A treatise on the diseases of the chest, tr. by J. Forbes

René Théophile H. Laënnec

1834

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Selected pages

INTRODUCTION	1

PART FIRST	9

OF PERCUSSION	16

OF IMMEDIATE AUSCULTATION	24

DISEASES OF THE BRONCHI LUNGS AND PLEURA	60

Of the treatment of catarrh	77

Of the treatment of hooping cough	95

OF DILATATION OF THE BRONCHI	100

Of the treatment of asthma	386

BOOK THIRD	392

Of the period of effusion in serous inflammations	394

Of the mobility of the effused fluid by change of position	407

Of tenderness of the exterior of the chest in pleurisy	413

Of contraction of the chest after pleurisy	431

Of tartar emetic in large doses in pleurisy	437

Of the operation of empyema	443

OF CROUP	112

Of local applications to the air passages in croup M L	121

OF BRONCHIAL HEMORRHAGE	123

Louis and Hastings on ulcers in the bronchi	127

OF ALTERATIONS OF THE BRONCHIAL COATS	131

OF HYPERTROPHY of the lungs	139

Andral and Piedagnels opinions on empyema M L	145

On pulmonary empyema in hares hawks c Opinions of Sir	151

Of Interlobular emphysema	157

OF EDEMA OF THE lungs	163

Treatment of cedema of the lungs M L Tr	170

OF PULMONARY APOPLEXY	171

Of the history nature and causes of pulmonary apoplexy	176

OF PNEUMONIA	182

Of the relative frequency of inflammation in the right and left lungs	189

Signs and symptoms of Pneumonia	194

Of the value of the crepitous rhonchus as a sign in pneumonia	195

On certain forms of expectoration in pneumonia and on the impor	203

Of gangrene of the lungs	207

Of Chronic Pneumonia	216

Of chronic pneumoniaits rareness	217

Of bloodletting in the later stages of pneumonia	223

Purgatives and Emetics	227

Of the use of calomel and opium in pneumonia	229

Of Dr A Laennecs experience of tartar emetic M L	237

Of the treatment of pneumonia with tartar emetic in large doses	244

Regimen	247

Literature of pneumonia	251

Of the nature and origin of tubercles M L	257

Identity of grey granulations and yellow tubercles M L	263

State of the mucous membranes in phthisis M L	269

Of the secretion of tubercles in the aircells M L	276

Of cicatrices in the lungs	289

Of the geographical prevalence of phthisis 299 300	299

Relation of phthisis to the age of the individual M L Tr	307

Of the state of the respiration in the early stage of phthisis	313

Of pleuritic pains in phthisis	320

Of diarrhoea in phthisis	326

Of issues in phthisis	332

Importance of prophylactic treatment in phthisis	339

OF CYSTS IN THE lungs	342

OF MELANOSIS OF THE LUNGS	351

Dr Carswell on the progress of melanosis	352

Dr Carswells classification of melanosis	358

CASE XXX	359

OF ENCEPHALOID TUMOUR OF THE LUNGS	362

Opinions respecting encephaloid cancer M L	366

OF NERVOUS AFFECTIONS OF THE LUNGS	369

87	376

Of the varieties and pathology of asthma	381

OF HYDROTHORAX	448

Of the connexion between hydrothorax and inflammation	450

OF HÆMATHORAX	454

OF PNEUMOTHORAX	456

Of the usual origin and cause of pneumothorax	457

91	459

Of the symptoms of pneumothorax	461

Of the metallic tinkling as a sign	479

Relative frequency of pneumothorax on both sides M L	484

Of double pneumothorax	487

PART THIRD	494

OF THE SHOCK OR IMPULSE	500

True rythm or progressive movements of the different parts of	505

Critical examination of the opinions of authors respecting the order	511

OF ANOMALOUS SOUNDS	516

Of the musical bellowssound	517

Of the purring thrill and its relation to the rasp sound M L Tr	525

OF PALPITATION OF THE HEART	527

Peculiar variety of intermitting pulse	531

Of the general symptoms of disease of the heart	537

Of the causes of diseases of the heart	543

OF HYPERTROPHY OF THE HEART	544

State of the cerebral circulation in hypertrophy of the left ventricle	549

OF DILATATION OF THE VENTRICLES	551

Relation of dilatation of the heart to angina pectoris headache c	555

95	565

118	568

Literature of displacement of the heart	572

100	576

Literature of carditis and pericarditis 579 Of apoplexy of the heart as a cause of rupture of the heart M L	581

Case of valvular disease of the heart	590

CASE XLV	594

Of cardiac asthma	596

Literature of polypus of the heart	602

Of polypi of thE HEART	603

Of the origin of valvular excrescences	612

Of the leathercreak as a sign of pericarditis M L	625

OF HYDROPERICARDIUM	628

OF THE ORGANIC DISEASES OF THE AORTA	635

Of the auscultatory diagnostics of aneurism of the aorta	640

OF THE TREATMENT OF DISEASES OF THE HEART	641

Of the importance of removing gastric and other irritations in dis	647

Chap XXIX OF NERVOUS AFFECTIONS OF THE HEART c	648

Of the treatment of angina pectoris	654

Palpitation of the heart	655

APPENDIX	663

Value of auscultation in the diagnosis of pregnancy	666

Literature of diseases of the chest in general	672

EXPLANATION OF THE PLATES

105

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A Treatise on the Diseases of the Chest, Tr. by J. Forbes
Rene Theophile H Laennec
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Common terms and phrases

accompanied acute affection appears applied arteries attended becomes blood body bronchi bronchial catarrh cause cavity cells character chest chronic colour common commonly complete consequence considerable considered consistence contained continued contraction crepitous cure death described dilatation disease distinct doubt effusion especially evidently examination excavation exists expectoration extent extremely fact false fever fluid frequently give greater hand heart increased indicated inflammation instance kind least less lines lungs marked matter means membrane mentioned mucous natural never noticed observed occasion occasionally occurs opinion organs origin pain particularly patient percussion period persons phthisis pleura pleurisy pneumonia portion practice present produced proved pulmonary pulse rare remarkable respecting respiration result rhonchus says seems severe side signs simple slight softening sometimes sound stage stethoscope substance surface symptoms tion tissue tubercles usually ventricles whole

Popular passages

Page xlii - of discovering the internal motions and actions of bodies by the sound they make. Who knows but that, as in a watch we may hear the beating of the balance, and the running of the wheels, and the striking of the‎

Appears in 47 books from 1827-2006

Page xlii - also from experience, that 1 have been able to hear very plainly the beating of a man's heart ; and it is common to hear the motion of the wind to and fro in the guts and other‎

Appears in 51 books from 1827-2006

Page 279 - their progress, but neither can reverse it. But while I admit the incurability of consumption in the early stages, I am convinced, from a great number of facts, that, in some cases, the disease is curable in the latter stages, that is, after the softening of the tubercles and the formation of an ulcerous excavation.‎

Appears in 17 books from 1822-1941

Page xlii - lungs is easily discovered by the wheezing, the stopping of the head by the humming and whistling noises, the slipping to and fro of the joints, in many cases by crackling and the like. As to the working or motion of the‎

Appears in 32 books from 1834-2006

Page xlii - noise of fire in dissolving, of water in boiling, of the parts of a bell after that its motion is grown quite invisible as to the eye ; for to me these motions and the other seem only to differ‎

Appears in 26 books from 1834-2006

Page 23 - answering to the entrance of the air into, and its expulsion from, the air-cells of the lungs. This murmur may be compared to that produced by a pair of bellows whose valve makes no noise, or, still better, to that emitted by a person in a deep and placid sleep, who makes now and then a profound inspiration.|‎

Appears in 14 books from 1824-2005

Page xlii - and distinguish them [to try the contrivance about an artificial tympanum] as they are; for the doing of both which I think it is not impossible but that in many cases there may be helps found, some of which I may, as opportunity is offered, make trial of, which, if successful and useful, I shall not conceal.‎

Appears in 12 books from 1834-2003

Page xlii - impossible cannot much improve my knowledge, so the believing them possible may, perhaps, be an occasion for taking notice of such things as another would pass by without regard as‎

Appears in 34 books from 1834-2006

Page xlii - by the generality of men, and never so seemingly mad, foolish, and fantastic ; that, as the thinking them impossible cannot much improve my knowledge, so the believing them possible may, perhaps, be an occasion‎

Appears in 22 books from 1834-2006

Page 333 - that bleeding can neither prevent the formation of tubercles nor cure them when formed. It ought never to be employed in the treatment of consumption except to remove inflammation or active determinations of blood, with which the disease may be complicated ; beyond this, its operation can only tend to an useless loss of strength.*‎

Appears in 8 books from 1829-1908

Bibliographic information

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Title	A treatise on the diseases of the chest, tr. by J. Forbes
Author	René Théophile H. Laënnec
Translated by	sir John Forbes
Edition	4
Published	1834
Original from	Oxford University
Digitized	Apr 5, 2006

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