76 
s. \ 
and oftentimes.a heavy | pan is felt on the 
tep all along the coronary of the suture, 
‘Fhis, and that of ‘the; back part of the 
head, ‘generally atterd these kinds of fe- 
ver, oka are commonly succeeded by 
some degree of delirium. In this condi- 
* tion the | pauient often Gaelic for five 
or siX'days, with a: heavy y pale sunk coun- 
tenance, seemingly not very sick, yet far 
from being well; restless, anxious, and 
quite void of sleep, though sometimes 
very drowsy and heavy :' but though he 
appear rs to those about him actually to 
sicep, he is utterly insengible of it, “and 
denies, that he does so. Frequently pro- 
fuse sweats pour forth all at wes ‘about 
the nuith, tenth, or twelfth day; coni- 
menly cork shor clammy on the: ektreihit 
tics. Now nature sinks apace: the ex- 
trémities grow cold; the nails pale or 
livid; the pulse may be said to.tremble 
and flutter rather than to Beat, the vibra- 
fee being so weak and quick that the 
can ‘scarce be distingmshed ; Nine 
sometimes they creep. on surprising] y 
slow, and very frequently mternnt, ‘The 
sick become quite insensible and stupid, 
scarce affected with the Joudest: notse dr 
strongest light, though at the beginning 
strangely Susceptible ot ‘either. 
delirium now ends in a profound coma, 
and that soon in an eternal‘sleep. The 
tears, and other excretions, runoff invo- . 
luntarily, and denounce a. speedy disso- 
Jution ; as the vast twitchings of the ten- 
dons and nerves, are preludes to a gene. 
ral convulsion which at.once snaps off the 
dice of life.”*: 
Pleurisy bas been more fen usually 
frequent of late, attended with a conside- 
rable degree of fever. In several i instances 
which hate fallen under ‘the more imme- 
diate observation of. the writer of this 
article, tite Constitution was not im such a 
state as to admit of repéated venesection, 
A ‘small quantity of blood taken away in 
the first instance, rendered any ‘subse- 
quent evacuation ‘of that ‘kind an- 
necessary and ‘unadviseable. - This 
disease, more “perhaps than ‘any other 
when it occurs in the athletic and ‘ple- 
thoric, jdstifes, and even in periously 
cdevidtids,. the emiployrietit of the lancet... 
Bissters 1 in this affect ion are unequivocally 
“* Hfad it not béen for the long’ extract in. 
‘the text, the Reporter would have wished to 
‘have quoted from his friend, Dr. wins, of 
Aylesbury, who: has recently published a 
siitail but highly- valuable Treatise on, the 
subject of Fever, occasioned by a late epic ide- 
mic disorder j in that town and neighbourhood, - 
: ‘ x 
Report of Diseases. 
The- 
[ Feb. 4, 
and‘invariabl y allowable, ‘and éssentially 
conducive to the relief and eventual res - 
moval of the local inflammation, whichy 
if it were allowed to proceed without 
restraint, would, in’ some instaiices, im- 
mediaiely menace the life of the patient, 
in others gradually degenerate into a 
phthys ical and irreparable disoreai: ization. 
letirisy or’ poeunionia in the coustitu- 
tionally predisposed, is one of ‘the nrost. : 
ordinary preludes to, orexciting Causes 
of, a trae’ consumption, on which ac- 
count there is no attack, However’ slight, 
of the former, which ‘ounht not to €xcite 
the vivilance of fear, before the Rubicon 
is past. ‘In one case of pulmovary com- 
plaint alluded to, it seemed obviously’ to 
originate from the business of the patient, 
which was-that. of a farrier. The at- 
mosphere of the apartinent to ‘which 
bis langs were habitually exposed, was 
cliarged “with extraneous mechanical ins 
y grédients, that could not fail to irritate 
And have ‘Aa tendency, through the means 
of Constant’ irritation, ultimately to al 
cerate anid destroy the structure of thse 
delicate and susceptible organs. A case 
of a different Kind, an hemiplegia, whielr. 
was attended with fatuity and delirnim, 
was likewise attributable, in a great 
measure at least, to the daily .occu- 
pation of the ‘subject of it, that ef a 
herald. painter, ‘The effluvia of the paint 
‘jn roomsartiticially and: intensely” heated 
for:the purpose of drying it, could not” 
fail to have a deleterious effect upon the 
nervous system, which might gradually 
approximate towards, and at length as- 
sume the decided character of palsy. 
‘Tn this instance, however, there was at 
the same time a constitutional tendency 
to the disorder; both the father and the 
mother of the patient having previously 
fallen’ victinis to a paralytic paroxysm. 
It is worthy of remark, that ih cases af 
palsy, insanity, and other maladies; the 
circumstance of there being an inherited : 
proclivity to them, affords ‘a very unfa- 
vourable omen with regard to the proba- 
bility of their cure.’ 
Jan .26,°4810. . J Reuni 
Grenville-street, Brunswith-square. 
Errata in the last Report. —P. 627, cclumn 
9nd, line 5th from the top: for ‘¢ mislead” 
read *¢ mislaid.”? Line-6th from the bottoms 
for *< fever” read * fear."==P, 628, line Ist 
for <* computared”” read * amputated.’ 
tinuance of reason.’’ 
—For 
.the quotation from Dr. Johnson at the con- 
clusion of the Report, read: ¢ Of the un- 
certainties of our present state, the most: 
dreadful and alarming is ‘the uncertain: cons 
