Class II. i. 2. 4. OF SENSATION. 167 



the lancet, or to four or five leeches ; when blood c annot be 

 otherwife taken. 



The peripneumony is very fatal to young children, efpecially 

 as I believe it is frequently miftaken for a fpafmodic afthma, or 

 for the croup, or cynanche trachealis of Cullen. Both which, 

 however, when they occur, require immediate veneieclion by 

 the lancet or by leeches, as well as the peripneumony ; as men- 

 tioned below. 



Inflammation of the lungs is alf© liable to occur in the meafles, 

 and in the hooping-cough, and muft be attacked by venefe clion 

 at any time of the difeafe *, otherwife either a prefent death, or 

 an incurable confumption, is the confequence. 



The peripneumony is frequently combined with inflammation 

 of the pleura, and fometimes with that of the diaphragm ; either 

 of thefe may generally be diftinguifhed, not only by the pain 

 which attends inflammation of thefe membranes, but by infpeeV 

 ing the naked cheft, and obferving whether the patient breathes 

 more by elevating the ribs, or by deprefiing the diaphragm. 



A crifis happens in children about the fixth day with much 

 pale urine, which muft be waited for after evacuations have been 

 ufed, as far as can be done with fafety ; in this fituation the 

 warm bath twice a day, and fmall blifters repeatedly in fuccef- 

 (ion, are of peculiar fervice. 



After the termination of peripneumony a collection of coag- 

 ulablelymph is frequently left in the cavity of the cheft unabforb- 

 ed ; or a common anafarca of the lungs occurs from the prefent 

 inaction of the abforbent vefTels, which had previoufly been ex- 

 cited too violently. This difficulty of breathing is cured or re- 

 lieved by the exhibition of digitalis. See Art. IV. 2. 7. 



M. M. The lancet is the anchor of hope in this difeafe \ 

 which muft be repeated four or five times, or as often as the fe- 

 ver and difficulty of breathing increafe, which is generally in 

 the evening ; antimonials, diluents, repeated fmall blifters about 

 the cheft, mucilage, pediluvium, warm, bath. Is a decoction 

 of feneca-root of ufe ? Do not neutral iaits increafe the tenden- 

 cy to cough by their ftimulus, as they increafe the heat of urine 

 in gonorrhoea ? Children in every kind of difficult breathing, 

 from whatever caufe, ihould be kept as upright in bed as may 

 be, and continually watched ; fince, if they flip down, they are 

 liable to be immediately fufTocated : to prevent which a pillow 

 ihould be put beneath the undermoft (heet halfway down in the 

 bed, fo as to receive the pofteriors of the child, and thus coun- 

 teract its Hiding down lower ; or drawers on the thighs might 

 be occafionally ufed for this purpofe, as mentioned in Clafs III* 

 2. 1. io. And children ihould have no cap firing tied under 



their 



