is blood, from its dark colour, and from the many vibices
and petechiae, seems to have been venous blood; the quickness of the pulse,
and the irregularity of the motion of the heart, are to be ascribed to
debility of that part of the system; as the extravasation of blood
originated from the defect of venous absorption. The approximation of these
two cases to sea-scurvy is peculiar, and may allow them to be called
scorbutus pulmonalis. Had these been younger subjects, and the paralysis of
the veins had only affected the lungs, it is probable the disease would
have been a pulmonary consumption.

Last week I saw a gentleman of Birmingham, who had for ten days laboured
under great palpitation of his heart, which was so distinctly felt by the
hand, as to discountenance the idea of there being a fluid in the
pericardium. He frequently spit up mucus stained with dark coloured blood,
his pulse very unequal and very weak, with cold hands and nose. He could
not lie down at all, and for about ten days past could not sleep a minute
together, but waked perpetually with great uneasiness. Could those symptoms
be owing to very extensive adhesions of the lungs? or is this a scorbutus
pulmonalis? After a few days he suddenly got so much better as to be able
to sleep many hours at a time by the use of one grain of powder of foxglove
twice a day, and a grain of opium at night. After a few days longer, the
bark was exhibited, and the opium continued with some wine; and the
palpitations of his heart became much relieved, and he recovered his usual
degree of health, but died suddenly some months afterwards.

In epileptic fits the patients frequently become black in the face, from
the temporary paralysis of the venous system of this part. I have known two
instances where the blackness has continued many days. M. P----, who had
drank intemperately, was seized with the epilepsy when he was in his
fortieth year; in one of these fits the white part of his eyes was left
totally black with effused blood; which was attended with no pain or heat,
and was in a few weeks gradually absorbed, changing colour as is usual with
vibices from bruises.

The haemorrhages produced from the inability of the veins to absorb the
refluent blood, is cured by opium, the preparations of steel, lead, the
bark, vitriolic acid, and blisters; but these have the effect with much
more certainty, if a venesection to a few ounces, and a moderate cathartic
with four or six grai