副鼻腔炎と体質との関係

　緒言

　体質は〝ヒポクラテス〟〝及び〟ガレーン〃の古き時代より既に体型（素質）に別けられ，次いで液体病理学上，血液粘液膽汁の調合不平均が病気を起すものとし，人の気質も此れに依つて左右せられるとし，多血，膽汁憂鬱質及び粘液質の4種のHabitusに別けられた．時代の推移と化学の進歩は体質に関する見解を変へ，Sylvis氏はScrofuloseと結核との関係を実際的に観察して関節素質，卒中性素質，癌性素質に別けた．1878年フランスのBenecke氏が900人の生体と500人の死体で身体の外型と内臟の大きさに関する論文を発表し第1型．第2型．第3型，異常型に区別し，1912年ジゴー氏ば呼吸型．腦型．筋肉型．消化器型に区別したり，科学的の立脚点より体質論を系統的に組立て現代体質学を勃興せしめたのはマルチス氏で，氏は病気を起すは体質的因子が大なる意義を有すと注意を喚起して以来体質学進歩せり，体質の意義には周知の如く色々説あり．今日未だ其の説の一致を見ないが体質とは胚体より遺伝した全ての性質と個体の生存中外界の影響によつて獲得した性質である，体型の分類は種々あるが其の代表的の物を挙げると．

NISHIHATA AND SUZUKI examined 132 patien-ts affected with sinusitis iu an attempt to establish some relation of this disease to general constitutional state and arrived at the following conclusions: (1) Leptosomatic types are more vulnerable to at t-acks of this disease than others and eurosom a-tic closely followed in frequency.

(2) By head features it was most prevalent in eurocephalic types. by facial, leptoprosopic and by nasal, mesorhinic.

(3) By food habits the affection us found in those who are inclined towards large amounts of sweets, eating between meals and being fond of fruits.

(4) More than 50 per cent of patients affected with sinusitis are found to be suffering disea- ses which were caused by exudative diathesis, leptosomatics are found to be most markedly affected.

(5) With presence of nasal polyps the asthenic types lead the list which was closely followed by athletic types and the difference ofvnir ability in these respective types was veryslig ht indeed.