186 Miscellaneous Facts and Observations. 



four or five years, occurred, especially among females, 

 at, and in the vicinity of, the town of Fort-Cumberland, 

 in Marj'land. This toAvn is situated at the confluence 

 of Wills-Creek and the river Patowmak, at the distance 

 of a few miles south of the southern boundary of Penn- 

 sylvania. The creek arises in, and passes through, 

 Wills- Mountain, one of the eastern spurs of the AUeg- 

 haney-chain. The atmosphere at Cumberland is unu- 

 sually moist, and often foggy. In the course of a 



late journe}% the Editor had an opportunity of seeing 

 some cases of the same disease, in the great calcareous 

 %^alley of Maryland, in the neighbourhood of the Patow- 

 mak, and some of its branches, at the distance of about 

 sixty miles from Fort- Cumberland. 



41. The Editor thinks that he has exhibited, with 

 most unequivocal advantage, the muriate of lime in a 

 case of Goitre. The patient was a young lady, aged 

 about sixteen, and had previously used, with some ad- 

 vantage, the nitric acid, exhibited internally. The dis- 

 ease is not yet (November 28th, 1805) completely re- 

 moved : but exists in so small a degree, that the tumour 

 on the anterior part of the neck occasions not the least 

 deformity, and would hardly be observed but by one 

 who had been informed of the previous extent of the 

 aifection. It may be worth attending to this hint, in 

 those parts of the United- States, in which Goitre pre- 

 vails. 



