Electro-physiology and electro-therapeutics : showing the best methods for the medical uses of electricity / By Alfred C. Garratt.
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action of the affected muscles. There will also be rheumatism
or neuralgia in other parts of the body or limbs ; the system
will not be much disordered; the urine will be high colored,
and deposit the lithates.
2. If from disease of the spinal column, the pain will be
aggravated by percussion upon or along the sides of the spinous
processes at this portion of the back, or by suddenly striking
the toes against an uneven surface. There will be involuntary
action of the muscles, especially of the flexors of the legs,
diminished temperature, abnormal feelings, and more or less
loss of power of the lower limbs. The spinous process of the
affected vertebrae may possibly be projected, and this would
confirm it.
3. If from a collection of matter in or about the psoas mus-
cle, if unconnected with spinal disease, then the pain will be
continuous, dull, and deep-seated; extending from the loins
down the psoas, or in whatever direction the matter may have
taken its course. The pain will be increased by flexion of the
thigh, and there will be difficulty in walking; moreover, there
will be marks of a strumous habit, and more or less symptoms of
hectic fever.
4. If the " loin pain " originates in irregular hepatic function,
then the pain will shoot upwards along the splanchnic nerves to
the scapulae ; the alvine evacuations will show deficiency, alter-
ation or excess of bile ; the urine will have a bilious tinge, there
will be a congestion of the hemorrhoidal veins, and the spirits
will be depressed.
5. If the " loin pain " arises from deranged duodenal function,
then it will be noticed that about three or four hours after a
meal, the pain will be aggravated, shooting through towards the
right side of the abdomen, and continuing more or less until the
food has passed from the duodenum into the jejunum. If this
be the case, dyspeptic symptoms will prevail, and there will be
likely to be painful pustules breaking out about the face. This
last symptom, however, is not uniform, though frequent.
6. If the " loin pain " is from the kidneys, it will shoot down
the course of the spermatic nerves, towards the round ligaments
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