The daily Cairo bulletin. (Cairo, Ill.) 1878-1???, 1882-04-27
with ragged, woody surface, and when
spit in water sink.

run uniform course, and the symptoms
vary very much The patient may be APP
parently we'll for weeks OF even months,
and die suddenly at last; why, will pro-
coed to explain.
A crop Of tubercles is deposited in the
lungs; they soften and are expectorated,
during which the patient becomes feeble.
In q little while he regains his strength,
till new crop natures and goes through
the same process Of softening and breaking
down. This is repeated till the patient is
exhausted AS each successive batch Of
tubercles .ripens, portion of the lung
breaks down and is expectorated in the
form of pus. Hectic fever, night swests,
loss of flesh and strength accompany this
condition the lungs. Then, again, the
symptoms improve, the cough disappears,
and the patient regains flesh and strength.
His friends now think he will get well, and
fatter him with the promise Of speedy
restoration; but, alas, in a short time all the
bad symptoms return. 1t is the occur
renee of all these intervals of temporary
comfort that has given al i'll deserved rep
utation to Cod Liver OIL Hypophosphates
of soda and other quack nostrums that are
incautiously poured into the stomach by
people whose common sense" ought to
protect them from such folly
The most eminent physicians content
themselves with telling their con-
sumptive patients to live well,
take outdoor exercise, be pru-
dent and take very little medicine. This is
all good advice. 1t is better than helping
on the fatal result by using preparations Of
morphine to quiet the cough at the expense
of digestion; or makinga sore on the out
side of the chest to help the ulcer inside to
finish the patient; or purging to aid the
disease to exhaust the sufferer; or any of
the other fashionable modes of slaughter.
THIS plan Of leaving the case to nature ia
the better of the two evils, as the patient
has chance of longer lease on life, al
though death is the inevitable result.
Latent consumption is characterized by
an absence of cough, expectoration pain, or
splitting blood, although the lungs may be
loaded with tubercles. These symptoms
are sometimes absent even till death results /;
but, generally, after period Of long failing
health, splitting blood, cough or pain sets in
suddenly, causing the disease to run q rap
id course. Tubercles often work out their
i'll influences by secondary changes in the
blood. Other diseases supervene which
destroy the patient, and from the absence
Of prominent symptoms of lung disease, the
| physician and he are both led astray. At
tention is directed toward moving symp-
toms which are effects rather than causes.
Or, If the physician knows the cause, he
conceals it for he has no remedy. In such
causes the patient goes about with less
alacrity than when in health business is
an exertion he complains of heart burn,
water brash, uneasiness during digestion,
piles, costiveness alternating with diarrhea,
disturbed rest and emaciation. The urine
presents the chemical and microscopic
changes observed in organic affections Of
| the liver. Fistula-in-ano occurs in some
cases, and appears to keep the tuberculous
| disease In check. Chronic disorder of the
bowels masks latent consumption most fire.
quently in females; while fstula is more
common to men. Besides these, various
other symptoms are complained of, indicat-
ing diseased state of the body, which
often puzzle the medical attendant.
On examining the chest depression will
be found above or below the collar bones,
or both, When the deposit is great these
bones stick out prominently, 80 to speak.
On tapping the immediate neighborhood
of the collar bones, dull sounds are pro-
duced which, to the educated ear, establish
the presence CT tubercles. Such cases are
generally mistaken for bilious or dyspeptic
diseases or anything but what they really
are, and the treatment prescribed is noces-
sarily inappropriate, would particularly
impress the fact that active purging and
the use of mercurial preparations are apt to
arouse tubcrcles into activity and produce
rapid decay of the lungs. In all such
cases tho chest ought to be examined by q
competent and truthful physician, and, ii
tubercles are present, proper inhaling rem
edios should ~ once be employed.
The causes Of ntantie consumption are
usually due TO circumstances in which
children are placed, and not to inheritance
Us is commonly supposed. Among the pool
in large cities or towns, impure air from