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Updated: June 19, 2025
Marguerite Coupel, who had suffered from phthisis for three years, and the upper part of whose lungs is destroyed by tuberculosis, rises up and goes off, radiant with health.
Dinner was announced, and we adjourned to another room poor Sir Willoughby, with his waistcoat unbuttoned, and breathing like a pug in a phthisis groaned bitterly, when he discovered that this apartment was smaller and hotter than the one before.
I may here observe that while amongst all the nations of Southern Europe great precautions are taken against the contagion of true phthisis, English medicos seem to ignore it. A Pisan housekeeper will even repaper the rooms after the death of a consumptive patient. At Funchal sufferers in every stage of the disease live in the same house and even in the same rooms.
Like all sensible men from the days of Hippocrates to the present, he knew that diet and regimen were more important than any drug or than all drugs put together. Witness his treatment of phthisis and of epilepsy. He retained, however, more confidence in some remedial agents than most of the younger generation would concede to them. Yet his materia medica was a simple one.
A patient comes to you with asthma and wants to know where he can breathe; another comes to you with phthisis and wants to know where he can live.
But he was not suffering from phthisis. He was dying of inflammation of the liver, contracted in Senegal. Very long and lank, he had a yellow face, with skin as dry and lifeless as parchment. The abscess which had formed in his liver had ended by breaking out externally, and amidst the continuous shivering of fever, vomiting, and delirium, suppuration was exhausting him.
Hutchinson exhibited drawings and photographs showing the condition of the arms of two boys suffering from tuberculosis of the skin, who had been inoculated in the process of tattooing. The tattooing was done by the brother of one of the lads who was in the last stages of phthisis, and who used his own saliva to mix the pigment.
In the former case my supposition my judgement with regard to certain conditions is a merely accidental belief; in the latter it is a necessary belief. The physician must pursue some course in the case of a patient who is in danger, but is ignorant of the nature of the disease. He observes the symptoms, and concludes, according to the best of his judgement, that it is a case of phthisis.
Few if any races of men are free from some morbid taint: scrofula, phthisis, weak nerves, or a disordered brain, are all likely to be propagated if a person predisposed to any such ailment marries a woman of his own stock. From this danger the Moghul princes were long kept free.
Then came the discovery that for consumptives dry cold is a medium superior to damp heat. Invalids were sent to the Tyrol, to the Engadine, to Canada, and even to Iceland, where phthisis is absolutely unknown, and where a diet of oleaginous fish is like feeding upon cod-liver or shark-liver oil.
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