1827.] Monthly Medical Report. 213 



pox, both locally and constitutionally j and, unless the Reporter have greatly deceived 

 himself, it will generally be found that these two circumstances go together j that is 

 to say, wherever a child is vaccinated two or three times without taking, or is 

 vaccinated in many places where one only succeeds, that the resulting vesicle will be 

 small, and the constitutional influence uncertain and imperfect. If this opinion be 

 well founded, it would follow that, under such circumstances, the vaccination should 

 not then be persevered in, but should be deferred for a few months until the child's 

 system has altered, and probably improved. The Reporter is not aware whether this 

 doctrine was held by Dr. Jenner, and whether it is or is not acted upon by his pro- 

 fessional brethren engaged in the practice of vaccination ; hut it has been forced upon 

 his attention very strongly during the last six months ; and he is desirous, on account 

 of its obvious practical importance, to throw out the suggestion, that those whose 

 opportunities enable them may estimate and decide upon its correctness. 



Bronchial affections have prevailed to a considerable extent during the past month. 

 Hoarseness has accompanied them in many cases, and herpetic eruptions about the 

 lips in others. The Reporter has noticed that the blisters which he has applied in such 

 persons have occasioned great irritation, which, with other circumstances, may be 

 received as a conclusive evidence that the blood is heated, and that nitre and other 

 antiphlogistic remedies are preferable to squills and the more direct expectorants. 

 Allied to this state of low bronchial inflammation (the bastard peripneumony of old 

 authors), is the disease called pleurodyne the bastard pleurisy of a former age. Many 

 cases of this kind have come under the Reporter's observation during the last month. 

 It is decidedly a rheumatic affection ; for it is always associated with pains of the 

 limbs and shoulders ; but it frequently is benefitted by one moderate bleeding ; and 

 the Reporter is not prepared to say that the pleura is not, in some degree, involved 

 in it. 



Several cases of haemorrhage from the internal parts (the epigastric region) have 

 been lately noticed. Practitioners are often anxious to determine whether the blood, 

 in these cases, comes from the lungs or the stomach. In the h^morrhagy of cold 

 weather this is an important question, because it leads to the probability of future con- 

 sumption ; but it is a matter of comparative indifference in the haBtnorrhagy of this 

 season, which is mainly dependent on atmospheric heat operating upon a plethoric 

 habit. Bleeding from the arm, leeches to the pit of the stomach, saline aperients, and 

 a low diet are usually sufficient for the permanent cure of this apparently formidable 

 disorder. 



GEORGE GREGORY, M.D. 



S, Upper John Street, Golden Square, July 22, 182T. 



MONTHLY AGRICULTURAL REPORT. 



THE earth's products of the present year have been described, in our preceding 

 Reports, as probable to be generally abundant perhaps considerably above the average 

 of seasons. There is now every probability that the nearly approaching harvest will 

 verify, to the letter, this nationally exhilarating expectation. It is nevertheless neces- 

 sary to reflect with how many grains of salt that is, of allowance this splendid 

 expectation is to be received, since some are certainly required by the actual state of 

 the case. Without complaining for which there is no ground we have certainly 

 witnessed more genial seasons. The solar "heat has been checked, and rendered, in 

 some respects, harmful, by chilling easterly winds, which, at intervals, were of long 

 continuance again quickly alternating. This, in course, gave occasional checks to 

 vegetation, deteriorating its products, and, in some few instances, destroying them. 

 The wheats have been generally affected, but it may be hoped superficially the blight 

 penetrating no deeper than the chaff and straw. But there certainly is a portion small 

 however which will be tainted with smut. As usual, some of our fortunate corres- 

 pondents attribute this misfortune to the neglect of the farmers ; a notion, which the 

 stubborn facts periodically and constantly occurring, through the length of full a cen- 

 tury and a half, have not yet been sufficient to counteract. The instances, during 

 the present season, of wheat-seed steeped sec. art., and yet the crop being infected 

 with red yum, and all the other indications of incipient rottenness or smut, we hope will 

 not be numerous ; bnt such there are. 



The breadth of wheat in the country is said, from all quarters, to be most extensive ; 

 and, during some years past, the culture of this staff of life and of potatoes has beei> 

 annually extending. Conjoined with this cheering fact, the annual forward state of 

 culture the considerable quantity of wheat held, whether in stack or granary- the 



