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anomalies and curiosities of medicine-及160何蛍

弌傍�� anomalies and curiosities of medicine 忖方�� 耽匈4000忖

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ably the sword´swallower who showed the physicians to what extent the pharynx could be habituated to contact�察�and from this resulted the invention of the tube of Faucher�察�the esophageal sound�察�ravage of the stomach�察�and illumination of this organ by electric light。 Some of these individuals also have the faculty of swallowing several pebbles�察�as large even as hen's eggs�察�and of disgorging them one by one by simple contractions of the stomach。 From time to time individuals are seen who possess the power of swallowing pebbles�察�knives�察�bits of broken glass�察�etc。�察�and�察�in fact�察�there have been recent tricky exhibitionists who claimed to be able to swallow poisons�察�in large quantities�察�with impunity。 Henrion�察�called ;Casaandra�察─�a celebrated example of this class�察�was born at Metz in 1761。 Early in life he taught himself to swallow pebbles�察�sometimes whole and sometimes after breaking them with his teeth。 He passed himself off as an American savage�察�he swallowed as many as 30 or 40 large pebbles a day�察�demonstrating the fact by percussion on the epigastric region。 With the aid of salts he would pass the pebbles and make them do duty the next day。 He would also swallow live mice and crabs with their claws cut。 It was said that when the mice were introduced into his mouth�察�they threw themselves into the pharynx where they were immediately suffocated and then swallowed。 The next morning they would be passed by the rectum flayed and covered with a mucous substance。 Henrion continued his calling until 1820�察�when�察�for a moderate sum�察�he was induced to swallow some nails and a plated iron spoon 5 1/2 inches long and one inch in breadth。 He died seven days later。 

According to Bonet�察�there was a man by the name of Pichard who swallowed a razor and two knives in the presence of King Charles II of England�察�the King himself placing the articles into the man's mouth。 In 1810 Babbington and Curry are accredited with citing the history of an American sailor in Guy's Hospital�察�London�察�who frequently swallowed penknives for the amusement of his audiences。 At first he swallowed four�察�and three days later passed them by the anus�察�on another occasion he swallowed 14 of different sizes with the same result。 Finally he attempted to gorge himself with 17 penknives�察�but this performance was followed by horrible pains and alarming abdominal symptoms。 His excrement was black from iron。 After death the cadaver was opened and 14 corroded knives were found in the stomach�察�some of the handles being partly digested�察�two were found in the pelvis and one in the abdominal cavity。 Pare recalls the instance of a shepherd who suffered distressing symptoms after gulping a knife six inches long。 Afterward the knife was abstracted from his groin。 Fabricius Hildanus cites a somewhat similar case。

Early in the century there was a man known as the ;Yankee knife´swallower�察─�whose name was John Cummings�察�an American sailor�察�who had performed his feats in nearly all the ports of the world。 One of his chief performances was swallowing a billiard ball。 Poland mentions a man ��possibly Cummings�� who�察�in 1807�察�was admitted to Guy's Hospital with dyspeptic symptoms which he attributed to knife´swallowing。 His story was discredited at first�察�but after his death�察�in March�察�1809�察�there were 30 or 40 fragments of knives found in his stomach。 One of the back´springs on a knife had transfixed the colon and rectum。 In the Edinburgh Philosophical Journal for 1825 there is an account of a juggler who swallowed a knife which remained in his stomach and caused such intense symptoms that gastrotomy was advised�察�the patient�察�however�察�refused operation。

Drake reports a curious instance of polyphagia。 The person described was a man of twenty´seven who pursued the vocation of a ;sword´swallower。; He had swallowed a gold watch and chain with a seal and key attached�察�at another time he swallowed 34 bullets and voided them by the anus。 At Poughkeepsie�察�N。Y。�察�in August�察�1819�察�in one day and night he swallowed 19 pocket´knives and 41 copper cents。 This man had commenced when a lad of fifteen by swallowing marbles�察�and soon afterward a small penknife。 After his death his esophagus was found normal�察�but his stomach was so distended as to reach almost to the spine of the ilium�察�and knives were found in the stomach weighing one pound or more。 In his exhibitions he allowed his spectators to hear the click of the knives and feel them as low down as the anterior superior spine of the ilium。

The present chief of the dangerous ;profession; of sword´swallowing is Chevalier Cliquot�察�a French Canadian by birth�察�whose major trick is to swallow a real bayonet sword�察�weighted with a cross´bar and two 18´pound dumbbells。 He can swallow without difficulty a 22´inch cavalry sword�察�formerly�察�in New York�察�he gave exhibitions of swallowing fourteen 19´inch bayonet swords at once。 A negro�察�by the name of Jones�察�exhibiting not long since in Philadelphia�察�gave hourly exhibitions of his ability to swallow with impunity pieces of broken glass and china。

Foreign Bodies in the Alimentary Canal。In the discussion of the foreign bodies that have been taken into the stomach and intestinal tract possibly the most interesting cases�察�although the least authentic�察�are those relating to living animals�察�such as fish�察�insects�察�or reptiles。 It is particularly among the older writers that we find accounts of this nature。 In the Ephemerides we read of a man who vomited a serpent that had crept into his mouth�察�and of another person who ejected a beetle that had gained entrance in a similar manner。 From the same authority we find instances of the vomiting of live fish�察�mice�察�toads�察�and also of the passage by the anus of live snails and snakes。 Frogs vomited are mentioned by Bartholinus�察�Dolaeus�察�Hellwigius�察�Lentilus�察�Salmuth�察�and others。 Vege mentions a man who swallowed a young chicken whole。 Paullini speaks of a person who�察�after great pain�察�vomited a mouse which he had swallowed。 Borellus�察�Bartholinus�察�Thoner�察�and Viridet�察�are among the older authorities mentioning persons who swallowed toads。 Hippocrates speaks of asphyxia from a serpent which had crawled into the mouth。

Borellus states that he knew a case of a person who vomited a salamander。 Plater reports the swallowing of eels and snails。 Rhodius mentions persons who have eaten scorpions and spiders with impunity。 Planchon writes of an instance in which a live spider was ejected from the bowel�察�and Colini reports the passage of a live lizard which had been swallowed two days before�察�and there is another similar case on record。 Marcellus Donatus records an instance in which a viper�察�which had previously crawled into the mouth�察�had been passed by the anus。 There are also recorded instances in French literature in which persons affected with pediculosis�察�have�察�during sleep�察�unconsciously swallowed lice which were afterward found in the stools。

There is an abundance of cases in which leeches have been accidentally swallowed。 Pliny�察�Aetius�察�Dioscorides�察�Scribonius´Largus�察�Celsus�察�Oribasius�察�Paulus Aegineta�察�and others�察�describe such cases。 Bartholinus speaks of a Neapolitan prince who�察�while hunting�察�quenched his thirst in a brook�察�putting his mouth in the running water。 In this way he swallowed a leech�察�which subsequently caused annoying hemorrhage from the mouth。 Timaeus mentions a child of five who swallowed several leeches�察�and who died of abdominal pains�察�hemorrhage�察�and convulsions。 Rhodius�察�Riverius�察�and Zwinger make similar observations。 According to Baron Larrey the French soldiers in Napoleon's Egyptian campaign occasionally swallowed leeches。 Grandchamp and Duval have commented on curious observations of leeches in the digestive tract。 Dumas and Marques also speak of the swallowing of leeches。 Colter reports a case in which beetles were vomited。 Wright remarks on Banon's case of fresh´water shrimps passed from the human intestine。 Dalton�察�Dickman�察�and others�察�have discussed the possibility of a slug living in the stomach of man。 Pichells speaks of a case in which beetles were expelled from the stomach�察�and Pigault gives an account of a living lizard expelled by vomiting。 Fontaine�察�Gaspard�察�Vetillart�察�Ribert�察�MacAlister�察�and Waters record cases in which living caterpillars have been swallowed。

Sundry Cases。The variety of foreign bodies that have been swallowed either accidentally or for exhibitional or suicidal purposes is enormous。 Nearly every imaginable article from the minutest to the most incredible size has been reported。 To begin to epitomize the literature on this subject would in itself consume a volume�察�and only a few instances can be given here�察�chosen in such a way as to show the variety�察�the effects�察�and the possibilities of their passage through the intestinal canal。

Chopart says that in 1774 the belly of a ravenous galley´slave was opened�察�and in the stomach were found 52 foreign bodies�察�including a barrel´hoop 19 inches long�察�nails�察�pieces of pipe�察�spoons�察�buckles�察�seeds�察�glass�察�and a knife。 In the intestines of a person Agnew found a pair of suspenders�察�a mass of straw�察�and three roller´bandages�察�an inch in width and diameter。 Velpeau mentions a fork which was passed from the anus twenty months after it was swallowed。 Wilson mentions an instance of gastrotomy which was performed for the extraction of a fork swallowed sixteen years before。 There is an interesting case in which�察�in a delirium of typhoid fever�察�a girl of twenty´two swallowed two iron forks�察�which were subsequently expelled through an abdominal abscess。 A French woman of thirty´five�察�with suicidal intent�察�swallowed a four´pronged fork�察�which was removed four years afterward from the thigh。 For two years she had suffered intense pain in both thighs。 In the Royal College of Surgeons in London there is a steel button´hook 3 1/2 inches in length which was accidentally swallowed�察�and was passed three weeks later by the anus�察�without having given rise to any symptom。

Among the insane a favorite trait seems to be swallowing nails。 In the Philosophical Transactions is an account of the contents of the stomach of an idiot who died at thirty´three。 In this organ were found nine cart´wheel nails�察�six screws�察�two pairs of compasses�察�a key�察�an iron pin�察�a ring�察�a brass pommel weighing nine ounces�察�and 

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