Pankration

“ And he lowered the man's bulk to the ground as Susie moaned and shifted her feet. Sears had said nothing, but he was smiling, his face red and vague above the disorder of the black beard.
"Paul, hold the light for me." Wright removed the stained bandage. There was a wide area of inflammation; the lips of the arrow wound were purple. "Pakriaa! You said once you never heard of poison on the arrows——"
Pakriaa gaped, rubbing her eyes. It was Brodaa who answered: "Our people never had it on the arrows. But in the war with Lantis last year some of our soldiers had wounds like this." ”

“ A marked feature of pancreatitis in man is the occurrence in the interlobular tissue of the gland, the omentum, mesentery and abdominal fatty tissue generally, of circumscribed areas of fat necrosis, each varying in size from a pin’s head upward even to a hen’s egg. ”

“ Comparative Anatomy.—In the Acrania (Amphioxus) no representative of a pancreas has been found, but in the Cyclostomata (hags and lampreys) there is a small lobular gland opening into the bile duct which probably represents it. In the Elasmobranchs (sharks and rays) there is a definite compact pancreas of considerable size. In the Teleostomi, which include the true bony fish (Teleostei) , the sturgeon and Polyterus, the pancreas is sometimes a compact gland and sometimes diffuse between the layers of the mesentery; at other times it is so surrounded by the liver as to be difficult to find. ”

“ This manipulation is not always of easy performance, the contraction of the cremaster muscle being sometimes so powerful that the gland successfully resists all the operator’s efforts of traction. It is sometimes necessary to divert the attention of the animal, in order to facilitate this part of the process, by pricking him with a pin on the lips or about the anus, the effect of the new sensation being such that his opposition is withdrawn, and the contraction ceasing, he suffers passively the traction of the envelopes over the organ. ”

“ But I am persuaded from repeated observations, that the disease is no ways influenced by this circumstance. I am satisfied likewise that there is no difference between the effects of the matter, whether it be taken in its watery and purulent [317] state. The puncture should not be larger than is sufficient to draw one drop of blood, but it should always be made by a sharp lancet, for the sudden inflammation and suppuration, excited by a dull lancet, sometimes throw off the matter, so as to prevent its infecting the body [59] . No plaster or bandage should be applied over the puncture. ”

“ While she was gone, the soldiers seated beyond the fire scattered handfuls of earth in synchronized motions and the witches grouped behind them set up a monotone of chanting. Pakriaa returned wearing a white skirt, [72] bare of all her paint and jewelry; she walked back and forth along the line of the fire, praying, until daylight was wholly gone. At her call, old men, neither painted nor grotesque, carried out burdened hides and laid them open beside the fire: white bones, broken weapons, skirts, loincloths, necklaces, arrows, little earthen pots and wooden bowls, many images of clay. ”

“ How Pantagruel became sick, and the manner how he was recovered A while after this the good Pantagruel fell sick, and had such an obstruction in his stomach that he could neither eat nor drink; and, because mischief seldom comes alone, a hot piss seized on him, which tormented him more than you would believe. ”

“ And wherefore, said Pantagruel, wert thou afraid of the toothache or pain of the teeth? Wert thou not cured of thy rheums? By Palm Sunday, said Panurge, is there any greater pain of the teeth than when the dogs have you by the legs? But on a sudden, as my good angel directed me, I thought upon my lardons, and threw them into the midst of the field amongst them. Then did the dogs run, and fight with one another at fair teeth which should have the lardons. ”

“ She did not look ill in an ordinary way, but young and fresh, only so absolutely thin and wasted, it would not have surprised us if life had gone out. She told her story very simply, just the bare facts and nothing more. She had been fed for a month. Mrs. Pankhurst, in cross-questioning her, elicited some of the horrors. She had resisted the gag as long as possible, then, with the increasing weakness, she had not the strength to resist much. Yes, the tube was a long one, pushed down the throat, in spite of all attempts to prevent it, and into the stomach. ”

“ He blasphemed against the gods, and threw himself amongst the assailants, behind whom the beggars crawled, shaking their crutches. Paphnutius was soon enclosed in a circle of menacing fists, raised sticks, and cries of death.
“To the ravens with the monk! to the ravens!”
“No; throw him in the fire! Burn him alive!”
Seizing his fair prey, he pressed her to his heart.
“Impious men,” he cried in a voice of thunder, “strive not to tear the dove from the eagle of the Lord. But rather copy this woman, and like she turn your filth into gold. ”

“ The pancreas also arises by localized bulging outwards of the intestinal lining—there being commonly three distinct rudiments in the embryo. In the Selachians the whitish compact pancreas of the adult opens into the intestine some little distance behind the opening of the bile duct, but in the Teleostomes it becomes involved in the liver outgrowth and mixed with its tissue, being frequently recognizable only by the study of microscopic sections. In the Dipnoans the pancreatic rudiment remains imbedded in the wall of the intestine: its duct is united with that of the liver. ”

“ How? said Pantagruel. Thus, said Panurge; for when with pleasure I beheld this jolly fire, jesting with myself, and saying--Ha! poor flies, ha! poor mice, you will have a bad winter of it this year; the fire is in your reeks, it is in your bed-straw--out come more than six, yea, more than thirteen hundred and eleven dogs, great and small, altogether out of the town, flying away from the fire. ”

“ As the above experiments clearly show, splanchnic stimulation on the glandless side results in no shortening of the coagulation time; whereas, in the same animals, stimulation of the nerves on [p. 170] the other side (still connected with the adrenal gland) produces a sharp hastening of the clotting process.
The splanchnics innervate the intestines and liver even though the adrenal gland is removed. The foregoing experiments indicate that the nerve impulses delivered to these organs do not influence them in any direct manner to accelerate the speed of coagulation. ”

“ Although unable to trace the connection by which a disordered state of the stomach and bowels may induce a morbid action in a part of the medulla spinalis, yet taught by the instruction of Mr. Abernethy, little hesitation need be employed before we determine on the probability of such occurrence. The power, possessed by sympathy, of inducing such disordered action in a distant part, and the probability of such disordered action producing derangement of structure, can hardly be denied. ”

“ With a pannikin and a spoon he would feed those who could not feed themselves, until they were glad to be rid of the attention; or he would readjust a dressing, or cut off a boot, or get the dried blood from an exposed surface with a never-wearying anxiety. ”

“ This is applied closely to the skin, a puncture is made with the lancets, and the blood then sucked through between these into the œsophagus, the circular spot which results coinciding with the shape of the lips. In the course of a few days the red spots dry up, and the skin in time becomes blackened with the endless number of discoloured punctures that are crowded together. The irritation they produce is more acutely felt by some persons than others. I once travelled with a middle-aged Portuguese, who was laid up for three weeks from the attacks of Piúm ”

“ The patient was a lad about seventeen, who at that time had laboured under this extraordinary disease for more than twelve years. His body was so distorted, and the legs and arms so twisted round it, by the continued convulsive working, that no words can give an adequate idea of the oddity of his figure; the agitation of the muscles was perpetual; but in general he did not complain of pain nor sickness ”

“ Nor must we forget the unfolding of a new chapter of disease, in the nosology of the pancreas. In diabetes this organ seems to play a part which is not yet precisely determined; and one fell disease at least has been traced to a violent access of inflammation of this organ, caused perhaps by entry of foreign matters into its duct. The part of the pancreas in digestion also is better understood. ”

“ Pakriaa's long murmured prayer repeated the name Ismar many times. At the end she seemed satisfied; her glance at Ann was almost a smile. Paul saw that the witches had drifted away, but the pressure of their watching remained.
Pakriaa now took them into the stockade. It seemed to [71] Paul that the guards were scarcely needed....
These naked men, women, and children had no danger in them. No life. They moved and functioned as if in life: walked, spat, scratched, yawned; a woman nursed a baby mechanically ”

“ It is asserted that the dwindling of organs from disuse is due to the successive survivals in posterity of individuals in which the organs have varied in the direction of decrease. Where now are the facts supporting this assertion? Not one has been assigned or can be assigned. Not a single case can be named in which panmixia is a proved cause of diminution. Even had the deductive argument for panmixia been as valid as we have found it to be invalid, there would still have been required, in pursuance of scientific method, some verifying inductive evidence. ”

“ The scars upon the breast and back were produced by running through the flesh strong splints of wood, to which heavy buffalo-skulls are fastened by cords of hide, and the wretch runs forward with all his strength, assisted by two companions, who take hold of each arm, until the flesh tears apart and the skulls are left behind. ”

“ The diet must be simple and digestible, and if an arrest of the pancreatic secretion be indicated by the appearance of fat in the stools, an effort should be made to supply the deficiency. For this purpose pancreatin, prepared by precipitation by alcohol from a watery extract of a calf's or pig's pancreas, may be used.1 The pancreatin may be given in doses of from five to fifteen grains, in the form of a pill or in capsules, and at an interval of two hours after food is taken, or the same quantity of pancreatin may be added to the food a few moments before it is eaten. ”

“ The dog rubs his ear against every projecting body, he scratches it might and main, and tumbles over and over while he is thus employed.
The young practitioner should be on his guard there. Is this dreadful itching a thing of yesterday, or, has the dog been subject to canker, increasing for a considerable period? Canker both internal and external is a disease of slow growth, and must have been long neglected before it will torment the patient in the manner that I have described. The question as to the length of time that an animal has thus suffered will usually be a sufficient guide. ”

“ It is to be known once for all, that in wounds of the nerves the medicine which cures punctures being of a bitter nature, it is not possible to cure with it the division of the nerve, as the parts cannot endure pungency and inflammation. And neither does the medicine which cures incisions answer with punctures. For its strength does not reach the bottom of it, the incision of the skin being narrow. A spare diet is to be allowed, and a soft couch ”

“ The 'salting with fire' comes substantially to the same thing as the amputation of the hand and foot, and the plucking out of the eye, that cause to stumble. The metaphor expresses a painful process. It is no pleasant thing to submit the bleeding stump to the actual cautery, and to press it, all sensitive, upon the hot plate that will stop the flow of blood. But such pain of shrinking nerves is to be borne, and to be courted, if we are wise, rather than to carry the hand or the eye that led astray unmutilated into total destruction. ”

“ SYMPTOMS AND COURSE.—As chronic pancreatitis rarely attains a sufficient degree of development to interfere seriously with the function of the organ, the disease is usually latent, or masked by the symptoms of the originating lesion in secondary hyperplasia, or by the associated diseases of the abdominal viscera in alcoholism and acquired syphilis. ”

“ The body cannot endure loss of moisture. It cries out in protest with every nerve. The muscles waste, the skin becomes shrunken and flabby, the facial appearance alters horribly, all these outward symptoms being eloquent of the acute suffering of the entire physical being. Every natural function is, of course, suspended, and the poisons which are unable to pass out of the body are retained and absorbed. The body becomes cold and shivery, there is constant headache and nausea, and sometimes there is fever. ”

“ The following Case seems to prove, at least, that the mysterious sympathetic influence which so closely simulates the forms of other diseases, may induce such symptoms as would seem to menace the formation of a disease not unlike to that which we have been here treating of.
A. B. A man, 54 years of age, of temperate [65] habits and regular state of bowels, became gradually affected with slight numbness and prickling, with a feeling of weakness in both arms, accompanied by a sense of fulness about the shoulders, as if produced by the pressure of a strong ligature ”