44 PRACTICE OF PHYSIC. 



cation ; seemingly, as we have said, depending upon a spasm 

 affecting the glottis, but sometimes, probably, depending upon 

 a quantity of matter filling the bronchioe. 



CCCXXX. As we suppose the disease to be an inflamma- 

 tory affection, so we attempt the cure of it by the usual reme- 

 dies of inflammation, and which, for the most part, I have found 

 effectual. Bleeding, both general and topical, has often given 

 immediate relief; and by being repeated, has entirely cured the 

 disease. Blistering also, near to the part affected, has been 

 found useful. Upon the first attack of the disease, vomiting, 

 immediately after bleeding, seems to be of considerable use, and 

 sometimes suddenly removes the disease. In every stage of the 

 disease, the antiphlogistic regimen is necessary, and particularly 

 the frequent use of laxative glysters. Though we suppose that 

 a spasm affecting the glottis is often fatal in this disease, I 

 have not found antispasmodic medicines to be of any use. 



SECT. IV. OF THE CYNANCHE PHARYNGJ5A. 



CCCXXXI. In the Cynanche tonsillaris, the inflammation 

 of the mucous membrane often spreads upon the pharynx, and 

 into the beginning of the oesophagus, and thereby renders de- 

 glutition more difficult and uneasy ; but such a case does 

 not require to be distinguished as a different species from the 

 common Cynanche tonsillaris ; and only requires that blood- 

 letting, and other remedies, should be employed with greater di- 

 ligence than in ordinary cases. We have never seen any case 

 in which the inflammation began in the pharynx, or in which 

 this part alone was inflamed. But practical writers have taken 

 notice of such a case ; and to them, therefore, I must refer, 

 both for the appearances which distinguish it, and for the me- 

 thod of cure. 



SECT. V. OF THE CYNANCHE PAROTID^EA. 



CCCXXXII. This is a disease known to the vulgar, and 

 among them has got a peculiar appellation in every country of 

 Europe, but has been little taken notice of by medical writers. 

 It is often epidemic, and manifestly contagious. It comes on 



