a way into the air-vessels of the lungs, a hectic fever, with
colliquitive sweats or diarrhoea, supervenes, and frequently destroys the
patient; or the abscess heals the lungs adhering to the pleura.

M. M. The lancet must be used copiously, and repeated as often as the pain
and difficult respiration increase. A blister on the pained part.
Antimonial preparations. Diluents. Cool air. Do neutral salts increase the
tendency to cough? Pediluvium or semicupium frequently repeated.

6. _Diaphragmitis._ Inflammation of the diaphragm. Pain round the lower
ribs as if girt with a cord. Difficult respiration performed only by
elevating the ribs and in an erect posture. The corners of the mouth
frequently retracted into a disagreeable smile, called risus Sardonicus.

Those animals, which are furnished with clavicles, or collar-bones, not
only use their foremost feet as hands, as men, monkies, cats, mice,
squirrels, &c. but elevate their ribs in respiration as well as depress the
diaphragm for the purpose of enlarging the cavity of the chest. Hence an
inflammation of the diaphragm is sudden death to those animals, as horses
and dogs, which can only breaths by depressing the diaphragm; and is I
suppose the cause of the sudden death of horses that are over-worked;
whereas, in the human animal, when the diaphragm is inflamed, so as to
render its motions impossible from the pain they occasion, respiration can
be carried on, though in a less perfect manner, by the intercostal muscles
in the elevation of the ribs. In pleurisy the ribs are kept motionless, and
the respiration is performed by the diaphragm, as may be readily seen on
inspecting the naked chest, and which is generally a bad symptom; in the
diaphragmitis the ribs are alternately elevated, and depressed, but the
lower part of the belly is not seen to move.

M. M. As in pleurisy and peripneumony. When the patient becomes delirious,
and smiles disagreeably by intervals, and is become so weak, that
evacuations by the lancet could be used no further, and I have almost
despaired of my patient, I have found in two or three instances, that about
five or six drops of tinct. thebaic, given an hour before the evening
exacerbation, has had the happiest effect, and cured the patient in this
case, as well as in common peripneumony; it must be repeated two or three
evenings, see Class II. 1. 2. 4. as the exacerbation of the fever and
difficult respiration and delirium generally increase to