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THE VISCEROGALVANIC REACTION

THE VISCEROGALVANIC REACTION Abstract The differential diagnosis of visceral diseases is often aided by a study of the associated referred pain of the hyperalgetic zones of the skin and the tender areas of the muscles. Such a study, however, fails in many cases because the subjective complaints of the patients may be unreliable. It is desirable in such cases to localize pain by objective methods. It is known from the work of Head1 and of MacKenzie2 that diseases of visceral organs produce many reflexes in the skin, such as viscerovasomotor and visceropilomotor reflexes. There are also segmental reflexes from the viscera which cause localized hypertonicity of certain muscles, the so-called visceromotor reflexes. These phenomena are of clinical importance; however, they are not always found. A more delicate objective method for the demonstration of referred pain in cases of visceral disease seems therefore to be desirable. In such cases the segments of the References 1. Head, H.: Brain 16:1, 1893Crossref 2. 17:339, 1894 3. 19:153, 1896. 4. Head, H., et al.: Studies in Neurology , New York, Oxford University Press, 1920. 5. MacKenzie, J.: Symptoms and Their Interpretation , London, Shaw & Sons, 1920. 6. Tarchanoff: Arch. f. d. ges. Physiol. 46:46, 1890.Crossref 7. Langworthy, O. R., and Richter, C. P.: Brain 53:178, 1930.Crossref 8. Spiegel, E. A., and Wohl, M. G.: Klin. Wchnschr. 11:1272, 1932.Crossref 9. Keller, P.: Arch. f. Dermat. u. Syph. 162:582, 1930.Crossref 10. The uniform pressure maintains the potential on this site at a low figure. This is far more desirable for the patient than to destroy the epidermis as recommended by Keller in order to bring the potential of the skin to zero. 11. Munk, F. M., and Flockenhaus, M.: Ztschr. f. d. ges. exper. Med. 61:363, 1928.Crossref 12. Gaskell, W. H.: J. Physiol. 7:1, 1886. 13. Langley, J. N.: The Autonomic Nervous System , Cambridge, England, W. Heffer & Sons, 1921. 14. Thomas, André: Le réflexe pilomoteur , Paris, Masson et Cie, 1921. 15. Foerster, O., cited by Guttmann: Ztschr. f. d. ges. Neurol. u. Psychiat. 135:1, 1931.Crossref 16. Gibson, G. A.: Brain 28:57, 1905.Crossref 17. Bittorf, D.: Arch. f. klin. Med. 81:65, 1904. 18. Conzen, F.: Ueber die periphere Sympathicusaffection insbesondere ihre Aetiologie und Symptomatologie , Leipzig, B. Georgi, 1904. 19. Misch, W., and Lechner, A.: Klin. Wchnschr. 8:500, 1929.Crossref 20. Spiegel. E. A.: Die Zentren des autonomen Nervensystems , Berlin, Julius Springer, 1928. 21. Darrow, C. W.: J. Exper. Psychol. 10:197, 1927.Crossref 22. Gildemeister, M., in Bethe, A.; von Bergmann, G.; Embden, G., and Ellinger, A.: Handbuch der normalen und pathologischen Physiologie , Berlin, Julius Springer, 1928, vol. 8, p. 765. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

THE VISCEROGALVANIC REACTION

Archives of Internal Medicine , Volume 56 (2) – Aug 1, 1935

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1935 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1935.03920020119007
Publisher site
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Abstract

Abstract The differential diagnosis of visceral diseases is often aided by a study of the associated referred pain of the hyperalgetic zones of the skin and the tender areas of the muscles. Such a study, however, fails in many cases because the subjective complaints of the patients may be unreliable. It is desirable in such cases to localize pain by objective methods. It is known from the work of Head1 and of MacKenzie2 that diseases of visceral organs produce many reflexes in the skin, such as viscerovasomotor and visceropilomotor reflexes. There are also segmental reflexes from the viscera which cause localized hypertonicity of certain muscles, the so-called visceromotor reflexes. These phenomena are of clinical importance; however, they are not always found. A more delicate objective method for the demonstration of referred pain in cases of visceral disease seems therefore to be desirable. In such cases the segments of the References 1. Head, H.: Brain 16:1, 1893Crossref 2. 17:339, 1894 3. 19:153, 1896. 4. Head, H., et al.: Studies in Neurology , New York, Oxford University Press, 1920. 5. MacKenzie, J.: Symptoms and Their Interpretation , London, Shaw & Sons, 1920. 6. Tarchanoff: Arch. f. d. ges. Physiol. 46:46, 1890.Crossref 7. Langworthy, O. R., and Richter, C. P.: Brain 53:178, 1930.Crossref 8. Spiegel, E. A., and Wohl, M. G.: Klin. Wchnschr. 11:1272, 1932.Crossref 9. Keller, P.: Arch. f. Dermat. u. Syph. 162:582, 1930.Crossref 10. The uniform pressure maintains the potential on this site at a low figure. This is far more desirable for the patient than to destroy the epidermis as recommended by Keller in order to bring the potential of the skin to zero. 11. Munk, F. M., and Flockenhaus, M.: Ztschr. f. d. ges. exper. Med. 61:363, 1928.Crossref 12. Gaskell, W. H.: J. Physiol. 7:1, 1886. 13. Langley, J. N.: The Autonomic Nervous System , Cambridge, England, W. Heffer & Sons, 1921. 14. Thomas, André: Le réflexe pilomoteur , Paris, Masson et Cie, 1921. 15. Foerster, O., cited by Guttmann: Ztschr. f. d. ges. Neurol. u. Psychiat. 135:1, 1931.Crossref 16. Gibson, G. A.: Brain 28:57, 1905.Crossref 17. Bittorf, D.: Arch. f. klin. Med. 81:65, 1904. 18. Conzen, F.: Ueber die periphere Sympathicusaffection insbesondere ihre Aetiologie und Symptomatologie , Leipzig, B. Georgi, 1904. 19. Misch, W., and Lechner, A.: Klin. Wchnschr. 8:500, 1929.Crossref 20. Spiegel. E. A.: Die Zentren des autonomen Nervensystems , Berlin, Julius Springer, 1928. 21. Darrow, C. W.: J. Exper. Psychol. 10:197, 1927.Crossref 22. Gildemeister, M., in Bethe, A.; von Bergmann, G.; Embden, G., and Ellinger, A.: Handbuch der normalen und pathologischen Physiologie , Berlin, Julius Springer, 1928, vol. 8, p. 765.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Aug 1, 1935

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