OU MADNESS. 271 



' Tlie medical treatment of brute rabies Las liillierto, in 

 every instance, proved unavailing-, nor has that of the human 

 hydrophobia been more successfal. The few cases of fortu- 



fore other symptoms have made their appearance. I am also aware, 

 that this is confidently denied by auth jrities of great weight. Yet it is 

 remarkable, that in nine out of every ten well recorded cases of hydro- 

 phobia in the human subject, this circumstance has been distinctly no- 

 ticed : and I think we are by analogy led to conclude, that it was pre- 

 sent in the tenth also, but that accidental circumstances prevented its 

 being attended to. It is not necessary that an inflammation, to be 

 active, should be very painful. An erysipelatous inflammation of ex- 

 treme violence will come on during sleep, and remain for hours without 

 notice. The tumefaction of the face, after the tooth-a(*he, instead of 

 being painful, is the signal for ease. I have also seen human anthrax 

 proceed almost to gangrene before it has been much attended to. Have 

 we not innumerable proofs that, although the external surface of a deep 

 wound may rem'ain nearly unaltered, much mischief may be going on 

 within ? Dr. Parry, who proved one of the strongest opponents of this 

 secondary inflammation, says, and that immediately after having denied 

 its existence — " It is however c'ei-tain, that souae pain, if not in the 

 " part itself, at least in the course of the nerves supplying it, has 

 " usually attended the commencement, and a considerable part of the 

 " course of the constitutional malady." It is further remarkable, that 

 this morbid affection of the bitten part was present in two out of the 

 three cases whereon Dr. P. grounds his theory, and that the third case 

 was altogether involved in obscurity, it not being known %vhether the 

 sufferer was ever bitten, or how he became affected. It is true, that, in 

 manj*^ of the rabid dogs I have met with, no clear marks of this second- 

 ary inflammation have appeared ; but the incapability of the animal to 

 tell all his feelings, the smallness of the puncture from a solitary tooth, 

 and the consequent difficulty of finding it, readily account for the ab- 

 sence of the distinctive character in these instances. In many others, 

 it has been most clear and well marked ; indeed, in some, the morbid sym- 

 pat\y in the bitten part has been by far the most painful symptom, 

 which shows that there are degrees in the intensity of this sympathy 

 with the wound, and, if so, it is no less existent because, in some in- 

 stances, its outward activity is not so observable. This secondary in- 

 flammation is still more strikingly apparent in horses, cows, sheep, and 

 pigs, who are almost invariably observed to rub and tear their bitten 

 parts with great violence from the commencement of the complaint, if, 



