jf g- DISEASES CLASS II. 1. 2. 6. 



side of a fire or window, to which they will be liable always to 

 bend themselves. 



When matter is produced during peripneumony or pleurisy 

 in one side of the chest, so long as it is a concealed vomica, the 

 fever continues, if the disease be great, for many weeks, and even 

 months; and requires occasional venesection, till the patient sinks 

 under the inflammatory or sensitive irritated fever. But if air 

 be admitted, by a part of the abscess opening itself a way into 

 the air vessels of the lungs, a hectic fever, with colliquative 

 sweats or diarrhoea, supervenes, and frequently destroys the pa- 

 tient; or the abscess heals, the lungs adhering to the pleura. See 

 pleurodyne rheumatica. Class IV. 1. 2, 16. 



M. M. The lancet must be used copiously, and repeated as 

 often as the pain and difficult respiration increase. A blister on 

 the pained part. Antimonial preparations. Diluents. Cool air. 

 Do neutral salts increase the tendency to cough? Pediluvium or 

 semicupium frequently repeated. 



6. Diaphragmitis. Inflammation of the diaphragm. Pain 

 round the lower ribs as if girt with a cord. Difficult respira- 

 tion performed only by elevating the ribs and in an erect posture. 

 The corners of the mouth frequently retracted into a disagreeable 

 smile, called risus Sardonicus. 



Those animals, which are furnished with clavicles, or collar- 

 bones, not only use their foremost feet as hands, as men, mon- 

 keys, cats, mice, squirrels, &c. but elevate their ribs in respira- 

 tion as well as depress the diaphragm for the purpose of enlarg- 

 ing the cavity of the chest. Hence an inflammation of the dia- 

 phragm is sudden death to those animals, as horses and dogs, 

 which'*can only breathe by depressing the diaphragm; and is, I 

 suppose, the cause of the sudden death of horses that are over- 

 worked; whereas, in the human animal, when the diaphragm 

 is inflamed, so as to render its motions impossible from the pain 

 they occasion, respiration can be carried on, though in a less per-- 

 feet manner, by the intercostal muscles in the elevation of the 

 ribs. In pleurisy the ribs are kept motionless, and the respira- 

 tion is performed by the diaphragm, as may be readily seen on 

 inspecting the naked chest, and which is generally a bad symp- 

 tom; in the diaphragmitis the ribs are alternately elevated, and 

 depressed, but the lower part of the belly is not seen to move. 



M, M. As in pleurisy and peripneumony. When the pa- 

 tient becomes delirious, and smiles disagreeably by intervals, and 

 is become so weak, that evacuations by the lancet could be used 

 no further, and I have almost despaired of my patient, I have 

 found in two or three instances, that about five or six drops of 

 iinet. thebaic, given an hour before tie evening exacerbation, 



