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either in the evident physical condition of the patient or in the subjective signs.

VENESECTION

Miller, after carefully studying the effect of venesection on both normal and pathologic cases, arrived at a conclusion similar to that stated by Mackenzie some years before. Miller found that the rapid withdrawal of 300 c.c. or more from a normal individual is followed by a transitory fall in blood-pressure, but that all persons do not react in the same way, the effect depending partly on the degree of rapidity with which the blood is withdrawn, as 500 c.c. withdrawn slowly may have no effect on bloodpressure.

Effect of Bleeding on Blood-Pressure (Miller)

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Butterman2 bled ten students, withdrawing from 200 to 480 c.c. and nine showed reduction varying from 5 to 30 mm. Patients with hypertension do not necessarily all react in the same way.

The accompanying table taken from Miller's article mentioned above shows what may be expected in efforts to reduce hypertension by this means.

1 Jour. A. M. A., Vol. liv, 21.

2 Arch. f. klin. Med., 1902, lxxiv, 1.

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Arterial pressure, nomenclature of, Arteriosclerosis, kidney involvement

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with, 266

ocular changes in, 280

pathology of, 267

pharmacodynamic studies of cause

of, 255

red-hot eye in, 281

relation of, to tuberculosis, 206

renal, blood viscosity in, 48

summary of, 266
symptomatology of, 271
temperature in, 280
toxic theory of, 259
Asthma, cardiac, 346

in chronic nephritis, 303
Atheroma, arteriosclerosis and, 268
myocardial insufficiency from, 319
Athletes, diseases causing death of,
182

Athletic heart, 171

disadvantages of, 181
Athletics, 164

age in relation to, 168
Atmospheric pressure, 130
Atropin, 417

Auricular fibrillation, 345

Auscultatory method of sphygmoma-

nometry, 90

accuracy of, 135

additional data, 101

analysis of tone phases in, 95

cardiac strength in, 98

cardiac weakness ratio in, 98
classification of phases of,
92

five phases of, 91, 92

significance of points and
phases, 93

significance of tone phases in,
96

versus other methods, 99

sounds in prognosis of pneumonia,
192

Autocondensation, 458

Aviation sickness, 217

hypotension in, 217

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Blood composition, relation of, to
surgical operations, 373

total volume of, in arterial pres-
sure, 47
transfusion, 372

viscosity of, in arterial pressure,
47

in renal arteriosclerosis, 48
Blood-pressure, 36
abnormal, 21

physical measures for, 436
absolute, 38, 156

after exercise at fifty-five years and
over, 175

in early life to young man-
hood, 169

in manhood to forty years,
173

in middle age, 173

average, 41

value of determination of, 43
capillary, 142

conditions influencing, 142
effect of cold on, 145
importance of, 143
instruments for determining,
143

methods of measuring, 143
normal, 144

modifications of, 144
changes in arteriosclerosis, 277
chart, 86, 87

clinical determination of, 89
conditions affecting, 57
definition of, 37

determination of. See Sphygmoma-
nometry.

Blood-pressure, determination of,
after exercise, 182

diastolic in aortic regurgitation, 61
in chronic nephritis, 299

in typhoid fever, 195

tactile determination of, 61
diurnal variations in, 126

drugs affecting, therapeutic value
of, 409

effect of abdominal pain on,
355

of acetylsalicylic acid on, 430
of aconite on, 410

of adrenalin on, 422

in chronic nephritis, 287
of adrenalin-novocain on, 359
of adrenals on, 28

of age on, 42, 113

of alcohol on, 155, 411

of altitude on, 130, 156

of amyl nitrite on, 412
of apprehension on, 355
of anesthetics
on, 363

of arsenic on, 411
of athletics on, 164

of atropin on, 417

of beer on, 132

of body-strength on, 120

of caffein on, 417

of calomel on, 419

of camphor on, 419

of cardiac hypertrophy on, 167
of changes in intra-abdominal
pressure on, 132

of changes in intrathoracic
pressures on, 132

of chloral on, 419

of chloroform on, 366, 419
of digestion on, 131

in labor, 396

of cholin salts on, 259
of climate on, 156, 160
of cocain on, 419

of diet regulation on, 413
of digitalis on, 419, 420
of drink on, 131

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of iodin on, 425

of kidney extracts on, 27

of labor on, 387

of lumbar puncture on, 358

of mannitol hexanitrate on, 414
of massage on, 130, 441
of menstruation on, 132
of morphin on, 427

of muscular development on,
120

of Nauheim treatment on, 451

of nitrite group on, 412

of nitroglycerin on, 413
of nitrous oxid on, 369

of nitrous oxid-ether on, 369
of nitrous oxid-oxygen on, 370
of operative procedures on, 355
of oxygen baths on, 355, 454
of pain on, 355

of paracentesis on, 356

of passive movements on, 130

of peritoneal incision on, 355
of physical exercise on, 128
fitness on, 164

of physostigmin on, 460
of pilocarpin on,

427

Blood-pressure, effect of pituitary
gland on, 28, 428

in labor, 395

of posture on, 123, 134

of psychic disturbances on, 58
of purging drugs on, 428

of race on, 156, 161

of regulated diet on, 439
of rest on, 125

of salicylates on, 430

of salvarsan on, 372

of scopolamin-morphin narcosis
on, 396

of sex on, 119

of shock on, 379

of size on, 120

of skin incision on, 355

of sleep on, 125, 439

of sodium nitrate on, 413
of somnoform on, 371
of spinal puncture on, 366
of strychnin on, 431

of surgical procedures on, 355
of thiosinamin on, 431

of thyroid on, 28, 432
of tobacco on, 432, 443
of urethan on, 434

of valvular defects on, 167
of vasotonin on, 434

of venesection on, 460

of veratrum viride on, 434
of vomiting on, 134

of walking on, 128

of x-ray on, 29

of yohimbin on, 434

errors in tactile method of deter-
mining, 60

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