New-York tribune., 1874-07-07
HYDROPHOBIA.
Continued from First Page.

patient We know that he has deusons. that he is ex
cited to great degree. don't know that Won could
locate any pathological condition with more exact refer
ence to the symptoms than it located in this case
These sections made not from any particular
part OF the cortical substance Of the eerebrum rain
| but from various parts probably took half dozen
portions Of the surface OF the
brain, and lho similar appearances were pre-
sented throughout. In the next place. we have the
medullasoblOngata involved, and that part OF IT, too,
which is in direct relation with the organs which
seemed TO be funconay deranged TO great extent by
| nydrophoba.
know that one Of the characteristics sometimes Is
difficult OF swallowing. which is excited az once
upon the approach OF anything which has to be swal
lowed Even the very idea of swallowing Is sufficient
TO sxnite spasms We ind that the spinal acces-
sorry the hypogOssa and the pneumogastrc nerves are
concerned that function, ana the movements OF the
tongue ard respiration and action Of tue heart are
! likewise involved to considerable extent, Bnd
/ thus have sufficient explanation OF the
! cause Of those symptoms. In McCormick's case
/ there was very great disturbance Of respiration
! and considerable irregllarity Of the action Of
the heart. have six Of hydropho0ia, ana
these were prominent sometimes IN all Of them In one
the spinal cord appears 10 Do diseased asO Du not
least IN this case as IN the other
organs examined The upper part OF the spinal cord
was only part that could be examined the vertical
canal was opened, and examination was made OF
bid condition extended omewhat lOw than the point
at which the section made. And in that we have
an explanation Of the general activity or the body
There are other conditions which hydrOphobc patients
exhibit. and which showp to some extent in McCor-
! nick's case As far as establish anything
this Mccormick establishes facts that in hydro
phobia we OF the cOruca substance Of the
BRAIN disease Of medula obongata ami disease Of
the spinal cord ana disease OF the roots OF the pneu
| mogastrc and hypOgos nerves. When within the
medulla obIongata. the pneumogasric nerve dld NOT
present any appearance of disease, unless it IN an
nfammatory condition. In former observations made
to hydrophouia similar appearances have been
discovered. The only accurate micrOscopicai ones
were made by DR.. OcOtL h. as l nave
/ stated. examined the nerve centers IN two cases
| Of hydrophObic patients, ana he found conditions
| very similar 70 those I have detailed. and l
will not touch them In great many cases the
meninges (membranes Of the brain ana the mcdulia
Oblongata nave been found cOugested condition,
and il ascerained that there extTaYasa-
tons of blood Throughout che substance or the brain
Dr. OlcOtt ascertaued IN addition which did not, thAt
the corpus aud the thaamus opcIs presented
the same appearance the other ceners the
medulla obongata ana the cOrtical substance OF the
Drain The pOns varolh have not examined, but. as
far as can Judge appears also to be IN healthy
condition. so that the results differ. Tllt is not sub
] iect remark, because II We examine two cases or
| pneumonia at different stages OF tho disease, We
/
/ lions, and 1t may be tuat tna5 OF itself viii
account for the difference the result Sometimes
hydrOph0bia patients 1--we one dav, sometimes tAree
days or seven day-, ana 1 case recently
where an individual lived twelve days. Hew'tt has
discovered condition have stated, Of congestion OF
the medulla cOrtical substance OF tine brain ana
spinal And Romberg and Williams gave 1t as their
opinion the essential condition, that Is con
gesOn OF the brain and spinal cord and medaA oOon-
/ gat and may say the gangiia OF the base Oi the
| brain.
/ NATURE or TIE DISEASE,
Is hydrophobia disease VI tue ucryc-centers or
{ blood disease [ suppose It IS utterly impossible 10
answer such question that. II a blood
disease and disease. Blood diseases lead
10 structural eanae OF various organs OF tine body anu
& Se l. not ao r6rs nile TO reeori 6sr 1
cety ike this the numerous instances Of blood diseases
| which produce structural changes HydrDphobia may
bs blood disease, vet aierN ara succeeded by
changes the ccntrrs IL l. not worth while 20
suppose that hydr'p9oDa Is "a nerve dsease rom ,ns
Des!hl.ne ~ ~ - p ~ ncr4 ,S,tcl, ran readily he
adduced in proof OF that assertion Take rtannS uock
jaWl The mass OF the practitioners 90 not pretend
10 v that fetanIs ls "A biOOd disease. II Is disease
propagated through nerve structure starting IrOn
Nm, trlI change, of nerve ceuters. esp acialy
tine spinal one doctor has ascerained 10 num-
Der OF cases the essential condition OI teanus is
granular degeneration OF The cord. and tla IS only tAe
1el1uuIng Of the fatty degeneration find 20 hydropho
ba ana suspect Is the essential condition. and
teauus occurred under the Identical circumstances
which are present in nydrOphOOid you might nave IL
10 the advanced stage u fdtty ucgcu
erAiiou in yle structure OF Mccormick found
TeJanus aUle to Indnce such horrible disease As
Iock-jaw why u not equally possible that hydrOpho-
| Da may usually induce similar dlsrasei Wa" may
dog induce "a similar disease 20 IT, ~
bydrophuba does HydrOphObia presents many anaiO-
ges 10 tctanus Epilepsy can pe eLioclo % ~,
ueripheral lad csc some yeAr' ago VI ldu}
who wounded thumb, and six months aIerward shs
bad eprpfIc oarox ysns and yet doubt tnat wound
| was the cause Of ner epilepsy. Ana II epHep'Y-"ncn
! Jired by "A simple wO1nd, why not hydrOphobia so
rha we nave examples OF analogous diseases
tgta aF nary kE1
| snpposiug the blood Is primarily Affected
There a very remarkable disease progressive mus
,iir atropgy (Tasilng Ihaye Known numerous cases
and think my friend DR. Beard viii recoiect care
which excited great deal oi attention among tosg
interested IN nerve diseases IL Affected the splna
/ cord Here found disease gong on month pl
month, induced by Wounds 70 G'l1hS nerves & {}
ect MN you; presume Dr Beard mas seen thr
n.tenG he went round 70 many phy sicans IA
/ S.,rYnrk II was a man whom 1 had before my clinic
IA the Bellevue Hospital Medical College, VINO ioOWeu
the occupation OF gambler. IL arose from TIE eA,es
i've use OF thumb ana nnger Of one hand n certain
/ mAnpulatOns which l am not competent 70
describe in hnndlnG cards at faro IL had 9Iousn on
nrogressive atrOphy, winch extended ~ almost
| every muscle OF both upper extIemueS; IL ihYoHedd
the muscles which supported te leAl nIeu Tue % nvau
fl forward had 70 make many eontOruOns 10 uIlhg
/ IL back again Here very excessive use OF certain
nerves brought on an atIOphy Vi tlo noifo st1 -
FrOm some beginning II travels along the nerves oI
some excessive OF the nerve 50 luereres WIN Ine
nerve itself that II soon becomes inNVseu, 5v No ~
reason 10 suppose that II IL not possible Tor hyurophoD
10 ne a disease essentially OF the nerve cener' even
although appears to DC Mduceu Dy the Oi'e VI iA''
A"4"''' THE BEST PREvENuyEs.
Now would like say few words IN regard 10 pre-
veption though 10 great extent viii be reiteratlon
t what has already said by other and better au-
rhortes In my opinion there Is no preventive that
! can equal excislOn. and l am inclined 70 thlhk
that when exclslon Is performed at any Iihe pflol
| ~ the development OF the symptoms IL VIII
! A., eoo,rol thtnk would DO il az soon possible,
mt should not hesitate 10 do II at any Time AZ "eIe
brten by hydrophODic dog and could NOT AZ once se.
where could have IL out. would have II CUT OUT
wnen could get where could have II done out Ssr-