as on the skin seems to occur in
consequence of the previous torpor of the interior membranes. As this
generally attends old age, it becomes more dangerous in proportion to the
age, and also to the habitual intemperance of the patient in respect to the
use of fermented or spirituous liquor.

When the former kind, or irritated erysipelas, continues long, the patient
becomes so weakened as to be liable to all the symptoms of this inirritated
erysipelas; especially where the meninges of the brain are primarily
affected. As in that case, after two or three efforts have been made to
remove the returning periods of torpor of the meninges to the external
skin, those meninges become inflamed themselves, and the patient sinks
under the disease; in a manner similar to that in old gouty patients, where
the torpor of the liver or stomach is relieved by association of the
inflammation of the membranes of the feet, and then of other joints, and
lastly the power of association ceasing to act, but the excess of sensation
continuing, the liver or stomach remains torpid, or become themselves
inflamed, and the patient is destroyed.

M. M. Where there exists a beginning gangrene of the extremities, the
Peruvian bark, and wine, and opium, are to be given in large quantities; so
as to strengthen the patient, but not to intoxicate, or to impede his
digestion of aliment, as mentioned in the first species of this genus.
Class II. 1. 2. 1. But where the brain is inflamed or oppressed, which is
known either by delirium, with quick pulse; or by stupor, and slow
respiration with slow pulse; other means must be applied. Such as, first, a
fomentation on the head with warm water, with or without aromatic herbs, or
salt in it, should be continued for an hour or two at a time, and
frequently repeated. A blister may also be applied on the head, and the
fomentation nevertheless occasionally repeated. Internally very gentle
stimulants, as camphor one grain or two in infusion of valerian. Wine and
water or small beer, weak broth. An enema. Six grains of rhubarb and one of
calomel. Afterwards five drops of tincture of opium, which may be repeated
every six hours, if it seems of service. Might the head be bathed for a
minute with cold water? or with ether? or vinegar?

_Erysipelas sensitivum_ is a third species, differing only in the kind of
fever which attends it, which is simply inflammatory, or sensitive, without
either excess of irritation, as in the fir