nd very extensive practice; and, as it is his own case,
abounds with much nice observation and useful knowledge; and, as it has
been attended with a favourable event, may give consolation to many, who
are in a similar situation; and shews that Sydenham's recommendation of
riding as a cure for consumption is not so totally ineffectual, as is now
commonly believed.

"J. C. aged 27, with black hair, and a ruddy complexion, was subject to
cough from the age of puberty, and occasionally to spitting of blood.
His maternal grandfather died of consumption under thirty years of age,
and his mother fell a victim to this disease, with which she had long
been threatened, in her 43d year, and immediately after she ceased to
have children. In the severe winter of 1783-4, he was much afflicted
with cough; and being exposed to intense cold, in the month of February
he was seized with peripneumony. The disease was violent and dangerous,
and after repeated bleedings as well as blisterings, which he supported
with difficulty, in about six weeks he was able to leave his bed. At
this time the cough was severe, and the expectoration difficult. A
fixed pain remained on the left side, where an issue was inserted;
regular hectic came on every day about an hour after noon, and every
night heat and restlessness took place, succeeded towards morning by
general perspiration.

The patient, having formerly been subject to ague, was struck with the
resemblance of the febrile paroxysm, with what he had experienced under
that disease, and was willing to flatter himself it might be of the
same nature. He therefore took bark in the interval of fever, but with
an increase of his cough, and this requiring venesection, the blood was
found highly inflammatory. The vast quantity of blood which he had lost
from time to time, produced a disposition to fainting, when he resumed
the upright posture, and he was therefore obliged to remain almost
constantly in a recumbent position. Attempting to ride out in a
carriage, he was surprised to find that he could sit upright for a
considerable time, while in motion, without inconvenience, though, on
stopping the carriage, the disposition to fainting returned.

At this time, having prolonged his ride beyond the usual length, he one
day got into an uneven road at the usual period of the recurrence of
the