Book excerpt: Excerpt from Canada Medical Record, Vol. 4 As a text for my remarks I present to you, to day, a laborer, 38 years of age, otherwise in excellent health, who for about ten years has had very painful attacks of a peculiar gastric neuralgia, which last on an average 10 - 12 days and recur three or four times a year. The pain does not radiate toward the spine as'in simple ulcer of the stomach; it is not a cutting or piercing, but a burning pain, a feeling of internal heat, and at times of an unbearable fire within. When it spreads at all it is upward, fol lowing the course of the oesophagus. The pain is often accompanied by sour vomiting and sometimes, when the attack is particularly severe, the patient vomits ropy mucus similar to that of drunkards, but never vomits blood or food. Another resemblance between this vomiting and that of the inebriate is that it always occurs in the morning before the introduction into the stomach of food, and not immediately after eating or an hour or two after, as in round gastric ulcer or in carcinoma of the stomach. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.