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361 
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’ 
MEDICAL REPORT. 
Revort of Diseases and CasvAxties occurring in the public and private Practice 
of the Physician who has the care of the Western Distriet of the City Dispensary. 
i f 
OW fever is the endemic of the pre- 
sent month; and in most cases the 
mental faculties become disturbed and 
deranged, in a degree more than equiva- 
lent to the apparent malignity of the 
affection, as characterized by other traits, 
A sort of aphthous eruption about the 
mouth, fauces, and throat, is likewise an 
exceedingly common accompaniment of 
the fevers that are now met with; and it 
is, moreover, a remarkable fact, that, even 
in those maladies which are not decidedly 
fever, the two manifestations of disorder, 
just mentioned, are not infrequent. Some 
cases of ordinary disease have occurred to 
the writer, in which a fatal termination 
has been menaced by the breaking out'of 
aphthe; and other instances have pre- 
sented themselves of deranged mind, with- 
out even the slightest acceleration of 
pulse. A whole family is now under treat- 
ment with relapsed fever. ‘This recur- 
rence of a complaint, seemingly cured, is, 
in the present day, too common; and the 
writer has been induced to ascribe it in 
some instances to the fashionable practice 
of limiting the whole of remedial treat- 
Monruxy Maa, No, 374. 
ment to that of pulling down, leaving the 
condition of convalescence unassisted by 
bark or tonie medicinals. After recovery 
from this malady, the eoats of the vessels are 
left in a weakened state, are thence very 
obnoxious to over-distention from ordinary 
excitants, and therefore demand some- 
thing of a corroborating kind, in order to 
preserve the balance between ingested 
matter and assimilating powers. 
Another case of small-pox subse- 
quently, not to vaccination, but to va- 
riolous inoculation, has presented itself, 
The subjeet was an Italian, who had been 
inoculated in his own country. We meet 
thus. with additional evidence, that even 
the variolous impregnation is not itself an 
infallible preventive of small-pox; and 
these occurrences, if properly appre-. 
ciated, furnish fresh arguments in favour 
of the vaccine practice. 
The particular instance of disorder 
under notice would, some years since, 
have been designated Chicken-pox ; but, 
although the previous inoculation had di- 
luted the distemper to varicellian mild- 
ness, the matter from the pustules would 
3A have 
