Indeed, this rapid and remarkable prostration of strength is more essentially a part of the disorder than the catarrhal affection, which sometimes (though rarely) is absent, or imperceptible.

This"fatty growth" weakens the muscular walls of the right cavities of the heart. As to external applications, mustard poultices, blisters, and the like and to the inhalation of the steam of hot water these may each and all be very useful; but I have nothing to add concern ing the time and manner of their employment to what I said upon There is a singular variety of catarrh produced hy a peculiar local cause, and therefore requiring to he briefly noticed:

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I conceive, therefore, that the symptoms referable to the brain, and the quantity of serum found effused there (whether these bear to each other the relation of cause and consequence, or not), are both to be regarded as secondary effects of the cardiac disease; that they denoted no inflammatory condition of the brain, or of its membranes, but were the common result of that inflammation of the heart, concerning the existence of which the inspection of the bodies left us no room to doubt.

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