Diseases of the nervous system : a text-book of neurology and psychiatry / by Smith Ely Jellife and William A. White.

  • Jelliffe, Smith Ely, 1866-1945.
Date:
1929
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the nervous system : a text-book of neurology and psychiatry / by Smith Ely Jellife and William A. White. Source: Wellcome Collection.

    53/1214 (page 43)
    It is to be borne in mind these are trends rather than fixed types, and that an individual may show vagotonic trends in one or more visceral segments and sympathicotonic reactions in others. These variabilities are pronounced in the so-called neurotic, i. e., the indi¬ vidual with marked emotional (psychogenic) response. Pathological reactivity of the visceral nerve reflex arcs shows itself in the eyes, nose, mouth, skin, respiration, circulatory, digestive, uro¬ genital, cutaneous, and metabolic systems. Such may result from con¬ stitutional variations (endocrinous anomalies), chiefly in their response to body cravings which come partially to consciousness as emotional reactions, i. e., psychic disturbances (symbolic systems, unconscious). Fig. 4.—Lanugo hair. (Endocrinous disturbances.) (A. Josefson.) Some of the signs that are partially understood are here very fragmen- tarily presented. Their relation to the problems of internal medicine are just beginning to be appreciated. Internal medicine as it becomes more dynamic needs neurological conceptions to interpret its findings. 1. Metabolic Signs.—Variations in fat and sugar tolerance, eosino- philia, lymphocytosis, pigmentations, bony and muscular anomalies. 2. Cutaneous Signs.—Horripilation (painful hair raising), goose flesh, contractions of testicle and of the nipple, seborrhea, hypertri¬ chosis, baldness, hyperidrosis, bromidrosis, local syncopes, acrocya¬ nosis, purpura, pruritus, pallor, dermographism, erythema, urticaria, Sergent white line.