DISEASES OF THE RESPIRATORY ORGANS. 597 
account of the time required for maturation of the tumour 
and subsequent healing of the wound, setting aside the debi¬ 
litating effects. 
Usually the submaxillaiy space is the situation of the sup¬ 
purative process, but not unfrequently the sides of the fauces 
representing the guttural pouches suffer. In strangles 
the formation of a small tumour is often the earliest evidence 
of derangement, a little knot being perceptible before any 
febrile indications are present. In the disease termed “ bas¬ 
tard strangles^^ this appearance of a small enlargement, gra¬ 
dually increasing and ultimately suppurating, is commonly 
the only sign of disease throughout, save, of course, the symp¬ 
tomatic fever which generally attends the formation of pus. 
Sometimes the tendency to the development of purulent 
matter is so extreme that quantities are deposited in various 
organs—the brain, lung, and even between the muscles of the 
shoulder and hind extremities. 
Under any circumstances suppuration is an exhausting 
process, both from the pain which attends it and the loss 
accruing to the system from the continued discharge of the 
fluid secreted. While, therefore, febrifuge medicines are 
needed no positively depletive treatment can be tolerated, and 
as soon as the suppurative action is completed, which will be 
indicated, by the cessation of pain and fever, the patient will 
often require support. During the discharge of pus, mineral 
tonics and bitters seem to be peculiarly advantageous in asso¬ 
ciation with a liberal diet. 
Catarrhal affections may be complicated with previous 
organic disease of lungs or liver, in which cases the result 
will be determined often by the amount of the former derange¬ 
ment. Upon a system previously debilitated, from any cause, 
a catarrhal attack will often act fatally and with remarkable 
rapidity. 
Extension of a diseased condition is almost a natural con¬ 
sequence of continuity of surface, and it is probably less 
remarkable that irritation of the nasal lining should travel to 
the bronchial membrane than (hat it should not; sometimes 
the derangement is confined to the nostrils or the larynx, but 
only in very mild attacks; generally the whole respiratory 
membrane is in some degree implicated, when the attack 
continues sufficiently long to permit the extension. 
Cough is considered to be a sign of laryngeal or bronchial 
disease, but it must be accepted as such with much qualifi¬ 
cation ; during the early stages, and sometimes throughout 
the progress of the malady, and even after its subsidence, 
morbid sensibility of the mucous membrane of the larynx or 
