ip-2 DISEASES CLASS II. i. 3. 3. 



the receding catamen ; a ; when to men, I have fometimes be- 

 lieved them to be aflbciated with a torpor of the liver ; as they 

 generally occur in thole who have drunk vinous fpirit excefTive- 

 ly, though not opprobrioufly ; and that hence they fupply the 

 place of periodical piles, or gout, or gutta rofea. 



M. M. As the fever requires no management, the difeafe 

 takes its progrefs fafely, like a moderate paroxyfm of the gout ; 

 but in .this cafe, as in fome of the former ; the eryfipelas does 

 not appear to be a primary difeafe, and ihould perhaps be re- 

 moved to the Clafsof Aflbciation. 



3. Tonfillitis. Inflammation of the tonfils. The uncouth term 

 Cynanche has been ufed for difeafes fo diffimilar, that I have di- 

 vided them into Tonfillitis and Parotitis , and hope to be excufed 

 for adding a Greek termination to a Latin word, as one of thofe 

 languages may juftly be confidered as a dialecl: of the other. 

 By tonfillitis the inflammation of the tonfils is principally to be 

 wnderftood ; but as all inflammations generally fpread further 

 than the part fir ft affected ; fo, when the fummit of the wind- 

 pipe is alfo much inflamed, it may be termed tonfillitis trachea- 

 lis, or croup. See Clafs I. i. 3. 4. and II. I. 2. 4. ; and 

 when the fummit of the gullet is much inflamed along with the 

 tonfil, it may be called tonfillitis pharyngea, as defcribed in Dr. 

 Cullen's Nofologia, Genus X. p. 92. The inflammation of the 

 tonfils may be divided into three kinds, which require different 

 methods of cure. 



Tonfillitis internet. Inflammation of the internal tonfil. When 

 the fwelling is fo confiderable as to produce difficulty of breath- 

 ing, the fize of the tonfil fhould be diminifhed by cutting it with 

 a proper lancet, which may either give exit to the matter it con- 

 tains, or may make it lefs by discharging a part of the bleed. 

 This kind of angina is frequently attended with irritated fever 

 befides the fenfitive one, which accompanies all inflammation, 

 and fometimes requires venefeclion. An emetic fhould be giv- 

 en early in the difeafe, as by its inducing the retrograde aclion 

 of the veflels about the fauces during the naufea it oecafions, it 

 may eliminate the very caufe of the inflammation ; which may- 

 have been taken up by the abforbents, and flill continue in the 

 mouths of the lymphatics or their glands. The patient mould 

 then be induced to fwallow fome aperient liquid, as an infuGon 

 of fenna, fo as to induce three or four evacuations. Gargles of 

 all kinds are rather hurtful, as the action of ufing them is lia- 

 ble to give pain to the inflamed parts *, but the patients find gre;;! 

 relief from frequently holding warm water in their mouths, and 

 putting it out again, or by fyringing warm water into the mouth, 

 as this acls like a warm bath, or fomentation to the inflamed 



part. 





