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Download textbook 21St Century Narratives Of World History Global And Multidisciplinary Perspectives 1St Edition R Charles Weller Eds ebook all chapter pdf
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21st-Century
Narratives of
World History
Global and Multidisciplinary Perspectives
Edited by R. Charles Weller
21st-Century Narratives of World History
R. Charles Weller
Editor
21st-Century
Narratives of World
History
Global and Multidisciplinary Perspectives
Editor
R. Charles Weller
Department of History
Washington State University
Pullman, WA, USA
and
vii
viii Foreword
xi
xii Preface
Even if we do not know it, …[world] history is part of our mental furniture.
As most men and women have some notions, however inadequate, about
the way the world came to be what it is, it is all the better if they are made
explicit. …We in fact make judgments about world history all the time. All
the better then to make them as seriously and as consciously as possible.11
3.
Part of the conviction behind this volume is that theorizing or phi-
losophizing about history means little until put into practice. Theory
and philosophy must be tested by attempts to apply them through the
actual writing of history. Indeed, the best theorizing and philosophiz-
ing derives from the actual practice of writing history, as opposed to the
imposition of theoretical or philosophical frameworks upon historical nar-
ratives. Cf. Paul Costello, World Historians and Their Goals: Twentieth-
Century Answers to Modernism (DeKalb: Northern Illinois University
Press, 1994), p. 221, who insists on the actual writing of world history as
opposed to merely theorizing about it as one of the criteria for inclusion
in his study.
4. Among the numerous kinds of ‘world history’ which have been both
proposed and undertaken in recent decades—including ‘global’, ‘trans-
national’, ‘transregional’, ‘comparative’, ‘crosscultural’, oceanic, and the
like—‘world histories’ for our purposes within this volume, refer spe-
cifically to what critics have categorized as ‘meta-’, ‘grand’, ‘all-encom-
passing’, or ‘totalizing’ narratives (cf. also ‘macro-histories’); that is,
narratives which attempt to cover the entire history of…what? ‘The his-
tory of humanity’? ‘Deep history’? ‘Life history’? ‘Earth history’? ‘Big
history’? In fact, these five distinct types of ‘meta-narrative’ are vastly
different in scope and range, each ‘all-encompassing’ and ‘totalizing’ in
their own ‘grand’ way. (Note that Breisach is too narrow and even mis-
leading in suggesting that “[s]ince the 1980s, the term metanarrative has
replaced the formerly used phrase philosophy of history.” Ernst Breisach,
On the Future of History: The Postmodernist Challenge and Its Aftermath,
Chicago and London: University of Chicago Press, 2003, p. 122).
5. Providing an essential framework for understanding world history was
a chief concern in the keynote address by Bob Bain, “Parachutists and
Truffle Hunters: Meeting Student Challenges with Scale and Agency
in World History,” at the 22nd Annual World History Association
Conference (North Hennepin Community College, June 26–29, 2013,
Minneapolis, MN).
6.
Ongoing dialogue between history and science, both with respect to
overall frameworks for understanding our world as well as specialized
areas of research, is both valid and vital. This is especially true in relation
to the still-emerging fields of ‘Big history’ and ‘Deep history’ as well as
more established fields such as ‘Life history’, ‘Earth history’ and evolu-
tionary human history.
7.
See esp. D. Sachsenmaier, “World History as Ecumenical History?,”
in Journal of World History, Vol. 18, No. 4 (2007): 465–489. Cf. also
the concern and vision expressed in one of UNESCO’s current history
projects, “Promoting Intercultural Dialogue and a Culture of Peace in
xviii Preface
cultural studies and so on. Two, the term ‘multifield’ is not used to
describe multiple fields of expertise. In this sense, ‘multidisciplinary’ is
being used in a broader sense.
15. Note that I have added, by his consent, all the references to the chapter
by Diego Olstein.
16. “A World History Skeleton,” in World History: The Basics, by Peter
N. Stearns (Abingdon and New York: Routledge, 2011), pp. 17–47.
Acknowledgements
Special thanks are due to more people than I can name in the short
space provided. Among those who can be squeezed in, my doctoral advi-
sors at al-Farabi Kazakh National University, Garifolla Esim and Tursin
Hafizuhli Gabitov, along with Nagima Baitenova, Aktolkyn Kulsariyeva,
Alya Massalimova, Ainur Kurmanaliyeva, Kanat Zatov, Bakitzhan
Satershinov, and a number of other Kazakh scholars who contributed
to my doctoral work and/or graciously hosted me there (2003–6), all
deserve first mention for not only their academic support and guidance,
but their warm hospitality and genuine commitment to international aca-
demic dialogue and exchange. Indeed, they put their reputations on the
line when, in the midst of the War on Terror and the war in Iraq, they
publically defended the ideals and values of international academic dia-
logue and exchange in the midst of what became a national controversy.
They have continued to support my work across the years and remain
engaged in dialogue and exchange through ongoing mutual visits to
one another’s countries and institutions. Tursin Gabitov’s contribution
to the present volume is part of those ongoing exchanges. Both he and
Aktolkyn Kulsariyeva, likewise, contributed to UNESCO’s Kazakh and
Russian versions of Culture of Peace.
Within the U.S. context, Al Andrea was one of the first to welcome me
to the World History Association (WHA), and one of the first in WHA
with whom I had the pleasure of working by virtue of his invitation to
contribute to the ABC-Clio World History Encyclopedia for which he
served as editor-in-chief. He has continued to provide support, guidance
xxi
xxii Acknowledgements
and editorial assistance over the years, including for the present volume.
Much the same could be said for Pat Manning, who chaired one of the
several panels I organized for WHA annual conferences between 2008
and 2011 on the topic of religious interpretations of world history and
their implications for global peace and dialogue. Under his leadership,
the World History Center (WHC) at the University of Pittsburgh
supported that original research project out of which this more broadly
conceived volume eventually emerged. In conjunction with the WHC,
he has remained a mentor across the years, enthusiastically supporting
and obviously contributing to the present work. In fact, I first met Pat at
the World History Center in Tokyo, Japan, during one of his visits there,
where his book on Navigating World History was being translated by
Japanese scholars at the time. Pat also introduced me to Heather Streets-
Salter, who has since become a support, guide and colleague on several
WHA panels, not to mention the one to hire me and first serve as my
director in the world history program at Washington State University
(WSU). John Voll has, likewise, served as a support and guide in my
research since as far back as 2007, offering critical feedback on individual
publications as well as my overall research agenda. This includes not
only the present project, but his sponsorship of me at Georgetown
University’s Prince Alwaleed bin Talal Center for Muslim-Christian
Understanding (ACMCU) during my continuing appointment there as
a (non-residential) visiting researcher (2014–18). Peter Stearns, however,
was the first one I approached, and the first one to agree to contribute to
as well as provide guidance for this project. Indeed, his chapter titled “A
World History Skeleton” in World History: The Basics provided the initial
model and inspiration.16 He has counseled me at crucial junctures along
the way as I shaped the prospectus, invited contributors, and prepared the
volume for publication. Along with a world history narrative, therefore,
the Foreword flows fittingly from his pen. Indeed, all the contributors to
this volume deserve thanks for their enthusiastic support and participation
which has made this project possible. This would include the numerous
emails and requests from me which they have so graciously endured. It
has been a genuine privilege and pleasure to work with such deservingly
reputable world history scholars.
A debt of gratitude also goes to Dominic Sachsenmaier, Jörn Rüsen
and Clif Stratton, as well as Molly Beck, commissioning editor at
Palgrave Macmillan (PM), the PM editorial board and peer reviewers
for all offering critical feedback on the proposal and affirming the value
Acknowledgements xxiii
of the project as it has taken shape. Both Molly and Oliver Dyer, assis-
tant editor for history at PM, have been a pleasure to work with as well.
The success of the volume is due, in no small part, to their very capa-
ble guidance and assistance. Thanks also to Subasree Sairam, Production
Manager for PM, for her excellent work in guiding the volume along to
completion. And to Laura Shelley for her very careful attention to detail
in preparing the index. There are, likewise, many who have offered criti-
cal feedback on the historical background chapters in particular; they are
recognized within the chapters on which they offered comment.
Among other valued friends and colleagues who have supported and
guided my work across the years, including this project, David Kalivas,
Marina Tolmacheva, David Peetz, Lydia Gerber, Jesse Spohnholz, Phillip
Luke Sinitiere and Sung Choi deserve special mention, along with my
mother, Judy Taylor, and godmother since age 14, Barbara Fraundorfer.
Sincere thanks to these and many more who have all helped make this
volume possible.
Contents
xxv
xxvi Contents
Index 367
Editor and Contributors
Contributors
xxix
xxx Editor and Contributors
xxxiii
PART I
Historical Background
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the seat of visible lesions. There may be pallor, œdema and swelling,
but not unfrequently there are blood extravasations varying in size
from a pin’s head upward and giving a dark red aspect to the affected
tissues. Under the microscope the affected fibres are seen to have
lost their transverse striation and to have assumed a more or less
granular or hyaline appearance. Next to the gluteal muscles, these
changes are frequently found, in the muscles of the thigh (especially
the rectus femoris, and triceps extensor cruris), and in those of the
loins (psoas, ilio-spinalis, and longissimus dorsi). Exceptionally the
pectoral muscles are involved or even the abdominal muscles. A
considerable straw-colored œdema may be found in the
intermuscular connective tissue.
The red bone marrow primarily of the large bones of the limbs
(femur, tibia, humerus, radius,) and less frequently of other bones,
even of the vertebræ, is often the seat of intense vascular congestion
and even of hemorrhage. The medullary matter is of a deep red or
black color, and there is an abnormal accumulation of red globules in
various conditions of growth and destruction (red nucleated
corpuscles, fragments of corpuscles, colored granules). Dieckerhoff
considers the condition one of osteomyelitis, but it seems to be
rather a sudden, extraordinary exaggeration of the processes of blood
metamorphosis. Neumann found that when the blood regeneration
process is very active even the yellow marrow may be changed into
red, and this throughout all the bones of the extremities.
The kidneys are usually the seat of congestion, and black spots of
infarction, when the disease has lasted for twenty-four hours. In
rapidly fatal cases they may appear normal. There may be
enlargement of the kidneys with softening and granular degeneration
of the renal epithelium in cases that survive for some days.
The bladder contains dark brown or red glairy urine of a high
density and loaded with urea, hæmoglobin, etc.
The terminal portion of the spinal cord and the lumbo-sacral
plexus, or some of its branches, are sometimes blood stained, or the
seat of an exudate or surrounded by one.
Symptoms. In the regular type of hæmoglobinæmia in the horse
the history of the attack is highly significant. The subject is in good
working condition, he may be fat, or lean, but in either case the
muscles are firm and well developed, diet has been liberal,
embracing a large proportion of albuminoids, work has been
constant up to within a day or two preceding the attack, when the
animal has been left absolutely idle in the stall without any reduction
of feed. Then finally it has been suddenly subjected to active exertion
which demands vigorous muscular movement, and above all activity
of the respiratory muscles and the heart. This exertion usually
consists in riding under the saddle or going in harness, but may
attend on casting in the stall, lounging in a ring, or in a playful run
when suddenly set at liberty.
Severe Cases. The attack comes on early in the course of such
exercise. The patient may not have gone more than one hundred
yards from the stable or he may have traveled for half an hour or an
hour, but the disease rarely shows itself after a longer period of work.
The horse which left the stable full of life and spirit, suddenly flags
and hangs on the bit, the ears or head may drop, and one or more
limbs usually the hind ones, are moved stiffly and awkwardly, or
even stagger. He knuckles over at the fetlocks, drags the toes on the
ground, flexes the joints imperfectly, the muscles appearing to be
rigid and uncontrollable, or he crouches, the joints remaining
semiflexed the animal in vain attempting to extend them. The patient
trembles violently, sweats profusely, breathes deeply and rapidly and
assumes a pinched, anxious, agonized expression of countenance.
The heart beats tumultuously, the pulse (in 84 per cent. Friedberger
and Fröhner) is accelerated to a variable degree, and the temperature
is still normal (in 80 per cent. Friedberger and Fröhner), or rarely
exceeds 101.5°F. There is often tenderness on percussion and
sometimes even on manipulation over the loins, short ribs, and the
croup, and pinching of the loins may cause wincing. The affected
muscle or muscles (lumbar, gluteal, crural) are usually firm, hard
and tender, they may be the seat of spasm or of œdema and paresis.
These parts may, however, have their sensitiveness lessened and
even punctures or electric currents may have little effect on them.
Soon the increasing muscular weakness is incompatible with the
maintenance of the standing position, the bending of the limbs and
crouching become extreme, the animal makes vain efforts to control
the muscles and extend the joints, and helplessly drops to the
ground. When down he moves his legs convulsively, but is unable to
coördinate the muscular movements and all efforts to rise are
unavailing.
The spasms and paresis may attack other parts of the body such as
the pectoral region the shoulders and even the abdomen, but the
earliest and most persistent disorder is usually in the divisions of the
lumbo-sacral plexus affecting the supra or sublumbar muscles, the
gluteals, the patellar (triceps,) the adductors and the abductors. The
caudal muscles are exceptionally involved. In a series of ten cases
Bouley noticed that the left hind limb was always the first paralyzed
(evidently a simple coincidence).
Urine may be passed freely or the bladder may be paretic so that it
must be emptied with the catheter. In severe cases the urine is of a
high density and of a dirty brownish gray, red or almost black color.
It contains no blood clots, nor blood globules, but granular
hæmoglobin, tyrosin and other waste products contribute to produce
the reddish color. In some instances there is an abundant
metalbumen which renders the liquid glairy, causing it to fall in fine
threads or films. Urea is usually present in great excess. Hippuric
and even uric acid are usually present but not in excess. When the
disease has advanced to nephritis the albuminuria is complicated by
the presence of casts of the uriniferous tubes, renal epithelium, white
and even red blood globules.
During the violence of the attack there is no disposition nor leisure
to eat, but when the more violent symptoms abate appetite is usually
manifested. There may be more or less paresis of both bowels and
bladder, so that neither fæces nor urine is passed yet in other cases
both are discharged spontaneously.
The senses are preserved, excepting in the case of the affected
muscles and the integument which covers them. There may,
however, be more or less dullness and stupor in certain cases from
poisoning of the cerebral centres by the poisons circulating in the
blood.
Mild Cases. In the mildest cases there is stiffness and lameness
in one, or less frequently in both hind limbs, coming on when put to
work after a period of idleness, and not associated with any
appreciable lesion of the limb in question. There may or may not be
hardness and swelling of the gluteal or other muscles of the quarter
or loins. This has the appearance of rigidity or spasm but may be
primarily due to œdema or exudation into the substance of the
muscle. In some instances the muscles of the breast, shoulder, or
forearm are the seat of the trouble. Muscular trembling and
perspiration may be present and if the urine is examined, it is often
found to be glairy, or charged with urea, and allied nitrogenous
products. These cases are not benefited by local applications, but
they recover (temporarily) under rest and above all under active
eliminating treatment. Under gentle and progressive exercise too
they improve and get well. They recur, however, with great readiness
under a rich nitrogenous diet and a temporary rest followed by
sudden exertion.
Between the mildest and gravest cases there are infinite gradations
of severity, one-third to one-half of the worst cases usually
terminating fatally, whereas the mildest are always amenable to
treatment.
Progress. The course of the disease depends on the severity of the
attack but also, in no small degree, on the good judgment of the
driver. Cases that develop with great suddenness, and apparently
with extreme severity may subside spontaneously if the animal is
placed in a condition of absolute rest. If, however, we can secure rest
of the muscles of progression only, while the breathing remains rapid
and labored, improvement is unlikely, as the system continues to
receive large accessions of the toxic products. When the patient is
down and unable to rise, the enforced rest may be beneficial, but too
commonly, the greater effort with which breathing is carried on in
the recumbent position, and the frequent ineffectual struggles of the
limbs prevent the requisite muscular quietude.
In some cases, and especially in the mildest, recovery may seem to
have been effected in a few hours, and in others it will be seen in
twenty-four or forty-eight hours, while in still others the paresis and
helplessness may continue for a week and yet be followed by
recovery. In these cases appetite may be retained in greater or less
degree, but the intestinal peristalsis is usually weak and imperfect,
the fæces small in quantity and dry, and the bladder atonic so that
the urine may have to be drawn off with the catheter. It usually
retains the deep red color, or improvement may be heralded by a
change to a dirty grayish hue. If, however, it shows an excess of
albumen, cylindroid casts entangling renal epithelium and white or
red globules it will indicate the access of diffuse nephritis and a
prolonged or even a fatal illness.
When control of the limbs is not restored at the end of a week, the
paretic muscles usually undergo marked and rapid wasting, which
may last for months or years. This is especially common in the case
of the patellar muscles (muscle of the fascia lata, triceps extensor
cruris) in which the atrophy may become so extreme that the skin
covering the inner and outer sides of the thigh may be brought
virtually in contact in front of the femur. This entails an almost
complete inability to sustain the body on the hind limbs. When
atrophy is less extreme, there is only a weakness, stiffness, or
swaying or staggering on the hind limbs in progression.
In fatal cases death may occur early in connection with the violent
struggles, the excited breathing, pulmonary hypostasis and
congestion, a cyanotic hue of the visible mucous membranes and a
gradual increase of stupor. Though delayed for several days, there is
a continuation of the muscular struggles, and the labored breathing;
the red or glairy character of the urine persists or is exaggerated; the
nervous irritability increases, with muscular trembling; and cyanosis,
or stupor increases until death.
The mortality is always high in the severe forms of the disease, the
deaths ranging from 20 per cent. upward.
After a first attack there is a strong predisposition to a second
under similar exciting conditions.
Diagnosis. The peculiar symptoms of this disease and the
circumstances attending its onset, are usually sufficient to
distinguish it from all others. There may be danger of confounding
certain cases with thrombosis of the posterior aorta, or of the iliac
arteries or their branches, but the absence, in such cases, of the
special history of the attack and of the morbid state of the urine, and
the absence of pulsation in the arteries distal to the thrombosis will
serve to prevent confusion. Spinal myelitis will be distinguished by
the gradual nature of the onset, by the absence of the conditions
attending on the attack of hæmoglobinæmia, and usually by the
absence of hæmoglobin, urea and other nitrogenous products in
excess in the urine.
Prevention. The hard worked or systematically exercised horse,
which is at the same time heavily fed must not be left in a state of
absolute rest in his stall for twenty-four hours. A fair amount of
exercise must be given on every day in the week, and at the same
time, the food should be restricted in ratio with the restriction of
exercise. Turning for an hour or two daily into a yard may be a
sufficient precaution. When from any cause, rest is imperative, the
diet must be materially reduced and given in part in a laxative form
(bran, roots), or a slight laxative (Glauber salts) or diuretic
(saltpeter) may be added. Cleanliness and a free ventilation of the
stable, are also of value in obviating at once auto-intoxication and
the admission of poison through the lungs. In the same way a free
allowance of drinking water is beneficial as favoring a general
elimination from the various emunctories, and a dilution of the
plethoric blood.
These precautionary measures are especially important in the case
of horses which have passed through a first attack and which are in
consequence strongly predisposed to a second. Horses fed liberally
on highly nitrogenous food (oats, beans, peas, cotton seed meal), will
also require specially careful oversight when at rest for a day or two
only.
Treatment. The first and perhaps the most important
consideration is absolute rest. If the subject is stopped instantly on
the appearance of the first symptoms, the disease may be often
aborted. It is better to avoid the exercise of walking to a stable until
such time as the severity of the attack has somewhat moderated and
then to move the subject only in the slowest and quietest possible
way. If the patient is already down and unable to rise, he may be
carried to the nearest stable in an ambulance or on a stone-boat, and
there helped to his feet and supported in slings. Though he may be
unable to continue in the standing position without the sling, yet if
he can use his limbs at all for support, and is prevented from lying
down, the breathing will be rendered so much more free and quiet,
that it may greatly lessen the transfer of the poisonous elements into
the general circulation and materially contribute to recovery. If,
however, he cannot stand on his limbs at all, but must settle in the
slings, the compression of the chest will so excite the breathing that
it will induce dyspnœa, pulmonary congestion and a rapidly fatal
result. In such a case a good bed must be provided and the patient
made as comfortable as possible in the recumbent position.
In some cases in the earliest stages a full dose of sweet spirits of
nitre or even half a pint of whiskey has seemed to assist in aborting
the disease though the urine was already of a deep red color. It
probably acted by supporting the already oppressed heart, and
securing a prompt elimination by the kidneys.
Friedberger and Fröhner strongly recommend bleeding in all cases
of dyspnœa and excited heart action, and considering the plethoric
condition of the animal it would equally commend itself in other
cases as well. This is the most prompt sedative of the nervous and
vascular excitement, and the most speedy and certain means of
removing much of the poisons accumulated in the blood, and of
diluting what remains by reason of the absorption of liquids from
every available source. This will more than counterbalance any
temporary increase of poisons drawn from the portal system to fill up
the vacuum in the systemic veins caused by the emission of blood.
When the thick tarry condition of the blood seriously hinders a
speedy abstraction both jugulars may be opened at once.
In some cases of great nervous excitement bromides may be useful
in moderating circulatory and respiratory movement, but on the
whole the advantage is greater from an immediate resort to
eliminating agents.
One of the most effective agents is water. If the patient is thirsty he
should have all he will drink, and if not, it may even be given from a
bottle, or thrown into the rectum. A still more effective resort would
be to introduce water intravenously in the form of a normal saline
solution, or even to pass it into the trachea through a small cannula
or large hypodermic needle. This serves to dilute the over dense
blood, to stimulate the kidneys and other emunctories to active
secretion, and to retain in solution the hæmoglobin, urea and other
products which would otherwise cause greater irritation. This would
be especially applicable after the blood tension had been diminished
by phlebotomy.
Warm fomentations to the loins or croup are not without their
influence. They tend to soothe the irritated parts and to solicit the
action of the kidneys more particularly. The old resort of a fresh
sheep skin, with the fleshy side in, may be used as a substitute.
Perhaps the most important indication is to secure depletion from
the overloaded portal system and liver. Where nothing better offers,
a pint or quart of castor oil, or a pound of Glauber salts, or a half
drachm of podophyllin and four drachms of aloes may be given. If
available 1 to 1½ grains of eserine, or 7 grains of barium chloride
may be given hypodermically in distilled water or that which has
been raised to the boiling point. This may be supplemented by
frequent injections of hot soap suds or even of laxative saline
solutions. If the bowels can be roused to free secretion the removal of
toxic matters from the portal blood and the delay in the progress of
similar matters through the liver will go far toward securing a
favorable result. When free purgation has been secured recovery can
usually be counted on.
The action on the bowels must be followed up by diuretics to
eliminate the offensive matters from the general system. Colchicum
has been recommended because of its action in increasing the solids
of the urine, and this may be combined with saltpeter or other
diuretic, or the latter may be used alone and repeated twice a day. If,
however, the patient can, by the free use of common salt or
otherwise, be induced to drink freely of water, the elimination
through the kidneys will be sufficiently secured.
The muscular weakness and paralysis that remain after the acute
symptoms have subsided must be met by stimulating liniments and
even blisters to the loins or affected muscles, by the internal use of
strychnia (2 grs. twice daily) until the jerking of the muscles
indicates that its physiological action has been secured, and by an
electric current daily for ten minutes at a time through the affected
nerves and muscles. Animals that have been helpless for weeks have,
in our hands, recovered under such treatment, and even cases of
several months’ standing, with the most extensive atrophy of the
triceps, and in which the animal could barely stand, have made a
satisfactory recovery.
Any remaining nephritis must be treated according to its
indications.
During recovery and in the convalescent animal the diet should be
laxative and non-stimulating. Bran mashes, turnips, beets, carrots,
green fodder, ensilage and scalded hay may be allowed. Oats, corn,
beans, peas, vetches, etc., must be carefully avoided. If the food fails
to maintain the bowels in a gently relaxed condition one, two or
more ounces of sulphate of soda may be added daily.
In the mild cases a good dose of purgative medicine succeeded by a
course of diuretics will serve a good purpose.
In all cases alike work must be resumed very gradually. At first the
animal may be walked a few hundred yards, and the pace or load and
duration of exercise may be increased day by day until full work can
be safely endured. In an animal that has once suffered the same
gradual inuring to labor should be followed, after any short period of
rest on a fairly good ration.
JAUNDICE, ICTERUS, THE YELLOWS.
Symptomatic. Causes: Mechanical obstruction of bile duct, gall-stones, hydatids,
distomata, extraneous bodies, inflammation, stricture, obliteration, absence,
ulceration, spasm, tumor, enlarged lymph glands, gastric tumors, pancreatic,
kidney or omental tumor, aneurism, fæcal accumulation, pregnancy, ovarian
tumor: Without mechanical obstruction, ptomaines and toxins, animal venoms,
mineral poisons, hepatic atrophy, fear, other emotions, cerebral concussion,
imperfect oxidation, excess of bile, hepatic inflammation, constipation and
reabsorption of bile, experimental jaundice, balance of tension in gall ducts and
blood vessels, duodenitis, compression of aorta, hæmatoidin and bilirubin,
destruction of blood globules by hydroæmia, taurocholate of soda, chloroform,
ether, freezing, heat, electricity, alkalies, nitrites. Hæmoglobin: Its solubility in
horse. Bile acids and blood pigment. Summary of causes. Gravity of icterus.
Symptoms: Coloration, yellow, orange, brown, of tissues and secretions: Tests,
staining white paper, Gmelin’s test, nitric and sulphuric acids, rainbow hues:
Pettenkofer’s test for bile acids, syrup and sulphuric acid, dark violet: Stranburg’s
test syrupy paper and sulphuric acid, dark violet; clay colored fœtid stools; gravity.
The terms icterus and jaundice are applied to a yellowness of the
mucosæ, urine, skin and tissues caused by the presence in them of
the coloring matters of bile. The condition is a symptom of many
different affections rather than a disease per se, yet the phenomenon
is so characteristic that it has been hitherto accorded a special place
and article in systematic works.
Jaundice is either associated with mechanical obstruction of the
bile duct or ducts, or it is independent of such obstruction. The
following enumeration of its causes slightly modified from
Murchison, is equally applicable to the lower animals as to man:
A. Jaundice From Mechanical Obstruction of the Bile Duct.
I. Obstruction by foreign bodies within the duct: