, 1881-08-25

To Rudolph Nirchnw, OF Berlin, one Of
tho greatest scientists Of 0llr century. n man
wliosu Influence Is felt III III altnnst every de-
rart'nellt Of medical science, Is also due tic
best Information OIL tho disease which ut this
moment attracts special attention OIL ac-
count Of tho Presidents case. As curly rs
1853, Virellow wrote lin tho "Annals Of tho
Cl,nro 1lnspital" an article oil this subject.
which Is baseti entirely III his owl l,GrsNnnl
Investigations mt the bedside, IL, tic tlissect-
ing-ro0in. md III tho laboratory. An abstraut
of tllo luost Important points of tho paper
will bD Of interest:
lle sl,caks very briefly of the ll,lloc,lous
form Of tic. d1scase fnmitiar'y knows aS
,hul,!ps. ausl trcats exclusively Of the grave
fnrn, which silpBrvenes 1T tlecollrse Of grave
diseases, such MS pneumonia, p1crperal tover.
tynl'sls, measles, Or glauders. liz refers u
another treaties of Ills ("Gcsntnlnettc Ab.
falnlungen znr rWlsscncMftltel,ci, Alctliclm,"
pp. $50. Gi0l, III Which he lias shown that the
phenomena belonging tn so-calicsl py,en'ln
lnny bo clnsscu unllcr Two heads, olle clnss
comprising thH phenomena duo 10 enh0lfsnl.
Il e.. the transportation 0f u suld corruscle
fruit ono part Of the body tO another, where
1t Is arrested iii II harrow blood vessel, nilrt II
scc0nd class tllie to lnfcctlon,-tl,ut Ii to shy.
thu absorption Into tho blao,l of II poisonous
liquid. ThIs hitter II Is which l,c cAlls sup
tEc.etsn. T1ic. Inflammation Of tho lurOtEs
helOnss commonly tn this utter elnss. liz
nrigln mAy no nnterstuDh II 1t II supposed
with tlte sa!ly'1 nnh produces a,l irrltatlon Of
| the stlrfnces with which II cUnes In c0iituct,
exnu;Iy III cAiltlnrldf1l, tho ifrtAntngont IN
blister, when Il IL absorbetl by tsio blooh nl,d
organs, producing catarrhal or cr"upous liz
Illumination.
Tho inflammation Of the p;rntis ,nay be
.liviacd ilito three ErDllps:. .'lllp primary.
epltleinIc, md l,ns 10 tendency to sapriir'!-
ton; the secondary, rlrl.lont catarrll, which
rei!llly lurlns nbscesscs and IL associated
with clturrli Of tho .nlUutlI. snrMp, etc., or
sometimes with affections Ut liitftle enr; utd,
i1nnlly, the specific, septic!nulc catarrlt, which
utmost always gives rlse to sAnious PITS, n,iti
IL very frequently combined with other sU~
called. nlGtnstases,--uM y to sny, appear
mlc or ~, cin',,ie charlcter. Ancient writer's
lNye la!l lMuvh styGss Npnn tho sNlNtNry et~
fcctnf the formation Of NJ, nbM:css Will !aC-
!table .pils III tho parotfs. ThfK Ii only true
supp,lr,tti1n pro,l,lces thin, .sanuots plls., it
,.lNy be. tint thu suppurAti!nl l,as 4 curtain
tayorublo rtfcct s>l. tho bntly, but It Is ccr~
tain tint i Is much. preferable Il Il can be-
avoided, Tor tho inflammation OF tho pnrDtiS
Is otll IT, the beginning AID In tho ind ttis.
Gated.
,r!le .lal,gers Of q knppuratlyo lllammat1ol,
Il con0lcates tlle iater stugcs OF otigr dis
e,lsgS the iuW disturbance sutlfcus often ii
!elal ~ the Heath OF the exhausted pat!e,lts
by T. retpwNl or illcreasu nf tho teyDr. 1t thu
considerable, tho lnia,n.llatlol! ut tho larn.
| tts. by ln,pedinG THO circulation IN Tie MT
lilCr0,ls veins which liz il, contact with IL,
lltAy give rlso to utlen.n Ut tho temporal re'
fFtIt
still nUro viOleri II il,o inlpodlniunt to
circulation Is lnrga enough to cn!lst
enagllatlon Of tho blood III tho veins. Tho
dangerous ~ they extend far, beyond the
gland. aul lnter when ,tllny softel! beconlt
tho btarting polut Of cmbotisp! aad Infection
~ severer tnses the sstrro9,,ang connective
.nnslon extelts. gradually over tho nelgIll0r
ing pNrts, el,lSing ;lbscesscs III lla lnusclNs
tlitlnlall'ation ot thu auditory cni,nl tlurostllls
e tl1 Gwyr 1aw1,o'er alNt tH,M'rfal p. bo,'e
intlAlnnlntlnn may extend to tllN membranes
surr9urulng thu bra!n Or nttacls This orga'
Itself.
Another way lm which tho inflammation
NERVES. Thu vu!ils nro apt to bGcu1Il0 11
s!rncted, mud clots extent down along th,
sitl0 of the neck or Into tho ltiterlnr OF TIL
fES%' o i S fysy y;os t. 2 ss fsft IL ' 9, n'aas ses
tile starting,polnt Vt i,ew bood.Ilo!soIllMl
, aid Ut pnlGuils,M III tho lungs nlit( other Ut
Hnlls. Thu dangers connected With tho Il,
Illumination of tllo par0tts as1 partly duo II
! the situation Of tic organ u'i.lor. y deus
fascIN OF ten4ln0us ,nelnllrnia. Tl,ts cir
cllll,staIce Is also nR importance in regard i
: trentluulls. II snppnrati0n canA0t bo Nyald
cd It Should ho llastei!s4 alnl tbs pVs eMp.te.
. rs Hnotl Us possible. 10 AttnlIl this elltl 1t
| often necessary to lnale deep ilclsions, III
swelling OF the superficial parts boiling i
, gaat that n.ls ls reached only ut u depth U
l!alE au !ltcl,. :