, 1861-12-09

/
their disease to the lungs, but also to that
dreaded modern scourge diptheria, Which is
now prevailing to an alarming extent over the
whole Of Europe and America. It is from
recruits its fatal ranks. Few, who have not
carefully observed the effects Of disease Of the
throat On the general health, can have any |
idea Of the loss Of bodily Tigor which very
slight dsTa & e bood sfI with
specific poison, for which tile prOtoSlde Of nj
tfogeu IS the aDtidotc. In the treatment Of
this disease, therefore, the physician should
direct the patient to lnhale the protoxide from
a suitable apparatus, until its effects are mani
tested in considerable exhilaration, and after
an hours inter1nission chlorine should be in-
ha1ed freely 10 check the tendency to disor-
ganization In the mucous membrane Under
the combined action Of these remedies few
patient. The oxygen Of the protoxide pnrifes
the blood, while the antiseptlc properties Of |
the chlorine arrest the tendency to sloughing |
and gangrene. Besides these means, the |
throat should be washed every few hours with |
strong solution Of chlorinated soda, applied |
manner, diptheria is a simple disease and will |
not prove fatal in one case ont Of hundred.
Let Us now pass from diseases Of the throat |
to the consideration Of bronchitis.
The term bronchitis has hitherto been COM
monty applied to diseases of the throat, and
popular error. The reader will bear in mind
that the bronchial tubes are not in the throat,
but in the lungs. When I speak Of bronchi-
It's. therefore, / speak Of disease Of the 1ungs,
and not Of the throat The vital Importance
Of this distinction will be seen when We come
to discuss its proper treatment.
Bronchitis. then is q disease Of the lining Or
mucous membrane Of the bronchial tubes ram
flying the substance Of the lungs. This lining
OF membrane is very sensitive to every extcr-
ir{1u 11anen 1idh1a fn
hecome irrifatcd BIZ sudden chonnes Of wealth
er hy ;mDnre air. Nv the fine 1arficIes Of mat
tel whici iii The atmosphere Of workshops,
hnn4rod |rr;toiinr comsas wh;cl, meet I,s n a.
tnst a,.ar raca Th;s irr4af;on frona " what u
aTcr ,,,,ss fnads Ia infiommatinn f fhe mem.
E,.,,,e 10, ac4,,ngas "a hea5thr actinn cbanres I'm
nharo,tnr ~ ;ts seeret;nns onI sats m fro;n
~ s1.,ntcn,a ~ which 10 a11niv fho Mann
Trone1,3tis 's1S'
| r, oi,ron;c broncb;+;s thoro ,s somotimos =
s,;n3,t fcveT to,ya~ds cven;ner The 1,of;ent exs
aE;at,aos sInr4nase ~ hrsatb IN a~arc;s3n1
and has a slight Tut continued sense Of i5, oP.
| nression in fhe chest The cough or exnccto-
rntson may diminish or entirely disanncar dur
;nn +lo e1mmnr I'M mon;fcsf fhnn.-
seiyrs ooa;1, on tho return Of winter.
when the cxpcctoratiou becomes increased and
nfien EeiloW Hectic fever may then supcr-
| yenc 1ith n;oht swcots and raDfd wasting Of
ttc ffcs1 and STRENGTH. and thc patient dies
| 1.;th III thc eyunfnTs nf nn1n,onarv cousnmn.
t;nn 1sa4 ''1 N1'~ - ~ 'S1't' " 111@1eN' 90f
tiG4 = ia vorv common n meet th;s diseose in
aW;ntcr ennsh, L comes on each winter
and as rnpnlaTly suhs;7es i1urinr the summer.
M, M T., ar3rr c;,cccct];n1 recnrTence + mani
faste ;tsc1f in urcafcr SEVERITY: and The recoy-
49, 10 =; 10 fn1l6t;nr s5m7nnr Is mt so cnm-
n1ete. II This % form ~ of bronchitis # neglected.
msuni m IL manner. It is ir'eurable1 rs consnmntion
ftstf asa The Innc,1s - nenrone d" sooner Of 1ater
becomes altered in structure: and pou1s forth
q matter which has ali the qualities Of pms.
slowly, but surely, to fatal termination.
Another form Of bronchitis Is peculiar TO
middle life and old age It is distinguished
| by the quantity and character Of the matter
expeetorated: Usually there are two ITS Of
slecp in The morning, the other in the even.
inr. There is considerabIe dificulty Of breath
ip@ while the paroxysms Of coughing last but
| it passes of as soon rs the lungs arc freed
from tic yiscid secretion. The patient is
feeble: he NAV. however, live and attend tt
l;sht duties for several years, But the coun
fenance rrrai1na1Iy assumes a palc blush, tint
the body wastes, the blood becomes thin, and
, deatI, ensucs> apparently from tic constan
Some Some pafients @ m d de Il from exhaustion in in i've q
SIX months: hut We haye known others t,
9 surr;yc for ~ 1nany Years.
u u There IS stilI another form Of this discas
= | rallied "dry bronchitis, ~ The essentia
4 CHARACTER Of dry bronchitis consists Of chroni
e Inc mpcus memhrane. by Which HE air tube
IS are diminished in Sic ana also in the sccrctio
= Of dense. glutinons Kind Of matter, Of
i, 4 ereeujsh or bfuish-whitc color, by which the
chi ehial tubes are often entirely closed, md oee
~ u eionaIly a tube Of very considerable size b
VI comes sealed up by this matter. This affe
70 tion Is SO common in this climate, that
y some degree, it Is probable two out Of eyel
H. three suffer from it. "In the most fnvore
~ NJ parts Of France" says Laennec, "tully on
of of half of those arrived at adult age, will
" " found on careful examination. to prcsent CT
to to dcnce Of thickening Of some portion Of Il
~ ~ mucus membrane Of the lungs.'
e e marked by Severity. It Is the most insidio1
H. Of pulmonary complaints. The subject Of
81 is conscious only Of being short-brcathe
~. ~. when ascending an elevation or attempting
en run. When u large portion Of the lung. is i
sh e.. volred, a sense Of oppression is experience
=, after meals, and on very slight exertion.
no some, this oppression is referred to the opp
nnj site side of the chest to that on which the
L" ease is situated, or to remote part Of t
,,+ same side, or even to the stomach. After
~ ~ continues for several days-the patient CO.
~ planning of tightncss in the chest, which
m relieved by cough and the expcctofation o1
nr tough, jelly-Gke substance. The cou
" by which this matter is raised Is
en- mere rasp1ng chorf TO clear
.p ". throat, aud may probably not oec
az more than once or twice daily, and almost |
M consciously to patients themselves. On
~ quiring if they have cough, they will, aim
~, without exception, answer MOI Yet, d
,es ing your conversation, they. will, perha
'rlr hack, and raise little jeny-Ake uaueus
al a dozen times. Atinterya1s, the cough is m
IN severe. and comes OIL in paroxysms, Thel
is too commonly regarded as simply "n
co yous.'' If the stomach be at all deranged
led L. lasiVuaols ~ lssao @ =. % sl 1
all couen' pI u; usms Ssusea af
! stomach, Liver, kidneys, and the uterine fu
~. ~. ton. which exist, arc but so many cor
1eis uucncce OF this very condition Of the lun
~ r.. There is something SO gratifying in being
uef sured by the family physician that there
.;.,. ttnp danger Of coneumption;'' that ~
w "! couch is d mere tribe, and will speedily +
MI o,sa7 if only left to iteelfn that it is not
nr;s}nr the fiattered patient entirely ovcrlo
ano fhr irnportant fact that no careful examinat
lde7 | nf Tie 1nnes l,as bepn made TO determine
me, hcaIth nr disease 81 tbis nrpan that this cr
en- E;n1 on;n;nn Therefore. * fnunded on mott
his rogg,na5 - 10 ;utr3ns;c merits Is sin
e Of ,a,.'r anu, r;th ~ h1,,,on he 1;fa
not ,!h "ae1 - 1n,t- eto,d;nor u matt,
Mosf 49, soaSaa a+o1!t;a " ~ 40. co,3sad atho
Is Of ~ " nS tta t., - a1;.i +,,I,as ~ ~
eeks this couuuon ~ e!e ~ 1u-.'1 H. &;
oto. clptent tHpt'else ~ LIZ auus5s o,-o- tia ha
thn 1ectcd cold" N.lcn So o1leu Plosee - aF aF
nora Of consumption, is bGf another FataeIs u
fhis disease. .x.,..t,.