HyEMORHIIAGIES. 25^ 



happy or to a fatal event, I have not yet been able to ascer- 

 tain. 



DCCCXCVIII. The following aphorisms are the result of 

 my observations. 



A phthisis pulmonalis from haemoptysis, is more frequently 

 recovered than one from tubercles. 



An haemoptysis not only is not always followed by a phthisis, 

 as we have said above (DCCCLXI V.), but even when followed 

 by an ulceration, the ulceration is sometimes attended "with lit- 

 tle of hectic, and frequently admits of being soon healed. Even 

 when the haemoptysis and ulceration have happened to be re- 

 peated, there are instances of persons recovering entirely after 

 several such repetitions. 



A phthisis from a suppuration in consequence of pneumonic 

 inflammation, is that which most rarely occurs in this climate ; 

 and a phthisis does not always follow such suppuration, when 

 the abscess formed soon breaks and discharges a laudable pus ; 

 but, if the abscess continue long shut up, and till after a con- 

 siderable degree of hectic has been formed, a phthisis is then 

 produced, equally dangerous as that from other causes. 



A phthisis from tubercles has, I think, been recovered ; but 

 it is of all others the most dangerous ; and, when arising from 

 a hereditary taint, is almost certainly fatal. 



The danger of a phthisis, from whatever cause it may have 

 arisen, is most certainly to be judged of by the degree to which 

 the hectic and its consequences have arrived. From a certain 

 degree of emaciation, debility, profuse sweating, and diarrhoea, 

 no person recovers. 



A mania coming on, has been found to remove all the symp- 

 toms, and sometimes has entirely cured the disease ; but, in 

 other cases, upon the going off of the mania, the phthisis has 

 recurred, and proved fatal. 



The pregnancy of women has often retarded the progress of 

 a phthisis ; but commonly it is only till after delivery, when 

 the symptoms of phthisis return with violence, and soon prove 



VOL. II. 



