10. In Scarlatina, Dilute Acetic Acid,'Internally, Is Strongly Recommended By Mr

Isaac B. Brown. He considers that it is more efficacious than any other treatment, and that it tends to prevent the occurrence of dropsy. Experience has not confirmed its alleged virtues, although it is doubtless useful as a refrigerant.

* Cyc. Pract. Med. vol. iii. p. 594.

Dr. "Webster* relates four cases, in which, it appeared to him conclusive that sponging the body of the patient prevented the spread of the disease beyond the original patient. Further facts are required to confirm this statement. The Sore Throat which accompanies this disease, much improves under the application of the steam of warm vinegar.

11. In Cynanche Tonsillaris, and in almost every form of ulcerated or relaxed sore throat, much relief is obtained by inhaling the vapour of hot vinegar and water.

12. In Phthisis the value of the external application of diluted vinegar to the chest and upper part of the body, in allaying the profuse perspirations, is well known; it is a measure attended with salutary effects, and is of great comfort to the patient. Dr. Walshet speaks very favourably of the practice. The mixture employed by Sir C. Scudamore, for this purpose, is composed of 1 part of vinegar, 1 of Eau-de-Cologne, and 2 of water. Dr. Roberts§; strongly advocates both the internal and external use of vinegar for checking the hectic and morning sweats, restraining haemoptysis, and producing costiveness. Dr. Cowan|| considers that its internal use is deserving of further trial. As a preventive of Phthisis Dr. Graves ¶ speaks favourably of the plan recommended by Dr. Stewart, of Glasgow, of washing the chest with vinegar and water, beginning with it tepid, and reducing the temperature gradually, until it can be used completely cold.

13. In Hmoptysis, the internal and external use of vinegar was highly esteemed by the ancient physicians. CAelius Aure-lianus, Avicenna, and Rhases, are amongst its chief advocates. From its refrigerant and styptic operation in uterine haemorrhage, it is probable that it might be had recourse to with advantage more frequently than it is at the present day.

14. In Asthma and Angina Pectoris, it is of great importance to diminish the sensibility and susceptibility of the patient to the impression of cold: one of the most effectual means of effecting this, is, for the patient, during the intervals between the paroxysms, to bathe the chest with vinegar and water, in the manner advised in Phthisis. It should be used every morning, upon getting out of bed. It is a measure fraught with benefit, also, to those who are liable to continual catarrhal attacks.

15. In Uterine Hemorrhage, the application of cold vinegar and water to the pubes is not only agreeable to the patient, but tends considerably to arrest the discharge of blood. It may also be advantageously given internally. Epistaxis is sometimes effectually arrested, by introducing into the nostril a piece of lint saturated with vinegar.

* Edin. Monthly Journ. Dec. 1849. On Dis. of the Lungs, p. 404. On Inhalation, &c. in Consumption, p. 39. § Trans, of the College of Physicians, vol. v. || Translation of Louis on Phthisis, p. 385. ¶ Clinical Lectures, 2nd Ed. 1848, p. 104.

16. In Scurvy, vinegar has been recommended; but, from the history of the disease, it appears that little reliance should be placed upon it; although in some instances it appears to be useful. Dr. Trotter,* in his account of the Channel Fleet in 1795, observes, that vinegar was carefully served to the messes of seamen throughout the squadron, to be used with the salt meat; yet, in those ships in which the men took it in large quantities, it was not observed to retard the progress of the disease. Dr Budd places it on an equality with malt liquor or cider; but considers, justly, that it is not to be used as a substitute for lemon or lime-juice.

17 In Purpura, whether attended by fever, or of a passive character, Mr. Erasmus Wilson advises sponging the body with tepid vinegar and water.

18. In Hospital Gangrene, when of a mild character, Delpech§ speaks highly of the topical application of vinegar. The ulcerations, having been previously cleansed, are to be washed with strong vinegar, and then covered with charpie wet with the same liquid. If this fails to arrest the disease, caustics become necessary.