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Sermons partly illustrative of the Devotional Ser- Surgical Journal, No. IV. 



MONTHLY MEDICAL REPORT. 



THE atmosphere has been saturated with moisture during the greater part of the last 

 month, and very few days have passed without vain. Hitherto, however, there has 

 t>een scarcely any fog. The temperature of the air too has been comparatively mild, and 

 M*hat is of at least equal importance with reference to our subject, uniform. No violent 

 or sudden changes of atmospheric temperature have occurred ; and to this circumstance 

 principally we are bound to ascribe the freedom from general or epidemic disease which 

 lias characterized the period of which we are Creating. It has been long known and felt, 

 that the great evil of our climate is its variableness- The thermometer falls much lower 

 and rises much higher in other places, taking the year round ; but in no country in the 

 world probably are the daily and weekly variations of the thermometer so considerable as 

 in England. To delicate constitutions these sudden extremes of atmospheric tempera- 

 ture are thoroughly destructive, and scarcely any system, however naturally strong, will 

 be found able, for any length of time, to withstand them. 



Bronchial affections, characterized by cough and wheezing, and exhibiting those other 

 features which were specially noticed in the last report, have been very general during 

 the past month. In one case only however has the reporter witnessed the occurrence of 

 the complaint in its aggravated form, that is to say, with huffy blood, and general op- 

 pression. Depletion from the jinn has seldom been warranted hy the violence of the 

 symptoms. Where, as a matter of precaution, it was thought advisable to adopt it, the 

 blood exhibited no marks of general inflammatory excitement- Active purging, by 

 senna and salts, has proved extremely beneficial. This, with Dover's powder at bed 

 .time, and some mucilaginous mixture, containing antimonial or ipecacuanha wine, has 

 generally succeeded in restoring health. Other varieties of thoracic disease have been 

 fully as prevalent as bronchial, inflammation, viz. common catarrh, and peripulmonary. Ca- 

 tarrhal complaints have been very frequent in the upper classes of society. They are easily 

 distinguished from the more serious affections of the bronchial membrane by the sudden- 

 ness of their attack, by the greater rapidity of their course, and by the circumstance of 

 their being, in almost all cases, accompanied by a vesicular eruption of the lips, the 

 herpes lubialis of medical writers. These catarrhal disorders, whether appearing in the 

 form of a liead. or of a chest cold, have hitherto demanded no other treatment than what 

 the Family Medicine Chest safely supplies : viz. half a paper of James's powder at 

 night, and a dose of salts the following morning. They have generally run their course 

 in five or six days, nor has the reporter met with any cases, in which the dregs of the 

 disease have occasioned any uneasiness. 



Si-vend instances of deep -seated peripulmonary have lately fallen under the reporter's 



