Visceral angioneuroses : (the visceral crises of vasomotor ataxia) / by Solomon Solis Cohen.

  • Solis-Cohen, Solomon, 1857-1948.
Date:
1910
Catalogue details

Licence: In copyright

Credit: Visceral angioneuroses : (the visceral crises of vasomotor ataxia) / by Solomon Solis Cohen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    such haemorrhage angioneurotic, and the pain may be due to tension of the capsule in fits of vascular distention which sometimes issue in haemorrhage.7 But these phrases seem intended to throw doubt upon the suggested explanation rather than to ac- cept it. That all visceral neuroses are of vascukr mech- anism is not asserted; that many, if not most of them are, I hope to show. Nor is the thesis here upheld that the condition of vasomotor ataxia will alone account for the phe- nomena described. On the contrary, they appear to have a threefold origin: 1. A constitutional or temperamental status or liability; namely, the aberrant motility of the vaso- motor system, or, rather, of that entire nervous ap paratus which used to be termed “sympathetic,” which Gaskell termed “visceral,” and which is now known as “autonomic.” This may be an actual, or only a relative imperfection; it may be manifested by excess or by defect, by undue readiness (ereth- ism) or by sluggishness (apathism) of reaction, by want of excitability or by want of inhibition—but the general result is the same; there is a maladjust- ment of the circulatory relations. 2. An excitant; the most frequent exciting agents being (a) an endogenous or ectogenous poison— perhaps even a perverted or relatively excessive physiological product; (b) emotion; and (c) ther- mal change. Sometimes the excitant cannot be identified. 3. A local determinant, direct or reflex, which is sometimes to be recognized in mechanical and phys- ical conditions, such as position (gravity) ; some- times in circumstances that condition a local action of the excitant; sometimes in a selective drug or 7Allbutt and Rolleston, System of Medicine, iii, p. 408, London, 1907.