E D I C A L PAP 



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39^ 



more highly putrid kinds afTures usj that aUlioiigh in fuch 

 cafes he has been uiduced to order bleeding, yet it did not 

 appear to have any advantageous effects; and conclndeB^ 

 that nothwithftanding the vehemence of the fymptomSj it 

 is proper in general to omit this evacuation;' nor can I 

 hear of any pcrfon who has ufed it, in the fore throat 



fo that 



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(v^hich 





peared lately amongft us) with iiicceft 



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I hardly dare venture to prefcribe it:, but muft leave it to 

 flie difcretion of the phyfician, until farther e^cperiencb 

 ihall confirm its titiilty, or forbid its nfe, 



There is fornething very Hngular in the tendency of the 

 virus in thivS difeafe, as I have already hinted^ to attack 



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the throat and trachea, nor are ihe effedls its produces there 

 lefs remarkable* Dr. Fothergill^ in his account of the p 

 trld fore throat, defcribes the, iloughs on the tonfilt^j m 

 mortified cfcarg; but in that fpecies of fore throat I met 

 with, they appeared as in the trachea, to be nothing more 

 than the mucus of the part^ preternaturally thickened inlQ 

 the form of a membrane. At firft I imagined this to be 

 only a peculiar kind of pus, which is fonietinies foun( 

 upon the furface of internal inflamed membranes; but 

 upon removing it, the membrane of the trachea did nor ap- 

 pear to have been fufficiently inflamed, tojuftify fuch an 

 opinion. And in a cafe I lately had an opportunity of 

 examining, where the patient died of a very violent Inflam 



mation of the internal membrane of the trachea^ there was 

 no fuch mucous lining to be difcovered upon it* Nor can 

 I think it the cfFed of any fpafm or €onftrid'ioi..i of th.elungs, 

 as I never knew it rem^arked as occur! ng in fuch as have 

 died of fpafmodic afthmas^ nor is it long fince 1 had an op 

 portunity of being fatisfied as to this particular* in the caic 

 of a failor, who adually died in a violent fit of a fpafmo 

 die ailhma, which had lafted for feveral days; and yet 

 there was not the leaft appearance of any fuch mucous. 

 membrane after death, either in the large or fraallc* 



wm 



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branches of the trachea, T\m morbid ii^)j): ranee is par 

 ocularly noticed by feveral gentlemen v^^ho 



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