1800.) : 
Dyfpepfia “ s e 27 
Chronic Rheumatifm S “ i2 
Acute Rheumatifm - x 5 
Lumbago = 2 rs 4 
Merorrhagia | = iz 1D 
Diarrhea - ~ i 6 
Hemoptyfis = a 3 6 
Sore Throat = i I 
Continued Fever -— - 10 
Pneumonia < aay ie 2 
Dyfentery  . ai = . 3 
Amenorrhea - ~ ee 13 
Leucorrhea - = a 9 
Atthenia - ~ a Io 
Phthifis - - 12 
Hyfteria - ~ ~ 6 
Dropfy: = = 2 5 Hs 7 
Cephalza - ~ - ~“ 5 
Infantile Difeafes “ - 18 
Mania = - 4 a 3 
It appears, from the above report, that 
the dileafes’ which have principally pre- 
vailed during the Jaft month are dy[peptic, 
or thofe that originate from fome fault in 
the organs of digeftion. 
This is, in a certain, degree, to be ac- 
counted for by the alteration that has 
taken place in the temperature of the air, 
svhich, whilf it has proved favourable to 
the relief of cartarrhal and rheumatic af- 
FeStions, may, by its increafed warmth, 
have a tendency to relax the tone of the 
fiomach, and thus predifpofe to thofe 
morbid fymptoms which are more pecu- 
liarly conneéted with that vilcus. 
The diforders of the fiomach, which 
have occurred, might, in a large propor- 
tion of cafes, be clearly traced, in men, 
to the abufe of {pirituous liquors, and in 
women, in addition to the abufe of {pi- 
rituous liquors,.(to which, after they have 
once pafled over the bounds of fobriety, 
they are, more than the other fex, com- 
pleatly and irretrievably devoted,) an in- 
temperance in the ule of tea. Although 
this, in a oral view, is furely far lefs 
dangerous than inebriating Rimull; it isnot, 
perhaps, much lefs fo in its phyfical effects 
upon the conftitution. Befides that from 
the degree of debility and depreflion which 
j¢ induces, a perfon 1g naturally led to 
have recourfe to what ace called foxzc me- 
dicines, or to exhilarating cardials. 
"A remarkable cafe has occurred of an 
idiotic girl, about fifteen years of age, 
who is uniformly thrown inte a ftate of the 
moft violent madne({s by the hearing of any 
kind: of ipfrumental mufic, fuch as the 
ringing of bells, the notes of an organ, oc. 
‘After the hearing thefe or any other fimi- 
lar inftrument, fhe, for hours, endeavours 
to imitate the found with her voice. What 
makes this cafe {till more Angular is#that, 
x 
Lif of Difeafes. , 591 
according to her mother’s account, fhe is 
not in any degree affected in the fame way 
by /ging. 
There was another cafe of mania, which 
the fifter of the patient attributed to the 
influence of religious enthufiafm. But 
whether, in this particularinftance, thereli- 
gion gave rife to the infanity, or the infa- 
nity to the religion, it was not in the 
power of the medical attendant to afcertain. 
One of the inftances of cephalza, inthe 
above lift, was remarkable from its alter- 
nating with an ulceration of the breaft, 
Whilit the latter, either by time, or the 
application of furgical fkill, gradually got 
better, the former as gradually came’ on. 
This alternation had taken place. in re- 
peated inftances. ‘The pain in’ the head 
was at its greateft violence at the period 
of the patient’s firft attendance at the dif- 
penfary, when the fore was completely 
healed. Asa fubftitute for the difcharge 
thus ftopped, an iflue was ordered in the 
arm, in confequence of which, and partly 
perhaps in confequence of the Peruvian 
bark, which was alfo prefcribed, and the 
enjoyment of country air, the. patient for 
fome time paft has not, in any confider- 
able degree, fuffered from either of the 
complaints with which fhe had been before 
afflicted. 
In the cafes of amenorrhoea that have 
occurred during the period that the drawer- 
up of this report has attended the difpen- 
fary, the preparations of fteel have ex- 
hibited a decided fuperiority over thofe of 
the Peruvian bark, or indeed any other 
remedy taken into the ftomach. 
EleGtricity.in one inftance proved almoft 
immediately fuccefsful. Itis to cafes like 
thefe where a fudden agitation of the fyftem 
is required, that this ftimulus feems pe- 
culiarly adapted. In a cafe of pa- 
ralyfis in which it was adminiftered, i€ 
produced fome appearance of temporary 
relief, but the patient died on the fucceed= 
ing day. Perhaps it may be laid down as 
a general rule, that chromic difeafes are 
not to be cured by violent fizmuli, but ra- 
ther by the application of thofe gentle re- 
medies that gradually reftore the flrength 
of the conftitution. 
A cafe equally renvarkable and melan- 
choly has remained for avery long period 
under the care of the difpenfary, It is 
that of a young woman who, for many 
years pait, has been confined to her bed in 
a ftate of univerfal fpafm. She lies rigid 
and motionlefs, with her eyes more than 
half clofed, and- every other organ of 
fenfe almoft completely fhut againft exter- 
nal impreffion, The phyfician whe at- 
. 4G2 tend 

