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RAYNALD OF See also:CHATILLON (d. 1187) , a See also:knight in the service of See also:Constance, princess of See also:Antioch, whom she See also:chose for her See also:husband in 1153, four years after the See also:death of her first husband, See also:Raymund (q.v.) . One of Raynald's first acts was a brutal See also:assault on the See also:patriarch of Antioch; while two years later he made an unjustifiable attack on See also:Cyprus, in the course of which the See also:island was ravaged . The See also:act brought its See also:punishment in 1159, when he had to humiliate himself before the See also:emperor See also:Manuel, doing See also:homage and promising to accept a See also:Greek patriarch; and when Manuel came to Antioch in the same See also:year, and was visited there by See also:Baldwin III., Raynald led his See also:horse into the See also:city . Later in the year he was captured by the Mahommedans, during a plundering See also:raid against the Syrian and Armenian peasants of the neighbourhood of See also:Marash, and confined at See also:Aleppo . His captivity lasted seventeen years . Rqleased in 1176, he married Stephanie, the widow of See also:Humphrey of Toron, and heiress of Krak and Mont Royal, to the S.E. of the Dead See also:Sea—fortresses which controlled the See also:trade-routes between See also:Egypt and See also:Damascus, and gave him See also:access to the Red Sea . In See also:November 1177, at the See also:head of the See also:army of the See also:kingdom, he won a victory over See also:Saladin, who only escaped with difficulty from the pursuit . But in 1181 the temptation of the caravans which passed by his fortress proved too strong, and in spite of a truce between Saladin and Baldwin IV. he began to See also:plunder . Saladin demanded reparations from Baldwin IV . Baldwin could only reply that he was unable to coerce his unruly See also:vassal . The result was a new outbreak of See also:war between Saladin and the Latin kingdom (1182) . In the course of the hostilities Raynald launched See also:ships on the Red Sea, partly for buccaneering, partly, it seems, with the See also:design of attacking See also:Mecca, and of challenging Mahommedanism in its own See also:holy See also:place .
His ships were captured by one of Saladin's See also:officers; and at the end of the year Saladin himself attacked Raynald in his fortress of Krak, at a See also:time when a number of guests were assembled to celebrate the See also:marriage of his stepson, Humphrey of Toron
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The See also:siege was raised, however, by See also:Count Raymund of See also:Tripoli; and till 1186 Raynald was quiet
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In that year he espoused the cause of Sibylla and See also:Guy de See also:Lusignan against Count Raymund, and his See also:influence contributed to the recognition of Guy as See also:
He is the See also:apotheosis of the feudal See also:liberty which the barons of the Holy See also:Land vindicated for themselves; and he shows, in his reckless See also:brigandage, the worst See also:side of their See also:character
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See also:Stevenson, See also:Crusades in the See also:East (See also:Cambridge, 1907), takes a most favourable view of Raynald's career: cf. especially pp
.
24o-241
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But his whole life seems to indicate a self-willed and selfish See also:temper
.
(E
.
BR.)
RAYNAUD'S DISEASE, a malady first described by P
.
Edouard Raynaud in 1862 in a See also:paper on " See also:Local See also:Asphyxia and Symmetrical See also:Gangrene of the Extremities." The See also:condition is said to be of central See also:nervous origin, and See also:cold, fright, or emotional disturbances are predisposing causes
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It is a disease of See also:child-See also:hood or See also:early adult life, and See also:females are more frequently affected than See also:males
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Raynaud attributed the symptoms to an See also:arrest of the passage of See also:blood to the affected parts, and considered this due to a spasm of the arterioles
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If the spasm be sufficiently prolonged and intense to completely See also:close the arterial channels gangrene of the See also:part may be the result
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The local symptoms are divided into three well-marked stages
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The first is local See also:syncope, in which the affected parts become temporarily bloodless, See also: The condition is See also:familiar in what is termed a " dead See also:finger," and is usually bilateral . After a variable time the circulation may become restored with a tingling sensation, or the disease may progress to the second See also:stage, that of local asphyxia . In this condition some part of the See also:body, usually a finger, toe, or the whole See also:hand or See also:foot, becomes painful to the See also:touch and is noticed to be dusky in See also:colour, or bluish-See also:purple or even mottled, and the See also:surface is cold . This discoloration may deepen until the skin is almost See also:black, the tactile sense being lost . After several See also:hours the See also:pain may subside, the attack of lividity pass off, and warmth return to the skin . Such attacks of local asphyxia may return every See also:day for a time . Sometimes severe abdominal pain is See also:present, accompanied ,by haematuria . The frequency of haematuria in this connexion was first noticed by See also:Hutchinson in 1871 . In the third stage, that of local gangrene, the involved areas assume a black and shrivelled See also:appearance, livid streaks marking the course of the See also:arteries; blebs may See also:form containing bloody fluid . The degree of destruction varies from the detachment of a patch of soft See also:tissue down to the loss of even a whole See also:limb, the part becoming separated by a See also:line of demarcation as in senile gangrene . In Raynaud's disease the patients have been noticed to be very susceptible to cold and See also:low temperatures; every effort should be made to keep the extremities warm; woollen underclothing and stockings should be worn, and the activity of the circulation roused by douches and exercise; by these means an attack may be prevented . Should local asphyxia have taken place, one of the best treatments to lessen pain and obtain the return of the natural colour is the application of the See also:constant current . See also:Sir T . See also:Barlow directs its application, the limb being placed in a See also:bath of warm See also:salt and See also:water . See also:Cushing's method of inducing active hyperaemia has been attended with much success . This treatment is only applicable when the vascular spasm affects the extremities, and consists in the artificial constriction of the limb by the application of a tourniquet or See also:Esmarch's bandage for a few minutes daily . This is followed by hyperaemia and increased surface temperature, and affords much See also:relief to the pain of the stage of asphyxia . Drugs which dilate the peripheral vessels, such as amyl nitrite and trinitrine, have also been recommended . When gangrene occurs in the affected part it should be well wrapped in absorbent See also:cotton and kept dry, and all active treatment should cease until a line of demarcation has formed and the gangrenous portion separated . The disease tends towards recovery with more or less loss of tissue if the stage of gangrene has been reached . |
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