This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1892 Excerpt: ... to combine better known nosological facts with recently acquired diagnostic and therapeutic data. It remains for us to examine the question of the position occupied by the method of chemical examination in the diagnosis of diseases of the stomach, and to inquire how far it permits definite conclusions to be drawn as to the nature of the disorder present. Are the disorders of function which we discover with the help of the sound and test-tube specific and characteristic, in the sense of belonging exclusively and only to a definite form of disease and absolutely diagnostic, like tubercle bacilli in the sputa, or hyaline casts in the urine, or are they signs of more general meaning, having nothing to do with a specific morbid process? You know, gentlemen, that recently some have gone so far as to divide diseases of the stomach into those with increased secretion, those with diminished, and those with totally absent secretion of hydrochloric acid, and perhaps some of you have regretted that in order "to be quite in the fashion" I have not so arranged our subject. This would be as foreign to my ideas of what is right as if I were to write a text-book of special pathology, and were to classify diseases according as they occur with or without dropsy, with or without jaundice, with or without albuminuria, &c. If we abstain from exaggeration, and keep to the solid ground of facts, we can draw the following conclusions from our present experience. There are two great groups of chemical results which depart from the normal conditions of the stomach: first, the untimely presence of organic acids; secondly, changes in the proper gastric juice, the secretion of hydrochloric acid, pepsin, and rennet ferment, and the absorption and movement of the organ. The organic acids,...
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