as it lately prcoailed in Philadelphia. 49 



cause large quantities of that coffee- ground appearance 

 had been found in the stomachs of some who had little 

 or no black vomiting; and, without some vomiting, 

 or, at least, some efforts to vomit, bile cannot, readily, 

 gain admission into the stomach. Nor can the dark- 

 coloured flakey particles, which give the appearance of 

 coffee-grounds to the contents of the stomach, be the 

 villous coat, detached or abraded, because neither ul- 

 ceration nor gangrene were observable in the stomach; 

 and, without ulceration, or gangrene, it cannot be 

 abraded. 



I omitted mentioning, that when the disease put on 

 the semblance of the typhus, without the stomach be- 

 ing pariicularly affected, wine was employed with con- 

 siderable freedom, and, in many cases, with the most 

 sensible benefit. 



Philadelphia^ November 2d, 

 1805. 



V. Observations on a Case of Petechia and Hemorrhage, 

 Wiithout Fever. Communicated in a Letter to the 

 F.D1T0R, from William Downey, 31. D., Phy- 

 sician at Mercersburg, in Pennsylvania. 



SEPTEMBER 8th, 1803. I was sent for to 

 visit Mr. J. B., a man about thirty-eight years of age. 

 He informed me, that, for three days past, he had a 

 violent Diarrhoea, which had weakened him very 

 much, and that ^e whole of his family was in a simi- 



VOL. ir. PART I. c 



