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necessity of applying to competent and experienced persons to decide so important a question.
A female, aged 30, was very subject to taking cold; this ended in spitting blood, and great difficulty in breathing; pain in the throat; hoarse voice; frequent pulse, night sweats; she died in six months, and on opening the body the lungs were found to be entirely healthy, and the whole disease seated in the larynx and windpipe.
A man, aged 30, very liable to take cold, had been sick a long time; considerable spitting of blood, at different times; face lean; loss of voice; painful and fatiguing cough; brings up mucus and yellow matter; obstinate diarrhoea. He died; the three last days being passed in extreme suffering and agony. On opening the breast, the lungs presented no unusual appearance. The disease was at the upper part of the windpipe, which was ulcerated.
A youth of 18, had pain in the throat; voice changed; spit up sometimes mouthfuls of frothy red blood; frequent general chills; great falling off; pale and sharp features; cheeks red; spit up lumps of yellow matter; frequent pulse; night sweats; difficult breathing; and death within a year. On opening his body, there was found no ulceration in the lungs, but the upper part of the windpipe, about the voice-making organs, was ulcerated.
A man, aged 49, had a harsh dry cough; expectorated a whitish, thick stuff, sometimes with blood, frothy, with little masses of matter scattered through it. He died, but no tubercles were found in the lungs.
A boy, of 15, became addicted to bad habits; in four years he began to experience pain in the throat; the voice altered, became shrill at first, and was then entirety lost; swallowing liquids became impossible; he expectorated large quantities of matter, and died after a year's illness. The lungs were found entirely sound, but the whole throat was ulcerated.
From a similar eause, cases are reported, in which Bronchitis, or a form of it arises, ending fatally. In cases of Throat-ail and Consumptive disease, this cause and even marital allowances, too much extended, debilitate the system sometimes, and baffle all the efforts of the physician. All persons under treatment will be benefited by a practical remembrance of this item.
If there are exhausting occurrences, communication should be made to the physician frankly, without the necessity of speeial inquiry, in order that either of the difficulties above named may be remedied as soon as practicable, for the eure of the main disease cannot be forwarded, until this is done; and considering the uniformity of, and the means used to accomplish both the above, it is rather surprising, that so much suffering in body, and wretchedness and depression of mind, should be endured so long by many, before efforts are made for cure.
It may be of practical advantage to name some of the far off symptoms of approaching Consumption, any two or three of which, existing for two or three months or more, should excite watchful attention, and I state them, from a fixed conviction of their truth, founded on repeated observation.
A pulse habitually accelerated beyond the natural standard.
An occasional slight hack or cough, on lying down at night, without apparent cause, as if a particle of dust had got inl ■> the throat; or on getting up in the morning.
A frequent feeling as if you wanted to do something with the arms, seeking some kind of support for them.
A striking, remarkable weakness, or giving way of the knees and legs on going up stairs, or ascending a hill.
To be in a condition in which "the least thing in the world gives you a cold."
When coldness of the feet strikes on the throat, and produces a slight burning or sore feeling.
To be very easy to have a chilly feeling run over you, on going out of doors when it is a little cold.
To feel chilly when you get up from your meals.
To be restless, and "can't go to sleep," when you first retire to bed, for months together.
Spitting blood in .any quantity, from a drop to a pint or more, once in a few days, or weeks, or years.
A feeling of weakness, which has crept on you so gradually, you do not know when it began; and yet, without apparent cause, it seems to be increasing.
No special relish for food, yet no uneasiness amounting to actual pain anywhere, together with a want of interest in what is going on around you; a growing indifference to every thing.
It frequently occurring that one, two and three days will pass without an action of the bowels, unless medicine is used.
Frequently recurring, although slight pains in the breast, side, or between the shoulders.
A general decline of flesh and strength, painless and without appreciable cause.
These are the far off friendly monitors of danger, the faint beginnings of disease. They do not constitute Consumption. In some instances they mean nothing, for they pass off in a few days; but when weeks go by, and any two or three of them still stick to you, there is reason for alarm; and not a day should be permitted to pass, until you have commenced measures, under the advice of a careful physician, for their removal. A drop of water may check the spark which would lay the fairest city in ruins, and the unmoved avalanche be kept in its place by an infant's arm, but, a moment's delay, and how resistless!
THE PRINCIPLES OF CURE.
The mode and means of cure may be various in different hands, just as in any other disease; fever and ague, for example, is cured by different remedies, but the principles of cure must be forever the same, and which in phthisis are—
To secure the highest possible general health.
To relieve the system of the slightest febrile condition.
To secure a free, regular, daily action of the bowels without medicine.
To obtain the absorption of tubercles.
To evacuate abscesses, and cause their immediate and permanent healing.
To bring about promptly, an immediate reduction and banishment of all inflammatory action, and at the same time, add to the strength of the patient, discarding absolutely the employment of any debilitating remedies, even for a single day.
To bring into the fullest requisition, the complete and healthy action of every line of lung substance, so as to secure, day and night, without intermission, the largest supply, reception, and consumption of pure, fresh, bracing air, that it is possible to obtain. These are the points which in every instance I labor to attain, and without which, no case of tubercular Consumption ever has been cured or ever will be. These objects are to be reached by no routine practice, but by adapting the nature, and strength, and constituents of the remedies, to the particular and varying condition of each individual patient, taking into minute account, in every case, the previous history, size, age, sex, strength, constitution, temperament, occupation, habits and hereditary influences, as far as it is possible to ascertain these facts.
The grand and essential points in any case of phthisis cured are these:
To subdue entirely congestion or inflammation, and build up the strength of the constitution at the same time.
To promote absorption of tubercles.
To evacuate abscesses, bring their opposite sides in contact and cause them to heal.
In reference to the lung measurement method, by by which Consumption may be determined in its forming stages, when alone a cure can be reasonably hoped for, the London Lancet says, "In this way it is proven by actual experiment, that a man's lungs, found after death to have been tuberculated to the extent of one cubic inch, had been by that amount of tubercularization controlled in their action to the extent of more than forty inches." It is very apparent then, that this mode of examination detects the presence of tubercles in their earliest formation, which is in fact the only time to attack Consumption successfully and surely; and when attempted at the early stage, before it is at all fixed in the system, the certainty of success in warding off the danger, of curing the disease, is as great as that of warding off* the cholera