OF THE MALIGNANT Q'TNSEY.

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discharge of blood from the nose or

The putrid ulcerous sore throat may be distinguishedfrom the inflammatory, by the vomiting and loose-ness with which it is generally ushered in; the foululcers in the throat covered with a whitish or lividcoat; and by the excessive weakness of the patient;with other symptoms of a putrid fever.

Unfavourable symptoms are,—an obstinate purg-ing, extreme weakness, dimness of the sight, a livid orblack colour of the spots, and frequent shiverings,with a weak fluttering pulse. If the eruption uponthe skin suddenly disappears, or becomes of a lividcolour, with amouth, the danger is very great.

If a gentle sweat break out about the third or fourthday, and continue with a slow, firm, and equal pulse;if the slough casts off in a kindly manner, and appearclean and florid at the bottom; and if the breathing issoft and free, jwith a lively colour of the eyes, thereis reason to hope for a salutary crisis.

REGIMEN.—The patient must be kept quiet;and for the most part in bed, as he will be apt to faintwhen taken out of it. His food must be nourishingand restorative, as sago-gruel with wine, jellies,strong broths, Ac. His drink ought to be generous,and of an antiseptic quality, as red wine negus, whitewine vvhey, and such like.

MEDICINE.:—The medicine in this kind of quinseyis entirely different from that which is proper in theinflammatory. All evacuations, as bleeding, purging,&c. which weaken the patient, must be avoided. Cool-ing medicines, as nitre and cream of tartar, are like-wise hurtful. Strengthening cordials alone can be usedwith safety, and these ought never to be neglected.

, If, at the beginning, there is a great nausea or in-clination to vomit, the patient must drink an infusionof green tea, camomile-flowers, or carduus benedictus,in order to cleanse the stomach. If these are notsufficient, he may take a few grains of the powder ofipecacuanha, or any other gentle vomit.

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