1000000031

T he parolid glands 00

e.eh

fide eommonly C ..dl. grolV

hard, and are p.linful

the touch;

lhe

difeafe

is vio·

lent, [he neck and

(hrOal

are furrounded with

ti.

largc ce–

ctc:matous tumour. Cometimes extcnding

¡,Cdf

la lhe

b reaft, and

Hraitening

lhe:

fauces ¡n

creare:

lhe

danger.

Towards night che heal and

rdllefTnefs ¡ncreafe.

and a

deJirium

frcqucntly

comes on. This happens

fome on

lhe

6rCl:

night.

is very

remarkable,

,hac lhe patient

commonly returos a proper anfwer ro any queflion .

bU I

with

unllfual

quickners ; yet when lhey

are alone,

they

generally talk

l a

themCelves incoherendy. Howevcr,

lhe

lirlt

tendcncy to this d¡forder, they alfell too grcat a

compofure. This forthe OlOO

part

happeos

thofe

that

l1eep

bUl

little; for fome are comatore aod flupid,

'alld

cake

bUl liu le omice of any thing lhat pa(fcs.

They eoorinue lhus for duce, four, or more d:\ys, eom–

monly growing hot and realefs towards t!IC evening.

TheCe

[ymptoms and the c;lelirium increaCe as Ihe

oigh~

comes

00:

[\Veat. more or Icrs profufe. breaks out tOo

wards morniog; an

~om

this time tbey are earier duriog

fome hou rs, with a faintnc(s, whieh is thcir chit:f com–

plainl.

Some grow eaGer Cron> Ihe fira day of the allaek;

Q .

thers have (ymptoms

recovery

rhe third, founh, or

fifth day. Fira Ihe redneCs of lhe Odn

diCappe.rs;

'he

hcat grows lefs; the pul fe , hilhen o very quick, becomes

Oower; lhe eXlernal Cwellings of lhe neek Cubfide; lhe

110ugbs

the fauces are call

()fF:

the ulceratioos

fiJl

up ;

the

patieot Oeeps wilhout confulion, is compo(cd when a–

wake, and his appetite begios tO returo towards more foJid

nouriChment.

T he pul Ce. during lhe courCe of lhis diCeaCe. is very

quick, beating frequently

1 20

t~mes

in a minute. In

fome il is harJ and Cmall. in olhers COrl and fu11. but

DOt fo arong and 6rm as

genuioe ioAammalory dif–

orders.

vejn be opened fOOD after the diOemper comes on,

Ihe blood generally appears of a f"lb and florid red : lhe

cralfamenlu1IJ

is rather of a lax, gelatinous conleXlure,

, hen denCe or eompatl ; , he fcrum i, yellow and in a large

proponion.

Thc

urine

firfl

crude and

a paJe whey.colcur;

tbe

direare

advanees it turos yellower, as

bile

\Vas

diluted

it;

and foon after any rigns

recovery appear.

i( commonly grows turbid,

and

deporitcs

fa rinaceous fe·

diment.

Thcy Celdom have aoy fiools if lhe Cymploms are fa ·

l'ourable, from lhe time the pll rging. which gencnlly

lt{–

t eods the

accdrion,

cea fes. 1 'his

di{charg~

is reroilrkably

bílíous, yet withour

pain.

The thirCl

commooly

lc(s

than

other acute di{eares;

;,nd

the toogue generally moin,

n llt

rurred. Somt!

have

covered

Wi lh

a tbick white coat, and cOOlplain

of forenefs about the roOl

lhe tongue.

Though lhe uvula and IOnGls are Comelimes

mueh

(wellt d

as to leave a very narrow entranee ioto lhe gullet,

and (his eotranee frcquently furrounJ ed Wilh ulcers,

!Ioughs; yel lhe p3tienl C\Vallows \Vilh leCs diflielllly and

Pili o than

might

be expeéted. Soon ..(ter they are taken

¡II. ,hey f. equently complain of an otrcnfive putrid Cmell.

wbieh oflcn oecafions' fieknef, before any u1eeralions ap.

pear. The infiJe of lhe noaril,. in [hoCe lhal have lhis

direare revere, frt"quemlyappears, as

high

as can be feen,

of a deep red or abnollli\'id colour. After a

dAy

or t\VO,

a th ln corrofi \'c fao ies, or

Wilh

it a white putrid mauer.

of a tbicker conCiltenee. Aows (rom ir, fo acrid as to ex.

cori.olte tbe part il Ites upon

aoy

eoolidc:rable time.

T his

is mon obfervable

children, or io young

and

very

<ender Cubje,']s ; ",hoCe lips are like\Vife frequently of a

deep red, or almofl li\'icl colour, 2nd coven:d

(he

io.

lide

with "eCicles cont :l.ining a thin ¡chor, which exeori.

ates the:: anóles of the fllOUlh and .::heeks where

touches

them.

This acrid maner Ceems

pafs with the nourinlment

iota the tloruach, cfpccially of childreo; for if they

get O\'(r tht:

dir~are.

a purging (ucceeds, yet attc:nded with

fymptoms

ulceralioos in the bowels: (he

Ce,

after greac

pótin and mifery. at length die eouciated.

The p:uients fometimes bleed

the nofe towards the

b~gioning

of (he difeafe; and the menfes ofren appear

the

femótle fex, if they

are

~ge.

foon aCter (hey are

Ceiztd, thollgh at

dillanct: from the time uf their re–

gular periodo It brings Ihis ev'\cu<!,lion upon fome thac

never

had

before. This

flux,

io fullllroog habits,

fcldom attended either with beoe6t or with Olanifell

iJl

effe{ts, uolefs vcry copioos; yet fometimcs it .occarioos

great (aiotnees, and ao ¡ncreafe of the orher fymptoms.

H::emorrhages of (he nofe and mouth have carried the

palient off Cuddenly: bUI lhis does nOI happen lill Ceveral

days arrer lhe

attac~;

and perhaps may be owing to

,he Ceplr>tion of a Oough from lhe braneh

ao a"ery.

Childrcn aod young' perfons are more expofed

this

difeafe than

~dult,;

girls more [han boys

\Yomeo more

than

meo;

and

(he

in!irm of eithcr fex than the healcby

and vigorous. Very few grown people have it. \Vhen

breo¡ks Out in a family.

all

the ch:ldreo are com01oDly

iofeéled

with

it,

the healthy are nOl kept apart from

lhe fiek. And Cueh adules as are frequently wilh Ihem.

and receive thei r brealh ocar at hand, often ungergo the

Came diCedCes.

Wirh

r('gard to tbe cure. bleeding is g:enerally prejudi–

cial. Some admit

the

fillt

attack without any

feolible incooveoience; but a repetirion of ir in the mild..

cafes reldom fails to aggravatc lhe fyOlptoms; il has

fometimes produced very fatal coorequenees. It iner'i!afes

lhe heat. rdlleOÍleCs. delirium, and dillieul,y of brcalh–

¡ng.; nor do lhe fwelling of Ihe fauces, loníjJs.

6c.

re·

ceive any benefit therefrom. On Ihe contrary, thougb

lhe fullneCs of IheCe pans deereaCes. yel lhe floughs

thicken and change to

a livid black

colour, lhe

ex·terna!

tumour grows Jarge, and lhe fpitting eOIOOlonlydiminifhes .

l ndced, Ihe heat and quickoefs of

lh!!

pulfe may fcem

aoate at firfl by this

~vacuation;

bm they

commonly

re·

IUro with greater violence, lhe patient is leized wirh

dillicullY of breathing. falls ioto eold Cweaes. a (lupor,

and dies Cuddenly.

Nor

purging more benericial: e"eo gende cathartics

h1.ve

brought on

\'cry

dangerous fymptomc¡.

Upoo pro·

euríng

fcw.llools

with

manna, cfpecially whcn the

diC·

care 'llas eontlnued

t\Vo

thr~c

days. the redotf, of the

fkin

h;¡,s difappeared, and the

Oux

to the throat has bee-n

furprir.osly ince<aCed.

this diCchar¡;e by 11001 con·

ÚQucs,