The Pulse physiologically and clinically considered
affords one of the most interesting studies in clinical medicine. A thorough appreciation of its significance in health and disease enables the physician to grasp the many interesting phenomenona that
occur in its many changing phases, and to draw conclusions from its departures from the normal type,
which enable him to diagnose, treat, and observe the
effects of treatment in the course of his clinical
career. The subject has been elaborately treated in
the many learned discourses on Physiology and medicine, and books especially devoted to it in its
morbid conditions are numerous.
In selecting such a hackneyed subject for a graduation thesis my object is not to endeavour to rival
those excellent treateses, but to grasp for my own
edification and instruction one of the salient factors in clinical medicine. Any man may write a book
for others to read, but however thorough the book
may be it is useless as an educating factor if the
reader does not endeavour to grasp and apply its
principles, and observe for himself the points which
others may indicate. In order to become a competent practical member of the noble and useful profession of medicine each votary of the science, must be
not only a. speculative absorber of other men's facts
and experiences, but must be on the outlook for such
facts clinical an(5 other that may fall to his humble
lot. My only apology for taking up such an extensive subject is the perhaps common one, viz:- the absorbing interest the subject of pulse ft circulatory
system has always had. for me. Many of the problems
presented by the circulatory system have been exhausted by abler exponents, but as before said each
member of the profession must go over the ground for
himself before he is in a position to enable him to
become a. truthful and useful observer. I do not
presume to exhaust the subject within the limited space allowed for in a graduation thesis, that would
require a. few more years of study and observation.
I shall confine my attention to such facts as have
directly appealed to me in the course of my clinical career.
The following heads will comprise the greater
bulk of my thesis.
1. Analysis of a Sphygmographic tracing.
2. The Pulse in valvular disea.se of the heart.
3. Pulse Rhythm.
4. Pulse tension as a guide in Diagnosis, Proposis and Treatment.