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        NEW SYMPTOMS

              AND

    NEW  REMEDIES

               IN

CHRONIC  DISEASES
INCLUDING  SCROFULA
"View nature here, in leading strings,
"With science still, the welkinrings,
" But with milk, like babes their food must blend,
" Before with meat you crowd the distant end."
Secontr JStrttfon.
T. SURGUY, VRINTER, MAIN, NEAR NINTH ST. CINCINNATI. 
■*\
■J. 
                  NEW

                    OR

            ELECTRIC SYMPTOMS

                    OF

    CHRONIC   DISEASES,
                    OR
         CHRONIC  TUBERCULA

                  OF THE

         ORGANS  AND LIMBS,

BYT  WHICH THEY MAY BE EASILY AND INV ARIABLY DISTINGUISHED
    BY ANY PERSON OF COMMON EDUCATION AND CAPACITY,

                 AND THEIR             .',*

               NATURAL             \,
                              ■■'.-i.ABar. ^
                    0R         :k%XZh^

    ELECTRIC REMED IE^"'

 WHICH, WITH VERY FEW EXCEPTIONS IN THE LAST STAGE, CURE
   ALL THESE DISEASES BY THEIR ELECTRIC INFLUENCES,—
              INCLUDING ALL THE

        FORMS OF SCROFULA,

                 WrITH CASES

       Affecting the different Organs and Limbs.

         BY
>g t«c uij/crctu isrguns anu junn

H. H. SHERWOOD, M. D.
  Second Edition.

CINCINNATI,
T. SURGUY, PRINTER.

     1837. 
INDEX
                                                                 Page
Introduction,
Symptoms of Tubercula,                                             5
Causes of the Symptoms,                                            13
Cause of Tubercula,                                                15
Natural remedies,                                                  16
Directions for using the natural or electric remedies, called Galen's pills
  and plaster,                                                     1'
Observations on the cases,                                          20
Tubercula of the lungs, or consumption.                     5, 28, 29, 58
    "     "  "  neck, intestines and mesentery,                     30
    "     "  "  stomach,                                      38, 43
    "     "  "  liver and stomach,                            35, 40
    "     "  "  stomach and uterus,                               47
    "     "  "  leg, left,                                          42
    "     "  "  hip joint, right,                                   37
    "     «  «  hip joint, left and foot,                             38
    "     "  "  tongue, right  tonsil, right side of the neck, and right
                    leg,                                            60
    "     "  "  antrum, nose, stomach, uterus and cerebrum,        48
    l*     "  '•  tonsils, palate and tongue,                          8
    '•     "  "  intestines and mesentery,                          44
    "     '■  "  scalp, or scald head,                               36
    •••     "  u  spine and neck,                                   45
    u     "  "  spine and lumbar abscess                          46
    "     "  "  caries of  the vertebra?, distortion af the spine, review
                    of M. Sanson's lecture on,                       49
    "     ';  "  liver, stomach, right kidney and spine,              41
    "     "  "  uterus, liver, stomach and cerebellum,               31
    "     "  "  LawsonDr.                                      58
    u    "  "  cancer of the lip,                                  62
    •'    t:  "  neck and lungs                                     64
    i;    u a  eveg? or gcrofulou9 sore eyes, and ulcers  of the cornea, 66
     '    "  "   lungs—excavation of both,                          63
     "    "  "   joints and  limbs, and caries of the bone,             66
     "    "  "   knee and mesentery,                               67
     "    "  "   neck and mesentery                               67
     "    "  "   uterus  and  right  leg,                               65
     "    "  "   connected with syphilis                            68
 Recapitulation,                                                    go
 Glossary,                                                          -o
 Goitre or common swelled neck of females,                           2q
Entered according to act of Congress, in the year 181G
           BY H. H. SHERWOOD,            '
  in the Clerk's office for the District Court of Ohio. 
INTRODUCTION.
  It will be observed by those who are acquainted with the classification of
diseases, that I have added to the common or acknowledged cases of tubercula
or scrofula, a number of diseases, that are not classed as such by  nosologistx,
or other medical writers, and the reason for doing so may be found in the uni-
formity of the symptoms, and of the disorganizations presented by dissections,
and in being uniformly cured by the same remedies.   In the case of Mrs. J. P.,
in which the symptoms are  given, the disease was  active or passive in nearly
all the organs and limbs, under the.names of chlorosis, while swelling, king's
evil, mercurial disease, chronic enlargement of the breast, dyspepsia, hypertro-
phy of the heart and consumption, and the new  or electric symptoms  were the
same, and pointed to the disease in thos3 organs and limbs, and  they, like a
great variety of similar cases with the  same  symptoms,  were all cured  at the
same time, with the same  remedies,  and demonstrate the correctness of this
classification.
  I have also substituted the term tubercula from tuber, a knot, knob, or little
swelling,  which from their natural resemblance, is  easily associated with this
disease, for scrofula, a little pig, which has neither the avantage of any resem-
blance toil, or of any easy or very unpleasant  associations, and consequently
as applied to this disease, unfit and inapplicable.
   It is a  swelling of  the knobs, knots or liitle round organized bodies called,
glands, with their vessels, nerves and connecting substance, of which the organs
limbs  and other structures are formed with hypertrophy or general swelling of
the organs, limbs or other structures which constitute the disease.  Even  thp
 thinnest membrane and the smallest vessels are constructed with them, as may
 be seen when they are tubeiculated, and as is proved by dissections.
   These  bodies are the elementary organs of motion and secretion and  excre-
 tion.  And motion, secretion and excretion in  these organs is produced by the
 motions and forces of electricity.   The motions also of the Lungs, Heart and
 Pulse are these motions, as can be seen by comparing them, and  are produced
 by these forces.
   These with many other positions assumed in the following pages, are new
 to the public  and to the medical profession, and although some of them may
 appear obscure  from the  haste and  brevity in which they were written and
■compiled, they will, nevertheless, be found to be true and immovable.
   Tubercula is-generally slow  in its progress, very fatal,  and is hereditary,
 and descends from parent  to child, for many generations.  Nature, however,
 sometimes cures it by change of seasons or climate.
   In  describing the cases, I have been as brief as possible, and have  purposely
 avoided giving the state of the  pulse, and other unimportant  symptoms not
 necessarily belonging to the disease,  and have endeavored to preserve a plain
 and  familiar style,   and  to  avoid  as  much as possible  unnecessary tech-
 nicalities.
   Q^7=- In preparing the first edition, of which the above  is the introduction,
 care was taken to  select such a variety of cases affecting the different  organs
 andflimbs,  as to give true ideas of  the  phenomena of  the disease, and  its
 uatural remedies,—and in publishing a second edition a few months  after, this
 object appears so well attained  as to require  no alteration.  Four  new cases
 are, however, added—three of which are very  interesting to females, and such
 other improvements made as could well be done in the limits prescribed to the
  work. 
Cervical
Vertebra
Dorsal Ver
tebrs
Lumbar
Vertebrae.
One of the
forms of
■now, form-
ed with va-
pors of wa-
ter in  the
high   and
cold regions
of  the  at-
mosphere
by electrici-
ty,  as seen
through  a
microscope.
Press here to
find    symp-
toms  of Tu-
bercula of tha
head,  throat,
and tongue.

Hern  to find
tbcm  of  the
arms.
Hi-re   to find
them  of  tbe
lungs,    aod
heart.
Here  to find
them  of  tbe
stomach.

Here   to find
them  of  tha
liver.
Here  to  find
them  of  tbe
small   intes-
tines.
Here  to  find
them  of  tbe
kidneys.
Here  to  find
them  of  the
uterus.
And   here to
find  them of
the genital or-
gans.
Section  of a
tuberculated
gland,    and
hollow sphere
of the mucus
and    serous
membranes
and skin.
Section  of a
globate gland.
Section of a
tuberculated
conglobate
gland. 
        SYMPTOMS OF  TUBERCULA.


   Mrs. J. P. of Fairfield, Butler Co., Ohio, of good constitution,
 light complexion, and naturally full habit, aged 22 years.
   Called to see her January 11th, 1835.  She has a swelling on
 the right side of her neck and face, which commenced about the
 10th of Nov. last, and has been out of health about three years.
   Suspecting  tubercula, and without making further enquiries,
 and in the presence of a number of gentlemen and ladies, com-
 menced our examination of the lymphatic glands along both sides
 of the spine,  and first with those of the first cervical vertebra;
 (joint of the neck next to the head,) and pressed with the finger
 upon one lying close to  the  right side of the vertebras, and of
 the size of a very small bean, which produced a scream from se-
 vere spasmodic pain, which on every repetition of the pressure,
 darted violently and with the rapidity of lightning into the exter-
 nal cervical and submaxillary tubercles, and into the  upper jaw,
 ear and right side of the head; and on her complaining  of its dart-
 ing also into her throat, we examined it, and found two tubercles
 rising  conspicuously in  the right tonsil, and one in the gum of
 the upper jaw, all of which were very sore, and also painful un-
 der  pressure.   We  now  applied pressure in the same way to
 these cervical and submaxillary tubercles on the side of the neck
 and the under jaw, which produced the same kind of pain in them,
 which  at every repetition of the pressure, darted violently along
 the neck and under the clavicle, (colar bone) into the  upper por-
 tion  of the right lung.  We now applied pressure to the left side
of the  first vertebra, on a still smaller tubercle, and she scream-
 ed again, and  pointed her finger to the spot the pain darted to
on the upper portion of  the left side of the nock,  and on exam- 
f>                        Symptoms.
i nation we found there a large  submaxillary  tubercle, and on
applying pressure to this, the scream was again repeated, and she
at the same time applied her hand to the left breast or mamma,
and then pointed out the course of the pain from the tubercle (en-
larged gland) along the neck and under the clavicle into the breast.
We now examined it and found  it every where literally cram-
med with tubercles of the size of peas; one third larger than the
right breast;  color of  the skin  natural.   The  other breast is
flaccid every where, and there is neither gland or tubercle to be
felt in it or in the axilla of the left side.
   The (miliary) small tubercles along the right side of the olher
cervical vertebra?,  were sore or tender, and pressure on the up-
per ones sent darting pains into the right side  of the neck, and
on the  left side of the lower one into  the region of the heart, and
checked her  breathing.  Pressure applied  now on the sides  of
the first, second, third, and fourth dorsal (joints of the back  be-
fween  the shoulders) produces pain which darts into the'stomach;
 and on the second, third, fourth, and fifth lumbar,  produces the
most severe spasmodic pain, and  darts violently  into the uterusi
Pressure on the  sides of the other vertebras produces no pain ou
effect whatever.
   We now enquired at what time she first discovered  tubercles
or small swellings on the side of her neck?  She answered, about
the first of June, or the first of July last,  her attention was first
directed to one on the  side of her face in  front of the ear, that
was very sore, and at times painful, and that at such times there
was "soreness along the cords" of the neck, but "never thought
of examining  there for tubercles."  We now told  her she  must
have white swellings  of some of her joints  or limbs, besides that
of the neck and face, when she presented her left arm permanent-
ly flexed in an obtuse angle.  On removing  the clothing from this
arm, it presented a white swelling of the  elbow joint and arm.
The swelling of the arm is united to that of the  joint, and extends
more than half way  to the  shoulder, and there is  plainly felt
;ilong the under side of this swelling, or under and inner side of
the arm, a large or wide ganglia of tubercles, extending from the
elbow six or seven inches above it.   These  tubercles are  of the
size of peas, near the elbow, but became gradually smaller,  and
of the  size of small seeds when they  are lost in the upper part of
 the swelling.
   We  enquired  now, whether she had any  other swellings about
 her, when she answered, "no that's all," but we told her it would
 not do,—she must have white swellings of the limbs and joints
 of the right side, as well as of the left; and after  viewing us for
 a moment with an expression of hesitancy, she began to make 
£<L
  These symptoms are the same as those  produced by electricity, and are
easily imitated, and the electric fluid in these tubercles imitate  that in  the
clouds by passing along its medium from one in a positive to one in a neg-
ative state, and the instant it becomes positive  to another, and in changing
its course in zigzag lines, and sometimes in passing  in different directions,
at the same time.—page  15. 
 
Symptoms.
4
preparations  to show us  her right leg.  It is swelled from the
ankle to the knee, and has an elastic and puffy feel, and we can
plainly feel along the front and sides of the tibia, small tubercles
from the size of small seeds to that of a small pea.  She now
told us she would show us the other one.   It is swelled, and  in
all respects  like that of the right leg.
  Diagnosis, Tubercula  of  the  uterus, both legs, left arm, left
breast, heart, stomach, right lung, cavity of the ear,  right lobe
of cerebellum, right side of the neck, upper jaw of right side,«nd
right tonsil.
  On applying  the stethoscope to the  region of the heart,  we
found its action strong, and  it appears  to strike hard against the
ribs, but its  sound is  subdued or muffled,  and its action is felt
and heard under'the clavicle  of the right side, very nearly as plain
as in its own region, but can barely hear it very slightly under
the left clavicle, and left and right side of the back.  The  respi-
ration is natural  in every part of the chest, except in the upper
portion of the right lung,  where it is very slight, and at times in-
audible.   Diagnosis by stethoscope.  Hypertrophy of the  heart
and tuberculated upper and  front portion of the right lung.
  We now enquired into the history of this case, which is as follows:
  The disease  commenced about  three years since, when she
was living in Cincinnati,  and soon after an  attack of  cholera
with the usual symptoms of chlorosis.   Her catamenia commen-
ced when  she was fifteen, but  appeared but twice during  that
year, and only two or three times a year since that time, and then
only from the influence of medicine, up to the first of December,
1833, when she was married.
  Previous to her marriage, they had been absent  eleven week?,
but appeared in a day or two after, and have reappeared since
that time oftener than before, in a proportion of about two to one,
but have always been very slight  or small in quantity.   About
three years since, a discharge commenced from the  uterus which
was adhesive, and of  a white or milky color,  and after a few
months,  became  of a yellow  color,  with  cheesy matter  or
floculi, and  has continued  to this time.   Her feet and ankles
began to  swell about  six months after the discharge commen-
ced, and about a year from  that time,  her legs began to swell
and be painful.  Her back became very weak soon after the dis-
charge commenced,  and has  continued  so to  this  time, and she
has  frequently  more or  less pain along the lumbar vertebra?.
About the middle  of December, 1833, and two weeks after her
marriage,  her left  arm began to swell and be pamful, and in the
first part of June last, her left breast began to swell, and she soon
began to feel darting  pains in it at intervals  of from one to five  or
                      2* 
8                       Symptoms.
 fix days, which still continue and are gradually becoming more
 frequent and violent.  In  the first part of July last, her right  ear
 began to swell, was very red, and soon  became very painful, and
 die pain extended through the cavity of  the ear  into the right and
 middle portion of the head, and in three days the swelling of the
 car subsided and left a tubercle of the size of a pea on the upper
 side of the jaw, near the  ear; but  the pain in the internal  ear
 and head has continued, with intervals of ease.  On the 10th of
 November last,  this tubercle began to enlarge, and to be irritated;
 and the external cervical and submaxillary tubercles of the same
 side began  to increase in size, and to be painful, and soon after
 the throat, with the gUm of the upper jaw of the  right side  be-
 came sore and painful, and in a few days after, the right side of the
 neck, with  the lower and  upper  jaw, began to swell, and with
 the car and right side  of  the head  became very painful.   Her
 heart began to  beat very hard about the last of November, and
 this strong or hard beating  continues.  On the 26th of December
 she began to cough and  expectorate, and this cough and expec-
 toration continues.
   Her stomach from  the commencement of the disease in  the
 uterus, has been more or less disordered with the  first mild and
 then acute symptoms of dyspepsia—bowels confined.
   The marasmus has been slow  but constant, and is now much
 advanced, with flaccidity  of the muscles.
   We  shall  now copy a short case affecting one limb only, that
 of the thigh, to show the manner  of distinguishing the  disease  in
 the limbs.
   Master J. R. of light  complexion, and tall and slender frame,
 aged 18 years, called on us, Jan. 8th, 1835.  He has a deep  ex-
 cavation in the right side  of the right thigh, about two inches  be-
 low the great  trochanter, and shaped like a tea cup, but every
 where covered with skin, except  the middle of the bottom  of it,
 which is near the bone, and from which  a bunch rises of the size
 of a small pea,  and from which tuberculous matter issues, and
 trie inguinal  and external cervical ganglia of glands of the right
 side are tuberculated.  The most  of these tubercles are large, but
 'here are none in the groin or neck of the  left side.
   The disease commenced about two  years since with a  small
 but deep seated abscess; but if  it had  been in the arm  instead
of the thigh,  the cervical ganglia only would have been tubercu-
lated.
   Master W. W., of Union,  light complexion, aged  17 years,
called for advice, Nov. 25, 1835, and said he  had been out of
health some time.  I now, without any enquiries, commenced an
examination  of the spine, between the first cervical vertebra? and 
Symptoms.
9
skull, when he observed that it hurt him,  and the pain darted"into
his tongue.   I then pressed on  the left side, in the space be-
tween the first and second vertebra?;  when he observed  again
that it hurt him, and the pain darted into his throat.  I then pres-
sed  on  the left side of the same space; when  he again repeated
the observation, that  it hurt him, and. the  pain darted  into his
throat.   Pressure along the other joints  of the neck  and back,
produced no pain or effect whatever.
   I  now told him that his tongue and tonsils were swelled, and
that he had a cough and  expectoration;  and on looking  into hi*
mouth,  found both tonsils (ammonds of the ear) much enlarged.
and  in  a state of ulceration,—the uvulu  [palate] much enlarged
and  elongated, and the tongue twice its natural thickness.  On
examining the submaxillary and cervical  ganglia of glands under
the jaws, and in the sides of the neck they were found much en-
larged.    He  is pale,  and the emaciation is  making progress.
The disease commenced more than a year since, and he has been
coughing and expectorating matter, more  or less, during the last
eight or nine months.
   Mr. J. H. Esq. of L., Ohio,  aged 34 years,  called for advice,
May 12, 1835. On examining the spine, I  commenced between
the first joint  of the neck and scull, and pressed in the spaces
between the joints below, one after another, and it produced no
pain until I had descended to the space on the right side, between
the  7th and  8th  dorsal, when  pressure   between these, and
between the 8th and 9th  produced pain,  which on every repeti-
tion of  the pressure, darted into the liver.  Pressure along  the
joints below these, produced  no pain or eftect whatever.  On
enquiring  into the history of this case, I  found the disease com-
menced in the liver, about six years ago, and  has terminated in
abscess, and broke  and discharged through the intestines, four
different times during this period.   He is now  feeble,  and just
recovering from  the formation and discharge of the last one,
which had reduced him nearly to death, and from which he and
his physicians  had but little hope of his recovery.
   Mr. H. brought with him his son, aged three years with he-
reditary scrofulous  sore eyes.  The eye-lids of both eyes,  are
very much swollen and inflamed, and the inflamation  extends
over both eye-balls  and has two ulcers of the cornea.  The light
is so painful to the eyes, as to render it necessary for him to hold
a handkerchief almost constantly over them.   The ganglia  or
line of glands  on  both  sides of his neck, with the  submaxillary
under the jaws, are very much enlarged  and painful under pres-
sure.  The disease commenced more than two years since, and
he has,  since  that time, been subjected  to  thorough courses of 
10
Symptoms.
treatment, with the most popular remedies, without any apparent
benefit.*                                        ..  ,
  In tubercula, or  white swellings of the joints, or limbs, or any
part  of the head or face, the glands in the sides of the neck are
always enlarged, or swollen, as in these cases, and always on the
same side with the disease.   If a person has a white swelling of
a joint or limb, or joints or limbs, on one side only, those glands
will always be enlarged on the same side, and  if there are white
swellings of the joints and limbs on both  sides, then those glands
will be enlarged on both sides of the neck.
  These glands, which are of the  kind called conglobate, and
with those  of the axilla, groin, thigh, ham and legr secrete the
forms  and  secretions, which  nourish  the  excreting  glands,  of
which  the head and limbs are formed, have small vessels attach-
ed to each of the excreting glands, called absorbent vessels, which
absorb from them any redundant or heterogenous fluids they may
contain, which is conveyed through these  vessels or  tubes,  to
the  secreting  glands or organs,  and thence to  the vena cavas.
And when from diseases of the glands of the excreting organs,
an unhealthy and irritating fluid is  formed in them, it is absorbed
by these vessels,  and by its irritation produces obstructions and
swellings, or tuberculations in the secreting organs.
  Pressure on these enlarged glands, on the side of the neck, in
the active or passive state  of the  disease, produces pain, and if
the  disease is  active in the tongue, tonsils, jaw, ear, brain, scalp,
breast or mamma, at the time such pressure is made, thisa>ain, on
every  repetition of the pressure, will dart into the diseased part,
or the tongue, tonsil, jaw, ear, brain, scalp, breast or mahima, as
the case may be.
  These  symptoms are therefore the  natural symptoms of the
disease in the limbs and head, or of white swellings of the limbs
and head, which have always an elastic or puffy feel.
  The secreting glands, which secrete  the forms and secretions
for the nourishment of the  internal excreting organs, are  situated
in the internal parts of the body, along  the front side of the dorsal
and lumbar vertebras, and in places most convenient for these
purposes.   They are numerous and very large,  like those of the
neck,  and  are sometimes called dorsal and lumbar glands.  There
 are  besides, two of these glands situated near the head of each rib,
 and there are others also attached to the  organs.
   The stomach with its appendages, (the  cesopheguS and intes-
 tines) and the lungs, liver, kidnies, urinary bladder  and uterus,

  * Galen's pills and plaster w«re prescribed, and were effectual remedies in
 ti-,f s? cases. 
Symptoms.
11
 are excreting organs,  and the first of these glands which lay under
 the lower cervical and upper dorsal vetebra?s, belong to the lungs
 and heart;—those under the 2, 3, 4,  5, and 6th to the stomach;
 those under the 7,8, and 9th to the liver and spleen; those under
 the 12th dorsal and 1st lumbar to the kidnies; those under the 2d
 and 3d lumbar, to the urinary cistis  or bladder, and those under
 the 2, 3, 4, and 5th lumbar to the uterus.  There are others be-
 low these under the  os-coxyx which belong  to the genital organs
 and anus.  These glands are enlarged, or swollen and irritable,
 like those of the neck in tubercular disease of the organs to which
 they  belong, and from  the  same  cause, and is  the reason why
 pressure on the sides of the vertebraical spaces, or spaces between
 the joints of the  back, as well as those of the neck, produces pain,
 for when we press there, we press against them, and against  the
 smaller glands;—round  bodies or satelites which belong to them,
 and which are also more or less enlarged.
    In determining whether one or both lungs are  tuberculated, it
 is necessary to press on  the  spaces on both  sides of the last cer-
 vical or large and last joint  of the  neck, and first dorsal,  or first
 joint of the back, and if pressure on the right side produces pain,
 the right lung is tuberculated; but if pain is produced by pressure
 on the left side, the left lung may be  tuberculated, or it may be
 the heart instead of the lung which is tuberculated, and produ-
 ces this symptom, or both may have the  same disease at the same
 time.  In order to determine which is diseased, we may enquire
 whether the patient has a cough aud  expectorates, and whether
 it is subject to a hard beating of the heart.  If it has a cough and
 expectoration, the left lung is tuberculated, but if it has no cough,
 the heart, on  examination,  will be found to beat  much  harder
 than natural, and the  sound of its action will be loud, and precise-
 ly like that of the churn, in churning.
   In tubercula of the stomach, and its  immediate appendages,
 called dyspepsia, pressure between the 2, 3, and 4, and sometimes
 5  and 6 dorsal, (counting from the last or large joint of the neck)
 produces pain.
   In tubercula of the liver,  called chronic  infamation of the
 liver, or liver complaint; pain is produced by pressing on the right
 side, between the  7 and 8,  and  8 and 9 dorsal,  and directly
 opposite to the lower part of the right shoulder blade.
   In tubercula  of the  spleen,  pain is produced by pressure on
 the left side of the last named,  or 7 and 8,  and 8 and 9. dorsal,
 and opposite to the lower part of the left shoulder blade.
   In tubercula  of the right kidney, pain is produced by pressure
on the right side of the space between  the 12th or last dorsal,
and first lumber vertebra1, and in tubercula of the left kidney, 
12
Symptoms.
pain is produced by pressure on the left side of the 12th dorsal
and 1st lumbar.
  In tubercula of the uterus, (womb) called leucorrhoea, chloro-
sis, and menorrhagia,  pain is produced by pressure between the
2d and 3d, and 3d and 4th, and sometimes 4th and 5th  lumbar,
or between all the joints of the small of the back, except the 1st
and 2nd.
  In tubercula of the genital organs, pain is produced by pressure,
between  the 5th or last lumbar,  and the os-coxyx.
  This pain produced by pressure, is always more or less severe,
in proportion  to the severity of the disease.  If there is but little
disease, the pressure will produce but little pain; but  if there is
much disease, the pain will be severe.
  The disease in whatever organ it may be, is always either ac-
tive, or passive, and if it is active, when such pressure is made,
this imin on every repetition of the pressure, will dart into the
diseased  organ, with a force or violence, proportioned to the in-
tensity of the  disease.
   These are  fiist the  natural symptoms of  the disease  in  the
limbs; and second, the natural symptoms of the disease in its ac-
tive and  passive state in the organs,—they are produced by na-
tural causes, and are very plain, invariable, and easily understood.
   When the  disease has commenced in one organ or  limb, it is
frequently propagated from  that to another organ or limb, as in
the case of Mrs. J. P.—cases in which it is propagated from the
tonsils find uvula to the lungs, and from the stomach to the lungs,
and from the liver to the stomach, and from the uterus to the an-
kles, legs, and stomach, are very common.
   In distinguishing the disease  in the cases of Mrs.  J. P.  and
Master W. W. and in tracing it in the different organs  and limbs,
I commenced and pursued the  examinations as  detailed in the
cases, as I commonly do, without  any previous  knowledge of
them.  Any  person of common education and capacity may ea-
sily distinguish the disease in the  same way, in  any  of the  or-
gans or limbs. 
Causes, 4fc.                      15
                        CAUSES

                           OF THE

       SYMPTOMS  OF  TUBERCULA.

  The different organs and  structures in the different parts of
the body are formed with different kinds  of  glands, with their
vessels, nerves, and  connecting substance, for the different pur-
poses of the organizations and it will be seen from  these symp-
toms that they possess  an electric influence and  are united to-
gether by an electric medium in every part of the system.
  The electric  fluid is united in these bodies in two  different
states  of combination—the positive, with positive matter in the
centre, and the negative with negative matter in the surface, and
produce motion by the forces of their repulsions and attractions
and repel and attract each other with  forces proportioned to their
quantities in given spaces.  The motions and forces of  electric,
galvanic, and magnetic matter, and lightning, are the same, and
caused by  repulsion and attraction; and they all produce heat
and light,  and are consequently the  same fluids,  modified  by
other matter.
   Repulsions are constantly succeeded by attractions, and these
are the natural principles of motion.   These motions are the push
and pull, or the repelling and  attracting motions of the pulse,
and those we use in walking, and the same or jerking motion we
feel in every shock from an electric machine.   All the other mo-
tions made by man and other animals,  from the priest in the pulpit
and the lawyer at the  bar, to the dancing master and fiddler, and
from these  to the wood sawyer and maid at the chum; and from
them to those of  the  animals feeding upon the plains are  thes<j
motions belonging to electric matter.
   The electric fluid in positive bodies, or those that have greatei
quantities of positive than negative,  is repelled in large spheres
in large lines from positive to  negative  bodies, or to those  of
smaller  quantities of  positive proportioned  to its  quantity  in
given spaces, and is attracted in small lines  in a negative  state,
from negative to positive, bodies, and  when  those  in  a positive
pass to a negative body, they move  along their best conductors
or mediums, and when they come in  contact with nonconductors,
the violence of their concussions or  repulsions and  attractions is
proportioned to the size of the lines,  or its quantities in given
spaces. 
14
Causes <$fc.
    The nerves of the system, or electric conductors or mediums,
 are therefore necessarily large where they are united to the brain
 in a positive  state, and branch, and become very small  before
 they are united with glands in other parts of the system in a
 relative negative state.
    In tubercula, the electric fluids are in some tubercles positive,
 nnd in others negative, and are repelled from those in a positive, to
 those in a negative state, and attracted from these to the positive,
 through their  mediums,  and produce in the tubercles the  dull
 pains in  its chronic  form and  spasmodic darting or lancinating
 pains when acute,  and are always prevented from passing from
 a limb to an organ, or from  one organ through an intermediate
 organ to  another, or from an  organ to a limb by means  of the
 ganglia of its medium, and this arrangement of the ganglia of the
 nerves  makes the sympathy necessarily direct between the  sur-
 face, head  and central organs,  and  indirect between  the head,
 central  organs and limbs, and is a necessary arrangement to enable
 the brain to maintain its  relative positive state, and the  glands
 of the different parts of the system to transmit their separate
 electric fluids and sensations from one to another, and from these
 to the sensorum.
   These motions or repulsions of electric matter produce expan-
 sions and evolutions  of heat which are  succeeded by darting or
 lancinating pains in tubercles in repulsions and reduced and aching
 pains, in attractions and contractions, with negations of heat which
 follow in constant succession the repulsions, expansions and evo-
 lutions of heat, and produce these emotions in these elementary
 organs for the purposes of secretion and excretion.
   These symptoms are the same  as those produced by electricity,
 and are  easily imitated,  and the electric fluid in  these tubercles,
 imitate that  in  the clouds by passing along its medium from  one
 in a positive to one in  a negative  state, and the instant it becomes
 positive to another,  and in changing its course  in zigzag lines
 and sometimes in passing in different directions, at the same time.
 It passes into the tuberculated  glands or papilla? of the skin near
 the surface of the body—around and between the muscles__into
 those of the tongue, ears, eyes, brain, heart, lungs,  liver, spleen,
 uterus, and  mucous  and serous  membranes,  as well as those of
 every other part of the system, but never into nonconductors,
 or adipose substance with which they  are surrounded.
   When the glands  of a limb or organ begin to  enlarge by the
 increase of their excretions and secretions and consequent expan-
sions of their electric  fluids, they excite a disposition in others of
other organs to  enlarge and expand their fluids by direct or indi-
rect sympathy  as it happens to cemmence  in  a limb  near the 
Causes, Afc.
15
surface of the  body or in  an organ,  and generally produce an
exaultation in the inclinations and sensations proportioned to the
perfection of the glandular organization—the extent of the tuber-
culations or  power  of their sympathies and are sometimes so
strong as to resist or control the ideas excited by external objects.
  They are the organs of sensations which are communicated to
the sensorium by their electric fluids through one set of nerves,
and produce inclinations which are communicated from the sen-
sorium to them by the same means through another.
          CAUSE  OF  TUBERCULA.

  The common cause of tubercula  of the organs and limbs, is
the frequent changes in the different states of the electric fluid,
in the glands or elementary organs of  motion, secretion and ex-
cretion,  from frequent changes  in  the  electric states  of the
atmosphere, and modifications of the electric  fluids, secretions,
and excretions by heat and cold.
  In cloudy and damp weather the atmosphere is in a negative
state of electricity, when patients with  tubercula have more pain
and feel more dull and heavy  than they do when the atmosphere
is clear and dry and in a positive state.  For when the atmosphere
changes from the positive to the negative state, the body changes
at the same time from the positive to the negative state.  When
attractions and  contractions  commence in  the  tuberculated
organs and limbs, and produce dull or aching pains, which torture
such patients more or less, until the atmosphere changes  from
tbe negative to the  positive state; when the pains cease and
they arise from their cots, throw open the  doors, and walk abroad
with bouyant spirits.
                                              3 
16                    Natural Remedies.
NATURAL REMEDIES.
          CHRONIC  TUBERCULA.

  The surface of all animate bodies in motion, are in a negative,
and their centre in a relative positive  state.   The glands of the
skin or surface, and those of the serous membranes covering the
external  surfaces of the organs, excrete an acid fluid, a?ri-form or
aqueous, in  a negative, and those of the internal surfaces,  or
mucous membranes of the alimentary canal, and other oro-ans,
excrete an  alkaline fluid in a positive state, for the purpose of
maintaining  these surfaces, in these different states of electricity.
The intermediate glands of the organs and limbs, belonging to the
excreting and secreting system, excrete and secrete other fluids,
for different  purposes; and these arrangements are necessary to
support animal life, and when they are interrupted,  the body
suffers, or life is endangered in proportion to the extent, or vio-
lence of these interruptions.
  Every kind of inanimate matter, is in a positive, or negative,  or
neuter state, and the true and natural mode of reducino-'or curing
tubercula of  the organs and limbs, is  to apply a kind of positive
matter (over a certain extent of  the  surface, where the motion
trom the surface to the diseased organ or limb is direct,) that will
maintain it in a positive state.   And at the same time administer
negative matter internally, that will increase the attractions and
contractions in the organs and limbs.
  All  the   effect  produced by the remedies recommended in
medical books, if they happen to have any in this disease  is in
exact proportion as they happen  to correspond  in  some degree
with these principles and remedies.                         6
  The alkalies and the acids, and some of their compounds with
other matter, are examples of positive and negative matter- and
repel and attract each other under favorable circumstances  with
forces proportioned to their quantities in given spaced Those
that I use called Galen's pills and plaster^ the'rnos  actlvTof
some of these compounds, among which are those witWold £
a negative,  and iron m a positive  state.                  g 
Directions, Sfc.                     17
             DIRECTIONS FOR USING

                             THE

         NATURAL OR ELECTRIC REMEDIES

                          CALLED

    GALEN'S  PILLS  AND  PLASTER.

   One  Pill  must  be taken  night  and morning, during  three
weeks,  after  which, one pill  every night, excepting  cases  of
children under three years and over one year and a half,  when
half of a pill only  must be given every night on going to bed,
until the disease is cured, no matter what the state of the  stom-
ach  or intestines.   In cases of children under a  year and a half
old and over three months,  a quarter of a  pill may be taken at
bed-time in any convenient vehicle.
   No dieting is necessary or proper during the use of these pills;
but on  the contrary the  most nourishing  food must be taken in
all cases where the stomach  will bear  it,  and it will always be
borne after a few days use of the pills.

Directions for using the  Plaster in  white  swelling of  the limbs,
  jaw and neck, and in ulcers and abscesses.

   The plaster  must be  spread very thin  (it is  no  matter how
thin) on the rough side of a piece of oil  cloth, or on very thin and
soft  leather, or on glazed cotton or linen cloth,  and of a size
sufficient to cover the tubercles, ulcers, abscesses, or white swell-
ings or painful part of the  system and applied  to them and re-
moved and renewed once in  every day, either by adding a very
little more of  the plaster, and what  will be barely sufficient  to
give it a new surface, or by spreading a new plaster.
   If on  removing the plaster much of it should adhere to the skin,
it  may be washed off with soap, and the plaster re-applied, and
this course must be pursued until the tubercles, ulcers, abscesses
or white swellings  are removed.  Small vesicles appear under
the plaster in a few days after it is applied filled  with lymph, but
they soon disappear, and others are  formed and  disappear, and
require no attention whatever. 
18
Directions, Sec.
 Directions for using the Plaster in cases where  the  disease is
   affecting the organs, or in consumption, dyspepsia, Sec.

   In tubercula, or what is called scrofula or  chronic disease
 affecting the head or face, the plaster must be applied to the mid-
 dle and upper part of the back of the neck or upper cervical ver-
 tebra?—in consumption, and also 'chronic disease of the  heart
 (hypertrophy) it must be applied over the lower half of the neck
 and extend down between the shoulders over the first, second
 and third joint of the neck, or dorsal vertebrae,—in dyspepsia it
 must be applied over the  first,  second, third, fourth, fifth and
 sixth joints of the back between the shoulders—in chronic  dis-
 ease of the  liver or  liver complaint,  it must be applied from a
 point halfway between the shoulders, to the joints of the small
 of the back, or sixth, seventh, eighth,'ninth and tenth dorsal—in
 chronic disease of the spleen (enlargement or ague-cake) it must
 be  applied in the same place—in the intestines  and  mesentery
 or chronic diarrhoea,  it must be  applied over the eleventh and
 twelfth  dorsal  and first and second  lumbar vertebrae—in the
 uterus or chronic disease of this organ or leucorrhcea, chlorosis or
 menorrhagia, it must be applied over all the joints of the small of
 the back or lumbar vertebrae.  In such cases, the  leather or cloth
 for the  plaster may be cut five  inches  wide, and spread three
 inches wide, leaving a  margin on the  sides  and ends of about
an  inch, and must be renewed by  adding a little  more of the
plaster,  as often as the plaster becomes  loose and  does not ad-
here.  If the plaster is renewed very often, or oftener than once
in two or three  days,  it will in some cases make the back very
sore, and in such cases it may be discontinued two or three days,
or until the sores it produced  are healed and then  re-applied as
before, and their use continued until the disease is cured.
  When white swellings of the joints or  limbs over which these
plasters are applied are  cured, they are  always smaller  than the
corresponding well joints or limbs, unless from  long continued
disease  the bones of a joint or  limb have before its application
become permanently enlarged.
  These remedies  cure all  the cases of the different forms of
tubercula and in all their stages; to wit: Tuberculous or scrofulous
sore eyes, and ulcers of the cornea—ulcers of the ears—disease
of the antrum and nose—tinea capitis or scald head—king's evil
in the neck—mercurial disease  or chronic enlargement of the
tongue and tonsils—chronic enlargement of the breast, or mam-
ma including cancer in its first stage—phthisic or consumption—
hypertrophy of, or chronic enlargement of the heart—dyspepsia,
or chronic disease of the stomach—chronic disease of the liver, 
Directions, Sec.
19
or liver complaint—tabes  mesenterica, or  chronic diarrhoea—
chronic disease of the uterus, or leucorrhcea, chlorosis, monor-
rhagia, and incipient cancer of the uterus—ulcerated legs, fever
sores—disease of the spine, disease of the hip joint—white swel-
lings of the joints or limbs, and  morbid alterations of structure
in the synovial  membranes or cases where  one of these forms
are complicated with  the same disease in one or more organs,
excepting a few only in the  last part of the last stage, and accom-
panied with irreparable injury or  loss of substance as  in cases
of white swelling  of  the  thigh,  which from long continued
disease has become ulcerated and excavated to a great extent
between the hip and knee, or between the  knee and ankle, and
in cases where one or both  lungs have become literally crammed
with tubercles,  or are in large clusters and in a mature  state, or
in cases of large excavations  in the lungs  and cases of a similar
nature.  These are all  the same and different-forms of chronic
tubercula or what is called scrdfula, affecting different  parts of
the system from the same causes, requiring the same remedies
or treatment; but for which a  great variety of treatment is recom-
mended in  medical books  founded on suppositions of various
causes, for the same or different  forms which  sometimes palliate,
but rarely cure any of its forms; nature,  however,  sometimes
modifies or cures it by change of season or climate.
   There are seventy-five Pills in a box, a number sufficient, with
a box of Plaster, to last  a patient seven weeks, and to cure any
of the  recent cases of the disease in any of its forms.   In cases,
however, of long continuance, or in its last stage, it will some-
times from obvious causes, which  I have not room here to ex-
plain, require two or three boxes of each.
   These remedies  which I have used in my practice  for more
than twenty years, and during the time I have been investigating
the phenomena of tubercula,  and about which there is no mistake
are very active, but never produce any injurious or disagreeable
effect upon the stomach, or any  other part of the system, or any
other that is noticed by such patients except a steady  improve-
ment in all the symptoms dependant on chronic tubercula.
   The cure commences immediately, or  very soon after the
commencement of the use of the remedies, and their action con-
tinues steadily and forcibly,  and cannot be  easily diverted from
their purpose,  and the cure progresses steadily, with  a steady
increase of strength and flesh, unless it is retarded by colds which
sometimes retard, but rarely,  or never prevent a cure.
   There are other chronic diseases which belong to this  class
besides those before noticed, but as I have not had an opportu-
nity of using these remedies in them in a sufficient number of
   '                    3* 
J<)                  Observations, Sec.
cases of each, to  make a certain test of their action, a further
notice of them will be defered to a future period, excepting only
one, that of Goitre, or swelling of and over the thyroid gland, or
common swelled neck of females, very prevalent in some districts
of country.
  In cases of this disease, of not more than a few months contin-
uance,  these remedies remove the swelling, in from five to seven
weeks, and in cases too where Iodine internally and its external
application in the form of ointment entirely  fail.  In cases of
long continuance, a box of these remedies reduce the swelling
about one third, where it remains stationary.
   OBSERVATIONS  ON  THE  CASES.

  The number of cases published in this pamphlet, amount to
more than thirty, and I should be pleased to give the whole num-
ber in which they have been used;  but am unable to do so, in
consequence of not having kept an account of their number until
last year (1835.)   Their yearly number was at first very few, and
confined to the common  and acknowledged cases of scrofula;
but their number has gradually increased during a period of more
than twenty years, and must now amount to several hundred.
Their number,  from the  1st of January,  1835,  to the 31st  of
December of the same year, amounted to one hundred and sixty-
three.
  The following is a list of cases during that  year, affecting the
different organs and limbs, viz.
    Neck,                                              18
    Neck and eyes,.                                       2
    Neck, nose and spine,                                  1
    Neck, tongue, tonsils, and right leg,                      \
    Neck, jaw, tonsils, ear, cerebellum, breast, heart, stom-
      ach, uterus, one arm and both legs,                   I
    Neck and lung,                                       o
    Neck and Stomach,
    Neck and mesentery,                                 o
    Tongue, tonsils, and uvula,                              1 
Observations, Sec.
21
Tongue, tonsils and right leg, Nose and face,	1 1
Lungs, (first stage) Lungs, last stage with tubercles in a mature state,	21 1
Lungs, with excavations,	5
Lungs and both legs, and one ankle, with excavation of	
both lungs, Heart,	1 3
Heart and liver,	4
Stomach,	19
Stomach and lungs,	5
Liver,	18
Kidney, (left) Liver and kidney, (right,) Liver and stomach,	1 1 4
Liver with abscess,	3
Mesentery, Uterus and legs,	1 3
Uterus and lungs,	2
Uterus and stomach	7
Joints and limbs,	31
Unknown,	1
                     Whole number of cases in 1835,  163
     Of these cases the number cured is                 154
     Cases not cured, in consequence of not using the re-
       medies a sufficient length of time,                  3
     Cases which have died,                             6
  Of the cases which have died, the first was that of Master N.
of Columbus, aged 16 or 17 years, whom  I never saw, and of
whose case I know nothing, except that it was about ten years
since it commenced.
  The second case was that of Mrs. B. of M. in the last part of
the  last  stage of tubercula of the mesentery, with a  frightful
marasmus.
  The 3d case was that of Mrs. K. of M. with a cancer of the
uterus in a state of ulceration, complicated with abscess of the
liver, which was discharging matter through the right side in four
places.
  The 4th case  was  that of Mr. W. W.  of M. Michigan, with
tuberculated  right leg, left hand, heart, and scalp over the  right
frontal, and right parietal bones.  The leg  and also  the scalp
ulcerated in two places.  He died of compression of the brain, in
consequence of the injudicious use of nitrate of silver, which had
been frequently applied by the direction of his physicians, to the 
22
Observations, Sfc.
upper part of the parietal bone, and penetrated through it  to the
brain, as shown by dissection.
  The 5th case was that of Mrs. S. of Cincinnati, with tubercula-
ted left  lung in a mature state, and 6th the case of  Mrs.  C. of
Cincinnati, with hypertrophy  of the  heart, and excavation of
both lungs.
  In tubercula of the lungs, or consumption, the tubercles are
generally found occupying  the upper portion of the  lungs, and
the left lung more frequently than the  right, in the proportion of
about two to one.  They are frequently formed in clusters, like
clusters of  grapes; but  at  other times, are either  seen  ihinly
scattered about in one, or  in  one and a  part of another, or in
both lungs, but at other times one or both lungs are nearly every
where filled with them, and are in this organ generally of the size
of peas, when they have arrived to their mature state.   They  are
the glands or elementary  organs of motion and excretion, which
begin to increase  in size, by  the force of the increase of their
excretions, in consequence  of obstructions to the natural course
of these excretions and when their excretory action ceases, their
fluids which are inclosed in separate layers of thin  membrane,
begin to harden, and in a few days or weeks have the color and
hardness  of  old cheese, and cut like  it.   They then begin to
soften in the middle of  these round bodies of  cheesy matter,
covered with a  common membrane,  when the  whole  mass is
gradually changed into a thin fluid, mixed with cheesy mattter,
which soon makes its way into the bronchial or air tubes, and ex-
cites  cough  and  expectoration of tuberculous matter.   Some-
times, however, although  rarely, it makes its way into the cavity
of the pleura, and produces pneumato-thorax.
  In the cases where there are only a few tubercles in the lungs,
and at a sufficient distance  from each, to prevent  them from
breaking into each other, and one or two soften down, and produce
a small excavation; they do not necessarily endanger life,  for in
such cases they may and do live many years, although they may
have two or three such excavations  form every year.
  In  the  cases where they  are in clusters, and after one  has
softened down and produced a small excavation, others adjoining
it soften down and break into it, and in  a few days or weeks^
produce in this way excavations proportioned to  the  size of the
clusters,  and these may be from  half an inch, to two inches in
diameter, and when  the  whole of one or both  lungs are nearly
every where crowded with  tubercles in a mature state,  a large
excavation is generally formed which might contain an orange.
   All these  cases  are curable with the natural remedies, in the
first or formative stage of these tubercles; but when there is  a 
Observations, Sec.
23
general accumulation of them, or they are in large clusters in a
mature state;  or in cases where they have softened down, and
produced a large excavation, they are alike incurable, either from
the injury done by their great accumulation, or from an irrepara-
ble excavation; but when they are in clusters not exceeding an
inch in diameter,  and whether they have  softened down or not,
they may, and do recover, as is proved by the stethoscope, and
by dissections,  in  cases where they  have recovered from this
disease, and afterwards  died with another.
  The above observations  apply generally to tubercula of the
liver, and need not be repeated.   I may, however, remark that
tuberculous matter from excavations in the liver, generally makes
its way into the intestines or stomach, and at other times either
to the  surface of the skin on the right side, or into the cavity of
the peritoneum.
  Haemoptysis or hemorrhage from the lungs frequently accom-
panies consumption, and when blood is raised in small quantities
not much exceeding a wine glass full, it is generally exhaled from
the mucous membrane of the bronchia, in place of its ordinary
excretions, and is commonly a slight infection requiring little or
no  attention;  but  when raised in larger quantities, it is almost
always the consequence of the affusion of blood into the air cells;
and is an  affection  which from  its exact resemblance  to the
affusion of blood  in the brain, in  appoplexy, is now  called pul-
monary appoplexy.
   These  organs into which the blood has been affused, are larger
than natural, and  are  in clusters, and occupy a circumscribed
space, commonly from one to three inches in diameter, in the
centre of which a clot of blood is sometimes found.
   Hemorrhage from  the lungs, may also be  produced  by an
aneurism breaking into the bronchia, or by the rupture of a blood
vessel in an excavation; but these cases are very rare,  and quickly
followed by death.
  It will be seen by the foregoing list of cases in 1835, that the
number of those affecting the lungs is 37, and that of this num-
ber, 21 were in the  first stage, one in the last stage  with  tuber-
cles in a mature state, and six in the last stage with excavations.
And that  of the whole number in this year, two only died, and
those, cases in the last  stage.
  From these data, which correspond very nearly with those of
former years,  the  importance  of commencing the use of  the
natural remedies in the early stage of the disease in the organ,
and the uncertainty of the result when in the last stage will also
be  seen.   Of the  whole  number of cases affecting the neck,
called King's Evil,  and which must now amount to more than 200, 
24
Observations, Sec.
not one has been lost, but all have been cured excepting the few
now under treatment.  And the result has been the same in the
cases affecting other parts of the system,  excepting a few  only
in the last stage,  like  those before  noticed, with irreparable
injury, or  loss of substance.
  The bones like the muscles and other  parts of the body, are
formed with glands, with their vessels and nerves, but have solid,
instead of the  soft connecting substance of the  organs, mem-
branes, muscles and skin, for the purpose of covering and protect-
ing some, and supporting every part of the whole  system.  And
when tubercula or white swellings commence in them, the disease
goes through its natural order as it does in the  organs, mem-
branes, muscles and skin, of tuberculation  and  ulceration,  or
tuberculation and  then hypertrophy  or general  swelling and
abscess.   In its active state in bones "of very hard texture,  the
pain is sometimes very violent and of the kind called spasmodic
in consequence of their slow and difficult expansion, but there is
generally but little  pain, and  with long intervals of ease, and
when in the course of the disease the elementary organs of which
the bones are formed, are destroyed by  ulceration,  the small
excavations  once occupied by them are very conspicuous, and
the channels of their vessels and  nerves easily traced.
  In consequence of their being no generally known remedy for
tubercula, it is the practice  in this Country, and in Europe, and
in the Hospital and Country practice, to amputate or cut off the
limbs in cases of tubercula or white swellings of the joints  or*
limbs, whenever the disease is supposed to have advanced so fa*
as to endanger life.   The relief in  such cases is, however, gener-
ally very temporary  as the  disease is commonly soon developed
in another joint,  limb, or organ, and such patients consequently
receive from such severe  operations but a brief immunity from
pain and death.   In the case given of Mr. J. S. of Preble county,
the thigh  was  amputated  for a white swelling  of the  right
knee;  but the disease soon after  attacked him in the left hip,
and then in the left  foot, when that of the hip became passive.
If in this case the left leg, like the thigh of  the right side, had
been amputated on account of the disease in the foot, according
to the common  practice,  the disease  in the hip  would have
quickly become  active and Mr. J. S.  soon numbered with  the
dead.
  This case with that of Miss M. G. of  Springfield, with acute
white swellings of  the heel; Mr.  D. C.  of the same place, with
the same disease in the knee; and Master W.  L. of Madison, with
the disease in all the limbs and many of the joints, with a'great
variety of similar cases, show what is effected by the natural rem- 
Observations, Sec.
25
edies, without amputation.   And I may here remark that on ex-
amining the cases of amputation for  tubercula of the joints and
limbs reported in the London Medico Chirurgical Review, during
the last ten years, and including those that are called by different
names, but really the same disease,  there can be  little or  no
doubt, but at least three fourths of the number, would have  been
rendered  unnecessary, if the use of these remedies had  been
commenced even at as late a period  as that in which they  were
performed, and this opinion is hazarded with the full knowledge
of the fact that these reports were principally  from the Hospitals
of London and Paris, and that these operations were performed  by,
or with the advice of Physicians and Surgeons/who rank not only
among the first, but as the elite of our art.  The tuberculous or
scrofulous, diathesis or taint, is destroyed by the natural remedies
but remains in the system after these operations and the disease
propagated to other organs and limbs.
   It will be seen on an examination of the cases, that those of
Females 'affecting the uterus, or the Female complaints, were
all  complicated with the disease in  some other organ  or  limb;
and it may be useful to remark here, that the natural remedies
cure it uniformly, whether complicated or not, and from render-
ing the blood more florid, as uniformly imparts a more florid hue
to the skin.
   This disease in  the different organs and limbs, consigns to  a
premature grave, its thousands every year in the United States
alone, of the most amiable, talanted and fairest portion of  our
race, and an estimate  may be formed of the value of these new
symptoms and  remedies to the community, from  the well known
fact, that little  or no reliance  can be placed on the common man-
ner of distinguishing the disease, or in the remedies for it, known
to the profession, or recommended in any of our medical books.
   A great majority of the cases that have  been cured by the elec-
tric or natural  remedies, were first treated by other Physicians,
and besides  Mercury and Iodine, had been under the use of  a
great  variety of other  remedies, and when these  failed,  many
of the patients had resorted to Root, Steam, Charm,  Indian  and
Cancer Doctors, and to an endless  variety of Elixirs of health,
Purifiers  of the blood, Cough Drops, Panaceas, Catholicons and
Indian Specifics, and  continued their  use  until  they became
satisfied of the fultility of such remedies.
   Some of these patients had taken  from one to thirteen bottles
of Swaim's Panacea,, a compound of Syrup of Sarsaparilla and
muriate of Mercury and imitation of the  long known Lisbon diet
drink.  And although from its frequent failure very little depen-
dence is  now placed upon it, there can be no doubt that it  some- 
26
Observations, Sec.
times exercises a favorable influence upon this'class of diseases.
  The importance  of this subject to the community is so great,
as to  justify  me in  again  reminding the reader  that the new
symptoms I have given of this disease in the different organs and
limbs  are the natural and only scientific ones, and are conse-
quently invariable, and never deceive, like those given in other
medical works.  There is no mystery about  these symptoms,*
which demonstrate the unity of chronic diseases,  by which the
practice is  greatly simplified, and a knowledge of  it easily at-
tained • and  that the remedies are the natural and  only scientific
ones, and may be depended upon in all the cases of the disease,
with the exceptions mentioned in the chapter on the use of them.
   As an illustration  of the uncertainty of the common symptoms
I may observe here, that dyspepsia is frequently mistaken  for
chronic inflamation of the liver,  and female complaints for con-
sumption, and  vice versa.  And besides there are no symptoms
given in other medical books, by which to distinguish the disease
in the brain, and some other parts of the system.
   In  examining patients with chronic diseases, it  should not be
forgotten  that the disease is  sometimes in an active, but most
commonly in a passive state.  If the disease was constantly in an
active state, they would die with it in a few weeks like  patients
with  acute diseases  instead of  living as they do months, and
sometimes years.  We can always tell in an instant, whether it
is in an active  or passive state, in the organs by pressure in the
proper places on the  spine.  If the disease is  active the pain pro-
duced by the pressure, will dart into the diseased organ with a
violence proportioned to the  intensity of the disease, but if it is
in a passive state, pressure produces pain in the spine only, which
does  not dart into the diseased organ as in its active state and
is more or less severe in proportion to the progress of the  disease.
   I shall add from my case book a variety of other cases affecting
the different organs  and limbs, for the double purpose of showing
the natural symptoms of the disease, and the action of the natural
remedies; and in a manner so plain as to enable any person of com-
mon  education and capacity to distinguish the disease and  apply
the remedies.                                            M J
pages ten and eleven, and the chapter on the causes of the 
Observations, Sec.
27
                 OBSERVATIONS

                           ON  TIIE

  SYMPTOMS  OF CHRONIC  TUBERCULA.

   It will be observed, on an examination of the cases, that large
 tubercles, as well as those of a smaller size, were always found
 on one or both sides of the  neck, and' always on the  same side
 with the disease,  except those  in the cavities of the cranium or
 abdomen; and in those cases there was always more or less pain
 along the cervical, dorsal, or lumbar vertebra?.   This pain is sonic-
 times severe, but at others slight, and is generally described as a
 mere aching sensation, and is always intermittent,—is sometimes
 felt and at others not, but if we press with our fingers or thumb
 upon the sides of these vertebra?, one after another, such pressure
 will produce pain,  and if the disease is active, or there  is pain
 in the organ at the time, it  will on  every  repetition of the  pres-
 sure dart into the diseased  organ with a violence proportioned
 to the intensity of the disease, and it darts wijh such violence
 in some of its severe forms in the central organs, as to render it
 dangerous to apply strong pressure, as it would in such cases be
 easy in this way to extinguish life, and  moderate pressure  suffi-
 cient to hold the action of the  heart and lungs suspended  until
 it is removed.
   White swellings arise over tubercles,  from infiltration  of the
 absorbent  vessels,  and in  the  common form, are slow in  their
 progress, with little pain in the first stage of the disease, and that
 of the dull or aching kind, with long intervals of case; and  have
 a more or less hard,  and always an elastic or puffy feel.  In \\&
 active  or acute state in  the  organs viscera and limbs,  the symp-
 toms arc the same, except it is more rapid in its course, and the
 pain more or less violent and spasmodic, with short intervals of
ease.
             4 
28
Cases,
CASES.
         TUBERCULA  OF THE LUNGS.

                     CONSUMPTION.

  Mrs. M.  W-------, of Union, Butler county, Ohio, aged"3!
years.  I was called to see her, August 22,1834.  She is above
the middle  stature, dark complexion  and slender form, but has
enjoyed almost uninterrupted  good health until about the  first
of June last, when she began to be feeble, and this feebleness
continued, and in the last week in July began to  cough, and in
a few days after began to expectorate a thin and semi-transparent
glutinous matter and it was not until yesterday morning that the
appearance of this  matter changed to a yellow white color, and
raised in a  much  larger  quantity than usual, which now gave
alarm for her  safety and -induced her to seek for assistance.
Her cough too  had been  attended with some degree of hoarse-
ness after a few of the first days, and had increased so much that
it was  now with great difficulty that she could raise  her voice
above a whisper.  Her flesh is wasting rapidly, and  in the last few
days has had a little fever in the afternoon and evening with a
flush on her cheeks, and has began to sweat  in the after part of
the night.
  The catamenia has disappeared, and her eye has the clear and
glassy  appearance  and expression which gives to her counte-
nance  that  peculiar vivacity so characteristic of consumption.
She has a  tubercle of the size of a pea on the upper and outer
side of the left lower jaw, and another of twice the size on the
lower part of the neck, and near the clavicle  of  the right  side,
and both very  sore or tender.   Pressure  on the  lower cervical
vertebra? produces pain, which darts from there into the chest, and
pressure on the tubercle  near the clavicle produces pain which
darts under the clavicle.
   Prescribed Galen's Pills and  Plaster.   The plaster 12 inches
long and five broad, to be applied over the last cervical and upper
dorsal vetebra?.  One pill to be taken night and morning for one
week,  and then one every night, with the constant use of flannel
chemise and  drawers, and to continue  her usual exercise and
exposure to the atmosphere.
   Her cough and hoarseness soon began to subside, and  in about
 four weeks they had very nearly ceased, and  she had gained con- 
Cases.
29
siderable strength, when she took a severe cold, which increased
her cough and hoarseness, and lessened her strength, but they
began to subside again in a few days and soon disappeared.
  October 28th.  Examined her chest again with the stethes-
cope and found that the respiratory murmur which at first  was
only heard very slightly in the lower part,  and only in  a  few-
places in the upper part  of the lungs was now clear and distinct
over their whole extent,  but yet not as loud as natural.
  November 14th.  The  tubercles which were at  first  nearly
round and hard, have flattened  down  and nearly disappeared.
The respiration is now as  loud as natural over the whole extent
of both lungs.  She  has no cough unless she gets a little cold,
and then  it is very slight, and no more  than common when en-
joying good health, and has entirely lost the consumptive aspect
of her countenance, and has nearly regained her usual flesh and
strength.
  December 15th.  Catamenia has re-appeared after an absence
of four months, and her  health in all respects perfectly restored.
  Her mother and two sisters have  died with consumption.
  Oct. 22,1836.  Her health continues good.
 TUBERCULA OF THE RIGHT LUNG.

             CONSUMPTION--HEMOPTYSIS.

  D.  S. of-------, of spare habit1, feeble constitution and light
complexion, aged 46  years.  He had inflammation of the  right
lung  in December, 1831, from  which he recovered, and in the
first part of November, 1833, felt at different times, a dull pain in
the middle  portion of the  same lung,  attended with a slight
cough, wliich increased gradually until  the I4th  of December,
when on taking a severe  cold, it become very violent, and  was
attended with some pain in  the head, with  depression of spirit.
These symptoms continued, and on the  morning of the 20th, he
raised, or coughed up in a few minutes, about a wine glass full
of a. thick white  or greyish coloured matter, and in less than 48
hours after had  an attack  of hemoptysis, which continued about 
30
Cases.
an hour, when it nearly ceased, the expectoration being now only-
tinged with blood.  He had now great thirst, strength much
xehausted, countenance pale and  haggard,  with  a slight flush
upon the cheek, pulse quick, and has a number of tubercles of
the size of a pea, and very hard, on the right side of the nock,
and on the back part of the upper and lower jaw, besides a large
submaxillary one, under the jaw of the same side.  Pressure on
this last tubercle produces pain,  which darts into the right lung
and right  tonsil, which is so much  enlarged as to  produce diffi-
cult and painful deglutition.  He  had also an aching sensation
between the shoulders, and pressure on the right side  of the last
cervical and last dorsal vertebrae produces pain which darts into
the right lung, and there is some soreness along the second and
third dorsal also.   Diagnosis.  Tubercula  and  excavation   of
middle portion of right lung, and tubercula of right tonsil.
  Prescribed Galen's Pills and Plaster, ten inches long and five
broad over the cervical and upper dorsal vertebra?.
  His cough and expectoration wliich was  sometimes coloured
with blood, beganj to subside in about twenty four hours, and  in
seven weeks entirely disappeared, and his health restored.
  Dec. 24.  His health continues  good.
       TUBERCULA  OF  THE  NECK,

        INTESTINES  AND MESENTERY.

     KING'S  EVIL--MARASMUS  AND  DIARRIiVeA.

  Mr. J. R, of H---,---, Ohio, merchant,  of slender habit, and
light complexion, aged 30 years.   Called to see him November
5th,  1833.  He has tubercles  and ulcers  on both sides of the
neck, the  tubercles very large, and has  also an  enlargement of
the abdomen, with irregular fever and  diarrhoea, and  is pale and
much emaciated.
  The disease commenced a few months since after an attack of
bilious fever.  His father died with the  same disease in Cincin-
nati, about two years ago, and he lost a brother with consumption
in 1826, and a few months past a sister, and has another brother 
Cases.
31
in the last stage of this disease.  Diagnosis.   Tubercula of the
ueck, intestines and mesentery.  Prescribed  Galen's Pills and
Plaster.  His fever and diarrhoea disappeared in a  few days, and
his  health soon began to improve,  and in  six weeks he  was
restored, and has gained during this time considerable flesh and
strength.
  January 12th, 1835.  The brother mentioned above in the last
stage of consumption  is dead, and also another sister with  the
same disease.   The elder brother and sister, as well as these last,
resided in the state of Maryland, and under the  common  treat-
ment, the one residing here,  like those in Maryland, would havt
long since been numbered with the dead.
     T UBERCULA  OF  THE  UTERU S,

          LIVER,  STOMACH,  TONSILS,

               PALATE  AND  CEREBELLUM.

  Mrs. T.  S----, of F. Butler Co. Ohio, aged 31  years.  She
came to see me Aug. 14, 1836, and says she  has  been out of
health about 5 years.  The examination in her case  was com-
menced as usual, by an examination of the spine, and first, of the
first cervical vertebrae.
  Pressure on a small tubercle  of the right  side of it produced
severe pain, which  darted into  the right side of the throat, and
right side of the head.  Pressure on the left side  of it produced
pain which darted into the left side of her throat..  Pressure on
the sides  of the second joint  also produced  pain, which darted
into the upper and  front part of the neck.   Pressure on the 2.
3, -1, and 5 dorsal, produced severe pain, which darted into the
stomach.   Pressure on the right side of the 7, 8 and 9th produc-
ed severe pain, which darted into the  right side, in the region of
the liver.   Pressure  on the 2, 3, 4  and  5 lumbar; produced
severe pain also, which darted into  the region of the uterus.
Pressure on the other cervical dorsal  and lumber vertebra?, pro-
duced no pain or effect whatever.
  I now examined the line of glands  along the neck, and umler
                       4*. 
32
Cases.
the jaws, and found them very much enlarged, and told her  that
her tonsils and palate were enlarged, and that she had dyspepsia,
chronic inflamation of the liver, and leucorrhcea, besides swellings
of some of her limbs.
  She said that was right^. and that the disease commenced in the
uterus five years before,  and about a year  after, it commenced
in her liver, and a few months after thatr in her stomach; and  that
it was now nearly a year since it began to affect her throat  and
head, and about three months since her ankles-and legs began to
swell.  It is now a year  since her catamenia disappeared,  and
they have not  since returned.  On examining her throat,  found
the tonsils and palate  very much enlarged,, and the tongue  one
I bird larger than natural.  The tonsils  are very sensible to pres-
sure,  and have, with the palate and rest of the throat, a dark red
color, and during the last few weeks the act of deglutition, or of
.^wallowing solid food,  has been  difficult and painful.  She  has
bad more or less pain in the right side of her head with dizziness,
during the last few months.  She  is also very pale, feeble and
emaciated.  A number of physicians have attended her one after
another,  for a long time, but the disease continued to make pro-
gress, and after years of suffering, which can only be appreciated
by persons of her sex, she is now in the last part of the laststager
and death, under the common treatment, will now soon close the
scene.   Prescribed Galen's  Pills  and Plaster.  One  plaster to
be applied over the 1,2 and 3 joints of the neck, and of a length
sufficient to extend from ear to ear.  One 5 inches  wide and 10
inches long to extend  from the 6th joint of the neck, to the  10th
•iorsal; and  another over all the  lumbar vertebra?, and also to
use the pills according to the directions in the pamphlet.
  1 now told,  her as I commonly  do,  that she must  commence
getting well immediately, and that in from three days to a week,
she would notice it distinctly, and would in that time  be  able to
cat any  kind  of food, with  a good  appetite, and  without  any
disturbance of the stomach; and that in from eight  to ten weeks
8he must be entirely well.
   I never saw or heard of this patient, or  her husband,  before
she called on  me at  the above date,  and never saw or heard of
her again until Oct. 24,  when in passing near her residence  I
called to see her.   Her husband, on my enquiring after her health,
before I went into the  house, told  me,  he "believed she was
 about well."  On  making the same enquiry of her, she told me
 she "believed  she was  entirely well," and on my asking her if there
 was no mistake about  it, she  lold me " no, she thought there could
 be none," and asked me to ""observe the difference in the  color
 oi her skin, and the flesh she had gained," and then presented to 
                            Cases.                       3&

me one arm,  to see how hard or solid  the flesh  was.   She also
observed " that her catamenia had returned, and that she had been
twice since she saw me as regular in that way, as she ever was,1"
and besides " that she  commenced work as usual when she was
well, about two weeks since, and had in that time done a great
deal of work, which did not appear to injure her."
   I  told her that it  all looked very fair, but that the change
appeared so very great in so short a  time, that  I would like to
examine her back, and see  if there was no mistake about  it.
She  told  me I might as  much as  I  was a mind to, for she
"thought it  was perfectly sound."   I accordingly examined it in
 the  usual way, and found she was right.
   It will be observed that in describing the cases, and the effects
 of these remedies, I have generally been very brief, but have said
 more of this case in consequence of its great importance to  fe-
 males; for the disease generally commences in  them  at an adult
 age, in the  uterus, as it did in this  case, and then, after a few
 months or years, is extended to other organs and limbs.
   The above case is not an uncommon one, for  the day previous
 to the one  on which I  prescribed for this case, I was called to
 prescribe for another.
   Mrs. W. F.  of the town of R.  aged 21 years, in all respects
 like it, excepting the tonsils and tubercles  in the  upper part of
 the neck, which were much larger.   After, however, the common
 remedies had entirely failed in her case, she was induced to try
 the effects  of travelling, and visited some of the principal eastern
 cities—-got the advice of  some of the physicians of those cities,
 and on her return her husband came to me, and told me that " he
 wanted me  to call and  see her, as he had  become satisfied that
 she must die, unless I could save her."  I accordingly visited her,
 and commenced and went through with the examination of the
 spine in the same way as in the case of Mrs S., and then describ-
 ed to her  the disease  in the different organs  and  limbs,  and
 prescribed the same remedies. I then, as in the case of Mrs. S.
  told her she must commence getting well immediately, and the
  cure would continue steadily, unless it was retarded by  colds,
  and that she must be  well in 10 or 12 weeks.
    She accordingly commenced getting well as I had told her.  I
  called once in 2 or  3 weeks to see  her progress, and  the  last
  time, the dav after I called on Mrs. S. and  found  her situation,
  in all respects like  Mrs.  S—% excepting her tonsils  and  the
  tubercles under the jaws, which, although greatly  reduced,  had
  not entirely disappeared—and she was directed to csnatinue  the
  use of the remedies.  Dec.  4.   The tubercles,  I  bftve  learnt 
3-1
Cases.
from her mother,  have disappeared, and her  health  entirely
restored.
  Mrs.  A.  II. of Louisville, Ky, aged 21 years.  She  like the
above cases, has the disease affecting the  liver, stomach, uterus,
tongue, tonsils and palate.  It commenced in the stomach about
four years ago, and soon extended to the liver, and about  two
and a half years since,  to the uterus, and a few months since to
her throat.   She like Mrs. W. F. after the use of a great variety
of remedies, recommended  by  her  physicians, went to one of
the eastern cities.  She, however, returned a few  months after,
and gradually growing worse, was in a few weeks confined to her
bed.  The disease continued to  make  progress, and in- a  few
weeks more  a number of physicians were  called in consultation,
but her symptoms continued to  grow worse.  Galen's Pills  and
Plaster  were now prescribed.   She  commenced  getting  well
immediately after, and  in a few days was able  to sit up and walk
iier room, and in two  weeks was promenading the streets.  It is
now (Nov. 8, 1836,) only five weeks since she commenced the use
of these remedies, and although the usual time  has not elapsed
to perfect a cure, she has gained so much flesh and strength, as
to make her appear to a stranger, as well and  in as good spirits
as any other person.  Yet she is rather  thin or slender, and  has
not regained her natural fleshiness,, and pressure on the 1 and 2
cervical. 2, 3, 4 and 5, and 7, 8 and 9 dorsal,  and 3 and 4 lum-
bar, produces pain.  Continue the remedies.
  December. 16th.   Her face  has now  the  full and rounded
form, and she has fully  regained her natural flesh.  On applying
pressure now on  each of the vertebra?, along the whole line of
the spinal column, it produced no pain or effect  whatever.  Her
health is now in all.respects fully re-established, and directed the
remedies to be discontinued. 
Cases.
35
       TUBERCULA  OF  THE  LIVER.

                            AND

                       STOMACH.

      CHRONIC INFLAMMATION OF  THE  LIVER.

  Mrs.  C. of Fairfield, Butler county, Ohio, aged  22 years,
called to consult us on the subject of what she called her liver
complaint, June 9th, 1833.  She has a dull pain in the region
of the liver, which is felt  more or less almost every day, and at
times she  feels the same kind of pain in the right shoulder, and
at other times  in the left.  She has also every few days some
acidity and pain and soreness in the  stomach, with habitual cos-
tiveness, requiring the almost daily  use of purgative medicines,
and is feeble, and has a pale, sallow, dejected and sickly counte-
nance,  and marasmus much advanced.
  The disease  commenced more than two years ago, when slie
was placed under the charge of a pliysician, who prescribed for
her the usual remedies of blue pills, blistering, nitric  acid, nitro
muriatic acid wash, and cathartics, etc.
  These  remedies  were  continued with various  success, she
being sometimes better for a few weeks, and then again worse,
until about three months since,  when they were abandoned.
  On examining the spine, pressure  on the sides of the 5th dor-
sal vertebra? produced pain, which darted through the  chest into
the stomach, but with little violence.   Pressure on the right side
of the 8th and 9th dorsal, prodnced pain which darted into the
region  of the  liver.  Diagnosis.  Tubercula  of the liver and
stomach.
  Prescribed Galen's Pills and Plaster.   In seven weeks accord-
ing to agreement, she came to me  again,  and in good health,
and so much altered, as to appear like another person.   She had
lost entirely the pale, sallow and dejected countenance, and has
gained considerable  flesh, bowels regular,  and has now all the
sprightliness or vivacity in her countenance peculiar to  her sex. 
36
Cases.
      TUBERCULA  OF THE  SCALP.

            TINEA CAPITIS--SCALD  HEAD.

  Miss A. T------, of Sycamore, Hamilton county, Ohio, aged
ten years, called to see her April 29th, 1833.   She has  Tin 3a
Capitis, or Scald Head.   The ulceration and scabbing is exten-
sive, and the  Scalp in two places much swollen and painful, and
it is now  two years since  the  disease  commenced,  and has
tubercles on both sides of her neck.
  Prescribed  Galen's Pills and Plaster, but previous to applying
the plaster, directed the use of the common fermenting poultice
to the scalp,  to be  renewed morning and evening, until the
swelling and ulceration disappears, and then to mix  with the
plaster an equal quantity of lard, and rub  a little of it  into the
s*calp, night and morning,  and to continue the  use of  it  six
weeks.  At the end of this time, the disease was apparently cured,
and it has not  to this time, (November 13th,) re-appeared, and the
cure appears permanent.
  Master L.  T. had the same  disease at  the  same  time,  in
which the same remedies were  prescribed, and the cure of this
case, like that of his sister, appears to be permanent, and the
scalp in both  cases appears perfectly natural, and is every where
covered with  hair.
  This disease is frequently  propagated  from  the scalp to the
joints and limbs,  and more frequently to the hip joint  than any
other.  And when from  any cause  the  disease is lessened  in
Lite scalp, the danger of its attacking the  limbs  is increased in
the same proportion, unless the scrofulous taint is destroyed  at
the same time.
  Parents, therefore,  who have  children affected with this form
of the disease, are admonished  to be very cautious in allowing
any person (no matter what his pretensions  may be,) to prescribe
local applications  for it, who does not know, and prescribe  at the
same time, the natural remedy internally to destroy the  scrofu-
lous diathesis. 
Cases.
37
   TUBERCULA OF  THE  HIP  JOINT.

              DISEASE OF THE niP JONT.

  Master J. C_______aged  14 years; called to see him Novem-
ber 20th, 1828.  He had been complaining of pain in his -right
knee, with a little lameness every two or three days, during the
last two weeks, but is now confined  to his bed, with  pain m his
right hip.   He lays on his left side, with his thighs drawn up, and
every attempt to move the  limb, produces pain m the  hip, and
cannot bear pressure on the joint or in the  groin, and on compar-
ing this joint with the left, there was  no swelling or enlargement,
but on the contrary, it appears rather less or flattened on the
out side of the joint, and the  limb  appears shorter than the other.
He has some fever—is very irritable, and has tubercles on the
right sides of the neck and in the groin.
   Prescribed Galen's Pills, and a large poultice over the h.p and
sroin, to be renewed once in four hours.   November 21st   Pain
abated, discontinued the poultice, and applied Galen s Plaster
ovor the hip and  groin.
   November 23d.  Pain in the joint much less  and rests better
 durina the night, and on removing the plaster, the hip and grom
 were  covered  with small vesicles and ulcerations.   The same
 plaster was spread again by adding  a little more  to it, and re-

 Hvovember 26th.  He continues better, but  the joint  is yet
very painful, in every  attempt to move  it.   Ihe  same  course
 was continued, and in four  Weeks he was able to sit up, and in
 two weeks more, was able  to walk with a little lameness,  from
 which he  entirely recovered in a  few days, and without  any
 shortening of he limb. 
38
Cases.
    TUBERCULA  OF  THE  LEFT HIP,

                      AND FOOT,

  AFTBR  AMPUTATION FOR TUBERCULA  OF  RIGHT

                          KNEE.

  Mr. J. S.  of Preble county, Ohio, of  light complexion, aged
19 years, called on  us September 19th,  1834.  His right thigh
was amputated about five years ago, on account  of a  white
swelling of the right knee, soon after which he began to feel pain,
sometimes in his left hip, and others in the knee, and these pains
continued with varying  severity, until about ten months ago,
when  his  foot began to swell and  to be painful.  The pain in
the hip  and knee, then subsided.  The white swelling is now>
large, and extends  over the foot,  and sides of the foot, and he
has tubercles on both sides of his neck,  and his health has con-
tinued feeble since the amputation.   Diagnosis.   Chronic tuber-
cula of the hip joint and foot.
  Prescribed Galen's Pills and Plaster.   October 7th, the  white
swelling is gone excepting only a small abscess, which on  being
opened, discharged two tea-spoons  full  of tuberculous matter.
The plaster  was now re-applied, and the pills continued,  and in
three  weeks the abscess was healed and his health restored.
   TUBERCULA OF  THE  STOMACH.

                       DYSPEPSIA.

  Mr. C.  of Fairfield,  Butler  county,  Ohio, farmer aged 28
years; called upon us for advice, July 30th, 1834.   He has dys-
pepsia, which commenced about five years since.  The disease
has been gradually  growing worse every year, and during the
last year and a half has been  unable to labor, and confined tho 
Cases.
39
most of this time to his house, and  sometimes to his bed.   His
countenance  is  pale  and  sallow, and he is much emaciated.
  Two  physicians  have  prescribed for him, one after another,
without any apparent benefit.
  Pressure on the second, third and fourth dorsal vertebra?, pro-
duces pain which darts violenty into the stomach.
  Diagnosis.   Tubercula  of  the stomach.  Prescribed Galen's
Pills and Plaster.
  His health in a few days began to improve  rapidly, and in six
or seven weeks, the disease had entirely disappeared.  A few
days before he came to us he weighed 122 lbs, and in the last
part of November following 163.
  Mr. A. V. of Union, Butler county, Ohio, farmer aged 56 years,
called on  us  April 28, 1833.  He had been an  industrious  man
of good habits, but had now dyspepsia, which commenced about
two years ago, which is characterised by the usual symptoms in
bad cases of distress and pain in the stomach, vomiting after his
meals, costiveness  and emaciation.   The disease had been con-
stantly but slowly growing worse, and he was now pale, feeble and
greatly emaciated and had but little rest during the night, and was
unable to labor.  He had as usual in such cases applied to a num-
ber of physicians and used a variety of domestic remedies, but all
to no purpose, and had nearly given up all hope of relief.   The
3d, 4th, and  5th  dorsal vertebrae tender, and pressure on  them
produces  pain, but on their sides  it is  severe, and darts into
the stomach.
  Prescribed Galen's pills.  His vomitings subsided in a few days
his  bowels became regular, and he soon began to gain strength,
and in five or six weeks was able to perform  his usual labor, but
in July, in consequence of overdoing  himself as he expressed it,
had a slight return of the  vomitings, and came for another box of
pills.  These symptoms were again subdued  in a few days, since
which time  he  has enjoyed almost uninterrupted  good health,
and has all the spirit and ambition cf men in early life.
5 
40
Casts.
                   TUBERCULA

                         0 F T II E

           LIVER  AND  STOMACH.

  Mr. W. H. merchant, of Louisville, Ky. aged 29  years, came
up to me April —,  1836, and informed me that he had been out
of health a number  of years; when I told him, as I generally do pa-
tients with chronic diseases, that was all I wanted to hear about it,
his case, as I would try to ascertain myself what his disease was,
and where it was affecting him.   He was pale, and on his  remov-
ing his  coat and vest, saw he  was much emaciated.  Pressure
along the cervical vertebrae did not hurt him, but moderate pres-
sure on the second dorsal produced severe pain,  which darted
into the stomach with such violence, as to produce excessive
faintness for nearly half an hour.  Pressure on the right side
of the 7 and 8, and 8 and  9 dorsal, produced severe pain, which
darted  into the liver.   Pressure  on the other vertebra?, below
these, produced no pain or effect whatever.
   Diagnosis.  Tubercula of the liver and stomach.  The  dis-
ease, Mr. H. now informed me, commenced in the liver about five
years ago, and about three years since extended to the stomach.
 He  has consulted a number of physicians, cast and west of the
 mountains,  and has taken a  great  variety of remedies recom-
 mended by them,  besides a great variety of nostrums, including
 Swaim's Panacea, but has been gradually growing worse, and so
 much so, that during the  last year,  he has not been able to take
 any food upon his stomach, excepting dry toast without  butter,
 and cocoa.
    Prescribed Galen's Pills and Plaster, and  told  him, as I com-
 monly do, that he must commence getting well immediately, and
 that in about three days his stomach would bear, and  he must
 commence eating any kind of food that his  appetite craved,  and
 that in one week, he might eat as much as it craved; and that in
  ten or twelve  weeks,  his health, flesh,  and strength would be
  re-established  I did not see Mr.  H. again until November 6
  when 1 found him enjoying fine health.                       ' 
Cases.
41
TUBERCULA  OF  THE  LIVER, [STOMACH,

  SIGHT KIDNEY, AND RIGHT SIDE OF  THE SPINE.

  Mr. W. merchant, of R. Ohio, aged 28Tyears, called upon me
May —,  1836, who told me he had been out of health a number
of years,  and had been growing much worse during the last few
weeks,
  On examining the spine, pressure on the 2,  3 and 4  dorsal,
and on the right side of the 7 and  8, and 8 and 9 dorsal, pro-
duced pain.  Pressure on the right side of the  first lumbar pro-
duced  pain,  which here,  on every repetition of the pressure,
darted into the right kidney.   There also appeared to be  a swel-
ling along the right side of the  spine, extending from the  9th
dorsal to the 5th lumber vertebra?,  which had a puffy or elastic
feel, and on comparing this with the left side of the spine, this
swelling  and puffiness was verv conspicuous.   Diagnosis.  Tu-
bercula of the liver, stomach, right kidney and spine.
  The disease, he informed me, commenced iu the liver about
three years before,  and that  it  was about a year since  it com-
menced  in his stomach, and  three weeks since it extended to
his kidney, and gave him the most serious alarm for his safety
He has, as usual in such cases, consulted and employed  a num
her of physicians in his case,  and rigidly followed their prescrip _
tibns, and yet the disease in the liver continued to grow worse—
was extended to the stomach,  and had  now extended to the
right kidney, and right side of the spine.  His constitution was
now breaking down, and could not have borne  him up under the
use of the  common remedies,  more than a few weeks  longer,
when he must have  been confined  to his bed with a  lumber
abscess,  and then in a few weeks  or months  consigned to his
grave.
  Prescribed Galen's pills and plaster.  His  health began to
improve  in a few days,  and in about  three months, the  disease
in the liver, stomach,  kidney  and white swelling of the spine
disappeared, and his former good health re-established. 
42
Cases.
ACUTE TUBERCULA OF THE  LEFT  LEG.

                    SPINA VENTOSA.

  Master W. L—, of Somers, Preble county, Ohio, aged 5 years.
Called to see  him  October 11, 1834.  He had a violent and
spasmodic pain in the lower and forepart of the left leg with in-
tervals of ease.  The  disease commenced five or six days be-
fore, and on examining his neck we found  five or six large  tu -
bercles on the left side.   A  physician had been  every day in at-
tendance and had prescribed  the usual antiphlogistic remedies in-
cluding a blister over  the swelling, but the pain continued to re-
turn with unabated violence; when he,  in the  horrors of his ag-
ony, continued to make the welkin ring with the melody of his
voice.
  Diognosis.  Acute  tubercula.  We  now took a scalpel and
laid the swelling open along the course of the  tibia about an
inch and  a half through the blister, integuments  and periosteum
to the bone
  This operation, though  a severe one, was less  painful than
one of those turns of severe pain.   We now placed a linen cloth
over it and directed it to be wet in a triple  solution of sulphates
of copper, iron and alumine in the following proportions viz:
blue vitriol one fourth of an ounce, copperas and alum each half
an ounce, water  one pint, and also to  wet a  roller bandage  in
this solution and commence at the toes, and  roll it moderately
tight over the foot, ankle and leg to the knee, and at night to re-
move it and apply a fermenting poultice over the limb, and in the
morning  to apply again the cloth, wash  and bandage and to con-
tinue this course until the pain ceased, and then to discontinue
the wash and poultice, and apply Galen's scrofulous plaster with
the roller bandage.  We also prescribed Galen's pills, one to be
taken night and  morning for one week, and afterwards one every
night.
  The turns of spasmodic pain now gradually decreased in fre-
quency and violence, and jn nine days he  was able to walk
about the house  and  in less than two weeks after this  his leg
was healed and his health restored. 
Cases.
43
    TUBERCULA  OF THE STOMACH.

    DYSPEPSIA TERMINATING  IN CANCER OF THE

                        STOMACH.

  Mr.  J,  G-------,  of Fairfield, Butler county, Ohio, aged  63,
years.    We  were requested to  prescribe  for him, November
4th, 1834, and learned from him that he had been at times sub-
ject to mild symptoms of dyspepsia for about 30 years, and after
laboring very hard on a very cold day in February last, at which
time he took a severe cold, these symptoms became very violent,
and he was then tormented with acidity, nausea, and acute inter-
mitting pain, and indescribable distress in the stomach,  wtth vom-
iting after his meals, besides his food, a ropy and milky colored
fluid, which always gave him temporary relief—bowels confined.
  These  symptoms  have continued  with [[varying, but gradual
increase  of severity  to this time.  He describes  the  sensation
in his stomach, as a burning heat,  which produces great dis-
tress,(with acute and lancinating  pain, which is4much increas-
ed  by the little food he is  induced to swallow.   His bowels
do not move generally, oftener than once in seven or eight days,
and then always by means of drastic  medicine.   The  vomitings
have now generally the appearance of coffee grounds, and the
marasmus which has been from the  first constantly increasing,
have now  become very great, and  he is  pale, sallow and very
feeble, and the burning heat,  pain and distress in  his stomach
has becotne so great, as to have nearly banished sleep, and  his
family  have been for the last  few nights, in consequence of his
debility, agony and despair, in the  constant expectation of  his
sudden departure for another world.
  Five physicians, of the neighboring  towns, including Cincin-
nati, all of whom  called  his  disease  dyspepsia,  attended  and
prescribed  for him since  the  attack in February last, one after
another, without any effect excepting one case, a very temporary
relief.
  He also placed himself under the care of a steam doctor, and
remained with him a few weeks,, and escaped from him  barely
with his  life.   He also  resorted to  some  celebrated  dyspepsia
pills; and also dyspepsia drops, but  all to no purpose, the dis-
ease continued to make progress.
  On examining the cervical vertebrae, we found  only a few small
                         5* 
14
Cases.
tubercles on each side of it,-but on examining the dorsal, found
a number on each side of them,  from the last  cervicel to  the f
eighth dorsal, and by applying pressure to these  vertebrae,  if
produced a dull pain in the first and seventh, and acute and  lan-
cinating pains in  the second, third, fourth, and fifth, and these
at every repetition of the pressure, darted into the stomach with
a violence almost sufficient to extinguish life.  Diagnosis.  Can-
cer of the stomach.
   Prescribed Galen's pills and plaster.   The distress—paroxysms
of pain in the stomach,  and vomitings continued but with a grad-
ual decrease in frequency and violence, and his bowels with the
assistance in  a few instances of one or two purgative pills, soon
became regular and he  soon began to take more food and to gain
strength, and at the end of three weeks, the improvement was so
great as to excite among his friends some confidence in his ulti-
mate recovery.  In  four or five weeks  these paroxysms did  not
return at all, except when he took a little cold, and then in a mild
form.  January 10th, 1835.  The plaster  was removed six or
seven days since, and the sores they produced have  healed, and
we now examined the dorsal vertebra?.  They are not sensible to
pressure, nor has the  strongest pressure here any influence upon
the stomach.   He has gained  so much flesh and  strength, as to
make him  appear very nearly as well as he does in his best health
and  his stomach  feels as well as it ever did,  except when  he
takes cold but these effects of cold have now became  slight and
transitory.
           CHRONICTUBERCULA

  OF THE INTESTINES AND MESENTERY.

       TABES  MESENTERICA AND DIARRH03A.

   Master M. G. M. of Cincinnati, aged 3 years.   Called to see
him August 25, 1834.  He has an enlargement of the abdomen
and diarrhoea.
  The disease commenced when he was three or "four weeks old
and has  continued to this time.   His limbs  are very slender and 
Cases.
45
his muscles soft and flaccid, and his joints appear very large pro-
portioned to the size of his limbs.   He has five or six tubercles
on each side of his neck—some of them very large.  Two or three
physicsans have attended and prescribed for him at different times,
witnout any apparent benefit.
  Diagnosis.  Chronic tubercula of the intestines and mesentery.
Prescribed Galen's pills and plaster.
  The diarrhoea disappeared in a few days, and the enlargement
of the abdomen with the tubercles began gradually to subside,
and in seven or eight weeks they disappeared, and  he had gained
considerable flesh and strength and  had no appearance of disease
and his health continues good.
TUBERCULA  OF THE NECK AND  SPINE.

KING'S EVIL AND  WHITE  SWELLING  OF  THE RIGHT

                   SIDE OF THE  SPINE.

   Master J. M. S----, of Union, Butler county, Ohio, aged seven
years.    I was  called to see him, August 3d, 1833.  He had a
white swelling on  the under jaw of the right side, and a number
of large tubercles  on the same side of his neck, and a white
swelling on the right side of the lower dorsal vertebrae, (back bone)
and it was now about three weeks since the disease commenced.
Prescribed Galen's pills and plaster.  In six weeks the  white
swellings disappeared  and his usual good health  was re-estab-
lished.
   September 23d, 1833.  Prescribed for  Master W. C, the
brother  of Master J.. M. S-----, aged 4 years.  He had a white
swelling of the lower jaw of the right side, with tubercles on the
same side of the neck.   Prescribed  Galen's pills and plaster.
In five weeks the swellings and tubercles had disappeared.  His
health continues good.
  The case of J. M. S-----, under the common treatment like
the case of Master S----, would have terminated in distortion
of the spine  and  lumber abscess.   This  disease  always com-
mences  with white swelling on the side of the spine. 
46
Cases.
        TUPERCULA  OF THE SPINE.

 DISTORTION  OF  THE  SPINE,  LUMBAR  ABSCESS,

               WHITE  SWELLING,  &• C .

   Master, J. S. of Sycamore, Hamilton county, Ohio, aged twelve
 years.  I was called to  see him October 24th, 1832.    He had
 tubercles of different sizes, on  both sides of his neck, and it is
 now six years since they first appeared, and his health began  to
 decline; and he had now a  distortion of the spine,  (back bone)
 ninth dorsal vertebra?, which foimed an  obtuse angle backward;
 and the lumbar vertebrae, (joints of the back bone belonging to the
 small of the back,) from this point to the os-coxyx, inclined to the
 right ride, so faras to form nearly half a circle; which with the
 whole left side of the back,  was occupied with  a large lumbar
 abscess.   The distortion  of the spine  commenced  three years
 before, with white swelling on the  right side of the  spine.  He
 had also a white swelling of  the left thigh and a very great en-
 largement of the  abdomen, produced by an  enlargement of the
 mesenteric glands.   The lumbar abscess had been  discharging
 scrofulous matter about two  years, which now amounted to more
 than half a pint in every twenty-four hours; and he was so much
 emaciated as to make his  face, chest and limbs except  the left
 thigh appear precisely like a skeleton covered with  a thin skin.
 He had  a  severe cough, and was  expetorating freely,  and had
 hectic fever, night  sweats, diarrhoea, with  irregular vacillating
 pain in the chest  and stomach, which was much increased by the
 little food  he was able to swallow; and he was now, and had been
 for the last two months so feeble as to be unable to move his head
 body or limbs, exceptng only feeble motions of his arms   Three
 physicians had prescribed for him, at different times,  without ap-
 parent benefit.  Prescribed Galen's pills and plaster.  His health
 in a few days began slowly  to improve, and the quantity of matter
discharged from  the abscess gradualy became  less,  and his
cough, expectoration, fever, night sweats, and diarrhoea gradual-
ly disappeared,  and his strength improved.  In May following,
 the discharge from the abscess was reduced to a teaspoon full in
 twenty-fonr hours, and the lumbar vertebra?  had resumed their
 natural situation, in a line with  the dorsal; and the enlargement
of the abdomen had disappeared;  and on the first of August he
 was able to walk. 
Cases.
47
  There was in this case a loss of bony substance in the dorsal
vertebrae, by the ulceration and the matter formed by it passed
down along the facia of the soas muscle, and through the  groin
into the upper part  of the thigh and  produced the swelling  or
abscess there.  There was also a loss of bony  substance by ul-
ceration on the left side of all the lumber vertebrae, and the mat-
ter discharged from these produced the lumber abscess, and  these
losses of bony substance was the cause of the distortion of the dor-
sal, and of the obliquity of all the lumber vertebra?.
 TUBERCULA  OF STOMACH  AND UTERUS.

            DYSPEPSIA AND LEUCORRHCEA.

   MissM. D. of dark complexion and "naturally full habit,  called
 on us, May 28th, '1833, with the usual symptoms of dyspepsia
 and leucorrhcea.   The disease commenced about a year ago with
 leucorrhcea and it  soon extended to the stomach,—she has  no
 vomitings; but distress and sometimes pain in the stomach, and
 at others in the right or left side of the lower part of the chest, or
 between the shoulders, with palpitations, and accompained more
 or less with pain or  weakness  in the small of the  back.  She
 says she has lost  considerable flesh,  and is feeble and una-
 ble to labor, as an attempt to do so, or to walk up a hill or  up
 stairs produces or increases the palpitations, when she feels faint
 and is soon out of breath.
  Pressure on the 2d, 3d, and 4th dorsal vertebrae produces pain
 which darts into the stomach, and pressure on the 3d, 4th, and
 5th lumber vertebrae produces pain which darts violently int»the
region of the uterus.  Diagnosis. Tubercula of the stomac.i and
uterus.   Prescribed Galen's pills and plaster.   Her health soon
began to improve, and in six weeks was fully restored, 
48
Cases.
  TUBERCULA  OF  THE ANTRUM, NOSE,

    BSTOMACH, UTERUS,  AND CEREBRJUM.

 DISEASE' OF   THE  ANTRUM,   NOSE--DYSPEPSIA

                   AND  LEUCORHCEA .

   Mrs. J. C----,  ofS-----, Hamilton  county, OhioAlight com-
 plexion middling stature and habit, aged 34 years.  Called to see
 her March 6th,  1833.  She has severe pain in the  cavity under
 the cheek bone, from  which tuberculous matter issues into the
 left nostril,  and the septum (division) of  the nose is perforated
 at a point opposite to the  place where  the matter issues, and is
 also with the nose painful, and is a little tumefied.   The disease
 commenced  with pain  in the antrum more than two  years since,
 and after it  had continued a  few weeks  began to dischajge a
 thin and sometimes bloody matter, which gave  her much relief
 for a few weeks, when  the discharge ceased, and  the pain return-
 ed with its accustomed violence, and has pursued, the same course
 to this time.
  The pain  after the discharge ceases is spasmodic, and a  few
months since extended to the left and front, portion  of the brain,
and about two weeks since commenced in the scalp.
  Having no time to spare for further enquiry, we  commenced our
examination  of  the spine; and first, with the  first cervical verte-
brae, and pressed hard with the fingers on a number of small tu-
 bercles on the left  sides which produced severe  pain, and which
darted with such violence into the head, scalp, and antrum, as  to
prevent her from allowing us on any account to repeat the pressure
and we passed  to the dorsal vertebrae, and pressure on the third
and fourth produced pain which darted into the stomach, and pres-
sure on the  second, third and  fourth lumbar vertebrae, produced
pain which darted into the uterus.
  We now described to her, her symptoms of dyspepsia and leu-
corrhcea, which had been affecting her more than a year.
   The pain in her head is confined  entirely to the front and left
portion and  never passes the longitudinal sinus.   A number of
physicians and steam doctors, have attended and prescribed for her 
Cases.
49
daring a period of more than two years; but the disease contin-
ued to get worse.
  Diagnosis.  Tubercula of the left antrum, nose, left and front
portion of cerebrum, left side of the scalp, and of the stomach and
uterus.
  Prescribed Galen's pills and plaster.   Her health soon began
to improve and in seven weeks the antrum and nose were healed
and her health in all respects restored and she had gained nearly
her usual  flesh and strengh.
     CARIES  OFTHE  VERTEBRAE,

      AN D/t DISTORTION. OF  THE SPINE.

  Caries of  the vertebra? of  the spine is the consequence of
tubercula, or white swelling of the vertebrae.  I have given three
cases of it.   Mr. W. page 41, in the first stage, Master J.  M. S.
page 45,  and Master J. S. page  40,  in the last part of the last
stage.  The  disease  it  will be  seen by an  examination of
these cases,  is easily^distinguished by the  new and natural symp-
toms in any  of its stages, and easily cured by the natural reme-
dies, and as  a knowledge of these facts is of great importance to
the community, I shall give copious extracts from a  lecture on
caries  of the vertebrae, by  M. Sanson, of the Hotel Dieu, who
is  one of the most  distinguished surgeons in Europe, and was
delivered  before one  of the  most learned, and most numerous
forums in the world, for the  purpose of showing the great diffi-
culty in distinguishing tubercula or scrofula, in  this, as well as
other parts  of the body by the common symptoms, and the com-
mon erroneous views of the disease, with the  absolute futile
nature of  the common treatment for it.
  M. Sanson was a candidate for the vacant medical chair in
the university of Paris, occasioned by the death of Baron Boyer,
and this lecture was a trial  of his learning and skill, in  an im-
mense amphitheatre, before the  faculty of medicine, who  were
his  judges, and more than 2500 students, and has been  pub-
lished  and  lauded  in the medical journals of Europe and this
country, and is consequently generally esteemed the very best
 authority on  the subjects of which he treats. 
50
Cases.
   1.  Lecture of M.Sanson at Vie Concours of Paris, in June, 1834.—The
 two patients who fell to the lot of M. Sanson, were  placed  in No. 19, Salle
 St. Martha, and No. 12, Salle St. Jeau, Hotel Dieu, and afforded subjects for
 the following lecture;—

             First Patient.—Caries of Lumbar Vertebra.

   Gentlemen :—The first is a child eight years of age,  of a lymphatic tem-
 perament ; his skin is fine and white,  ihe abdomen much developed;  the  hair
 light colored; in a word, he presents the characteristics of what may be called
 a scrofulous beauty.  The family of this  child is, according to all accounts,
 healthy, and he himself has enjoyed a  good state of health until within eight
 months of the present time.  At that period the patient first experienced some
 pain in the tegion of the loins, which remained for some time, I cannot tell
 exactly how long, as the answers of the child were not very precise on this point;
 the pains were not accompanied by any feebleness, of the lower extremities,
 or symptoms of any organic affection.  After a few months a tumor made its
 appearance at the upper part of the thigh, and was at first  accompanied by
 pulsations, which have since  disappeared.  The swelling gradually increas-
 ed in  size, and is now as large  as  two fists.   When examined by the hand,
 there is an evident feeling of fluctuation, and its volume is influenced by the
 position  in which the  patient may be placed.  Thus, when the child  lies
 down  on his back,  the tumor becomes less tense than in the upright  posture,
 and if we press the  hand flat on the thigh, the contents  are displaced,  and
 ascend into the iliac fossa;  hence  we may conclude the existence of a large
 cavity filled with a liquid matter.   I should remark that the skin is not ad-
 herent to the surface of the tumor,  but is movable on all points of it.  The
 child, as was before remarked, seems to enjoy still a good stale  of health* he
 is not affected with diarrhoea or sweating; his appetite is good;  sleeps sound;
 he walks without experiencing inconvenience, and  the  affection is as yet
 completely local.   The sister of the ward says he has coughed for  the  last
 three months; this led  me to examine carefully the state of the chest,  on aus-
 cultation we  could not dicover any symptoms of  the  presence of any tuber-
 cles in the lungs; the respiration on  the contrary, was healthy; there  was no
 matity upon percussion *l any point of the thorax; the only anormal sound
 was some mucous rale  indicating a  chronic catarrh, but this was  slight  and
 the exepectoration was not by any means abundant.
  What, we ask, is the nature of the disease under which our patient  labors-?
 It may be laid down as a general rule, thai when you have a tumour present-
 ing itself at the the upper part of the thigh, after a continuance of lumbar or
dorsal pains, the existence  of  caries of the vertebral column is very probable
 The diagnosis is sometimes, however, accompanied with difficulties •  in  the
present case,  indeed, we are assisted  by a leading symptom, for we have a
slightgibosily of the lumbar vertebrae, and hence we are justified in concluding
that the vertebral column  is affected;  we should, however, in all cas7«,  ™3f
for the formation of an abscess, before we give a decided opinion  beXZ i,
many  circumstances, as in the case of a fall on the loins, accidental  in-
&c. we have often the symptoms of  vertebral disease,  although no cari2 ?
 ists.   But our patient was not affected by any accident of this kin      !  .u~
pains commenced without any appreciable cause.                  '      ne
  Let  us begin by  endeavoring to determine the origin of the disPaao  •   .v.
present instance.   Rachitis is a very frequent cause of softening of  It
oral column, and this often produces the angular curvature •  sol   ™e verte*
many practitioners.regard the angular curvature as a characterio^f 8°l •
hence  much doubt on the origin of the affection must exist  nntlr^h,ta8i
Nally set in.   But we have to remember that rachitis has a  set ofTy^®,*0" 
Cases.
51
by which it is distinguished; it is a general constitutional disease, not a local
one;  richitic children are feeble, and mostly sunk in a state of abatement and
depression 01 spirits; they exhibit an indifference to what passes about them,
while, at the same time, there is a precocity of mental powers, which is very re-
markable ; the gastric organs are usually effected in this disease ; the mesenteric
glands are engorged; ihe child has often diarrhoea, with a slow fever, or an ac-
celeration of the pulse towards evening, he is pale, the lower jaw projects, and
he gradually gels thin, and pines away.  Now we remark none of these symp-
toms in our  patient; his health has been good, and we have, besides, another
proof that his affection does not derive its origin from rickets, besides we  find
the characteristic signs of an abscess by congestion.   We have, therefore, in
the present case, a formation of puss in the cellular sheath surrounding the lum-
bar nerves,  or psoas muscles, and passing down as far as the thigh, where it
presents itself; this matter is of an inflammatory origin.  He'firsthad pain in
the part for a considerable period, and then  the formation  of puss, which  is
now making its way to the exterior along the  sheath of the muscles; the disease
in a word,  is  caries of the vertebral column,  with abscess  by congestion.
   But we do not find here the symptoms which most commonly accompany
caries of the spine.   In most cases the disease commences by vague pains in
some one point of the vertebral column; these become worse, and the patient
soon experiences some difficulty or loss in the power of the locomotive system.
Thus, if the disease commence  in the lumber region,  the curve of the spinal
column begins there,  and the patient's movements are  embarrassed in conse-
quence of the influence which this change of form exercises on the action of the
nerves;the generel position of the patient is very characteristic of the affection
under which he suffers;  the head and neck are thrown back, and the  legs are
bent in such a way as to produce a most uneasy position.  If you remark the
child when he walks there  is no action of the thighs, he seems to walk merely
with Ihe lower leg.  When the bodies of several vertebrae are engaged in the
disease, the spinal  marrow may be pressed on in a  moderate manner, and
certain symptoms, as subsultus tendinum, convulsive movements of the muscles
indicate this complication; the patient feels a weakness of the lower extremi-
ties; if he sit  down or attempt to lift up anything from the ground, he is com-
pelled to bend the limbs gradually, and  dip down with a slow motion.   The
child whom we had to examine did not present any  of these accidents; he
walked well,  as has been remarked, and did not show  any impediment of
motion.
   Whence  arises this  exception from  the  accidents usually accompanying
caries of the spine ?    The reason is that he has several of  the bodies of the
vertebrae affected at the same time; when one only is diseased, the curvature
which results  is angular  and the pressure exercised on the spinal marrow  is
consequent^ more sudden and violent,  giving rise to convulsions paralysis or
retraction of the limbs.  The compression of the spinal marrow is not the only
cause of the disorders which we sometimes witness  in the organs of locomo-
tion; inflamation may come in as an accessary cause extending from the bodies
of the affected vertebrae to the membranes, and  from  the latter to the spinal
marrow itself.  We have, therefore in the present case caries of the vertebrae,
and abscess by congestion.   The caries occupies many vertebras together; for if
we examine the state of  the  spinal column we find  a gradual  bend, quite
different from the sudden angular curvature when one vertebrae only is dis-
eased;  and this  circumstance fully explains the little or no  difficulty of
motion  which our patient experiences,  his  upright posture in walking and
the freedom from  all unpleasant or dangerous accidents.
   The  question now arises,  What is the cause of the  disease in the pres-
ent case?   The exciting  causes of caries of the vertebral column are nvgen-
eral difficult to discover.   Our patient's father is a  tailor, and his childreu 
52
Cases.
 Have been  accustomed to spend their time in a low, ill-ventilated shop.  This
 may be the origin of the scrofulous affection under which he now suffers, and
 although the cause is not very well marked, yet the bad habit ofbodycon-
 tracted by  living in an unwholesome place,  is sufficient to excite  the disease.
   In what state  is the vertebral column?
   The affection sometimes commences in the bodies of the vertebrae, and then
we have them only inflamed.   If it persist for sometime, the weight of the body
begins  to act on the altered and softened bone, breaks it down, and a curvature
more or less prominent is the consequence.   Bui in  our patient wt have not
only inflamation of the bone but suppuration also.   The disease is not confin-
ed lo a simple  ramollissement;  the spongy tissue of the bones has become fun-
gous, purulent matter is secreted by them, and  a large cavity exists, filled with
thatfluid.  If we had an opportunity of examining the state of the parls which
transmit the pus from the seat of the disease to the exterior, we should find along
channel,  hollowed out through  the  cellular sheath surrounding the muscles;
the channel is lined throughout  by  a membrane  which constantly secretes
pus,  and is called by surgeons puro-generative (puro-genie).   In its struc-
ture  it  resembles somewhat that of the mucous membranes.
   How does the disease terminate?   (Here M. Sanson entered into an exten-
sive  examination of the different ways in which caries of the spine may end,
and of  which we need give  but a very faint outline.)   The affection in the
first  place may go on and become daily worse; the inflamation extends to the
membranes of the spinal marrow, and to the medullary substance itself;  we
have then the developement of a new set of symptoms; motion becomes irreg-
ular  and interrupted,  and paralysis is finally established.   The  patient isnow
confined altogether to bed, his health is completely destroyed, the long-contin-
ued  pressure brings on  gangrene of the buttocks, &c, and  death ensues.  In
many cases, however, the purulent collection opens by a  small  abscess in the
thigh ;  ihe opening is often very minute, but this does not prevent the entrance
of atmospheric air into the cavity.   The patient soon presents severe typhoid
symptoms,  from the degenerescence of the purulent contents of the abscess; his
lungs are attacked, and on examination, we find tubercles,  which  perhaps we
did not before suspect or discover; diarrhoea now  sets in, and he soon sinks in
a state of exhaustion.   In other more favorable cases the terminatiou is of a
differenr character.   The tissues surrounding the diseased and  carious verte-
brae furnish a bony matter, and the destruction of the hard parts is in some de-
gree  repaired; the pus becomes concentrated and dries, the abscess contract?,
and its  sheath is gradually changed into a kind of canal, which no  longer secretes
puriform matter, and is at length totally healed or the abscess may open exter-
nally, and terminate like any other abscess in a different part of the body; how-
ever, in most  cases where the abscess  thus opens spontaneously,  it becomes
fistulous, or the patient dies.
   Let us now consider the treatment which should  be adopted  in the present
case.  If we look to the general health of our patient, we find it very favorable;
his constitution is good, there is little or no pain, and we may  say that he is
in a promising state, and that the affection underwhich he  labors is as  simple
as it is capable of being.   He has, in fact, no fever of any kind,  he does not
suffer from  diarrhoea or hectic perspirations, and there are no symptoms of con-
stitutional  derangement.—The pain in the lumbar region has considerably
diminished, and the abscess  has not yet opened externally.    There are how-
ever, on the other hand, some unfavorable conditions in the present cape' thus
for example, if the extent of the caries by destroying several of the bodies 'of the'
vertebrae,  has the effect of preventing  any injurious pressure  on the spinal
marrow, yet a greater quantity of osseous tissue is necessarily affected and the
labor of regeneration will be  more difficult or uncertain;  and again although
on examination  of the chest, we found no signs of the exictencc of tubercle" 
Cases.
53
yet, from the child's general appearance and temperament, we may fear their
formation at a subsequent period.   Hence  the prognosis in the present case
must be guarded, and the chances of a cure are, perhaps, le3s numerous than
those of a fatal termination,
  Sometimes the caries of the vertebral-column is superficial, and we may at-
tack it with  a reasonable hope of attaining a successful result; but not so in
the ease of our patient.  The disease has already existed for too long a time,
and the lesian is too profound.  What then are we to do?  It may be remark-
ed, in the first place, and as a princaple of treatment, that the affection isori-
nally an inflamatory one, and hence the antiphlogistic treatment  should form
the principle we ought to have in view.  When I mention antiphlogistic treat-
ment, I do not refer exclusively to bloodletting or debilitating measures; these
only form a part of it regarded as a whole.   I allude to another  and an  im-
portant branch, viz.,  the revulsive part, which is  included in the term anti-
phlogistic treatment, and not to the sanguineous, which, in most cases, is not to
be thought of.
  The first means I would employ is the moxa; this is a most powerful  and
efficacious external irritant, and we may apply it over various points of the
spine, so as to multiply the foco of irritation, according  to the method recom-
mended by Baron Larrey; he has often placed thirty or forty mox<e along the
spine,  and this  application has been attended with very remarkable success.
  At the same time that we attack the disease by local measures, we should
not neglect general constitutional  treatment.  Our first and principal object
should be to correct the scrofulous temperament, which is strongly marked in the
pa tient; this is to be done by the treatment with which every one is familiar;
the child Should have good, nourishing, easily-digested food; he should live in
a wholesome atmosphere, exposed to a fresh healthy air; he should take gentle
and constant exercise, &c, and we may aid these means by tha administration
of bitters, if indicated.

  Here M. Sanson entered into the different mode of treatment
of the abscess, which is unimportant, and unnecessary to  notice,
and then passed to the consideration of his second patient, with
lymphatic  engorgement of the  breast, which I propose to notice
at a future period.
  It will be observed, that after describing  the common symp-
toms  in this case,  M. Sanson asks, " what is the nature  of the
disease ?" and after observing that " the diagnosis is sometimes
accompanied with  difficulties," acknowledges that  "in the pre-
sent case " he is <•'assisted by a leading symptom, a slight gibbo-
sity of the  lumbar vertebra?."   It  excited, however, so little  at-
tention, in his examination of the case, that he forget to mention
it in his description of the symptoms.
  The nature of this gibbosity, or swelling, and the symphathies
excited by it, could not, therefore, have been known to the learn-
ed author of  this lecture, for in such case, the natural associa-
tions of his mind would have led him to a critical examination of
it, and of the cervical  and submaxillary glands, which  he would
have  found tuberculated.
  These swellings of the vertebras and  tuberculated glands, may
always be  found in the first stage of the disease,  as well as the 
51
Cases.
last, and should always be decisive of its nature, and consequent-
ly we never should do as he says,  " wait for the formation of an
abscess, before we give a decided opinion," but on the contrary,
we should commence our treatment immediately to remove the
disease in the  first stage, and prevent the  formation of caries
and abscess, and their deplorable consequences.
   He labors to show that caries of the spine has an inflamatory
origin—tells us that it is different from Richitis, (Rickets) be-
cause,  in  this case, " we  find the characteristic signs of an
abscess by congestion"—tells  us, also, of " the bodies of the
vertebras"  being  " inflamed "—that " in this case, we have not
only inflamation of the bone, but suppuration also"—that  "this
matter has an inflamatory origin,"  and repeats again and again,
that the abscess, " is an abscess by congestion."
   In replying to these vagaries,  (for  such they really  are,) it
may be useful to observe, that in this disease, we rarely see two
cases precisely alike, and that the common symptoms, are always
varied according to the different part,  situation, and  number of
the vertebrae affected, and  by its  almost constant complication
in some of its stages, with tubercula of other parts of the  system,
and that the idea of the abscess being " an  abscess  by  conges-
tion," or inflamation, and  the vertebra?,  or  "bones,"  being
" inflamed," or in  a  state of inflamation, and that " the affection
is originally an  inflamatory one," is all visionary theory,  and the
old visionary theory too, of the  schools which was never favored
with the evidence of its real existence in chronic diseases.
   The  abortive  attempt  of M. Sanson to  show  a  distinction
between  the^disease in  this  case and Rickets, will be  seen
on comparing it with the case of Master  J.  S.,  who, besides
an abscess in the upper part of the thigh  from  caries of the
vertebrae,  as in this case, had also the common symptoms of
Rickets, or those given as such by M. Sanson, at ihe same time,
whbh demonstrates their unity; and yet M. Sanson describes the
same symptoms,  to show they are different diseases.  His  de-
scription of the common symptoms of both,  are  consequently
lame,   confused,  irregular   and unnatural.   There  are  really,
 therefore,  no  such diseases as  are here described by M. Sanson
as nature is necessarily uniform in all her works.
   His  treatment, it will be  seen,  corresponds with his theory.
 It is " the antiphlogistic,"  or debilitating treatment, " in which
 bleeding forms a part," and the same that is pursued in chronic
 diseases of the organs and limbs.   It is founded on a theory that
 was formed, like many others, with a very superficial knowledge
 of the construction of the elementary organs, and of the motions
 jf the  elementary and compound organs, and without  the least 
Cases.
55
  knowledge of the causes of these motions, or of the great sympha-
  thetic motions by which these are regulated and sustained, or of
  the natural remedies  founded on a knowledge of these causes
• and motions, and has  long since consigned its millions to a pre-
  mature grave.  And  the few  that nature has been able to sus-
  tain against  the combined influence  of the disease, and this
  treatment, may be seen in our towns and cities,—some  pale,
  sallow, feeble, and emaciated, and others  with distortions of the
  spine, and tuberculated and amputated limbs, and who have long
  been perpetual monuments of its  folly.   Hence the  cause of the
  grave skepticisms of some, and the ridicule of others, in regard
  to the real usefulness, or great importance of the medical art,—
  of the  great number  of nostrums for these diseases,—of the
  mazes of Doct. Philip,—the visions of Prince Hoe nice, and  of
  the very learned theory, and very scientific atomic, or 70,000 part
  of a grain practice, of the great German professor.
     The cases before noticed of Master J. M. S. and Mr. W., like
  that of M. Sanson's,  commenced with a  small  gibbosity of the
  vertebra, and both would have terminated, like  his, in caries and
  abscess, under the common treatment, or that recommended by
  M. Sanson.  The case, also before noticed, of Master J. S., was
  so much worse  than  that of M. Sanson's, as hardly to admit of a
  comparison,  and yet  he is preparing himself for a public teacher,
  while M. Sanson acknowledges, that the  "lesion," in the case
  of his  patient, although so  comparatively trifling,  is from his
  knowledge of the dependance that can be placed on the common
  treatment,"  too profound " to give " a reasonable hope of attain-
  ing a successful result."
     The disease, in the case of Master J. S., after it commenced in
  the dorsal, was gradually extended to the lumbar vertebra?.   An
  abscess was  formed in the upper part of the thigh, and on  the
  back, by the matter discharged from the  carious bones; and the
  disease propagated to other organs.  And with caries and dis-
  tortion of the ninth dorsal;  and  caries and obliquity of the last
  dorsals, and all the lumbar vertebra?—with tuberculated stomach,
  intestines and mesentery; and tuberculated and ulcerated lungs
  —with the motions of his body and limbs paralised, and his legs
  flexed, in right and obtuse angles, from compression of the spi-
  nal  marrow; combined with great precosity of intellect, hectic
  fever, night sweats and  diarrhoea; with a  frightful marasmus;
  presented the most appalling effects of this disease, and of the
  common remedies for it.
     Under the use of  the natural remedies, the further progress
  of the disease was stayed—the tuberculations reduced,  and the
  work of re-formation commenced, to replace the great loss of
                            6* 
(J11
Cases.
 substance;  and he slowly, but gradually, arose from his most
 unenviable position, and  stood erect, and remains, like many
 iimilar cases, a monumentof the value of the simple and natural
 remedies, indioated by the really simple nature of  the  disease,
 and of the futile nature and folly of the common treatment.
   Acute or inflammatory  diseases,  requiring the antiphlogistic
 treatment, run through their course, and terminate in a few days
 or weeks; but contra, or chronic diseases, are slow in their pro-
 gress,  and continue many weeks  or months, and sometimes
 years,  before their termination, and require a treatment  entirely
 different, as every body knows,  except physicians, who, in spite
 of  the every day evidences of their own senses, still  adhere
 scientifically, to the old unscientific  theory and practice of  the
 schools.
  This case, and this lecture, is full of instruction, and it should
 never be forgotten, that the reason which induced M. Sanson to
 advise  to wait for the  formation of an abscess,  before we give
 a decided opinion in such  cases, is the consequence of the great
 difficulty in distinguishing chronic diseases in their early stages
 by the  common  symptoms.  The deplorable consequences, re-
 sulting from this necessity, must be apparent to all,  for  instead
of attacking and reducing the disease in  the  first stage,  when
affecting the spine, organs, or limbs, we must wait many weeks
cjr months, and sometimes  years, for the formation of an abscess,
before  we can,  by the  common symptoms, "give  a  decided
opinion," or commence the proper treatment;  or until  the dis-
ease is so  far  advanced, as to preclude,  in a great  majority of
rises, " a reasonable hope of attaining a successful result."
EXPLANATION  OF THE SUBJOINED  CUTS.

  Figure 1 represents the case of Master J. S., as it was when
1 first saw it in Oct.,  1832.  A. Lumbar abscess, with four open-
ings, from which matter issued.   B. Psoas abscess, situated  in
the upper and inner part of the left  thigh.   CC. Abdomen dis-
:etided by tuberculated intestines  and mesentery.  DD. Line
of cervical glands, tuberculated on both sides of the neck.'  See
the descripiion of it, page 4G.                        ' '.
  Figure 2 represents the same case as it was when published
 u June, 1834, and as  it now is.   The  distortion of the 9th dorsal
vertebra backward, will be seen as in figure 1, and the 10th  dor
sal fallen down on its  side, or nearly so, and it would  be difficult
ro tell, according to M. Sanson's views of such accidents  where
that portion of the spinal marrow is, that once passed thro'ueh it«
centre.                                                6   w 
 
5N
Cases.
   TUBERCULA  OF  THE RIGHT  LUNG.

                     CONSUMPTION.

  Doct. B. S. Lawson, of  Cincinnati, rather light complexion,
tall and slender frame, aged 32 years.  Called to see him about
the last of Oct. 1836.  His health,  he informed me, had been
gradually declining about eight years, and about the middle of
August last, began to cough and  expectorate  very freely.   On
examining his neck found  the submaxillary, and some  of  the
cervical glands tuberculated,and on applying pressure on the last
cervical vertebra  it produced pain, but  was more  severe when
applied on the right side, between this  vertebra and the  first
dorsal, while pressure on the other  vertebra? of the spine pro-
duced no pain or effect whatever.
  I now applied the stethescope  to the  right side of the chest,
and soon found  in the middle portion of it, a space of about three
inches  in diameter, where the respiration was entirely inaudible,
indicating from the absence of the crepitous and mucous rattle,
a large and solid  cluster  of tubercles, rendering this part of the
lungs, impermeable and  immovable.  The respiration was  na-
tural all round this portion of the lung, and in every  other part
of the chest.  Diagnosis, tuberculae of the middle portion of the
right lung.  He now  told me  that a celebrated physician, who
was attending him, had also examined him with the stethescope,
and with the same result.  He also told me that percussion  had
been frequently applied,  which uniformly gave a  dull  sound
over that part of the lung.   He has the usual pale, lean and hag-
gard look, or consumptive aspect of the  countenance; and  the
emaciation has  made considerable progress; and he is gradually
sinking.  He has  had prescribed  for  him, and  has pursued, the
usual antiphlogistic treatment,  including a large Emetic Tartar
plaster over the front portion of his right lung,  (from which he
suffered severely,) with low vegetable and mik diet.
  Prescribed Galen's pills and plaster, with no restriction in diet.
  He commenced gaining  strength in a few days after, and in
about seven  weeks, or at the  time he had finished taking one
box of the pills, I examined him again with the  stethescope,
when the respiration was  as audible, in  the before mentioned
middle portion of the  right lung, as in every other part  of the
chest, but presented now  very clearly in  this place, the sounds
of bronchophony.   His cough had now  nearly  abated,, and he 
Cases.
59
had gained in this time, so much flesh, as to  make him appear
better than he does in  his usual  health, and has lost entirely,
the pale, haggard and consumptive aspect of his countenance.
   Jan. 18, 1837.   Examined his chest again.  The sound  of
bronchophony in the circumscribed space in the middle portion
of the right lung,  and  his cough and expectoration have ceas-
ed, and percussion gives now, a full, clear sound.
   He continues to  gain flesh and strength, and his face, body
and limbs, have now the full and rounded form of  a person in
full flesh, and the most perfect health.
   It will be seen, that after distinguishing consumption by the
new symptoms,  the chest is in  most  cases,  explored with the
stethescope,  This is done to ascertain the order and state of
the tuberculations;  for although  they are detected in the first
 dawning of the disease—even in many cases before the cough
commences, yet  we cannot tell without the aid of auscultation,
whether these tubercles are scattered  about at  a distance  from
 each other, or are adjoining each other in small or large clusters,
 like clusters of grapes; or  have softened down and  produced  a
 small reparable,  or a  large  irreparable excavation.  Hene-e the
 doubt that must exist in regard to the curability of the disease,
 in its last stages  in this organ by the natural remedies, without
 the aid of auscultation, and hence  its importance in this, as well
 as in many other diseases of the chest, yet very few know any thing
 of its advantages, in consequence  of a de   "able defect in  the
 education of physicians.


   It may be useful for me to add to the above history of my case, that besides
 the most perfect restoration of my health,  (for such I believe to be my happy
 fortune,  as far as I can judge,) that the above remedies have been a  great
 benefit to me in another point  of view.   My physician, and othor gentlemen
 of the profession, aware of the gTeat danger hanging over me, advised me to
 change my location for a more southerly one, as affording the only hope—not
 of a restoration of my health, but of  prolonging my  feeble existence: and
 beyond all doubt it was the best prescription in their power to make.  Now,
 I do candidly believe that my qase was incurable under the common  mode
 of practice, and that  the  most judicious  practice known to the profession,
 was pursued by him,  to whom I submitted my case.  According to the above
 advice,  I determined to remove to the soiJth, and had commenced  preparation
 by selling off a part of my property, when I was, by the kindness of a friend, (a
 physycian  too,) directed to Dr. Sherwood, and his remedies—for which I
 consider  myself under eternal obligation to the Merciful  Disposer of all good.
   I do believe that every caso of incipient tubercular consumption may be
radically cured, by  a use of the above remedies, and I feel it my duty to sub-
mit my case,  with these few remarks, to ihe public, from the fact that thou-
 sands are carried to an untimely grave, in spite of the most scientific practice
 of the schools—that would, in my opinion, have been with all certainty saved
 by a use of Galen's Pills and Plaster.
                                         B.  S.  LAWSON, M. D. 
60
Cases.
       TUBERCULA OF THE TONGUE.

           RIGHT  TONSIL, RIGHT LEG,

           AND RIGHT. SIDE OF THE NECK.

   Mr. G. A. F----, merchant of Cleveland, Ohio,  light, com-
plexion and slender frame, aged 34.   His tongue began to swell
and to be  sore and stiff  or clumsy  in  February, 1833, and in
April following,  his right leg began to swell.  The swelling and
soreness of the tongue continued to increase until the middle of
May, when the leg had become very painful, and began to  dis-
charge tuberculous matter.
  The swelling and soreness of tho tongue began  now to sub-
side  and in a few days disappeared.   The leg continued to grow
worse and confined him to the  house much of the time for near-
ly four months; but after the use  of  a variety of applications it
healed about  the.%ef-  of December,  of the same year, when he
discovered a tubercle of the size of a chesnut in the  centre and
near the roots of the  tongue, which about the last part of the
month began to ulcerate, when he discovered  another tubercle
about three fourths of an inch from  it, and this soon  ulcerated'
and others  contiir*. ^  to appear  and ulcerate,  until  the first of
May,  1834. They then healed, and the swelling of the tongue a
little  reduced, when the disease re-appeared in the leg, but in
the back part of it, and with its accustomed violence,  and began
to ulcerate about the first of July,   In August the leg began to
get better, when the disease increased again in  the tongue and
soon  began  again to  ulcerate; and  a  tubercle, on  the  right
side of the  neck now suppurated and began to discharge tuber-
culous matter.
   He now went  to the city of New York for advice,  where
electricity  was  prescribed and applied in different ways for
about or nearly three months,  during which time the ulcers of
the tongue healed, and the tubercles on the side of   the  neck
nearly disappeared; but one on the left  side of the tongue, re-
mained uninfluenced by the frequent and continued  application
of the electric shocks.  The leg also during the use  of this and
other remedies continued to get better  and nearly healed.   In
two or three days after he left the city of  New York and  dis-
continued the use  of  electricity, the tubercles on the side of
the neck and the  one on the side of the tongue began to enlarge
again, and in two or three  weeks  two more appeared in the 
Cases.
61
 tongue, and his  throat now began to be  sore and painful, and
 these symptoms  continued to increase in violence.
   On the 10th of January, 1835,  he called upon us for advice.
 The right side of his neck was now  swollen, tuberculated and
 painful, and this pain frequently darted into  the side of his face
 and  head, and there were now  two large tubercles on  the left
 side of the tongue,  and one about the centre of it, and one inch
 from its apex, and three rising conspicuously  from  the right ton-
 sil, which were very sensible to pressure,  and with the swollen
 tongue produced painful  and difficult deglutition.
   Near the time the ulcerations commenced in the  tongue, he be-
 gan to feel lancinating pains in and  through it, and they have
 continued with varying severity to this time; and all the  tuber-
 cles that  have appeared in it from time to time have invariably
 ulcerated, except the last three mentioned, and have left  in  it
 corrugated excavations.
   There  is now little or  no swelling of the leg and the tubercu-
 lous abscesses are all healed except one, but small tubercles  of
 the  size of small peas are felt under the  skin in  the back and
 front part of it.
   He has suffered severely with this disease and  in one or two
 instances reduced nearly to death,  and has  consulted and em-
 ployed many  celebrated physicians, all of whom called it mer-
 curial disease, and prescribed among other things the compound
 sarsaparilla syrup and cicuta, at a time  when the disease was
 supposed to be terminating in cancer.
   Diagnosis.   Tuberculae of the  tongue,  right tonsil, right side
 of the neck and right  leg.  Prescribed Galen's pills and plaster.
 In less than one week the tubercles in his  tongue, tonsil and
 neck, with the swelling of his neck were very much reduced, •
 and  he now  swallowed his food with much less difficulty, and
 the reduction continued,  and at the end of two weeks  the sore-
 ness of the throat had subsided, and he swallowed  without diffi-
 culty, and at the  end of four weeks the tubercles and swellings of
 the tongue, tonsil and neck disappeared, as  well as the tuber-
 cles in the leg, and his health  and flesh had  increased so much
 as to make him appear in perfect health.
   Death  from cancer of  the tongue and throat, is  of all others
the most painful and most horrible, of which Mr. F. was advised,
and for which he had been admonished to prepare.

   Extract cf a letter from Mrs. F. to Mrs. H.  of Cincinnati.
dated Cleveland,  Ohio, March 17th, 1835.

  "My  husband is to all  appearance perfectly well, and  how 
62
Cases.
shall I express the joy with which  I say so.   I should be  and
hope  I am thankful to the Author of all the blessings we enjoy,
and to your father I must  say, he has  made life and the world
to me, look worth possessing again.  Mr. F. wishes me to  say
to your father, that the cure appears to be permanent  and that
he^shall write to him  in a few weeks."

   Extract of a  letter from  Mr. F. dated Cleveland, April  27,
1835.

   "lam now  in fine  health, very fleshy for me, and am every
day congratulated  by my friends  on  the return  of such fine
health."   Dec.  5. 1836.  No  appearance of the disease.  His
health continues very good.
             CANCER  OF  THE  LIP.

  Miss. M. H----, of----, aged 17 years.   Called early in the
morning to see her, in April, 1817; and was requested to exam-
ine her under lip, which was swollen and ulcerated, and  to give
my opinion of its character, and  after examining it and the lym-
phatic glands of the neck, which were tuberculated on both sides.
I pronounced it a  case of scrofulous cancer.  I was then reques-
ted to  say  whether I ""could cure it without  cutting it out,"
and readily answered  in the affirmative, and was then told by
the female  attendant, that, that was all  they  wanted of me, and
that I was at liberty  to return home as soon as I pleased, and
accordingly bade her good morning, and returned home, perfect-
ly in the dark, however, as  regarded what was meant  by this
Quixotic adventure.   The next  day, I was  called again, and in-
formed in explanation,  that a celebrated Surgeon had been at-
tending the patient about two months, and  as the lip  continued
to get worse, and had become very painful, he had advised them
ajew days  before of the futility of all remedies, but  the knife.
and had set the time of 10 o'clock of the day  before to perform
the  operation; but they had dismissed him  and sent for me to
perform the cure without it. 
Cases,
(Y.\
   She  was of the  middling size, light  and ruddy complexion,
eyes rather large and prominent,  and form of face approaching
that of  the Roman,  and with perfect  symmetry of  body  and
limbs, was what may be called a scrofulous beauty, bating only
this horrible lip.
  Prescribed Galen's pills and plaster.
  In five weeks from this time  the  cure  was  perfect,  and the
tuberculated glands in  the neck had gradually become smaller
and soon after disappeared.
    TUBERCULA  AND  EXCAVATION
                    OF BOTH  LUNGS.
                       CONSUMPTION.

    Mrs. J.  C. of Union, Butler county,  Ohio, aged  36 years.
 Called to see her May 28th, J 835.
    She has been very subject to cough ten or eleven years, and
 has had  five or six slight attacks of hemoptysis  during the last
 two years, and in the last part of  March last,  her cough and  ex-
 pectoration after two or three  successive colds was much increas-
 ed, and it  has continued to  this time.  She has irregular fever
 and night sweats, and  has  had diarrhoea which gradually disap-
 peared after her feet and legs began to swell.   They are now swell-
 ed nearly to the knee and are oedematous, and she  is much
 emaciated.
   Pressure on the right side  of the last cervical vertebrae produ-
 ces pain, which on every repetition  of the piessure darts into
 the right lung, and  pressure  on the left side of the same verte-
 bra?  produces pain, which darts into the left lung.
   On  applying the stethescope to the chest we found an exca-
 vation in the upper and front part of the left  lung, and another
 near the middle of it, and another in the front and upper part of
 the right lung.  These  excavations are not very large, and there
 are no tubercles in clusters  in a mature  state  near them,  or
 in any other part of her  lungs.
   Diagnosis.  Tubercula and excavation of both lungs.   Pre-
 scribed Galen's pills and plaster.  The action of these remedies
 commenced  immediately, and in about four weeks her cough,
 fever and expectoration had entirely disappeared, aiid the exca-
 vations were healed, and she had gained much flesh and strength,
and she has  now,  (July 4th,) no appearance of disease excepting
the swelling of her feet and legs, and  this has almost all dis-
appeared.  Nov. 4. 18&6.  Her health continues good. 
64
Cases.
 TUBERCULA  OF  THE  NECK AND  LUNGS.


    king's  evil  terminating in consumption..

  Mrs. L. B----, of Franklin, Warren county, Ohio, aged 35 years, came to
 me, Augast 16ih, 1832, with the form of scrofula called king's evil, which had
 been propagated to the lungs, and terminated in tubercular consumption.
  The whole of the right side of her neck was  covered with  scars and ulcers,
 and they extended from thence down half the length of the shoulder blade, and
 half the length of the  arm.   There were sixteen ulcers discharging scrofulous
 matter, and a number of tubercles, of different sizes, on her neck,  arm and
 shoulder.  She had hectic fever every day, with night sweats, and was cough-
 ing and raising large quantities of matter every day, and such  as is  raised in
 tubercular consumption.  She was  feeble and much emaciated.   It was now
 more than six years since the disease commenced,  and the tubercles began to
 suppurate, and more  than five months since she began  to cough and expec-
 torate.  On examining her chest with the stethescope, it gave the symptoms
of tubercular engorgement of the right lung.   Prescribed Galen's pills and
 plaster.    In seven weeks from this  time, she came to me again, apparently
cured.  The ulcers were all healed,—only one small tubercle remained, and
that much lessened in size.  Her feverand night sweat had disappeared, and
her  cough and expectoration had  almost entirely ceased,   and she had gained
so much flesh and strength as to make her appear as well as any other person.
 Her health has continued good.   Physicians and doctors ofall sorts  had pre-
scribed for her, and her friends  did not  expect her to  survive more than a
few months.
  TUBERCULA  OF  THE  UTERUS  AND

                         RIGHT  LEG.

  Mrs. H. of  Union, Butler county,  Ohio, of  the middling size  and good
constitution, aged 46 years.
  Called lo see her August 17th, 1833.  She has a large fungus ulcer on the
right side of the right  ankle.    The foot and leg swelled as large as the skin
will  admit, which  has a shining appearance, and the ulcer black and depres-
sed from  the surrounding  averted edges of the skin.   It is in  form perfectly
round and as large as  .he circumference  of the top of a large tea cup, and is to
the depth of half an inch,  a  gangrenous mass of fungi which emits a horrible
smell.  The swelling commenced about three months since.
  Her countenance is pale and sallow and she has leucorrhcea, with which she
has been affected more than two  years,  and she is now feeble and emaciated
—is suffering  severely with dull and lancinating pains in the ankle and le*'
and  is confined to her bed.                                           b'
  She has a number of tubercles on the right side ofher neck,  and pressure on
two  of the lumbar vertebrae produces pain which  darts into the uterus.  Pre- 
Cases.
65
 scribed Galen's pills and a  grain of Quinine, thre»  times a day with a large
 fermenting poultice  to the  fool,  antfle and leg, to be renewed morning and
 evening and Galen's plaster over  the lumbar vertebra?.   August 22nd.  The
 swelling  of the limb is very much reduced  and the gangrenous fungi have
 sloughed out and left a large and round chasm half an inch deep, the bottom
 of which is covered with fungasor  round elevations, of a red color surrounded
 with a white colored matter, and  the edges of the  skin every where averted,
 and besides this formidable ulcer, the whole oflhe back part of the ankle, from an
 inch above the bottom of the heel to four inches above the ankle, is  now one
 mass of fungus  or  loose and spungy ulcers,  the  skin  having entirely dis-
 appeared.
   The limb was now washed with  a solution of chloride of mercury, and  ad-
 hesive plaster, spread very thin on strips of cotton cloth,  two and a half inches
 wide and  long enough to reach round  the limb and lap over two inches, and
 a sufficient number of them so spread  to cover the limb from the lower part
 of the ankle  to a point seven inches above it    I commenced applying these
 strips  by  making  one  end  stick  fast  to the  side of the heel,  and  then
 drew it round below the ankle moderately tight and  then  took up another
 and fastened it  as before, and lapped it on the first about an inch, and drew
 it on and let  it lap over the end of the strip as before,  and so with  the re-
 mainder of the strips until they were all on.
   I  then took a roller bandage, wet in the above solution, and commencing at
 the  toes, rolled it over the foot, ankle and leg  to  the knee.   Directions were
 now given to keep the roller wet with the solution and remove it and the strips
 of plaster, and wash the leg  and ulcers and re-apply new strips of plaster,
 and the roller in the same way night and morning, and in case the limb should
 become more painful  to  remove them,   and apply the fermenting poultice for
 twelve hours, and then again apply the  wash,  strips of plaster and roller.
   September 8th.   The swelling of the limb has subsided, except a little about
 the ulcers,  and they have commenced  healing from their extreme points to-
 wards the centre.  Her health has  improved so much as to be able to sit up
 the most of the day, and the quinine directed to be discontinued.
   October 3d.   Her leucorrhcea  has disappeared and the ulcerations reduced
 to about one third of their original dimensions.   The same course of treatment
 was continued with little variation, and in about two months they healed en-
 tirely when her health was fully re-established.
   The manner  of applying adhesive strips of plaster as  was pursued in this
 case, was first recommended by Cooper in cases of the common ulcerated legs,
 and  it cured some cases, but the disease generally returned again afier a few
 weeks or months.   When however the  disease is treated like this case with
 Galen's pills and the adhesive strips of plaster, the diathesis or taint in the
 system from absorption from these ulcers is destroyed and the disease does not
 return.  The adhesive plaster I use in these cases is much belter and cheaper
 than that obtained from the  shops,  and  is made by boiling Rosin and Lard
 in water an hour, in the proportion of one ounce of Lard to every pound of
Rosin, and when nearly  cold may be made into rolls of any convenient size.
 The Rosin must always be good and free from impurities.  The plaster must
also be spread very thin and  very even and always  applied  precisely in the
same way as in this case, when it cures the disease if it is not of more than
7 or 8 yeara continuence in  from 5 to 7  weeks. 
t'O
Cases.
           TUBERCULA  OF   THE  EYES


 SCROFULOUS  SORE EYE S---U LCERSOFTHE  CORNEA.

  Miss E.  A. S-------, of S----, Hamilton county, Ohio, aged eight years.
 I was  called to  see her, February 6th, 1833.   She had scrofulous sore eyes.
 The eyelids were very much thickened  and swollen, and the membrane that
 lines the inside of them and covers the eye ball was very much inflamed, and
 she had two small ulcers on the sight of the right eye,  (ulcers of the cornea,)
 and for the last two years  has been almost blind, and  could barely distin-
guish day from night,  and  for  six weeks of the time has been entirely blind.
 She has  not been able to bear the  light to her eyes,  and has consequently
 kept them constantly covered.   She had a  number of tubercles  of different
 sizes, on the  right side of her neck, and  was pale, feeble and emaciated.
  Five physicians had  prescribed  for her, at different  times, without  any
 apparent benefit.  And  besides a great variety of the common treatment,
 had been subjected to a thorough course of the most modern, including a seton
 two inches  broad in the back of the neck, together with a powder composed
of calomel and some astringents, finely  levigated, and blown through a quill
into her eyes.
  Prescribed Galen's pills and  plaster.   Her health began  to improve in a
few days from this time, and continued to improve, and in about twelve weeks
the  inflammation had entirely disappeared  from her eyes, and her eyelids
were then as thin  as they ever were; and her health good.
     TUBERCULA OF  THE  JOINTS  AND

                              LIMBS.

   ULCERS,  WHITE SWELLINGS,  ABSCESSES,  AND

                   CARIES  OF  THE  BONES.

   Master W. L. of Madison, Butler county, Ohio, aged eleven years.  I was
called to see him, May 29th, 1833.  He had scrofulous tubercles, and a scro-
fulous ulcer on both sides of his neck, a white swelling of the loft arm, between
the shoulder and elbow, and another of the left ankle.   He had also a white
swelling of the right knee, and also of the right ankle, and another of the third
joint of the fore finger of the right hand.   The white swelling of  ihe left arm
was discharging scrofulous matter, from abscesses in four places, that of the left
ankle in  two places, and that of the right ankle, and that of the hand  in one
place each.                                                    '  -
   The disease commenced about a year and a half before, first with white swel-
ling of the right knee, and the other swelling and ulcers and abscesses gradually
appeared as ihe disease advanced.  He was now confined lo his bed and  unable 
Cases.
6?
 to walk, was feeble and emaciated, entirely deaf, and suffered much from pain,
 mostly at this time in both ankles and the left leg.   Presrcibed Galen's pills
 and plaster.  The pain in his limbs began to subside in a few days, and his
 health to improve; a piece  of bone two inches long, half an inch wide, and
 three eights of an inch thick, separated from the bone, and was removed from
 the left  arm.   The  white swellings  gradually became less, and in  six weeks
 he was able to walkabout in the fields.   The swelling of the thigh termina-
 ted in abscess; Iopenod it,and it discharged about three gills of matter, and
 then healed rapidly.   November 1st, 1833.   The  white swellings have all
 disappeared, and the abscesses  and ulcers  healed,  and  his general health
 i3 good.
   His jaws were  so  nearly  closed as to only admit a finger between them.
 All the teeth on the  under jaw of the left side came out, and also a part of the
 jaw  bone the  whole  length of the jaw in which  the teeth were set; and there
 has come out of the same  place an entire new set of teeth, and he can now
 open his mouth as wide as he ever  could, and besides there has come out of
 the roof of his  mouth a number of small pieces  of bone.
   Pieces of bone also came out of the upper end of the tibia (shin bone) of the
 right side, from the left ankle joint, the left clavicle, (collar bone,) the mas-
 toid proceess of the right side, (bone  that projects under the ear,) and from
 the under jaw bone of the right side; and the right leg was drawn back so as to
 form nearly a right angle with the thigh, and the  left so as  to form an ob-
 tuse angle.


   TUBERCULA  OF  THE KNEE  AND  MESENTERY.

   Mr. D. C, of Springfield, Hamilton county, Ohio, farmer, aged thirty nine
 years, came lo me October 15th, 1832, with while swelling of the left knee,
 and  enlargement of the  abdomen, which he supposed to be dropsy,  but was
 evidently caused by enlargement of the mesenteric glands.   His health had
 been declining more than a year, and  the  enlargement of the abdomen com-
 menced about a year, and the swelling and pain in the knee which  now ren-
ered  him a cripple, about four months before.   Prescribed Galen's pills  and
 plaster.  In five weeks from this time the swelling of the knee and enlarge-
 ment of the  abdomen had  disappeared,  and his usual good health restored.

   TUBERCULA  OF  THE  NECK AND MESENTERY.

   Master  T, I., of the city of  Cincinnati,  aged  18 months.  I was called
 to see him about September 1st, 1830.  He had a scrofulous ulcer under each
ear, which were discharging  scrofulous matter very  freely,  and a number of
tubercles of different sizes, on both sides of the neck, and an enlargement of
the abdomen, with diarrhoea.   It was now more than a year since the disease
commenced, and he had'irregular fever and was feeble and emaciated.   Five
or six  physicians had attended and prescribed for him, but the disease grew
worse. Prescribed Galen's pills and plaster.  His health began to improve
in a  few days,  and in about six weeks the ulcers were healed and the tubercles
had  disappeared, and his health was in all respects restored. 
68
Other Cases.
 TUBERCULA CONNECTED WITH SYPHILIS-
   A notice  of the catenation  of this disease with syphilis was purposely
 avoided in the first edition of this work for obvious reasons, but I am compell-
 ed by the urgent solicitation  of a number of friends, who have a knowledge
 of its importance to notice it in this, and I shall do so by observing that tuber-
 cula, or what is called scrofula, sometimes assumes the most malignant  form,
 after the long continued use of mercury in chronic diseases, including syphilis,
 hence the name Mercurial Disease.    It frequently assumes the same ma-
 lignant  form  after the absorption of the syphilitic virus.   The following
 notice of it under this form, and of the  common remedies for it,  is extracted
 from a lecture  delivered by  a  distinguished professor in one of  our medical
 colleges.
   "  The last point connected with scrofula that I shall mention, is its catena-
 tion  with syphilis.  It is my  firm impression, and one too, that I have not
 failed to impress on the minds of my students ever sines 1 have been a teacher
 —one that I have not hesitated to promulgate in writing and in debate—
 that  most of the constitutional symptoms of syphilis depend on the inoculation
 of this disease in a scrofulous constitution.  For many years I have had this
 subject  impressed  on my mind.  I have examined with  care,,every case of
 this disease that has occurred in a laborious practice.  I have enquired into
 the  previous history and circumstances of the unfortunate beings  who have
 fallen victims lo the fell destroyer.  I have looked at evgry case of this disease
 transplanted into a strumous  diathesis, with peculiar attention, and I do not
 hesitate to assert,  that when a  scrofulous patient presents himself before me,
 with  even a common chancre, I  consider his death wavrent signed and sealed.
He may, it is true, linger on a miserable life, disgusting to himself, and loath-
ed by his friends;  but even if his life be spared, what is he but a miserable,
 emaciated, deformed, wretched being,  beyond the power  of medicine,
 capable of indulging  in no hope, but that of a speedy  death, and the early
 death of such an unfortunate,  is a relief from misery and despair.   And who
 are the victims to this unenviable conjunction?  Who are the young men that
 fall victims to'the  union of this disease  with scrofula ?   Alas it is among the
 young, the talented, the manly.
  "Too often have  I seen young gentlemen, whose early mental developements,
 whose just and fair proportions, whose general character for scholarship and
 accomplishments, have rendered them the delight  of their friends, the hope
 of their parents and their country,  cut  off by their own  imprudence.   And
 those too  are the very men that are most easily led away,  young, ardent.
 enthusiastic.
  "It is for the scrofulous, for  the young, for the talented, for the beautiful,
 that  the snare is laid, and many a physician can  testify how often he has fol-
 owed to the grave the blighted hopes of  parents, in the persons of those, who
have by imprudence and dissipation, wrought out their own destruction."
   Ihe importance of this subject to those who are interested in it, has induced
 me to make the above extracts, and to observe here, that  the  natural reme-
 dies, or  those called Galen's pills and plaster, not only cure ihe disease  most
 thoroughly and  permanently in  all  the  forms above noticed,  but they cure
syphilis in all its stages.  And in many cases, in the higher circles of society,
where the disease in these forms has descended from parents to  their children
 they  have saved their lives,  and the reputations of whole families from one
common ruin.
  The symptoms of the disease, when connected or complicated with syphilis
 by the absorption of the syphilitic virus, and also when it is produced by the
absorption of mercury, and called mercurial disease, are the  same as  other
forms of tubercula, and  consequently require the  same  remedies; and the
same rules should be observed both in distinguishing these forms, and in using
 the natural remedies, as in the common forms of the disease. 
Recapitulation.
69
  It is only necessary to add, that when from the absorption  of the syphilitic
virus an ulcer is formed, called a chancre,  and when the inguinal glands be-
come tuberculated—no matter by what name they are called, or one of these
are  softened  down,  and produced one 01  more abscesses there, or when any
other part of the system becomes tuberculated, or abscesses, ulcers, or caries
of the bones form from this cause, the same symptoms will be presented on an
examination as in tubercula of the  organs and limbs, and the above remedies
should be used in the same manner, and the same rules should also be observ-
ed  as in other  forms of tubercula.   See in plate of the spine, the last lum-
bar vertebrae and os-coxyx, and the directions for the applications of the plas-
ter incases of ulcers, abscesses and white  swelling of the limbs, page 17, (fand
for'its application also on]the spine  in chronic diseases of the organs, page 18.
                         RECAPITULATION.

      The new symptoms of chronic diseases, with their natural causes, and the
    new remedies, founded on the natural causes of motion, are described and
    illustrated in the preceding pages by a variety of cases.
      The new  symptoms of these diseases, which dispel many  of their myste-
    ries, and simplify  the practice in the heavenly art of healing  the sick, are so
    plainly described and illustrated,  as to be easily understood, and will be of
    great service  to patients laboring under them.   They are invariably the same
    in all the organs, and point lo the disease with the same certainty that the
    needle points to the pole.  The uniformity of these  symptoms, and of the
    disorganization presented  by dissection of the different  organs  and  limbs
    affected at the same time, and the uniform curative action of the natural re-
    medies in all the cases, demonstrate thejdentity  of these  diseases, as well
    as the absurdity of the received theories relating to them, and of the unnatu-
    ral, unscientific, and useless remedies founded on these theories.
      The natural remedies cure these diseases by merely changing the sympathe-
    tic action of the diseased organs and limbs, and are perfectly safe for patients
    of both sexes, and all ages and  conditions.  And it may be useful to repeat
    here, that the active principle  in the pills is a chemical preparation of gold
    in a negative, and that of the plaster, a  chemical preparation of iron in a
    positive state,  and are strictly  and necessarily scientific remedies, and ihe
    only ones that are really so for this class of diseases.  In order to make and
    maintain them in these states, and without which they would he useless, they
    are necessarily made by a process so  difficult and tedious, as to  require an
    apprenticeship to manufacture them, and must consequently be manufactured
    and  put  up in  convenient forms for use like many of the French chemicals.
      It may also be useful lo observe  here, that  there is really  no mystery, as
    some have supposed, either in  regard to the elementary organs of  which the*
    body is formed—the motions in animate matter—causes  of  those motions,
    —the  new  and natural symptoms of chronic diseases, or in the action of the
    natural remedies  for  them, or those called, for the sake of convenience,
    Galen's pills  and plaster, but are all the result of natural causes, and easily
    susceptible of demonstration.
           "But with milk like babes their food must blend,
          " Before with meat you  crowd the distant end."
      I  must hero close the  remarks which I  intended to make,  by observing
    that this little synopsis of chronic diseases, was written for the benefit of those
 ^  who were laboring under them, and for this purpose it was a matter of some im-
.fjk'portance to preserve a plain style, by avoiding as much as possible a technical
 ■ ''language, that would to many be unintelligible, and in doing so in  the little
    time  I have been able to devote to it, I have necessarily avoided a  style and
    composition that would have been more pleasant for scientific readers. 
70
Glossary,
                         GLOSSARY.

Abscess, A swelling containing matter.
Antrum, Cavity under the cheek bone.
Auscultation, Act of distinguishing diseases of the chest with the stethescope.
Axilla,  Armpit.
Catemenia, Monthly discharge from the uterus.
Cerebellum, A part of the brain.
Cerebrum, A part of the brain.
Cervical, The neck.
Cervical Vertebral, The seven uppermost joints of the spine.
Chlorosis,  Retention, or suppression of ihe monthly discharge from the uterus.
Clavicle, Collar bone.
Cranium,  Skull.
Diagnosis, Distinguish the disease.
Dorsal,  Back.
Dorsal Vertebra,  Joints of the   back between the  cervical  and lumbar
       vertebrae.
Excavation, A hole.
Excretions, These are formed by the excreting system and are conveyed to
       the surface of the mucus membranes and skin, and then expelled from
       the body.
Expectoration, Raises or coughs up matter.
Flacidity,  Soft and flabby.
Glands,  Round, organized  bodies  with  vessels, nerves, and connecting
       substance.
Ganglia of Glands,  Knobs of, or a line  of glands,  (kemais.)
Hemorrhage, Discharge of blood.
Hypertrophy,  Swelling.
Inguinal, Appertaining to the groin.
Intestines,  Bowels.
Lung, The Lungs, (lights.)
Leucorrhaa,  A discharge from the  uterus of  a whitish, and sometimes of a
       yellow or greenish colour.
Muscles, Distinct portions of flesh of different lengths and forms with which
       the body and limbs are moved.
Marasmus,  Emaciation.
Menorrhagia, Excessive monthly discharge from the  uterus.
Mesentery, The caul.
Oedematous, A  soft inelastic or doughey swelling which when pressed with
       the finger leaves its mark for sometime.
Oesophegus, Gullet.
Spine, Boney column of  the back composed of 14 bones called  vertebrae,  7
       cervical, 11 dorsal, and 5 lumbar.
Stethescope, A tube or accoustic instrument to distinguish diseases of the chest
       by the different sounds in its different diseases.
Secretions, These  are  formed by the  secreting system, and conveyed from
       every part of the body  to ihe heart and centre of the circulating system.
Tonsils,  Organs called glands (amonds  of  the ears) situated on each side of
       the ihroat.
Tubercle, Enlarged and diseased gland.
Tibia, Shin bone.
Uterus, Womb.
Uvula, Palate. 
ADVERTISEMENT.
      GALEN'S PILLS AND PLASTER.

  In order to supply the long increasing demand for these remedies
from a casual knowledge of them, and about which no apprehen-
sions are entertained, except in their use in cases of irreparable
injury or loss of substance, and cases of a similar nature, and for
Avhich they were not intended, and ought not to be used, it be-
came necessary about six months since to form a company for
their manufacture, which consists of Doct.H. Parvin, G. Guilford
and H. H. Sherwood.
  The price of these Remedies ($10. for a  box of each) is the
same that it has always been,—affording no  more than a fair profit
on the  materials and cost of manufacture, and to the public a
safe, cheap and efficatious remedy.
  In order to protect the manufacturers and the public from a
spurious article that may be attempted to be passed for the
genuine, these  remedies  will always be accompained with  this
pamphlet, and the tops of boxes containing them will be  covered
with labels made from the same plate with the figures on page
5, representing  sections of tuberculated glands all of which are
protected by the laws of congress.
                            H.  H. SHERWOOD & CO. 
TUBERCULATED CONGLOBATE GLAND. AS SEEN
        THROUGH A MICROSCOPE,
THE SAME GLAND WITH ITS CONNECTING
        SUBSTANCE REMOVED.
PLANET SATURN WITH HIS RINGS.
 
 

'  4 
New or Electric Symptoms of Chronic Diseases.
Sherwood, Henry Hall                                ,
Cincinnati: T. Surguy, 1837.
National Library of Medicine
Bethesda, MD                                             *■

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