GLASS II. 1. 6. 7. OF SENSATION. 251 



a cure fpr consumption is not so totally ineffectual, as is now 

 commonly believed. 



J. C. aged 27, with black hair, and a ruddy complexion, was 

 subject to cough from the age of puberty ^ "and occasionally to 

 spitting of blood. His maternal grandfather died of consump- 

 tion under thirty years of age, and his mother fell a victim to 

 this disease, with which she had long been threatened, in her 

 43d year, and immediately after she ceased to have children. In 

 the severe winter of 1783-4, he was much afflicted with cough; 

 and being exposed to intense cold, in the month of February he 

 was seized with peripneumony. The disease was violent and 

 dangerous, and after repeated bleedings as well as blisterings, 

 which he supported with difficulty, in about six weeks he was 

 able to leave his bed. At this time the cough was severe, and 

 the expectoration difficult. A fixed pain remained on the left 

 side, where an issue was inserted; regular hectic came on every 

 day about an hour after noon, and every night heat and restless- 

 ness took place, succeeded towards morning by general perspira- 

 tion. 



The patient, having formerly been subject to ague, was struck 

 with the resemblance of the febrile paroxysm, with what he had 

 experienced under that disease, and was willing to flatter himself 

 it might be of the same nature. He therefore took bark in the in- 

 terval of fever, but with an increase of his cough, and this requir- 

 ing venesection, the blood was found highly inflammatory. The 

 vast quantity of blood which he had lost from time to time, pro- 

 duced a disposition to fainting, when he resumed the upright pos- 

 ture, and he was therefore obliged to remain almost constantly in 

 a recumbent position. Attempting to ride out in a carriage he 

 was surprised to find that he could sit upright for a considerable 

 time, while in motion, without inconvenience, though on stopping 

 the carriage, the disposition to fainting returned. 



At this time, having prolonged his ride beyond the usual length, 

 he one day got into an uneven road at the usual period of the re- 

 currence of the hectic paroxysms, and that day he missed it alto- 

 gether. This circumstance led him to ride out daily in a car- 

 riage at the time the febrile accession might be expected, and 

 sometimes by this means it was prevented, sometimes deferred, 

 and almost always mitigated. 



This experience determined him to undertake a journey of 

 some length, and Bristol being, as is usual in such cases, recom- 

 mended, he set out on the 19th of April, and arrived there ou 

 the 2d of May. During the greater part of this journey (of 175 

 miles) his cough was severe, and being obliged to be bled 

 three different times on the road, he was no longer able to sit up- 



