The Florida agriculturist. [volume] (DeLand, Fla.) 1878-1911, 1880-09-01
CllnatOlOgy of Florida.

By Charles j. Kenaoorthy, N. D., Jacksonville
Florida.
Continued from page 113.)
Many persons residing in the
Northern and Western States suffer
from what is known as winter cough
"a cough limited to the winter sea.
son, or much aggravated by it. This
troublesome symptom may be the
result of bronchitis emphysema, naso-
pulmonary catarrh, follicular disease
OF the pharynx, chronic thickening of
the pulmonary mucous membrane,
or other pathological conditions.
The Investigations of Drs. Dobel,
Green, Q. I. Williams, and Pollock,
of London, and others, established
the fact, that pulmonary consump-
ton frequently results from one of
the above conditions. DR.. G. 7.
Williams, Physician to the Bromp.
ton Hospital Tor Consumption, Lon
don. remarks: "A catarrh creeps
down the bronchial mucous mem.
brane and eventually reaches some
the alveoli. Here rapid prolifera-
ton Of epithelium Qymphatic endo-
theiium) occurs, which is the more
irritated and prone to multiply. ow>
ing to the inhalation OF some of the
bronchial secretion. The alveoli be.
come choked and stuffed with epith-
elium, and the vessels may be !
emptled through pressure ulcera-
ton may follow, and the whole mass
may Iiquify, caseate and become ex.
perforated. "*
From the rapid advances made in
pulmonary pathology within the last
decade, it is self evident that some
thing more is required of the medi-
cal man than the relief OF cough or
the administrator of cod-liver oil
and expectorants-that he should
possess an accurate and exhaustive
q: A 5E,. gisg:gs
and treat diseased conditions and
not symptoms. lt'is time that ply
sicians abandoned the older doctrines
of the specificity of tubercle and
phthisis, which undoubtedly ex.
ercised an unfavorable influence upon
Within recent period,
owing to accurate investigation,
there has been a gradually increasing
tendency to regard phthisis as an in.
fiammatory affection, and there has,
consequently, been a corresponding
to attempt, by treatment,
to prevent the occurrence and control
the influence OF bronchial and pul.
inflammation. "We do not
even yet" remarks DR.. Green, Ply
sician to Charing Cross Hospital,
Sufficiently recognize the fact that
the development of phthisis is deter
mined and the progress of the dis
ease influenced by the ordinary
causes Of Inflammation and the re-
suits of pathological investigation iu-
dicate, / think, the advisability OF
directing our treatment still more
closely with the object OF preventing
and controlling all intiamatory pro-
cesses in the lungs. Of all the
teachings of our pathology, this is
undoubtedly, by tar, the most i'm
portant."t According to Hirsch,
This much is firmly established,
that catarrhal affections of the respir-
atory organs, other things being
equal, are the more frequent the
farther we proceed from the tropics
towards higher ATTITUDES, and that
the maximum of their frequency in
different portions OF the trigid and
temperate zones, is found in general,
where frequent, sudden and severe
of temperature occur, in
addition to the prevalence OF moist
and cold climate."+ When treating
OF bronchial catarrh, DR.. Riegel,
Director of the City Hospl-
tai Of Cologne, says: ut is not to
be denied that there is class OF in
dividuals who, despite all precau-
tionary measures, always become
with catarrh after the slight
est exposure and at every sudden
change of weather. For such persons,
the choice OF a tolerable mild resi-
dence, OF equable temperature, often
affords the only certain prophylactlc:
*Clinical Lectures on Phthisis, delivered at
Brompton Hospital, London. Brit. and For.
Medical Journal, March, 1878.
tGreen ON Consumption, London, leIe, p. p.9S5' w.
ID.,k1N