CLINICS.

CLINICAL LECTURES.

Chloralum

Clinical Lecture on Cases Illustrative of
Gastric and Cerebral Vomiting. By Dr.
MCCALL ANDERSON, Prof. of Clinical Medi-
cine in the University of Glasgow, etc.

GENTLEMEN: At our meeting in Ward

1, the other day, I brought under your

notice two cases, in both of which vomit-

ing was a prominent symptom. In the

one the vomiting was dependent upon

abdominal, in the other upon cerebral

disease; and as they illustrate well the

distinctive features of gastric and cerebral

vomiting, we shall, if you please, refer to

them, in the first place, from this point of

view.

The patient who is the subject of gastric

vomiting lies in bed 6; he who is affected

with cerebral vomiting lies in bed 12; and

for convenience we may speak of them as

No. 6 and No. 12 respectively.

1st. When vomiting is dependent upon

gastric disorder it generally sets in with
stomach symptoms. This was the case
with No. 6; for in October, 1873, he began
to suffer from pain in the stomach after
taking food-a pain which in a couple of
months became much more severe, and
then was accompanied by vomiting. In
No 12, on the other hand, the symptoms
were referable to the nervous system-
namely, impairment of sight, paralysis of
the side of the face, and pain in the head
symptoms which were succeeded by

vomiting.

2d. In No. 6 the vomiting was asso-