128 



made in England, recorded in the writings of Drs. Ilewct, Tweedie, 

 Copland. Southwood Smith, Marshall Ball and others. All these 

 concur that the glands of Peyer are frequently the scat of anatomical 

 changes in typhus. 



Similar investigations in Scotland have established the same facts 

 in regard to the pathological anatomy of the disease in that country. 

 Dr. Davidson in his Thackeray Prize Kssay on typhus fever, gives 

 a table showing the number and kinds of lesions observed in the 

 post-mortem examinations of sixty-three eruptive eases admitted into 

 the Glasgow Fever Hospital, from May 1st to November 1st, 1889, 

 from which it appears, that enlargement of Peyer's glands and 

 ulceration of the intestines were present in many eases. 



These are but a few of the evidences of the occurrence of dothin- 

 cnterite lesions in the typhus of Great Britain and Ireland. But 

 it may be said that the pathologists of these countries confound dis- 

 eases which are specifically different; and that this is owing to their 

 mode of studying the phenomena not being so minute and philo- 

 sophical as the method pursued by the physicians of France. If the 

 French make distinctions where the English do not, are we to accord 

 to the former superior powers of discrimination? The English, 

 Scotch, and Irish physicians have given evidence of talent and in- 

 dustry in the investigation of febrile pathology not surpassed, Ave 

 think, by the medical men of any country. They have patiently 

 examined the grounds upon which their continental brethren have 

 drawn a line of distinction between typhus and typhoid fever; and, 

 having done so, they deny that there is any foundation in nature for 

 it. Dr. Davidson who, it is believed, expresses the general opinion 

 of British physicians, says, kv would it not, therefore, lie refining our 

 classification beyond all precedent, to separate typhus and typhoid 

 fever with two species, where it has been shown that the symptoms 

 in both are the same, or very nearly so, that they have nearly the 

 same laws, as far as these have been ascertained; that the severity 

 of the symptoms in both is not in proportion to the lesions of the 

 intestinal follicles; and that the other complications of both are simi- 

 lar, although varioiis in the same place at different periods, while 

 the only characteristic in dispute has been acknowledged not a con- 

 stant, and tin refore not a necessary element for the existence of the 

 disease."* 



Such, then, being the opinions of physicians practising in the 



• Thackeray Prize Essay, p. 80. Appendix, British and Foreign Review, No. 22. 



