62 
SELECTED ARTICLES. 
Case 2. M. , aet. 40, who had always enjoyed perfect 
health, came to France two years ago, and perceived, in the 
month of April, 1839, that he had an indolent tumor in the 
left inguinal region. Several physicians of the capital were 
consulted, and they ascertained that it was a swelling of one 
of the superficial lymphatic glands, situated in the bend of 
the groin. On the 21st of the same month, I was also con- 
sulted by the patient. The diagnosis was not difficult, but 
the point was to know how the tumor would turn out. My 
prognosis was favorable, like that of all the other physicians, 
excepting M. Lisfranc, who thought that the swelling of the 
gland, though slight, depended, on a general affection. On 
the 2d of May the groin continued to swell, and from that 
time all the other glands of that part, as well as of the left iliac 
fossa, swelled considerably; and this was soon the case with 
those of the opposite side. Twenty pages would scarcely suf- 
fice to tell all that was prescribed by the physicians, and 
patiently submitted to by M. . No remedy was of any 
use, except for a short time ; and I therefore proposed mone- 
sia, in the dose of one hundred and fifty centigrammes (twen- 
ty-eight grains) of the extract a-day. The patient at this time 
was extremely weak, ate but little, and was feverish every 
day. In a week, digestion had improved; there was a sensi- 
ble increase of strength, and no fever. The sores were dress- 
ed with the monesia ointment. In consequence of these re- 
sults, I tried to augment the dose of the medicine, and, be- 
sides the extract, the patient took two spoonfuls of the tinc- 
ture, and from four to six of syrup in an infusion of hops. As 
to the sores, which obviously grew better, the same dressing 
was continued morning and evening, and every thing promis- 
ed a speedy cure, when constipation and a most painful tenes- 
mus came on, which obliged us to suspend the treatment. In 
a few days the sores became larger and larger, fungous, and of 
a bad appearance. 
The dressing was then changed — extract of monesia in pow- 
der and the tincture being employed; but these remedies were 
almost as useless as a host of others which were successively 
