THROAT-AIL-BRONCHITIS-CONSUMPTION.

WHAT IS THROAT-AIL?

Ir is called by physicians Chronic Laryngitis, pronounced Lar-in-GE-tis; by others it is known as Clergyman's Sore Throat, from the fact that so many of that class of persons have been troubled with it of late years.

It is an affection of the voice-making organs, which are at the top or beginning of the wind-pipe, answering to that moveable protuberance in the throat, in the act of swallowing, familiarly called "Adam's Apple," very prominent in men, less so in women.

The one great distinguishing symptom in Throat-Ail, present in every case, absent in none, is an alteration of the voice, its tone is not so clear as usual; or to make it so, there is an instinctive effort by hawking or hemming to remove something which is felt to be an obstacle to a full and free utterance.

In the first stages of the disease, nothing perceptible is cleared away. When farther advanced, a little mucus, or pearly phlegm is brought up, not half a tea-spoonful, perhaps; but as the malady progresses, this pearly phlegm becomes thicker, more and more yellow, and in greatly increased quantities, from a tea-spoonful to twenty or more in the course of four and twenty hours, when it uniformly terminates fatally.

Of this disease, ending in consumption, the celebrated clerical orator, Edward Irving, died.

WHAT IS BRONCHITIS?

It is an affection of the branches of the windpipe-a simple, common cold at first. These branches are hol low, like their parent stem, the windpipe itself; but they become filled with a glairy, sticky, tough, pearly-like substance, which not only causes the person to cough a great deal, night and day, but prevents the air from passing into or out of the lungs as fully as it should. Hence the prevailing complaint in Bronchitis, (pronounced bron-KEE-tis) is a feeling of "fullness," an "oppression," a "difficulty of breathing." When the symptoms are urgent, it appears as if a cord were drawn tightly across the breast.

WHAT IS CONSUMPTION?

Consumption, commonly called a "Decline," and by physicians "Phthisis," is a gradual wasting away of the lungs, by which they become disorganized, or rotten, and are spit out of the mouth in the shape of yellow matter, which, as the disease advances, usually sinks in water, and in three cases out of four, is, or has been, more or less tinged with blood at various intervals.

COMPARISONS.

It is thus seen that Throat-Ail is a disease of the top of the windpipe, Bronchitis a disease of the branches of the windpipe, and Consumption a disease of the little air cells, which are situated at the extreme ends of the branches of the windpipe, as leaves are at the extremity of the branches of a tree. These cells or bladders are of all sizes, from that of a pea, downwards.

CAUSES.

Throat-Ail is generally the result of accidental and temporary causes, such as indigestion, over-exertion of the voice, suppressions, sitting or standing on damp places.

Bronchitis is brought on by the application of, or taking cold, in some way or other.

Consumption is most generally an inherited disease, and it is sufficient for one of the parents only to have had a weakly or diseased constitution; but in the present day it is constantly becoming more common, in consequence of its being generated in persons whose parents, grand-parents, and in many instances, they themselves, had a strong robust constitution, by irregu lar habits of life, indulgence of the passions and appetites, by over-efforts of body or mind, by corroding care, by deep grief, by protracted sufferings, by late hours, damp clothing, damp sheets, damp rooms, and very often by unwise efforts to "harden the constitution," by needless exposures to heat and cold, and over-exertion-forgetting that a man's constitution is like a good garment, which lasts the longer for being the better taken care of, and is no more improved by hard treatment, than a new hat is made better by being banged about.

SYMPTOMS.

Throat-Ail is a disease of the voice-making organs at the top of the windpipe; its distinguishing symptom, an impairment of the voice.

Bronchitis is an ailment of the branches of the windpipe; its prominent indication being a difficulty of breathing, and harassing cough at any and all times.

Consumption is an affection of the lungs themselves,

at the ends of the branches of the windpipe; its universal symptom, a wasting of flesh and strength and breath.

TREATMENT.

Throat-Ail requires mainly external applications, washes, gargles, fomentations, and the like.

Bronchitis is cured by internal remedies.

Consumption itself, the great giant of Death, calls for none of these things necessarily, unless complicated with other ailments.

WHAT ARE THE SYMPTOMS OF THROAT-AIL?

The most universal symptom is an impairment of the voice, which is more or less hoarse or weak. If there is no actual want of clearness of the sounds, there is an instinctive clearing of the throat, by swallowing, hawking, or hemming; or a summoning up of strength to enunciate words. When this is continued for some time, there is a sensation of tiredness about the throat, a dull heavy aching, or general feeling of discomfort or uneasiness, coming on in the afternoon or evening. In the early part of the day, there is nothing of the kind perceptible, as the voice muscles have had time for rest and the recovery of their powers during the night. In the beginning of the disease, no inconvenience of this kind is felt, except some unusual effort has been made, such as speaking or singing in public; but as it progresses, these symptoms manifest themselves every evening; then earlier and earlier in the day, until the voice is clear only for a short time soon in the morning; next, there is a constant hoarseness or huskiness from week to month, when the case is most generally incurable, and the patient dies of the common symptoms of Consump tive disease.

In some cases, the patient expresses himself as having a sensation as if a piece of wool or blanket were in the throat, or an aching or sore feeling, running up the sides of the neck towards the ears. Some have a burning or

raw sensation at the little hollow at the bottom of the neck; others, about Adam's Apple; while a third class speak of such a feeling or a prickling at some spot along the sides of the neck. Among others, the first symptoms are a dryness in the throat after speaking or singing, or while in a crowded room, or when waking up in the morning, or after unusual exertion. Some feel as if there were an unusual thickness or a lumpy sensation in the throat, at the upper part, removed at once by swallowing it away; but soon it comes back again, giving precisely the feelings which some persons have after swallowing a pill. Sometimes, this frequent swallowing is most troublesome after meals.

Throat-Ail is not like many other diseases, often getting well of itself by being let alone. I do not believe that one case in ten ever does so, but on the contrary, gradually grows worse, until the voice is permanently husky or subdued; and soon the swallowing of solids or fluids becomes difficult, food or drink returns through the nose, causing a feeling of strangulation or great pain. When Throat-Ail symptoms have been allowed to progress to this stage, death is almost inevitable in a very few weeks. Now and then a case may be saved, but restoration here is in the nature of a miracle.

WHAT ARE THE SYMPTOMS OF BRONCHITIS?

Bronchitis is a bad cold, and the experience of every one teaches what its symptoms are. The medical name for a cold is Acute Bronchitis; called acute, because it comes on at once, and lasts but a short time—a week or