REGIONS OF THE CHEST. 61 



The preparations of squill, ammoniacwm, and senega are amongst 

 those commended. Coxe's hive syrup is one of the best remedies in 

 this disease. Blisters may be applied between the shoulders, or on 

 the sternum, hut never on the neck, for the reasons stated when 

 alluding to the application of leeches ; and, further, because it may 

 be necessary to open the air-tube, in which case we should have to 

 cut through the inflamed skin. 



The operations of laryngotomy and tracheotomy have been per- 

 formed in croup, where no other chance is left ; the latter is the 

 operation which has been attended with most success. 



SPASM OF THE GLOTTIS, 



Or spasmodic croup, as it is sometimes very improperly called, is 

 very different from the preceding disease. It consists in a sudden 

 choking fit, caused by a spasm of the muscles that close the glottis. 

 There is no fever, nor any morbid appearances about the throat ; 

 the disorder is purely functional. It occurs to children, especially 

 during the irritation of teething or weaning. The child suddenly 

 loses its breath, tosses up its arms, turns bluish about the mouth, 

 and when it recovers its breath makes a long crowing inspiration. 

 This complaint is often fatal. 



During the fit, the best remedy is to sprinkle a little cold water on 

 the child's face ; in the intervals the bowels must be opened, the diet 

 rendered light and digestible, and the child put into the best possible 

 state of general health. Very small doses of prussic acid with an 

 alkali are sometimes of service. 



Before entering further into a description of the diseases of the 

 respiratory apparatus, a tabular view of the thoracic regions, in rela- 

 tion to the signs of auscultation, &c., is presented to the reader. (It 

 is desired that full credit should be given to Meade's Manual, from 

 which the appended table, somewhat modified to suit the American 

 text-books, was drawn.) 



REGIONS OF THE CHEST. (FigS. 1, 2, 3.) 



1 Supra-clavicular, 



2. Clavicular, 



3. Infra-clavicular, 

 a. Anterior. ^ 4, Mammary, 



5. Infra-mammary, 



6. Upper sternal, 



7. Lower sternal. 



8. Upper scapular, 



6. Posterior. \ .^ Lower scapular, 

 j 10. Inrra-scapular, 

 11. Inter-scapular. 



T ^ , S 12. Axillary, 



e. Lateral. j ^3^ i^^^.^Jnary. 



