sition to exercise; difficulty of thinking or reasoning, or
concentrating the mind upon any subject; lassitude; indifference
respecting business, lack of ambition or energy; obstruction of nasal
passages; discharges voluntarily falling into the throat, sometimes
profuse, watery, acrid, thick and tenacious, mucous, purulent,
muco-purulent, bloody, concrete blood and pus, putrid, offensive, etc.
In others, a dryness of the nasal passages: dry, watery, weak, or
inflamed eyes; ringing in the ears, deafness, discharge from the ears,
hawking and coughing to clear the throat, ulcerations, death and decay
of bones, expectoration of putrid matter, _spiculae_ of bones, scabs from
ulcers leaving surface raw, constant desire to clear the nose and
throat, voice altered, nasal twang, offensive breath, impairment or
total deprivation of the sense of smell and taste, dizziness, mental
depression, loss of appetite, nausea, indigestion, dyspepsia, enlarged
tonsils, raw throat, tickling cough, difficulty in speaking plainly,
general debility, idiocy, and insanity.

All the above symptoms, as well as some others which have been
previously given, and which it is not necessary here to repeat, are
common to this disease in some of its stages or complications; yet
thousands of cases annually terminate in consumption or chronic
bronchitis, and end in the grave, without ever having manifested
one-half of the symptoms enumerated.

VARIETIES. People often suppose that there are a great many varieties or
species of catarrh. This is an error. The nature of the disease is the
same in all cases, the symptoms only varying with the different stages
of the disorder, and the various complicated conditions which are liable
to arise, and which have already been pointed out.

CAUSES. Anything which debilitates the system, or diminishes its powers
of evolving animal heat and withstanding cold or sudden changes of
atmospheric temperature, and other disease-producing agencies, renders
the individual thus enfeebled very liable to catarrh. Among the most
common debilitating agencies are a scrofulous condition of the system,
or other impurities of the blood, exhaustive fevers, and other
prostrating acute diseases, or those badly treated; exhaustive and
unnatural discharges, intemperance, excessive study, self-abuse,
adversity, grief, want of sleep, syphilitic taints of the system, which
may have been contracted unknowingly, or may have been inherited, having
pe