INFLAMMATIONS. 



G9 



brane and follicles of the bronchiae alone ; but it may readily 

 have, and frequently has, a degree of pneumonic inflammation 

 joined to it ; and in that case may prove more properly the pe- 

 culiar disease we treat of here. But, further, as pneumonic in- 

 flammation very often produces an effusion of serum into the 

 bronchise (CCCXLVIIL), so this, in elderly persons, may 

 occur in consequence of a slight degree of inflammation ; and, 

 when it does happen, will give the exquisite and fatal cases of 

 the peripneumonia notha. 



CCCLXXXI. After this attempt to establish the pathology, 

 the method of cure in the different circumstances of the disease 

 will not be difficult. 



In case the fever, catarrhal and pneumonic symptoms are 

 immediately considerable, a blood-letting will certainly be proper 

 and necessary ; but, where these symptoms are moderate, a blood- 

 letting will hardly be requisite; and, when an effusion is to be fear- 

 ed, the repetition of blood-letting may prove extremely hurtful. 



In all cases, the remedies chiefly to be depended upon are 

 vomiting and blistering. Full vomiting may be frequently re- 

 peated ; and nauseating doses ought to be constantly employed- 



Purging may perhaps be useful ; but, as it is seldom so in 

 pneumonic affections, nothing but gentle laxatives are here 

 necessary. 



In all the circumstances of this disease, the antiphlogistic 

 regimen is proper. Cold is to be guarded against ; but much 

 external heat is to be as carefully avoided. 



CCCLXXXI I. If a person sweats easily, and it can be 

 brought out by the use of mild tepid liquors only, the practice 

 may in such persons be tried. (See Morgagni De Sed. et 

 Caus. Epist. xiii. Art. 4.) 



CCCLXXXIII. I might here, perhaps, give a separate 

 section on the Carditis and Pericarditis, or the inflammations 

 of the heart and Pericardium ; but they hardly require a 

 particular consideration. An acute inflammation of the peri- 

 cardium is almost always a part of the same pneumonic affection 

 I have been treating of ; and is not always distinguished by any 

 different symptoms ; or, if it be, does not require any different 

 treatment. The same may be said of an acute inflammation 



