When the presence of this inflammation can be discovered, the method of cure will be the same as that of an inflamed liver or spleen. Bleeding is, however, scarcely admissible.

Inflammation of the muscles of the belly, miyocuilitis of Vogel.

When-these muscles are inflamed, the skin is greatly distended; and if they are swelled, the figure of each is often preserved, and fever generally attends. Pain is considerably augmented in sneezing, straining at stool, breathing, or any exertion, and is often felt at the origin or insertion of the muscles, which distinguishes this inflammation from any interna! one.

The rheumatism sometimes attacks these muscles; and they suffer from pressure, when patients from a stone in their bladder seek for relief, by resting their weight upon some hard body in a prostrate position.

This complaint is easily distinguished from a colic, an inflammation in the liver, or any of the subjacent viscera, by the considerable distention, the very early soreness, and the circumstance just mentioned, viz. the pain shooting to the false ribs and the spine of the ileum.

The myocolitis scarcely in any instance terminates in mortification or abscess. It is very commonly of the rheumatic kind, and yields to general and topical remedies, the latter of which may approach very near the seat of the discase. Fomentations are particularly useful; but the disease is rare.

If the hardness is considerable, and a throbbing pain perceived, an abscess is forming, and should be encouraged by emollients, that the discharge may be external. Heurnius observes, that these muscles are covered with so dense a membrane, that abscesses require the knife; and, if the opening is neglected, they sometimes become scirrhous. Hildanus thinks that these tumours should be opened more early than is usual in other instances, to secure an external discharge; for the matter is apt to pass betwixt the muscles, and form sinuous ulcers, as bandages cannot easily be applied. The cold air is particularly offensive, and the air in the room should be moderately warm, when the abscess is opened, or the wound dressed.

Bleeding, with purging, and such other means as are used in inflammations of the external parts, should be employed, and steadily pursued.

11. Inflammation of the eye. See Ophthalmia.

12 . Inflammation of the oesophagus sometimes attends Angina, q. v.; but is occasionally an idiopathic disease. We have mentioned it under the tide of angina pharyngea, described by Eller de Cog-noscendis, et curandis morbis, p. 172. It is the angina sine lumore of the ancients, and is relieved by cooling subacid drinks. Eller recommends external cataplasms to draw any matter that may be formed outwardly, but no danger of this kind seems to impend. We have seen it occasionally as the effect of swallowing acrimonious fluids, and once from a pill of calomel sticking in the pharynx; but in each case the inflammation was followed by no disagreeable consequences; nor was the disease obstinate.

13. Inflammatio omentalis. See Peritonitis.

14. Inflammation of the bones. The blood vessels from the periosteum to the bones run bet-, their laminae, whilst others pass through particular perforations to the diploe of the cranium, and the marrow in the bones; from these arise the separation"of the corrupted parts, and the restitution of such as are lost. Inflammation may, therefore, be seated in the bones, and is attended with obstinate and violent pains, seeming to the patient to be deep seated. Hence also arises a spina ventosa, etc. See Inflammatio pe-riostei, N° 16.

15. Inflammation of the pericardium, pericarditis, which Dr. Cullen considers as synonymous with carditis, or inflammation of the heart; adding, that

"the pericardium has been known often to be inflamed, without any other symptoms attendant, except those of a peripneumony." The pain, however, seems to be deeper seated, and is not so much increased upon inspiration. The cure is the same with that of pleurisy or peripneumony.

16. Inflammation of the periosteum. Besides the other usual causes of inflammation in other parts, the venereal disease and the scurvy induce it in this. The venereal poison is a frequent cause, when the periosteum within the bone is the seat of the disorder.

When the external periosteum is inflamed, a deep seated pain, heat, and sometimes a pulsation are felt; and, when the part is not thickly covered, the pain will be augmented by pressure; muscular motion, however, always increases it. That the membrane which lines the bone internally is the seat of the inflammation appears probable, from the want of pain on pressure, or motion; by the absenceof pulsation; by receiving no relief from any position of the pained part; and particularly by a sensation of the bone outwardly, splitting from within.

Inflammations in both membranes of the bone proceed from the same causes, produce the same effects on the part of the bone to which they adhere, and terminate either in an abscess or a gangrene; but when the inner membrane is affected with gangrene, the marrow and bone are both destroyed.

If inflammations of these kinds are not speedily removed, the periosteum will be destroyed; and cannot be renewed until the bone exfoliates, and is restored. In this period the incumbent parts will be irritated by an acrid sanies, and malignant ulcers produced, especially if a large portion of flesh covers the bone, and hinders a decisive incision on the part.

The cure is as that of all other inflammations; but the matter must be directed outwards by fomentations and incisions, if the inflammation cannot be discussed by bleeding, purgatives, etc. For this purpose, after these general remedies, softening fomentations and poultices may be applied; but if these fail, it remains only to cut down through the flesh to the bone, if the part admits. Amputation is often, however, at last necessary.