580 CASE OF GLANDERS IN THE HUMAN SUBJECT. 
but it is subject to such great variety in its conditions, that they 
can hardly, perhaps, be all explained on the same principles. 
The formation of perfectly healthy pus from an open granulating 
surface, admits, I believe, of explanation on principles connected 
with the composition of albuminous matters; but as these have 
not yet been mentioned, for the reasons already stated, I shall 
not enter on the subject further at present. 
It may be observed, that the above observations are to be under¬ 
stood to apply principally to those well-marked instances in which 
the error chiefly lies in one principle, and the others are affected 
in a secondary degree only; but I need scarcely remark, that it 
seldom or ever happens that one principle alone is affected with¬ 
out involving, in a greater or less degree, the others ; and these 
combinations often give origin to a variety of modifications of dis¬ 
ease. 
There is yet another interesting point of view connected with 
this subject, which we have only time at present barely to allude 
to—viz., the adaptation of remedies to constitutions in which the 
different staminal principles are affected. In a practical point of 
view, this is often a matter of the utmost importance, and one 
upon which, at some future time, I hope to offer some remarks. 
Lastly, it remains to be mentioned, that the old doctrine of 
temperaments is closely connected with, or dependent on, the pre¬ 
valency of one or other of the staminal principles. 
CASE OF GLANDERS (?.*) IN THE HUMAN SUBJECT. 
By J. L. Levison, Esq., Surgeon , London. 
Having seen, in some of the late numbers of u The Lancet,” 
two or three interesting papers on the subject of the glanders, 
wherein it was contended by one writer that it was infectious, 
and by another that it was not, it occurred to me that the follow¬ 
ing case, as far as 1 could collect evidence of its history, did cer¬ 
tainly go far to prove, that the virus of an affected horse will 
produce specific effects in man, and that, when absorbed into the 
system, the consequences are of a distressing nature, producing, 
in some instances, death; but probably the virulence of the poison 
and the results may be modified by the age, temperament, and 
bodily health of the affected person. 
* The note of interrogation was very properly added by the Editor of 
The Lancet . The disease had not one character of glanders. It was evi¬ 
dently phrenitis; but it is a curious case, and interesting to every horse¬ 
man.— Edit. 
