MEDICINE. 
greater depression of strength ; the reme- 
dies irmst be of the same kind, but more ac- 
tively and instantaneously employed. 
Scarlatina. The general nature and treat- 
ment of this disease will be found in Ty- 
phus, and Cynanche Maligna. 
Erysipelas. St. Anthony’s Fire. This 
will be readily distinguished from the scar- 
latina cynanchica, by the absence of the 
pain, redness, tumour, and sloughs in the 
fauces and tonsils, and by the other con- 
comitant symptoms. The danger will be 
in proportion to the violence of the symp- 
toms denoting a tendency to an affection of 
tlie brain; the parts wliich were red be- 
coming suddenly pale, and a considerable 
degree of coma or delirium, particularly at 
the commencement of the disease, .with an 
increase rather than diminution of it, after 
the appearance of the eruption, are symp- 
toms of the utmost danger. When the dis- 
ease terminates in a favourable manner, 
there is sometimes a gentle diaphoresis ; 
more frequently, however, the disease goes 
t>ff without any evident crisis. 
In the removal of this disease, if there be 
a considerable degree of excitement, at- 
tended with much coma or delirium, and a 
strong, full, and bard pulse, blood-letting 
will be necessary, and it should be repeat- 
ed according to the urgency of the symp- 
toms, strength of the patient, and state of 
the pulse ; an emetic should be given at the 
commencement of the fever, unless the 
head is affected, in which case it is at least 
a doubtful remedy ; cooling purgatives are 
particularly useful ; mild diaphoretics, as- 
sisted by the plentiful use of mucilaginous 
acidulated diluents, will be proper ; the an- 
tiphlogistic regimen must be strictly ad- 
hered to, and the patient should be placed 
in as erect a posture as he can bear with- 
out inconvenience ; if the delirium, but 
more particularly the coma, be urgent, blis- 
ters should be applied to the shaved head, 
or between the shoulders; cupping should 
be advised, and mustard cataplasms should 
be put upon the soles of the feet. The 
erysipelatous eruption sometimes shews it- 
self in typhus, and increases the fever, in 
which case we must have immediate re- 
course to bark, wine, cordials, the sul- 
phuric acid, - and the other remedies for 
that disease. When the eruption returns 
periodically, issues, and a low diet will fre- 
quently prevent it. 
Order IV. Hemorrhagice ; or Sangui- 
neous Fx.uxes. 
These are thus ordinarily defined; py- 
rexy, with a flow of blood without external 
violence ; the blood, upon venesection, ex- 
hibiting the same appearance as in phleg- 
masia. The genera are: 1. Epistaxis; 
bleeding from the nos?. 2. Haemoptysis ; 
spitting of blood. 3. Haemorrhois ; piles. 
4. Menorrhagia ; immoderate menstruation. 
These, for the most part, and when the pro- 
fusions are not merely symptomatic or cri- 
tical, are a natural class of diseases; and, 
excepting in one or two instances, are to 
be attacked by a general plan of a similar 
kind and tendency. They are preceded, 
for a longer or shorter time, by a sense of 
fulness and tension in tlie parts whence the 
blood is about to issue : if those parts be 
visible, there is redness, tumour, a sense of 
heat or itching, and of pain and weight ; in- 
ternally, in the neighbourhood, there is a 
similar sense, weight, fulness, tension, heat, 
and pain; and when these symptoms have 
subsisted for some time, a cold fit comes 
on, attended with weariness of the limbs, 
pains of the back and head, costiveness, 
and other febrile symptoms, succeeded by 
a hot fit, in the course of which the blood 
most commonly flows in a greater or less 
quantity, and after an uncertain time it 
ceases spontaneously; during the hot- stage, 
the pulse is frequent and full, and in many 
cases hard, but as the blood flows, the pulse 
becomes softer and less frequent, and the 
blood, when drawn from a vein, appears as 
in the cases of the phlegmasire. After an 
haemorrhage has once occurred, it frequently 
observes periodical returns. 
The remote causes are, a plethoric and 
sanguine temperament; the suppression 
or diminution of accustomed evacuations ; 
changeable weather, as spring and autumn ; 
considerable and sudden diminution in the 
weight of the atmosphere; external heatj 
violent exercise of particular parts of the 
body ; whatever increases the force of the 
. circulation, as violent exercise, violent ef- 
forts, anger, and other violent active pas- 
sions ; postures of the body increasing de- 
terminations to, or ligatures occasioning ac- 
cumulations in particular parts of the body; 
a determination to certain vessels rendered 
habitual from the frequent repetition of hae- 
morrhage ; mal-conformation of particular 
parts ; and lastly, cold externally applied, 
as changing the distribution of tlie blood, 
and determining it in greater quantities in- 
to the internal parts ; or, perhaps, by its 
exciting some degree of synocha. The 
proximate cause is supposed to be conges- 
tion in particular parts of the sanguiferous 
system, occasioning distention of these ves- 
