512 FRANCIS* CASES OF MORBID ANATOMf. 



indeed, more extensive, and the quantity of purulent matter greater, and 

 mixed with a peculiar black material, apparently analogous to the animal 

 charcoal obtained by Dr. Pearson from the bronchial glands, and from 

 the lungs :* the diarrhoea continued ; pulse and respiration about 

 natural ; mind not depressed. He was enjoined to continue in the use 

 of the remedies last stated ; but to take an increased quantity of opium, 

 united with tincture of kino. 



In the course of the subsequent week, the troublesome affection of 

 the bowels was subdued, though the secretion of purulent ma er was 

 greater and darker coloured : He also brought up a great t \al of 

 mucus, particularly after speaking. The soreness of the parts about 

 the base of the tongue, and round the throat, was augmented, and he 

 articulated slowly, and with difficulty. He expressed great desire for 

 food ; but the quantity of aliment he took within the twenty-four hours, 

 was scarcely one fluid ounce of the consistence of panada. 



Feb. 28th. The symptoms of general debility were materially 

 aggravated : the affection of the throat was not as painful, nor did the 

 occasional efforts which he made to swallow, give him uneasiness : but 

 the passage to the stomach was so impeded* that his nutriment was 

 almost instantly rejected, discoloured with the purulent and seemingly 

 carbonaceous matter. Attacks of coughing occasionally seized him, and 

 by these he was assisted in freeing himself of the morbid secretion, 

 which now amounted to eight ounces daily. Under his present 

 circumstances, the hiccup was still the source of much distress to him. 

 He was requested to continue in the use of opiates; and, to support 

 life, enemata of mutton suet, &c. with tincture of thebaic, were ad- 

 ministered. 



* Philosophical Transactions of London, part 2. for 1813.— Land. Med. and Physical 

 Journal, vol. 31. p. 128, 



