346 
ther free from {cropliulous contamination. 
Even in this metropolis, inftances not un- 
frequently are found in which the difeafe 
appears, accompanied with all its dange- 
rous and difagreeable fymptoms. 
A confiderable number of thefe has fal- 
fen within the diftri€& of the Finfbury In- 
ititution. 
Sometimes this complaint fhews itfelf in 
inflammation and ulceration on the edge of 
the eye-lids, which is apt to occafion an 
entire, or partial, lofs of the lafhes, and in 
confequence of being communicated tothe 
éye itfelf, not unfrequently renders the ex- 
ercife of that organ, not only painful and 
inconvenient to the patient,but fometimes, 
by inducing blindnels,deprives him entirely 
of its ufe. 
' Scrophula, in many cafes, affumes the 
form of phthifis, which indeed may in ge- 
neral be regarded as an ia#erzal {crophula,. 
Frequently this complaint fhews its 
malignant efficacy in producing ulcers and 
indolent tumours in various parts of the 
body, leaving indelible traces, disfiguring 
the form, impairing the eafy and vigorous 
motions of the limbs, and inducing a va- 
riety of difeafes, in which, if not altoge- 
ther incurable, the patient has feldom any 
thinggto hope but from fubmitting himfelf 
to the certain pain, and rifking the preca- 
rious refult, of a furgical operation. 
By far the moft frequent fhape in which 
the difeafe has fubjeéted itfelf to the obfer- 
vation of the reporter is an obftruction in 
the mefenteric glands. All the perfons 
affected with the tabes Mefenierica were 
young children. 
Ot the cafes of fcrophula, indeed, few 
bave occurred amonett adults: a circum- 
ftance which, in the clafs of the extremely 
poor in London, may in part arife from 
their too feldom being able to provide for 
their puny and difeafed offspring evena 
feanty and occaiional fupply of that nou- 
rifhing and firengthening diet peculiarly 
requifte for the fepport of a {crophulous 
conititution. | 
In the treatment of ferophula, the wri- 
ter of this article prefcribed cleanlinefs, 
‘exercife, cold-bathing, and as much of 
fub{tantial food as the circumftances of the 
patient, or thofe of his family, would ena- 
‘ble hirer conveniently to procure. 
As one of the beft correctors of a re- 
laxed and debilitated habit, port-wine was 
in fome inftances ftrongly recommended ; 
but the expence of this article rendering it 
‘at prefent almolt inacceffible to the greater 
part of difpenfary-patients, it was in ge- 
neral found neceflary to fubfitute the Pe- 
™\ ' 
Lift of Difeafes. 
[ May Ty 
ruvian or fome other of the barks that are 
made ufe of in medicine. 
The multitude of remedies that have 
been propofed in the treatment of {ero- 
phula, demonftrate the difficulty ‘of ac- 
complifhing a cure. ‘Each has, in its 
turn, been at one time warmly applauded, 
and eagerly received ; at another, as bit- 
terly reprobated, and as generally rejected. 
Millepedes and burnt fponge, antimony 
and mercury, faffafras and mezereon, tul- 
filago and cicuta, have fucceffively had 
their career of triumph, and their days of » 
difgrace: nor is it too bold to prognofticate, 
that the period will arrive when they will 
fhure the fate of fo many other remedies 
which have now funk into negleét, and 
which repofe in the fame peaceful oblivion 
with the afhes of their authors. Tonic 
remedies, indeed, have inherited, and feem 
likely to enjoy, a more permanent reputa- 
tion. Inftead of requiring correétion, Na- 
ture, in the difeafe at prefent under confi- 
deration, feems to be more in need of our 
friendly fupport and affiftance. The inter- 
nal remedies, from which the greateft fuc- 
cefs may be expected,’ are, the Peruvian 
bark, already mentioned, with the various 
preparations of fteel, in conjunction, per- 
haps, with gently ftimulating aperients. 
the muriated tin&turé of iron, in dofes of 
from five to ten drops, poured from a two- 
ounce vial, three times a day, has -been 
given with fignal advantage in a variety 
of {erophulous affeétions. 
The barytic muriate has of late been 
propofed by Dr. Crawford, and appears, 
trom the teftimonies of many refpectable 
authorities, to bewell deferving of farther 
attention. But it is neceflary to caution 
the praétitioner, who may be induced to 
give it a trial, againft the admixture of 
noxtious metals, with which the barytic 
folution is fometimes contaminated. Its 
impurity may be always’ deteéted by the 
addition of a fmall quantity of barytic 
lime-water. The dofe thould be carefully 
regulated, and gradually increafed, left 
it produce fymptoms of nervous affec- 
tion. It may be ufeful to remark, that 
twenty drops at a time is as much as an 
adult can bear with impunity. : 
The remedy which feemed to have the 
moft ftriking, and the only one perhaps that 
had a permanent effeé& in alleviating the 
fymptoms, or in abridging the period of 
the diforder, was a temporary refidence at 
the fea-fide. This afforded an opportu- 
nity tothe patient of experiencing at once 
the falubrious influence of two elements, 
both of which have been found eminently 
~ enducive 
we 
