, 414. - - with Pulvis Mirabilis for Anaemia, 440. - Lactate, Experiment with, 340-1. - Perchloride of, in Flushes, &c., of Menopause, 450. - - with Quassia, in Cardiac Pain, 440. Irregular Pulse, tee under Names, and Pulse. Irritation, see also Stimulation. - Local, EffectonArterioles, observed by Author and others, 87. - - Headache from, 446. - - Soothing, for Insomnia, 429. - of Chorda Tympani, Effect on Sub- maxillary Gland, parallel to, 181. - of Dilating Nerves, Effects, 86, 87. Irritation (conf.) - of Mucous Membrane of Respira- tory Passages, Effect on Vagus and Heart, 73. - of Nerves, from Severe Pain, Stop- e page of Heart from, 178. - of Pericardium, Ventricular Stand- still from, 78. - of Stomach, Causes, Treatment, 856, 488. - of Vagus, Roots, Trunk, and Ends in Heart, Effect on Heart, 17, 267. Isopropyl Alcohol, Experiment with, on Rabbit, 863. Itching, Remedies for, in - - Pruritus ani, 429-80. - - Urticaria, 45. JACQUET'S Sphygmograph, 127. Jaundice, Bradycardia in, Cause, 168. Joints, Inflamed, or Painful, in Rheumatic Affections, Band- ages, &c., for, 371, Blisters for, 264, 868, 875. Jugular Vein, Pulsations of, 186, (fig.) 137. Juniper, Oil of, as Diuretic, 360. Juniperi and Juniperi Co., Spiritns, as Carminative, 360. KEITH and Flack's Node, see 8.A. Node. Kidney Disease, Diffuse Arterio- sclerosis in, 199; Indicated by Permanent Accentuation of Second Sound, 211. Kidneys, see aZso Renal, Urinary, and Urine. - Action on, of - - Benzoates, 840. - - Caffeine and other Purin Bodies, 817-9. - - Digitalis, 308, 301, 805-10 ; in Peri- carditis, 877. - - Disordered Circulation, 229. - - Diuretics, 348 et tqq. - - Emotion, or Excitement, 158. - - Massage and Rest, 289. - - Opium, When Contra-indicated, 365. - - Pituitary Extract, 90, 319. - - Venous Engorgement, 224-5. - Arteries, Blood-vessels, and Circu- lation of, (fig.) 848. - - Drugs (Diuretics, &c.), Acting on, 846 et sqq. INDEX 499 Kidneys, Arteries (cont.) - - Excretion of Urine as Affected by, 346-8. — Mechanism Regulating Blood Distribution in, 347-8, (fig.) 348. - Double Function of, in Relation to Blood-pressure, 91-2. - Glomernli and Tubules of, Func- tions of, in Excretion of Urine, 347. - Macrophag Attacks on, 204, (fig.) 203. - Wet Cupping over, in Acute Nephritis, 258. Kola, as Nerve Stimulant, 318. Kronecker and Schmey's Experi- ments on the JYteud Vital of the Heart, 61-2, (fig.) 62. Kronecker's Sphygmograph, 127. Kymographs (s«« also Manometers, &c.), Ludwig's, 1 5, 95, (fig.) 16. LABYRINTHINE Vertigo, 423. Lactate of Iron, Experiment with, 340-1. Lactates, as Leucomaines, 363. Lactic Acid as Leucomaine, 363 ; Retention of, in Stomach, Results, 388. Lactic Acid Bacillus, Function of, 858-9. Lactose, Diuretic Action of, 253. Laudanum (see also Opium), as Narcotic, 277. - with Bicarbonate of Soda in Oral Affections, 447. Lavender, Oil and Spirit of, Carmin- ative Uses of, 860. Laxatives to Aid Defecation, 879, 896. Lead, Subacetate of, as Ointment for Pruritus ani, 438. Lead-poisoning, Bradycardia from, 166, 168. Leads of String Galvanometer, 140-1. Leech-extract, 96. Leeches, Applications of, Cases for, 275-8, 876, 456. Left Side, Lying on, Effect on the Heart, 176. Legs, Exercises for, in Nauheim Treatment, 245, 248. - Raising of, as affecting Tension in Vena Cava, 284. - Rotatory Muscles of, as Accessory to Circulation, 12, 236-7. - Tapping of, for (Edema, 260. Leucocytes, 9. Leucomaines, and the Alternation of Sleep and Waking, 363. Leucorrhcea, Apex-pain associated with, 188, Treatment, 440. Life, Prolongation of, by Attention to State of Arteries, 202. Ligature, &c., of Auriculo- ventricular Groove, Heart-block due to, 59, (figs.) 41. Ligaturing Coronary Arteries (and Veins), Results, 63, 132-3. - Frog's Heart, Results, 31, 40-2, (figs.) 41. - Portal Vein and Aorta, Results, 19. Light-waves, Effect of Interference of, Tait's Experiment, 87. Lily of the Valley (Convallana majalis), 811. Limbs, Blood Withdrawn from, by Brain in Activity, 180. - Fasciae of, Action of, on Venous Circulation, 11-12, 286-7. - Frog's, Amputated, Arterial Con- traction and Dilatation in, 8. - Reflexes in, Caused by Extrinsic Afferent Nerves, 65. Lime, Dilute, Action on Heart, 285. Liniment of Ammonia, Palpitation Caused by, 263, cf. 413. Linseed Poultices, Uses of, 255. Lipoids, Narcotic Action of, 275. Liquid (see also Fluids), Diminution of, in Oertel's Treatment, 250. - Diet, Effect on Excretion of Urine, 347. - Paraffin, for Constipation, 431. - Part of Blood, Leakage of, into Tissues, 9. Liquor Carbonis, or Picis Carbonis, in Relief of Pruritus ani, 429. - Strychninte (see also Strychnine), with Salicylate of Soda in Cardiac Failure of Acute Rheumatism, 375. Liquorice, to Mask Taste of Iodides, 341. Lister, Lord, on Motor and Peri- staltic Action of Arteries, 8-9. Literature, see Bibliographies. Liver, Action of, 394 et sqq. ; Im- perfect, Signs and Results, 382. - Appearance of, in Life, and after Death, 20. - Circulation through, see Entero- hepatic Circulation. 5oo INDEX Liver (cont.) - Congested, Size Reduced by Digi- talis, 811. - Distensibility of, 19, 20. - Effect on, of Disordered Circula- tion, 229, of Venous Engorge- ment, 223-4. - Leeches over, Relief from, in Hepatitis, 258. - Massage of, Objects of, 238, 396. - Pressure on, Chief Agent in Bile Evacuation, 395-6. - Reflex Stimulation from, of Vagus, Brad yeardia from, 167. - Secretions of, Internal and Ex- ternal, 89. - Stimulation of, in Acute Rheu- matism, by Calomel, 875. Local Anaesthetics; Cocaine with Adrenalin as, Mode of Ac- tion of, 384; Ether Spray, 261. -Application for Acute Rheuma- tism, 375-6. - Inflammations with General Febrile Disturbances, Use of Aconite in, 829. - Modifications of the Circulation, by — Aconite, 258 - - Bleeding, 257-60. - - Heat and Cold, 253-7. - - Hot Air Bath, 257. Locomotive Arteries, Pulse Tracings, (figs.) 134, 185. Locke's Modification of Ringer's Fluid, Use of, 278. Lotions for Anal Use, in Relief of Pruritus ani, 429. Ludwig, Carl, Artificial Circulation Invented by, 267. Ludwig's Ganglion, in Frog's Heart, 27, 56. - Kymograph, 15, 95, (fig.) 16. - Theory of Secretion of Urine, 346. Lumen of Arteries, Effect of Contrac- tion of, 204. Lungs, Alveoli in, Stiffness of, as Cause of Cardiac Breathless- ness, 182. - in Cardiac Dyspnoea, 196, 197. - Circulation through, 77, 196. - Effect on, of Abdominal Distention, 239. - - of Disordered Circulation, 229-30. - Inhalation by, of Tobacco Smoke, 325-6. - Motor Fibres of Vagus possibly going to, 67. Lungs (<ont.) - Reflex Stimulation from, of Vagus, Effects on Heart, 73. - Rise of Pressure in, Heart Stop- page from, Valsalva's Ex- t periment, 172. Lying down, Difficulty of Breathing in, Causes of, 284. - and Standing, Difference of Pulse- rate in, 162. Lymph and Blood, 12-14. -Circulation, How Aided, 10, (fig.). ib. ', How Maintained, 14, 154-5. Lymph Hearts, in Frogs, 14. Lymphatic Vessels, within Arterial Sheath, 10, 166-7, (ftg».) 10, 156 ; Valves in, 10. - - Coronary, Condition during Diastole, 154. MACKENZIE'S Method of taking Sphygmograms of Venous Pulsation, 136, (fig.) 187. Macrophags, Functions of, Normal, and in Senility, 208-4, (figs.) 208. Magnesia, Forms of, suited for Use in Urticaria, 451. - Cream as Antacid, 357. Magnesium, Hydroxide of, in Stomach Acidity, 357. - Peroxide of, as Gastric Antiseptic, 356. - Sulphate of, for Chronic Urticaria, 451. Malnutrition, from Grief, 160. Mammalian Heart, see under Heart. Mammals, Action in, of Digitalis, 298. - or Frogs, Ludwig's Apparatus for keeping up Artificial Circu- lation in, 271-2. - Normal Pulse-rate in, 163. - Vagus Nerve in, Accelerating Fibres in, 71. " Man, as old as his Arteries," truth of saying, 156, 201. - Blood - pressure in, Averages, 96, 110, Measurement of, 100 et sqtj. - - High, Characteristics found with, 452. - Brain of, in Sleep and in Waking, 363. - Depressor Nerve in, Function of, 65. - Heart of, see Heart, & Heart Mammalian. INDEX 501 Mania, Bradycardia in, 166. Manometer, see also Kymographs, Sphygmomanometers, £c. - Experiments with, by Blake, on Digitalis-action, 295. - Used in Artificial Circulation through Mammalian Heart, 272. - - in Investigation of Action of Drugs on Frog's Heart, 268-9. - Various Forms of - - Burdon-Sanderson'sBecording,15. - - Fick's, Spring, 96. - - Hales's, the earliest, 15. - - Hiirthle's, 96. — Ludwig's Begistering, 15. - - Mercurial, 15, 95-6, 105, (figs.) 16, 95, 106. - - Poiseuille's, 15. - - Boy's, 96. Marey, Cardiograph devised by, 123-6. - Sphygmograph of, 16, 127, ac- curacy of, 135. Marsh Gas, one of the Chief Intestinal Gases, Derivation of, 355, 857. Martin's Sphygmomanometer, 105. Mask, for giving Oxygen, 241. Massage, see also Self-Massage. - in Aneurism, 454-5. - in Combination with Best, 236, Effects of the Two, 237-9, (fig.) 240. - Gentle, for Insomnia, 364, 429, 432. - and Graduated Movements, Effect of, on Pulse, Io8,(fig.) 157,240. - in Graves's Disease, 416. - of Liver, for Biliousness, 396. - for Menstrual Headache, 449. - Use and Abuse of, 287, 397. Mastication, Importance of, 379, 382, 383-4, 389. Mastoid Process, Application over, of Leeches, benefits from, 257-8. Meals, Anginal Pain after, 190. - Latest Time for, in Insomnia, 431. - Small and Frequent, Advantages of, 384-5. - Solids and Fluids, best not taken together at, 384. Meat Boiled, Saltless, in Mitral Disease, 253. - in Diet of Convalescents from Acute Heart Disease, 379. - Extracts of, Contra-indicated in Angina Diet, -448. - - Stimulant Value of, 288. - Putrid, Amines from, Acting as does Suprarenal Extract, 91. Meat-teas, for Cardiac Patients, 886 ; in Rheumatic Fever Diet, 372-3. Mechanical Stimulation of Pylorus, 389. Median Cephalic, or Basilic Vein, utilised in Blood-letting, 259. Medicines, see Drugs, Extracts, and under Names. Medinal, as Hypnotic, 485. Medulla Oblongata, Action on, of Digitalis, 298, 303, 307. - - Disease or Injury of, Bradycardia in, 167. - - Electrical Stimulation of, Effect on Frog's Heart, 39. - - Nerve-centres in, securing Co- ordination of Heart's Action and Blood-pressure, 17-18. Inhibitory, Action of, on Pulse- rate, 161-2. Excessive Action of, in Re- lation to Bradycardia, 166, Injury to, in Regard to the same, 167. • - Reflex Irritability of, Increased by Strychnine, 316. Respiratory Rhythm origin- ated by, 27. of Vagus, Action on, of Digi- talis, 298, 303, 307. Vaso-motor, Chief, 85. Action on, of Camphor, 316. Digitalis, 298. Nicotine, 323-4. - - N<eud Vital of, 61-2 ; Gierke's In- vestigations of, 62, (fig.) ib. Medullary portion of Suprarenal Gland, Effect on Heart, of Disease of, 289. Medusa;, Comparison between, and the Heart, 88 et sqq. - Contractile Tissue in, 34, (fig.) 34. - - Action on, of - - Compression, &c., 86. Poisons, 86. Stimuli, Successive,' and Con- stant, 33, 85. - Inhibition in, Phenomena of, 86, 39. - Rhythmic Movements of, De- pendent on Ganglia, 34, 35. - Structure of, 84. Melancholia, Bradycardia in, 167. Meningitis, Leeches in, Relief from, 257. - Vagus Stimulation in, 420. 502 INDEX Menopause, Blushing, and Heat Flashes at, &c., and Treat- ment, 177, 450. Menstrual Period, Headache of, Path- ology and Treatment, 449. Mental Aftections, Bradycardia in, 166-7. - Deterioration, from Rupture of Cerebral Vessel, 202. - Disturbance from Disordered Cir- culation to Frontal Lobe of Brain, 205-6. - Excitement, and Irritation, Seda- tives for, in Palpitation, 413. Mentha Piperita, and Viridis, Oil, Spirit, and Water of, as Car- minatives, 360, Adjuncts to, 361, 439. Mercurial Inunction, in Cerebral Thrombosis of Syphilis, 457. - Manometers, 105, (figs.) 16, 106. - Purgatives (see also Calomel), in Senile Conditions of Vessels, 453. - Sphygmomanometers, 102-5, 114. Mercurials, Action of, on Bile and its Toxins, 353-5. - and Salines, in Angina Pectoris, 443; in Relief of Headache, 447, 448, in Bradycardia, 420. - in Senile Conditions of Blood- vessels, 453. - in Syphilitic Heart-block, 437. Mercury, Ammoniated, Ointment of, for Eruption-Pustules due to Iodides, 342. - as Diuretic, Theories on its Action, 350-1 ; Forms of, as Intestinal Disinfectant, 359. - with Iodide of Potassium, in Stokes- Adams Disease, 421. - Perchloride, as Intestinal Disin- fectant, 359. Metabolism, Exercise as Aid to, 396-7. Methods of Treatment in Cardiac Disease, 232 et sqq. - - Bibliography, 264-5. Methyl Salicylate, in Rayuaud's Disease, 450. - - and Menthol Ointment, for Pruritus ani, 430. Methylxanthine, 288. Microbes, Pathogenic, Associatedwith Cardiac Inflammation, 151-2. Micro-organisms, Causing Septic Endocarditis and Pericar- ditis, Route of Entry, and Examination for, 378. Microphags, Functions of, 203. Micturition, Rising for, Risk of Fatal Syncope from, in Excessive Use of Digitalis, 313. Migraine (see also Headache); Aphasia with, Author's Ob- servation, 186. - Compression of Vagi in, Success of, 419. - and Epilepsy, du Bois-Reymond's Views on, 186. - Nervous Symptoms Associated with, 185. - Pathology of, Experiences of du Bois-Reymond and Author, 153-4, 446, (flg.)lS4. Migrainine, for Headache, 448. Milk, in Acute Cardiac Diseases, 374. - Amounts in, of Calcium and of Chlorides, in Relation to Milk Diet in Cardiac Disease, 253. - Casein of, non-Nutrient to the Heart, 286. - Contra-indicated in Cerebral Thrombosis, 456. - in Diet in Aneurism, aim of, 455. - Diet in Insomnia, Drawbacks to, 430-1, Modifications of, 430-1. — in Rheumatic Fever, Adjuncts, Permissible, to, 372-8. - Souring of, Best Method, 859. - Warm, Whisky or Brandy in, as Hypnotic, 433. Mistletoe, Preparation of, for Angina Pectoris, 444. Mitral Valves, Action of, Benefited by Digitalis, 309. - - Competence of, in Relation to j Shortness of Breath, 408.. - - Disease of, Albumen in Urine in, not a Contra-indication for Opium, 365. Diet Advisedin.by Schott,250-l. Double Effect of, 351, ( fig.) 352. Fluid-limitations in, by Schott, 251. Treatment of, by Rest and Entire Milk Diet, 258. - - Incompetence of, in Aortic Dis- ease, Treatment, 407. - - Cardiac Murmur due to, 213-4. from Disease, Effect on Cardiac Rhythm, 220. Functional (Secondary), Effects | of, 219. - - Murmurs of, Temporary, How Caused, 75, 216. INDEX 503 Mitral Valves (cont.) - - Obstruction of, Breathlessness due to, 182. Cardiac Murmur Indicative of, 214-5. Causes and Effects, 221-2. - - Feeble Heart from, 158. — Regurgitation in, 78. Breathlessness due to, 182. and Cardiac Bounds, 211, 214, 217. Causes, 215. Conditions in, and Treatment, 407-9, 438, (fig.) 75. Feeble Heart due to, 158. — Frequency of, Unsuspected, Powers of Patients with, 408-9. Functions, 215, (fig.) 75. - - Organic, Causes and Results, 220-1, (fig.) 220. Treatment, 403, 407, 438. — Stenosis of, Cause, 215. Conditions in, 407-8. - - and Independent Pulsation of Certain Veins, 22. - Treatment of, 438 ; Author's Proposed Operation for, 407-8. Monoplegia, from Haemorrhage, 145 ; from Obstruction of Sylvian Artery, 205. Montgomery, Lord, Exposed Heart of, 186. Morbid Blushing, Treatment, 449-50. Morning Headache, Preventive Treat- ment, 449. Morphine, Action of, as Attected by Inurement, 279-80. — as Antipyretic, 284. - - as Hypnotic, 436-7. - - as Narcotic, 278, 284. - Injections of — in Angina Pectoris, 442. - - Hypodermic.for Cardiac Asthma, 448; for Endocarditis Pain, 376. Mosso's Plethysmograph, 180. Motor Action of Arteries, 7, 8. - Disturbances, Functional, of Cere- bral Motor Centres, Causa- tion, 186. - Fibres of Vagus, going to Abdo- minal Organs, &c., 67. - Nerves, in Voluntary Muscles, Effect on, of Small Doses of Curare, 275. - Power of Lymph Circulation, 14. Mouth (see also Oral), Acid Secretion in, Headache from, 447. - Dryness of, How Induced by Atro- pine, 274. - Irritant Action on, of Tobacco Smoking, Results, 326, 327. Mouth-washes for Relief of - Aching Teeth, 426. - Headache, 447. - Pyorrhoea alveolaris, 383. Movements (see also Exercises) of Heart, 25 et sqq., of the same when Excised, How Re- corded, 26. - Slow, for Angina Patients, 444. Mucous Membrane, Action on, of Acid Chyme, 393. - - Acid and Pepsin in, 391. - - Catarrh of, and thickening of, Action of, on Pylorus, 3&9-90, (fig.)sgo. - - Gastric, Sedative Treatment of, 420. - - Xasal of Animals, Irritation of, Effects of, on Vagus and Heart, 73. — Pulmonary, Secretion of, in Car- diac Dyspnoea, 197. Mucus, Action on, of Alkalies, 387. Murmurs, see Cardiac, and Sounds of Heart. Muscarine, Action on, of Pilocarpin, Seasonal Difference in, 282. - Antagonistic Alkaloids in, 278. - Heart-stoppage by, in Frogs, 280, Action of Camphor after, 316. Muscle-cells, Contraction of, Fibrilla- tion Caused by, 62-S, (fig.) 51. Muscle(s), see under Names. - Accessory, of Circulation, 12, 229, 397. - Blood-vessels of, Sudden Dilatation of,in Relation to Syncope, 181. - in Differentiated Protoplasm, as Affected by Stimuli, 28-9. - Elongation of, 85, 86, 87. - Exercise of, Benefit of, 397. - Feeble Circulation in, in Rest, Massage for, 236-S. - Injured by Direct Contact with Blood, 13. - Involuntary, Tone in, Defined, 288-9. - Involved in Bending a Finger, 240. - Stimulation of.Etfect of.onArteries Connected, 397. - as Vascular Area, 19. 504 INDEX Muscular Action, Effectof, on Lymph Circulation, 14. - Areas, Influence of, on Blood- pressure, 18. - Cells of Arterioles, Contraction in, Two Possible Forms of, 86, (fig.) ib. - -Cardiac, Transverse Contraction of, as Affecting Poisons, Author's Hypothesis, 270-1. - Conduction of Stimuli in Heart, 46-7, (fig.-) 45. - Contraction, as Affecting Blood-pressure, 110. • - Venous Circulation, 10. - - of Auriculo-ventricular King, Aid of, to Heart Valves, 75, (fig.) ib. - - of Heart, Action on, of Caffeine, in Small Doses, 288. - Two (Possible) Modes of, 86, (fig.) Ib. - Fibres of - - Arterioles, Action on, of Digitalis, 298. - - Bronchioles, in Cardiac Dyspnoea, 197. - - Heart, 50-2 ; Action on, of - - Bacteria and Toxins, 152, 158. Block of Coronary Arteries, 158. Caffeine and Purins, 817-9. Digitalis, 298, 807. Diphtheritic Toxins, 152, 160. - Layer, Continuous, of Arterioles, 84. Nerve Fibrils over, 58, 85, (fig.) 85. - Organs, Hollow, see Hollow Muscular Organs, see also Heart. - Kings round Auriculo-yentricular Orifices, Benefit to, from Digitalis, 809. -Structures, Connected with Circula- tion, Action on, of Digitalis, Stages of, 801-8. - - of Mammalian Heart, 50-2. - Wall of Intestine, Weakened Expul- sive Power of, Action on, of Pituitary Extract, 802. - Waste, Narcotic Products of, 868. Musculi papillares, Fatty Degenera- tion Patches Affecting, De- duction from, 161. - - Fibres ending in, 57. - - Regurgitation due to Irregular Action of, 217, 218. Mussels, as Cause of Urticaria, 450. Mustard Flour, Poultices of, Applica- tion of, 255 ; Kedness from, Immediate and Later, Prob- able Causes, 89. - Leaves, in Cerebral Haemorrhage, 455. - and Water Emetic In Relief of - - Paroxysmal Tachycardia, 418. - - Stomach Irritation, 488. Myocarditis, Causes, 161-2 ; Quick Pulse Indicative of, 168. - Acute, Onset of, during various Diseases, Outlook for, 867. - Chronic, Bradycardia in Con- valescence from, Treatment, 420-1. - - Diet in, Advised by Schott, 251. - - Paroxysmal Bradycardia in, 168. - Interstitial, associated with Tachy- cardia, 165. Myocardium, Effect on, of Certain Bacteria, 162. Myogenic Theory of Cardiac Rhythm, 27, 80. Phenomena Explained by, 40 ; others Un-explained by, 82-3, 84. Practical Importance of, 47. Myristica, Oil and Spirit of, as Carminatives, 860. Myxcedema, Effects in, of Protracted Use of Thyroid Extract by Mouth, 165. NAPOLEON I., Slow Pulse-rate of, 166. Naphthalin as Intestinal Disinfect- ant, S(>0. Naphthol,as Gastric and Intestinal Antiseptic and Disinfectant, 856, 859. Narcotic Action of -- Aliphatics,275. - - Leucomaines, theory of, 863. - - Lipoids, 276. - - Morphine, 284. - Poisons in Blood, as affecting Cerebral Activity, 425. Narcotics, in Cardiac Complaints, 863-5. Narghileh, see Huka. Nasal Affections, Headache from, 447, Treatment, 447. Nauheim Treatment, Cardiac Affec- tions suited to, 248, 403, 404, 409; Methods and Results, 243 et sqq., (figs.) 246, 247; After-cure, 249-50; Author's personal observations on, 249 INDEX 505 Nausea, of Digitalis Poisoning, 808-4. Necrosis, Local, of Cardiac Wall, Causes and Results, 153. Needle, Ordinary, for Tapping for (Edema, 260. Nephritis, Blood-pressure Rise in, 91. - Acute, Wet-cupping in, benefit of, 258. - Chronic Interstitial, Rise in, of Blood-pressure, possible Causes of, 91-2. A'eriwm oleander, 811. Nerve-cells - Bipolar, of Heart, 53. - Cerebral, Destroyed by Macrophags in Old Age, 203-4, (fig.) 203. - Condition of, Dependent on Cir- culation, 368. Nerve-centres, Action on, of Nitrite of Amyl, 276. - Stimulated by Strychnine, 316. Nerve-fibres, in Differentiated Proto- plasm, as affected by Stimuli, 28 ; of Heart, 52-3, 85. Nerve-fibrils, Net-wise over Muscular Layer of Arteriole, 53, 85, (fig.) 85. Nerve-ganglia of the Heart, Functions of, 40-2, 85, 824. Nerves, see under Names. - Drugs acting on, 47. - - Selective Action of, 275. - Extrinsic, of the Heart, 63 et sqq. - Intrinsic, of Heart, 52-8. - - Afferent, in Epicardium, 64. - - Sensory, 53-4. - Irritation of, from Severe Pain, Stoppage of Heart from, 178. - Massage of, in Health, by Arterial Contraction and Expansion (see Self-massage of Arteries), 236-7. - of Arterioles and Veins, Research on, 85 (c/. 58). - of Blood-vessels, Opposing Action of, 85. - Plexus of, accompanying Coronary Arteries, 63, (fig.) 54. - - Anterior Cardiac, 63, (fig.) 54. - of Special Sense, affecting Pulse- rate, 72. jY«rt>i erigentes, Dilatation of Vessels by, how Induced, 87. Nervous Bundle, forming Nceud Vital of Medulla, 62. - Conduction of Stimuli in Heart, 46-7, (figs.) 45. Nervous (cont.) - Depression, as Cause of Feeble Pulse, Causes and Result, 158-60. - Ganglia, Injured by Direct Contact with Blood, 13. - Irritability of Bradycardia, Treat- ment, 420. — of Graves's Disease, Bromide Treatment of, 416. - People, Pulse-rate in, under Excitement, 163, ( fig.) 164. - Structures and System concerned in Circulation, Action on, of Digitalis.Stages of, 301, 302-3. - Symptoms, associated with Mi- graine, 185. - System, Action on, of Digitalis, 298, of other Drugs, 846. - - Centres affecting Co-ordination of Heart's Action and Blood- pressure, 17-8, 161. Concerned in Angio-neurotic (Edema, 199. - - Central, Chief Controlling Factor of Pulse-rate, 161. - - Peripheral, of Heart, Action on, of Caffeine, and other Purin Bodies, 317-8. — Tremor,from Excessive Smoking, 327. Nervousness, Bigeminal Pulse from, 170-1, (fig.) 171. Nettle-rash, see Urticaria. Neuralgia, Intercostal, Cardiac Pain from, 440-1. Neuralgic Element in Pain of Angina Pectoris Attacks, Treat- ment, 442. Neurasthenia, associated with Low Tension, 451. Neuritis, Alcoholic, Paralysis of Vagi from, Pulse-rate in, 168. - of Vagus, probable Cause of Brady- cardia after Diphtheria,167-8. Neurogenic Theory of Cardiac Rhythm, 27; Difference of, from Myogenic Theory, 30 ; Practical Importance of, 47. Neuro-muscular Cardiac Nerves, 52. - Cells, in Fresh-water Hydra, 28-9, (figs.) 29. - Fibres of Purkinje, 57, (fig.) 68. Neurons, Dendronsof.Nature of,200n. Newt, Kidney of, Circulation in (fig.), 348. Nicolai's Method of Lettering Electro- cardiograms, 142-8, 144. 2 L 506 INDEX Nicotine, absorbed by Chewing, or Snuffing Tobacco, 324-5. - Action of, on Heart and Vessels, 315, 323. - - Opposite in Large and Small Doses, 277, 327. - - Selective, 276. - Paralysis by, of Inhibitory Vagus Fibres, 71-2. Nightstools, see Commodes. Nitrateof Potash, as Vaso-dilator,889. - - with Nitrite of Sodium, in Senile Conditions of Vessels, 453. Nitrates, as Vase-dilators, 336, 339, 453. Nitrites, see Amyl, Ethyl, £ Sodium Nitrite, s«« also Vaso-dilators. - Action of, less on Pulmonary than on General Circulation, 445. - - as Vaso-dilators, 838, 338. - Amplitude of Pulse Increased by, 158. - in Angina Pectoris, 441. - Failure of, in Renal Disease, 92. - in Belief of Headache, 448. Nitrobutyl, in Angina Pectoris, 441. Nitroerythrite, as Vaso-dilator, 889. Nitroerythrol, as Aperient in Angina Pectoris, 443. - as Vaso-dilator, 339, 453-4. Nitrogenous Diet, Contra-indicated in Paroxysmal Tachycardia in Gouty Persons, 419. - - Effect on Excretion of Urine, 347. - - in Senile Conditions of Blood- vessels, Drawbacks to, 452. Nitro-glycerin, in Angina Abdominis, atidAnginaPectoris, 196,441-2. - as Dilator of Coronary Vessels, 344. - and Strophanthus for Chilblains of the Elderly, 450. - Uses of, 886-8, Author's Investi- gations, 368. - as Vaso-dilator, 389, in Palpita- tion, 413. Nitro-hydrochloric Acid, after Meals, to aid Digestion, 387-8. Nitromannitol, as Vaso-dilator, 339. Nitrous group, as Vaso-dilators, 339. Nodal Bhythm, 58, cf. 80. Nodes, A-V, 57, Transmission of Stimuli through, 286. - of Heart, Accelerator Nerves, prob- ably acting through, 72. - Connection of, 57. - - Nature of; Origin in, of Contrac- tion Stimuli in Heart, 56. - - Structure of, 57. Nodes (con (.) - 8-A, other names for, 57. Nodular Arterio-sclerosis, Patch of formation of, 199. Nceud Vital of Heart, 61-2, ( fig.) 62. - - of Medulla Oblongata, 61-2, ' Nomotopic Ventricular Contraction, 58. Normal Pulse, ste under Pulse. Nose (see also Nasal), Mucous Mem- brane of, Irritation of, in Animal, Effects on Vagus and Heart, 78. Novocaine, as Local Anaesthetic, 261. Nutrient Enemata, in Cerebral Haemorrhage, 456. - Fluids, used in Artificial Circula- tion through Mammalian Heart, 278. Nutrients, Cardiac, 284 et siju. Nutrition of Blood-vessels, as affected by Cardiac Feebleness, 157, (fig.) ib. - Failing, from Disease, Fatty Degen- eration of the Heart in, 151. - General, benelited by Digitalis, 811. -of Heart, 150-1. - - benefited by Digitalis, 308-9. --Effect on, of its own Feeble- ness, 154. --Saline Solution, Simple and Compound, in, 285-6. - in Heart Disease, Importance of, 366-7. Nutritive Action of Cardiac Tonics, 155-6. Nux Vomica, see also Strychnine. - Action in Belief of Insomnia, 483. - - in Palpitation of Debility, 414, Prescription for, 489, When Taken, 414. - Tincture of, with Salicylate of Soda, in Cardiac Failure of Acute Rheumatism, 375. - as Tonic for Bradycardia of Fever( Convalescence, 421. OATMEAL Poultices, Uses, 255. Obstruction, see Aortic, Coronary, Mitral, Sylvian, Ureteral, <tc. Occipital Artery in Migraine, (fig.) 184. (Edema (see alto Ascites, A Serous Effusion), Causes of, 223, 224, 310. - Action on, of Digitalis, 308, 310-11. - Angio-neurotic, 810. INDEX 507 (Edema (cont.) - of Feet and Ankles, 223. - of Limbs, Massage and Rest for, 239. - - Tapping for, 260. - Ranviers Experiment on, Deduc- tions, 310. - of Tissues, Calomel, and Purga- tives to Cause Absorption of, 850-1, 353. - Universal, from Anti-Streptococci Serum, 199. CErtel's Treatment, Principles and Rules of, 250-1; in Cardiac Asthma, 445. Oil of Eucalyptus, in Septic Endo- carditis and Pericarditis, 378-9. - of Juniper, as Diuretic, 350. Oils, Essential, &c., as Carmina- tives, 360, 361. - Ethereal, as Diuretics, 350. Ointments, for Anal Itching, 430. - for Eruption-pustules, due to Iodides, 342. -of Salicylate of Methyl, in Ray- naud's Disease, 450. - Sedative, for Cardiac Pain, 441. Old People (see, also Elderly, <£ Senile), j Arterial Changes in, 126, 132-3, 194, 199, (figs.) 134. - - Brown Atrophy in, 153. - - Cerebral Nerve-cells of, Destroyed | by Macrophags, 203-4, (fig.) I 203. - - Patty Degeneration of Heart ' in, 151. Olfactory Centre, Disturbance of, by Arterial Contraction, 86, 186. Oliver's Arteriometer, 119. - Sphygmometer, 102, 114. Opium, Antagonistic Alkaloids in, 278; Contradictory Effects of, according to Admini- strator, 277. - in Albuminuria of Venous En- gorgement, 225-6. - as Hypnotic, Narcotic, or Soporific, 864-5, 486-7. - in Severe Bradycardia, 420. - Use and Abuse of, 237. Oppression, Sensation of, in Angina Pectoris, Causes, 188 ; in Grief, Author's Experience, &c., 186-7*71. Oral Administration of Cardiac Stimulants, in Endocarditis, 377. Oral Affections Causing Headache, Treatment, 446-7. - Hygiene (sec also Mouth <£• Teelh), Importance of, in Heart Disease, 382-3. Organic Cardiac Murmurs (see also Sounds), Causes and Indica- tions, 214-5. - Diseases of the Heart, 210 et sqq. - - Bibliography of, 230-1. Organotherapy (see also Forms of, under Names), Effects of, on Blood-pressure, 89. Organs, in Activity, Blood Supply to, how Provided, 8. - Supplied by the Vagus Nerve, 64. Oscillation of Tension, see Blood- pressure, Changes in. Oscillations in Arterial Walls, Obser- vation of, to Measure Dias- tolic Pressure, 114-6 ; Instru- ments for, 114-5. Oscillometer of Pachon, 115. Ossification of Arteries, 156, 191, of Aorta, 211, Claudication with, Burns' Views, 194-5. Oubain (Acocanthera), 311. Ovarian Extract, in Relief of Heat Flushes and Blushing of Menopause, 450. Over-Action of Heart. Tendency to, in Acute Disease, how Best Met, 866-7. Over-Dose of Antipyrin, &c., Effect on Pulse, 437. - of Chloral, why Sometimes Fatal, Treatment, 434. - of Nitrites, in Angina Pectoris, Results, 442. Over-Exercise, Ill-effects of, 287. Over-Massage, Ill-effects of, 287. Over-Smoking, as Cause of Low Tension, 328, 451. Over-Work, Avoidance of, in Low Tension, 451, Oxidation in Relation to Mode of Action of Cardiac Tonics on Embryonic Heart, 297-8. - and Reduction of Cell-layers, in Relation to Cell-funotion,280. Oxygen, Aeration by, of Ringer's Fluid, 273. - in Blood, Quality of Blood De- pendent on, 151. - Inhalation of, in Cardiac Asthma &c., 240 et sqq., 260, 445; Medication for such Use, 241-3, (figs.) 242-3, 445. 508 INDEX Oxygen, Inhalation of (eottt.) - - in Fainting in Aortic Regurgita- tion, 428. - in Stokes- Adams Disease, 421. - with Blood-letting, in Cerebral Haemorrhage, 455. Oxygenation, to Relieve Viscosity of Blood, 147. I'ACK-M AKER of Heart, 58, 72. Pachon's Oscillometer, 116. Pain, Abdominal, from Iodides, 342. - of Aching Teeth, Cold to Relieve, 254, Mouth-wash for, 426. - of Acute Rheumatism, Salicylate of Soda for, and Adjuncts to, 874-5. - of Aneurism, Treatment, 465. - Angina-like in the Healthy, Causes, 193, 327. - in Cardiac Region (see also Angina). - - Causes. and Treatment, 227, 327, 874-5, 402-3, 407,440-1 ; Chief Seats, 187-8. - of Colic, Nature of, 185. - of Endocarditis, Leeches to Re- lieve, 876. - Good as well as Bad Side of, 451-2. - Local - - Relief of, by - - Aconite, 258. Heat and Cold, 253-7. - - Hot Air Bath, 257. - Poultices, 255-7. - of Pleurisy, Pericarditis, or Colicky Nature, Hot Poultices in Relief of, 255-7. - Production of (probable), by Ex- trinsic Afferent Nerves, 65. - Severe, from Irritation of Nerves, causing Stoppage of the Heart, 178. - - of Migraine, Causation, 188-5, (fig.) 184. Painting of Gums, in Pyorrhoea alveolaris, solutions for, 883. Pallor, Facial, Causes, 7, 8, 20; in Aortic Regurgitation.219,404. Palpitation of Heart, Causes, Kinds, Treatment, 175-7, 219, 262-8, 327, 407, 411 et tqq., 428, 489, 440, (figs.) 178, 226. Pancreas, Action on, of Hormones, and Secretin, 398. Pancreatic Ferment, with Anti- Thyroid Serum, 417. - Region,Tendernessof,from Iodides, 342. Paraltin, Liquid, to prevent Con- stipation, 431. Paraldehyde, as Hypnotic, Drawback to, How Got Over, 438-4. Paralysis, see also General Paralysis, , Homiplegia, Monoplegia. - of Heart and Vessels, from Digi- talis, 301-2. - Intestinal, Post-operative, value in, of Pituitrin, 819, 862. - Local, from Rupture of Cerebral Vessel, 202. - Senile, How to Avert, 454. - of Vagus and other Nerves from - - Atropine, 168, 274. --Curare, 71, 275. - - Diphtheria, 160-1, 163. - - Nicotine, 71, 275, 328-4. - of Vaso-motor Nerves, (Edema caused by, 224. Paralytic Affections, Cause of, Diagnosis of, 145. Parenchymatous Degeneration of the Heart, 162. Paroxysmal Bradycardia, 168, .. - Tachycardia, Causes, Nature, Treatment, 168-4, 417 et sqq. Pathology of the Circulation, 150 et sqq. - - Bibliography, 178-4. Peas, in Diet of Convalescents from Acute Heart Disease, Masti- cation of, 879. Pelvic Organs, Disturbance of, Pal- pitation from, 418, Treat- ment, 414. Peppermint, forms of, as Carmina- tive, 860, Adjuncts, 861, 439. Pepsin, Digestive Value of, 855, 887, 419 ; Rennin in Commercial forms of, 888. - in Mucous Membrane, 891. - Secretion of, 892. Pepsinogen, in Mucous Membrane, 891, Break-up of, Result, 892. Peptone, preventing Coagulation, 90 ; non-Nutrient to Heart, 286. Peptonised Milk, for Dyspepsia, 430, 431 ; Drawbacks, 431. Peptotoxin, 841. Perchloride of Iron, in Cardiac Pain, with Quassia, 440, in Flushes, &c., of Menopause, 450. - of Mercury, as Intestinal Disin- fectant, 859. Perfusion of Mammalian Vessels, 271-2. INDEX 509 I'ericartiial Effusion, Different ialDiag- nosis and Treatment, 377. Pericarditis, Causes, Results, Treat- ment, 151-2, 255, 258, 263, 377. - Acute, Causes, Watch for, 367. - Septic, Micro-organisms Causing, Route of Entry Symptoms, and Treatment, 378. Pericardium, Adherent, Action of, on Pulse, 487. - AfferentNervesin,Functionsof,64-5. - Effect of Painting of, with Co- caine, 73. - Irritation of, Ventricular Stand- still from, 73. - Purkinje's Experiments on, 154-5, (figs.) 155. - in Hepatitis, Leeches for, Relief from, 258. Peripheral Action of Drugs, 278, 276. Peripheral Blood-vessels, Fibrillation and, 153. - Contraction of Arteries, in Mi- graine, 184. - Ganglia, Stimulated by Strych- nine, 817. - Veins, Contraction Induced in, by Adrenin, 87. Peristalsis, Intestinal, Caused by Injection of Large Dose of Opium into Dog's Vein, 277. Peristaltic Action of Arteries, 7, 8. Peritoneal Cavities, Serous Effusion into, Effect on, of Massage and Rest, 237, 289. -Fluids, Effect on, of Respiratory Movements, 14. Peroxide of Hydrogen as Mouth- wash, 383. - of Magnesia, as Gastric Antiseptic, 356. Perspiration of Rheumatic Patients, Clothing, and Sponging to Deal with, 370-1. Phagocytes, two Classes of, Functions of, 203-4. Pharyngeal Nerves, Paralysis of, from Diphtheria, 160-1. Pharyngitis, Cold Wet Compress in, 254-5. - Chronic, from Excessive Smoking, 007 OAI. Pheasant's Eye (Adonis t>ern.aJis),311. Phenacetin in - Endocarditis, 376-7. - Headache, 448. - Neuralgia, Effect on Pulse of Over- dose, 437. Phenol Solution, for Anal Relief of Pruritus ani, 429. Phonendoscope, in Measurement of Diastolic Blood-pressure, 11B. Phosphorus, Fatty Degeneration of the Heart Induced by, 151. - - Experimental, in Dogs, 814. Phrynin, Poison from Toads' Skin, Action of, similar to that of Digitalis, Story on, 811-2. Phthisis, Low Blood-pressure in, 181-2. Physical Exertion, Accentuation of Second Sound from, 210-1. - Training, to Cope with Functional Murmurs, 216. Physiology of - Blood-vessels, and Blood-pressure, 84 e< sqq.; Bibliography, 96-9. - Circulation, General, 2 et sqq. ; Bibliography, 22-4. - Heart, 25 et sqq. ; Bibliography, 47-9. - - Mammalian, 50 ; Bibliography, 78-83. Picoline Bases, from Tobacco Smok- ing, 325. Pigeons, Action on, of Morphine, 284. Piles, as Cause of Insomnia, 429. Pill-form of Mercury as Cardiac Diuretic, 350. - of Perchloride of Mercury, Taste Concealed by, 359. Pilocarpme, Action of, on Muscarine, Seasonal Difference in, 282. Pimenta, Oil and Water of, as Car- minatives, 360. Pipe-smoking, Difference between , and other Forms of Smoking, 325-6. Pituitary Bodies or Glands, Secretion of, and Maintenance of Heart's Tone, 289; Action of, on Blood-pressure, 90, on Body, 396-7. Pituitrin (Pituitary Extract), Action of, 319, 844, on - - Blood-pressure, 90, 319. - - Cardiac Tonic, 819, 320. - - Intestinal Paresis, 302. - - Kidney Vessels, 319, 344. - - Shock, 320, 424. - Administration of, 819, 320,362,424. - Conditions in which Beneficial, 819-20. Plasma, How Supplied to Heart, 154, and to Arterial Walls. 157. Plasmon, in Mitral Disease, 253. Sio INDEX Plasters ovr Cardiac Region, Uses of, 262-8, (fig.) 268. - Use of, in Tapping for Ascites, 261-2, (fig.), 262. Plateau, Systolic, in Senile Pulse, 126, 132. - - Modilications of, Evidence of Elasticity of Arteries, 188. Pleasurable Ideas Connected with Food, Digestive Value of, 887. Plethysmograph, Mosso's, 180 Plenral 'Effusion, Seriousness of, Re- lief by Massage and Rest, 289. - Fluids, Effect on, of Respiratory Movements, 14. Pleurisy, Pain of, Poultices to Relieve, 255. - Severe, Leeches for, 257. Pleuro-pericardial Adhesions, Pulse forms Indicative of, 178. Plexuses. Cardiac. 68, (fig.) 54, Branches of Vagus going to, 67. - Coronary, 63, (fig.) 54. Pneumogastric Nerve, see Vagus. Pneumonia, Bradycardia after, 167, Paroxysmal Bradycardia in, 168. - Poise-tracings in (figs.), 183. Poiseuille's Manometer, 15. Poisoned Blood, see under Blood. Poisons, see also Toxins, and Toxic Action under Drugs, &c. - Action of, on Medusae, 86. - in Blood, Action on, of Liver, 354, 395. - Cardiac, Different Reaction to, of Outside and Inside of Frog's Ventricle, 269-71. - Causing Bradycardia. and Par- oxysmal Bradycardia, 168. - Collapse from, Blood-pressure Low In, 181. - from Digestive Products, 394. - Fatty Degeneration of the Heart from, 151. - Paralysis by, of Inhibitory Vagus Fibres, Effects, 71-2. - from Plants, Congeners to Digitalis, Used and Unused, 811. - from Skin of Toads, 311-2. Polygraph, Mackenzie's, 127. Portal System, Effects on, of Dilata- tion by Ligature, 19 ; of Venous Engorgement, 223-4. Vein, Effect on, of Irritation of Splanchnic Nerves, 87. Position, Bodily, to Avert and Relieve Faintness, ISO, 422. 