Hereditary hypoplasia in man, due to degeneracy : the underlying basis of those cases having a hereditary origin, and the relation of this underlying cause to the functional neuroses, tuberculosis, infections and immunity / Charles P. Noble.

  • Noble, Charles P. (Charles Percy), 1863-1935.
Date:
1909
Catalogue details

Licence: In copyright

Credit: Hereditary hypoplasia in man, due to degeneracy : the underlying basis of those cases having a hereditary origin, and the relation of this underlying cause to the functional neuroses, tuberculosis, infections and immunity / Charles P. Noble. 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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    see the explanation. He said that chlorosis was incur- able, because dependent on hypoplasia of the heart; whereas the truth is that hypoplasia of the heart is a mere incident in the general situation. Heretofore it has been said that puberty is arrested because of mal- nutrition resulting from chlorosis, whereas the truth is that the two have the. same primary cause. It was stated that many of these women have puer- peral sepsis. This is mentioned here separately, but will be taken up later in connection with ether infec- tions. This principle explains all the cases of displacement of the uterus not due to accidental causes acting on normal individuals. Xow comes the loose kidney, the so-called nephrop- tosis. It has been known that such patients usually are queer, that they have many nervous symptoms. Men who are routinists and who have operated on these patients indiscriminately have found that many of them are no better after nephropexy. Others who were more studious and thoughtful, who have taken the trouble to differentiate the cases into groups, those having direct local symptoms, those having reflex symptoms, those having hysteria, and those having nervous prostration, have found that nephropexy cured the patients in the group having local symptoms and the group having re- flexes, and so they have restricted their operations to these two groups and have advised that the patients in the other two groups, namely, the hysterics and the neurasthenics, shall not be operated on; or, if operated on. that these nervous disorders shall receive appro- priate treatment. The explanation is that the two groups, those having direct and those having reflex symptoms, are instances of acquired nephroptosis in persons of normal development, almost without excep- tion: whereas the other groups are chiefly made up of the patients primarily defective. Hence the mechan- ical cure of the local condition cured the symptoms in two groups and could not alter the primary basis of the trouble in the other two groups. In practice this will be somewhat mixed, as the groups will over- lap each other. Some patients primarily defective will have local symptoms, and operation will relieve the local symptoms, and some patients having ac- quired nephroptosis as the result of malnutrition due