o'clock, P. M. She was then almost pulseless, with constant retch-› ing and vomiting, and so much exhausted that she could not raise her head without fainting. She had so much irritability of stomach that she could not tolerate any thing like medicine. Ice could not be procured until too late to avail any thing. Counter-irritants, friction, turpentine, brandy, &c., were the only remedies used, and they availed nothing, as she sank rapidly and died in the course of a few hours. In all my cases the hemorrhage came on simultaneously with the chill. In the treatment of this grave disease, I regard the cathartics as highly important in the commencement, and when the stomach will retain them, prefer the saline, such as seltzer, seidlitz, &c. There are many cases, however, that will not tolerate even as pleasant a remedy as a seidlitz powder, and in such, a dose. of calomel will often be not only tolerated but have the effect of quieting the stomach for hours at a time. During the intermission, quinine with turpentine I regard as indispensable, but when these remedies cannot be given internally, I have used the following unguent with the happiest effect. Recipe: sulphate of quinine one drachm, spirits terebinth half an ounce, lard one ounce. This quantity is thoroughly rubbed over the whole surface and repeated every four hours. I have seldom failed to arrest the paroxism in this way.

Following the very cold weather in December we had a few cases of pneumonia. The most of those I saw were subjects of chronic chills, requiring a tonic, supporting treatment. Quinine with acetate of ammonia I consider as standing at the head of the list of remedies in this form of the disease. When there is a tendency to diarrhoea, with dryness of tongue, turpentine emulsion with carbonate of ammonia, acts more favorably. As counter-irritants in the formation stage of pneumonia, turpentine stupes, with flannel or silk jacket, are very serviceable, but in the more advanced stages of congestion and hepatization, tree blistering I regard as absolutely indispensable.

From the middle of December to about the first of March of the present year, we had quite an extensive epidemic of roseola in Prattville and vicinity. About four-fifths of those attacked were adult females. I saw one adult male, and two or three boys with the disease during the epidemic. In children the cases were very mild, not sufficient to confine them within doors or prevent them from engaging in the ordinary sports of childhood. In the majority of cases, even with adults, there was but little constitutional disturbance. Slight febrile excitement, soreness of throat, with more or less bronchial irritation, were the symptoms mostly complained of. These continued for a few days and passed off, leaving the patient in usual health. The severer cases, however, were ushered in with chilly sensations, followed by high fever, sore throat and cough. In some the bronchial irritation was so severe and harassing as to pro

duce the impression on the minds of the patients that they had contracted measles. So firmly were they impressed with this belief, that it was a difficult matter, in some instances, to convince them to the contrary. In another class of patients, wherein the disease was most protracted and entailed the greatest amount of suffering, the symptoms were totally different. There was soreness and stiffness of the muscles of the whole body, with violent neuralgic pains in the back, and painful swellings of the joints of the superior extremities, especially of the wrist and finger joints. These were the most protracted of any I saw, lasting in some instances twelve to fifteen days. The subjects of this particular form were females of sixty years, and upwards, and, as a general thing, I found the gravity of the symptoms in proportion to the age of the patient. The eruption in most of my patients was characteristic and well marked. In some cases, however, the eruption consisted of small rose spots, thickly studded over the whole surface, with deep red specks in their centres resembling flea bites. Treatment: The majority of cases required but little interference, but in the more virulent form, mild cathartics were beneficial in relieving febrile excitement. For the sore throat, I saw no case that did not yield readily to some simple astringent gargle. The catarrhal symptoms were easily combatted with Dover's powder, administered pro re nata. For the neuralgia and tumified joints, liniments containing laudanum and chloroform were used locally with advantage. To quiet pain and restlessness, it was necessary to use opiates freely.

REPORTS

FROM THE COUNTY OF CONECUH.

DISEASES OF CONECUH COUNTY,

BY S. S. FORBES, M. D., OF BELLVILLE.

The object of the association being the advancement of medical science, it matters not from what source reports come, or their precise data, provided they are instructive and cases of interest. With this view I beg leave to report four cases of cancrum oris, which are all of that disease I have met with in an extensive practice of fifteen years. I trust they will be acceptable.

1862. Case First.-Wright, aged twelve years, the son of a farmer of sufficient means, but a poor provider, was convalescing from a severe attack of typhoid fever, in which he was treated by Dr. C- His father came for me to attend him August 21st, but being engaged, I asked for a description of his case, promising to go the succeeding day. His reply was as follows:

"Wright has been very sick with fever, but was getting better. Yesterday a very red spot came over his right cheek the size of a half dime. To-day it is twice as large, and if possible still redder." According to promise, I visited him, and found a circular patch as the father described, except in color, which had changed from red to black, or in other words it was gangrenous. I prescribed chlorate of potassa. internally, and touched the inner surface of the cheek with a solution of nitrate of silver. 23d.-Again visited him, finding the line of demarkation fully established, an inch and a half in circumference. Continued treatment. 24th called again, found sloughing had taken place. A plug was nearly thrown out, exposing both the upper and lower jaw bones, fortunately missing the angle of the mouth by a line.

At my next visit the orifice was clean, and healthy granulations were springing up. He was, to all intents and purposes, well. Since that date I have heard nothing from him, as they soon left the State.

Case Second.-Kate, aged nine years, taken with dysentery, in which disease I attended her, and from which she recovered in twelve or fourteen days, very much exsanguinated and debilitated. In ten days after I had discharged her, a messenger came for me to see her, saying that she was badly salivated. If such were the case, I knew it was not produced by mercury, as I had not given her any. Upon visiting and examining my patient, I found the jaw laid bare, three teeth and a portion of the upper jaw-bone were