DEAF 
After the patient has fuffered the moft intenfe 
anum nope and 
uantity. He is th 
greatly relieved, but the difeafe ceafes not ; the sso {opp 
— matter, which eae oozes out at t 
tity of pus. 
a 
So 
a 
e ich has wiofortunately oo it to 
be eal negleCled, or very improperly treated. 
cafe obvioufly ie i the moft active atiphlogiti treat- 
and t ence of every pee: oe th 
ails, 
c n, viz. the 
fuppuration of the parts. § 
ways the refult of one acute attack o mation: mo 
frequently it is flower and more isfediows in its progrefs. 
Slight paroxyfms of pain attack the patient, and are re- 
lieved by flight difcharges. Thefe recur at intervals, until 
at laft the puriform difcharge is fully confirmed. 
This difeafe demands attention, as it is very deftrutive 
in its tendency to the faculty of hearing, fince it rarely ftops, 
till it has diforgavized the tympanum. For the puriform 
difcharge naturally advances to ulcerati ion, and ulceration 
to denudation and caries of the bone, 
fupprefhi 
puriform difcharge from the tympanum often exiits without 
a caries of the bone, and antecedently to this is moft com- 
mon!y curable. 
i avecem confiders this difeafe as exifting under three 
en or ftages: 1.a fimple puriform difcharge ; 2. a puri- 
form di fcharre, complicated with fungi and polypi; 3.a 
the tympanum is a local 
n any difordered ftate of the 
eonttitution: general remedies are therefore inefficacious. 
But as a bad fate of health ts unfavourable to the healing cf 
any parts, in this particular complaint, any difordered 
condition of the a fhould be correéted. e chief de- 
pendence is to be placed on direét applications to the parts 
affeted. Inj eon of vitriolated zinc, acetite of lead, &c. 
are very efficacious in fuopreffing the difcharge; and their 
effceéts may be aided bv the external employment of blifters 
and fctons. The furgous and polypous excrefcences on 
be removed or detlroyed by mechanical means; they a 
only incidental occurre = and their removal reduiecs a 
difeaf: to the firft flag 
As it has been faved that eae pee ae 
i ; when e fenfe 
eontinuance 1- fome Vv 
ivjury which ne organ on (ufained is trivial. the firtt 
ftage, the mere thickening of parts, or the colleGtion of the 
difcharge, mu impede the a¢tion of the intervening ma- 
chinery Phetw en the external and internal parts of the ear: 
and, in th e mechanical obfruction of the fun- 
gufes or oe. excludes the pulfes of the air, On this 
NESS. 
account there is often a notable oe a the power of 
earing, when the a is {uppre ft and 
ut as the 
w this is no valid cbjeCtion - 
attempting the cure. The fenfe will not be rendered worfe 
a failure; and, if the difcharge fhould be ttopped, the 
difeafe which caufed it is removed. the organ fafe from 
farther 1 ne and the patient freed from an offenfive ma- 
e laft ftage, the fenfe is almoff, if not totally, 
deftroyed ; a although the difcharge be opped, the 
patient’s hearing wili be very little, if at all, improved. 
e note, by 
ove it, But nothing ftime rude attempts 
can be fafe, for there is great danzer of reproducing the 
fcharge. Having learned that a difcharge has pre-exitted, 
it will be expedient to leave it to a fpontaneous feparation. 
Saunder’s Anat. and Dif. of the Ear 
Deafnefs often occurs in the eouele of acute sd in 
confequence, perhaps, of the lofs of power in- ‘the nervous 
yftem, which fucceeds the violence of fcbrile eeear. 
pence has Gece. one this desine is a - vourable 
fymptom, confidered with a view to the prognofis in fever, 
and’ a it generally ceafes as oe lrength is reflor aa, 
eafnefs comm an in old age depends upon the condi- 
tion of the nerves and folids, och eae the decline of 
the conttitution; for in this ftate the folids become rigid, 
and unfit for delicate movements, and the fenfibility ot the 
nerves is greatly diminifhed. f courfe it is incurable. 
Thofe who are born deaf continue, through iife, aah 
of the cay of fpeech 5 as it is oe they fhould lea 
to imitate founds which they cannot hear. Much netiiy 
and indultry, however, have been exerted, and that with 
epuaeietl e fuccefs, in : enabling thefe rua zie ae te . 
communicate their thoughts,to each other. See Du 
Inthev 
tion of the de 
year 1792, an “afylum for the {upport and ree 
af and dumb children of the poor,’”’ was infti- 
tuted in London, which has afforded relief to a aaidenile 
number of thefe very compaffionable obje@s. This fociety 
is under the direGtion and management of a prefident, 14 
vice-prefidents, a treafurer, and a committee of 23 governors. 
The children, who are admitted between the age of 9 an 
management of common co co are alfo taught 
fome of the moft Fr secon es by which they are 
enabled to carn a live 
Thofe born _ are mail dumb, as not being able to learn. 
any ane at leaft in. the common wa However, 
as the eves, 1n eee meafure, ferve’ them for ears, they may 
Gaitand what 1s f:id by obferving the motion of the lips, 
tongue, &c. of the fpeaker; and even accuftom themfelves 
to move their own, as they fee other people do; and Dg 
this means learn to fpeak. ° 
Thus it was that Dr. Wallis taught two ee penites 
born deaf, to know what was fa m, and to 
men, id t 
return pertinent an{wers. igby gives us an ther inita 
of the fame, within his own knowledpe. nd there was a 
Swifs phyfician formerly living at Amfterdam, one Joh. 
Conrad 
