Facts relative to Cynanche Trachealis. 251 



well known as to render it unnecessary, in this place, to 

 attempt a description of it. When this cough was disco- 

 vered during any part of the forenoon, a few hours ge- 

 nerally produced a slight sensation of pain and soreness 

 to the touch, at the anterior part of the larynx ; and in 

 the early part of the ensuing night, the disease com- 

 monly became completely formed. In these cases, ap- 

 plications were usually made in the night, and the re- 

 medy was immediately resorted to. In some instan- 

 ces, however, the disease was suffered to progress till 

 the morning, but still the remedy was uniformly effec- 

 tual at this period. 



In cases where no premonitory cough in the day pre- 

 ceded the paroxysm in the night, the attack was com- 

 monly less violent. In some of these, either domestic 

 remedies were resorted to, which alleviated the symp- 

 toms, or they were permitted to progress till the morn- 

 ing, when they spontaneously remitted. The follow- 

 ing night exhibited the disease in its full force, anjj, . 

 when called upon, even at this stage, I have invariably 

 found the remedy effectual. 



The cases in which the lancet has failed, were those 

 where either the second paroxysm was suffered to pro- 

 gress during the night, or when the first, having under- 

 gone little or no remission in the morning, was per- 

 mitted to proceed without interruption, to the begin- 

 .ning of the second night. Two or three trials con- ' 

 vinced me of the inefiicacy of the remedy at these 

 stages of the disease, and, I confess, I considered the 

 hazard of injuring the reputation of it as forbidding a 



