, 1866-12-01
#e1ical.
nR. JAMES HUNTER
Chronic Bronchitis
LITTER No. 4.

| ~ %so Ed1tC1&:
Having pointed out thoss anseuous Of the no.a Al.
throat Thch 20 before and prepare the way for d!s
ease Of tho funka, I now cone to s,eak Of csronf
nEoaehsds. The most common form Of pulmonary dis
eAke. Chronic bronchitis l. local Inflammation o
The mucous membrane 1tnlng the air tubes md ii tim
plJ eatsrrh Of tho lungs. It does net differ fror
csa1h Of the nose IN the ect It prpdnccs upon u.
mucous membrane. In,eeenins, enlargement OF III.
uneus foeiea and ulceratou fakes place IN the s,r
OF The 1nngs, The - in The passages Of ts
nnse, but the elect upoa hea Is vrsy different In
the rvo cAsea In hronchtIs thlcIenue ofthe ,ucau,
membrane ciminlshes the st1e Of sno aIr tubs md
thorteas the breah When the nose u obssrpesed bv
rnhea,hJ teereslons, charged By d,se.sc ~ tn
make II dlmeult for us to breathe through The
nostF1lk We trr1the through the mouth In. n-n
ne bronchial Tubes In tie lungs obatuc,eS or H.
nnshed IN slse. We can only ind rec BY the c,s N
Hha bronchial disease.
f'oIch.ta, hen+ Is dtstaze OF the lining or fra
esen<as tubea fssolttng The substance or the 1npr
1nis Hcins or membrane. II rrry etpztttye IN evrrv
e1tefnal influence. And hence liable 10 becoms ,r
1eea o5 Eua40 changes of weather, By frapare iii.
by the hEe p1.tees Of rostser which nj II. .,no..
pnsfr os Eos1 shope or float upon the Wind II dan.v
Streets os the hu7dsed Irritating eau.es which n.et
ou4 dreaming In s!En<s every plsce. Tho rost con,
moa cause, however, is cold. showing tscf or.t a,
catat:h Of tho nose, nert anectlns the thro., and
5n1. and lssuJ involving the bronchial tube. vb.n
ths disease known 1easel HeoId In III. thar :.
or bronchitis.
1he hc1te symptoms uIun1ly suhsidc afsr short
tfr but nness the patient IL pFope.ly treated be
not frtosn to hfi former good health Ho dl.cuyer,
.hsas aiooslaoa 70 warmth tn The hand. tnv.ra |
e'euns' And cannot lake tho same exercise = u41al
AI.un
s,rne +, p1e,t, .,1 @ :, ne ne. sho's Of breath"
NM s,s.' aa III su ssoa. ~ But
tor,tton !. ,,.1, - -. s'9kn' Aoo tne e1pee'
,.,rr iae...sea :, eesaa 49, n' my a!'o and tho
~. ...,. 49, 41 aeoe' Win Night sweau 4
do before .u,,nr ~ss an "a .ns ne VIII probably
ton. sun ,his !, not con.unn,,oa ~ ~ ~ eoa.omp
a chruaic csta.1h ef the 1aues. - 'A-'pts
nMvty conmon for chronic prooen,,. 10
ui1des form. xhen !, /. ,noser ~ -. .1,-,a asame
coogh.' teomea On each Winter. and a zr,.u,.,,,
oasans tae summer but At every succeeding
recurrence It u1a1fssts ttsett In z,e,trr
the recovery In tho following summer Is no, 80 oou
p1ete. This form Of Hror ch1tIk n nep,.rtA, ~,
~ es,tso, n md treated In The a'o.
br.ne sooner or later, becomes altered Ia structure
ahe pse.s @1sh matter which haa al qualities Of
pua Hectic fever snpctrencs, and the di%e.s. t.,..
s]oyfy hut sprp1v tn . f..., ,..r,n.,,.u S
" "A' 1a an4asAoa.
AnoneE 1ofm Of broIchts IL peculiar to middle IN.
ana Old age. 1t ia distinguished b5 thc nua1itV .nn @
Inc CHARACTER Of tho matter cYpef.1rairf III
M wq s 4 sac ,s
There II consider able ,tcuy u hrcsthin1 VhIr !b
roFo1ysEls OF cocEhlo. aat hui II nsts! ~ tae
htca IS The ln1ss freed rom fhe rfsHT s~r,ssta
The patient fetbie he may iiyr MI .r
To fhE lut4eA for several ytarY Per III. ennninsSu
gradually aEturccs pale, hu,eh tnt the bsSV Tststs
the blood b. thin and teath rnsn.
hon the conss N, d-ata kept nr b tic Ischar~n r
the iHrEa Scme pa:!ents die from e1hau.tioh H. NJ
for rs many sea,Y, :" s17'1Fo
There Il sill another form Of this dIsessa n.r.a
cry trnt chtt!t tic ts.cntiai chnrart-T ~
kists uf chronic ILEaaua atrendnf ~ thasua sua'
Es Of tie I1Hrnus membrane bT thfr Tia az 49,,
arc diminished lu SIZE and ais In Ia, serrsjnn
1en-e. EEtl: kind Of matter Of -rrntsh - y
slr white toor which tHry are rtifI r1r+ss w
irrt closed and Uccas1t,nsjIr tusa a. az. ose en-
aoe sl1t bccoI ecard up H. tbs uattsr ThJs W.
nn ia c7mrloa shs climate thsf n so,nt ssTs
i II Probable ~ Of eTcry three sn:foT },n1t
In the most favored r9.t8 Of Frnner s.V. -
ta1'y cacshan OF those arrived II adult an Iii =
0uEtl, on careful p1 animation ~ 1,H,.rs 80 NM DC
ttekenlE q sumc puttiva Ct ts mnr,s sr3aense q
u thr lsnEs." "9
The symptoms # dry hronrhItfs are no. tuart,d bv
,l* T.. Tt subject Of II n Couac:ous oaIt ~ Sri-g
'"tthEt a'bAs a*c.n 1.c an A. st.sTek
NJ ee. e< Of Impression n ernrrercnd sti
e .re 10 opposite ttds Of thn che.t *