These are the appearances, and such the practice in the more violent attacks of the complaint; and we have never seen an instance of it, when taken early and treated in this manner, in a constitution moderately strong, proving fatal. The same plan, less actively pursued, is adapted to the milder kinds. But even the mildest should not be treated with indifference.

In the worst cases, a palsy of the muscles of the throat has come on, and nothing could be swallowed. We must then inject nourishing clysters and port wine, alternately, every three or four hours, with a little opium: use a semicupium of a strong decoction of bark; and let wine and jellies be kept in the mouth as long and as frequently as possible. This plan has suc--eeded, in more than one case, in our hands; and in one of these the patient swallowed nothing for six days.

We have not mentioned, among the remedies, blisters, for authors arc much divided respecting their ef-fects; and many idle theoretical discussions have been indulged on the subject. They certainly have never been injurious, but we dare not say that they have ever been advantageous. On a candid and dispassionate review of what we have seen, we can scarcely recommend them. The myrrh, also, we have not mentioned internally, or in gargle, because we think it too weak a minister to be trusted in emergencies, and it is unnecessary in slighter cases. Yeast, effervescing mixtures, and clysters, have not been sufficiently tried in circumstances so desperate; and, as the other remedies seldom fail, these are at least unnecessary.

See Aretaeus de Causis et Signis Morborum, lib. i. cap. 9. Dr. Fothergill's Treatise on the Putrid Sore Throat. Dr. Huxham. Le Cat, Johnson, and Cho-mel on this disease. Northcote's Treatise on the Ulcerated Sore Throat. Dr. Percival's Essays. Dr. Fordyce's Elements, part. ii. Cullen's First Lines, i. 284. edit. 4.

Angina trachealis. In compliance with Dr. Johnson, and consonantly with our observations in a former article, we mention this species as a separate one, and distinct from that sometimes comprehended under this title by other authors. The croup we shall next consider under the appellation of angina stridula, and confine the present term to the malignant angina, extending to the trachea, or to that species of the disease in which the larynx and trachea are originally attacked. To this complaint authors have not, perhaps, paid due attention: it is indeed seldom an original disease; yet, within our own observation, it has appeared to be so. It is truly an erysipelatous inflammation, in contradistinction to the phlegmonic; nor does it materially differ in its treatment from putrid pneumonia, or angina maligna. We need not, in such instances, dread the power of the bark in inducing dyspnoea, but employ it freely with cordials. The only question is, whether blisters are more admissible or more effectual ? From our own experience we cannot encourage their application; but they certainly do no harm.

Angina stridula. This is the cynanche tra-chealis of Cullen; a disease that, for its singularity and fatality, has fixed the attention of pathologists and practitioners. We wish we could solve the difficulties, or direct a more scientific or successful method of cure than has hitherto been adopted.

The cynanche was the boast of Dr. Cullen, as a natu-. ral well established genus, under which the species. were scientifically arranged. The subject of nosology we must, at a future period, consider; but we may now add, that self-complacency had never so baseless a foundation. The species agree in no one principle but affections of the parts connected with the neck. Is it a group of complaints in which the breath is affect No: in the gangrenous sore throat, and the mumps, the breathing is free. - The swallowing ? This is not affected in the malignant angina or the croup. - Inflammation? Scarcely any inflammation occurs in the mumps. Yet we mean not to undervalue nosology, or its great advocate. We think highly of both; and if there ever was a man to whom medicine was peculiarly indebted as a science, who, by enlarged and comprehensive views, has added to its value, its utility, and importance, that man was Da. Cullen. Our pages will be an ample commentary on this text; but our eulogium is not the rash, hasty effusion of a young theorist, but of a person who has for a long series of years brought his opinions to the test of practice. Near fifteen years have passed since his death, and no friendly hand has scattered flowers over his tomb, appreciated his genius, his talents, and his virtues. We have some reason to accuse his family of insensibility, or his pupils of ingratitude, did we not know that attempts had been made, in vain, to procure the honourable office of his biographer. But this is from our present purpose.

The angina stridula, (from stridere, to make a noise,) is called also angina, membranacea, interna,/ier-niciosa, polypiosa, catarrhus suffocativus, and morbus strangulatoriua. It is chiefly a disease of children, and is distinguished by a difficult inspiration sounding as through a brass lube, harsh cough, with seldom any tumour in the throat, and no difficulty in swallowing. This definition differs from that of Dr. Cullen, who is a little warped by his adherence to system. A cold and a short cough precedes for some days, when the harsh breathing comes on, with little or no fever; sometimes suddenly, at others more gradually, increasing by degrees, till suffocation closes the scene. The other functions are scarcely disturbed. The pulse, at first a little harsh, or slightly quickened, in the progress becomes very rapid and low. The face, at first flushed, is in the latter stages livid, though sometimes full. The stomach and bowels are not apparently affected. The cough is dry, flaky substances are spit up, and the patient struggles with an attempt to discharge something solid from the trachea. The internal fauces are, in a very few cases, swelled and red. It is sometimes epidemic; seems more frequent in low, marshy situations than in more elevated spots; and peculiar to children, at least scarcely ever attacking those above twelve years of age.