INFLAMMATIONS. 45 



with the usual symptoms of pyrexia, which is soon after attend- 

 ed with a considerable tumour of the external fauces and neck. 

 This tumour appears first as a glandular moveable tumour at 

 the corner of the lower jaw ; but the swelling soon becomes uni- 

 formly diffused over a great part of the neck, sometimes on one 

 side only, but more commonly on both. The swelling continues 

 to increase till the fourth day ; but from that period it declines, 

 and in a few days more passes off entirely. As the swelling of 

 the fauces recedes, some tumour affects the testicles in the male 

 sex, or the breasts in the female. These tumors are sometimes 

 large, hard, and somewhat painful; but, in this climate, are sel- 

 dom either very painful, or of long continuance. The pyrexia 

 attending this disease is commonly slight, and recedes with the 

 swelling of the fauces ; but sometimes, when the swelling of 

 the testicles does not succeed to that of the fauces, or when the 

 one or the other has been suddenly repressed, the pyrexia be- 

 comes more considerable, is often attended with delirium, and 

 has sometimes proved fatal. 



" The parotid salivary glands are not at all affected in this 

 disease. It is an affection of the lymphatic glands. I have 

 never seen it sporadic. It especially affects young persons, as 

 most other contagious diseases do. I have never seen it prove 

 fatal. It attacks people but once in their lives. If one side 

 be affected only, the testicle of the same side only will be 

 swelled ; this was universally observed in the epidemic of Belle- 

 isle." 



CCCXXXIII. As this disease commonly runs its course 

 without either dangerous or troublesome symptoms, so it hardly 

 requires any remedies. An antiphlogistic regimen, and avoiding 

 cold, are all that will be necessary. But when, upon the reced- 

 ing of the swellings of the testicles in males, or of the breasts 

 in females, the pyrexia comes to be considerable, and threatens 

 an affection of the brain, it will be proper, by warm fomenta- 

 tions, to bring back the swelling ; and, by vomiting, bleeding, 

 or blistering, to obviate the consequence of its absence. 



