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PLETHORA

Volume 16 · 234 words · 1823 Edition

in *Medicine*, from πληθος, "plenitude." A plethora is when the vessels are too much loaded with fluids. The plethora may be sanguine or serous. In the first there is too much crassamentum in the blood, in the latter too little. In the sanguine plethora, there is danger of a fever, inflammation, apoplexy, rupture of the blood-vessels, obstructed secretions, &c.

of a dropsy, &c. A rarefaction of the blood produces all the effects of a plethora; it may accompany a plethora, and should be distinguished therefrom. Mr Bromfield observes, that a sanguine plethora may thus be known to be present by the pulse. An artery overcharged with blood is as incapable of producing a strong full pulse, as one that contains a deficient quantity; in both cases there will be a low and weak pulse. To distinguish rightly, the pulse must not be felt with one or two fingers on the carpal artery; but if three or four fingers cover a considerable length of the artery, and we press hard for some time on it, and then suddenly raise all these fingers except that which is nearest to the patient's hand, the influx of the blood, if there is a plethora, will be so rapid as to raise the other finger, and make us sensible of the fulness. The sanguine plethora is relieved by bleeding; the serous by purging, diuretics, and sweating. See MEDICINE Index.