MORBID ANATOMY. — SYMPTOMS. 311 



gamic growth, others of organic action, as crystals, etc. At 

 one stage of its growth Mr. Spooner-Hart has described the 

 tumour as being, to naked-eye appearance, hke 'boiled 

 udder.' 



In internal organs we may find kunkurs embedded in their 

 substance, and when dissected out appearing to have a true 

 fibrous coat. We have records of then- having been met with 

 in the lungs, visceral and parietal pleura, bronchial glands, the 

 liver, spleen, mesentery, mesenteric glands, the c?ecum, the peri- 

 toneum, the prepectoral, parotid, and submaxillary glands, and 

 the submucous tissue of the urethra. These several structures 

 may be variously involved, sometimes to being studded over 

 their surface, and through their substance— or, more rarely, 

 containing a single tumour. On being cut into, sensation will 

 be imparted according to the development of the tumour from, 

 in the early stage, one of undue softness to, in the latter, a 

 feeling of grittiness. In connection with the external and sub- 

 cutaneous structures the tumours, or sores, will be met with in 

 the situations, and be of the character to be immediately de- 

 scribed under symptoms. 



Symptoms. — The more common occurrence of the affection in 

 general practice, where so many matters obstruct observation 

 in the early stages of the disease, and the comparative freedom 

 from it of studs under more perfect hygienic arrangement — in- 

 cluding constant medical supervision — may probably, in some 

 measure, account for the scanty information we possess as to 

 the attack of the disease, and the conclusion that premonitory 

 symptoms are wholly wanting. It must, however, be allowed 

 to be insidious and obscure. 



The appetite, as a rule, remains in its normal condition, 

 though we have instances of derangement, both anorexia and 

 cynorexia. The temperature from the commencement to ter- 

 mination rarely varies much from that consistent with health. 

 The general constitutional state ranges from vigour to debility, 

 though we believe the latter somewhat predominates ; while in 

 proportion to the involvement of important organs and extent 

 of the sores will be the debility of the later stages. 



We look for the specialities which characterize the disease to 

 the appearance of the bursattee growths, or kunkurs. These 

 are chiefly noticed in connection with those parts of the body 



