First lines of the practice of physic (1785)

Review of the confusion in current and historical terminology and definitions for disturbances of menstrual bleeding

“…Ejus haec definitio est.'' Cullen wrote extensively about ''menorrhagia'': Chapter VI of his First Lines of the Practice of Physic was entitled ''Of the menorrhagia, or the immoderate flow of the menses'' (28). Immoderate flow was a direct translation of the Latin ''menstruorum copiosior.''…”

“…Cullen also gave due consideration to the frequency, duration, and quantity of the menses, and to change in pattern in individuals: ''The flow of the menses is considered immoderate when it recurs more frequently, when it continues longer, or when during the ordinary continuance it is more abundant than is usual with the same person at other times'' (28). He only considered menorrhagia as a disease with those ''deviations which are excessive in degree, which are permanent and which induce a manifest state of disability.…”

“…It seems probable that the term ''metrorrhagia'' to describe irregular bleeding came into usage at about the same time as ''menorrhagia,'' because Cullen (28) certainly used the term ''maetrorrhagia'' in his lectures. However, ''metrorrhagia'' seems to have been less popular than ''menorrhagia,'' and Churchill (29) does not use the term at all-he uses ''irregularity of bleeding''-although he does use other Latin-based terms, such as amenorrhea and dysmenorrhea.…”

A Study on Various Modalities of Surgical Management of Sigmoid Volvulus

“…To this procedure, sigmoidopexy can be done to prevent recurrence or primary resection and anastomosis, with or without proximal diversion loop colostomy; or to exteriorize the sigmoid loop with delayed resection and anastomosis. [11] In our study, 23 patients (77%) underwent Primary resection and anastomosis whereas 2 patients (6%) underwent sigmoidopexy and 5 patients (17%) underwent Hartmann's procedure and subsequent anastomosis was done.…”

The Role of Focal Epilepsy in the Development of Jacksonian Localization

“…If otherwise clinically similar paroxysmal events occurred without loss of consciousness, the sufferer was considered to have "partial epilepsy," i.e., a disorder that was partly but not fully epileptic, following the terminology of earlier writers such as Cullen (1805Cullen ( /1789 and Pritchard (1822). Localized motor seizures, or other varieties of seizure, that occurred without loss of consciousness and were associated with cerebral pathology, were sometimes termed "epileptiform" (Todd, 1855;J.…”