uterus, the other to the left. These vessels carry blood into
the cotyledons, whence it is transmitted to the fetus and digested by
its digestive faculty."]
Diabetes is defined as "An immoderate passage or attraction of urine
from the liver to the kidneys and its passage through the kidneys, as
the result of a warm or dry distemperature of these organs." The idea
of some association of the liver and kidneys in the production of
diabetes is at least as old as the eleventh century, and Gilbert's
definition of the disease is undoubtedly borrowed from the "Practica"
of John Platearius (A.D. 1075), of the school of Salernum. The
symptoms, continual thirst, dryness of the mouth, emaciation, in
spite of an inordinate appetite, frequent and profuse urination, are
correctly given, but no knowledge of the presence of sugar in the
urine is indicated.
Dyampnes (involuntary micturition) claims a page or more of
explanation and treatment, and its frequent occurrence in old men and
children is noticed.
In the department of the diseases of women chapters are devoted to
amenorrhea, menorrhagia, hysteria (_suffocatio matricis_), prolapse,
ulceration, abscess, cancer, dropsy and "ventosity" of the uterus
(physometra).
In the allied department of obstetrics we find chapters on the signs
of conception, on the urine in pregnant women, on difficult labor,
prolapsus uteri, retention of the placenta, post partum hemorrhage,
afterpains, and the oedema of pregnancy. The causes of difficult
labor, according to Gilbert, are malposition, dropsy, immoderate size
and death of the fetus, debility of the uterus and obstruction of the
maternal passages. Malpositions are to be corrected by the hand of
the midwife (_obstetrix_). Adjuvant measures are hot baths, poultices,
inunctions, fumigations and sternutatories, and the use of certain
herbs.
In the departments of general medicine not as yet entirely
appropriated by specialists it will suffice to mention scrofula,
pleurisy and pneumonia, hemoptysis, empyema, phthisis, cardiac
affections, diseases of the stomach, liver and spleen, diarrhoea and
dysentery, intestinal worms, dropsy, jaundice, cancer, rheumatism and
gout, small-pox, measles, leprosy and hydrophobia, all of which claim
more or less attention.
Peripneumonia and pleurisy are both inflammations of the chest, the
former affecting the lungs, the latter the diaphragm and the pellicle
which lines the ribs. The prominent symptoms of bo
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