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.
1882 edition. Excerpt: ... developed, distinct diseases. Now,
although true scurvy has almost disappeared from civil practice,
and is only occasionally met with among the sailors of our
mercantile marine, still, as Dr Eade and others have shown,
incompletely developed forms of it are by no means of rare
occurrence, though, as Dr Buzzardf has pointed out, the true nature
of the ailment is very often overlooked. Among the class of persons
who form the bulk of the out-patients of our hospitals and
dispensaries mild scorbutic manifestations may be frequently noted.
At the London Hospital, where, from a habit acquired at the
Dreadnought, I make it a rule to examine the gums of all patients
at the time I examine the tongue, a visit seldom passes without a
case presenting itself exhibiting sufficiently characteristic
scorbutic symptoms. This manifestation of a scorbutic condition is
not, however, by any means confined to our poorer patients, since
we find it developing from time to time among those of a better
class. Here it frequently supervenes on some chronic affection;
thus, for instance, a patient with a weak and feeble digestion is
afraid of taking sugar because it turns acid, and vegetables,
particularly potatoes, because they cause flatulence, so fruit,
potatoes, and green vegetables are avoided. Absolute deprivation of
vegetable food, however, is not required to produce a tendency to
scurvy, some persons being naturally predisposed towards the
disease, and are more readily and speedily affected by a temporary
withdrawal or a diminished supply than others; these persons have
what the older writers ' Lancet, ' June, 1880; ' Brit. Med.
Journal, ' Nov. 19th, 1881. t Reynolds' System of Medicine, '
Article "Scurvy," p. 745. termed the " scorbutic constitution." In
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