DISEASES CLASS II. 1. 4. 15, 



poor in winter, at Lisbon, who sleep in the open air, without 

 stockings, on the steps of their churches or palaces. See Class I. 

 2. 1. 15. 



M. M. A bandage spread with plaster to cover the whole 

 Jimb tight. Rags dipped in a solution of sugar of lead. A 

 warm flannel stocking or roller. White lead and oak-bark, 

 both in fine powder. Horizontal rest. An ingenious treatise on 

 the use of bandage, in the cure of ulcers, has lately been publish- 

 ed by Mr. Baynton, of Bristol; and another, on the same subject, 

 by Mr. Whately, of London, who succeeds without using plaster 

 on the bandage. 



15. Scirrhus suppurans. When a scirrhus affects any gland 

 of no great extent or sensibility, it is, after a long period of time, 

 liable to suppurate without inducing fever, like the indolent tu- 

 mours of the conglobate or lymphatic glands above mentioned; 

 whence collections of matter are often found after death, both in 

 men and other animals: as in the livers of swine, which have been 

 fed with the grounds of fermented mixtures in the distilleries. 

 Another termination of scirrhus is in cancer, as described below. 

 See Class I. 2. 3. 22. 



16. Carcinoma. Cancer. When a scirrhous tumour regains 

 its sensibility by nature, or by any accidental hurt, new vessels 

 shoot amongst the yet insensible parts of it, and a new secretion 

 takes place of a very injurious material. This cancerous mat- 

 ter is absorbed, and induces swelling of the neighbouring lympha- 

 tic glands; which also become scirrhous, and afterwards can- 

 cerous. 



This cancerous matter does not seem to acquire its malignant 

 or contagious quality, till the cancer becomes an open ulcer; and 

 the matter secreted in it is thus exposed to the air. Then it evi- 

 dently becomes contagious, because it not only produces hectic 

 fever, like common matter in ulcers open to the air, but it also, . 

 as it becomes absorbed, swells the lymphatic glands in its vicinity; 

 as Ibose of the axilla, when the open cancer is on the breast. 

 See Class II. 1. 3. 



Hence exsection before the cancer is open is generally a 

 cure; but after the matter has been exposed to the air, it is sel- 

 dom of service; as the neighbouring lymphatic glands are already 

 infected. I have observed some of these patients after the opera- 

 tion to have had diseased livers, which might either have pre- 

 viously existed, or have been produced by the fear or anxiety at- 

 tending the operation. 



Erosin with arsenic, after the cancer is become an open ul- 

 cer, has generally no better effect than exsection, but has been 

 successful before ulceration. The best manner of using arsenic. 



