None
choreiform, 466 due to anomalies of sensation, 455 to abnormal irritability of the cerebral struct- ures, 467 to contractures, 463 to disturbances of re- flexes, 460 INDEX 507 Motility, due to incoordination, 452 to muscle disease, 451 from intermittent claudica- tion, 451 from lesions of motor tracts, 451 from psychic paralyses, 450 Mountain sickness, diminished oxygen tension in, 216 Mouth, affections of, 229, 232 in diabetes, 229, 359 Movements of the body, effect of, on albuminuria, 421 on the body temperature, 386 on the distribution of the blood, 2 on the excretion of sug^r in diabetes, 354 on the leucocytes. 123 Movements, voluntary, disorders of, 452-454 disturbances of sensation of, 454, 455 effect of centripetal impulses upon, 454-458 of exaggeration of re- flexes upon, 459 of loss of reflexes upon, 458 varieties of, 453 Mucous colitis, 205, 287 Mucus, production of, in the respira- tory passages, 198 in the stomach, 248 Muscarin, action of, on the heart, 42, 60 Muscles, as a storehouse for sugar, .353 disturbances of, due to faulty blood-supply, 451 innervation of, 449, 450 disturbed, 451, 452, 466, 477- 470. 480 ocular, loss of orientation in paralyses of, 472 tetanus of, 462 Muscular atrophy, altered chemical composition of muscles in, 477 degenerative, 477, 478, 479 dystrophies in, 480 from disuse, 477, 479 in joint disease, 479 in obesity, 314 reaction of degeneration in, 477 partial, 479 Muscular contractions, epileptiform and tetanoid, in gastric dilatation, 255 Muscular exertion, as a cause of heart hypertrophy, 29 of diminution in size of heart, 30 of increased arterial pressure, 83 effect of, on the blood, 118,. 123 on the body temperature, 386, 390 on the hypertrophied heart muscle, 35, 37 Muscular insuflficiency of heart, 11, 40 Myasthpenia gravis, 452 Myocarditis, cardiac pain in, 78 heart beat in, 56, 61, 62, 63, 64, 68, 69 infectious, 41, 43 in hypertrophied hearts, 35 in valvular disease, 10, 11, 38, 39 primary, 41 significance of location of, 41, 42 Myotonia congenita (Thomsen's dis- ease ">, 452 myotonic reaction in, 452 Myxoedema, thyroid function in, 322 Nephritis. See Kidneys, inflamma- tion of Nerve cells, degeneration of, 476 independence of, 475 Nerves, degeneration of, primary, due to poisons and disturbed blood-supply, 451 secondary, 474 Nervous diseases, anremia in, 109 constipation in, 289 diarrhoea in, 286 oedema in, 94 fever in, 385, 386 from gastric dilatation, 255 Nervous system, cfTect of, on regula- tion of vascular diameter, 80, 88 functional disorders of, 441 contractures in, 463 general symptoms in, 441 in acidosis, 332 focal symptoms in, 441 motor disturbances in, 449 reflex disturbances in, 458, 460 sensory disturbances in, 468 influence of, on the heart- beat, 45 508 E^JDEX Nervous system, influence of, on tem- perature regulation, 384, 400 on tissue nutrition, 474 influence of diphtheria and tetanus toxins upon, 158, 462 motor system affections of, 476 of the intestines, disturbed motihty due to, 289 pathology of, in pernicious anaemia, 112 relation of, to diabetes, 347, 357. 361 sympathetic : centres for defecation and urination, 459 Neuralgia of the stomach, 259 Neurasthenia, constipation in, 289 diarrhoea in, 286 heart-heat in, 56, 58, 61, 69 Neuritis. 475 Neuron tlieory, 474, 475 Ncwlioni, antitoxin in blood of, 171 jaundice of, 269 leucocytosis of, 123 renal infarcts in, 366, 435 Nitrogenous equilibrium, 310, 318 Nitrogen excretion in the urine, in- creased, i'l disease, 318-320, Z27 (am- monia) in health, due to diet, 327 influence of carbohydrates upon, 31Q, 327 in fever, 397, 398 Noci impulses in relation to shock, 87 Nodal rhytl m, 52. 64. 66 Node of Asclioff-Tawara, 52, 53, dj of Keith-Flack, 52, 53, 54, 58 Non-coagulable nitrogen, in the blood, in ur.Tmia, 430, 431 Nose, diseases of, relation of to asthma, 205 Nourishment in relation to albu- minuria, 421 Nursing infant. cfTcct of food upon intestinal flora of, 278 effect of nasal obstruction upon nutrition of, 200 Nutrition, caloric needs of body in, '^^^. essential substances in mainten- ance of, 304. 305 metabolism of proteids and fats in, qualitative, 324 (juantitative, 304, 318 nitrogen equilibrium in, 310 undernourishment in, 308 Nutritional disturbances, as a result of nervous lesions, 474-483 effect of, upon the blood, no upon the heart muscle, 41 from abnormal proteid de- struction, 318-320 due to toxic substances, in hyperthyroidism, 320 from destruction of fats, 319, 321 from obesity, 313 in anaemia, iio in cystinuria, 336 in dia1)etes, 357, 358 in fever, 397, 398, 404 in the muscles, 477 of the bones and joints, 481 of the nerves, 474-476 of the skin, 482 Obesity, 314 associated with anaemia, 315, 316, cardiac disturbances in, 43, 44, 315 causes of, 315-318 constitutional, 316, 378 diminished efficiency due to, 314, 315. hereditary influences in, 316 in childhood, 316 oxygen consumption in, 317 relation of, to diabetes, 357 significance of hypophysis in, 318 Occlusion of the bowel, causes of, 291 course of, 295 (strangulation) Ochronosis, relation of, to alkapto- nuria, 335 Oligemia. 146 Oligocythemia in chlorosis, 107 in nephritis, 109 Ophthalmoplegia as a cause of dizzi- ness, 472 Opsonins, 189 in therapy (Wright). 190 Oi)tic neuritis, in cerebral pressure. Sec Choked Disk Orientation of the body in space, 471 loss of, dizziness in, 472 due to labyrinthin disease, 472 due to ocular palsies, 472 mechanism of, 471 Orthotic albuminuria, 421 theories as to cause of, 421 Oxalate calculi. 436 Oxidative processes in fever, 396 Oxyacids. origin of, in intermediary metabolism, 328, 335 INDEX 609 Oxydase reaction, in cells of bone- marrow origin, 122 Oxygen tension, intraalveolar, res- piratory movements in diminished, 215, 216, 218 oxygen supply to tissues in, 215-218 of the tissues, in relation to bacterial growth, 163 Pain, causes of, 474 delayed perception of, 468 in angina pectoris, 79 in diseases of the mouth, 229, 230 in oesophageal disease, 233, 235 in gall-stones. 263, 264 in gastric disturbances, 243, 259 in intestinal diseases, 298, 299 in the precordium, 78 in respiratory disturbances, 226 in urinary calculi, 437 on urination, 437 origin of, 474 psychic, 474 Palpitation of the heart, 76 Pancreatic diabetes, 355~357. 360, 361 acidosis in, 330, 358 Pancreatic juice, effect of absence of, upon gastric and intestinal digestion, 273, 274 effect of penetration of, into abdominal cavity, 275 secretion of, 273 Paralyses, 449-452 Brown-Sequard, 470 cerebral, contractures in, 464 in uraemia, 429 psychic, 450 sensory, 456 (in ataxia), 468 Paraplegia dolorosa, 469 Pararhythmias, cardiac, 63, 65 due to extrasystolcs, 63 Parathyroid glands, effects of re- moval of, 324 Pareses, motor disturbances in, 450 of the gastric musculature, effects of, 251, 254 Paraesthesias, due to gastric disorders, 259 due to disease of the peripheral and spinal sensory paths, 473 Paroxysmal tachycardia. 56 methods for ending paroxysm in, 58 pathogenesis of, 58 Pericardial adiiesions. as a cause of heart hypertrophy, 24 as a cause of pulsus para- doxus, 70 Periosteal reflexes, 460 Peristaltic hormone, 285 Peristaltic rust, 284 Peritonitis, bradycardia in, 60 constipation in, 289 exudates in, 94 tympany in, 297 vascular changes in fatal cases of, 86 Pernicious anaemia, iii indication for splenectomy in. Perpetual arrhythmia, 39, 52, 65 Pertussis, nature of paroxysms in, 201 Phagocytosis, theory of, 187 Phagolysis, 165, 188 Phlorhizin glycosuria, acidosis in, 329 causes of, 345, 346 in starvation, 346 Phosphatic calculi, 436 Phosphaturia, calcium elimination in, 436 .... Phosphorus poisoning, acidosis m, 328, 329 bile in. 261 blood in. 145 (polycythemia) hydrolytic cleavage of pro- teids in, 325. 326 internal respiration in, 225 jaundice in, 268 metabolism in, 325, 326 urine in, 325, 326, 345 Pigmentation, cutaneous, in jaundice, 267, 270 of the bone-marrow, liver and spleen in pernicious anaemia, 114 Pineal gland disease, ^73 Pirquet test, as indication of the constitutional nature of tubercu- losis, 375 Plethora, behavior of heart in, 30, 31 genuine. 145 with hyperglobulism and hy- pertension, 146 serous in hydraemia, 141 Pleuritis, exudative, effect of, on gas interchange in lungs, 221 on respiration, 211 on vena cava, 211 obliterativc, as a cause of heart hypertrophy, 21 Pneumococci, in endocarditis, 9 Pneumonia, bradycardia following, 61 hypertrophy of right ventricle in, 21 interchange of gases in the lungs in. 222 respiration in, 211 610 INDEX Pneumothorax, artificial, 213 behavior of healthy lung and me- diastinum in, 212 circulatory disturbances in, 213 interchange of gases in lungs in, 221 pressure relations in closed and open, 212 Pojkilocytosis, in anaemia, 105 in chlorosis, 107 in pernicious anaemia, 11 1 in secondary anaemia, iii Poisons, action of, upon the bile, 261 upon the blood, 104, 109, 113, 117, 120 upon the heart, 25, 42, 54, 60, 70. 79 (nicotin) upon the intestinal processes, 276 upon metabolism, 319, 320 upon the nervous system, 451, upon respiration, when mixed with inspired air, 218 as a cause of albuminuria, 423 of anaemia, 109. 113 of jaundice, 268 effect of, on proteid decomposi- tion, 319, 320 on respiration, 218, 224, 225 in leucopenia, 126 in methemoglobinaemia, 120 in polycytha?mia, 145 resistance of parasites to (chemo- therapy), 191 Poisons, I57~i59 bacterial, action of, upon the heart muscle, 43 protective forces of the body against, 169 Polyarthritis rheumatica, heart com- plications of, 9, 39, 41 Polychromatophilia, 105, III Polycyth.xmia, 142 Polydipsia of psychic origin, 414, 415 Polyuria, following catheterization of ureters, 416 from drinking of excessive fluids, 425 in diabetes insipidus, 414 in diabetes mellitus, 359 in epileptic attacks, 416 in nephritis, 414 in paralysis of renal nerves, 414 Portals of entry, in infections, 151 Posture, effect of, on albuminuria, 421 Potassium chlorate, action of, on red blood-corpuscles, 120 Potassium salts, in their relation to uraemia, 431 Precipitins, 171 importance of, in medico-legal conditions, 173 Pregnancy, blood in, 123 heart in, 31, 38, 62 urine in, 423 (albuminuria) Premature contractions of the heart, 63.. Propionic acid in the urine in metabo- lic disorders, 329 Proteids, bacterial, as a cause of fever, 383 Proteids, pathological destruction of : causes of, 318-320 course and products of, 325-327 dangers of, 320 hydration products of, 325-327 in anaemias, 223, 319 in carcinoma, 319, 320 in diabetes, 358 in fever, 319, 382, 397,. 398 in intermediary metabo- lism, 324, 325 ammonia formation in, 2,27 significance of liver in, 333 (excretion of ammonia) of thyroid substance in, 321 Proteid needs of the body, 306 Proteids, of the blood serum, 137 amount of, 137 occurrence of, in the urine, 422, 424 proteid ratio in, 137 of the food, chcmotactic action of, on leucocytes, 124 qualitative metabolism of, 324 quantitative metabolism of, 304, 311, 318 of the urine, source of, 424 total daily excretion of, 42s types and chemistry of, 422, 424,. 425- 426, 427 produced by bacterial processes in the intestines, 281 significance of, in heat production, 383, 394 Protozoa, intestinal, as causes of anaemia, 109 of dysentery, 282 of fever, 383 INDEX 511 Pseudocroup, 200 Pseudoleukaemia (see also Hodgkin's disease), 127, 133 blood changes in, 128, 130, 132 definition of, broad, 133 strict, 127 diflferentiation of, from tubercu- lous and sarcomatous processes, 127, 134 fever and hemorrhages in, 132 lymph glandular hyperplasia in, 127, 128, 133, 135 pathogenesis of, 132, 135 relation of, to leuksemia, 127, 128, 129, 132, 133, 135 types of, 133 Ptomains. toxic symptoms due to in- troduction of, into intestines, 276 Ptyalism, 231 Puberty, albuminuria in, 421 sinus arrhythmia in, 70 Puerperium, bradycardia of, 62 Pulmonary circulation, i condition of, in compensated heart lesions, 34 disorders of and their effect on right heart, 19-21, 39 in cardiac asthma, 78 in valvular disease, 13, 16, 17 Pulmonary diseases. in tricuspid insufficiency, 52 Pulsus, alternans, 66 bigeminus, 64, 66, 67, 69 celer, in aortic insufficiency, 35 irregularis perpetuus, 65 paradoxus, 70 pseudoalternans. 59 Puncture of the brain, as a cause of fever, 386, 400 of glycosuria, 347 Pupils in Cheyne-Stokes breathing, 209 Purin bodies, 364 as a cause of fever, 384 Pyaemic processes due to mixed infec- tions, 160 Pyloric reflex, 249 stenosis, 250, 252, 254, 255 Pyogenic organisms, action of, intro- duced subcutaneously and intravenously, 157 as a cause of valvular disease, 9 Pyrosis, 256 Reynaud's disease, vascular reflexes in, 88 Reaction of degeneration, 477-479 partial, 479 512 DJDEX Receptors, 167 (side-chains), 170, 192 Rectum, disturl)ed emptying of, due to nervous causes, 459, 460 Reflexes, absence of, 458 disturbances of deep and super- ficial. 460^462 effect of, on defecation and urina- tion, 459 on the heart-lieat, 56, 60, 70 on respiration, 211 on the secretion of saliva, 232 on vessel tonus, 80 on voluntary movements, 453, 458 increased, 459 in strychnin poisoning and teta- nus, 462 origin of, 460 Regeneration of red blood-corpuscles, 105, 115 Relapsing fever in Hodgkin's disease, 13-2 Renal dialictes, 346 Renal function, disturbed, localization of, 427, 430 phcnolsulphoncphthalein test in, 431 Renal vessels, elTect of diameter of, on the secretion of urine, 413, 416, 4-?3. 424 Rcnnin, secretion of, as an index of pepsin secretion, 238 Residual nitrogen, in the blood, 138 in uraemia. 430, 431 Resistance, against infection, artificial, 161, 162, 175 (typhoid vaccination), 178 natural, 161, 177 (Schick test) bacterial, increased, 191 Respiration, accelerated, 204, 214 automatic regulation of, 202 Chency-Stokcs phenomenon in, 209 deep, 203, 210, 214 effect of atmospheric pressure upon, 215, 218 of changes in the alveolar membranes upon, 215 of composition of air upon, 215 of the blood upon, 120, 219, 220 of stenoses of the air-pas- sages upon, 200-204 of temperature upon, 214 of the pulmonary circulation in. _'20 Respiration, efTect of uniform distri- bution of inspired air in the alveoli upon, 208, 215 external, 197 importance of olfactory nerves in, 198, 218 phases of, 202, 203 protective mechanisms for, 197- 200 regulation of the normal, 204, 209 slow, 202, 203, 209 superficial, 204 imdisturbed, conditions essential to. 197 Respiration, internal, 223 Respiratory apparatus, methods of re- moving foreign material from, 197- 200 Respiratory centre, alterations in the activity of. See Cheyne- Stokes breathing, 20<) disturbances of, as a cause of cardiac dyspnoea, "j"] sensitiveness of, to changes in gas content of blood, 201, 222, 441 Respiratory disturbances, effect of on gaseous interchange in tissues, 222) on total interchange of gases, 221, 222 from altered irrital)ility of the centre, 209 from diminution of the res- piratory surfaces, 211, 213, 214 from insufficient distention of thorax and lungs, 206-208 from paralysis of respiratory muscles, 206 from poisons in inspired air, 218 from stenoses in air-passages, 200 altered respiratory move- ments in, 201, 202 from variations in composi- tion of air, 215-218 in anaemia, 219 in asphyxia, 222 in bronchitis, 204 in emphysema, 207 in heart diseases, 13, 34, 50, .77 in intoxications, 210 in ol)esity, 315 in paroxysmal tachycardia, -.j in uraemia, 210, 429 in v(^lumen pulmonum auc- tum, 207 INDEX 518 Respiratory disturbances, mechanism for compensation of, 221 subjective manifestations of, 225 , Respiratory muscles, diseases of, and their effect upon respiration, 206 Rheumatism, as a cause of heart dis- ease, 9, 39. retention of, as a cause of oedema, 93 Spasm, of the arterial muscles, 79 (angina pectoris), 81, 84, 452 514 INDEX Spasm of the oesophagus, 233 (cardio- spasm) of the intestinal musculature, 290 tonic, in occlusion of the bowel, 294, 297 of the pylorus, as a cause of gas- tric dilatation, 252, 253 Spasmophilia in children, 379 Spinal cord, diseases of, in anoemia, 112 injuries of, and temperature regulation, 385, 387, 400 Spleen, hyperplasia of, in leukaemia and pseudoleukaemia, 127, 128, 130, 133 in polycythnemia, 142 Splenectomy in pernicious anaemia, "5 in ha;molytic uterus, 269 Sputum in asthma, 205 Staphylococci, in the etiology of endocarditis, 9 Stasis, cardiac, secretion of urine in, 417 crdema from, 90, 95, 96 (pul- monary oedema) in aortic insufficiency, 13 in decompensated hearts, 34, 47, 48, 49. 50, 51 in paroxysmal tach5xardia, 57 venous, manifestations of, 50, 142 (polycythemia) Stenocardia. See Angina Pectoris Stenosis, of the howcl, 291-296 of the cardiac orifices, 10, 15, 18 of the oesophagus, 233 of the pylorus. 252, 254 of the respiratory passages, 200, 204 Sternberg's peculiar form of tubercu- losis, 134 Stomach (sec also Gastric) afTcctions of, aliscnce of free acid in chronic, 244 as a cause of secondary anaj- mia, 109 as a cause of cardiac arrhyth- mia, 70 as a cause of pernicious anae- mia, 113 bradycardia in, 60 paroxysmal tachycardia and, 57 Stomach, atony f)f, 253 Stomach, dilatation of, 248, 251, 252, 254 acute, 253 atonic, 253 Stomach, dilatation of, bacterial de- composition in, 248, 254 disturbed resorption in, 254 due to anomalies of position and form, 252 fulness and pressure in, 258 in hyperacidity and hyperse- cretion, 243 in pyloric stenosis, 252 nervous symptoms of, 255 without pyloric stenosis, 253 Stomach, emptying of, delayed, 251, 25-2, 254 effect of, on gastric tlora, 254 of character of gastric contents upon, 250 hurried, 250 pyloric retlex in. 249 through the cardia, 255 Stomach, movements of, 248 hunger contraction waves in, 257 Stomach, secretions of. See Gastric Juice Stomatitis, 229 in acute IcukcTmias, 230 Strangulation of the intestines, 295 Streptococci, in focal infections, 153 in mixed infections, 160, 161 on the heart valves, 9 mutation of, 153 Struma, cardiac disturbances due to, 55.. 56, 323, 324 (exophthalmic goitre) respiratory disturbances due to, 200 Strychnin poisoning, arterial spasm in, 81, 84 convulsions in, 462 urine in, 416 Substance scnsibilisatrice (Bordet), 166 Suljjective disturbances, cardiac, y6, 77. Tophi, Toxic albuminurias. 423 Toxic symptoms. See Intoxication Toxins, bacterial, 157-159 action of blood serum upon, 169 of gastric juice upon, 245 as a cause of albuminuria, 423 of cardiac disease, 9, 43 of hsemoglobinaemia, 117 of intestinal disorders, 276 minimum lethal dose of, 157 Tracheal stenoses, effect of, on res- piratory movements. 201 Transfusion in anremia, dangers of, 119 Transudate formation, due to venous stasis, 51, 90 Trauma, as an etiological factor in infections. 159 Tremor, 466 516 INDEX Tricuspid lesions, i8 venous pulse in, 51 Trigeminal nerve, relation of, to trophic disturbances in eyes and face, 483 Trypanosomes, destruction of (chemotherapy), 191 Tubercle bacillus, passage of, through intestinal wall, 155 Tuberculosis, as a cause of anaemia, 109 of cardiac hypertrophy, 21 of valvular lesions, 9 general bodily changes in, 375 proteid destruction in, 319 serodiagnosis of, 174 Tuberculosis glandular, resemblance of, to pseudoleukemia, 127, 134 Tumors, malignant, as a cause of anae- mia, 109, 113 of increased proteid de- struction, 319 Tympanites, 296 Typhoid fever, blood in, 126 bradycardia following, 61 dissemination of, by bacillus carriers, 191, 279 immunity after, 164 local allergic in (chante- messe), 186 prophylactic vaccination in, serodiagnosis of, 174 vaccine and serum therapy of, 178 Tyrosin, relation of to alkaptonuria, 335 Ulcer, gastric, complications of, 243, 253 etiology of chronic, 242 hyperacidity in, 241 infection in the etiology of, 242 intestinal, effect of, on peristalsis, 288 Urea, elimination of, in fever, 398 significance in functional tests, 428 formation of, 333 in uraemia, 431 Uraemia, 429"433 heart action in, 60, 70, 429 hypertension in, 28 in chronic infections of renal pelves, 26 Ureteral stenosis, secretion of urine in, 418, 419 Urethral fever, 387 Uric acid, excretion of, in the urine, 364 in gout, 369 in leukaemia, 365 in the new-born, 366 in the blood, in gout, 368 in calculi, 435 origin of, 364, 365 Uric acid infarcts of the new-born, 366, 435 Urinary bladder, relation of, to renal pelves, 433 Urinary calculi, 434 Urinary fermentation, ammoniacal in urinary stagnation in the bladder, 433 Urinary passages, formation of cal- culi in, 434 inflammations of, 433 occlusion of, 418 painful sensations in, 437 Urine, characteristics of, in acidosis, 327, 329 in burns, 119 in diabetes insipidus, 414 in diabetes mellitus, 330, 332, 359 in dyspnoea, 223 in fever, 398, 495 in haemoglobinaemia, 118, 121 in hepatic disease, 334 in hyperglycaemia, 344 in infections of the urinary passages. 433, 434 in intestinal obstruction, 293 in jaundice, 2(^7 in pernicious anaemia, 114 in phosphorus poisoning, 345 in renal oedema, 92 in urinary retention, 433, 434 Urine, secretion of, diminished, 416, .417 disturbed, sequelae of, 428 functional disturbances and their localization in rela- tion to, 427 increased, 413-416 influence of circulation in kidneys upon, 413, 416 of composition of the blood upon, 425 of diuretic substances upon, 426 in disturbances of innerva- tion, 459 of elimination of formed elements (casts), 42s of urinary solids, 420, 426 INDEX 517 Urine, secretion of, in disturbances of elimination of water, 419, 426, 427 in lesions of the secreting membranes, 419 in obstruction in the kidneys by blocking of the tubules, 418 outside the kidneys (uni- lateral), 418 mechanism of, 413, 427 Urobilin and urobilinogen in urine and faeces, diagnostic significance of, 272 formation and circulation of, 272 Vaccines, immunization with, 175, 178 Vagina, infections in, 156 Vagotonus, in old age, 52 in the puerperium, 62 Vagus, relation of, to arrhythmia, 69, 70 to asphyxia, 59, 223 to bradycardia, 59^1, 62 to heart block, 45, 67 to paroxysmal tachycardia, 58 to respiration, 202, 204 Vascular crises, 81, 84 Vascular disease, as a cause of dis- turbances of motility, 451 Vascular spasm, in angina pectoris, 79 in intermittent claudication, 79, 451 Vasomotor paralysis, as a cause of tachycardia, 55 in the infectious diseases, 86 Veins, circulatory disturbances of, due to anomalous heart action, 50, 88 to disorders of the lungs, 116 to pressure upon the great veins, 116 Veins, increased blood-pressure in, 47, 88, 90 lymph transudation from, in venous stasis, 90 murmurs in, 89 pulsations in, in cardiac stasis, 51 Venous hum, 89 Vesical tenesmus, 437 Vocal cords, paralysis of, 203 spasm of, 200, 201 Volumen pulmonum auctum, effect of, on respiration, 200, 207 Volvulus, 292 Vomiting, 255 Wandering cells, role of, in the proc- ess of immunity, 187, 193 Wassermann reaction, in syphilis, 174 as an indication of the constitu- tional nature of syphilis, 375 Water, absorption of, through the in- testines, 283, 288 effect of, on the storage of fat, 312 elimination of, in fever, 388, '395, 405 through the kidneys, 413, 414, 416, 419, 424, 425, 426, 427 retention of, in nephritis, 92, 140, 141 Water content of the serum, 137 in chlorosis, 107 Whooping cough, 201 Wright's method of vaccination against typhoid fever, 175 Xanthin, in the urine, 364 in urinary calculi, 437 X-rays in leukaemia, 129, 131 Zymogens. n,-i -11 i.n.'^'T __, 1 3 1158 OoVli'' A 001 362 682 5. 