1801] 
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| 
ACCOUNTor DISEASES in LONDON, from Feb. 20. to March 209, 
Admitied under the Care of the Phyfictans of the Finfoury Difpenfary. 
N°. of Cafes. 
HLORosis and Amenorrhea = - 25 
C Menorrhagia - - - = 3 
Diarrhea - - - - 17 
Cough and Dyfpnea - pa 45 
Phthifis Pulmonalis - - 2 3 
Cynanche Tonfillarum ~- - = 5 
Eryfipelas - = = 3 16 
Continued Fever - - - = 27 
Chronic Eruptions = = - 21 
Infantile Difeafes ° = — 32 
Anafarca = = - « 9 
Cephalza - - = , - 2 
Epilepfy - ~ - = = 6 
Hyfteria “ - - - = 3 
Afthenia - - ~ - q 48 
Hypochondriafis and Dyfpepfia - 39 
306 
The cafes of amenorrhce2 conftitute a 
confiderable proportion in the above lift. 
In a difeafe which is characterized by a 
general debility, and feldom attended by 
local inflammation, it is much to be won- 
dered at, and to be lamented, that phyfi- 
cians flould have fuch frequent recourfe 
to the remedy of blood-letting; which 
cannot fail, by weakening {till farther, to 
aggravate all the morbid fymptoms it was 
intended to alleviate. 
_ _By nomeans is it uncommon for repeat- 
ed venefeétions in fuch cafes, to occafion an 
effufion upon the lungs, which foon ter- 
minates the fufferings, by terminating the 
exiftence of the patient. 
That relaxation of body, that irritabi- 
lity and deje&tion of {pirits, and thofe va- 
rious pains and uncomfortable feelings 
with which the young chlorotic female 
complains of being afflicted, are not to be 
relieved by bleeding, or any kind of lower- 
ing evacuants; but, rather by the affidu- 
Ous applicationof thofe mental and phyfi- 
cal itimuli, the direat tendency of which, 
is to induce a tate of univerfal vigor and 
eXcitement. aru 
- Out of the great number of patients 
afiitted with this complaint, that have 
b 
‘the bad effe&ts of good-living. 
come under the care of the reporter during 
the laft fifteen months of his practice at 
the difpenfary, he recolleéts {carcely a fin- 
gle inftance, in which fteel, in fome fhape 
or other, did not in a longer or fhorter 
time, accomplifh the object which he had in 
View.* s 
Cafes of fevers have ‘confiderably de- 
creafed in number during the laft month, 
whilft catarrhal and afthmatic affeétions 
have been much more extenfive in their 
prevalence as well as troublefome in their 
fymptoms. Inthefe complaints, efpecially 
when they attack the aged, little is to be 
done either by the apothecary’s art, or by 
the fkill of the phyfician: an accurate at- 
tention to clothimg and diet is almoft all 
that can with advantage be recommended, 
except indeed, a change of air, which, 
however, amongft the lower claffes is feldom 
practicable. The writer of this article has 
more than once feen a perfon, at an ade 
vanced period of life, afflifted with thefe 
* To fome it may feem remarkable, that 
fo many cafes of amenorrhea fhould have fall- - 
en within the {phere of Difpenfary-pra@tice, 
as this is adifeafe that is, comparatively, fel- 
dom obferved amongit the lower claffes of fosi- 
ety; itis therefore neceflary to ftate,that altho, 
a confiderable number of our patients are from 
among {t almoft the pooreft of the community, 
there is itilla large proportion of them, who, 
living as domeftics in opulent families, fhare 
in the luxuries of their fuperiors, and of 
courfe, in common with them, experience all 
Befides, it is 
not fingular for governors of the charity, who 
are in a decent and even rather an affluent 
condition, to convert the privilege which their | 
annual fubfcription affords them, to the relief 
of their own wives and children, as well as 
of other friends, who ftand on the fame level 
of life with themfelves—a _ circumftance 
which, although in various refpeéts highly 
conducive to the advantage of a young prac- 
titioner, cannot but appear glaringly incen- 
fiftent with the nature and object of a chari- 
table inftitution, 
| catarrhal 
