A Few Days After My Arrival, It Began To Rain With A Southerly
Wind, And Continued Without Ceasing The Best Part Of A Week,
Leaving The Air So Loaded With Vapours, That There Was No Walking
After Sun-Set; Without Being Wetted By The Dew Almost To The
Skin.
I have always found a cold and damp atmosphere the most
unfavourable of any to my constitution.
My asthmatical disorder.
which had not given me much disturbance since I left Boulogne,
became now very troublesome, attended with fever, cough spitting,
and lowness of spirits; and I wasted visibly every day. I was
favoured with the advice of Dr. Fitzmaurice, a very worthy
sensible physician settled in this place: but I had the curiosity
to know the opinion of the celebrated professor F - , who is the
Boerhaave of Montpellier. The account I had of his private
character and personal deportment, from some English people to
whom he was well known, left me no desire to converse with him:
but I resolved to consult with him on paper. This great lanthorn
of medicine is become very rich and very insolent; and in
proportion as his wealth increases, he is said to grow the more
rapacious. He piques himself upon being very slovenly, very
blunt, and very unmannerly; and perhaps to these qualifications
be owes his reputation rather than to any superior skill in
medicine. I have known them succeed in our own country; and seen
a doctor's parts estimated by his brutality and presumption.
F - is in his person and address not unlike our old acquaintance
Dr. Sm - ie; he stoops much, dodges along, and affects to speak
the Patois, which is a corruption of the old Provencial tongue,
spoken by the vulgar in Languedoc and Provence. Notwithstanding
his great age and great wealth, he will still scramble up two
pair of stairs for a fee of six livres; and without a fee he will
give his advice to no person whatsoever.
He is said to have great practice in the venereal branch and to
be frequented by persons of both sexes infected with this
distemper, not only from every part of France, but also from
Spain, Italy, Germany, and England. I need say nothing of the
Montpellier method of cure, which is well known at London; but I
have some reason to think the great professor F - , has, like the
famous Mrs. Mapp, the bone-setter, cured many patients that were
never diseased.
Be that as it may, I sent my valet de place, who was his townsman
and acquaintance, to his house, with the following case, and a
loui'dore.
Annum aetatis, post quadragesimum, tertium, Temperamentum
humidum, crassum, pituitarepletum, catarrhis saepissime
profligatum. Catarrhus, febre, anxietate et dyspnoea, nunquam non
comitatus. Irritatio membranae piuitariae trachaealis, tussim
initio aridam, siliquosam, deinde vero excreationem copiosam
excitat: sputum albumini ovi simillimum.
Appetitus raro deest: digestio segnior sed secura, non autem sine
ructu perfecta. Alvus plerumque stipata: excretio intestinalis
minima, ratione ingestorum habita. Pulsus frequens, vacillans,
exilis, quandoquidem etiam intermittens.
Febre una extincta, non deficit altera. Aliaque et eadem statim
nascitur. Aer paulo frigidior, vel humidior, vestimentum
inusitatum indutum; exercitatio paulullum nimia; ambulatio,
equitatio, in quovis vehiculo jactatio; haec omnia novos motus
suscitant. Systema nervosum maxime irritabile, organos patitur.
Ostiola in cute hiantia, materiei perspirabili, exitum
praebentia, clauduntur. Materies obstructa cumulatur; sanguine
aliisque humoribus circumagitur: fit plethora. Natura opprimi
nolens, excessus huius expulsionem conatur. Febris nova
accenditur. Pars oneris, in membranam trachaealem laxatam ac
debilitatam transfertur. Glandulae pituitariae turgentes bronchia
comprimunt. Liber aeri transitus negatur: hinc respiratio
difficilis. Hac vero translatione febris minuitur: interdiu
remittitur. Dyspnoea autem aliaque symptomata vere
hypochondriaca, recedere nolunt. Vespere febris exacerbatur.
Calor, inquietudo, anxietas et asthma, per noctem grassantur. Ita
quotidie res agitur, donec. Vis vitae paulatim crisim efficit.
Seminis joctura, sive in somniis effusi, seu in gremio veneris
ejaculati, inter causas horum malorum nec non numeretur.
Quibusdam abhinc annis, exercitationibus juvenilibus subito
remissis, in vitam sedentariam lapsum. Animo in studia severiora
converso, fibre gradatim laxabantur. Inter legendum, et
scribendum inclinato corpore in pectus malum, ruebat. Morbo
ingruenti affectio scorbutica auxilium tulit. Invasio prima
nimium aspernata. Venientibus hostibus non occursum. Cunctando
res non restituta. Remedia convenientia stomachus perhorrescebat.
Gravescente dyspnoea phlebotomia frustra tentata. Sanguinis
missione vis vitae diminuta: fiebat pulsitis debilior, respiratio
difficilior. In pejus ruunt omnia. Febris anomala in febriculam
continuam mutata. Dyspnoea confirmata. Fibrarum compages soluta.
Valetudo penitus eversa.
His agitatus furiis, aeger ad mare provolat: in fluctus se
precipitem, dat: periculum factum spem non fefellit: decies
iteratum, felix faustumque evasit. Elater novus fibris
conciliatur. Febricula fugatur. Acris dyspnoea solvitur.
Beneficium dextra ripa partum, sinistra perditum. Superficie
corporis, aquae marine frigore et pondere, compressa et
contracta, interstitia fibrarum occluduntur: particulis
incrementi novis partes abrasas reficientibus, locus non datur.
Nutritio corporis, via pristina clausa, qua data porta ruit: in
membranam pulmonum, minus firmatam facile fertur, et glandulis
per sputum rejicitur.
Hieme pluviosa, regnante dolores renovantur; tametsi tempore
sereno equitatio profuit. Aestate morbus vix ullum
progrediebatur. Autumno, valetudine plus declinata, thermis
Bathoniensibus solatium haud frustra quaesitum. Aqua ista mire
medicata, externe aeque ac interne adhibita, malis levamen
attulit. Hiems altera, frigida, horrida, diuturna, innocua tamen
successit. Vere novo casus atrox diras procellas animo immisit:
toto corpore, tota mente tumultuatur. Patria relicta, tristitia,
sollecitudo, indignatio, et saevissima recordatio sequuntur.
Inimici priores furore inveterato revertuntur. Rediit febris
hectica: rediit asthma cum anxietate, tusse et dolore lateris
lancinanti.
Desperatis denique rebus, iterum ad mare, veluti ad anceps
remedium recurritur. Balneum hoc semper benignum. Dolor statim
avolat. Tertio die febris, retrocessit. Immersio quotidiana
antemeridiana, ad vices quinquaginta repetita, symptomata
graviora subjugavit. - Manet vero tabes pituitaria: manet
temperamentum in catarrhos proclive. Corpus macrescit. Vires
delabuntur.
The professor's eyes sparkled at sight of the fee; and he desired
the servant to call next morning for his opinion of the case,
which accordingly I received in these words:
"On voit par cette relation que monsieur le consultant dont on
n'a pas juge a propos de dire l'age, mais qui nous paroit etre
adulte et d'un age passablement avance, a ete sujet cy devant a
des rhumes frequens accompagnes de fievre; on ne detaille point
(aucune epoque), on parle dans la relation d'asthme auquel il a
ete sujet, de scorbut ou affection scorbutique dont on ne dit pas
les symptomes.
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