M DR. CHASW 8 RECIPES. 



more frequent, particularly after meals and towards evening. Towards even- 

 ing there is also frequently experienced a slight degree of chilliness, followed 

 by heat and nocturnal perspirations. The patient becomes languid and indolent, 

 and gradually loses strength. After a time the cough becomes more frequent, 

 and is particularly troublesome during the night, accompanied by an expector- 

 ation of a clear, frothy substance, which afterwards becomes ^more copious, 

 'riscid, and opaque, and is most considerable in the morning; the sputa are 

 often tinged with blood ; or haemoptysis occurs in a more marked form, and to 

 I greater extent As the disease advances, the breathing and pulse become 

 Inore hurried; the fever is greater, and the perspirations more regular and pro- 

 fuse. The emaciation and weakness go on increasing; a pain is felt in some 

 part of the thorax, which is increased by coughing, and sometimes becomes so 

 acute as to prevent the patient from lying on the affected side. All the symp- 

 toms increase towards evening; the face is flushed; the palms of the hands and 

 the soles of the feet are affected with a burning heat; the feet and ankles begin 

 to swell, and in the last stage of consumption there is nearly always profuse 

 diarrhoea. The emaciation is extreme; the countenance assumes a cadaverous 

 appearance, the cheeks are prominent, the eyes hollow and languid. Usually 

 Ifhe appetite remains entire to the end, and the patient flatters himself with the 

 hope of a speedy recovery, often vainly forming distant projects of interest or 

 amusement, when death puts a period to his existence. Tubercular deposits 

 are also usually found in other organs of the body; the liver is enlarged and 

 ?)hanges in appearance, and ulcerations occur in the intestines, the larynx, and 

 irachea. These are so frequent and uniform as to lead to the belief that they 

 'orm part of the disease. 



Games.— The causes of this disease are divided into remote and exciting. 

 Of the former, the most important is hereditary predisposition. It is not, how- 

 ever, an actual cause of the disease; and hence there are many cases in which 

 the children of consumptive parents do not fall a prey to this disease; but it 

 renders those who are in that condition much more liable to be affected by the 

 exciting causes. Whatever weakens the strength of the system, or interferes 

 with the oxygenation of the blood, tends to the production of this disease. 

 Hence living in bad air, insufficient and unwholesome food, and sedentary pur- 

 suits, tend to it. Among the more exciting causes are exposure to cold or 

 damp, especially after the body has been heated, intemperance of any kind, 

 profuse evacuations, and exposure to the reception of dust into the lungs, as in 

 the case of certain artificers, needle-pointers, stonecutters, and the like. Rem- 

 edy, pages 101, 109, 110, 112, 113, 117, 118, 125, 184. 



CONVULSION PITS OF CHILDREN.— When we speak of con- 

 vulsions, or convulsion fits, we most commonly mean epilepsy; and principally 

 that species of it which occurs in very young children. 



Symptoms. ■>— In some cases convulsions come on suddenly, at other times 

 the attack is gradual, and the first symptoms elude the observation of the 

 attendants. In the sudden attack, the child, previously quite well, becomes 

 tivld in a moment; his eyes and features are contorted, and the limbs and 



