72 PRACTICE OF PHYSIC. 



duced, may be attended with fatal consequences. In particular, 

 by the great debility which such an inflammation suddenly pro- 

 duces, it may quickly prove fatal, without running the common 

 course of inflammations. 



When it lasts long enough to follow the ordinary course of 

 other inflammations, it may terminate by resolution, gangrene, 

 or suppuration. The scirrhosities which are often discovered 

 affecting the stomach, are seldom known to be the consequences 

 of inflammation. 



" I find what has been observed by most practitioners, that 

 the inflammation of the stomach is attended with a small pulse 

 and a considerable prostration of strength, as in the case of the 

 pyrexia typhodes ; and more remarkably than in any other in- 

 ternal inflammation, except in that of some other parts of the ali- 

 mentary canal : but the occurrence is so rare in practice, that I 

 have not experience enough to enable me to speak positively on 

 the subject." 



CCCLXXXIX. The tendency of this disease to admit of 

 resolution, may be known by its having arisen from no violent 

 cause ; by the moderate state of the symptoms, and by a grad- 

 ual remission of these, especially in consequence of remedies 

 employed in the course of the first, or at farthest, the second 

 week of the disease. 



CCCXC. The tendency to suppuration may be known by 

 the symptoms continuing, in a moderate degree, for more than 

 one or two weeks ; and likewise by a considerable remission of 

 the pain, while a sense of weight and an anxiety still remain. 



When an abscess has been formed, the frequency of the pulse 

 is at first abated ; but soon after, it is again increased, with 

 frequent cold shiverings, and with marked exacerbations in the 

 afternoon and evening, followed by night-sweatings, and other 

 symptoms of hectic fever. These at length prove fatal, unless 

 the abscess open into the cavity of the stomach, and the pus 

 be evacuated by vomiting, and the ulcer soon heal. 



CCCXCI. The tendency to gangrene may be suspected 

 from the violence of the symptoms not yielding to the remedies 

 employed during the first days of the disease ; and that a gan- 

 grene has already begun, may be known from the sudden re- 



