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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: quard symptom complex; the bulbar symptoms present at one time with their complete remission, all point to a gliosis as the most probable explanation of the symptoms presented. It is not a typical gliosis. The trophic disturbances have not been as severe as one would ordinarily expect to find. The involvement of the lower extremities with the disturbance of the rectum and bladder so early is unusual. One can only arrive at this diagnosis by a process of exclusion. A method which in nervous diseases at least must often be made use of. CERTAIN PHYSIOLOGIC CONSIDERATIONS OF THE DIGESTIVE GLANDS. By Frank S. Bissell, M. D., MAPLE LAKE, MINN. Some of the more recent investigations of the work of the digestive glands have resulted in conclusions of special importance to the physician, it has long been the belief of clinical observers that many cases of digestive disturbance were due to nervous influences originating entirely outside of the digestive tract. That these influences may be of psychic as well as of reflex origin has been maintained by some and ridiculed by others, but reasons for or against the belief have hertofore been some-i what empirical. To be sure, Richet, as early as 1878, reported observations upon a patient who had undergone the operation of gastrotomy for incurable stricture of the esophagus. Soon after the patient took anything sweet or sour into the mouth he (richet) was able to perceive a rlow of pure gastric juice., Pawlow (St. Petersburg) has been experimenting extensively along this line upon dogs. He created an ordinary gastric fistula with a metallic canula and divided the esophagus so that the mouth was cut off from all ccrtiununication with the stomach. I quote from one of his lectures: The stomach was washed out an hour ago, and, as you s...