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James Cole, a farmer in this parish, had a disease from the same source as related in the preceding case, and some years after was inoculated with variolous matter. He had a little pain in the axilla and felt a slight indisposition for three or four hours. A few eruptions shewed themselves on the forehead, but they very soon disappeared without advancing to maturation.
In this man the puncture inflamed and his arm was much sorer than from the insertion of the cow-pox virus; but there was no pain in the axilla, nor could any constitutional affection be observed. "I have only to add that I am now fully satisfied of the efficacy of the cow-pox in preventing the appearance of the smallpox, and that it is a most happy and salutary substitute for it. I remain, etc.,
The head of the bone can be felt by pressing the fingers high up in the axilla. The internal is more prominent. We can always feel the olecranon. Turn the forearm over with the palm down, and the head of the ulna can be plainly felt and seen projecting at the back of the wrist.
Thus, while the glands might suffer, the rest of the body might escape. This may account for the fact that these glands and the lymphatics may be easily irritated and inflamed, thus becoming enlarged and sensitive, as often occurs in the axilla.
Also for such results to be comparable they must be made in the same situation. The rectum gives most accurately the temperature of internal parts, or in women and some animals the vagina, uterus or bladder. Occasionally that of the urine as it leaves the urethra may be of use. More usually the temperature is taken in the mouth, axilla or groin. Warm and Cold Blooded Animals.
Supination is feebly performed by the supinator muscle. Protopathic and epicritic sensibility are lost over the radial side of the forearm. It may be pressed upon by a crutch in the axilla, by the dislocated head of the humerus, or by violent compression of the arm, as when an elastic tourniquet is applied too tightly.
Moreover, he whose arm or wrist has thus been bound for some little time with the medium bandage, so that it has not only got swollen and livid but cold, when the fillet is undone is aware of something cold making its way upwards along with the returning blood, and reaching the elbow or the axilla.
Pigmentation is common; the face becomes dusky red, the rest of the body a dark brown shade. This darkening is most marked in situations normally pigmented and in parts exposed to pressure of the clothes, such as the neck, axilla, and inner aspect of the arms, the extensor aspects being less marked than the flexor.
These sores were of a CIRCULAR form, and he described their first appearance as being somewhat like blisters arising from a burn. He complained of excessive pain, which extended up his arm into the axilla. These symptoms and appearances of the sores were so exactly like the cow-pox that I pronounced he had taken the distemper from milking cows.
It may be adduced, that as the matter inserted into the skin of the arm frequently swells the lymphatic in the axilla, that in that circumstance it seems to be there arrested in its progress, and cannot be imagined to enter the blood by that lymphatic gland till the swelling of it subsides.
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