40 PRACTICE OF PHYSIC. 



be of service, and, in any case, may be fit to moderate the in- 

 ternal inflammation. 



" Injections. The mention of injections was only necessary 

 for Scotch physicians, who consider them as a dangerous prac- 

 tice, because they might run into the glottis ; but nature has 

 taken ample precautions against this ; the glottis shuts on the 

 least drop being injected. This is a common practice in Eng- 

 land and France. 



" The bark and wine are here used in greater quantity than in 

 any other disease. Sometimes the taste of the bark must be 

 covered from infants, and the Extractum Glycirrhizse covers it 

 entirely, so that they very generally take it in this manner. 

 Even in very young children we can throw in wine in consider- 

 able quantity. I gave to a boy of eight years old an English 

 pint daily, and with much advantage. I am more and more 

 convinced from every day's experience of the use of emetics in 

 this disease, and even in the Cynanche tonsillaris." 



SECT. III. OF THE CYNANCHE TRACHEALIS. 



CCCXVIII. This name has been given to an inflammation 

 of the glottis, larynx, or upper part of the trachea, whether it 

 affect, the membranes of these parts or the muscles adjoining. 

 It may arise first in these parts, and continue to subsist in them 

 alone ; or it may come to affect these parts from the Cynanche 

 tonsillaris or maligna spreading into them. 



CCCXIX. In either way it has been a rare occurrence ; and 

 few instances of it have been marked and recorded by physicians. 

 It is to be known by a peculiar ringing sound of the voice, by 

 difficult respiration, with a sense of straitening about the larynx, 

 and by a pyrexia attending it. 



CCCXX. From the nature of these symptoms, and from the 

 dissection of the bodies of persons who had died of this disease, 

 there is no doubt of its being of an inflammatory nature. It 

 does not, however, always run the course of inflammatory af- 

 fections, but frequently produces such an obstruction of the 

 passage of the air, as suffocates, and thereby proves suddenly 

 fatal. 



