Atlas and epitome of diseases of the mouth, pharynx, and nose / by L. Grunwald; authorized translation from the German, edited with additions by James E. Newcomb.

  • Grپnwald Ludwig, 1863-
Date:
1903
Catalogue details

Licence: In copyright

Credit: Atlas and epitome of diseases of the mouth, pharynx, and nose / by L. Grunwald; authorized translation from the German, edited with additions by James E. Newcomb. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    deeper air-passages against the entrance of dust and of larger foreign bodies. Hyperesthesia, or excessive sensibility to ordinary sensory irritants, is observed in some individuals and causes them to react to an excessive degree either by pain or by the performance of certain reflex acts which, under normal circumstances, would not be called into action. 1 bus many persons are painfully affected by cold air or air containing a small admixture of pungent substances, and at once react with sneezing and lacrimation. Hyper- esthesia in the pharynx produced by psychic influences, such as the fear of vomiting, is too well known to every physician as a troublesome obstacle to examination to need any special description. This variety includes the morn- ing nausea or vomiting which attends the abuse of alcohol or tobacco. Paresthesia rests on a purely neurotic basis (hysteria, hypochondriasis, or neurasthenia), and assumes a great variety of forms, such as the feeling as of a foreign body, or the fancied presence of diseased areas in the pharynx and in the throat. It is particularly apt to take the form of incorrect localization of affections that are really present, but at some other place. The last-men- tioned form is exceedingly common, as the ability to localize a sensation in the pharynx is very imperfect. The first-mentioned variety, on the other hand, is as rare in fact as it is common in diagnosis, because most sensations of this kind depend not on lesions of central origin, but on actual structural affections, which are, naturally, diffi- cult to find. The diagnosis of “ nervous ” paresthesia must, therefore, be made only after every possible basal condition has been excluded, and when other signs point- ing to the above-mentioned causes are present. 1 he treatment, it need hardly be said, is purely psychic. It is proper at this point to mention neuralgia, since it in a sense also represents an abnormality of sensation. It may form part of a general trigeminal neuralgia, inas-