were observed on the Inside of the lower Part of the Colon,
and upper Part of the Rectum, a Number of little Tubercles,
or Excrescences, which resembled the Small Pox, of a flat
Sort at the Height of the Disorder; but differed from them in
this, that they were of a firm Consistence, without any
Cavity: they were believed to take their Rise from the
cellular Membrane, which lies immediately above the villous
Coat. Perhaps such Tubercles might have been found in the
Colon and Rectum of those Bodies we opened; but not looking
for them, they may have passed unobserved.
_Morgagni_, in his Book lately published, _de Sede & Causis
Morborum_, epist. xxxi. is of Opinion, that the Filaments,
and Pieces of Membranes, which are frequently observed in the
Stools, are often formed of inspissated Mucus and Lymph, and
other Liquors; and not the Fibres, or Pieces of the villous
Coat of the Intestines, as alledged by many Authors.
Upon my first being employed in the Military Hospitals in _Germany_,
I was surprised to see so many of the old Dysenteric Cases end
fatally; and imagined I had not fallen upon the Right Method of
treating them: but upon consulting the other Physical People[33]
employed in the same Service, I found them as unsuccessful, as myself,
after having tried a Variety of Remedies: And at last, I was
convinced, that when once the Flux had continued long, and injured the
Structure of the Intestines to a certain Length, a Gangrene will
often form by slow Degrees; and the Disorder end fatally,
notwithstanding the Use of what are esteemed the most efficacious
Remedies; and that, when this Disorder is violent, the Cure
principally depends upon an early and speedy Application of proper
Remedies, before the Strength be exhausted, or the Structure of the
Bowels too much hurt. The bad Success we had in treating these old
Cases, may perhaps surprise those who have never practised except in
healthful Cities, where the Disease is commonly mild, and People apply
soon for Advice. But all those Gentlemen who have had the Care of
Military Hospitals, where the Dysentery has been frequent, and where
the Sick have been often sent a great Way, before they reached the
Hospitals, must be convinced of the Truth of what is here asserted.
[33] Mr. _Cleghorn_, in his _Account of the Diseases of the
Island of Minorca_, says, "That almost all the Dysenteries
which fell u
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