Dictionary of Practical Medicine, Vol. 6
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| Stand: | 2015-08-04 03:50:33 |
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Excerpt from Dictionary of Practical Medicine, Vol. 6: Comprising General Pathology, the Nature and Treatment of Diseases, Morbid Structures, and the Disorders Especially Incidental to Climates, to the Sex, and to the Different Epochs of Life; With Numerous Prescriptions for the Medicines Recommended a Classi 1. The mucous membrane covering the isthmus faucium, the soft palate or uvula, may be simply relaxed, or inflamed, or ulcerated. The hard palate - the bones of the palate may he also diseased - may be inflamed or ulcerated and carious, but chiefly as a symptom of serious constitutional disease, especially of syphilis, more rarely of scurvy. 1. Relaxation op the Palate and Uvula. Relaxed throat - Relaxed sore throat - Catarrhal relaxation of the throat - Relaxation of the fauces. Classif. - I. Class, I. Order (Author). Defin. - Uneasiness or soreness in the fauces, often with slight cough, without fever. 2. This affection occurs primarily; but it also attends catarrhal and other inflammations of the mucous membrane covering those parts and the tonsils and pharynx. It is also symptomatic of catarrhal affections, of chronic bronchitis, of the several states of indigestion, and of numerous other diseases. The anterior fauces, or velum palati, appears more or less relaxed, very humid or watery, with little or no increase, or only with slight increase of vascularity, and the uvula is elongated, and hangs down upon the base of the tongue, often reaching to the epiglottis, and is sometimes also oedematous. More or less uneasiness in the throat, somewhat increased on deglutition, and occasionally a dry, tickling cough, particularly when the relaxed uvula irritates the epiglottis, are complained of. Indeed, the elongation of the uvula is generally the cause of the chief uneasiness attending relaxation of the palate or fauces, which often becomes a chronic disorder, especially in leueophlegmatic habits, and in persons who live irregularly and intemperately. 3. This affection, when it appears primarily. is generally caused by the same influences as produce inflammatory attacks of the palate or fauces (§ 6), and catarrhal affections. It rarely continues limited to these parts, but extends to the adjoining surfaces, to the pharynx, epiglottis, and larynx, causing a tickling cough, with slight mucous expectoration. It is frequent in spring and autumn, especially during humid states of the air, and usually, with relaxation or irritation of the Schneiderian membrane, constitutes a principal part of the common catarrhal affection. (See Art. Catarrh, 7.) 4. The treatment necessarily depends upon the causes of the affection, and upon the nature of the disorders of which it is symptomatic. If a part of, or connected with, the common-catarrh, the treatment advised for that disorder (16,, et seq.) should be employed, and a warm embrocation may be applied to the neck or throat. If it he a symptom of indigestion, tonics and astringent gargles, after biliary and intestinal secretions are evacuated, are generally useful. In persons subject to dyspepsia, in those of a relaxed habit of body, and in the irregular liver, relaxation of the soft palate and uvula often becomes chronic, whatever means of cure be prescribed, especially if the liver be at the same time torpid, or otherwise disordered. In those persons the elongation is often attended by oedema of the uvula, and is productive of the most unpleasant part of the symptoms. Amputation of the part has, therefore, been often recommended, and too often allowed. Several persons who have had the uvula removed, have consulted me on account of disorders which had either continued or appeared after this part had been extirpated. The function of the uvula is evidently to convey the mucus and saliva over, and thereby to lubricate the base of the tongue and epiglottis; and wh
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