an account of the morbus strangulatorius, communicated in a letter from john starr, m. d. to c....

An Account of the Morbus Strangulatorius, Communicated in a Letter from John Starr, M.D. to C. Mortimer, M. D. Secret. R. S. &c.Author(s): John StarrSource: Philosophical Transactions (1683-1775), Vol. 46 (1749 - 1750), pp. 435-446Published by: The Royal SocietyStable URL: http://www.jstor.org/stable/104673 .

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SI. Ar iMccount of the Mor-bus Strangulato rius, cammuxicated in a Letterfrom lohn Starr, -.IZ. l:). xo C. Mortirner, {M. D*- Serret. Ro S. &c.

S I 27 Lss4erd, Jan. ro. I749

ReadMay24+tT iS not, I)ll atEure you., an Itch for l7iO 1 Scribbling, but the Concern I feel irs

my own-BreaR;for the Happinefs and Well-being of my Fellow-Creatures, wilich has occafioned ms tcnd- ing you the Papers, whh this accompanies. VWe have had ravaging among us for fome tilue, at certain Scafolls,, a DiSeafe formidable in its Adsrances, and fatal in its:Con-fequences, I mean an occultXnginas called xvith fome Propriety Mor6gs StrasgglatoriusO Dr. Fathergil's fore Thl^oat wvith Ulcers, and Dr. Cattox's Sto 416an's fcaraet Fevel, <ic. are ill my Opiniorl Llt itS Shadow¢ None pradiGng in thofe Parts hasZe lcafon to boai:l tlleir StlcccS ill attempt- ix3g its Curee 1;he NVay to cure Difordcrs is fir& tce 3cno thelnr \87here the Deviations or Natu-re are hidde1l, wvhere uie canno- diScern hoxv and in nvllat m2ancr tllc dsflrened Ftlnflcions--fLiScr, tlle Art of Healing muR llave ivs 13X.Hiculties. Tlle fuddell, and indced alncxpecxe<1 I;Death of fome Patients greatly alarmkd me. I concluded rhe CauSe dccper than at fill:} inzarined. The CaSe 11erewitla fcut, confirms my COtacEtaircO It is cXtraordXriaIy and uncommo3z0

Does lnedica1 HiRory afford its like z It is -polEI'sle it may, but it has Izer yet fallcn xn ithin the CompaSs of

.19 },> a. san.r

t435 ]



E 436 ] mar Reading, or-Study. Tglpias's ObSctvation, Jib }57. Cap. ix falls ta{tly fhorc of itw

Thc Figures (See TAB. 1. F7g I. 2.) I. have Sent in olvdcr to give you clear atid juLt Ideas of the Caf¢, are draNA?n NSitll gr-eat Trutll and ExaAneSs. Should Youchcrs be neceQary for a Confirnaation of the FaEt, X can fend you many. But I am fatisfied Dr. SIortioner will fcarce think me capable of attcmpting an ImpoJ fition on Mankind in fo impox4tant an Affair.

I Ilave becn, I ovzn, fotncwhat prolix: If yo think the Whole, or ally Part, worthy Publication, you are at Liberty tO treat it in- the Manner that is xnoR agreeable. I fiould be glsad from the PremiSes to See a rational Method of attempting a Cure pointed ollt. I pleafe myfelf with b-elieving you havc not quite forgot me, wlen I add, that g am, w^itll grcat Regard,

S I-R, Zogr moJ?? b?tmble Sersant,

JOHN STARR.

THe MorbS- Strangglatorigs, with great Pro- priety and Jullice thus denominated, has withi

a few Years reigned in feveral Parts of Cornral witll great Seserity Many PariMes have felt its Cruelty, and w}:wole Familics of Children, svhence itS con- taRious Naturc is but too evident, have, by its fuc- ccIElve Attacks, been fwept of. Few, very fcsxt, have efcapcd.

I do not propoSe to fend you an acctlrate HiRory of tllis Diforder. This I chearfully leaxe tO fUCIl Gentlen en as havc been more converEant irl Pradice anorlt, us, and nvhofc Pcnetration, and JudgmentX

are



[ 437 3 are undoubtedly far fbperior to mine. However, as tbe ObServations theSe Papers contain are in thetn. felves ju0, llolleAlyX and truly, tho' wlth great Plain

ne{§ and Siluplicity, relate.d, fo they are not perllaps

unsrortlzy tlle IRnowledge of tlle PuFblic, and Con-

fideration of cvfen the greateR in the ProfeXlion. It is enougtR to fayX tllat the Diforder does not

appear with the Idme Train of Symptoms in every

Subje5. On tlle u:>ntrary, a vaR Difirence is ob-

fervable; but tllen, warllatever, orfllow variolls foevert

the Synzptoms- nzay lzeX tllere is a certain Degree o£

Malignity, or (which is wbat I nzean) there are Sigas

of a putrid Difpofition <3f the Juices, in all.

Some., I am iinforllledo have llad.corrofore Pu0ales

ill the Groin,, and about the kq48s, eating qui£k

and deep, and tllreatellint, Mortification} csten in the Ilcginllin¢. Others aftel a few Days Illnefs have had Nunzbers of tlle work and deepeR (Pereahit break out in various Parts of tlacir Body. Such I llave notieea.

Many on the filR Attac-k have >complained d Swellint,s of the Glands, as Tonfils, Parotids, fub maxillary and>fiublingual Glands, but frequently o£ no great-Importance.. Affew,, from an interul

Tunzer, hav.chad . a large external cedemattous Ssv.ell-

mg of tbe fubcutalleous and cellular Tunic? from the e Chin down to the Tllyroid Gland, and llp the Side of thes Face. One fuch I as cotlcerned writh,

the Tumor broke in the ER#g+a; Xbut} inXad of a

laudablesPus folne Ounces of a Coffee-^coloured exceedingly fctid Matter Brere fpit Off¢ The Man vccsvered, As Rerpirattioll only I;lffercd llere by

K k k 2 PrclEtlrc,



[ 438 ] PreCureX I Enld rather choofe to call tXliS a tAlow 3Nant Rina, than t-he trut 1FrX5 Strwrtgglvroriasv

Not a Iew early in the Difotder have lzad ganDre- nous Sl-ouglls for1nedw in thcir Mouths, alld perhaps 1b earlyiin fome, tlat the Diforder was fcarce complained OfX till the Slough wtas forimcd-, fio quick has it b¢ca in its- ProDrefse N

Others a;,ain, xvithout anyfof the precedi:ng Sym- ptoms) have only- complalned of a night PJin in fwal° lonvingX faccceded with a hot; Flelh, feveri-{E Pul-fe (never quick and sveak, but as to the Stroke-- quick, an-d fu;ciently full and Erong)) sa {h°rt ;IQWj heck- ing, hoarfe CouDh (tlle Patxnt gencra}ly to hoarSe as tO- be diflicultly undetbod after a Day- or- two's IlltleSs)t w-hiclzX foolleir or Jater, for I never cDuld obirve any ccrtai¢ Period, was produEtive of a sliflicult, noify and {Eratlgukting Refpiration.

Thefe LaltX cfpecially the+Formerof--thealS I eReenl as the pathognomonic Symptoms of the real Horbgs S5trvag8Avrorogs3: Tlle above-mentio3zed are rather 3ywt8S4tv Catlf) 84w Mo2+bi.

I have not tnentiofled a Bttor Orzs} whicll) when it happesas) is uEuatly an early Symptonln becauCe tllos fome lazxte lzad it, others llave had it not

This RcfpirationX howev>r agonizing lt appears, has. efipecially in the Beginnillg, itS Remiflions, and ExacerbationsO Its CauSe cannot of courSt be per- naancut. I take it tO be onvinr to a Lodrl^acnt of fOLlae lattCr ill QR about the Glottis and La,^yw rllro) wlwicla tlzc itlrplted Air is obliged to pa;S* $While this Ata-tter is gcspab]e of being expcdorated} and llappens to be colvlDhed oS, the Breathing Sor a time bccotucs ftcc alld the Patierut is dclivclcd frorn the

utmoS



[ 439 ] utmoIt fceming DiRrefs; but, on its Recollcdrion, xvhicil, if the Progrefs of the Diforder catlnot be Ilopt, never fails to ha?pen, this Sympeeal a;,ain occurs, and the Paticnt eitherdics fuddcnly, or, being worn out, or quite diEpirited, filnks away graciually9 or, falling into ConvuQfions} ill thtSe expil^cs.

I was- called- to a Girl of five lleals old. Her lsont!ue Nvas quite cle2n; th. could movc it evcry way as in Health. Nothillt, morbid vfas Secn in her Mouth, or indeed Faures: She had a trifling Pain in fwallowing (it WAS Ielt on deprefl1ng the Epig'ottis for the pafl;ng the l3ole), not iuffiiient tO pfCStent her from eating Bread and Buttcr, Bificuit, Fits. It atas on the- th Day of her Diforder, {he had the firangulating Relpitation, x^7ith a Cough excecding hfioarSe. After the Ufe of a fiilllulating Gargle, eXca ller Cough becatne fironger, and Ee thresar off a larae Q lalltity of nvhite rotten -FleRl, or Mcmbranes, mixt witll a nimy adhefitve WIatter; her ReEpiration became fo eafyj that Dle fecmed to ail nothlng. In thlee Hours it gresxr again difficult, and bradually illcleaGed till it arrived at its former Violence. ThoSe about her t^anFlcd thcre was fomexmllat in the PaSage wvhich ought tO conze cff: The Child rargled, alld provokesl llcr Cough as far as {he wras ab]e, bul; in vain. Her Agonies increafing, {he faid, as vell as {lle xras able, 1 {hall be claoakcd, and in a fexv Mintlteb dicd. Tllis Cafe lhocked mc, bcing fatisfied, tIlat <omc- xxhat very extraorditlary and uncotunlon co;ld olaly occaWlon to fudeletl and to Appearance, violcnt a Deatll.

I laae freqelently exallnincd tllC l^Io.tiCr thofe Paticnts llasc at tinleS fpit. Tho thcrc eas fem:

t?fT'¢r<^nc>



[ 44° ] I}iS<X<ilWe ill vatious SubjeAs, yet I llever once faxv a sveli-icllcd ole conlcoEted Phle3tm, or M.cf..s, on llle contrary, tlac ̂ ,rcateL3c Part uas of a Jelly-likc Natute7 glary, and fomcwhat tranrparent llliXt *Vitll

a wlwitc opaqtle thready Matter, fometimes more;* tonnetilluPs IcEs, relemlulilz;, a totten llacalblallous Bo(ly or Slou ,h.

Such a Slougil I have feen generated on tlae Skiln of one of tllefe Patients in the S5eck and Arm xvhere BIitlers 11ad been before apl?lied. Tlac I;liflcrs 11ad bcen drclTed xvitll Colcxro1tleaves, and ̂ an l)t1L

Jittle; bllt, conti^,ous to tlaem, Enzall red PuRules, not excecding fiery, arofe, x^lli-ch, fxnreatillg plentifu] 1v ill a few Hours, becanze quitc svllite: Tllefec, hourlzn ctalalgtng tlleir BafesX united) alld corcrcd a larc: Surfa.e, freth Puflules ;al iSrng in rlle ad jacent Parts. Tlzis xvlaitc .Surface llad the AwpeA of atz overfoakca Membta1lc.> rllicil, beinz, ozrelfoaked, x^-as bccotne abloleltely tottcn. The PatabliRcred, if not quiteg xvas i n E ffeEt ctr)!) and the Flux fi oln t'le S1oL1rh xMas

i<cIediDlr great. If I miliake n-ot, Clotlas tcn times d3vlblc, thc Clzild's Sllifr, a double Bcd-gonvn, srers xvet quitc tlIloutll1, and a ]arge Spot sras fecn in t!<e 13ed of fome Hand-s BLcadtla; aIld tlliS ill a ver)t fexv HotXr¢* 3if fcaatchcd the Slough svsh rily Nsai!; it fcpaIated saitla Eafc, and .vitlaout bcing velt by tllC

Claild. \5.rlzat nzy N7ail took o5; alSorded tlac lanle Appearance xr-itla- the Alatter of tlle Spittie before- nention'd. Hel1cis l tllou:,ht, I fanv fufficitnt Re.l

fOll tO wOllN'illCt rilC t4t tllC*Dirtider iil tllC Larya.r and H9era JrDeriv xvas Sin^wilat to tlliS, gCnClatCd itl

rlie fa.lle laan.zer, at<d arillng ffiom thc fatnc illte- zal CluIe ; A nd fuppoEln;, tllis Coll jevlxe tl UC, the

Prc?dudioll



: 44I ] Produdtion of tNrtRy Symptom fcems eafy to be ac counted for.

111 S)er. 1748, while the Morb?s Strangglatori?ws was among us at Liskard, a Cllild here and tllerc had red PuPru1cs7 not unlike the above, which broke out in. tile Ntape of tlie Neck., and tlurew off a fill prifing {antity of thin tranEparent Ichor? s aRly glu- tinOllS when dry. Thefe were eafly cur'd ill the Bcgin- ning, if nzanaged aright; bllt, biing drawll witll Cols- rort-lcaves, Or pultifed accordinb tO tlle Diredion of our old Female PraAitioners (tOO OftCll tllC CarC) the above-mentioll'd Slouall svas {oon gcnerated. I was deEred tO look on a poor Porfon's Cizild in tllis unhappy Situation, who, xvith little Il:l.tCrnlii10 for I think near t^ro- Days, had bled profuSely at tlue Nofe; 1ler Pulfe svas almoR gone ; tlle Bleedirlt, xYas nvith Dfficulty Llopt ;- but, beinO qtsite exhauttedy in about 6 Edours {he funlQ ill a faint Fit. Ttle Slough llad fpread from Shoulder to Shoulder, extended full a Tllird dosvn 11er Back, ancl fcem'd vcry thick. All treated t11 the above Manner died. Scarifying afforded no Relief.

Nonv, tho' tllis was not properly- the Morbgs Stran- gglatorizes, yet I apprehend it Nwas alla!OgOUS tO it, and produced frosl the fame Caufe; and it is likely, had tlle anaton ic.1l Knifc becll employed, wvhat nvas ieen on the Back of onc, nlight 11ave bcll difcover'd in the id/peria iqrteria of tlle ottlcr. There is a CircunlAance xYhicll adds to the Probability of this Opinion, Zviz. }n one or sllore Inllances, ellefe dif- fercnt Diforders appeat'd in differ<nt Sulrj¢ds, in tlle fame Falllily-, at tile fame tiLnc.

llthae



442 M7lwat I flave lwitllrto faid, does not) 1 own do-

illVSfiratt tll: Cak to be as reprefctltcd} but rlle b1- Jowrisz-;:, lJiLlory tilrosvs the Frongell I l:,ht on this dark, m7ftetiousAffhir, rcnderstlle I3iforder by iz Conique1zccs affriglltfill, even ffiocking tO tC Ima* ^,inatioll, accounts for its too comtnon Fatalitya and nuA consinceFof tlue ¢,reat Difliculty of tlle Cure, if in itSelf pofisble, unleIi attempted with Judgment in

4 o . .

t le rery je¢1nnlng, lDec. lI, I7+9> 1 VJaS calld to the Son of Mr

gittoX an honeR and defcrving Farmer ion tlle Parlth Of t. Eve, a Lad aged toYears arud an half: This xvas tlle 7th Day of his Illllels.

FIis firll Conlplaints N ere) a+Pain in -fwallowvingt noe ,reat; a Courh, 11oar1eX vexatiousX like an in- cipient Catarrh, a Paill on coughing lhot into his Ears. This x^as Rill Elt at tinzes; a thin Icllor ran from lzts Nlouth ill ,reaF P!enty, fuppefed to be -a ttart) or rllrce Pi:ts daily. His Pain in fwallonving xxtas nosr fo trifling) tllat I famJ llim drink a confidvr able DiauX>ht xxriclrout renzovin:, bthe VcQ¢l. He xvas llonv Co hoarae that hz could Rarce be lleard: FIis CouOll svXs rougll) loxvs {hortt and illeSedual > bre2tiu'd Vrith much StraitneEs and NoiX, ebecially

in Infpirations the \AlheezsnD or Raftling nirllt bc lleard at a >leat DiLiancei >N7as algrays >'0r1c durinD a cou;?hin^, Fit) or fUr a fhorttilue at'tcrc 71zen lu v

fipit by tlle Co*E.¢!1> it NVas gl3ry} bGt glutino*,s; 2 xxrhitith rotte1z fort of Stuff ould forn<>timec aCwO1u-

* . _ pally lt; ltS talltlty ncs?ex rcat. Examining his SlovItEl he could naove 11zs Tong

estery NVay xtvithc3tur k15.4 icaS P;in.> fexnVard sr \stt.2 clean, but belsind a lits1 furrd. DeprclEn3 i£ Witlt



[ 4t43^ } Pa S atxla a white Body was fin on the MelWpen

dselizm paZatinum and lsonfiIs I dtfired Mr. Sotah- ^rn, a Surgeon prefent* to exumine with lais For- teps,+tif -this; Body adhertsd firnlly to: tlle Velxm, or aras loofe; on Tlial he found ttIlrongly adher'd. The Lad conlplain'd of nt Pait} on his taking hold of it. The circumanlbient Parts of a fomesvhat deeper Red Xthan natural; his Bseatll flinking, and highly off*en:{;ve.

FIc was but iittle thirflry; Pulfe quickX but fuf: ficiently ftrong; nept but little; Nv-llat Sleep he had xvas diRurbd) itc breath'd mucll better *tp than in Bed; here be was always in Danger of SuNcations and feaKd it

After pronoutlcin3 a PrognoRic diAgreeable to myfelf; and all concerned} I order'd the SloughX as I thell thout,ht it, to be svell rubbd once it thret Hours W;tll a Misture acuated 5vith Spir. SoE marn by -means of a Sslver Probe arla d with COKOnX after xvhiclit analtrirlgent-> detergcnts antifeptic Gar$1e xYaS to bd frequcntly ussda and a sordial Mixture to be taken at proper Intervals

After rubbinD svith the Probe, eSrc. tsxrice>- and gar- tling often, in a- violent Fit of Coughing nvith a dea1 .of nimy filthy- Stuff trom the -Pipe of the f -uti^,s, the (hIembrane (TA-B. I. R. T.) SeParatNd fEoln the Meh4" EPalatiwgm.

lt sras reallv the external and mucous Coat of the Part was not rotten like a Slougll but retain'd, th dead X its tnembranous; Strudure? sr as RrongX would bear handlin> alid Mcretching without breakifig. It wvas at firPt tllick {as near as I could gueEs froth a Eit temaining on vlle right Siele-of the Uv> parted

Lll from



1: 444 ] from the Holloxv (a) in- the Figure of about the Third of a Barley-corll in Len",th) hasJinD its Fibres alld Ca- wities foak'd nvith a very iScid and flimy Matters which, by-vaMing in Water, leak'd o.ff> when tile Membralle became evidently tllinller.

The Lad immediately, as I was told, breatl<'d bet ter, witllout that Noife and Wlleezing Ileard before, and was leli lloarie; not, I atll fatisfied, from thc Separation of the Membrane, but from that Load of Filth ctiicllarg'd at the fame Point of Time fronz thc dillrefs'd reEpiratory PaSages.

But, as ufual, this Relief did not prove laLtin^,. In an Hour and half the xloify Refpiration began anew, his HoarSeneis increaSed, and his Cough, tho' {hort and los^, was bufy and vexatious; now he appear'd as if quite firan",led, and in the Agonies of Death; nonv he xrould again revive; for a few Das h: CYas

intercilangeably in theCe different States; at length his Father perceiving fomewhat in his Mollth, svhich he thought thick Plllegnl, tllruflc in his Finger and Thunlb, and, takint, hold of it, drew it out. It wFas a hollow Ba",, as he thou3ht, filled with Rot and Cor- tuption, for a contiderable Quantity run out of it. It svas, when full, lle faid, as big as his ThumbX arld of mally Inches in Length. The Agonies of the Child, during thefe Moments, xvere not to be expreSs'd; his Face nvas livid or black; but, being freed from this Burthen, he foon resiv'd, fmil'd, and faid, nonv I aln eafy. B¢ing put to Bed, he icon Jlept, and continued to have {hort STaps for. tWO Hours.

I ,or to the Hollfe, being Sent for in the Beginning of the Lad's Extremity, a fesr Minutes after the Af fait was thus soncluded. The Account greatly filr-

prifed



[445 3 p*ficd mc; but I was morc fllrprifed, nvhen, csn Sight, I found the fuppofed Bag was the ICOUS Coat of Part of the Larynx, the whole La/iera Jr teria, witll tlle grand Divifion of the bronchial Ramifications. I fpread it orl PaperX for tlle Conve- niency of Carriat,e, being folne Miles from homc, alld thence took itS Likenefs with great Exadnefs, as here fen-t you, TAD I. iOg. :. There was fomexvhat bloody vilible aboue its Middle. It mras morerorten ansI tender than the former, alSo fomenvhat thickerX excepting wllere it belonged to tlle Branchcs of the Bronrhia. Wllat fweated from it Stas - as Ricking as Bird-lime It xvas probable this morbid Affedion ran thro' the svhole Bronahia; for the Ellds plainly diScoversd a Laceration; confequently nluch nzore remain'd to be Separated and dircllarg'd.

He now complaill'd of Sorenefs in the Pipe, atld pointed to tlle firR alld feco-nd CoJi, as the Place of its Termination. His lllEpiration was nonv free foft, but {hore: His Pulie ̂ tas becomc a little lnore frequent and sreaker.

Examining bis Mouth, no Ulcer or- \\tound xras daCcernible in tilat Part of tlle Velxm, drc. tO WlliCh Fi<, I. adher'd. 'Twas finootll, cleJn, and look'il only Iike a nexar SkIn not quitc 11arden'd.

Mthile I was in elle HouSe, he fpit offanotller Melzz- brane of an irregWat figure, thinner tllall cstllcr of the formcr, but nzorc than fufficientv to cover a Croxvxl-Piece. It came from tlle Faresi

f\:fter this I svas inform'd lle brougllt off wsth Dif ficulty. another tabular kmbrane of Sonze Lengtll; and svheneecr hc had Strength to expeftoratc, litSlc

t } 1 2 BitS



[ 446 ] Bits of the Ame xvere obfiervfed mix'd CYiti a sery fliSy lElrzzs.

He lit^'d 2 I Hours after the fecond CoAt xvas drawn froxn ilinl, and died i£w tlle End fomcs^tllat fuddenly, tllo' ill 11is perfeEt Scnfes. 1 luluXt add, that I ncxcr fiw onc in this DiSorder atrack'd xv it h a Deliritltn.

NtII. Sn Examinstion of zhe Stregth of fieve- ral of the principal purging V\Taters, efpe- sially of that of JeSopzs \ve11; hy the :Rev. Stephen Hales D. D 89 F. R. S coron- sicaed r a Letter to CFrolllsvell WIortimer M. D. Secr. R S ith a Letter frosiz Swithin Adee M. D. F. R. S. to Dr. Hales, OZt the Krtues of the Jraid Well.

i!n t*roZlat of Ih fet!erAl !;a7ttities of Scdimcnt hicD -terafoxiad in a Pognd A!iverzltepois sf the follG-DiAYg purrillg \\raterS, eqvapornfed y to 1:)r)7teJ<S, iN Florcllcc ElJsksX Xt to a -wxde MoxtX>; viz.

Grains 2Si May 24. I . A 2rubon Relk-s lrcar Lo>Wnn 24

75° 2. 1 Vl MPeterJ?r. Bre-w-ho!Je SZv. 27 3. EbJ7vav; * * 3; + Scar60ro;gh, - - - AO

And it svas found nearly the fame by Dr Shatsv and Dr. Short: ^ little morc or 1e1s,

acwosd i;<;,

[ 446 ] Bits of the Ame xvere obfiervfed mix'd CYiti a sery fliSy lElrzzs.

He lit^'d 2 I Hours after the fecond CoAt xvas drawn froxn ilinl, and died i£w tlle End fomcs^tllat fuddenly, tllo' ill 11is perfeEt Scnfes. 1 luluXt add, that I ncxcr fiw onc in this DiSorder atrack'd xv it h a Deliritltn.

NtII. Sn Examinstion of zhe Stregth of fieve- ral of the principal purging V\Taters, efpe- sially of that of JeSopzs \ve11; hy the :Rev. Stephen Hales D. D 89 F. R. S coron- sicaed r a Letter to CFrolllsvell WIortimer M. D. Secr. R S ith a Letter frosiz Swithin Adee M. D. F. R. S. to Dr. Hales, OZt the Krtues of the Jraid Well.

i!n t*roZlat of Ih fet!erAl !;a7ttities of Scdimcnt hicD -terafoxiad in a Pognd A!iverzltepois sf the follG-DiAYg purrillg \\raterS, eqvapornfed y to 1:)r)7teJ<S, iN Florcllcc ElJsksX Xt to a -wxde MoxtX>; viz.

Grains 2Si May 24. I . A 2rubon Relk-s lrcar Lo>Wnn 24

75° 2. 1 Vl MPeterJ?r. Bre-w-ho!Je SZv. 27 3. EbJ7vav; * * 3; + Scar60ro;gh, - - - AO

And it svas found nearly the fame by Dr Shatsv and Dr. Short: ^ little morc or 1e1s,

acwosd i;<;,



an account of the morbus strangulatorius, communicated in a letter from john starr, m. d. to c....

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