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Show 252' APPENDIX. APPENDIX. P. 163. Passolongo is misprintcd for Pratolongo. longo was a celebrated physician at Genoa. 253 Prato. He lived toa great old age, and saw, with an eye perhaps more unclouded by prejudice than any other individual whatever, the fluctua- tions of medical practice from near the beginning to near the close of the last century. He lived much among the epide« free from prepossessions, he was a diligent and discerning practitioner, and strongly favoured bloodletting in fever under certain conditions; as when the pulse was full, hard, not very frequent, urine high-coloured and scanty, body bound, respiration slow with oppressive drowniness, and a buffy coat on the blood. Neither old age, nor penury, nor preceding disease mics of his country, and from 1740 to 1743, in quality of should then, he thinks, stand in the way (Defcl-re nosocomialé assistant physician, had to take down and read aloud the his~ § 43-48). He bled as late as the 14th day with success, and repeated the operation when the above symptoms existed. If an external phlegmon arose and was accompanied with a ve- tory of cases in the hospital (Dcllefelzre, c/ze si diconoputritlc Geneva, 1786). He continued to think and observe strenu» ously on the subject. He strongly represents the experienced hement suppuratory fever, this he restrained by venaesection. the use of the lancet; which however he " Neque quis regerat hie agi de febre putrida, de morbo jam considers as only preventing, or checking certain effects of adulto, de viribus imbecillibus: febrem enim, quamvis putridao the disease He asserts that we are totally destitute of any indolis natalitia sortita sit, in héc tamen periodo degeneraro direct specific against fever, of which the nature is unknown, and that the life of man ought not to be sported with in coma atque inflammatoriam indolem induere; morbum vero, licet adultum, novum vel-uti morbum acutum phlogisticum esse;-- pliment to any hypothesis, which may have been formed upon vires demum cititis ac pejfis a riolentici febris quam a sanguinis the subject. He says that in 1740, these fevers were com~ missione, moderatzi tamen, prosterni."----How probable upon manly called malignant; but afterwards when the doctrines the whole that the treatment of fever degenerated among us in many respects, till of late ! P. 166. Dr. Deveze, a fugitive from St. Domingo, practised necessity for of Boerhaave, Pringle, and Huxham obtained the ascendant, the title of putrid was substituted. This change of name he laments; for though malignant be not appropriate, yet it in» most largely at Philadelphia, in 1793, and the year following diczttes danger; whereas the denomination of putrid is not published a tract on the yellow fever, and another in 180%.- The committee of superintendance or whatever title it bore, having understood that he had met with some success, desire his attendance. He explained, in opposition to the college of physicians, his opinion that the disease was not contagious, and represented it as essentially less fatal than was generally ap- prehended. He was in consequence desired to visit the hospital at Bush-hill; and being unable to coincide with the phy» sicians there, was charged with the sole management of the establishment. His practice was widely different from that of the British-bred physicians, though he did not carry bleed- only equivocal, but it perverted practice. For the same fevez about 1740, did not prove so destructive (7 dying in 100) as afterwards, when the fear of putrefaction alarmed practicners into a contrary treatment. Though by the bark and bliss ters, had their use been better understood at the first period, more would have been saved. There were four physicians to the hospital, who differed as to bleeding; but all resorted to if; when malignant fever was in question; provided the symptonr repaired it. Petechiae he by no means considers as an abso- lute counter-indication. Dr. Cera, of Milan, may be better known. Though less free ing nearly so far as his own countrymen formerly, or as Dr. Rush came to do. It would appear to have been sometimes useful, |