1 92 DISEASES CLASS II. 1. 3. 3. 



the receding catamenia; when to men, 1 have sometimes be- 

 lieved them to be associated with a torpor of the liver; as they 

 generally occur in those who have drunk vinous spirit exces- 

 sively, though not opprobriously; and that hence they supplythe 

 place of periodical piles, or gout, or gutta rosea. 



M. M. As the fever requires no management, the disease 

 takes its progress safely, like a modern paroxysm of the gout; 

 but in this case, as in some of the former, the erysipelas does not 

 appear to be a primary disease, and should perhaps be removed 

 to the Class of Association. 



3. Tonsillitis. Inflammation of the tonsils. The uncouth term 

 Cynanche has been used for diseases so dissimilar, that I have di- 

 vided them into Tonsillitis and Parotitis; and hope to be excused 

 for adding a Greek termination to a Latin word, as one of those 

 languages may justly be considered as a dialect of the other. 

 By tonsillitis the inflammation of the tonsils is principally to be 

 understood; but as all inflammations generally spread further 

 than the part first affected; so, when the summit of the wind- 

 pipe is also much inflamed, it may be termed tonsillitis trachea- 

 lis, or croup. See Class I. 1. 3. 4. and II. 1. 2. 4; and when 

 the summit of the gullet is much inflamed along with the tonsil, 

 it may be called tonsillitis pharyngea, as described in Dr. Cullen's 

 Nosologia, Genus X. p. 92. The inflammation of the tonsils 

 may be divided into three kinds, which require different methods 

 of cure. 



Tonsillitis internet. Inflammation of the internal tonsil. When 

 the swelling is so considerable as to produce difficulty of breath- 

 ing, the size of the tonsil should be diminished by cutting it with 

 a proper lancet, which may either give exit to the matter it con- 

 tains, or may make it less by discharging a part of the blood. 

 This kind of angina is frequently attended with irritated fever 

 besides the sensitive one, which accompanies all inflammation, 

 and sometimes requires venesection. An emetic should be given 

 early in the disease, as by its inducing the retrograde action of 

 the vessels about the fauces during the nausea it occasions, it 

 may eliminate the very cause of the inflammation; which may 

 have been taken up by the absorbents, and still continue in the 

 mouths of the lymphatics or their glands. The patient should 

 then be induced to swallow some aperient liquid, as an infusion 

 of senna, so as to induce three or four evacuations. Gargles of 

 all kinds are rather hurtful, as the action of using them is liable 

 to give pain to the inflamed parts; but the patients find great 

 relief from frequently holding warm water in their mouths, and 

 putting it out again, or by syringing warm water into the mouth, 

 as this acts like a warm bath, or fomentation to the inflamed 



