In all cases, the presence of bile in the blood is a mere epiphænomenon, and therefore demands no special attention.

In amenorrhœa, epistaxis is by no means unfrequent; and often relieves the anomalous symptoms, especially those referable to the encephalon, which are the results of the irregular hyperæmia thus induced. The same may be said of it as an epiphænomenon in febrile affections—inflammatory and adynamic,—of which conditions it is often an important symptom.

If a lady patient comes to your office and complains of severe backache, weight in the rectum, and a general bearing down, as she will call it, and has leucorrhœa with dysmenorrhœa, nervous disturbances, lame and difficult locomotion, menorrhagia, dyspareunia, pelvic neuralgia, epigastric depression, gastric derangement, uterine colic or tenesmus, sterility and many other symptoms that are epiphænomena of their own, do not, I beg of you, sit up very late, looking for the indicated remedy, for most likely you have a perfect case of retroversion, which is producing all of these annoying symptoms, by creating congestion of the uterine body, obstructing the cervical canal, and causing pressure on the rectum, congestion of the ovaries, and reflex nervous manifestations.

According to this hypothesis, mind is a ‘collateral product’ of the physical, an ‘epiphænomenon’ accompanying, but never causally affecting, the physical series of phænomena.

Epiphænomenon

Meaning

Noun

Origin