J127 559 1852

то

JOSEPH HENRY GREEN, F. R. S.,

LATELY PRESIDENT OF THE ROYAL COLLEGE OF SURGEONS,

SENIOR SURGEON TO ST. THOMAS'S HOSPITAL,
PROFESSOR OF ANATOMY AT THE ROYAL ACADEMY,
ETC. ETC. ETC.

THIS VOLUME IS INSCRIBED:

THE GRATEFUL AND AFFECTIONATE HOMAGE

OF A PUPIL TO HIS MASTER;

THE TRIBUTE

OF HABITUAL REVERENCE FOR HIS GENIUS AND HIS VIRTUES;

THE ACKNOWLEDGMENT OF LIFE-LONG OBLIGATION

TO HIS TEACHING, TO HIS EXAMPLE, AND TO HIS FRIENDSHIP.

ADVERTISEMENT.

THE following Volume contains a short Course of Lectures in General Pathology, which has recently appeared in the columns of the Lancet.

It is now submitted to the profession in a separate form, with such further correction and extension as the Author's

other engagements have allowed him to make during its reprint.

TABLE OF CONTENTS.

LECTURE I. (pp. 8—21.)

INTRODUCTORY CONSIDERATIONS as to the subject-matter, limits, and applications

of Pathology; its dependence on anatomical, chemical, and clinical observa-

tions; its relation to Physiology.

DISEASE; analysis of what is implied in the term; prevalence of exterior causa-

tion in producing it; symptoms and products of disease determined by the

types of healthy structure and healthy function; diseases arising in respect

of reaction-in respect of development (textural or chemical); norma of dis-

ease; query, as to disease essentially independent of exterior cause? sponta-

neous declensions from normal type; hereditary misdevelopment.

Influence of Pathology in improving Treatment of Disease; pleasures and

rewards of the study.

LECTURES II. & III. (pp. 22-49.)

BLOOD IN DISEASE; not simply a chemical study; physiological analysis, distin-

guishing elements of blood according to their station in its development-

whether mature, progressive, or regressive; similar principle in classifying

morbid phenomena;-viz., (1) diseased conditions arising in morbid inges-

tion; common poisons; limitations to their power of infecting the blood; mor-

bid poisons (vid. Lect. xii.): foreign bodies, cancer-cells, pus: (2) diseased

conditions arising in errors of excretion; (a) Retention of what ought to be

excreted; carbonic acid, bile, urea; (b) Drain of what ought to be retained;

effects of diabetes, cholera, hemorrhage, serous discharges, and parasitic

animal growths: Secondary results of inspissation and attenuation of the

blood: (3) diseases affecting the intrinsic metamorphoses of the blood; (a)

Cell-growth in blood; augmented in plethora; in menstruation; diminished

in chlorosis; therapeutic effects of iron explicable on general principle;

effects of spleen disease on the development of the blood; (b) Serum; rela-

tion of its salts to production of scorbutus? relation of its albumen to scrofu-

lous and gouty deposits? Extractive matters: fat; conditions leading to

piarhæmia: fibrin; its signification in health; and that of hyperinosis in dis-

ease; fibrinous concretions in internal organs; pathology of endocardial

deposits.

LECTURE IV. (pp. 50—63.)

QUANTITATIVE IRREGULARITIES IN DISTRIBUTION OF BLOOD.-Local hyperæmia;
(a) passive: its mechanical causes; exudation; peculiarities of exuded fluid;
their explanation; instances of passive hyperemia and of its effects; it does
not conduce to hypertrophy; (b) active hyperæmia; physiology of fluctuating
supplies of blood; power of molecular change to determine alteration in sup-
ply of blood; influence of nervous system over heart and arteries; muscu-
larity of arteries; injuries of sensitive nerves affecting nutrition; cases and
experiments bearing on the neuropathic theory of inflammation.