CLASS II. 1. 3. 4. OF SENSATION. 1 95 



When women are affected with this complaint, after the swell- 

 ing of the parotis and maxillary glands subsides, tumour with pain 

 is liable to affect their breasts; which, however, I have never 

 seen terminate in suppuration. 



On the retrocession of the tumour of the testes above described, 

 and I suppose of that of the breasts in women, a delirium of the 

 calm kind is very liable to occur; which in some cases has been 

 the first symptom which has alarmed the friends of the patient; 

 and it has thence been difficult to discover the cause of it without 

 much inquiry; the previous symptoms having been so slight as 

 not to have occasioned any complaints. In this delirium, if the 

 pulse will bear it, venesection should be used, and three or four 

 grains of calomel, with fomentation of the head with warm water 

 for an hour together every three or four hours. 



Though this disease generally terminates favourably, consider- 

 ing the numbers attacked by it, when it is epidemic, yet it is dan- 

 gerous at other times in every part of its progress. Sometimes 

 the parotis or maxillary glands suppurate, producing ulcers which 

 are difficult to cure, and frequently destroy the patient, where 

 there was a previous scrofulous tendency. The testes in men is 

 also liable to suppurate with great pain, long confinement, and 

 much danger; and lastly, the affection of the brain is fatal to 

 many. 



Mr. W. W. had a swelled throat, which after a few days sub- 

 sided. He became delirious or stupid, in which state he was 

 dying when I saw him; and his friends ascribed his death to a 

 coup de soleil, which he was said to have received some months 

 before, when he was abroad. 



Mr. A. B. had a swelling of the throat, which after a few days 

 subsided. When I saw him he had great stupor, with slow 

 breathing, and partial delirium. On fomenting his head with 

 warm water for an hour, these symptoms of stupor were greatly 

 lessened, and his oppressed breathing gradually ceased, and he 

 recovered in one day. 



Mr. C. D. I found walking about the house in a calm deli- 

 rium without stupor; and not without much inquiry of his friends 

 could get the previous history of the disease; which had been 

 attended with parotitis, and swelled testes, previous to the deli- 

 rium. A few ounces of blood were taken away, a gentle ca- 

 thartic was directed, and his head fomented with warm water 

 for an hour, with a small blister on the back, and he recovered in 

 two or three days. 



Mr. D. D. came down from London in the coach alone, so 

 that no previous history could be obtained. He was walking 

 about the house in a calm delirium, but could give no sensible 



