-56 DISEASES CLASS I. 2. 3. 19. 



one's fingers under the edge of it, much like the feel of the brawn 

 or shield on a boar's shoulder. He was repeatedly bled, and purg- 

 ed with calomel, had an emetic, and a blister on the part, with- 

 out diminishing the tumour; after some time he took the Peru- 

 vian bark, and slight doses of chalybeates, and thus became free 

 from the fever, and went to Bath for several weeks, but the 

 tumour remained. This tumour I examined every four or five 

 years for above thirty years. His countenance was pale, and 

 towards the end of his life he suffered much from ulcers on his 

 legs, and died about sixty, of general debility; like many others 

 who live intemperately in respect to the ingurgitation of ferment- 

 ed or spirituous liquors. 



As this tumour commenced in the cold fit of an intermittent 

 fever, and was not attended with pain, and continued so long 

 without endangering his life, there is reason to believe it was 

 simply occasioned by deficient absorption, and not by more ener- 

 getic action of the vessels which constitute the spleen. See 

 Class II. 1. 2. 13. 



M. M. Venesection. Emetic, cathartic with calomel; then 

 sorbentia, chalybeates, Peruvian bark. 



19. Genu tumor albus. White swelling of the knee, is owing 

 to deficient absorption of the lymphatics of the membranes includ- 

 ing the joint, or capsular ligaments, and sometimes perhaps of the 

 gland which secretes the synovia; and the ends of the bones are 

 probably affected in consequence. 



I saw an instance, where a caustic had been applied by an em- 

 pyric on a large white swelling of the knee, and was told, that a 

 fluid had been discharged from the joint, which became anchy- 

 losed, and healed without loss of the limb. 



M. M. Repeated blisters on the part early in the disease are 

 said to cure it by promoting absorption: saturnine solutions ex- 

 ternally are recommended. Bark, animal charcoal, as burnt 

 sponge, opium in small doses. Friction with the hand. Four 

 or six leeches applied on or beneath the knee alternately with the 

 blisters, and a cupping glass put over the wounds made by the 

 leeches are much recommended. 



20. Bronchocele. Swelled throat. An enlargement of the 

 thyroid glands, said to be frequent in mountainous countries, 

 where river water is drunk, which has its source from dissolving 

 snows. This idea is a very ancient one, but perhaps not on 

 that account to be the more depended upon, as authors copy 

 one another. Tumidum guttur quis miratur in Alpibus, seems 

 to have been a proverb in the time of Juvenal. The inferior 

 people of Derby are much subject to this disease, but whether 

 more so than other populous towns, I cannot determine; certain 



