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MEDICAL REPORT. 



Report o/Diseases and Casualties occurring inthe public andprivate Practice 

 of the Phi/sician who has the care of the Western District of the Citij Dispcnsari/. ■ 



TTT'HOEVER may not have seen a case 

 . * ' of hydrophobia, has been spared one 

 of the most appalling spectacles that the 

 traijeily of lite presents ; and the disease is 

 no less fatal in event than formidable in 

 nature, and frightful in aspect : excision of 

 the part bitten, or a very tight ligature 

 made inunediately above the wound that 

 has been inflicted by the rabid animal, be- 

 ing the only actual safeguards hitherto 

 ascertained in regular practice against the 

 irremediable impregnation of the system 

 with the territic virus, upon which depends 

 the manifestation of the disorder.* It is of 

 some importance to the public to know, 

 that a tight bandage round the liuib will 

 thus prevent the rapid travel of the poison; 

 fortius could always be applied at the mo- 

 ment, — it requiring neither the tact nor 

 the nerve that free incioion of the bitten 

 part supposes. 



Investigation after death from hy- 

 drophobia does not afford much infor- 

 mation as to the rationale of the malady. 

 In the instance the Reporter has receutiy 

 wiinesscd, (and which was immediately or- 

 dered to Bartholomew's Hospital, on ac- 

 count of the subject being in a wretched 

 state of poverty at his own home, and sur. 



* The writer says " regular practice,' 

 from the circumstance of his having been 

 informed, by a respectable and profes- 

 sional man, that a medicine, prepared by 

 an obscure person living near Wins, in 

 Buckinghamshire, has positively, in many 

 known instances, proved counteraciive of 

 the disease. This medicine is probably 

 the meadow-sEtfron, given in such large 

 dusts as to expel the Diorbid poison. It 

 seeiris that the colc'iicum grows in abun- 

 dance near the residence of the nostrum 

 proprietor. 



rounded by imbecile relations,) nothing 

 was made manifest by the dissector's knife, 

 beyond little more than an ordinary con- 

 gestion in the blood-vessels of the head, 

 some inflammation along the course of the 

 spinal chord, and slight marks of irritation 

 in the pulmonary organs ; and these were 

 all probably rather incidental conse- 

 quences than absolute essence of the dis- 

 ease. It is a curious circumstance, that 

 imagination alone will occasionally produce 

 every symptom of hydrophobic irritation-; 

 and it would be interesting to ascertain 

 whether dissection would in that case dis- 

 play the same tokens of disturbed func- 

 tion as when the affection had resulted 

 from its u^ual vims. Another remarkable 

 character of the formidable complaint in 

 question is, that, while the salivary glands 

 thus secrete one of the most malignant of 

 poisons, none of it c.in be detected in the 

 blood from which the secretion is pro- 

 duced : the flesh of an animal that has died 

 of hydrophobia may be even eaten with 

 impimily. This peculiarity, however, the 

 distemper in question possesses in common 

 with many others that are dependant upon 

 a specific matter; and it serves to show, 

 that the laws of secretion are enveloped 

 by much that is mysterious and inexpli- 

 cable. 



Coughs still continue prevalent; but 

 they have lately assumed rather a sto- 

 machic than pulmonary aspect, or rather 

 that disorder, which hud commenced in 

 some portion of the limgs, often comes to 

 affect the first passages by sympathy ; and, 

 in that case, is vincible by remedies ap- 

 plied to the digestive organs. We are 

 told, indeed, by very high authority, that 

 this ventricular essence of seemingly pul- 

 monary ailment, Is much more commoa 

 than is for the most part suspected ; even 

 positive 



