Nashville union and American. [volume] (Nashville, Tenn.) 1868-1875, 1869-02-23

Extract from DIR. Lighthill's work on Catarrh
and Kindred Diseases of the Mucous Mem
brane.l
The earliest, most prominent and char
acteristie features of Catarrh is discharge
from the head, consisting sometimes of a
clear, acrid fluid, but oftener of thick,
fetid, purulent, yellow or greenish, yellow
matter, which is usually seereted in exces-
sive abundance. and discharged through
j the nostrils or throat, and frequently by
both channels.
The nature ofthis discharge varies in
different cases, and even in the same indi-
vidual, at different times. In some it is
copious and Of loose or fluid character,
whilst in others il is very viscid or gummy,
adhering to the diseased membrane with
glue-like tenacity, and removable only
with great dificulty-a condition more
particularly noticed on rising in the morn.
ing, because, during sleep, the purulent
secretion hardens and accumulstes with
greater facility.
Again, the offensive matter concretes
into dry, hard masses or crusts, which
obstruct breathing, and are very difficult to
detach, their dislodgment often requiring
most violent efforts. Sometimes these in
crustations come away in small Bhitish
lumps, or fragments of deep green tint,
but occasionally, broad and fat casts of
notable size are expelled, on which traces
OF blood may at times be observed. This
condition is very liable 70 run on to serious
liberation, involving loss of the bony
structure Of the nose, and subsequent
fattening of that organ.
The nasal membrane is thickened and
congested, causing the nose to be stopped
up, sometimes on one side, sometimes on
the other, and often on both, giving rise to
a disagreeable stufy sensation in the head,
and occasionally violent paroxysms of
sneezing.
A feeling of fullness, heat, irritation,
soreness or pain is generally experienced
in the nostrils, near the root of the nose,
as well as the upper part of the throat,
above and below the soft palate. A dis
tressing sensation of heavy weight or COM
preston is usually complained of over the
forehead, especially in the region imme-
diately above and between the eyes. Some
times the pain is obstinately fixed in some
particular part, as in the temples, on the
top of the head, at the back of the neck,
or behind the orbits; and, occasionally,
pain manifests itself in the face, of so se-
we're character that it is frequently mis-.
taken for neuralgia.
The voice is generally affected, and be- |
comes hoarse, muffled, weak and uneven,
assuming nasal character; or an I'M
pleasant, shifting quality. Cough, of |
variable severity, is not unfrequently one
of the symptoms and results of Catarrh.
The breath is tainted, and assumes, at
times, an exceedingly fetid and sickening
odor In some cases it becomes 80 revolt |
irgly offensive as to render the sufferer an |
object of disgust to himself as well az to
others.
The sense Of smell is generally blunted
or entirely lost in Catarrh, and a similar
effect on taste may be occasionally OBJ
served. The eyes are apt to become irrita-
bic, and disposed to water excessively on
exposure to the cold or wind, and sense
of WEAKNESS of sight is usually expert
enced after slight exertions. Hearing be-
comes frequently more or less impaired,
and noises in the head very often add ma
terially to the existing distress.
The stomach generally suffers more or
less, and becomes weak and irritable the
appetite is capricious, and nearly always
bad in the morning.
The patients often complain of lassilude
and fatigue, and incapacity for either
physical or mental exertions, and con
Itant disposition to drowsiness and sleep
The mental faculties are also sometimes
lightly affected, loss of memory being not
experienced.
Catarrh may prove fatal either by debil
Eating the system and wearing ont the
'atient, or by trayelin- downward and
consumption The fact has
'een SO repeatedly noticed that all expe-
fenced practitioners now look upon
'atarrh as one ofthe most frequent and i'm
ortant causes of this complaint, but ac-
ording to our extensive observation, it
hould always be regarded as a Fremont
ION and one of the very earliest manilea-
ons of Consumption.