d by the
acuteness of the pain, and the sensitive, irritated, or inflammatory fever,
which attends it.

M. M. Venesection. Cathartic with calomel three or four grains repeatedly.
Cool air, diluents. This antiphlogistic treatment is to be continued no
longer than is necessary to relieve the violence of the pain, as the
disease is attended with contagion, and must run through a certain time,
like other fevers with contagion.

_Parotitis mutabilis._ Mutable parotitis. A sensitive fever only, or a
sensitive irritated fever, generally attends this kind. And when the tumor
of the parotis and maxillary glands subsides, a new swelling occurs in some
distant part of the system; as happens to the hands and feet, at the
commencement of the secondary fever of the small-pox, when the tumor of the
face subsides. This new swelling in the parotitis mutabilis is liable to
affect the testes in men, and form a painful tumor, which should be
prevented from suppuration by very cautious means, if the violence of the
pain threaten such a termination; as by bathing the part with coldish water
for a time, venesection, a cathartic; or by a blister on the perinaeum, or
scrotum, or a poultice.

When women are affected with this complaint, after the swelling of the
parotis and maxillary glands subsides, a tumor with pain is liable to
affect their breasts; which, however, I have never seen terminate in
suppuration.

On the retrocession of the tumor of the testes above described, and I
suppose of that of the breasts in women, a delirium of the calm kind is
very liable to occur; which in some cases has been the first symptom which
has alarmed the friends of the patient; and it has thence been difficult to
discover the cause of it without much inquiry; the previous symptoms having
been so slight as not to have occasioned any complaints. In this delirium,
if the pulse will bear it, venesection should be used, and three or four
grains of calomel, with fomentation of the head with warm water for an hour
together every three or four hours.

Though this disease generally terminates favourably, considering the
numbers attacked by it, when it is epidemic, yet it is dangerous at other
times in every part of its progress. Sometimes the parotis or maxillary
glands suppurate, producing ulcers which are difficult to cure, and
frequently destroy the patient, where there was a previous scrophulous
tendency. The testis in men is also liable to suppurate with gre