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The Public may be ftirprifed, that Ty- 
phus, which termerly preiented an obtrufive 
ficure in the monthly catalogue, fhould; 
for a confiderable time paft, have occur- 
red in fo infignifcant a proportion to the 
fum total of difeafes. 
The fa&t is undeubted ; to explain it 
would be a matter of curiotis, although 
probably of unfanstaétory, {pecuiation. 
The cafe at the head of the lift was 
that of an evident enlargement of the 
heart, accompanied with every tymptem 
that could indicate an effufion in the peri- 
cardium. It is, of courfe, equally out of 
the reach of medicaband chirurgical affit- 
ance ; and the patient, althougn little ads 
vanced in years, will be doomed, for the 
remainder of bis life, which, happily, 
mutt be fhort, to fubmit to a ftate of al- 
moft con{ftant pain, watchfulnels, and 
anxiety. He had been long addit¢ted to 
the baneful and tranfient folace of {piri- 
tuous exhilaration. Amongit men in the 
lower clafles of the community, this in. 
temperance is the principal and prevailing 
crigin of their debility and dileate. 
They exhauft prematurely lh that is 
pure and deliciows in the cup of life, and 
are obliged to {wallow afterwards the bit- 
ter dregs. Pi; 
Living fuj? is an expreflion which more 
accurately pe: haps than may be imagined, 
jlluérates a phyfiological fa@. Ary thing 
which hurries the aciion of the corporeal 
fon&ticns, abridges inevitably the period 
of their peffi le exifterce. 
As the wheel of a carriage has a cer- 
tain number of rotations betore it arrives 
at the deitined goal, in like manner to 
the arteries of the human frame is allotted 
only a certain number of puilations betore- 
the vitals energy is. entirely exbanited. 
‘The brighter the flame burns, the fooner 
if- is out. 
Eminent longevity has feldem been 
knowntooccurexcept in perfons ofa temar- 
‘kably trarquil and dlow- paced circulation. 
Two patients in the private praétice of 
the Reporter-during the Jaft month, have 
been dreadfujly afflicted with hypochen- 
driafis. It 1s rather remarkable that, in 
each cafe, the dijeale was excited crigin- 
ally by inculging ian unavailing regret 
for the leis of a beloved friend ; an event, 
which, in one of the infiances alluded to, 
was accompanied with circumfances of 
fogular horvor and aificiion. ‘Lo the 
4 
Lift of Difeafes. 
EMarch 1, 
fir patient who applied, as thé evidently 
pofleffed a fibre too firm-and tenfe, the 
avarim bath was recommended ; to the fe- 
cond, whofe mufcles were relaxed, and 
nerves too irritable, the cold;—to both, 
Chalyteate and Peruvian medicinés ; and, 
as a matter of more importance than any 
pharmaceutical remedy, uninterrupted 
occupation of mind and corporeal aétivi- 
ty. Although cther means are.undoubt- 
edly of ufe, exertion is the grand /pecifie 
for the cure of hypochondriacal come 
plaints.* 
It is worthy of riotice, that difeafed af- 
fe&tions of a mental nature are frequently 
cured, commonly fufpended at leat, by 
the fupervening of any ferious phyfieat 
diforder. Aniniane patient, who had been 
fo for about a year, and bad once before 
been afficted in the fame way, was not 
long ago, on account of his cries difturb- 
ing the neighbourhood, removed to an 
alylum at fome diftance from town. In 
confequence of circumfances attending 
his removal, he caught acold, which was 
immediately followed by fymptoms of cy- 
nanche maligna and intermittent fever: 
Thefe complaints were fpeedily relieved 
by the liberal adminittvation of Bark and 
wine ; and for fix weeks paft, the patient 
has had no thieatenicg ofa relapfe to his 
former mental derangement, 
The refult, inthis inftanee, of tonic- 
and itimulating remedies feems to coun- 
tenance an opinion which the author of 
the report has long-entertained, that Fe-> 
medies of the fame fpecies thould be more 
generally and vigoroufly applied in cafes 
cf maniacal di‘order. 
Visience isnot frength. In typhus fever, 
fer inftance, of which, in its advanced 
tage, delirium is the mof prominent and 
alarming fymptom, exccfitve debility cons 
fiitutes the charaSteriftic, and, in fad; 
the effence cr the difeat. This delirium 
feliom comes on, until the frength of the 
patient has arrived at its lowett point of 
reduction: a better evidehce cannot be 
required, that the former is produced by 
the latter: and, from analogy, it may 
be fairly inferred, that, in moft other cir= 
cumfiances, where frenzy takes place, it 
arifes from the fame caufe. This analogy 
might be corroborated by other difeales ; 
hyfteria, for inftance, which, although it 
is moit apt to occur in relaxed conititu- 
Gree 
* The perufal of Mr. Green’s Poem on the 
Spleen, and Dr. Aikin’s Letter to his-Scen, 
on Vapours, or low-Spirits,. ought to be pre- 
{cribed to every perfon in whom there is any 
tendency to that diforder. i 
. tions. 
