INFLAMMATIONS. 39 



It is seldom that the organs of respiration escape entirely un- 

 hurt, and very often the inflammatory affection is communicated 

 to them. From dissections it appears, that, in the Cynanche 

 maligna, the larynx and trachea are often affected in the same 

 manner as in the Cynanche trachealis ; and it is probable, that, 

 in consequence of that affection, the Cynanche maligna often 

 proves fatal by such a sudden suffocation as happens in the 

 proper Cynanche trachealis ; but there is reason to suspect, 

 that, upon this subject, dissectors have not always distinguished 

 properly between the two diseases. 



CCCXVI. These are the several fatal terminations of the 

 Cynanche maligna ; but they do not always take place. Some- 

 times the ulcers of the fauces are of a milder nature ; and the 

 fever is more moderate, as well as of a less putrid kind. And 

 when, upon the appearance of the efflorescence on the skin, the 

 fever suffers a remission ; when the efflorescence continues for 

 three or four days, till it has spread over the whole body, and 

 then ends by a desquamation, giving a further remission of the 

 fever ; this often entirely terminates by gentle sweats, on or be- 

 fore the seventh day ; and the rest of the disease terminates in 

 a few days more, by an excretion of sloughs from the fauces ; 

 while sleep, appetite, and the other marks of health return. 



From what is said in this, and the preceding paragraph, the 

 prognostics in this disease may be readily learned. 



CCCXVI I. In the cure of this disease, its septic tendency 

 is chiefly to be kept in view. The debility with which it is at- 

 tended renders all evacuations by bleeding and purging impro- 

 per, except in a few instances where the debility is less and 

 the inflammatory symptoms more considerable. The fauces are 

 to be preserved from the effects of the acrid matter poured out 

 upon them, and are therefore to be frequently washed out by 

 antiseptic gargles or injections ; and the septic tendency of the 

 whole system should be guarded against and corrected by in- 

 ternal antiseptics, especially by the Peruvian bark given in sub- 

 stance from the beginning, and continued through the course 

 of the disease. Emetics, both vomiting and nauseating, prove 

 useful, especially when employed early in the disease. When 

 any considerable tumour occurs, blisters applied externally will 



