, gout, and syphilis,
the entire system is thrown into a morbid state, the nervous system is
disturbed, and wandering pains manifest themselves in different parts of
the body. Fixed pain, which is increased by pressure, indicates
inflammation. If it be due only to irritation, pressure will not
increase it. Some rheumatic affections and neuralgia not only bear
pressure, but the pain diminishes under it. Permanent pain shows that
the structures of an organ are inflamed, while intermittent pain is a
sign of neuralgia, gout, or rheumatism. Absence of pain in any disease,
where ordinarily it should be present, is an unfavorable sign. Internal
pain, after a favorable crisis, is a bad omen. Or, if pains cease
suddenly without the other symptoms abating, the import is bad. If,
however, pain and fever remit simultaneously and the secretions
continue, it is a favorable sign.

A dull pain in the head indicates fullness of the blood-vessels from
weakness, low blood, or general debility. It may be caused by taking
cold, thus producing passive congestion of the brain. It may proceed
from gastric disturbance, constipation of the bowels, or derangement of
the liver. Heaviness of the head sometimes precedes inflammation of the
brain, or chronic disease of its membranes. A dull, oppressive pain in
the head indicates softening of the brain, and is generally accompanied
by slowness of the pulse and of the speech. A pulsating pain of the head
occurs in heart disease, hysteria, and frequently accompanies some forms
of insanity.

THE EYE indicates morbid changes and furnishes unmistakable signs of
disease. Sinking of the eye indicates waste, as in consumption,
diarrhea, and cholera. In fevers it is regarded as a fatal symptom. A
dark or leaden circle around the eye, seen after hard work, indicates
fatigue and overdoing. If the mucous covering of the inner surface of
the lids and the ball of the eye is congested and inflamed, it exhibits
redness, and may indicate congestion or even inflammation of the brain.

A dilated pupil is often observed in catarrhal consumption, congestion
of the brain, low fevers, and chlorosis.

The pupil contracts in inflammation of the meninges, when there is
increased sensibility and intolerance of light, also in spinal
complaints. In some diseases the lustre of the eye increases, as in
consumption. But if it decreases with the attack of violent disease, it
indicates great debility and prostration.

EXAMINATIO