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vived to the eighth or eleventh day. In all these the throat was but little affected. The pulse, in these cases, was, from the very beginning, so quick, feeble, and irregular, that it was scarce pradicable to count it for half a minute at a time. The eyes exhibited an equable, shining redness, resembling that which is observable in the eye of a ferret; and yet the strongest light was not offensive. This redness might first be perceived in those parts of the eye that were covered by the upper eyelid. Small circular spots of a livid colour frequently appeared about the breast,
Sometimes, even ten or fifteen days after the cessation of the fever, a new disease appeared. After a few days amendment, some new symptoms retard and finally stop the patient's further approach towards health, and at length terminate in an univerfal swelling of the anasarcous kind, or sometimes in an ascites. In some, the dropsy affects the brain, producing the coma vigih, delirium, and blindness : in others, it falls upon the lungs, and produces every symptom of the true hydrops pectoris.
After having given a distinct history of this disease, followed by an account of the more material observations made by preceding authors, on the species of scarlet fever most nearly refembling it, Dr. Withering points out the characteristic lymptoms which distinguish it from other disorders seemingly allied to it. These are, fevers of the petechial kind, the purple fever, measles, erysipelas, and particularly the ulcerated jore throat. On this last head he makes the following observations :
6. There is yet another disease so much resembling our epidemic in many of its leading fymptoms, that I acknowledge it is not an casy task to distinguish them; and yet the distinction is a matter of the greatest importance, as the method of treatment ought to be extremely different. The Reader will readily guess that I allude to the Angina Gangrænosa, or ulcerated fore throat. They are both epidemic, they are both contagious: the mode of seizure, the first appearances in the throat, are nearly the same in both: a red emorescence upon the skin, a great tendency to delirium, and a frequent, small, unsteady pulse, are likewise common to both.'-He adds, that it is not wonderful that, with features so strikingly alike, and so obvious, many practitioners considered them as the same disease; and that others, though sensible of some little differences, still concluded them to be of the same nature-both putrid, and both
accordingly requiring a similar mode of treatment. The differences between them are given in a table, containing a comparative or contrasted view of these two diseases, exhibited in opposite columns; from which we Ihall extract some of the more distinguishing symptoms of each.
Under the Articles of Seafon, Air, and Situation, it appears that this scarlet fever reigns in summer and autumn; in a hot and dry air ; and in high, dry, and gravelly situations : whereas the ulcerated fore throat is prevalent in spring and winter ; in a warm and moist air; and in close, low, damp, and marshy places.—The former attacks the vigorous or robuft, without distinction of sexes : the latter seizes the delicate, and particularly women and female children. - In the scarlet fever, the eyes exhibit a shining, equable, intense redness, and are seldom watery : in the gangrenous sore throat, the eyes are inflamed and watery, or sunk and dead. - In the former, in summer, the tonfils, &c. are little tumefied, and without floughs; in autumn, they are more swelled, the integuments feparate, and white floughs appear : in the latter, the tonsils are considerably swelled and ulcerated, and the floughs are of a dark brown colour.—The breath, in the former, is not fætid : in the latter, it is offensive to the patients and their affiftants.-The blood, in the former, is buffy and firm : in the latter, florid and tender.-The scarlet fever terminates on the third, fifth, eighth, or eleventh day : the ulcerated fore throat has no stated period. -In fine-and the distinction is a very material one-the former is characterised as an inflammatory, and the latter as a putrid disease.
After this enumeration of the principal characteristical symptoms and circumstances attending the two diseases, it will obviously follow that a method of treatment highly falutary in one of them must be noxious in the other.- No medicine, says the Author, ever had a fairer or fuller trial in any disease, than the bark had in our epidemic. The great proftration of strength, the feeble pulse, and the sharp heat upon the skin, with here and there a livid spot, were thought to be such undeniable evidences of the putrid tendency of the disease, and of the broken texture of the blood, that the bark was poured down with a most unsparing hand. And again, in the autumn, the increased disease in the throat, and the floughed appearance of the tonfils, conspired to keep up the delusion. It was very generally believed that bark was the only medicine that could be depended upon; and mankind had not yet forgotten how many loft in the first attacks of the ulcerated fore throat, before they became acquainted with the efficacy of the bark.'—The Author nevertheless affirms, that by the liberal exhibition of it, and of cordials, much harm was done ; and, in particular, that the inflammation of the tonfils, &c. was thereby greatly increased, and the whole lining of the fauces converted into a stinking Nough.
The first and principal remedy recommended by the Author, and employed with the greatest success, was a powerful vomit,
frequently repeated. On the very first attack, it feldom failed to remove the disease at once.' He recommends a vomit likewife as the best of preventatives ; in consequence of his opinion that this contagion first made its lodgment upon the pituitary membrane lining the nose and fauces; from whence an emetic diflodges it, and prevents its descent into the stomach. Another prophylactic recommended by the Author is the caustic alcali, or foap-leys diluted with water, and used as a gargle, on account of its chemical quality of diffolving mucus, and destroying all the peculiar properties of animal matter. He uses likewise the vegetable fixed alcali pretty liberally, though largely diluted, as a diuretic; considering the medicines of this class as most to be depended upon in this disease, next to emetics. But we shall not dwell further on the Author's method of cure, as we cannot suppose that, after this notification, by which we principally mean to put practitioners on their guard against this diseafe, any of our medical Readers will neglect to consult the pamphlet itself, for information respecting this and many other particulars, relative to a distemper probably so little known to them as the present.
The Public were highly obliged to Dr. Fothergill for the light which he threw on the nature and proper treatment of the ulcerated fore throat : and equal obligations appear to be due to Dr. Withering, for his early account of the disease which he has so well described, and the true character of which he ap pears to have so well ascertained, in this little treatise.
For MARCH, 1779.
POETICA L. Art. 10. An Elegy on the much lamented Death of a most ingenious
young Gentleman, who lately died in the College of Edinburgh,
where he was a Student. 4to. Robinson. 1778. "THE ingenious and accomplished young Gentleman, whose
untimely death gave birth to this Elegy, -was a student three years at Edinburgh ;-where the cause of his death was a putrid fever, which he got by diffecting the brain of a child who died of a dropsy in the head. A very small time before his death, be, by unanimous confent, and with universal applause, obtained the prize. medal proposed by the Esculapian Society of Edinburgh, for the best essay on the means of distinguishing pus from mucus. For an account of his learned and ingenious dissertation, which justly procured him so much honour; of his other writings; of his much lamented death, and molt amiable character; see the 19th Number of the Medical Commentaries, from p. 329 to p. 336.'
Considered as the pious tribute of friendship, this Elegy, which abound: with natural expressions of tenderness and fincere regret, demands the most generous applause; but, regarded as an
attempt at poetical composition, we have little to say in its praise. With perfect justice, therefore, as well as, we believe, unaffected modefty, does this sentimental and feeling. Writer declare, in his advertisement, that he lays no claim, nor indecd hath he any pretensions, to poetic merit.' Art. II. Bath,-a Simile. Bath, na Conversation-Piece,
Bath,-a Medley. Preceded by a Prologue to the Critics; fucceeded by a Rhapfody, on the Death of Mr. Garrick.
4to. 28. 6 d. Whieldon and Co.
1779 There is more wit than poetry in this medley. The simile, in particular, in which Bath is compared to a set of tea-equipage, of Wedgwood's cream-coloured ware, and which runs through as maný verses as Swift's poem on Bally-Spelling, is well made out. We should have liked the performance better, if we had met with fewer Sternboldian lines in it. But, poffibly, the quaint fimplicity of his strains is meant as a constituent part of the Author's waggery. Art. 12, Party Satire Satirized. A Poem. 4to. I S. 6 d.
Bladon. 1779. A lick at the lashers ; who are represented as a pack of seditious libellers :
By mad caprice, or parriotic spite,
Thus politics makes rebels of us all."
Sons at this tremendous Juncture + : A Poem addresled to the First Lord of the Admiralty, the Commanders of the Militia, &c., 4to.
2 s. 6 d. Ch. Rivington. 1779. It is expected that poetical tears should flow according to the laws of Melody, Harmony, &c, but here we have the most unmafical blubbering that hath been heard since the days of Withers and Tayfor the water poet. In Mort, this weeper in verse is a downright rebel against all poetic authority. If the Writer of the following couplet were, by chance, to stray within the confines of Parnassus, the beadle of the sacred mount would certainly take him into custody, as a disorderly person, and a pilferer :
The wounded war-thip, now no longer strong,
Drags like a wounded snake her maim'd length along. But if the Author is a rebel in poetry, he is a loyal subject in politics ; witness the following address to a noble Lord :
On thee, O Sandwicb, equal to the weight,
Now rests thy anxious country's naval face : *" I rejoice that America has refifted,” faid a late patriotic Earl in the House of Peers.”
AUTHOR's Note. + This feems to bear reference to the problematical sea-fight of July 27, 1778.
Able thou art, and worthy to preside,
For decent Fame, and love the public weal.That decent fame was however an unlucky throw, and hath afforded room for some critics to conjecture that the whole compliment (of which we have copied but half) is ironical; but we consider it as mere fimple praise :- so much the worse, some readers will say; but that is no fault of ours. Art. 14. The Anti-Palliseriad; or, Britain's Triumph over Frances Dedicated to the Hon. Auguftus Keppel. 4to. I S. 6 d. Bew.
• Heav'n sure winks not at treach'ry fo profound !
Nor safety find from Palliserian fraud.' If the foregoing lines are not wholly sufficient to determine the rank and character of this panegyric on Mr. Keppel, let the following be thrown in as a make-weight:
• In heroic spirit Briton drew her sword.'
• Too clement Briton to a conquer'd foe!' The Admiral must be vanity-proof, indeed, if he be not overelated with all the fine things that are said of him, and to him ! Art. 15. An Heroic Congratulation, addressed to the Hon. Au
gustus Keppel, Admiral of the Blue; on his being unanimously, honourably, and fully acquitted of the Five malicious and illfounded Charges exhibited against him by Sir Hugh Palliser, Vice-Admiral of the Blue. To which is annexed, an Address to the Public, containing the Five Charges, interspersed with Metaphors, Animadversions, and Allusions, suitable to the Subject, to display their Absurdity, and vindicate the untarnished Honour of the British Navy. 4to. I s. 6 d. Dodsley, &c.
What an happy man is this Admiral ! Verse-men and prose-men, and authors who write neither prose nor verse, all brandish their pens, and join the general huzza for Admiral Keppel! The following two pair of lines will serve as a sample of this heroic Congratulation :
• What's more incredible than all before !
Then in their wake, as near as he cou'd be.' If this Gentleman's Muse has done with the Court-martial, we would recommend to her attention the Sessions-house at the OldBailey. The trials, in that court, in rhyme, might procure us an annual volume, which would bid fair to rival Withers's Britain's Remembrancer, and WARD's versification of Clarendon's History of the Rebellion,