M E D I C I N E. 



17 



It 



ha* been aacribed 

 ties, and it ha* 



taliic possem, particularly lead. 



to a metastasis of Gout from the 



been supposed that the utoatjnea ware subject to Hbasv 



matism ; but whatever be the origin ol the diseuae, it 



i* probable that it* proximate cause ia always the i 



an irrrguUr contraction of the muscular fibre* of 



portion of the intestinal canal. W hen this Mate pro. 



ceed* to a very violent degree, the periatahic motion of 



the bowel* ia entirely inverted, and the farce* are even 



ilisthats,sil by vomiting ; occasionally the bowel* have 



their action so much deranged, that one portion which 



i* much contracted M forced into another which ia lea* 



so, forming w tut his been called an mtui luse 



tne dsaraae m this aggiavatcil Ma) in baa been 



] ]ru v <r t'.r I . ;.ir (. *:i'M. i hrrr i no tf\ rr n c< vir, \- 



eonilinlail with Colic, and by thia thcsjniatsius it may 

 be diOinguUhed from Kntentw; another diagnosis is, 



rritn the pon of the abdomen u 

 by pressure, whereas in Colic ft 

 lieved by this means; but skhensji the 



foundation for subsequent returns of it, which may I' 

 termin itc either in acute inflammation, or may lead to T ' 

 some organic die*se of the part, If -s rapid ia its pro- 

 gress, but equally fatal in its ultimate rrMilt. 



We have placed in this pan of our system the dis- Trmp*ni- 

 ease of Tympanitis, an affection which is characterized ' 

 by an enlargement of the abdomen, cauted by a col- 

 lection of air, either contained within the inteiline*. 

 or diffused through the cavity of the peritorurum. Al- 

 though it i* generally described aa a primary affection, 

 we think there i* much obtcunty attached to it, and 

 we are even deposed to doubt ol lit existence a* more 

 than a mere symptom of Dyspepsia, at least in that va- 

 riety where the air ia retained within tbr bowels. With 

 mprct to the other variety, it must necessarily be the 

 result of a structural derangement of the part, as coo- 

 seqoent upon some other disease, and is obviou.lv in* 

 csjsnpatibls with the exi.trnce of the patient for any 

 grant length of time. Many of the cajses which have 

 been described a* Tympany w* abould be disposed to 

 r, and others to enlargement of the me* 

 i, in both case* accompanied by fl.tu* 

 from the weakened state of the i 



to the 

 of purgatives more 



| k .-, ^t .. - '. UJ . .. r :. ., i HJ r. I' .- 



from the bowels; but when the vomiting is 



M| - 4 |- t .',. :, h r. ..!-. , . t., .. . 



B*Mi>|( nviu iiiw; w B, aMtvssivuru sBoasBwu, v . 



which usually attends this cocnplaint. 



I', 



obj 



SKCTIOK XIV. Prrt*tti<. Hooptng-totgb. 

 The third genns of the Sfnml contains the dis*sm Prrtussta. 



of the serai* 



eonsssting almost exclusively of cer- 

 tain auWtioM of the thorax, or the parta immediately 

 with it. The di***se* which may be regard. 



'. :. .r:.. . r 

 i ' . 



which i* least WOMSMM by their talk r 

 qualitic*. The spjifatiin of jjsjMMivw ia 



by infection*, which should bo aa 

 will rsceive ; and we my rennW 



the parts wi 

 active by misjng s 

 The choice of the 



with them. 

 ve depend* upon a variety of 



for which it i* not ea*y to lay down 



a I 



drastic, aa ootorynth or 



d aa prinury. or of suncsral importance to claim our 

 attention, are Tussis. I'ertuwis, L) 'pixra. Asthma, and 

 Angina pectori*. Although we think that case* of 

 cough occasMmally occur, which cannot be rrfcrred to 

 any more general JectM), and which roust be regard* 

 ad a* merely nervous, yet. a* the disc**- i* generally 

 mptiim.aU>, and nben it is not so, imy depend upon 

 a variety of causes, which mut neo-Marilv rrnil. r it 

 almost iniposaibU' to lay dmn sny general prinnplrs 

 for its cure, we shall not attempt to gite any fanher 

 account of it in this place, but shall proceed to the 

 coueidsj stion of the next specie*. IVrtu-. This it a 

 peculiar kind of cough, which is i baracteriaed by ssv 

 nptans* that point it out a* a dMease of a spe* 



. i 



ci6c naturr, a 



which i* decidedly proved 

 only once during the life 



relief by 



ever, most always be given in total! doaea. 



by U frt of 



of each individual, and l-y its* being propagateil by 

 contaarion. It comes on in violent paroxy.ms of re- 



reme.lv. and in SMS* prated snort expirations, which arc succeeded by a 

 the sulphate of mag. quick, dnrpinapsration, attended with a peculiar sound, 

 rts to the more now. that ha* obtained the name of hoop, or whoop, from 

 which on* of its popular names, that of Hooping cough, 

 i* slarivad. The paroxysm i* often terminated by \ .>- 



U,,,: ,,, 



bow^a have been fully evsriiated. the pam i. gener.lly 

 relieved or much mitigated; but if thia be not then 

 the cae. we may safely ansninistaT apiim. Should 

 there be muck mmsss of the eiii i . wbsch is in- 

 creaatd by prrssur-. mJicating a nmeiinj to ionaaa* 



I'-'.'' " . 



leacfce. or baftier. will be proper; and in moi 



we snaJI find relief from hot fiinnntations or the warm 







hath. Person* who have 



should carefully guard against external cold, as it .. 

 H that a severe fit of the complaint always lays the 

 Xiv. rtUT L 



JUting, end induce* a state of great debility and ex- 

 hanation. which, however, ia so tran-irot, th.it alter 

 the patient has been >tmggling fur brestS, and appa- 

 rently ahnost expfrin w roomrnti In* functions 



their natural state, and he rthiuil* scarcely any 

 i of diea*e. A* the complaint i* conUgiou*. and 

 in once only during life, it n seas* aril) happen* that 

 children sre the meat frequrtit subject* V it. Imt when 

 it he* not been gone through dura rvery 



agescem* tobeequa .. it. . ,(*.. rare 



frw circumstances in pathology which are more diffi- 

 cult tm explain than the manner in which a disease like 

 Hooping cough can prove contagious, which i* not ne- 

 cessarily of a febrile nature, where there appears to be 



