£U DISEASES Class I. 2. 3. 19* 



one's fingers under the edge of it, much like the feel of the brawn 

 or (hield on a boar's (ho alder. He was repeatedly bled, and 

 purged with calomel, had an emetic, and abutter on the part, 

 without diminifhing the tumour ; after feme time he took the 

 Peruvian bark, and flight dofes of chalybeates, and thus became 

 free from the fever, and went to Bath for feveral weeks, but the 

 tumour remained. This tumour I examined every four or fr 

 years for above thirty years. His countenance was pale, and to- 

 wards the end of his life he fullered much from ulcers on his 

 legs, and died about flxty, of general debility ; like many others 

 who live intemperately in refpect to the ingurgitatiori of fer- 

 mented or fpirituous liquors. 



As this tumour Commenced m the cold fit of an intermittent 

 fever, and was not attended with pain, and continued fo long 

 without endangering his life, there is reafon to believe it was 

 fimply occafioned by deficient abforption, and not by more eri* 

 ergetic action of the veffels which conftitute the fpleen. See 

 ClafsIL 1. 2. 13. 



M. M. Venef edion. Emetic, cathartic with calomel ; then 

 forbentia, chalybeates, Peruvian bark. 



19. Genu tumor alhus. White fwelling of the knee, is o wing- 

 to deficient abforption of the lymphatics of the membranes in- 

 cluding the joint, or capfular ligaments, and fometimes perhaps 

 of the gland which fecretes the fynovia \ and the ends of the bones 

 are probably affected in confequence. 



I faw an inftance, where a cauitic had been applied by an 

 empyric on a large white fwelling of the knee, and was told, that 

 a fluid had been difcharged from the joint, which became in- 

 chylofed, and healed without lofs of the limb. 



M. M. Repeated bliflers on the part early in the difeafe are 

 fdid to cure it by promoting abforption ; faturnine foiutions ex- 

 ternally are recommended. Bark, animal charcoal, as burnt 

 iponge, opium in fmall dofes. Fri<ftion with the hand. Four 

 or fix leeches applied on or beneath the knee alternately with the 

 bliffcers, and a cupping glafs put over the wounds made by the 

 leeches are much recommended. 



20. Bronchocele. Swelled throat. An enlargement of the 

 thyroid glands, faid to be frequent in mountainous countries, 

 where river water is drunk, which has its fource from diflblving 

 fnows. This idea is a very ancient one, but peihaps not on 

 that account to be the more depended upon, as authors copy 

 one another. Tumid urn guttur quis miratur in Alpibus, feerns 

 to have been a proverb in the time of Juvenal. The inferior 

 people of Derby are much fubjecl to this difeafe, but whether 

 more fo than other populous town?, I can not determine ; certain 



'it 



