228 DISEASES Class II. 1.4. ie^. 



poor in winter, at I/ibon, who fleep in the open air, without 

 itockings, on the fteps of their churches or palaces. See Oafs L 

 2. 1. 15. 



M. M. A bandage fpread with planer to cover the whole 

 limb ti^ht. Rags dipped in a folution of fugar of lead. A 

 warm flannel {locking or roller. White lead and oak-bark ? 

 both in fine powder. Horizontal reft. An ingenious treatife 

 on the ufe of bandage, in the cure of ulcers, has lately been pub- 

 li(hed by Mr. Baynton, of Briflol ; and another, on the fame fub- 

 ietr, by Mr. "Whately, of London, who fucceeds without ufiug 

 plaiier on the bandage. 



n;. Scirrhtu fi'.ppurans. When a fcirrhus aiTecls any gland 

 of no great extent or fenfibility, it is, after a long period of time., 

 liable to fuppurate without inducing fever, like the indolent tu- 

 mors of the conglobate or lymphatic glands above mentioned ; 

 whence collections of matter are often found after death, both in 

 men and other animals •, as in the livers of fwine, which have 

 been fed with the grounds of fermented mixtures in the diitii- 

 leries. Another termination of fcirrhus is in cancer, as defcri- 

 bed below. See Oafs I. 2. 3. 22. 



16. Carcinoma, Cancer. When a fcirrhous tumor regains 

 its fenfibility by nature, or by any accidental hurt, new veffek 

 ihoot amongfl: the yet infenfible parts of it, and a new fecretion 

 takes place of a very injurious material. This cancerous mat- 

 ter is abforbed, and induces fwelling of the neighbouring lymph- 

 atic glands j which alfo become fcirrhous, and afterwards 

 cancerous. 



This cancerous matter does not feem to acquire its malignant 

 or contagious quality, till the cancer becomes an open ulcer : 

 and the matter fecreted in it is thus expofed to the air. Then 

 it evidently becomes contagious, becaiife it not only produces 

 hectic feyer, like common matter in ulcers open to the air, but 

 it alfo, as it becomes abforbed, iwells the lymphatic glands in its 

 vicinity 5 as thofe of the axilla, when the open cancer is on the 

 bread. See Oafs II. 1.3. 



Hence exfeclion before the cancer is open is generally a cure ; 

 but after the matter has been expofed to the air, it is feldom 

 of fervice •, as the neighbouring lymphatic. glands are already iiv 

 fecle*}. I have obferved fome of thefe patients after the opera- 

 tion to have had difeafed livers, which might either have previ- 

 ouflv cxifted, or have been produced by the fear or anxiety at- 

 tending the operation. 



Eronon with arfenic, after the cancer is become an open ul- 

 cer, has generally no better effect than exfeetion, but has been. 

 fuccefsful before ulceration. The bell manner ofufing arfenic, 



