CLASS II. i. ft. 4. OF SENSATION. 



the lancet, or to four or five leeches ; when blood cannot be 

 otherwife taken. 



The peripneumony is very fatal to young children, efpec! 

 as I believe it is frequently miftaken for a fpaimodic afthma, or 

 for the croup, or cynanche trachea 1 is oi Cullen. Both w. 

 -however, when they occur, require immediate venelection by 

 *he lancet or by leeches, as well as the peripneumony j as i 

 tioned below. 



Inflammation of the lungs is alfo liable to occur in the meafles, 

 and in the hooping-cough, and inuft be attacked by venefeclion 

 at any time of the difeafe ; otherwife either a preient death, or 

 an incurable confumption, is the confequence. 



The peripneumony is frequently combined with inflammation 

 of the pleura, and fometimes with that of the diaphragm j cither 

 of thefe may generally be diftinguifhed, not only by the" pain 

 which attends inflammation of thefe membranes, but by infpect- 

 ing the naked cheft, and obferving whether the patient breathes 

 more by elevating the ribs, or by deprefling the diaphragm. 



A crifis happens in children about the fixth day with much 

 pale urine, which mud be waited for after evacuations have been 

 ufed, as far as can be done with fafety ; in this fituation the 

 warm bath twice a day, and fmall blifters repeatedly in fuccef- 

 fion, are of peculiar fervice. 



After the termination of peripneumony a collection of coag- 

 ulable lymph is frequently left in the cavity of the cheft unabforb- 

 d-, or a common anafarca of the lungs occurs from the prefent 

 inaction of the abforbent veiTels, which had previoufly been ex- 

 cited too violently. This difficulty of breathing is cured or re- 

 lieved by the exhibition of digitalis. See Art. IV. 2. 7. 



M. M. The lancet is the anchor of hope in this difeafs ; 

 which inuft be repeated four or five times, or as often as the fe- 

 ver and difficulty of breathing increafe, which is generally in 

 the evening ; antimonials, diluents, repeated fmall blifters about 

 the cheft, mucilage, pediluvium, warm bath. Is a decoction 

 of feneca-root of ufe ? Do not neutral fahs increafe the tenden- 

 cy to cough by their ftimulus, as they increafe the heat of urine 

 in gonorrhoea ? Children in every kind of difficult breathing, 

 from whatever caufe, fhould be kept as upright in bed as may- 

 be, and continually watched ; fmce, if they ilip down, they are 

 liable to be immediately fufFocated : to prevent which a pillow 

 fhould be put beneath the undermoft (beet half way down in the 

 bed, fo as to receive the pofteriors of the child, and thus coun- 

 teract its (lid ing down lower ; or drawer:* on the thighs might 

 be occafionally ufed for this purpofe, as mentioned in Clafs III* 

 2. i. 10. And children fhould have no cap ft ring tied under 



their 



