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all persons do not react in the same way, the effect depending partly on the degree of rapidity with which the blood is withdrawn, as 500 c.c. withdrawn slowly may have no effect on bloodpressure.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) 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. Arterial pressure, nomenclature of, Arteriosclerosis, kidney involvement 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 in chronic nephritis, 303 Athletic heart, 171 disadvantages of, 181 age in relation to, 168 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 five phases of, 91, 92 significance of points and significance of tone phases in, versus other methods, 99 sounds in prognosis of pneumonia, Autocondensation, 458 Aviation sickness, 217 hypotension in, 217 Blood composition, relation of, to total volume of, in arterial pres- viscosity of, in arterial pressure, in renal arteriosclerosis, 48 physical measures for, 436 after exercise at fifty-five years and in early life to young man- in manhood to forty years, in middle age, 173 average, 41 value of determination of, 43 conditions influencing, 142 methods of measuring, 143 modifications of, 144 clinical determination of, 89 determination of. See Sphygmoma- Blood-pressure, determination of, diastolic in aortic regurgitation, 61 in typhoid fever, 195 tactile determination of, 61 drugs affecting, therapeutic value effect of abdominal pain on, of acetylsalicylic acid on, 430 of adrenalin on, 422 in chronic nephritis, 287 of age on, 42, 113 of alcohol on, 155, 411 of altitude on, 130, 156 of amyl nitrite on, 412 of arsenic on, 411 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 intrathoracic of chloral on, 419 of chloroform on, 366, 419 in labor, 396 of cholin salts on, 259 of diet regulation on, 413 of iodin on, 425 of kidney extracts on, 27 of labor on, 387 of lumbar puncture on, 358 of mannitol hexanitrate on, 414 of muscular development on, of Nauheim treatment on, 451 of nitrite group on, 412 of nitroglycerin on, 413 of nitrous oxid-ether on, 369 of paracentesis on, 356 of passive movements on, 130 of peritoneal incision on, 355 of physostigmin on, 460 427 Blood-pressure, effect of pituitary in labor, 395 of posture on, 123, 134 of psychic disturbances on, 58 of race on, 156, 161 of regulated diet on, 439 of salicylates on, 430 of salvarsan on, 372 of scopolamin-morphin narcosis 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 surgical procedures on, 355 of thyroid on, 28, 432 of valvular defects on, 167 of venesection on, 460 of veratrum viride on, 434 of walking on, 128 of x-ray on, 29 of yohimbin on, 434 errors in tactile method of deter- |