254 Facts relative to Cynanche Tracfieahs. 



tention to the foregoing remarks, with a slight share of 

 experience, will readily enable every judicious practi- 

 tioner to decide without difficulty, in every case that 

 may come under his notice ; and, fortunately, where 

 the croup much prevails, he will seldom be brought to 

 the necessity of hesitating on this ground, for the dis- 

 ease is so alarming, and the cough so characteristic, 

 that fatal delays in applications to the physician will 

 rarely happen ; so that it remains only to be ascer- 

 tained how far tracheotomy would avail, where the Ian 

 cet is no longer applicable. 



A few additional remarks will close my letter, which 

 has already been extended to an unreasonable length. 



In two or three instances only, during the winter of 

 the epidemic croup, a return of the disease, some 

 hours after its removal by blood-letting, obliged me to 

 repeat the remedy to the same extremity as at first, 

 when it was alike operative in its immediate effect, and 

 in no instance have I been compelled to resort to it a 

 third time. 



There is a variety of croup, to which I alluded in the 

 former part of this letter, which readily yields to 

 emetics, or to a moderate dose of calomel, combined 

 with a few grains of powdered seneca-root. It is not 

 always practicable to discriminate, from appearances, 

 between this variety and that which is particularly the 

 subject of the present enquiry. The former most 

 commonly attacks in the night, while sleeping, and 

 without premonitory cough ; but, as this is sometimes 



