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quired some little effort, when after silence, he began to talk, a kind of instinctive summoning of strength about the breast, in order to enable him to speak clearly and distinctly; after awhile, whenever spoken to, he would be compelled to give a hem or two before attempting tofeply, as if conscious that something must be cleared away first.

A clergyman says: "I had spoken a great deal for six weeks, which left some hoarseness, otherwise quite well. Soon the hoarseness was such as to reduce me to a whisper if I conversed only a few minutes; the throat inside looked very red, with large blotches or hillocks on the back part of it, and a slimy stuff was always collecting there, and when I would hawk it away, there would sometimes be streaks of blood in it; occasionally a little pain there. I quit preaching, and kept the house for several months, and nothing does me any good."

A physician was called to ride on a January night, and contracted a hoarseness, which continued with very little cough and no expectoration; his general health continued excellent; no one could have supposed anything the matter with him. His voice became more and more hoarse, until it was entirely lost, and in a few months afterwards he died.

A lady was attacked with fits of dry cough, and subsequently lost her voice; there was a sense of scraping in the throat; sometimes obstinate sneezing; the cough was a little soothed by drinking water; the breathing gradually became difficult, swallowing painful, and she died.

A gentleman observed for a year past, that his voice was occasionally a little cracked, and soon became permanently hoarse, and at last it was entirely lost. There was no pain, no swelling, no spitting of blood; he seemed to enjoy the fullest health; yet the symptoms gradually grew worse until he died.

P. T. "slept on an ice-box one summer's day two years ago, and waked up with a sore throat, it has never since ceased to hurt me, and has been steadily getting worse."

835. "I worked in a damp cellar in winter, two years ago, in striking off a newspaper; a short, dry cough appeared, which has steadily got worse; the voice became hoarse and husky, until I cannot speak above a whisper without considerable effort. I now cough night and morning, an hour at a time often, and am weak and emaciated, chills, fevers, and night-sweats." He soon died.

A man had suffered a great deal from sick headache; he was advised to have cold water poured on the top of his head; he did so; he had headache no more. The throat became affected; had frequent swallowing, clearing of throat, falling of palate, voice soon failed in singing, large red splotches on the back part of the throat, and white lumps at either side; but the falling of the palate and interminable swallowing were the great symptoms, making and keeping him nervous, irritable, debilitated, and wretched. He was advised to take off the uvula, but would not do it. Had the nitrate of silver applied constantly for three months. Tried homoeopathy. After suffering thus two years, he came to me, and on a subsequent visit, said, "It is wonderful, that for two years I have been troubled with this throat, and nothing would relieve it, and now it is disappearing in a few days." That was four months ago. I saw him in the street yesterday. He said his throat gave him no more trouble; that he had no more chilliness, and had never taken a cold since he came under my care; although formerly "it was the easiest thing in the world to take cold."

A merchant (1002) slept in a steamboat state-room in December, with a glass broken out; woke up next morning with a hoarseness and sore throat; for several months did nothing, then applied to a physician. Counter-irritants were employed without any permanent effect. At the end of four years, he came to me with "a sort of uneasy feeling about the throat, more at times than others; not painful; sometimes a little hoarseness, with frequent inclination to swallow, or clear the throat. At the little hollow at the bottom of the neck, just above the top of the breast-bone, there was a feeling of pressure, stricture, or enlargement—no pain, but an unpleasant sensation, sometimes worse than at others. It is absent for days at a time, and then lasts for several hours a day."

A clergyman (1012) has a hoarse, cracked, weak voice, easily tired in speaking; a raw sensation in the throat; and in swallowing has "a fish-bony feeling." He had become over-heated in a public address, and immediately after its close started to ride across a prairie in a damp, cold wind in February. Had to abandon preaching altogether, and become a school teacher." This gentleman wrote to me for advice, and having followed it closely for eighteen days, reported himself as almost entirely well.

I greatly desire it to be remembered here, that in this, as in other cases of Throat-Ail, however perfectly a person may be cured, the disease will return as often as exposure to the causes of it in the first place is permitted to occur. No cure, however perfect, will allow a man to commit with impunity such a thoughtless and inexcusable act as above named, that of riding across a prairie in February, in a damp, cold wind, within a few minutes after having delivered an excited address in a warm room. None of us are made out of India rubber or iron, but of flesh and blood with a reasonable soul, subject to wise and benevolent conditions and restrictions; and it is not to the discredit of physic or physicians, that being once cured, the disease should return as often as the indiscretion that originated it in the first instance is re-committed.

Three weeks ago, one of our merchants came to me with a troublesome tickling in the throat. At first it was only a tickling; but for some weeks the tickling compels a frequent clearing of the throat; and without a cough, each clearing or hemming brings up half a teaspoonful of yellow matter, with some saliva. On looking into his throat, the whole back part of it was red, with still redder splotches here and there—epiglottis almost scarlet. On inquiry, I found he had for years been a chewer of tobacco; then began to smoke; would day after day smoke after each meal, but especially after tea would consume half a dozen cigars. In time, the other naturally consequent steps would have been taken—to consumption and the grave. Among other things, I advised him to abandon tobacco absolutely and at once. In two weeks he came again. Throat decidedly better; in every respect better, except that he, in his own opinion, "had taken a little cold," and had a constant slight cough—not by any means a trifling symptom. Let the reader learn a valuable lesson from this case. This gentleman had the causes of cough before; he found that smoking modified the tickling, and taking this as an indication of cure, he smoked more vigorously, and thus suppressed the cough, while the cause of it was still burrowing in the system and widening its ravages. It will require months of steady effort to arrest the pro^ gress of the disease, and he may consider himself for tunate—more so than in any mercantile speculation hs ever made—if he gets well at all. If he does get well, and returns to the use of tobacco, the disease will certainly return, for the following reason.—Throat-Ail is inflammation; that is, too much heat in the parts. Tobacco smoke being warm, or even hot, is drawn directly back against the parts already too much heated, and very naturally increasing the heat, aggravates the disease. Again, any kind of smoke—that of common wood—is irritating, much more that of such a powerful poison as tobacco—soothing, indeed, in its first transient effects, like many other poisons, but leaving behind it consequences more remote, but more destn\ctive and enduring.

A gentleman, just married, clerk in a Southern house, applied to me to be cured of a sore throat. He was permanently hoarse: swallowing food was often unendurably painful, besides causing violent paroxysms of cough. He said he knew no cause for his complaint, except that he had smoked very freely. On inquiry, I found that for the last two years he had used, on an average, about "a dozen cigars every day; perhaps more." He died in six weeks.

In several instances, persons have applied to me who had been advised to take brandy freely for a throat affection. Such advice is warranted by no one principle in medicine, reason, or common sense. Were I to

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