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of three men; but it seemed unavoidable. I broke down, and was attacked seven months ago, in apparent health, with a sudden fit of coughing, which lasted three hours. I lost my voice; went to New York for medical advice; thence to Jamaica, in the West Indies; returned to the United States still an invalid, not having dared to preach since my first attack."

He had night and morning cough, and the usual auscultatory signs of the loss of the upper portion of one lung. He was spitting up daily, quantities of thick, heavy, yellow matter. He said he was engaged to be married to a lovely woman, but that if his was a hopeless case, he could not reconcile it to his conscience to marry. He had great personal popularity, was almost idolized by his people, and a large circle of family connections. Here was a case well calculated to excite the highest interest of a physician.

He wrote April 3d, "My voice and throat are as clear as they ever were in my life." Some months afterwards he called to see me, to say that he was well and was married. Two years later I heard that he continued well.

In many of the above cases, it may be seen how often a permanent hoarseness or huskiness, or loss of voice; or soreness in the throat, or painful pricking sensation in swallowing; or a gradual change of voice, end in death, sooner or later, if neglected; and the hope is, that the reader will take warning by these, and by timely application, save himself from a death at once painful and often extremely sudden, coming on in the dead hour of night, when there is no unusual or alarming symptom the preceding day.

It was of the acute form of this disease General Washington died after an ilness of about 24 hours.

HOW DO PERSONS GET BRONCHITIS?

In the same manner as a common cold, for Bronchitis is a common cold protracted, settling not on the lungs, but on the branches of the windpipe, clogging them up with a secretion thicker than is natural; this adheres to the inside of the tube-like branches, and to a certain extent closes them: hence, but a small portion of air gets into the lungs. Nature soon begins to feel the deficiency, and instinctively makes extra effort to obtain the necessary quantity, in causing the patient, to draw in air forcibly instead of doing it naturally anil without an effort. This forcible inspiration of external air drives before it the accumulating phlegm, and wedges it more compactly in a constantly-diminishing tube, until the passage is entirely plugged up. The patient makes greater efforts to draw in the air, but these plugs of mucus arrest it, and there is a feeling as if the air did not get down to its proper place, or as if it were stopped short, causing a painful stricture, or cord-like sensation, or as some express it, a stoppage of breath. If relief is not given in such cases, either by medicine judiciously administered, or by a convulsive effort of nature at a cough, which is a sudden and forcible expulsion of such air as happened to be on the other side of the plug, the patient would die; and they often do feel as if they could not possibly live an hour. This is more particuattack of Acute Bronchitis.

larly a description of an Chronic Bronchitis is but a milder form of the same thing, very closely allied in the sensations produced, if

not indeed in the very nature of the thing, to what may be considered a kind of

PERPETUAL ASTHMA,

which may in most cases be removed and warded off for an indefinite time by the use of very little medicine, if the patient could be induced to have a reasonable degree of self-denial and careful perseverance.

HOW DO PERSONS BECOME CONSUMPTIVE?

It is in many cases inherited from parents or grandparents; but as countless thousands bring it on themselves, it may be more instructive to know how it was done, in some of the cases coming under the Author's notice.

S. T. "Healthy until thirty months ago, when a slight cough was first noticed, often returning at shortening intervals, and continuing longer, until eighteen months since, when I spat a teacup of clear blood. Soon after, a continued cough came on. Seven months later had another spitting of blood." Has now a fixed cough, and is in the advanced stages of consumption.

J. J. S. "Three years ago rode to church, in September; sat by an open window, took a bad cold, neglected it; chills came on, followed by fever and night sweats; in a month had a first spitting of blood, a pint at once; in a year had a settled cough, another hæmorrhage and wasting of flesh."

J. M. "Was perfectly healthy until two and a half years ago, when had frequent attacks of chill and fever; has fallen off a great deal; thin face, flabby muscles, dark hair, freckled skin, great weakness, distressing cough; lungs half gone." Death inevitable.

J. R. M. "Was perfectly healthy until eighteen months ago. After being very much fatigued and overheated, in summer, laid down on a sofa, in a passage, both doors open, a considerable draught of air, no covering, fell asleep, waked up in a chill, got up, became temporarily blind, and have had a cough from that day to this. In six months after that first chill, spat blood, a pint, and once since, a little. First wife died of consumption. We had five children; all died before her." This case utterly hopeless.

H. F. R. "Had robust health until three years ago, when travelling in mid-winter, took a bad cold, which made me feel as sore as if I had been beaten all over. This wore off, but cough came on, gradually increasing, until it became so violent that a blood-vessel was ruptured, causing profuse bleeding, followed by great weaknéss." His lungs have decayed away until more than one half of them are useless to him.

W. A. B. "Went a hunting; it rained in the morning, wet all my clothing; still hunted on till night; was then taken with a terrible chill and hoarseness; did not speak above a whisper for a week; was confined to bed several weeks, with a very sore throat, headache; gradually got about, but a settled cough was left behind, which has constantly grown worse." This patient has now all the worst symptoms of advanced consumption.

D. B. "Worked hard all day; came home, laid down on a settee in an open porch, and slept until ten o'clock; waked up, felt chilly and bad; cough came on, most troublesome on getting up and on lying down; now expectorate large quantities of yellow matter, extreme prostration, strength and flesh nearly all gone." No hope of cure.

N. K. "Took cold a year ago, from walking in the rain; this was repeated several times; a cough came on, scarcely noticeable at first, but has steadily increased, until it now troubles me night and day, attended with night sweats, large yellow expectoration, great debility, almost out of breath if I walk up a few stairs." On examination, half the lungs were gone.

C. H. "While heated from exertion, made a mis-step in crossing water, and fell in; neglected to change the clothing, felt chilly, cough came on next day, and constantly increased," with the ordinary symptoms of consumption, of which she died a short time after I saw her.

E. II., the daughter of a Southern Planter, at the age of seventeen, was riding on horseback to a fourth of July celebration, at a critical time; a shower came on, the ride was continued, the clothing unchanged; cessation came, cough, wasting, weakness, and death in eighteen months.

M. H., aged eighteen, sitting in a porch at Long Branch until ten o'clock or later, of a summer evening, became chilly; continued the practice; a slight cough came on; then a small expectoration of blood, cessation followed, no alarm; the sea breeze appeared perfectly delightful; the practice was continued, followed by death in fourteen months.

J. A. "Worked hard for several days in a mill-race, with lower limbs in the water from morning until night; took cold, cough followed," and died in two years.

P. G. "Was engaged in drawing plank from a raft, at Pittsburgh, in November; feet were in water nearly all day for weeks together; took cold, left a cough, night sweats came on," and died in eighteen months.

S. R. "Was a stout, healthy farmer; went to the

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