re wanting. We cannot
forget the pale, sharp, contracted, and pinched features of those
patients whose nostrils contract and expand alternately with the acts of
respiration. How hard it was for them to breathe. The contraction and
expansion of the nostrils indicate active congestion of the lungs.

As a general rule, chronic inflammation of the stomach, duodenum, liver,
and adjacent organs, imparts a gloomy expression to the countenance, at
the same time the eye is dull, the skin dusky or yellow, and the motions
are slow. But in lung diseases, the spirits are buoyant, the skin is
fair, and the cheeks flushed with fever and distinctly circumscribed
with white, for delicacy and contrast, almost exceed the hues of health
in beauty. Note, too, the pearly lustre and sparkling light of the eye,
the quivering motion of the lips and chin, all signs of pulmonary
disease.

THE STORY OF SEXUAL ABUSE is plainly told by the downcast countenance,
the inability to look a person fairly in the face, the peculiar lifting
of the upper lip and the furtive glance of the eye. The state of the
mind and of the nervous system corroborates this evidence, for there
seems to be a desire to escape from conversation and to elude society.
The mind seems engrossed and abstracted, the individual appears absorbed
in a constant meditation, he is forgetful and loses nearly all interest
in the ordinary affairs of life. The whole appearance of a patient,
suffering from spermatorrhea, is perfectly understood by the experienced
physician, for the facial expressions, state of mind, and movements of
the body, all unconsciously betray, and unitedly proclaim his condition.

TONGUE. Much may be learned from the appearance, color, and form of the
tongue, and the manner of its protrusion. If pale, moist, and coated
white, it indicates a mild, febrile condition of the system. If coated
in the center, and the sides look raw, it indicates gastric irritation.
If red and raw, or dry and cracked, it is a sign of inflammation of the
mucous membrane of the stomach. If the inflammation is in the large
intestine, the tip of the tongue presents a deep red color, while the
middle is loaded with a dark brown coating. When the tongue is elongated
and pointed, quickly protruded and withdrawn, it indicates irritation of
the nerve-centers, as well as of the stomach and bowels. If tremulous,
it denotes congestion and lack of functional ability; this may be
observed in congestive fev