This disease occurs in two forms: hemorrhage into the bronchial tubes, called bronchorrhagia, in which the bleeding is into the bronchial tubes and is expectorated; and the form known as apoplexy of the lungs, called pneumorrhagia, the hemorrhage taking place into the aircells and the lung tissue. Both can be brought on from injury

(1) Hemoptysis, or Spitting of Blood

This results from a variety of conditions. In full health, it may take place without warning. After continuing for a few days, it subsides and never appears again. It may be due to a slight ulceration. It may have been brought on from a slight injury. Such hemorrhage is often recognized as indicative of tuberculosis, and altogether too often patients have this opinion saddled upon them. Either they have it saddled upon themselves by their own opinion, or some physician may be indiscreet enough to cause them to believe that because they had hemorrhage they must have latent tuberculosis, or are in line for taking on the disease. If there is any predisposition on the part of the patient to take on lung trouble, this discouraged state--or perhaps I would better say this state of fear--that is created because of the hemorrhage, will go very far toward impairing digestion and nutrition. The patient, seeing this change, will have his fear confirmed that he is really developing tuberculosis. This may cause a change of climate; it may cause a great deal of unhappiness and discontent. The physician should be very sure that he is right before he pronounces a case of this kind the beginning of tuberculosis.

IV. Broncho-Pneumonia

This disease is not to be treated any differently from pneumonia.