4. A rupture of a large blood-vessel in the lungs, attended with external or internal hæmorrhage. Sudden and unexpected death in a consumption is generally induced by this, or the preceding cause.
5. Madness. The cough and expectoration cease with this disease. It generally carries off the patient in a week or ten days.
6. A pleurisy, brought on by exposure to cold.
7. A typhus fever, attended with tremors, twitchings of the tendons, and a dry tongue.
8. Swelled hands, feet, legs, thighs, and face.
9. An apthous sore throat.
10. Great and tormenting pains, sometimes of a spasmodic nature in the limbs.
In a majority of the fatal cases of consumption, which I have seen, the passage out of life has been attended with pain; but I have seen many persons die with it, in whom all the above symptoms were so lenient, or so completely mitigated by opium, that death resembled a quiet transition from a waking, to a sleeping state.
I cannot conclude this inquiry without adding, that the author of it derived from his paternal ancestors a predisposition to the pulmonary consumption, and that between the 18th and 43d years of his age, he has occasionally been afflicted with many of the symptoms of that disease which he has described. By the constant and faithful use of many of the remedies which he has recommended, he now, in the 61st year of his age, enjoys nearly an uninterrupted exemption from pulmonary complaints. In humble gratitude, therefore, to that Being, who condescends to be called the preserver of men, he thus publicly devotes this result of his experience and inquiries to the benefit of such of his fellow-creatures as may be afflicted with the same disease, sincerely wishing that they may be as useful to them, as they have been to the author.
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