MEDICINE. 
«te(l ; the appetite is but little, or not at 
all, impaired, and the stools are frequent 
and loose ; the dentition is not only slow, 
but later tlian usual, and the teeth, soon 
after their appearance, become decayed, 
and frequently fall out ; the faculties of the 
mind are sometimes impaired, more fre- 
quently, however, they possess a premature 
acuteness of the understanding. On the 
first appearance of the disease the system is 
but little affected, but after a short time 
febrile symptoms are generally present : 
the disease after awhile often ceases to ad- 
vance, and the health is re-established, but 
the limbs remain distorted ; in other cases, 
\ it goes on increasing till every function is 
affected, and at length terminates in death,' 
in consequence of inability to distend the 
chest, owing, in all appearance, to the soft- 
ness of tlie bones. In the bodies of those 
who have died of this disease, various mor- 
bid affections have been discovered in the 
internal parts in particular; the abdominal 
and thoracic viscera have been found in a 
diseased state, and the bones are sometimes 
so soft that they can be readily cut through 
with a knife. 
The remote causes are, debility, an im- 
pure and humid state of the atmosphere, 
poor milk, hereditary disposition, bad air, 
deficiency of proper exercise, want of 
cleanliness, and an improper diet. The 
proximate cause is supposed to be a defi- 
ciency of calcareous earth and phosphoric 
acid. 
The removal of this disease -will be iiffect- 
cd by gentle emetics in the first instance ; 
it will not, however, be necessary to repeat 
them very frequently : bark should be ad- 
ministered in moderately large doses; but 
as there is often a difficulty in administer- 
ing it in substance, in proper quantities, the 
extract of bark is to be preferred, or 
the oxyde or sulphate of zinc, or some of 
the preparations of iron must be employed, 
and they will be more efficacious if adminis- 
tered in combination with calcined harts- 
horn or chalk, or with a neutral salt and 
rhubarb, in such proportion as will keep 
the bowels gently laxative ; the phosphate 
of lime and of soda are recommended, in 
equal parts, to the extent of a scruple, 
twice a day ; and washing the surface of the 
body with a solution of potash, in the pro- 
portion of half an ounce to a pint of water, 
morning and evening, is also of service, 
taking care, however, to wipe the skin per- 
fectly dry ; the body must be well rubbed 
with fiaunel, and the dorsal spine should be 
rubbed with volatile alkali ; the diet should 
be light and nourishing, and port wine 
should be allowed ; exercise in the open 
air, in dry weather, should be strictly en- 
joined, and as gestation can only be em- 
ployed, the child should always be carried 
in a horizontal posture, as moving them in 
any degi ee of an erect one is liable to in- 
crease the distortion, and tliey should lie 
down frequently in the course of the day ; 
and some of the ingenious contrivances, 
mentioned in the Zoonoinia, should be em- 
ployed. The cold bath may be made use 
of, or a bath of the temperature of the Mat- 
lock bath, which is 66", or of the Buxton, 
which is 82", would perhaps be preferable, 
and more beneficial. The prophylaxis con- 
sists in cold bathing, frictions, and proper 
exercise. 
Order III. Impetigines. External De- 
formities. 
Cachexies chiefly deforming the skin and 
external parts of the body. 
The following are the genera of this or- 
der : 1. Scrophula, king’s evil : swellings of 
the conglobate glands, especially in the 
neck ; swelling of the upper lip and sup- 
port of the nose ; the face florid, skin thin, 
abdomen tumid. Four species: common, 
mesenteric, temporary, from resorption of 
the matter of ulcers in the head ; and West 
Indian, catenated with the yaws. 2. Siphi- 
lis, venerea! disease, a contagious malady after 
impure venery, and a disorder of the genitals ; 
ulcers of the tonsils, of the skin, especially 
about the margin of the hair; corymbons pa- 
pulae, terminating in crusts and crusty 
cers ; pains of the bones and exostoses. 3. 
Scorbutus, scurvy. In cold countries, attack- 
ing after putrescent diet, especially such as 
is salt and of the animal kind, and when there 
is no supply of fresh vegetables ; asthenia ; 
stomacace ; spots of different colour on the 
skin, for the most part livid, and appearing 
chiefly among the roots of the hair. 4 . 
Elephantiasis, Arabian leprosy, a contagious 
disease ; thick, w'rinkled, rough, unctuous 
skin, destitute of hairs ; anaesthesia in the 
extremities ; the face deformed with pim- 
ples ; “voice hoarse and nasal. 5. Lepra, 
Greek leprosy, skin rough, with white 
branny and chopped escars, sometimes moist 
beneath, with itching. 6. Frambresia, yaw^s, 
swellings resembling fiingusses, or the fruit 
of the mulberry or raspberry, growin'r on 
various parts of the body. This dise^e is 
placed by some nosologists in the class and 
order Pyrexi®, Exanthemata, as constantly 
