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anomalies and curiosities of medicine-第134章

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h accessory mammae on the right side and two daughters with the same anomaly on the left side。 Savitzky reports a case of gynecomazia in a peasant of twenty…one whose father; elder brother; and a cousin were similarly endowed。 The patient's breasts were 33 cm。 in circumference and 15 cm。 from the nipple to the base of the gland; they resembled normal female mammae in all respects。 The penis and the other genitalia were normal; but the man had a female voice and absence of facial hair。 There was an abundance of subcutaneous fat and a rather broad pelvis。

Wiltshire said that he knew a gynecomast in the person of a distinguished naturalist who since the age of puberty observed activity in his breasts; accompanied with secretion of milky fluid which lasted for a period of six weeks and occurred every spring。 This authority also mentions that the French call husbands who have well…developed mammae 〃la couvade;〃 the Germans call male supernumerary breasts 〃bauchwarze;〃 or ventral nipples。 Hutchinson describes several cases of gynecomazia; in which the external genital organs decreased in proportion to the size of the breast and the manners became effeminate。 Cameron; quoted by Snedden; speaks of a fellow…student who had a supernumerary nipple; and also says he saw a case in a little boy who had an extra pair of nipples much wider than the ordinary ones。 Ansiaux; surgeon of Liege; saw a conscript of thirteen whose left mamma was well developed like that of a woman; and whose nipple was surrounded by a large areola。 He said that this breast had always been larger than the other; but since puberty had grown greatly; the genital organs were well formed。 Morgan examined a seaman of twenty…one; admitted to the Royal Naval Hospital at Hong Kong; whose right mamma; in size and conformation; had the appearance of the well developed breast of a full…grown woman。 It was lobulated and had a large; brown…colored areola; the nipple; however; was of the same size as that on the left breast。 The man stated that he first observed the breast to enlarge at sixteen and a half years; since that time it had steadily increased; but there was no milk at any time from the nipple; the external genital organs were well and fully developed。 He complained of no pain or uneasiness except when in drilling aloft his breast came in contact with the ropes。

Gruger of St。 Petersburg divides gynecomazia into three classes:

(1) That in which the male generative organs are normal;

(2) In which they are deformed;

(3) In which the anomaly is spurious; the breast being a mass of fat or a new growth。

The same journal quotes an instance (possibly Morgan's case) in a young man of twenty…one with a deep voice; excellent health; and genitals well developed; and who cohabited with his wife regularly。 When sixteen his right breast began to enlarge; a fact that he attributed to the pressure of a rope。 Glandular substance could be distinctly felt; but there was no milk…secretion。 The left breast was normal。 Schuchardt has collected 272 cases of gynecomazia。

Instances of Men Suckling Infants。These instances of gynecomazia are particularly interesting when the individuals display ability to suckle infants。 Hunter refers to a man of fifty who shared equally with his wife the suckling of their children。 There is an instance of a sailor who; having lost his wife; took his son to his own breast to quiet him; and after three or four days was able to nourish him。 Humboldt describes a South American peasant of thirty…two who; when his wife fell sick immediately after delivery; sustained the child with his own milk; which came soon after the application to the breast; for five months the child took no other nourishment。 In Franklin's 〃Voyages to the Polar Seas〃 he quotes the instance of an old Chippewa who; on losing his wife in childbirth; had put his infant to his breast and earnestly prayed that milk might flow; he was fortunate enough to eventually produce enough milk to rear the child。 The left breast; with which he nursed; afterward retained its unusual size。 According to Mehliss some missionaries in Brazil in the sixteenth century asserted that there was a whole Indian nation whose women had small and withered breasts; and whose children owed their nourishment entirely to the males。 Hall exhibited to his class in Baltimore a negro of fifty…five who had suckled all his mistress' family。 Dunglison reports this case in 1837; and says that the mammae projected seven inches from the chest; and that the external genital organs were well developed。 Paullini and Schenck cite cases of men suckling infants; and Blumenbach has described a male…goat which; on account of the engorgement of the mammae; it was necessary to milk every other day of the year。

Ford mentions the case of a captain who in order to soothe a child's cries put it to his breast; and who subsequently developed a full supply of milk。 He also quotes an instance of a man suckling his own children; and mentions a negro boy of fourteen who secreted milk in one breast。 Hornor and Pulido y Fernandez also mention similar instances of gynecomazia。

Human Odors。Curious as it may seem; each individual as well as each species is in life enveloped with an odor peculiarly its own; due to its exhaled breath; its excretions; and principally to its insensible perspiration。 The faculty of recognizing an odor in different individuals; although more developed in savage tribes; is by no means unknown in civilized society。 Fournier quotes the instance of a young man who; like a dog; could smell the enemy by scent; and who by smell alone recognized his own wife from other persons。 

Fournier also mentions a French woman; an inhabitant of Naples; who had an extreme supersensitiveness of smell。 The slightest odor was to her intolerable; sometimes she could not tolerate the presence of certain individuals。 She could tell in a numerous circle which women were menstruating。 This woman could not sleep in a bed which any one else had made; and for this reason discharged her maid; preparing her own toilet and her sleeping apartments。 Cadet de Gassieourt witnessed this peculiar instance; and in consultation with several of the physicians of Paris attributed this excessive sensitiveness to the climate。 There is a tale told of a Hungarian monk who affirmed that he was able to decide the chastity of females by the sense of smell alone。 It is well known that some savage tribes with their large; open nostrils not only recognize their enemies but also track game the same as hounds。

Individual Odors。Many individuals are said to have exhaled particularly strong odors; and history is full of such instances。 We are told by Plutarch that Alexander the Great exhaled an odor similar to that of violet flowers; and his undergarments always smelled of this natural perfume。 It is said that Cujas offered a particular analogy to this。 On the contrary; there are certain persons spoken of who exhaled a sulphurous odor。 Martial said that Thais was an example of the class of people whose odor was insupportable。 Schmidt has inserted in the Ephemerides an account of a journeyman saddler; twenty…three years of age; of rather robust constitution; whose hands e
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