LC 99 ) 
come under my notice: upon their application for relief, and 
the confequent enquiry which I have been led to. make 
refpecting the nature of their diet, their almoft invariable 
reply has been, that they have chiefly depended upon Tea for 
their fupport, at the fame time that they were permitting an 
apparently healthy child to draw the whole of its pone net 
from them. | 
_ « That it is debility, and an 1 impoverifhed ftate of the whole 
fyftem, arifing from a deficiency in the due fupply of proper 
and fufficiently nutritious aliment, at a time when the con- 
ftitution particularly requires it, in confequence of the continual 
-wafte which the mother fuftains from the fuckling of her infant, 
which lay the foundation of this difeafe, and that the Jungs are 
- but fecondarily or fymptomatically affected, is Seely evinced 
from an attention to the fymptoms. 
‘‘ The patient firft complains of languor, and general weaknefs ; 
lofs of appetite; fatigue after exercife, though it be of the 
gentleft kind; wearifome pains in the back and limbs; foon ~ 
after which, fymptoms of general atrophy come on; the face, 
in particular, grows thin, and is marked by a certain delicacy 
of complexion; palenefs about the nofe; but with a finall 
degree of fettled rednefs in the cheeks. In a fhort time, if 
the patient ftill continues to give fuck, fhe is feized with 
- tranfitory ftitches in the fides, under the fternum, or in fome 
other part of the thorax; accompanied with a fhort dry cough, _ 
and flight dyfpnzea, upon any mufcular exertion; the pulfe alfo _ 
becomes frequent, but feldom fo hard as in the inflammatory 
ftate of the genuine phthifis pulmonalis ; “morning fweats next — a 
O 2 | make = 
