Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: even an apprehension of consumption;—nay more, there may be fearful protraction of these maladies, but without cough, pain in the side, or expectoration; so distinct is the line of demarcation between this and the other complications. From what I have seen, I arn convinced that structural disease of the lung is most frequently connected, either with chlorosis alone, or with chlorosis in connection with amenorrhcea. For instance; a girl of consumptive family, arriving at the age of puberty, becomes slightly chlorotic; and soon, instead of the negatively morbid state which may have existed up to this period, there creeps ou slowly, but certainly, a confirmation of the disease; there is no menstruation; or, if the function be developed, it is only once or twice, and very imperfectly. Then, there is great cause for apprehension, not that the series of symptoms belonging to the other complications will occur, but rather that the ansemia and want of constitutional power will favor the predisposition to structural pulmonary change, buch patients are not altogether without appetite, the derangements of the stomach and the alimentary canal are not prominent symptoms, the cerebrum does not painfully sympathize, and frequently there is an entire absence of hysteria: but there is quickness of pulse; irregular action of the heart; rapidity and difficulty of respiration; more or less thoracic pain, frequently confined to the left side; a short, hacking cough, and emaciation. Inquire particularly, and it will sometimes be found that there is, in slight degree, both expectoration and perspiration. When patients have arrived so far, and sometimes, happily, before they have reached this point, apprehension is roused, and medical treatment is eagerly sought. Many such cases are occurring, and I w...