Qfi DISEASES CLASS 1 2. 3. 194 



one's fingers under the edge of it, much like the feel of the brawn 

 or fhield on a boar's (boulder. He was repeatedly bled, and 

 purged with calomel, had an emetic, and a bliiter on the part, 

 without diminiihing the tumour ; after fome time he took the 

 Peruvian bark, and flight dofes of chalybeates, and thus became 

 free from the fever, and went to Bath for feveral weeks, but the 

 tumour remained. This tumour I examined every four or five 

 years for above thirty years. His countenance was pale, and to- 

 wards the end of his life he differed much from ulcers on his 

 legs, and died about fixty, of general debility ; like many others 

 who live intemperately in refpecl to the ingurgitation of fer- 

 mented or fpirituous liquors. 



As this tumour commenced in the cold fit of an intermittent 

 fever, and was not attended with pain, and continued fo long 

 without endangering his life, there is reafon to believe it was 

 fimply occafioned by deficient abforption, and not by more en- 

 ergetic action of the veffels which conftitute the fpleen. Sec 

 ClafsII. i. 2. 13. 



M. M. Veneiedion. Emetic, cathartic with calomel ; then 

 forbentia, chalybeates, Peruvian bark. 



19. Genii, tumor albus. White fwelling of the knee, is owing 

 to deficient abforption of the lymphatics of the membranes in- 

 cluding the joint, or capfular ligaments, and fometimes perhaps 

 of the gland which fecretes the fynovia -, and the ends of the bones 

 are probably affected in confequence. 



I faw an inftance, where a cauflic had been applied by an 

 empyric on a large white fwelling of the knee, and was told, that 

 a fluid had been difcharged from the joint, which became an- 

 chylofed, and healed without lofs of the limb. 



M. M. Repeated bliilers on the part early in the difeafe are 

 faid to cure it by promoting abforption ; faturnine folutions ex- 

 ternally are recommended. Bark, animal charcoal, as burnt 

 fponge, opium in fmall dofes. FricYion with the hand. Four 

 or fix leeches applied on or beneath the knee alternately with the 

 blifters, and a cupping glafs put over the wounds made by the 

 leeches are much recommended. 



20. Bronchocele. Swelled throat. An enlargement of the 

 thyroid glands, faid to be frequent in mountainous countries, 

 where river water is drunk, which has its fource from difiblving 

 fnovvs. This idea is a very ancient one, but perhaps not on 

 that account to be the more depended upon, as authors copy 

 one another. Tumidum guttur quis miratur in Alpibus, feems 

 to have been a proverb in the time of Juvenal. The inferior 

 people of Derby are much fubject to this difeafe, but whether 

 more fo than other populous towns, I can not determine , certain 



it 



