y, was seized with an obstinate intermittent, which had become
a continued fever with strong pulse, attended with daily remission. A large
hard tumour on the left side, on the region of the spleen, but extending
much more downward, was so distinctly perceptible, that one seemed to get
one's fingers under the edge of it, much like the feel of the brawn or
shield on a boar's shoulder. He was repeatedly bled, and purged with
calomel, had an emetic, and a blister on the part, without diminishing the
tumour; after some time he took the Peruvian bark, and slight doses of
chalybeates, and thus became free from the fever, and went to Bath for
several weeks, but the tumour remained. This tumour I examined every four
or five years for above thirty years. His countenance was pale, and towards
the end of his life he suffered much from ulcers on his legs, and died
about sixty, of general debility; like many others, who live intemperately
in respect to the ingurgitation of fermented or spirituous liquors.

As this tumour commenced in the cold fit of an intermittent fever, and was
not attended with pain, and continued so long without endangering his life,
there is reason to believe it was simply occasioned by deficient
absorption, and not by more energetic action of the vessels which
constitute the spleen. See Class II. 1. 2. 13.

M. M. Venesection. Emetic, cathartic with calomel; then sorbentia,
chalybeates, Peruvian bark.

19. _Genu tumor albus._ White swelling of the knee, is owing to deficient
absorption of the lymphatics of the membranes including the joint, or
capsular ligaments, and sometimes perhaps of the gland which secretes the
synovia; and the ends of the bones are probably affected in consequence.

I saw an instance, where a caustic had been applied by an empiric on a
large white swelling of the knee, and was told, that a fluid had been
discharged from the joint, which became anchylosed, and healed without loss
of the limb.

M. M. Repeated blisters on the part early in the disease are said to cure
it by promoting absorption; saturnine solutions externally are recommended.
Bark, animal charcoal, as burnt sponge, opium in small doses. Friction with
the hand.

20. _Bronchocele._ Swelled throat. An enlargement of the thyroid glands,
said to be frequent in mountainous countries, where river water is drank,
which has its source from dissolving snows. This idea is a very ancient
one, but perhaps not on that account to be th