145 M5 UC-NRLF B 3 103 7fiD THE LIBRARY OF THE UNIVERSITY OF CALIFORNIA PRESENTED BY PROF. CHARLES A. KOFOID AND MRS. PRUDENCE W. KOFOID ON THK CRYFTOGAMOUS ORIGIN MALARIOUS AND EPIDEMIC FEVERS, BY J. K. /MITCHELL, A.M., M.D., L C 1 ICAt'SrElS I C I N PROFESSOR OF PRA E IN THE JEFFERSON MEDICAL COLLEGE OF PHILADELPHIA. "It has also happened that reflecting men, guided by general ideas and analogies, have enunciated truths which, only at some future period, could command general acceptance and acknowledgment. This always has happened, and always will happen, when the direct proofs of such a truth are wanting." — BISCHOFF. " The infection may be aptly compared to the seeds of vegetables or the eggs of ani- mals, which require a nice concurrence of certain degrees of heat, moisture real, nutriment, £c., to animate them."— SIR GILBERT BLAKE. PHILADELPHIA: LEA AND BLANCHARD. 1849. Entered according to the Act of Congress, in the year 1849, by LEA AND BLANCHARD, in the Clerk's Office of the District Court for the Eastern District of Pennsylvania. PHILADELPHIA : T. K. AND P. G. COLLINS, PRINTERS. INTRODUCTION AND DEDICATION. TO THE CANDIDATES FOR GRADUATION IN THE JEFFERSON MEDICAL COLLEGE, OF THE SESSION OF 1846-1847: GENTLEMEN : To you, I had the honor of delivering, nearly in their present shape, the lectures which I now send to the press. Previously, I had not put my ideas on the subject of which they treat, into so formal a shape, although I had an- nounced for years, to each successive class, my impression, that possibly, the protophytes might afford a good expla- nation of the causation of malarious, and other diseases of a febrile nature. Of the production thus, at least of yellow fever and cholera, I entertained less doubt, and taught, therefore, the sentiment with less reserve. But, although urged by some of you, and more formally re- quested by the class by which you were immediately suc- ceeded, to place my opinions on this subject before the public, I refrained from their publication through aversion to controversy, and the hope that time would bring more conclusive evidence of their truth or falsehood. Other friends, whose age, position, and learning, entitled their opinions to the highest respect, did me the honor to listen to my elucidations, and to recommend their publication. Indeed, one of them, well known to you for his great learning and refined eloquence, wrote to Dr. Forbes, of iv INTRODUCTION AND DEDICATION. London, offering these lectures to him for his reprint of American Medical Tracts. His plan, not embracing un- published manuscripts, excluded them; but he kindly sug- gested the propriety of their immediate publication by myself, as he thought an essay on a subject of so much novelty ought not, through my aversion to publicity, to remain inedited. Since that time, a work of some merit has been printed in England, and dedicated, by permission, to John Forbes, M.D., by its author, Charles Cowdell, M.B., M.R.C.S., London, 1848. It professes to be, "A Disquisition on Pestilential Cholera, being an attempt to explain its phe- nomena, nature, cause, prevention, and treatment, by re- ference to an extrinsic fungous origin." A review of works on cholera, inclusive of that of Dr. Cowdell, ap- peared in the July number of the British and Foreign Medico-Chirurgical Review, for 1848, in which the re- viewer recommends to Dr. Cowdell to extend his hypo- thesis, which he thinks ingenious and interesting, "to all epidemics. He would, perhaps, find yellow fever and plague still more to his purpose than cholera." Dr. Cowdell's book, and the review of it, reached me nearly at the same time, and left me no further excuse for withholding these lectures from the public, unless I pre- ferred to lose what little of reputation might be obtained by sending them to the press. It will be seen that I have not attempted to conceal the sentiments of former writers on this subject, although my ignorance of German prevents me from knowing exactly, how far the authors of that country, Henle, Muller, and others, have carried their ideas. Nothing in Dr. Cow- dell's book occurs to show that he was aware of any pre- existent fungous theory of fevers, nor of the wide dissemi- INTRODUCTION AND DEDICATION. V nation of that hypothesis on this side of the Atlantic ; so that he is apparently entitled to the credit of having made, if not a new, at least an original theory of the cause of cholera. As you have heard these lectures, gentlemen, you may not have forgotten that, in making my selection of facts and observations, I have, with a single exception, studi- ously avoided an appeal to phenomena perceived only by myself. I have created no facts for this subject; because I have long learned, as you will learn, to trust reservedly to alleged truths observed by a theorist, who cannot avoid, however just he may be, the coloring which, through a blinding partiality for a new discovery or hypothesis, is too often given. I have not, however, been idle. Experiments are in progress which seem to promise more direct and unques- tionable proof of the validity of our hypothesis ; but they are yet incomplete, and therefore should not now appear, lest they might load so young a conception with a too dubious weight. As there may, in the future, arise some dispute respect- ing the paternity of the theory which is now proposed, I may be indulged with the liberty of quoting the follow- ing extract from a letter by Professor J. W. Bailey, in answer to one from me: " West Point, March 5th, 1845. { ' DOCTOR J. K. MITCHELL : " My dear Sir : Please accept my thanks for your favor of the 29th ultimo. I was interested in your letter on the fungous origin of fevers; and it ap- pears to me that you make out a very strong case, and one which appears more satisfactory than Liebig's somewhat vague ideas of ' communication of motion,' being the cause of the propagation of contagious poisons, fer- vi INTRODUCTIpN AND DEDICATION. mentation, &c. Your theory will, at least, lead to experiment, while his, if I comprehend it, leads to nothing, and is only a way of saying that we don't understand the subject.*' It would scarcely be proper, gentlemen, to overlook the kind note addressed to me by a committee from the class which immediately followed you, and which formed a principal inducement for correcting for the press, the fol- lowing lectures. "Jefferson Medical College, December 8th, 1847. " PROFESSOR MITCHELL. " Sir : At a meeting of the class held last evening, the following resolu- tion was unanimously adopted : "'Resolved — That a committee be appointed to wait upon Professor Mitchell, and request him to furnish for publication, his new and original views of the nature and cause of malarious diseases.' "Allow us, in fulfilling the agreeable duty imposed by the class, to ex- press the high gratification we have derived from listening to the lectures referred to, and to add our personal solicitations that you will grant the favor which it is the object of the resolution to ask. "Yours respectfully, "W. P. THORNTON, of Mississippi. « R. S. HAYNES, of Virginia. " JNO. HORACE SELTZER, of Pennsylvania. "CHAS. F. STANSBURY, of the District of Columbia, Chairman. "JoHN 0. McREYXOLDS, of Kentucky, Secretary." In reply to this kind request, I promised, when at lei- sure, to cause the lectures to be published; and now com- mence the work by offering to you, who heard them first, in the form and substance in which they now appear, a dedication of them. With the most sincere desire for the promotion of your welfare, and with the greatest respect, I have the honor to be, Gentlemen, Your friend and preceptor, J. K. MITCHELL. TABLE OF CONTENTS. LECTURE I. Theories of Malaria. — The Vegeto-animal Theory. — The Atmospheric Theory. — The Sulphur-product Theory of Daniel—Theory of Hoff- man.— Gaseous Theories. — Miscellaneous Theories. — Theory of Dr. Robert Jackson. — Theory of Dr. Ferguson. — The Animaicular Theory. - ..... 13—33 LECTURE II. Habitudes of the Fungi. — Traces, among Authors, of the Fungous The- ory.— Rapid growth of the Fungi.- — Their Poisonous Properties in- crease as the Latitude decreases. — They are found chiefly in Au- tumn. - - - - - - - 34 — 50 LECTURE III. The Fungi are active almost exclusively at Night. — Fungiferous power of Epidemic Periods and Seasons. — Sudw Jlnglicanus. — The Milz- brand. — The Milk-sickness of the Western Country. - - 51 — 72 LECTURE IV. Poisonous Quality of the Fungi. — They produce Fevers. — They pro- duce Fevers which Remit or Intermit. — They produce Fevers with Gangrene. — Fungi cause the Potato Rot. — The Fungi in the Atmo- sphere.— Fungi cause many Cutaneous Diseases. — They also cause Aphthae, a disease of the Mucous Membrane. — They are found in Vlii CONTENTS. the Stomach, in the Bowels, in the Peritoneal Cavity, are asso- ciated with Indigestion, appear in Typhoid Fever, in the Bladder, on the Pleura, in Cholera, and in Diabetic Urine. — The Fungi cause many diseases of Insects and Reptiles, as the Muscardine of the Silk-worm, &c. — They seem, according to Scripture, to produce Scalls and Leprosy. — They are found after death in Pigeons, Fowls, and other winged animals. - • 73 — 95 LECTURE V. The Fungous Theory explains the cause of the Postponement of the Effects of a Malarious Infection, and accounts for the nice Limita- tion of Malaria, for the Effects of Dried Air, of Damp Sheets, of Fo- mites. — Yellow Fever. — Cholera. — The Plague. — Localization of Peculiar Diseases. — Quarantines. — Pestilential Premonitions. 96—116 LECTURE VI. Hygienic Inconsistencies of Seasons and Places, explained. — The Ma- remma of Italy. — Volcanic Eruptions affect the Health of the fol- lowing, and not of the current year. — Fairy Rings. — Liebig's Theory of the Cause and Non-recurrence of Diseases, refuted. — A new Ex- planation of these, offered. — Why the First Cases of an Epidemic are most Fatal. — Why Barren Plains are sometimes Sickly. — Re- capitulation. ...... 117 — 138 \ ON THE CEYPTOGAMOUS ORIGIN MALARIOUS AND EPIDEMIC FEVERS. LECTURE I. THEORIES OF MALARIA. THE most ancient authors allude to the noxious influence of the air of marshes and stagnant pools. Some of them indulge in speculations respecting the immediate cause of its morbific power ; and here and there, in their writings, may be detected, more or less vaguely expressed by them, the opinions, by the publication of which, Lancisi, less than two centuries ago, acquired so much reputation. His treatise de noxiis paludum effluviis, gave consistency and authority to the impression of the miasmatists, and the loose idea of a former age, became the accepted sentiment of the eighteenth century. By degrees, the medical pro- fession, almost everywhere, adopted the theory of the causation of periodical fevers by marsh air, and even ascribed the poison to a decomposition of the vegetable remains of low and wet places. After that time (1695), 2 14 THEORIES with occasional modification from the fancy of each author, the vegetable theory of miasm became almost an esta- blished dogma of the schools, not often questioned until the very time in which we live. Now, writers, dissatisfied with the inexact condition of the subject, demand proofs in favor of the marsh theory, which they cannot find; and I may, perhaps, feel safe in asserting, that, at the present day, few well-informed physicians accept the theory of the miasmatists, as detailed by McCulloch. Whatever view may be taken of the nature of the pes- tilential cause, it is usually most potent in places of a moist and marshy character, such as are the borders of lakes and rivers ; and in such places it commonly most abounds, when accompanied by a luxuriant vegetation and a high temperature. As heat, moisture, and vegetation, so commonly attend the production of malarious influ- ence, careless observers, naturally enough, believe the action of heat and moisture upon the vegetation, to be the efficient cause of miasm; while they refer to con- trasts of temperature and moisture as exhibited by day and night, as the exciting causes of the periodical fevers of such places. Such conditions, predisposing and exciting, no doubt cause such maladies ; but inquirers take very different views of the mode of production, and of the immediate agents concerned. Some conceive, as already stated, that by decomposition, a predisposing poison is produced, suf- ficient of itself often to excite disease, whilst dews and change of temperature may occasionally precipitate or ^determine an attack. Others think that the mephitic va- jpors of marshes only enfeeble health, and thus enable the obvious changes of heat and moisture -to excite disease, - which they often produce without any such preparation. OP MALARIA. 15 A third party refers all cases of periodical disease exclu- sively to sensible changes, and thinks the proximity of a marsh only efficient as presenting an evaporating surface, by which the air is made colder and damper. Dissatisfied for many reasons, to be hereafter offered, with the vegetable theory, and with the evaporating theory, and indeed with the hypothesis by which both are united, authors of our own time have suggested a variety of ex- planations, which it may not be inexpedient to pass in cursory review. The commonly received marsh theory is well stated and supported by MeCulloch, to whose work on malaria I re- fer you for a view of that side of the question. It is, in a much more masterly and precise manner, sustained by Di% Craigie, of Edinburgh, to whose volumes on the Practice of Medicine, you may most profitably resort for a learned, lucid and, I think, impartial array of the facts and opin- ions bearing on that side of the question. MeCulloch in- volves himself in difficulties without seeming to see them, whilst Craigie, although inclined to the same conclusions, views with a master's eye, the whole of the impediments and objections. The objections presented by the latter are: the low temperature at which these disease-producing changes may take place ; the unaccountable production of them in places where there is no apparent vegetation and often no marsh ; the exemption of certain places where occur all the seeming elements of decomposition ; the inex- plicable effects of rural cultivation ; and the unexplained vicissitudes of health in the same places in different though similar years. Denying the vegetable theory, and indeed assuming the position that we are as yet totally ignorant of the nature and true source of the cause of malarious fevers, my emi- 16 THEORIES ^ nent colleague. Professor Dunglison, in his work on Hy- giene, ably exposes the fallacy of the received opinions on this subject. He is not favorably impressed, indeed, by any of the many hypotheses with which an obscure, but highly important subject like this, is sure to be loaded. Not less antagonistic^ the received theory, is my friend, Dr. John Bell, who, however ingenious and Jearned in his opposition to it, does not also arrive at a negative conclusion, but refers the morbid phenomena to the modification of the sensible or appreciable conditions of the atmosphere. His paper, contained in the Medical and Physical Journal, for 1825, 1826, pp. 274-316, is worthy of an attentive perusal, although written at a very early period of his medical life. Notwithstanding, therefore, the seeming supererogation, my duty as a teacher compels me to offer to you at least a summary of the objections to current opinions on this subject. The most forcible argument against the vegeto-aerial theory, consists in the extraordinary exemption from ma- larious diseases of places which, were it true, could not escape a severe infliction. It is the more forcible, because the theory is founded mainly upon the concurrence of such diseases with heat, moisture and vegetation. If, then, it can be shown that the alleged conditions exist in the most perfect state, in very many places, without morbid results, the universality of the coincidence can no longer be brought to sustain the opinion. Again, if many places can be cited, where these sup- posed elements are not at work, which are nevertheless noted for their insalubrity, the opinion becomes even less tenable. It is still farther weakened by the fact, often observed, that under precisely the same apparent circum- OF MALARIA. 17 stances, healthy places become unhealthy, and sickly places, salubrious. The marsh, the heat, the moisture and the vegetation, remaining apparently the same, the health of a region may vary from one extreme to the other. I will now offer you some examples in illustration of these positions: McCulloch, the unqualified advocate of the Marsh theo- ry, seems to have been very much perplexed by an excep- tion to his rule, which lay just under his own eye. The canal in St. James' Park, London, was, at the time he wrote, notorious for the abundance of its aquatic plants, causing, in autumn, an even intolerable stench. Yet he congratulates the inhabitants, on their miraculous exemp- tion from malarious fevers, " it being, perhaps, the only exception in the world, at least wherever the climate equals (in temperature) that of England." — (p. 50.) Let us see how far his assertion is sustainable. The town of Kingston, in the island of St. Vincent, is situated at the bottom of a semicircular bay, and at the foot of a mountain range, with high land on each side. The soil consists of a black alluvial mould, evidently arising from decaying vegetable matter. In one place, the bed of a dried up water-course, branches of trees were found, and the neighboring ground was covered with leaves, in dif- ferent stages of decomposition, for upwards of eight inches in depth, into which the feet sank at every step. " There, then," says the deputy inspector of British hospitals and fleets, Robert Armstrong, "we have all the elements ne- cessary for the production of this vegeto-animal poison, heat, moisture, decayed and decaying vegetable matter, with as large a proportion of reptiles, insects and other animal matters, as is found in other tropical countries ; yet strange to say, the town of Kingston is one of the most 18 THEORIES ^ healthy spots in the West Indies. I was informed by the staff-surgeon to the forces, who had long resided there, that it was as healthy as the most favored spots in Eng- land." As a very curious contrast to the statement of Armstrong, we learn from Bishop Heber, that the wood tracts of Nepaul and Malwa, having neither swamps nor perceptible moisture, become in summer and autumn, so pestiferous as to cause their abandonment even by the birds and beasts. Fordyce too, tells us that, in a part of Peru, where there is almost a total absence of water, and of course of vegeta- tion, fever and dysenteries render the country almost un- inhabitable ; and according to Pringle, the dry unproduc- tive sandy plains of Brabant, excite malarious fevers of great intensity. New South Wales extends from 10° 5' to 38° south la- titude, embracing a region similarly situated to that of America from the West Indies to the Chesapeake Bay. It is subject to a rainy season, has streams, estuaries, and extensive swamps. Around some of its towns there lies a deep, black, highly productive vegetable mould. It is liable to extraordinary inundations, which lay the country, as far as the eye can reach, under a sheet of muddy water. The temperature is quite as high as that of any other like latitude. The coast is covered with mangroves, and skirt- ed by rocks, reefs and islets. Among its products are mahogany, oranges, lemons, guavas. The mosquito, with myriads of insects and reptiles; parrots, paroquets and other tropical birds, announce a hot, productive climate, and lead us to look for a tainted air and a pestilential habitude. But, notwithstanding all these threatening con- ditions, the usual symbols of a sickly clime, New Holland is remarkable for its healthfullness. Pulmonary diseases OF MALARIA. 19 and, in the wet season, dysenteries are observed, but the fevers incident to warm climates elsewhere, are here of rare occurrence. In speaking of this country, Malte Brun has this expression : " Hitherto we have heard of no such fatal epidemic fevers as are frequent in some other colonies situated in warm climates." Mr. Titian Peale, the zealous and successful naturalist, who accompanied Captain Wilkes on the exploring expedi- tion to the Southern Ocean, writes to Professor Dunglison, that he never saw a case of intermitting fever in either natives or strangers, in the Polynesian Islands, although the officers and men of the expedition lived and slept in the midst of marsh stenches and mosquitoes, when the days were hot, and the huts open and exposed. Captain Wilkes himself describes these islands as fer- tile, moist, hot, — but, yet as remarkably salubrious, as is evinced by the general good health of the men, who were often exposed at night, by the shore duties of the service, to fatigue, night air and heavy dews. The following examples of the truth of his general statement, are found in the same work. TONGATABOO is an organic island, formed by coral, is rich, fiat and luxuriant, and oppressed by a temperature rising to 98° F., offering a mean, during the sojourn of the expedition, of 79° 25. There was much rain, and, when clear, heavy dews. The writer supposes that these phenomena must create sickness, but he sees many old people, and admits that, although ashore at night, the people of the expedition were not sufferers. Mr. Peale, also, testifies to the good health of the place. OVOLAU (Fegee) is a volcanic island, the mean tempe- rature of which, for six weeks, was 77° 81; maximum, 96°; minimum, 62°. Turnips, radishes, and mustard 20 THEORIES seed appeared above ground in twenty-four hours; melons in three days; while marrowfat peas, fit for use, were produced in five weeks. On this island, volcanic as Sar- dinia, and hot as the Maremma, " fevers, whether re- mittent or intermittent, were unknown." In the two instances cited above, the islands closely re- sembled each other in climate, temperature, and fertility, but were contrasted as to origination, geology, and sur- face, the one being organic, the other volcanic ; the one being flat, the other mountainous; yet both enjoyed a de- gree of salubrity totally at variance with our preconcep- tions. The Island of Soloo, in latitude 6° 01' North, enjoys a temperature seldom below 70°, or above 90° ; that is, about the mean of that of the pestilential western coast of Africa. It is, however, healthy. Menouf, the capital of Menoufyez, in Lower Egypt, is situated on the banks of a canal formerly navigable, but so no longer. This canal bathes the walls of Menouf from south to west. Within a few yards of it lies another canal of stagnant water, the space between, forming a 'road into the town. To the right of the south gate, lie basins of water to rot flax in, which gave out a disa- greeable odor. Here and there is a cemetery, and be- tween them are pools for the same use, some of them broken, neglected, and full of stagnant water. Menouf has no gardens, its streets are narrow and dirty, and its houses small and badly constructed. The people drink the Nile water. The yearly inundation floods the country around Menouf, up to the walls, but it does not continue long under water, to which fact Surgeon Carrie ascribes it healthfulness : " C'est pour cela sans doute que cette ville est assez saine." Iij addition to its other defects, the place is surrounded OF MALARIA. 21 by a second wall, formed of dirt and rubbish, transported from town, by which the view is obstructed, and the town sheltered from the wind. Not only is Menouf assez saine in other respects, but even the plague does less damage here than in other parts of Egypt. (Degenettes.) If the exception presented by the canal in St. James' Park puzzled McCulloch, and was, at the time he wrote that page, apparently, to him the only one, he alighted, in his progress, upon another, at Singapore, which seemed still harder to dispose of, without a severe shock to his system. My esteemed friend and former pupil, Dr. M. B. Hope, Professor of Belles Lettres in the College at Princeton, resided for some time as a missionary at Singapore, in the East Indies, and adds to the details given by McCul- loch, respecting Singapore, the following facts and opi- nions. "The Island of Singapore is, in the main, low and level. There is one hill in the interior about 500 feet high, in which granite rocks make their appearance. Scattered here and there, are low round sand hills, the level ground between which is formed of a ferruginous clay upon a sandy substratum. The greater part of the island is covered with jungle. Lofty trees, and a most luxuriant vegetation are found in many places. The island is pretty well watered by streams, which descend from the hills to the sea. The tides have produced and sustained a chain of marshes nearly all round the coast. In some places, fresh and stagnant water covers the low grounds ex- tensively. "The city, which lies in latitude 1° 17', contains a highly mixed population of about 20,000 souls: Chinese, Malays, Indians, Europeans, &c. It is nearly surrounded by marshes, the jungles of which are almost impervious, 22 THEORIES and are infested by tigers and other ferocious or wild animals. Here and there the Chinese have cleared and cultivated the ground ; and there are, near the city, some sugar and nutmeg plantations. "The vegetation is incredibly rapid in its growth; and its decay is not less wonderfully great, as may be supposed, when the soil is rich, and the mean annual temperature is, in the morning and evening, 79° 45', and at noon 84°. " Astonishing as it may seem under such circumstances, fevers of any kind were very rare, particularly among the natives. Now and then remittent fevers might occur, and, yet more rarely, intermittents. Foreigners were, of course, more readily attacked, but not often, except through imprudent exposure to fatigue, or the sun. " Singapore is considered as a kind of sanatorium for the Oriental invalids, who go thither from every quarter of the Eastern world, to escape from malaria, or to re- cover from chronic diseases." The empire of Brazil extends from the equator to the southern tropic. It is watered by vast rivers and count- less streams, abounds in lakes and marshes, and, under a burning sun, smokes from the vapor of impetuous rains, and boasts a vegetation unsurpassed for abundance, va- riety, and rapid transitions. Along an extended coast, the mountain ranges are nearly parallel to the sea ; so that behind them the sea breeze exerts no cooling power, and the air is stagnant and hot. Even at Rio Janeiro, the latitude of which is nearly 23°, the temperature is very high, and the atmosphere often excessively languid and oppressive. " In the city," says Dr. Horner, of the United States Naval Service (293), " the thermometer had been 90 degrees in the shade. Night and day the tem- perature in my state-room was 86°." The sluggishness OF MALARIA. 23 of the air at Rio may be known by the name Nitheroy, or Dead Sea, given by the aborigines to its harbor. The climate is hot and moist; high and thickly wooded mount- ains, the narrow entrance to the bay, and the numerous islands impede the free passage of the wind." The site of the town is low, the streets are indescribably filthy, and the waters from the hills accumulate in the marshes which nearly encompass the city. — (Hist, of Brazil.} " The proximity of the ocean, the great size of the har- bor, the great height of the land about it, the many hills, narrow streets, and high temperature, keep Rio, al- most without cessation, immersed in a heavy, sultry atmo- sphere, rendered more disagreeable by want of cleanli- ness, and the exhalations from the ravines and marshy grounds in its rear." (Horner.) Notwithstanding the presence of all the alleged mate- riel for fevers, the American squadron, with a mean force of 2,280 men, had, in 17 months, only 155 cases of fever, of which the Concord alone, had 70 in a crew of 200, when on a visit to the African coast. Not one died of fever on the Brazil station. The British ship Warspite, with a complement of 600 men, lay a whole year in the harbor of Rio, and did not lose a man. In that time she had but seven cases of fever. Travelers who spent some time in Rio, and who pene- trated to every part of the country, are equally warm in their praise of the salubrity of the climate. "It was," says Walsh, the rainy season, a mortal period in other tropical climates. For eight or nine hours a day, dur- ing some weeks, I never had dry clothes on me, and the clothes of which I divested myself at night, I put on quite wet in the morning. When it did not rain, there shone out in some places, a burning sun, and we went 24 THEORIES smoking along, the wet exhaling by heat, as if we were dissolving into vapor. Such weather in Africa, no hu- man being could bear; but not so in Brazil; no one is affected by those states of the atmosphere which are so fatal elsewhere. It has, with some reason, therefore, grown into a proverb, that it is a country where a phy- sician cannot live, and yet where he never dies. There was no doctor at S. Jose; but I was told there had been two at S. Joao d'el Rey, and that one of them had left because he could get no patients, and that the other had for a long time, no patient but himself." — {p. 297, vol. ii.) In Africa, under the same latitude, the rains scarcely commence before the constitution begins to sink, even without external exposure. According to Lind, the first rains which fall in Guinea, are supposed to be the most unhealthy ; and they have been known in forty-eight hours, to render the leather of shoes quite mouldy and rotten. Mungo Park observes, "that the rain had not commenced three minutes, before many of the soldiers were affected with vomiting, others fell asleep, and seemed as if intoxi- cated. I felt a strong inclination to sleep during the storm, and as soon as it was over, I fell asleep on the wet ground, although I used every exertion to keep myself awake. Twelve of the soldiers were ill next day.'1 "The thermometer," says Boyle, "is seldom above 81°, or below 69° at this period, but the process of decompo- sition proceeds so rapidly, that cloth and animal sub- stances, such as leather, become putrid in a period hardly credible." On one of the Isles de Loss, at Sierra Leone, a small force was soon destroyed, yet it is 'in the sea, only about from half a mile to a mile in diameter, and formed of granite, which rises to three hundred feet at its centre. OF MALARIA. 25 It is apparently free from supposed causes of fever. There is but one piece of arable ground, no sulphur, no calca- reous rock, no marsh, and very little soil, not a swamp, and the temperature seldom rises above 80°. — (Boyle, p. 16.) Other examples almost without number, might be given of the salubrity of places full of decomposing matter, and of the insalubrity of others, where scarcely a vegetable is to be seen. So that many reflecting men are now disposed to abandon a theory, which cannot be rationally sustained by a reference to facts, and which is shaken the more, the more closely its pretensions are examined. " We must be contented to place the explanation of the cause of plague," says Fodere, "in the category of that of all endemic maladies: that it is unknown." " Malaria is a specific poison producing specific effects on the human body, and is probably gaseous or aeriform. Of its physical or chemical qualities, we really know no- thing. ' ' — (Watson . ) According to Robert Armstrong, "we are utterly igno- rant of the nature of this poison, and no two authors agree respecting its constitution, the circumstances under which it is generated, or its effects on the human body." — (p. 70.) Again, "of the existence of miasm we have no positive proof. It has never been obtained in an in- sulated state, and consequently, we are totally ignorant of its physical properties." "If asked what is Malaria, I answer, I do not know." (Caldwell.) "Hence, physicians have been reduced to the necessity of inferring the existence of hidden atmospheric influences, as a cloak for ignorance." — (Tweedie.) "Epidemic fever may be attributed to a mysterious 3 26 THEORIES something r, an occult quality in the atmosphere." — (Med. Cf-az., xvi. p. 515.) But thinking men can scarcely rest satisfied with nega- tive conclusions, and therefore, new explanations of the cause of fever, succeed to the uprooted theories of the age gone by. The opinion which, next to that of "the malarial," seems to be most successfully sustained, refers intermit- tents to the obvious conditions of the air, altered by heat and moisture ; hot days followed by. cool evenings, dry days, by dewy nights. The strongest argument for this conclusion, rests on the fact, that such diseases prevail at the season of greatest contrast, both as to heat and hu- midity, and in places where extensive wet grounds aid in the production of the strong vicissitudes. As these phenomena are subject to observation, a close examination may be made of the relative condition in such respects, of the most healthy and the most deadly localities. The result is not favorable to the theory based on them, for many very salubrious places are remarkable for the most striking manifestations of the supposed causes of intermittents, while very sickly situations are not un- frequently distinguished by the uniformity of the climate, and the steadiness of the temperature and dew-point; nay, two places, in all observable respects alike in elevation, local relations, atmospheric phenomena and geological structure, may differ totally in their degree of healthful- ness. Even in the same place, the line of limitation of disease-producing power, may be a common road, a nar- row street, a stone wall, or a belt of woods; things which could scarcely be supposed to affect, sensibly, the heat and moisture, or their fluctuations. But the most fatal argument against this theory is the OF MALARIA. 27 fact that exposure for a single hour, at night, sometimes produces an almost immediate attack in some persons, whilst in others it creates a tendency to disease, not ac- tively expressed until the lapse sometimes of months. It will be acknowledged, too, that in that hour there may be observed no unusual or contrasted conditions of the air, either as to temperature or moisture. On the western coast of Africa the sickness reaches its maximum in the height of the rainy season, when the diurnal temperature and moisture are almost invariable. Whilst on the coast of Brazil the same meteoric pheno- mena are perfectly innocuous. Like every other theory, therefore, this o*e owes its plausibility rather to the defects of a former hypothesis than to its own value. Daniel in England, and Gardiner in this country, have adopted, with slight modification, an opinion of Ramman- zani, that marsh exhalations owe their injurious activity to sulphureous emanations. It is not enough to demon- strate their destructiveness, that their presence in minute quantity may be detected in paludal air; for the same argument would equally favor the reference of marsh fevers to any one of the many other gases or vapors found in the same places. The innocuous qualities of these as manifested elsewhere, is not less than those of the com- pounds containing sulphur. Moreover, the sulphureous localities of the sickly island of St. Lucia, are its only salubrious places. — (Evans.) Cities, too, which abound in sulphur-products, should not, according to this theory, enjoy the immunity from agues for which they are every- where noted. Immediately around the sulphur works and factories for making gunpowder and sulphuric acid, the vegetation and the ague disappear together. Facts of the same import 28 THEORIES might be almost indefinitely multiplied, but the task is unnecessary. Hoffman attributed malarious fevers to a lessened elas- ticity of the air. His notion, obscurely conceived and 'in- accurately stated, is only excusable because of the loose philosophy of his day on every subject connected with at- mospheric phenomena. Air is always equally elastic, and any modification of its density, except by adulteration, cannot be very partial for any length of time, so as to create a permanent insalubrity. When adulterated by excessive moisture or unusual gases, it is altered in com- position, a cause of disease much more intelligible than that of mojdification merely of density. Particular gases have also been supposed to exert ma- larious influence : Carbonic acid, nitrogen, cyanogen, car- buretted hydrogen, phosphuretted hydrogen, ammonia and all the imaginable effluvia from decomposing organic com- pounds, have had, each, its advocate. As yet, however, no one has been able to show that marshy or insalubrious places abound most, or peculiarly, in such emanations; nor has it been made even probable that any one of these can, or ever did produce an ague ; while we know that in the busy haunts of non-malarial districts, the arts produce indefinitely diversified decompositions and emanations both animal and vegetable, with wonderful impunity to artisans. The great difficulties in the way of other theories have induced some authors to suppose that the emanations pro- ductive of fevers result from the action on water of living vegetables, or of vegetables not dead but dying. Others have found more astringent vegetables in hot than in cold climates, and have conjectured that some combination of animal matter with tannin constituted malaria. Not yet satisfied with conjectures, ft few presume that the decom- OF MALARIA. 29 position merely of certain vegetables, forms or diversifies miasmata. " Thus," says McCulloch, "might the cruci- form plants, OR THE TRIBE OF FUNGI, produce a malaria differing from that poison as resulting from the gramine- ous ones, or the consequence of the putrefaction of seeds differ from that of leaves." Some French writers lay great stress on the influence of narcotic vegetables in the causation of malaria. McCulloch, after a very elaborate citation of facts and opinions, arrives at the indefinite conclusion "that the pre- sence of vegetables or vegetable matter, in some mode or form, is necessary to the extrication of malaria; while the conclusion has sometimes been, that it is a production formed between the living vegetable and water: more generally that it is generated between that and the latter, in some stage intermediate between life and absolute de- composition', or, lastly, that it is the consequence of abso- lute putrefaction." I need scarcely say that the ifs and ands, and buts and ors, in McCulloch's book, show the utter inefficiency of his undefined cause, to explain the difficulties of this vexed question. Nor is it necessary to offer objections to the other theories cited, since no one has sustained them by even plausible reasoning or pertinent facts. They are not received or respected by the ' profession.' The last of the theories to which I shall invite your at- tention, are those of Drs. Ferguson and Robert Jackson. The latter gentleman, once a firm believer in malaria as usually understood, saw, during his West India service, so many antagonistic phenomena as to incline him to the opi- nion, that it is, sometimes at least, an emanation from liv- ing vegetables, through the exuberance of organic life, the excess of vital vegetable action. To use his own language, 3* 30 THEORIES "It would appear that the materials of vegetation abound- ing in excess, acted upon by a powerful cause, give out a principle, which, not being expended on the growth and nourishment of plants, is diffused to a certain extent in the atmosphere, causing a derangement of such bodies as come within the sphere of its action." Mr. Doughty offers a modification of this sentiment, in the supposition that by the separation of their nutrition from the soil, especially when their growth is very rapid, plants cause in the earth new combinations of rejected elements, which thus become aerial, and poison the neigh- boring atmosphere. As many highly malarious places are barren, and naked of apparent vegetation, the theory of Jackson falls at once to the ground. But if not, then is there the additional difficulty of explaining by such a cause, the existence of malarious diseases when the season of active phenogamous vegetation has passed. It is also a pure hypothesis unsustained by facts or reasoning. The theory of Ferguson is received now by the profes- sion more favorably than perhaps any other. It narrows the malarial question down to this, that the only condi- tions essential to the production of miasmata are soil and water, especially a porous soil. And the only relation . between these elements is, that of successive moisture and dryness. Stating it in the words of Dr. Watson, of Lon- don: " There is reason to believe that the flooding of a porous earthy surface with water, and a subsequent dry- ing of that surface, under a certain degree of heat, consti- tute the sole or main conditions of the generation of the poison." If these are the sole conditions, only moisture can come from the soil, for if anything else does, it must be a miasm, and we revert to the old opinion of Lancisi, If only moist- OF MALARIA. 31 ure is exhaled, why does it sometimes poison its subjects in a single hour, or make an impression actively expressed sometimes months afterwards? Ferguson has himself ad- duced a fact irreconcilable with his theory, where the army suffered in long droughts when at a distance from porous and wet soils. His hypothesis is also in opposition to the fact that in Africa the greatest mortality is during the rains, when the earth is always drenched with water. On the other hand, the shores of the Mediterranean are most pestilential when a long drought has parched up the earth. It would be a waste of time to even enumerate the theo- ries of malaria, founded on the supposition of an unusual disproportion of the ordinary atmospheric elements, such as an excess or deficiency of oxygen or nitrogen, or car- bonic acid, or water. Nor would it be of more use to cite the electrical and magnetic theories of disease, since no analysis of malarious atmospheres has revealed any defect of its elements or of its imponderable constituents. Not a fact sustains any of these opinions, and observations ex- tensively made thoroughly falsify them.* Whatever of change from such causes is observable in malarious places, must be ascribed to their power to excite, not to pre- dispose. The only theoretic view of malaria to which I incline, is that which refers marsh fevers, and some of the epi- demic diseases, to a living organic cause, capable of repro- duction by germs, as is alleged of contagious diseases; * M. Peltier, by constant observations, found the clouds in 1835 almost always positive, in 1836 generally neutral or negative, yet no marked dif- ference in health was observed in those years. Since these lectures were written, Sir James Murray has defended with much ability, the electrical theory of malarious and epidemic diseases. — (Lancet, Oct. 1848.) 32 THEORIES but unlike the latter in this, that the germs are not repro- duced by the organism of the sick, but exteriorly to, and independently of, the human body. In other words, that as the germs of contagious diseases are reproduced in the body, the germs productive of malarious and other non-contagious diseases are elaborated and re-elaborated out of the body, and independently of its agency. One is the product of person, the other of place. This notion is sustained by the fact that organic azotized substances are the only things detected in marsh air or dew, which can possibly affect the health injuriously. Although I approve of the reference of malarious dis- eases to the causation by organic germs, I am far from being satisfied with the animalcular direction taken by all who have elaborated a theory on this foundation. Hither- to it has been so feebly sustained by proofs, as to have at no time received general favor from the profession, although supported by some eminent men in almost every period of medical history. The chief objections to the animalcular theory are: 1st. That it has never been shown that animalcules are poisonous in any way. 2d. That none of the difficulties of this puzzling subject are thus re- moved. 3d. That the assumption is hypothetical at first, and does not in the progress of an examination become at any time more demonstratively probable, or logically acceptable. 4th. But the strongest objection is founded on the superior probability of the vegetable branch of the organic theory, by which I hope to show that very much of the obscurity of this subject may be dissipated. This last objection will, as we advance, rise into more remark- able prominency. It is painful to be thus compelled to abandon the inge- nious theories of our fathers, built up so elaborately and so OF MALARIA. 33 industriously ; to brush away the whole labor of the lives of many eminent men, and to reflect upon the time and talent lavished wastefully upon mere day-dreams. We cannot also fail to perceive the great fallibility of human opinion, as thus exemplified, nor can we avoid the dread that we ourselves may have to mourn hereafter, over the unproductive labors of our own lives, or leave to our children the thankless office of removing our worthless mental rubbish, to make way for perhaps not more sub- stantial edifices. Be this as it may, we derive from the review the useful lesson of philosophic humility, which teaches us to state or receive new doctrines with becoming hesitation, and to bring them into practical application with prudent caution, and then only when sustained by the prolonged observation of many persons in many places, and at various times. 34 HABITUDES LECTUKE II. 1 THE CHARACTER, GROWTH, MINUTENESS, DIFFUSION, ALTERA- TION BY CLIMATE, AND AUTUMNAL PROFUSION OF THE «• FUNGI. IN offering to your attention and consideration a theory of malaria, I profess to do no more than present a review of the phenomena which seem to render it probable, with- out supposing, that, on so difficult and important a sub- ject, I can produce, in your minds, the thorough convic- tion, which, nothing short of a positive demonstration, could bring home to my own. Not thoroughly convinced myself, I can only be excused for occupying your time, by the belief that the theory I am about to offer, is not only very plausible, but is associated with agreeable and useful collateral inquiries. If we should not discover at the end of our journey, the truth, the search after which has lured us to the path of observation, we shall enjoy, at least, beautiful scenery by the way, and sometimes pluck a flower, and sometimes find a gem. Standing, at St. George's, in Delaware, more than twenty years ago, upon the bottom of what had been, a short time before, a mill-dam, I found around me the un- / decayed stumps of trees which had been, for one hundred -vj and seventeen years, submerged in fresh water. Two or OF THE FUNGI. 35 three years thereafter, I again visited the spot, and saw that these stumps, no longer wet, but damp, had been en- tirely disintegrated by the dry rot, and that they crumbled in the handling. In the handful of dust which I picked up, I found innumerable spores of what I supposed to be Polyporus Destructor, and Merulius Vastator, cryptoga- mous plants, whose active existence had been bought at the expense of the old stumps. In a moment I conceived that, perhaps, the miasm, so much dreaded in that place, might be, directly or indirectly, the product of these urgers on of a more rapid decomposition. It was a loose thought at the time; but it gave me a disposition to collect the phe- nomena which might prove or disprove the agency in the generation of malaria, of living, not of dead plants. A part of my collection I now offer you. In doing so, I shall present only the affirmative side of the question, believing that no one else is likely immediately to sustain so revolutionary an opinion, whilst professional emulation, habitual prejudice, and even love of truth, will subject it to a sufficiently rigorous opposition. You have, therefore, due notice of the guarded manner in which you are to re- ceive my ex parte observations, a notice which I cheer- fully give, for I have much confidence in the force of my subject, and do not love my theory well enough to wish its establishment at the expense of truth or reason. Take it, then, for what I may show to be its worth. Just on the line which faintly marks the division be- tween the animal and vegetable kingdoms, lie the lichens, the algse and the fungi. These cryptogamous plants are so closely allied to each other, as to be indistinctly sepa- rated by naturalists; some of whom include under one division, species which are found differently disposed of by other phytologists. Lmdley, following the great con- 36 HABITUDES tinental cryptogamists, admits that the location, rather than the structure of these plants, affords a final distinc- tion, and that, while the lichens live on dry and scanty soils, and algae in water, salt or fresh, the fungi occupy 1 the intermediate place, loving a damp and unsound or loaded atmosphere, and feeding on organized matter, the vitality of which is gone, or going. In all of them, the element is a very minute cell, not often distinguishable when isolated, from the elementary cells of, even animal organisms. Indeed, some of the con- fervas, obviously vegetable in one state of existence, as the arthrodiese, offer in another, the plainest character of animal life; supposing that animal life is to be inferred from motions indicating a well-marked power of volition. Some of the oscillarias have an oscillatory movement ex- tremely active and perceptible, and the ulva labyrinthi- formis and anabaina, with all the other conditions of a vegetable, have, according to Vauquelin and Chaptal, all the chemical characters of an animal. We have, there- fore, chemically constituted plants with animal motions and volition; and those of animal composition, with the exclusive habitudes and structure of vegetables. All plants are liable to curious and often great altera- tions by climate, soil, and season; but the dubious beings I am now describing, undergo such astonishing modifica- tions, even by the slightest causes, as to perplex, by their morphology, the sagacity of the best informed naturalists. They, at least the simplest of them, seem to have so little inherent tendency to the assumption of form and nutri- tion, as to take their shape and products almost exclu- sively from the hand of accident. "One might call it," says Lindley, "a provisional creation, waiting to be or- ganized, and then assuming different forms, according to OF THE FUNGI. 37 the nature of the corpuscles, which penetrate it, or are developed among it." For these reasons, the lowest of the vegetable groups, the fungi, are, in the opinion of some naturalists, equally distinct from plants and animals, mere fortuitous develop- ments of vegeto-animal matter, called into varied action by special conditions, or by combinations of heat, light, and moisture, and capable of existing and of being propagated, under circumstances apparently the most contrasted. Of all vegetable substances the fungi are the most highly animalized. Like animals, they disengage car- bonic acid and imbibe a quantity of oxygen ; nay, some of them extricate hydrogen, and even nitrogen. Their chemical composition also allies them to animal struc- tures. They yield the vegetable products, resin, sugar, gum, fungic acid, and a number of saline compounds; but they also afford the adipocire, albumen, and osma- zome of the animal kingdom. The basis of these plants is fungin, a tasteless but highly nutritious substance, wrhite, soft, and doughy. It yields, by nitric acid, nitrogen, hydrocyanic, oxalic, and some other acids, and fatty sub- stances, like wax, tallow, and, in some instances, oil. Of the cryptogamous plants, the fungi are distinguished for their diffusion and number, for their poisonous pro- perties, and their peculiar season of growth, for the mi- nuteness of their spores, and for their love of darkness and tainted soils, and heavy atmospheres. While, then, I shall present their claims to be considered as the principal cause of fevers, I do not mean to exclude the occasional agency of other cryptogamous vegetables ; and beg, when using the convenient word fungus, to be understood as not entirely denying the agencies of cognate beings of 4 38 HABITUDES kindred subdivisions, which are hardly distinguishable from it. Here and there among writers, ancient and modern, a hint is thrown out, that, possibly, plants of the lowest orders may cause malarious fevers ; and in some countries, as Spain, for example, even the populace believe that the fungi cause fevers. For, to the practice of eating mush- rooms at a sickly season, the Estramadurans ascribed the febrile diseases by which the British army suffered so severely. A treatise was published at Vienna, in 1775, by J. S. Michael Leger, " concerning the mildew, considered as the principal cause of epidemic disease among the cattle, &c." " The mildew producing the disease is that which dries and burns the grass and leaves. It falls usually in the morn- ing, particularly after a thunder storm. Its poisonous quality, which does not continue above twenty-four hours, never operates but when it is swallowed immediately after its falling." " Should the too bold notion of Nees Von Eisenbeck, that fungi of the most minute forms have their origin in the higher regions of air, and, descending to the earth, produce spots and stains, be confirmed, these signacula would have a much more important connection with epi- demics than can be otherwise conceded to them." — Hecker, p. 205. Miiller thinks (Archives, 1841), that if vegetable cells were to be seminia morborum, they could scarcely be mi- croscopically distinguished from the primordial formative cells of our own tissues. The theory, therefore, which I now offer, is not entirely new. Nay, the learned microscopists, who are making, on the nature and action of elementary cells, such im- OF THE FUNGI. 39 mense contributions to our STORE OF FACTS, not only pre- pare us for such a theoretic step, but actually, by pregnant allusions, lead the way. It is, then, not so much -a rash generalization, in advance of the opinion and knowledge of the age, as a very natural result of that knowledge collected and classified. It is an expression, if not of the sentiment, at least of the science of the present era. Under this impression, I undertake the adventurous duty of developing a theoretic result, not expecting to do more than obtain for it, at present, a hearing and an ex- amination, since its demonstration, if ever completed, must exact, for years, the enlightened and patient toils of many philosophers. " There never is," says Bischoff, "an important and comprehensive discovery made at once; the elements of it are generally obtained from different quarters, and from all these truth at last results." Imitating the natural philosophers, I have constructed a theory, not to be esteemed devoutly true, but as, in the present state of knowledge, the most perfect explanation of the known phenomena of the case; and as the least exposed to the many objections easily brought against any other hypothesis. It may be thought that the cause assigned is not ade- quate to the rapid production of the effect. Can a mi- nute vegetable, however distributed, contaminate the air of a large marsh or field, in the course of a few minutes or hours ? When we remember how minute a quantity of a reproductive organic virus is, in other cases, neces- sary to the infection of a proper subject, we might leave the argument to that defence alone; but I think there is a better one, in the wonderful growth and ready diffusion of the plants to whose nocturnal potency I am inclined to ascribe malarious fevers. 40 HABITUDES A mushroom growth is proverbial in every language. In a single night, under favorable circumstances, leather, or moist vegetable matter, may be completely covered with mould. Of the more minute fungi, some species pass through their whole existence in a few minutes, from the invisible spore to the perfect plant. Lind says, that the first rains in Guinea have been known to make the leather of shoes quite mouldy and rotten in forty-eight hours; showing that the plants which disorganize the leather must have drawn their nutrition, even from its heart, in that time, and, by many successive generations, extended themselves over its total surface. Mr. Berkeley describes a Polyporus squamosus which, in three weeks, acquired a circumference of seven feet five inches, and a weight of thirty-four pounds. The Polyporus frondosus described by John Bapt. Porta, sometimes transcends a weight of twelve pounds in a few days. The Sovista giganteum, on the authority of Carpenter, the eminent physiologist, has been known to increase in a single night, from a mere point to the size of a large gourd, estimated to. contain four thousand seven hundred millions of cells; a number which, when counted at the rapid rate of 300 per minute, or five per second, would take the whole time of one person, night and day , for three hundred years. A square mile contains upwards of 3,000,000 square yards, or 27,000,000 square feet, so that a single Bovista giganteum may present, at evening, an almost invisible single cell, and yet place before morn- ing, nearly 1,800 such cells in' every square foot of a square mile. Notwithstanding the wondrous productions of a single individual of one species, Fries, the Swedish naturalist, observed not less than two thousand species, within the OF THE FUNGI. 41 compass of a square furlong. The same author tells us, that he has counted above 10,000,000 of sporules in a single individual of the Reticularia maxima, so minute as to look like smoke as they rose in the air. Webster, when writing of the malignant fever of 1795, informs us that sound potatoes from market perished in his cellar, in thirty-six hours; and we know now how they ^perished. It was a parasitic death. In the Philosophical Transactions, Lond. (vol. iv. p. 308, Abridg.), it is stated, that a green mould attacked a split melon, and took three hours to sprout, and six to ripen and produce, and let fall new seeds. At New York, the pestilential season of 1798, Webster says, that he saw a cotton garment covered with dark gray- colored spots of mildew in a single night, and that such events were then and there common. I might multiply examples of the rapid growth and ex- tensive diffusion of fungi, which, like the lowest classes of animals, seem to have a power of development and propa- gation inversely as their magnitude. The more minute the plants, the more rapid their multiplication ; until, as they descend to those of the smallest scale, a microscope shows them in even visible growth. Nothing astonishes one more than to see in the bottom of a watch glass a drop of yeast swelling up, as the torula cerevisise unfolds itself, and exhibits a forest of fungi, where but a few minutes before, only a spore or two were visible. "The family of the funguses," says Badham, "is im- mense. Merely catalogued and described, there are suf- ficient to fill an octavo volume of four hundred pages of close print, of British species alone. Altogether there cannot be less than five thousand recognized species at present known, and each year adds new ones to the list. 4* 42 HABITUDES For the single mushroom that we eat, how many hundreds there be that prey upon us in return. To enumerate but a few and those of the microscopic kinds (there are some which the arms could scarcely embrace) ; the mucor mu- cedo that spawns upon our dried preserves ; the ascophora mucedo that makes our bread mouldy ; the uredo segetum, that burns Ceres out of her corn-fields; the uredo rubigo, whose rust is still more destructive ; and the puccinia gra- minis, whose voracity sets corn-laws and farmers at defi- ence, are all funguses. So is the gray monilia that rots, and then fattens upon our fruits ; and the mucor herbario- rum, that destroys the careful gleanings of the pains-taking botanist. When our beer becomes mothery, the mother of that mischief is a fungus. If pickles acquire a bad taste, if ketchup turns ropy and putrefies, funguses have a finger in it all ! Their reign stops not here ; they prey upon each other; they even select their victims! There is the myrothecium viride, which will only grow upon dry aga- rics. The mucor clirysospermus attacks the flesh of a particular Boletus; the sclerotium cornutum which visits some other moist mushrooms in decay. There are some xylomas that will spot the leaves of the maple, and some, those of the willow, exclusively. The naked seeds of some are found burrowing between the opposite surfaces of leaves; some love the neighborhood of burned stubble, and charred wood; some visit the sculptor in his studio. The racodium of the low cellar festoons its ceilings, shags its walls, and keeps our wines in bonds, while the geastrum has been found suspended on the very highest pinnacle of St. Paul's. The close cavities of nuts afford concealment to some species ; others like leeches stick to the bulbs of plants and suck them dry; these pick timber to pieces, as men pick oakum; nor do they confine their selective ra- OF THE FUNGI. 43 vages to plants alone; they attach themselves to animal structures and destroy animal life ; the oxygena equina has a particular fancy for the hoofs of horses, and for the horns of cattle, sticking to these alone; the belly of a tro- pical fly is liable, in autumn, to break out into vegetable tufts of fungous growth ; and the caterpillar to carry about a clavaria larger than himself. The fungous disease called muscardine destroys many silkworms, and the vegetating wasp, of which everybody has heard, is only another mys- terious blending of vegetable with insect-life. Funguses visit the wards of our hospitals and grow out of the pro- ducts of surgical diseases. Where then are they not to be found?' Do they not abound like Pharaoh's plagues everywhere? Is not their name legion, and their province, ubiquity?" An ingenious friend proposes as an objection to my theory, that as malarious fevers are specifically the same everywhere, and as the plants of* temperate differ totally from those of tropical, regions, how are we to account for their identity ? The intermittent is a native of Russia and Sweden, while it is also an endemic of the coast of Guinea, and of the banks of the Orinoco. The answer given is, that of all plants of the same spe- cies, only the fungi are known to be natural inhabitants of the various climates of the earth; for to use the words of Mr. Roques, " ive find mushrooms in every climate." We saw on a piece of damp leather, at the Cape of Good Hope, the same mucor mucedo that penetrates its tissue at Sierra Leone, or St. Petersburgh. Like man, the fungi generally live in any climate, though there are among them some that infest only the steppes of Tartary, and others that revel solely on the sands of Zahara. This ubiquity is one of their most peculiar qualities. 44 HABITUDES But why is it, then, if the same fungi create diseases in Lapland and Senegal, that there is so fatal a difference in the intensity of them at these two places? As the fungi of a poisonous character possess acrid and narcotic proper- ties, it is scarcely necessary to consistency to presume that the same species are everywhere the cause of mala- rious fevers. Yet, if that were an imperative supposition, it would not embarrass the question materially, because naturalists affirm, that the poisonous cryptogami are ren- dered yet more poisonous by increased temperature and moisture. The amanita muscaria, only narcotic or intoxi- cating in Siberia, and used there for the purpose of agree- able exhilaration, is mainly irritating in France and Italy, and therefore, there, a very deadly poison to the mucous surface and nervous system. We have an analogous example of the poison-enforcing power of climate in tEe fact, that the common hemp evolves a strong narcotic, in the tropics, while no such excretion is thrown out from it in temperate regions. In the Crimea, the conium maculatum is used as an esculent vegetable. The tendency to cause moulds so intensely expressed in hot climates is seconded by the aggravation of their ac- tivity when produced. It is curious too, that tropical regions excite only the more minute forms in a greater degree, which according to many writers are most poison- ous. " Those that are most injurious, are generally of the microscopic kinds." — (Badham.) If too, the excess of rain may make poisonous, in our climate, even the esculent mushrooms, what may we not expect from the influence exerted upon the noxious fungi by the prolonged and heavy rains of the tropics ! May we not find a difficulty in believing that the spo- rules of the fungi are absorbable into the circulation? OF THE FUNGI. 45 Their volume, or the selective appetency of the mouths of the absorbents and the lacteals, or of the pores of the venous radicles, may offer insuperable impediments to their entrance. The chyle globules are about two-thirds of the size of blood globules in man, and they are sup- posed to be readily absorbed by the lacteals. Fries states that he has seen cryptogamous sporules of the size of TU/00 o^ns °f an inch, which would give them a volume one- third of that of blood globules, and two-thirds only of that of chyle globules. In examining, when mixed together, blood globules and the spori of various minute fungi, I have often seen the latter, in line along the disk of the former, wrhen it required fourteen of them to subtend its long diame- ter. They were, therefore, at least ten times as small as the chyle-globules. So much for size. As to the selective power of the lacteals, we know that they suffer very many and various poisons to pass into the circulation, and that, in this respect, they are much less particular than our fathers imagined. Besides this, we know that fungous growths, both in man and the lower animals, have been found in places, to which their germs could have gained access only by the circulation, or by imbibition. There is, therefore, no good reason for doubting that the spores of fungi find their way to the channels of the circulation, as do the cells of exanthematous diseases, and the virus of syphilis. The cause of the uniform excess of malarious diseases at the end of summer and in autumn has been an interesting subject of discussion and wonder. Boot, in his life of Armstrong, observes that, "the most remarkable circum- stance connected with the diseases supposed to arise from malaria, is their general prevalence in autumn, in every country where they occur." Even the yellow fever of places 46 HABITUDES in which it is an ordinary endemic, is not an exception to this law, for Baron Humboldt says that, at Vera Cruz, where "May and June are hotter than September and Oc- tober, the latter months greatly exceed the former in the number and vigor of the fevers."* If mere vegetable decomposition were the cause of such fevers, we should find them most active in May and June, when, after the previous autumnal death, and the disintegrating effects of winter frosts, or soaking rains, the warmth and moisture of spring and early summer rapidly decompose the softened textures, to feed the tender spon- gioles of the swelling vegetation. The great chemists, heat, light, and moisture, are then most active; and the dead relics of the former year, prepared by time, frost and rain, are ready for the process of decomposition, as the electri- cal and vital agencies of the countless and thread-like radices open up their intendered store-houses of nutrition. Although, therefore, almost every one has supposed that the autumn is the season of the greatest decomposition, that process is really conducted in the spring and early summer with a tenfold energy, as may be easily recog- nized by the extraordinary smell of the earth Sfter a shower at this season. Malarious diseases, therefore, are not probably the effect of ordinary vegetable decomposition; for they occur most when that is not at, or near to, its maximum. Everywhere they abound, when the general vegetation has just passed through its great orgasm. But there * The regular return and continuance of this fever in the months of July, August and September, every year, more or less since its iirst appear- ance in these Islands — (Jas. Clark, Dominica.) Yellow Fever is most active in September, when the temperature has fallen much below that of July and August. — (Wm. Currie.) OF THE FUNGI. 47 is another and special vegetation, which, whatever may be the climate, has its spring time and summer in the autumnal season of the year. On the exhausted debris, and the varied exuvise of plants, weeds and grasses ; from root to leaf ; under ground and above ground ; feeds a race of vegetables which wait for their food to the latest period of the season of heat, and then flourish most when the more perfect forms have completed their annual task, and sub- mit to the inroads of these Goths of pnytology. Governed in a great measure by the phenomena imme- diately around him, an observer, seeing the period of sick- ness succeeding to the active vegetative season, assigns the cause to the climatic events which then ordinarily arise. Thus African writers believe that the rains are the imme- diate producers of malaria, for they descend in torrents in July, when the vegetation of that torrid clime is on the decline. On the other hand, the Sardinian supposes that the sickness of his hot and dry autumn, is the result of the heat and aridity, and that droughts after rains, and not rains after droughts, cause his miasmata. In the insular West Indies, there are heavy rains in August and September, which are sickly months; whereas, the pestilential season of Demarara is also in August and September, although they are there the dry months. Egypt, although placed in the northern hemisphere, en- joys a climate almost the reverse of that of other countries similarly situated. During the summer scarcely any rain descends. At Cairo there are but four or five showers in a year, and in Upper Egypt only one or two. Near the sea, showers are not quite so rare. Everything, therefore, is, in the hot months, brown and dry and hard — dews rarely descend, and the parched land lies locked up in a barren drought. About the first of June the Nile begins 48 HABITUDES to rise rapidly. Its channel becomes full early in the month, and, at the summer solstice, it pours its waters over its usual barriers. The country is covered with water during the hot summer and autumn, and there is no vege- tation, and no disease. At the winter solstice, the spring time of Egypt begins, and while nature leaps into amazing activity, the husband- man enters on his annual labor of sowing and planting. Towards the end of January, oranges and citrons blossom, and the sugar cane is cut down. In February all the fields are verdant: the sowing of rice begins, the first barley crop is harvested, and cabbages, cucumbers and melons ripen. The sickly season of Egypt should, therefore, on my view, commence in the winter or spring, and accord- ingly, here as elsewhere, the ravages of disease follow the decline of active vegetation, and the plague begins. In 1834, the deaths by plague in December were 109; Janu- ary, 1835, 151; February, 821; March, 4329; April, 1897; May, 321; June, 41 cases. About St. John's day, the country being covered with water, the plague ceases. We see, then, that the insalubrity of a place has the most- constant relation to the habits of the living vegetation. Whatever may be the temperature or humidity, the most unhealthy period of the year is, in any given locality, that when the phanerogamous vegetation has completed its an- nual task of growth, and flowering, and fruitage, and feels the weakness of an exhausting effort, and when to triumph as it were over a worn out foe, the cryptogamous plants plunder and destroy it. A reference to books, whose authors did not perhaps even dream of this theory of fever, shows, that the fungi are active chiefly in the end of summer and in autumn. Dr. Badham observes, that, "A wet autumn is generally* OF THE FUNGI. 49 found to be exceedingly prolific in these plants.'' This in England, but in Italy the very scenery is beautified by the number, variety, and coloring of these vegetables. " Well may their sudden apparition surprise us, for not ten days since, the waters were all out, and only three or four nights back peals of thunder rattled against the case- ments ; and now, behold the meadows, by natural magic, studded with countless fairy rings of every diameter, formed of such species as grow upon the ground, while the chestnut and the oak are teeming with a new class of fruits, that had no previous blossoming, many of which had already attained their full growth." " These are the fungus tribe, a new class of objects which have sprung up suddenly and now beset our path on every side, beauti- ful as the fairest flowers, and more useful than most of tire" fruits." "The extremely limited time during which funguses are to be found, their fragility, their infinite di- versity, their ephemeral existence, these too add to the interest of an autumnal walk." "In such rambles he will see what I have, this autumn, myself witnessed, whole hundred weights of rich wholesome diet rotting under trees; woods teeming with food, and not one hand to gather it." Herat and Lens say: "It is usually in autumn that they (fungi) are developed in humid places, where the air is thick and unwholesome, with a rapidity that has passed into a proverb." In the Cyclop. Amer. we learn that the best time for gathering mushrooms is August and September, and Mil- ler's Horticultural Dictionary remarks that September is the chief season of their growth. In the beautiful work of Mons. J. Roques, on the poi- sonous and edible fungi, is the following language: " We 5 50 HABITUDES OE THE FUNGI. find mushrooms in every climate. A very large propor- tion of them is met with only towards the end of summer and in autumn. Heavy rains, and unseasonably early heat, may force them in May or June; but they are then never so perfect. Thunder-storms with rain, develop them prodigiously." Of one hundred and five species of fungi treated of by M. Roques, only one grows at all seasons; four in spring; one in spring and autumn ; five at the very end of sum- mer; eight exclusively in summer; twenty-eight in sum- mer and autumn; and sixty-two exclusively in autumn. Of the one hundred and five, therefore, ninety-two are active in autumn, and thirty-six in summer. Were this essay not necessarily very long, it would not be uninteresting to inquire, in how marked a degree the proportion of diseases to seasons, corresponds with that of the above table: but most of you know already that the relation is remarkable enough, since the growth of the fungi and of malarious fevers is generally in the order di- rectly of autumn — summer — spring — winter. THE FUNGI PREVAIL AT NIGHT AND IN EPIDEMICS. 51 LECTURE III. THE FUNGI ARE ACTIVE ALMOST EXCLUSIVELY AT NIGHT, AND ABOUND DURING THE PREVALENCE OF EPIDEMICS AND EPIZOOTICS. THE most common Malarious diseases are not produci- ble by exposure in sickly places, during the day time. Whatever may be their cause, it seems to have activity almost solely at night. Darkness appears to be essential to~either its existence or its power. As this position is not generally acknowledged, I may be pardoned for going into some detail on it. Dr. James Lind cites the following case. — The Phoenix sloop-of-war of forty guns, was employed in 1766 on the coast of Africa; where also was the Hound on the same duty. Both vessels, after a healthful cruise, put into the African island of St. Thomas, notorious for its pestilen- tial character. Here, of the crew of the Phoenix, slept on shore, seven officers and servants, while three midship- men, five seamen, and one boy, were also employed on a watering party, which detained them on land at night. Of these sixteen persons, only two survived the malignant fever which followed. The remainder of the crew of two hundred and eighty men, were permitted to go ashore in the day time, where the men rambled about at pleasure, followed field sports, and washed their soiled clothing. Not one of these ivas attacked with any kind of fever, and 52 THE FUNGI PEEVAIL AT NIGHT before her return home, the ship lost only one man, and he died of the effects of a blow on the head. The crew of the other vessel, the Hound, were permitted to visit the shore only in the day time, although no other restriction seems to have been laid on them. Of these, not one died of fever. Another equally remarkable case is given by Lind. In 1766, some French Protestants settled in a paludal part of Florida, where finally most of them perished. On some business, they were visited by eight gentlemen, more healthfully seated at a considerable distance, who spent one night there. On the following day, seven other per- sons from the same place, paid them a visit; but left their district before night-fall. Of the first party, every one was attacked with intermittent fever, and two died ; while of the other party, not one individual suffered in the slightest degree. The judicious Dr. Hunter, of Jamaica, relates cases of nocturnal damage of the same character. In one instance, out of sixty or seventy men sent ashore to water, not an individual escaped fever, while the rest of the crew eji- joyed good health. Doctor James Johnson, in treating of this subject, re- marks that, while cruising or at anchor between Batavia and Malacca, his crew lost but one man by fever, who had not spent the night ashore; whereas, almost every one who slept even a single night at Edam, died. No ill effects were experienced from going on shore in the day time. Even being awake during the night when on land, did not protect the seamen from danger * Tratter (Med. Naut. i. 456), says, when speaking of * I do not find this remark endorsed by any other writer, but my elo- quent friend, Prof. Dickson, confirmed it to me in a recent conversation on the subject. AND IN EPIDEMICS. 53 the danger of exposure to the land-air at night, "every man who slept ashore died, and the rest of the ship's com- pany remained remarkably healthy." On the authority of Surgeon Allen, we learn, that at Zanzibar, all who slept on board ship, escaped; every victim seen or heard of, had passed at least one night on shore. The captain and forty men from a French cor- vette, who passed a night on land, were attacked by the coast fever, and not one survived. Doctor Evans, writing from the unhealthy island of St. Lucia, observes, that during the day, "the sportsman wades through the stagnant waters and mangrove bushes, which cover the surface of West India fens, with comparative im- punity; but long before the sun has disappeared, he places himself beyond the reach of their poisonous effluvia." Mr. Webb, Inspector of Hospitals, stated before a com- mittee of the British House of Commons, that the men who remained on board the ships in the noxious cli- mate of Walcheren, were extremely healthy, although they went ashore to lathe and exercise daily, but never remained on land at night. Yet it was in that very place that the English army, encamped or lodged on shore, was almost annihilated by malignant intermittents. Robert Armstrong says, that of the crew of the ship of war Monarch, employed to collect at Xanthus, specimens of ancient art, the large body of men employed on shore were, without exception, attacked with remittent fever, and twenty-four of them died; whilst those who remained on board of the ship were, to a man, exempted from fever. The inhabitants of our southern country are fully aware of the important truth I have just illustrated, for they avoid as a deadly poison, the night air of malarious re- gions, but visit them and travel through them fearlessly, 5* 54 THE FUNGI PREVAIL AT NIGHT during the day time. The precincts of the city of Charles- ton are especially pestilential, and the country fever, as it is called, is remarkably fatal to the residents, of towns and of the upper country. To sleep one night in this dis- trict, puts in peril the life of the unacclimated; but no one believes that the most prolonged visit by day is attended with any danger. In Major Tulloch's masterly report on the health of the military and naval service, he observes that, " the sick- ness of the shore very rarely extends to the shipping, though only a few hundred yards from the land. The visits of sailors to the shore by day, did not produce dis- ease. In the Ceylon service, the mortality of the marine force by fever, was 3 in 1000, of the military, 24.6, — or more than eight times as great. The frigate Potomac, on a three years' cruise, visited some of the most insalubrious stations of tropical regions, and yet lost only 26 men, of whom not one died of fever. Dr. Foltz accounts for this happy exemption from mala- rious diseases, by stating that his men were never per- mitted to remain ashore during the night. During three voyages into tropical regions, I always ad- vised the adherence to the safe rule of compelling the seamen to return to the ship at night; and although we watered in places notorious for their insalubrity, and emi- nently destructive to parties which ventured to remain ashore at night, we did not lose one man by fevers of any kind. In some of these places, the water was stagnant and irritating at first, and caused inflammation of the skin of the legs of the waterers. The heavy odour of the rank vegetation, and the damp feel of the air among shallow pools, where myriads of insects sported, gave lively evi- dence of a pestilential locality. Besides that? the sickly AND IN EPIDEMICS. 55 and bloated looks of the white inhabitants of some of these places, evinced the presence of active malaria. In vain do we search in the works on received theories, for the cause of this curious influence of night. It is in the day time that evaporation goes on most rapidly, and that chemical changes produced .both by heat and light, are in most active operation. The w^ater is warmer, the common vegetation more vivid, and the great chemist, the sun, is urging on the processes of the laboratory of nature. This is of course admitted by many wrriters, some of whom confess manfully the difficulty of this part of their subject, while others suppose that the miasm evolved during the day, descends at night. Were this really so, it would scarcely account for the extraordinary difference of disease-produc- ing power, between the night and the day; but when we consider how currents of air must sweep away the diurnal emanations, and how late in the night it is before the earth becomes cool enough to detain its proximate atmo- sphere, we can with difficulty admit this mode of explana- tion. It has been also said that the baneful effect is due to the great change of temperature which follows the advent of night, by which moisture is precipitated by the air, and the human frame is chilled and sickened. As there is in the most unhealthy regions (coast of Africa), the slightest diurnal change, as rocky islets (De Loss in Africa), are sometimes most pestilential : as a wall, a road, or a screen of trees, sometimes separates a bad from a good locality, and as no such meteorological differences appear to explain the vicissitudes of the health of different years, we must reject such causes, except as excitants of the power of some poison yet to be discovered. But when we observe the extraordinary tendency of 56 THE FUNGI PREVAIL AT NIGHT fungous vegetables to develop their power only at night, we detect another analogy between malaria and the fungi. In vain do we search in the latter part of a day for young mushrooms. The early riser finds them in their prime and abundance. A field which at evening exhibited not a sin- gle plant, is often whitened by their little umbrellas in the morning. "It is well known," writes Comstock, "that this tribe of plants springs up almost everywhere, espe- cially among decaying substances, and that thousands may be seen in the morning^ where none existed the evening before." Even the more durable kinds of fungi appear to add during the day little to their bulk, preferring to grow almost solely under the eye of night ; so that these ano- malous vegetables not only choose for their growth the sea- son of vegetable repose, but the hours of vegetable SLEEP. In another respect they are beings of contrast, for, while other vegetables are adding oxygen to the air from which they have extracted its carbon, these, as if they were averse to agreeing with phenogamous plants "in any respect, are eliminating carbonic acid, having extracted from the unde- composed organic matter on which they live, its more peculiar animal elements, the hydrogen and nitrogen. Mr. Sowerby, the best of authorities on this subject, took the minute unopened volva of a Phallus Inodorus into the house in the evening, and found it in the morning a full grown plant. In his experiments nothing occurred to show that this fungus grows in the day time. Supposing that the minutest fungi possess the general properties of the class to which they belong, we may readily perceive what prodigious influence must be exerted on them by the damp rich air of a swamp — and if they have, as Heusinger alleges, a polarizing membrane, and conse- AND IN EPIDEMICS. 57 quently electrical relations to the polarized vesicles of a marsh mist, that mist, imbued with moisture, enriched by the terrestrial exhalations, and screened by the shadows of night, may form the most fruitful floating soil for the in- visible cells of microscopic cryptogami: — so that from the damp earth or the nebulous air, or both, may come out to propagate disease, the cells of an anomalous vegetation. But it may be reasonably objected, that if these things do grow at night, they should, sometimes at least, taint the day-air of their vicinity, from which they can scarcely be entirely eliminated by an absorbing earth or a dissipating mist. It might be enough to say that, if they have elec- trical relations to the mist, or ascend only during the night, the quantity necessary to produce morbid results may .not remain during the day, but the study of the habitudes of the fungi has revealed other reasons for the diurnal changes of salubrity in malarious regions. In the first place, let me say, that no other vegetables are so strictly limited as these, as to existence or proper- ties, by apparently slight changes in their relations to ex- trinsics, and yet their germs resist causes of destruction of the most active nature. Boiling water, many of the acids and caustic ammonia fail to destroy them, and they sustain the cold of solid carbonic acid* (Cagniard de la Tour) without the abatement of their productive power. Dutrochet found that by slightly acidulating a weak so- lution of the albumen of an egg, various monilia were pro- duced, but that when it was made alkaline the genus Botrytis appeared. On a, neutral or simple solution, no fungi showed themselves. The torula cerevisise, or yeast plant, grows in one form * Minus 118° F. 58 THE FUNGI PREVAIL AT NIGHT in a saccharine solution containing yeast, and in another very dissimilar shape in stale beer. " There are some (fungi) which are seen only once or twice in an age, and that in places where it is very difficult to account for their formation." — (Art. MusTir. — Rees.) According to Pereira, "the fungi consist of cells and fibres, always sprouting from organized and generally de- cayed or .decaying substances, not perfected wlien entirely immersed in water." Fungi (on the authority of Herat et Lens), appear sus- ceptible of remarkable diversification, according to climate, season, and soil, which polymorpliia makes their study dif- ficult. Almost every mineral, however poisonous, supports a peculiar cryptogamous vegetation. Thus we have hydro- crocis arsenici in solutions of arsenic, hyd. barytica in so- lutions of baryta. Fungi grow in ink, in wing, indeed, in everything; and naturalists are yet in doubt whether these seemingly diverse things owe their differences to soil, water, and temperature, or to different germs, each capa- ble of growing only in its restricted field. Some fungi are confined to particular plants, both above and beneath the surface of the ground, and some, as the entophytes, exist only in the interior of living vegetables. Even within hard, dried wood, a fungus creates a species of fermentation, by which moisture is evolved. The fungus appears, finally, at the surface, and the ligneous fibre crumbles to dust. It is dry rot; and the destroyers are the Polyporus destructor and the Merulius lacry- mans, and Vastator. Most writers on this subject, including Christison and Foder£, believe that the climate alone greatly alters the fungi; so that some, which are generally eaten with safety, AND IN EPIDEMICS. 59 become poisonous, and some of the poisonous kinds become esculent. The Ag. Piperatus, according to Haller, is poi- sonous in France, but esculent in Russia. The Amanita Muscaria, an intoxicating food in Siberia, becomes a deadly poison in the south of Europe. Fodere states, that the most delightful of the esculent mushrooms of France be- come unsafe after prolonged rains. The same thing occurs in South Carolina, where, in very wet weather, it be- comes necessary to remove the mushrooms, or keep up the hogs, that they may not be poisoned by that which, in common weather, is eaten to advantage. As the power of growth, and the quality of the fungi, are so dependent on slight causes, we can scarcely wonder that a plant of this class may be noxious as produced at night, and hurtless as developed by day. Even if pro- duced alike in both, the poison of the cryptogami is so subtle and fugacious, that a little daylight or sunshine may totally alter its properties. Foderd (Med. Legal) tells us that most fungi become safe when they have been dried, which Christison thinks probable, as their poisonous properties appear to depend on a volatile principle. Fi- nally, Letellier assures us, that the acrid principle of the agarics is so very fugacious, that it disappears on boiling, or drying, or by maceration in weak acids, alkalies, or alcohol. If, after all this, we find a malarious poison active at night, and not by day, it does not present an objection to the theory proposed, but affords some support to it, since we know of no other things which are so materially af- fected by light and heat. I am now, gentlemen, about to show you a very curi- ous part of this singular subject, the extraordinary asso- ciation of fungous life with the existence and propagation of great epidemics and intense endemics. Not only are 60 THE FUNGI PREVAIL AT NIGHT common moulds more common on such occasions, but there often appear new, or unusual productions of this kind. Hecker and Webster abound with examples of this truth. These moulds were chiefly red, but sometimes white, yel- low, gray, or even black. They arose in an incredibly short time, on the roofs of houses, on the pavements of cities; on clothes, on the veils, and handkerchiefs of women; on various wooden domestic utensils, and on the meats in the larder. Even the depths of cellars, and the in- most recesses of cupboards and chests were invaded by a blood-like mould, which filled the observers with disgust and horror. Joseph Mather Smith remarks, u that pestilence; a strong tendency in dead animal and vegetable substances to rapid decomposition; morbid and immature fruits; and a vast amount of insect life; seem to have a common cause in epidemic meteoration." Admitting the extra- ordinary tendency to decomposition manifested in epide- mic periods, Craigie observes, " that the rapid decompo- sition of vegetable and animal matters is to be regarded, not as a cause of fevers, but an effect of the febriferous state of the atmosphere, which thus displayed its insalu- brious influence, not only on the human race, but on the vegetable world, and on dead animal and vegetable matter." Plutarch, in his life of Romulus, says, that in the first great plague at Eome, it seemed to "rain blood." On the 3d of July, 1529, when the continental sweat- ing sickness prevailed, a blood rain, as it was termed, ap- peared at Cremona. In the sweating sickness of the Eng- lish, there was remarked " an exuberance of the lowest cryptbgamous vegetation." In that calamitous period, which commenced An. Dom. AND IN EPIDEMICS. 61 250, Decius being emperor, a pestilence began, which cut off, in the next fifteen years, half the human race. Eu- sebius relates that the air was so impure, as to " cast a mould like turbid dew, of a cadaverous hue, on every ob- ject." Cadenus likened it to the gore or blood of the dead. In 1813, at Malta, on the 14th of March, " the light showers that fell in some parts of the island, brought down a reddish earth with them. The same phenomena were observed at Palermo on the same day. In April, the plague commenced its ravages in Malta. (Maclean.) Boyle makes the observation that, at Naples, in 1660, there was a pestilence, during which, curious mould spots appeared on garments. So, in the plague of 746, spots, in the form of crosses, were observed on clothes. At Brussels, in 1502, a pestilence drove the people from the city. On their return, they observed that, in that single season, a cryptogamous vegetation had covered the roofs of the houses. (Webster.) At New York, in 1795, Bailey describes the destructive influence of that sickly season on cabbages, different kinds of fruit, &c. " It was remarkable that cherries did not come to perfection, and very soon showed a disposition to decay. The apples began to fall nearly a month before the usual time. Those which came to maturity could not be kept so long as it is common for them to be preserved.1' Webster also speaks of that year, (1795,) as peculiarly fungiferous. To use his own words, " the air of New York produced astonishing effects in the way of mould." Garments were spotted in a single night, the pavements became mouldy, and wooden furniture and utensils were spotted. Even desks, carefully closed, were invaded by mildew. The year 1798 was remarkable for its prolonged heat 6 62 THE FUNGI PREVAIL AT NIGHT and drought. Looking over the distinct and simple daily narrative of Dr. S. P. Griffitts, I find no mention of rain from the 20th July to the 4th September; and other writers describe this season as peculiarly hot and dry. Notwithstanding this, Condie and Folwell inform us, that " the different kinds of mushrooms were found in great abundance during their season." Webster also states, that in this year there were fogs which had a singular odor, and " even the pavements were covered with a mouldy dew." Through Dr. Rush, we also learn that the great heat of the season brought peaches to perfection nearly three weeks before the usual time; whilst apples, after being gathered, rotted much sooner than is com- monly observed. In 1799, at New York, similar phenomena were ob- served; and Webster noticed the extraordinary death of multitudes of flies, which became white exteriorly. This disease seems analogous to that of the muscardine of the silkworm. In pestilential Africa, when the rains and the sickness commence together, the fungiferous powers are fearfully developed. According to Park and Lind, the first rains stain the clothes, and make even woolens and leather mouldy and rotten in a day or two. . In St. Lucia, the most unhealthy station of the West Indies, " during the driest period of the year, a pair of boots are covered with vegetation, within twenty-four hours after being cleaned." (Evans.) In confined places, in unhealthy stations, the air is of a mouldy odor, " earthy and mouldy." (Robt/ Armstrong.) During the epidemics of yellow fever at Natchez in both 1823 and 1825, Cartwright noticed an extraordinary tend- ency to the production of mould, so that the shoemakers AND IN EPIDEMICS. 63 complained of the extreme difficulty of preserving even new articles in their line. Cartwright was surprised at this, because, the meteorological state of the atmosphere would not account for it. It ivas a fungiferous power ir- respective of unusual dampness. During the prevalence of the cholera in Philadelphia in 1832, I was shown in several different places a splendid vermilion colored mucor, which attached itself to paste, starch and other vegetable preparations. The house- keepers who noticed it then, had not observed it previous- ly, nor have any of them seen it since. At that time, the flies died as in New York in 1799, and were covered with a whitish dust. Confirmatory of these observations is the assertion of Copplez, Lamoth, and Coulin, that ali- mentary substances putrefied with unusual rapidity in the season of cholera. In a letter addressed to me on the 3d of December, 1847, by Josiah G. Cable, M.D., of the U. S. service, I am informed, that, at Monterey, in a season always ex- cessively dry, and then peculiarly so, under a burning sun, and on a lofty range of country, the men suffered greatly from miasmatic disorders. He also remarked the uncommon fungiferous tendencies of the place, as mani- fested by the mould on fruit, and the cacti, and aloe, and even "when a dead Mexican was turned over on the bat- tle-field, his clothes were found to be covered with a white fungus." In fine, the history of epidemics abounds everywhere in examples of the cryptogamous luxuriancy of epidemic seasons. It is noticed by the careless observers of the middle ages, in more than half the recorded cases; and the ancients speak, not unfrequently, of offensive fogs and frightful mists and moulds. The spirit of the mist, 64 THE FUNGI PREVAIL AT NIGHT according to Hecker, stinking and pestilential, moved over the face of devoted England, where, as it went, were scattered the seeds of the sudor anglicanus, by which that kingdom was almost depopulated, and sometimes the peo- ple of the villages were entirely exterminated. Many epidemics, as cholera and plague, select for peculiar resi- dence and ravage, damp, dark, noisome places, where want of light and dryness and ventilation, must especially favor fungiferous processes. The instinctive aversion to mouldiness, as to serpents, seems to be, therefore, not without its utility, and in seeking the elevation in society which gives to man cleanly habits and an airy residence, in- dividuals find a physical exemption from disease and pain even more valuable than the social enjoyments. In the history of epizootics, are related a multitude of examples of the production of destructive diseases, appa- rently brought upon cattle and other animals by mould. The fatal angina maligna of cattle, a gangrenons dis- ease, which prevailed in 1682, was attended by a blue mist or dew on the herbage of pastures. The milzbrand, a gangrenous disease of cattle, not un- usual in France and Germany, is, according to Thomasin, very prevalent in Burgundy and Provence, where it affects the herds chiefly of low and humid districts in summer or autumn after inundations, by which the pasturage is de- teriorated and the fodder moulded and mildewed. The disease thus acquired by cattle, may be conveyed to other animals including man, by ingestion (Chaussier, &c.) or even contact with the skin (Morand, Duhamel, Thomasin), producing in either way symptoms of fever in some persons, and malignant pustules in others. Sometimes a gangrenous fever is the consequence, and at other times only a local gangrene of a very intractable character ensues. That the AND IN EPIDEMICS. 65 poison upon which this very curious disease depends, is vegetable, may be strongly inferred from the fact that its virus is capable of resisting, not only the heat of boiling water, but the action of caustic lime prolonged for at least two weeks. (Gruby.) No animal substance or even ovum, is known to have the power of resisting such agents, while, according to Cagniard de la Tour, the spori of the fungi can withstand means of destruction quite as potent. And, on the authority of many authors, we know that " unlike most seeds, they (the spori of the fungi) seem capable of resisting the prolonged heat of boiling water, infused in which, and poured upon the ground, they are still capable of producing, each after its kind." (Badham.) So tena- cious of its integrity and power is the virus of malignant pustule, that it can retain its destructive properties even when the wool or hair has been cleansed and woven into cloth, or the hide converted into leather. (Bayer.) In this instance we have a disease originating in a graz- ing animal, probably from its food, when mildewed, which disease may be propagated by inoculation or ingestion, and of which the germs resist the heat of boiling water, the caustic action of lime, the detergents of the washer and weaver, and the prolonged tanning of the leather- dresser. Nothing known to us but the spores or nucleoli of the fungi are capable of accounting for these pheno- mena. Vimat, a commissioner of the Royal Academy of Medicine, made a report to his constituents, on an epi- demic which occurred in the department of La Muerthe near Marsal, which began in the cattle fed on recently in- undated swamps. It was a carbunculous affection, which without material change of character, affected subsequently the inhabitants of the same district. (Fourcroy, Med. Eclairee.) 6* 66 THE FUNGI PREVAIL AT NIGHT J. S. Michael Leger, published at Vienna, in 1775, a treatise concerning the mildew as the principal cause of epidemic disease among cattle. The mildew is that which burns and dries the grass and leaves. It is observed early in the morning, particularly after thunder-storms. Its poisonous quality, which does not last above twenty-four hours, never operates but when it is swallowed immedi- ately after its falling. There is, in the wild regions of our own western coun- try, a disease called the milk-sicJcness, the trembles, the tires, the slows, the stiff-joints, the puking fever, &c. Of this curious malady, I have already, gentlemen, given you in its proper place, an elaborate history; but it may not be useless here, to recapitulate the leading thoughts of that lecture. An animal affected by the cause alluded to, usually ex- hibits the symptoms of the disease upon being driven hard for a very short distance, perhaps only a hundred yards.* It then trembles, loses its regular power of locomotion, staggers, falls, makes ineffectual attempts to rise, becomes convulsed, and dies. When the affection arrives under quietude, the animal seems to lose its voluntary route, and strays irregularly and apparently without motive. Its power of attention is impaired, the eyes become red and turgid, and the color deepens from a bright to a dark red. Finally, it trembles, staggers and dies. When other ani- mals— men,* dogs, cats, poultry, crows, buzzards and hogs — drink the milk or eat the flesh of a diseased cow, they suf- fer in a somewhat different manner. The attack in men * This reminds us of tlie tetanode state of a frog, which being affected by a small dose of strychnia, falls into convulsions at the touch even of a feather. Marshall Hall recognizes the resemblance in this, to a diseased predisposition, waiting for an exciting cause. AND IN EPIDEMICS. 67 is usually ushered in by nausea, followed by vomiting, which at irregular intervals recurs, until the close of the case in death or convalescence, a period usually of from four or five to ten days. In the first stage of the attack, the sufferer complains of severe pains in the limbs, but chiefly in the calves of the legs, and sometimes at the nape of the neck. A headache is a common event. Even before the open attack, during the incubative period, con- stipation is observed, and a very obstinate torpidity of the bowels is a marked feature during the whole case. The abdomen is commonly enlarged, and doughy, and presents a very singular, diffused pulsation, most conspicuous to the right- of the navel. In some cases there is gastric or ab- dominal pain and tenderness, in others, even the prolonged vomiting does not cause pain; but usually there is per- ceived a curious and intense sense of heat at the epigas- trium, which produces a desire for cool drinks, independ- ently of a sense of thirst. As in most intense fevers, the pulse is often in this one, even natural, or, while the face is flushed, the extremities become frightfully cold, and the pulse falls to preternatu- ral slowness or is accelerated to one hundred and ten or one hundred and twenty per minute. (Buck.) In some cases no sensorial disturbance is perceived, in others there is intense nervousness, extending sometimes to delirium, vigilance, coma. Such cases commonly prove fatal, after the occurrence of singultus, subsultus, a hurried irregular pulse, cold extremities and a sunken countenance.* There is, according to every detailed account, a singular fetidity of the breath, not like any smell known to the describers; * Sometimes the hair, cuticle and nails drop off. (Lea.) M. Roulin tells us that in Colombia, the maize is liable to a kind of fungus or ergot, which occasions the loss of nails and hair. 68 THE FUNGI PREVAIL AT NIGHT which, with obstinate vomiting and costiveness, peculiar, soft enlargement of the tongue, and an abdominal pulsa- tion, most distinctly felt to the right of the umbilicus, constitute the marked distinctions of this malady. The animals made sick by the beef of the first one, have been, in their turn, the cause of a like affection in others; so that three or four have thus fallen victims suc- cessively. Whatever the poison may be, it resisted the influence of the cook, in all the customary modes of preparation, also the action of diluted acids, and alkaline solutions, and chlorine, and some of the chlorides. Infusion of galls alone seemed to abate, but not to destroy its viru- lence. The water, in which poisoned beef had been boiled, acquired no poisonous properties; while the beef remained as noxious as ever. Butter from diseased cows, heated until it caught fire, did not lose its deleterious proper- ties. (Graaf.) The urine of diseased animals, collected and reduced by evaporation, produced the characteristic symptoms. Milk of affected cows, or sluts, was very poisonous to their own young as well as to other animals, whilst the lactation preserved themselves from the malady, so long as they were milked regularly. The animals originally affected, are only such as live upon herbage, such as cows, horses, goats, and sheep. The pastures in which the disease is found, are always the unbroken soil of the new country. The action of the plough, e^en for a single season, is regarded by most au- thors as & permanent corrective. Whatever may be the poison, its most potent activity exists in the end of summer and in autumn, chiefly in Sep- tember and October. One writer denies the truth of this statement, but a large number assert it very positively. AND IN EPIDEMICS. 69 It also acts only at night, or until the dew has been ex- haled from the grass in the morning; for even the worst ranges are safe during the day, except where they lie in thickly wooded districts. This disease has been found in rich alluvial places, on high barren ridges, on open plains, and in the deepest woods. Its place is sometimes confined to a small space inclosed as a " sugar-orchard," and entirely destitute of water; while it extends in other cases throughout a long narrow range of country, for as much as one hundred miles. From the testimony of authors, each of whom has a pe- culiar opinion on the point, milk-sickness may prevail in wet or dry, hot or cool autumns, the character of the sea- son seeming to have no especial relation to the severity of the epizootic. The period of incubation varies in cattle, from two to ten days, when an attack is not sooner excited by violent exercise. When the disease is produced by the swallowing of poisonous beef, or milk, butter or cheese, the nausea and vomiting may occur almost instantaneously, or may not appear until after the lapse of several hours or even days. "Whatever may be the poison, it seems, according to the experiments of Graaf, to be reproductive within the sys- tem of the poisoned anitnals; for, the quantity of flesh ne- cessary to produce the diseased effect, was about the same, whether taken from an animal originally affected, or from others successively poisoned by its flesh or milk. Most writers say, that attempts to inoculate with the blood, milk, &c., of affected animals have failed, but Drake asserts, on the authority of two credible witnesses, that the milk-sickness was produced in them by skinning dis- eased cows. 70 THE FUNGI PREVAIL AT NIGHT The autopsy showed gastro-intestinal inflammation, en- largement and softening of the liver and spleen. The meninges and brain exhibited congestion, inflammation, serum, lymph, pus. In all the fatal cases, the blood failed to coagulate, and there was uniformly a contraction of the stomach and intestines. Authors generally admit, that only the grazing animals take the disease originally, and that other animals can only receive it through the medium of their flesh, or milk, after they have been poisoned. As all animals seem im- pressible, there is a fair inference against the aerial cha- racter of the cause of milk-sickness, by which, if it exist, they should be equally and originally tainted. The fa- cility of the correction by the plough, the insoluble and non-volatile nature of the poison, evinced by the effects of boiling or roasting the beef, and of the evaporation of urine even to dryness, all show clearly that the poison is not atmospheric, not aeriform or vaporous. It seems, there- fore, plain enough that cattle receive it into the stomach as food or beverage. That the poison is not found in the water taken by the grazing animals, seems highly proba- ble, because it has not been found subsequently to be so- luble in that menstruum, or, indeed, in any other simple liquid, whilst the truth of this position has been almost demonstrated by confining them* in limited enclosures, where, notwithstanding the total absence of water, many of them have, in repeated instances, exhibited veritable symptoms of the trembles. A critical examination of the waters of infected regions has failed to show peculiar or poisonous properties, and the plough corrects the evil, without being shown to be able to alter the waters mate- rially. It seems, then, very probable, that the poison, whatever it may be, is swallowed with the food. Now the food is AND IN EPIDEMICS. 71 more or less soiled with earth. It is, also, in its most hazardous condition, covered with dew, and is infected by insects, and the seeds of various plants and flowers. Of these, the soil cannot give the venom, as it would not lose such a power by the action of the plough. A mineral poison would also be easily detected in it, and could not propagate itself through a succession of animals; nor has it a reproductive power. We are reduced, therefore, to the only remaining hypo- thesis, the introduction of an organic poison of some kind, animal or vegetable, into the nostrils or stomachs, (proba- bly the latter,) of the affected animals. The long latent continuance of the poison in the body, the apparently small quantity of it necessary to create disease, and the seeming reproduction after reception, all enforce the conviction that the virus is organic. Having rendered probable the presence, in these cases, of an organic agent, the usual course of medical reasoning would lead us to assume its animal derivation, especially as it seems to have, even in the system, a reproductive power. But just at this point of time, the microscopic discovery of the frequent connection of vegetations with cutaneous and mucous diseases, and the probability that, in other, and somewhat analogous cases, cryptogamous plants exercise a disease-creating power, embarrass us with a new element of difficulty. Animal poisons are usually soluble, are commonly in- nocuous in the stomach, are not most potent at night, do not affect particularly the autumnal season; nor can we see how the plough could correct the evil, if of an animal character. The extraordinary fixity and indestructibility of the germs of this disease, point strongly to a vegetable source. 72 THE FUNGI PREVAIL AT NIGHT AND IN EPIDEMICS. We are thrown back, therefore, by a kind of necessity, on its vegetable origin, and among vegetables we find none, whose habitudes and modes of action, so strongly as the fungi, entitle them to the sad distinction of creating this singular malady. They grow in autumn, they grow at night, they are disarmed by light and heat, they have ex- traordinary tenacity of life and texture, and yet are re- pressed by very slight alterations of soil and circumstance. They are usually poisonous, and produce curious and diver- sified maladies. Women are less affected than men by their poison, and children escape more readily than men and women. Some of them, after sending their poison through the system, escape unchanged by some one of the emunctories, as the amanita muscaria, by the kidneys. As we are reasoning upon probabilities here, let me ask what animal poison, what mineral poison, offers so many and so strong analogies, to entitle us to esteem it a cause of the milk-sickness. THE POISONOUS EFFECTS OF FUNGI. 73 LECTUEE IV. MOST OF THE FUNGI ARE POISONOUS, AND PRODUCE DIS- EASES RESEMBLING MARSH FEVERS. only are the fungi generally, poisonous to a sin- gular degree, but the phenomena attendant upon their introduction into the system are so peculiar, as to arrest the attention both of the toxicologist and pathologist. In most cases, the poison lies dormant, for a time after its ingestion, then excites a morbid action of a febrile cha- racter, continued in some instances, remittent or intermit- tent in others, which is sometimes followed by abscesses or gangrene, as observed in typhoid fever and plague, occasionally by locked jaw and yellow skin, as in yel- low fever. Even when using habitually, fungous food of a slowly poisonous quality, such as rye affected with ergotsetia abortifaciens, females of adult age, and the richer classes of society are, to a remarkable degree, ex- empted from the disease-producing potency, which exerts itself so disastrously in some parts of France and Swit- zerland, on the poorer and more exposed portion of so- ciety. Of late years, too, it has been found that many cuta- neous disorders, and at least one mucous disease, are, if not absolutely dependent on, at least closely associated with, and aggravated by, the growth of minute crypto- gami. That these predatory fungi are really causers of 7 74 THE POISONOUS the maladies with which they are uniformly connected, is made still more probable by the demonstration of the ex- istence in insects, and even many larger animals, of con- tagious cryptogamous diseases, which, transferred from animals to plants, and from plants to animals, become very destructive, not only to their immediate victims, but to important commercial interests dependent on them. It is scarcely necessary to prove to any intelligent reader, that the fungi are commonly poisonous. The caution with which mushrooms are bought, and examined, and cooked, evinces a sufficient knowledge everywhere, of the danger of eating the wild kinds. But as I am elabo- rating an argument upon a new and difficult subject, a few quotations, to show the sentiment of the best informed persons, may not be inexpedient. "By far the greater part of the tribe," says Comstock, "are poisonous. Some of them are so exceedingly virulent, as to destroy life in a short time. Adepts, therefore, in botany, dread the wild kinds." "So poisonous," says the author of the article mushroom, in Rees Cyclopedia, "is one species of agaric, as to kill the very flies as they settle on it. The Agaricus muscarius is therefore used to poison flies and bed-bugs. Burnett quotes several curious cases where death has arisen in persons who have eaten mouldy (fun- giferous) bread, mouldy pork, mouldy cheese, mouldy ham, pie, &c. But it is rather to the peculiarities of these poisonings, than to the general fact, that I would direct your atten- tion. The first of these is the production of FEVER. Pe- reira tells us, "that the symptoms produced by poisonous fungi, are those of g astro-intestinal irritation, and a dis- ordered state of the nervous system," a not inexact general definition of a malarious fever. "In the human system EFFECTS OF FUNGI. 75 it (Agaricus muscarius) produces shivering, followed by that kind of delirium which attends an ardent fever." — (Rees Cycl., Art. Mushr.) A careful examination of the diseased potatoes of the British isles, from which that kingdom has of late suffered so much, shows the uniform existence in them, of "the fibres of a fungus calied botrytis, from its gr apelike form, or of one called uredo tuberosum, which may be observed ramifying round the cells which enclose the starchy cor- puscules. Now these plants, however minute, are not self- generated, but must be produced by some seminal impregna- tion, transported by the atmosphere, and peculiarly adapted to fructify upon the Sol. Tub. This vegetable distemper, like that of the cholera, while general in its diffusion, is determined to particular localities and plants, by predis- posing causes; yet it is not always dependent on these, having occurred in many regions where such causes did not materially operate." — (Ure.) "The effects of using diseased potatoes, were in the first stage rigors, heat of skin, quick pulse, and abdominal pain; in the second stage, rose colored spots, migratory and evanescent, and diarrhoea ; in the third stadium, a tumefaction of the mus- cles of the neck, shoulders and arms, acute pain there, and in the worst cases, erysipelas of the face and scalp, and oedema of the eyelids." — (O'Brien.) The effects of heavy single doses of ERGOT are, first, ano- rexia, nausea, vomiting, dryness of the throat, and thirst; secondly, abdominal pain and tumefaction, and diarrhoea ; thirdly, weight and pain of head, giddiness, delirium, di- lated pupil, somnolency, coma; fourthly, disturbed circula- tion by increased fullness and frequency, or feebleness and slowness of the pulse. Formication is a not infrequent consequence, while protracted use creates, not only febrile 76 THE POISONOUS symptoms, but, as in malignant fevers, a disposition to gangrene. Christison describes the effects of its prolonged use, as weariness and formication. "!N A FEW DAYS fever sets in, with a hemorrhagic tendency, rending pains of the limbs, and at length, dry gangrene of the fingers, toes, or even legs, which drop off by the joints." In some cases, the author just quoted reports contraction of the spleen* and enlargement of the liver, as among the effects of ergot. Dodart, who acted under a commission of the French Academy of Medicine, reported to that body, that ergot occasioned "nervous phenomena and malignant fever, with stupor." In 1826, Dr. Westerhoff saw two children who had been poisoned by mouldy bread ; their faces were red and swollen, excited and haggard, tongue dry, inextinguishable thirst, feeble and frequent pulse, abdominal pain, vomiting and purging, vertigo, headache, great depression of mind and body, mental indifference, and somnolency. On the 10th of June, 1839, at a musical festival 'at Aldenfingen, about six hundred people ate various kinds of meat, which, after being cooked, had been kept in a badly ventilated cellar for nearly three days. Upwards of four hundred of them were, within ten days, attacked by nausea, vomiting, some mental disturbance, colic pains, tenderness of the epigastrium and diarrhoea. In the pro- gress of the cases, disturbed circulation, constipation, fetid evacuations and tympanitis allied the cases to typhoid fever, and nine died of this fever. An autopsy revealed inflammation or ulceration in the lower part of the ileum. Those who did not go to the festival, but partook of these cold meats at home, suffered in a similar manner; whilst * The spleen is sometimes lessened. — Art. Typhus, Die. de Mededne. EFFECTS OF FUNGI. 77 those at the festival who dined on bread and cheese, es- caped all disorder. Diseased wheat (Phil. Trans. , Lond. 1762,) produced at Wattisham, a sickness with sphacelation. Seven per- sons of one family suffered the loss of one or more of their limbs, and one had a blackness of two fingers, but re- covered. The febrile disease from the use of rye is, according to Thompson, (Lect. on Infl.) most prevalent in wet or moist seasons, and in thirty-three years, M. Noel met with this malady three or four times, and always in rainy and moist seasons. He also says, that among fifty patients, he did not find one woman; and he makes the very curious state- ment, that only the, poor and ill-fed were its victims. Pereira describes almost choleric effects of the poison of fungi, when he states, that in some cases, the powers of the vascular system were "remarkably suppressed, the pulse being small and feeble, the extremities cold, and the body covered with a cold sweat.'1 It may not be disadvantageous to insert, in this place, the description of a yellow fever which became epidemic in the U. S. Frigate Macedonian. It was given under oath to a court martial by Surgeon Chase. " There were pains in the head, loins, and limbs, tenderness at the epi- gastrium and sometimes in the fauces; nausea, vomiting, diarrhoea or constipation ; the face was flushed, and some- times swollen, the pulse was either frequent and full or slow and small; the eyes were red and watery, the mind was dejected; and there was, ab initio, low delirium or violent madness." The famous sweating sickness usually commenced with a short shivering fit, which, in malignant cases, convulsed even the extremities. Many experienced, at the beginning, 78 THE POISONOUS a disagreeable creeping sensation, or formication, on the hands and feet, which passed into pricking pains, and an exceedingly painful sensation under the nails. Some per- sons were afflicted with swollen hands and feet. In many the countenance was bloated and livid, the heart "trembled and palpitated," and lividness and rapid decomposition evinced the tendency to sphacelation. The plague, with its symptoms, its abscesses, and its mortification, might be taken for a case of fungous poisoning in its more in- tense forms. You may now, gentlemen, turn to another curious effect of the poison by the fungi: I mean, periodicity. Many authors mention, among the phenomena, intermittency , or remittency. The most singular of such cases is cited by Christison, who tells us that a whole family, consisting of a woman and her four children, were attacked by a tertian fever, by living exclusively for four months on edible mushrooms. The peculiar cause of the fever was made more manifest by the fact, that the husband of the woman, who lived on other fare, escaped all disease ; while a cutaneous eruption and subsequent gangrene of the ex- tremities attacked finally those who had the fever. West- erhoff observed in those who were poisoned by mouldy food, an intermittent somnolency, which he terms a re- markable feature of the case. M. Gassand saw cases of ergotism where the sensations either of heat or cold were intermittent. Several other writers mention this feature. The mental disturbance intermitted in one case, inflamed eyes in an- other, and all the phenomena in a third. A young woman who ate a dish of Agaricus clypeatus, and was attacked with nausea, vomiting, bilious stools, and a frequent pulse, had a marked remission on the fourth day. The patient was EFFECTS OF FUNGI. 79 at ease throughout the night, the skin was moist, and the pulse better. The other symptoms all abated, and the patient slept. On the fifth day, the symptoms returned, with delirium, sighing, anxiety, failing pulse, great dys- pnoea, partial yelloivness of the skin, and even a locked jaw, as in some cases of yellow fever. Another author cites a case of fungous toxication, in which ".the remission was so well marked as to attract attention. The Die. des Sci. Med. reports cases of this kind, in which occurred the most acute pains, which were intermittent ; and often there was a pause of two or three days, during which the sick could attend to their affairs." A recent epidemic fever in Scotland presented both the yellow skin, and the long and curious intermis- sions described in the above cases. A reverend gentleman of the Protestant Episcopal Church, in the city of New York, in the preceding year (1845), went with his family to a place near Sing-Sing, and about three miles from the Hudson, which was selected because of its reputation for health, and its exemption from malarious diseases. In August and September, when mushrooms were very abundant, and when the country people abstained from their use, under the im- pression that they disposed them to fevers, the clergy- man's lady, in her frequent drives, collected them daily, and for some time subsisted almost exclusively on them. The remainder of the family ate them more sparingly, and less frequently. About the end of September, the lady was attacked by an irregular fever, without periodical chills, but marked by an exacerbation on every second day. Thus the nature of the case was not suspected, until the return of an attack in the spring, which became regularly periodical in June, and assumed a distinct tertian form. 80 THE POISONOUS It was then cured readily by the sulphate of quinia, and other means approved for intermittents. In 1844, I busied myself with collecting and examin- ing various species of fungi, most of them of a poisonous quality. For several hours a day, I hung over these specimens, watching the successive growths of fungus superimposed on fungus, and endeavoring, with a micro- scope, to measure the relative size of their spores and nucleoli. Whilst thus engaged, I was, for the first and only time since my early childhood, attacked by a tertian, and was compelled to resort, after the third paroxysm, to the usual treatment for an intermittent. Whether this attack was the result of the slight vegetable decomposition, or an effect of the inhalation of spores of invisible fungi, I know not, but the coincidence was at least singular. Th^at the latter supposition is the more probable one, is sustained by the well-known fact, that after an evacuation by an emetic or cathartic, of the poisonous fungi, no re- medy is so valuable, as a corrective of the febrile and other consequences, as the preparations of cinchona. Merat and Lens, after describing cases of disease pro- duced by fungi, remark, that preparations of the, barJc are the best remedy. Confirmatory of this opinion is the statement of Dr. King, of New York (New York Med. and PJiys. Journ.^ 1825), that, in a case of ergotism, wine and bark constituted the most effective remedial agents. We thus, see, gentlemen, that when patients are slightly affected by the fungi, symptoms arise which closely ally the cases to those of common marsh fevers; and that the resemblance is still farther improved by the discovery, that both are to be most successfully treated by the anti- periodics. EFFECTS OF FUNGI. 81 More intense poisonings, by superadding buboes and mortification to other symptoms, bring fungiform dis- eases into close resemblance to the plague. Indeed, when we read first of the course and character of most epidemics, and then turn to the history of cryptogamism, in its diversified groupings, we cannot fail to be surprised at the many points of resemblance. The plague is esteemed by many persons, but an ex- aggeration of paludal fever. Mirolanoff, among others, inclines to this sentiment, and says that, at Archial, both officers and soldiers, who had intermittent fevers, were at- tacked with buboes and carbuncles. At Adrianople, Dr. llinx observed that the slighter forms of plague were not distinguishable from intermittent fever, until the ap- pearance of the buboes. Begin and Baudin also concur in the supposition, that plague is of the family of inter- mittents. John Hunter, M.D. of Jamaica, saw carbuncles in intermittent fever. After some continuance the part mortifies. "I have seen this in the scrotum, and also in the foot, and occasionally the loss of a toe." He also enumerates locked jaw as among the incidents of such cases. In 1798 Dr. S. P. Griffitts observed, in one day, two cases of mortification in yellow fever: one around the anus, and the other in a finger. Arujula met with carbunculous cases of yellow fever, and several gangre- nous tumors. The Hungarian fever of 1566, presented a kind of crisis by tubercles on the top of the foot, which, if ne- glected, ended in mortification, and many suffered amputa- tion. (Skenkius.) In 1600 there raged throughout Europe a mortal colic, which usually destroyed life within four days. The patient became almost immediately senseless, the hair fell from his head, a livid pustule appeared upon 82 THE POISONOUS the nose, which consumed it, and the extremities became cold and mortified. (Webster.) M. Roulin relates that in Colombia, the maize is liable to a kind of fungus or ergot, which occasions the loss of nails and hair. The poisonous property is lost by conveying it across the Cor- dilleras. (Herat and Lens.) Marcellinus tells us that there " arose, in the reign of Marcus Antoninus, a fatal pestilence, which began at the sacking of Seleucia, and extended over the civilized world, from Caledonia to Persia. It was supposed to have arisen from the foul air from a box, opened by a soldier, in search of plunder. The symptoms were, light fever, and a gangrene on the ends of the feet. In Rome alone, 10,000 died of it daily."- The dark, damp old box, the evidence of a reproductive power, and the light fever and severe gangrene, speak strongly in favor of the fungous origin of this epidemic. Something very like this happened at Canton, where three persons were attacked with fever, and two with gangrene, in consequence of breaking un- expectedly into a coffin, long buried. Fortunately, no reproduction took place, and the terrible malady ceased with its first victims. In another pestilence, A. D. 262, described by St. Cy- prian, the patients suffered from despondency, debility, involuntary evacuations, inflamed mouth, swollen stomach, and sparkling eyes. The disease destroyed the feet, hands, sight, hearing, and organs of generation. Chirac thus describes an epidemic at Rochfort, in 1741. Chilliness, great pain in the head, sense of intoxi- cation, small pulse, syncope, epi&taxis, inexpressible loss of strength, constant agitation of the limbs, leaden, cada- verous face, eyes dull or sparkling, continual nausea or EFFECTS OF FUNGI. 83 vomiting, suppuration of the parotids, buboes, carbuncles, especially on the head and hands. Gualtier de Claubry abounds in descriptions of gan- grenous fevers of a low type. Thus in the typhus at Mayence, in 1813, and 1814, there was " often gangrene of the extremities." At Forgau, in 1813, there was " often gangrene of the extremities." In the hospital at Langres, in 1806, there was sometimes " dry gangrene of the feet/' Fouquier, in describing a fever in the department of the Moxelle, in 1813, speaks of partial gangrenes on the sur- face of the body. Thouvenel, a physician at Pont a Mousson, describes a febrile gangrene of projecting parts. Roux, Gilbert, Des- castaing, Reveille, Parise, Frisal, Bom, Mauguis, Thou- venel, Fleury, Latourette, Robert, Fouquier, Gras, Castel, &c., mention, as events in fever, partial gangrene of the nose, ears, fingers, toes, and the loss even of a whole limb. So also, John Hunter, McGregor, Pringle, Griffitts, Hillary, Deveze, Fellowes, Arejula, and others, describe, as accidents of yellow and other fevers, mortification of the stomach, intestines, lungs, arms, legs, and scrotum. One of the most striking examples of a gangrenous fever, presented itself in the village of Deerfield, in New England, of which the following account is extracted from the Walpole Observatory, of the 9th Nov., 1807. "On Tuesday, 2d September, 1807, Joshua Fink, an un- married man, of about 25 years of age, returned from Hartford in Connecticut, to his father's house in Deerfield, where he became very ill, but finally recovered his health. On the 25th, twenty-three days after his return, his mother, Amy Fink, and his niece, who had nursed him in his illness, were attacked with chilliness and vomiting, followed by excruciating pains and soreness throughout their whole 84 THE POISONOUS frames. They both died within twenty-four hours, in a putrefactive state. In that family circle, thirteen or fourteen persons were similarly affected, and only three or four recovered. Most of them died within twenty-four hours, in a putrid state. On the 7th of October, Sally Blacker was taken ill of the same disease and died on the fifth day." The narrative declares that she did not putrefy immediately like the others, EXCEPT ONE OF HER FINGERS. While poisonous fungi create the usual signs of fever, affecting the mucous tissue of the primoe vise with inflam- mation, congesting the brain, disordering the liver and spleen, disturbing the circulation, and lessening or vitiat- ing all the secretions, they produce, when used to excess, or for a prolonged period of time, a marked tendency to the ulceration and sloughing of compressed parts, as in typhoid fever, or to the mortification of the intestines or extremities, as in yellow fever, epidemic, camp, jail, or hospital fever, or to carbuncular destruction, as in plague. Every fungus of a poisonous nature does not produce all these morbid phenomena ; but even the most nutritive of the mushrooms will, when long and almost exclusively eat- en, manifest the characteristic effects of the class. In sud- den poisonings, the peculiar tendency to sphacelation does not often occur, and when a disease is occasioned by only one or two doses, we seldom meet with gangrenous phe- nomena; but dreadful mortification often follows their slow and protracted application. As far as I can obtain information, it is made apparent that the more minute fungous forms have the most poisonous and gangrenous influence. Thus the long use of bread made of diseased rye (Ergotsetia abortifaciens) causes, not only a distinctly formed fever of a remittent character, but gangrenous EFFECTS OF FUNGI. 85 sloughs in the intestines, and the dry rot of the extremi- ties. We can scarcely resist the conclusion that this last effect is the consequence of the absorption and vital ac- tion of the fungous spores in the parts thus destroyed. Vegetables furnish us with many analogies. The diseases to which fruits and bulbous and tuberous roots are liable, are often the effect of absorbed fungi. Thus, in the mi- croscopic journal, we learn, that Arthur Hill Hassall caused decay at will, in sound fruit, by inoculating it with the spawn of fungi from rotten specimens. The mere bruis- ing of fruit would not cause decay, unless fungi or their spores were present. So, the dry gangrene of the potato, so fatal of late to that esculent in Germany, and since, in Great Britain and Ireland, is produced by the absorption and destructive reproduction of fungous germs in its very substance.* The analogy seems complete ; for, in both sets of cases, fungi produce the disease, and in both, a destruction of the life of remote parts is the consequence. In the potato and apple, the result is demonstratively caused by fungi. In the animal, may we not safely infer it, especially as several instances are recorded, where the putrid matter, conveyed to puerperal women by the hand of the surgeon-accoucheur, has appeared to produce gan- grenous phlebitis ; just as was similarly excited, a gan- grene of the fruit and the root.f Even to my own mind, gentlemen, arises the objection, that most of my analogies result from cases in which the poisonous articles were taken into the stomach, and that too, in large doses, such as could not be received into the * Ann. des Sci. Nat., Sep. 1842. M. De Martius. |ln Simon's Chemistry, published since the first delivery of these lec- tures, we are told that Scherer obtained in the abdominal cavity of one who died of metroperitonitis, organisms resembling minute algae. 8 86 THE POISONOUS system in any other mode. That objection seems more specious than sound, when we remember that very small doses of poisons are highly effective when inhaled by the organs of respiration. Thus a very few drops of chloro- form will, by inhalation, produce effects on the nervous and vascular systems, more potent than can be created by any dose, however great, thrown into the stomach. A drachm of ether inhaled from a bag, will intoxicate, stu- pefy, and prodigiously excite him whom ten or even twenty times that quantity would not greatly move by the stomach. So, while it requires not less than thirty grains of arsenic (Christison) to kill an adult, I have known nearly fatal results from the inhalation of less than half a grain of arseniuretted hydrogen. Now it is obvious that, of the small quantity of the respired articles mentioned, a much smaller quantity is absorbed by the pulmonary mem- brane, and passes into the circulation. Of the few drops of chloroform used, at least nine-tenths must be exhaled by the breath, and thrown away. But when organized substances find their way into the tide of blood, and that too with vital energies capable of reacting on the elements of the sanguine current, it requires but little acquaintance with physiological and pathological phenomena, to induce us to dread the most fearful results. Even when their vital powers are destroyed by mechanical or chemical pro- cesses, vegetable poisons act, in the smallest portions, with great violence. How much strychnia, or digitalia, or aconita is requisite for the disturbance of functions, or the arrest of vital action ? Certainly much less than we may readily suppose could be inhaled by a sleeper, if such things were suspended in his atmosphere, even with faint diffusion. But the experiment of Prout during the cholera in London, in 1832, if to be relied on? showed a gain in atmospheric EFFECTS OF FUNGI. 87 specific weight of one sixty-second part; which would give scarcely less than a drachm by weight of some poison, suspended in each cubic foot of the atmosphere of London. That quantity of air may be inhaled during common re- spiration, in fifty inspirations ; and, as most persons respire not less than fifteen times a minute, a cubic foot of air may pass through the bronchial tubes in three minutes and a half. How much, then, of such a poison, may be present- ed to the bronchial surface, in the course of a single night ! With how much more force, too, will it act, when it assails the system through that channel! Substances presented to the gastro-intestinal surfaces are mixed up with various secretions, mucus, saliva, gastric juice, bile, pancreatic liquor, and special exudations from the peculiar glands of each successive section, while aerial poisons, unmixed and unfettered, are applied at once to a surface on which, be- hind scarcely a shadow of a film, circulates the blood pre- pared, by the habitual action of the respiratory function, to absorb almost every vapor, and every odor, which may not be too irritating to pass the gates of the glottis. It is, perhaps, for this reason, that we have so instinctive a dis- like of mouldy smells, and of humid musty places, and un- happily, we discover, that in the abodes of filth and poverty, where misery dwells, and moulds do most abound, the great non-contagious epidemics find and destroy the greatest number of victims, because there is the especial domain of fungiferous potency. I have hitherto spoken to you of the action of fungi, when swallowed, or when inhaled by the respiratory or- gans. I am now about to direct your attention to a not less curious department of our subject. I mean the asso- ciation of obvious fungous growths with the cutaneous and mucous diseases both of men and animals. In the very 88 CUTANEOUS time in which we live, there has arisen almost a new sci- ence, founded on the discovery that many cutaneous dis- eases, some maladies of the mucous system, and" a nflmber of the disorders of insects and reptiles, seem to be pro- duced by vegetations in the living tissues, by which com- fort is impaired and sometimes life 'sacrificed. Caffort alleges, that the agaricus fimetarius is found in ill-conditioned wounds (Annal. de Montpelier, 1808), and Mery and Lemery cite cases where fungi grew on the skins of animals, even when not wrounded or ulcerated. Schoen- lein and Remak observed, and Fuchs and Langenback confirmed the observation, that forms, apparently vegeta- ble, and of a fungiform structure, rooted themselves in the skin of porrigo favosa. Gruby subsequently investi- gated the subject more fully, and alleged that the crusts of porrigo are almost entirely composed of the plants. The vegetable nature of the disease seemed to be esta- blished by the transfer of it by inoculation to a phanero- gamic plant, thus imparting to a vegetable a disease con- tagious in man. Since these striking discoveries have been made, micro- scopists have detected vegetations in porrigo lupinosa, impetigo scrofulosa, serpiginous ulcers, sycosis menti, and porrigo decalvans. To the latter, Gruby has given the name of microsporon andouini, in honor of the able writer on the muscardine of the silk-worm. We have now to encounter among the phenomena of disease, porrigophytes, mentagrophytes, &c. &c. Each disease has its fungus, perfectly characterized by form, habits, position and pro- pagation. For example, porrigophytes are seated in the cells of the epidermis, while mentagrophytes reside in follicles between the hair and the walls of the follicles. The former have a proper capsule, are very rarely granular FUNGI. 89 in the stem, and their spores are large and oval, while the latter have no capsule, granules almost always appear in the stem, and -the spores are small and round. The former descend into the hair-follicles, the latter ascend from the roots of the hair to the epidermis. Not alone the skin, but the mucous membrane affords a field for the growth of cryptogamous plants, at the ex- pense of the health of that membrane. In the Oomptes Rendus for 1842, M. Gruby describes a fungous plant, which seemed to be the cause of the aphthae which so often annoy sucking children, and are not unfrequently a tor- ment to older persons. So minute is this plant, that each little conical elevation of the milk thrush is composed of a multitude of these vegetables, each having its leaflets, branches and sporules. The roots are implanted in the cells of the epithelion, and the spores are not more than the one-ten thousandth of an inch in diameter, or about a third of the diameter, or a ninth of the volume of a blood-globule.* Vogel, in the same year, discovered vegetable Paras in the aphthae, and found their organic covering capable of resisting the action of the water of ammonia and strong acetic acid. Dr. Berg, a Swedish physician, has since treated this subject more at large, and shown that these aphthous pro- tophytes are propagated not only from mouth to mouth, at the usual temperature of the body, but that they can live, and effect a reproduction out of the body, and at lower temperatures, when placed in contact with substances con- * The nucleolus in the cell-germ frequently appears immeasurably small, or even entirely escapes the eye with the highest magnifying power, yet it probably serves as an introduction to the whole formative process. — Schleiden. 8* 90 INTERNAL FUNGI. taining albumen, or any nitrogenous compounds. These Paras are supposed, by Berg, to be active, even after being dried, and he suggests the idea of their tVansmissibility in this state through the atmosphere. Dr. Arthur Farre, of London, read to the Microscopical Society a paper on the minute structure of some cryptoga- mous vegetable, which escaped in a kind of membranous mass from the bowels of a female, who was slightly indis- posed before, but who suffered severely for about twelve hours immediately previous to their expulsion. Dr. Farre was not able to refer them to known species, but supposes that the reproductive spores may have been swallowed in some beverage, and become so altered, by receiving supplies from an organized surface, as to present new and un- known appearances.* Mr. Goodsir (Ed. Med. and Surg. Journ., vii.) de- scribes curious vegetable organisms developed in the sto- mach during indigestion. f Mr. Gruby and Mr. Goodsir, without any concert, at dif- ferent times and places, detected transparent nucleated cells in the glands of Peyer, in a diseased state, from typhoid fever. Whether these were animal or vegetable cells could not be determined, but that they were vegeta- ble germs is made probable by the subsequent discovery by Schoenlein and Langenback, of organized vegetable fungi in the body of a person who had died of typhoid fever. Hanover detected a species of leoptomitus agardh on the mucous membrane of the mouth and tongue of two typhoid patients, and also in the bladder of a young child. * Confervse, discharged in a case of dysentery, are described by Dr. Bennett. j*More recently, similar instances of this production, termed sardna by Mr. Gcodsir, have been noticed in pyrosis, by Mr. Benjamin Bell, and Dr. Wilson. MUSCARDINE. 91 Rayer found byssoid vegetations on the pleura of a tuberculous patient, and in the intestinal canal of a case of pneumothorax.* In 1838, Boehm published the discovery of vegetable filaments on the mucous membrane of the intestines of those who died of CHOLERA. Quevenne and Hanover found the yeast plant (torula cerevisiae) in diabetic urine. The frequent action of the fungi in the production of disease, is made analogically more probable by observing also, how many diseases of the lower classes of animals are obviously dependent on the assaults of the cryptogami. Among the earliest observed and most thoroughly studied of these diseases is that of the muscardine of the silk-worm. This curious and costly malady was described for the first time in 1835, by Bassi, of Lodi, andM. Balsano, of Milan. Afterwards, in 1836, M. Andouin, who had devoted much time and attention to the subject, published a work on it, and in honor of the firsf describer gave to this deadly vegetable enemy of the silk-worm the name of botrytte bassiano. His statement is to the effect that there is found in decaying or mouldy moss, a very minute fungus which bears very small whitish spores. These, placed near to the silk-worm, attach themselves to its surface, and by some unexplained means, gain access to the pigment, un- der the cuticle, and to the subcutaneous adipose tissue. They are soon converted to the use of the vegetable; and indeed the acute observer of this subject could mark the transformation of the fatty tissue of the worm into radi- cles of the cryptogamic vegetation. By degrees the plants * Scherer, cited by Simon, describes, as being found in the peritoneal cavity, after death by puerperal peritonitis, minute cells, organisms resem- bling algce, granules and nuclei. 92 LEPROSY. penetrate from within to the surface, where they have their fructification, and whiten it with sporules. Thus created, the germs attach themselves to other worms, and a conta- gious disease, of vegetable origin, devastates the cocoonery of the silk-producer. The most curious part of this case is the capability of a plant to live at the expense of either another vegetable or of the silk- worm. A singular passage in the oldest book in the world carries this idea even beyond modern discovery, which, as often happens, seems to be rapidly approaching to the truth, as announced three thousand years ago. In the 13th and 14th chapters of Leviticus, where the subjects of scall and leprosy are discussed, we find the following singular language: Chapter xiii. — " The garment also that the plague of leprosy is in, whether it be in the warp or woof of linen or woolen, whether in a skin or any thing made of skin ; and if the plague be greenish or reddish, in the garment, it is a plague of leprosy, and shall be showed unto the priest, and the priest shall shut up the plague seven days. If the plague be spread in the garment, the plague is a fret- ting leprosy. He therefore shall burn that garment. "If the plague be not spread in the garment, then the priest shall command that they wash it, and shut it up seven days, and behold if the plague have not changed its color, it is unclean, and if the plague be somewhat dark after the washing, he shall rend it out of the garment, and if it still appear, it is a spreading plague, and then shall burn that wherein the plague is." Chapter xiv. — "The priest shall command that they empty the house, and he shall look if the plague be in the walls of the house, with hollow strakes, greenish or reddish, which in sight are lower than the walls. Then the priest LEPROSY. 93 shall shut up the house seven days, and shall look, and be- hold if the plague be spread in the walls of the house, then the priest shall command to remove the stones, and he shall cause the house to be scraped within round about, and they shall replace them with new stones, and they shall take other mortar and plaster it. And if the plague come again, and break out in the house, then the priest shall come and look, and behold, if the plague be spread in the house, it is a spreading leprosy, and he shall break down the house. * " This is the law for all manner of plague of leprosy and scall, and for the leprosy of a garment and of a house." There is here described a disease, whose cause must have been of organic growth, capable of living in the human being, and of creating there a foul and painful disease of contagious character, whilst it could also live and reproduce itself in garments of wool, linen, or skins; nay more, it could attach itself to the walls of a house; and there also effect its own reproduction. Animalcules, always capable of choice, would scarcely be found so trans- ferable; and we are therefore justified in supposing, that green or red fungi, so often seen in epidemic periods, were the protean disease of man, and his garment, and his house. Hecker also says, " These spots (signacula), and espe- cially the blood spots (red cryptogami), were seen at a very early period, as, for instance, in the sixth century; and again during the plagues of 786 and 959, when it is said to have been remarked, that those on whose clothes they frequently appeared, and seemingly imparted to them a peculiar odor, were more liable than others to an attack of leprosy. Hence thay were named clothes leprosy (lepra vestium)" 94 MOULDS Continuing my enumeration of the fungous diseases of animals, I cite Ehrenberg as having detected a vegetation, clisetopliora meteorica, growing on the scales of the salmo eperlanus, and creating disease. Henle has found vor- ticellae on the toes of Tritons, producing gangrene and death. Hanover saw another kind of vegetable, which, accidentally attached to dead flies in damp places, could, by inoculation, be communicated even to water sala- manders. Dr. Stelling, of Cassel,. found similar products on frogs, weakened by other experiments; and Valentine tells us that Aeliyla prolifera, a kind of mould, very often attacks animals, preventing the development of the ova of fishes, and rapidly extending from an individual to a group. M. de Longchamps having occasion, in 1840, to dissect an eider duck (anas molissima) while yet warm, found a mould on the mucous surface of its air tubes. The mem- brane beneath was diseased, and the spores of the plant were little more than half the size of blood-globules. Rousseau and Serrurier observed a different kind of mould in pigeons and fowls, as well as in the cervus axis and testudo indica. In a male parroquet, which died tuber- culous, a greenish pulverulent mould was found on a false membrane between the intestines and vertebral column. Moulds in animals are also described by Muller, Retzius, Mayer, Jaeger, Heusinger, Thiele, &c. A stryx nictea (water fowl), brought alive from Lap- land to Stockholm, died dyspnoeal. The lungs and tho- racic cavities were found to be universally covered with mushroom-like, flat, rounded bodies of a yellow-white color, separable from the mucous membrane without in- jury to its surface. A falco rufus, in the zoological collection at Berlin, IN ANIMALS. 95 was examined by Dubois, who found the same white um- bilicoid bodies, quite fresh, in the air cavities, and also in the abdominal cavity near the kidneys. Muller, Link, Klotzsch, and others, declared them to be vegetables. I fear, gentlemen, that I have wearied you by the cita- tion of so many facts, which, all nearly alike, lose in- terest by repetition. But, on new ground like this, you must bear with me, if possible; as it is necessary to show, by many witnesses, that fungi not only obviously produce diseases, but that they must be absorbed and carried into the circulation, as they are frequently found by the best ob- servers in the world, even in the shut sacs of the body. 96 LATENCY. LECTURE V. EXPLANATORY CHARACTER OF OUR THEORY — LATENCY — LIMITATION — DRYINGS — MOULDY SHEETS — YELLOW FEVER — CHOLERA — TROPICAL HEALTH — SUCCESSION OF EPIDEMICS. A THEORY of malaria should not, in this enlightened age, be received, "which does not, at least plausibly, ac- count for the apparent irregularities, seeming contradic- tions, and anomalous inconsistencies of the subject, which now so greatly obscure all the usual modes of explanation. In this respect I hope to show the very great superiority of that which, I presume, is, by this time, not unfavoura- bly viewed by my hearers. The diffusion of the fungi; their properties as a class; their acknowledged power of producing diseases of a febrile character, marked by pe- riodicity; their nocturnal power and autumnal prevalence; their love of the damp dark places in which febrile epi- demics delight; their companionship with epidemics and epizootics ; their obvious association with many cutaneous and some mucous diseases; their production of some con- tagious diseases of insects; and the progress of diseases from cattle, which are sickened by eating mildewed food, to human beings, sometimes by the use of the flesh, and Sometimes, as in the cases reported by Vimat, by the simple exaltation of epidemic influence : all these details, numerous, diversified, and well sustained by authorities, LATENCY. 97 should, I hope, induce my auditors to advance into the subject of the present lecture with, at least, some par- tiality for the new doctrine. No one has yet attempted to explain satisfactorily the cause of the latency of the malarious poison. " The latent residence of narcotic marsh poison in the system,7' says Stevens, "is incredible." Lind says, that a man may be attacked by fever almost immediately after ex- posure to its causes, or after a day or two, or even after weeks. Usually the attack occurs within a few days of the time of exposure, and often on the following day. It is not easy to comprehend this, unless we suppose that the poison received into the system, is organic and vital, and that the phenomena of disease depend on its modification, and reactions in the body. In this way we can also under- stand how such a poison may remain dormant, like some of the animal poisons, and that its absorbed germs may be stimulated not only by time but season, following laws which we are just beginning to study. This study is, necessarily, very limited as yet, for we are denied a direct examination, and trust often to ana- logies, feeble sometimes, and at others scarcely perceptible. On this part of the subject, as in one already discussed, we can only examine the effects of visible fungi, when swallowed, and trust to the light thus imperfectly obtained for a farther progress. It is, however, a very curious fact, that, of all the known poisons, that of the fungi lies dormant in the system for the longest time. One of the greatest peculiarities (Christison) of fun- gous poison is, the interval before attack, and the difference in that interval. He endeavors to explain both these phenomena by ascribing them to the difficult solubility of the poisonous matter, surrounded as it is by vegetable 9 98 LATENCY. pulp and fibre. But, in the splendid work on mushrooms, by M. Paulet, published in 1812, we are told that the ex- tract and alcoholic tincture, and even the juice of the agaricus bulbosus and vernus, when given to dogs, did not make them sick in less than ten hours after their adminis- tration. Christison mentions the poisoning of six persons by the Hypophyllum sanguineum or toad-stool (Puddock-stool), in Scotland, most of whom were attacked, after the lapse of twelve hours, one after twenty hours, one after twenty- four hours, and the last in about thirty hours. Gmelin quotes seventeen cases, which did not exhibit symptoms of toxication until the expiration of a day and a half after the meal at which the poison was swallowed. Corvisart's journal relates, that of some soldiers, who ate of the agaricus musearia, a part were attacked with gastric symptoms almost immediately, but that others wrere indis- posed only after the lapse of more than six hours, of whom four died. In the Histoire des Champignons of J. Roques, we are told that a dog, fed on a patie made of the agaricus vene- natus, exhibited symptoms of uneasiness only after an in- terval of ten hours. The same author relates cases where longer periods of time were necessary to develop the poisonous effects of .the amanita citrina and the agaricus maleficus. We see, then, that the poison of the fungi may remain apparently inactive for from an hour or two to even a day and a half, and that, too, when swallowed in large quan- tity. If we were now to look for any known poison as explanatory of the latency of malaria, should we not be inclined to say, that only that of the fungi exhibited, in this respect, a strong analogy? We know of no other LIMITATION. 99 morbific agent whose action is so uniformly and irregu- larly postponed. Nothing more startles the student, who has been taught to believe in marsh or other exhalations as being the grand cause of autumnal diseases, than when told, that often a low wall, a common road, or a screen of trees, can, and does, arrest the progress of marsh miasmata, though the wind from the marsh whistles freely past them, bringing with it even the paludal odor. He is also told by McCul- loch, the great advocate of the vegeto-aerial theory, that sometimes agues prevail exclusively on one side of a street, and that inch by inch, and foot by foot, the site of the Roman capital is invaded by malarious diseases. The absurdity and inconsistency of these various posi- tions strike at the very root of all the old theories. On the other hand, when we suppose that the poison is a fungous one, progressively marching over the soil, sus- tained by the rich air and pregnant moisture from the marsh', we can readily suppose that the wall, or the road, or the wood, may limit its progress. Besides this, the spores of all fungi are more or less electrical, and are, therefore, likely to be arrested by the trees of a wood. Authors have admitted that malaria appears to act in many instances as if it could exert no power, except when close to the spot where it originated, whilst in other cases, it seems to be wafted to a great distance from its appa- rent source. If we suppose the existence of germs sus- ceptible of reproduction, and progressive growth, these seeming contradictions fall at once. The interruption of progress by a road or wall justifies this view of the mode of conveyance, and the many facts which show the narrow limits of the poisonous activity, enforce it strongly. The place, the very spot, where the disease is found, must re- 100 LIMITATION. produce the cause of it for itself, and if the conditions of growth are not present, then will the spot be exempt, even if very near to the most poisonous places. Thus may we, and only thus, explain the occurrence of agues, yellow fever, and cholera, on only one side of a house, or one end of a room, or one si(^ of a street, or wall, or road. A wind may indeed waft the spores in small quantity to a distance, but unless there are there the conditions essen- tial to an adequate reproduction, the spores must lie dor- mant and harmless. For such reproduction, the marsh mist may be one of the most important elements, but that alone will not suffice, since we know that the disease is not proportional to its frequency or intensity. Other and very local conditions seem to exercise a peculiar power. Thus a new house is known to resist disease better than an old one, and a residence protected by an annual culti- vation, immediately around it, is more safe than one which is encircled by lawns in grass. During some unusually sickly years, when scarcely an inhabitant of the skirts of the city escaped marsh fever, the wind set, often for a long period, directly from the infected regions into the heart of the city. In perhaps half a minute from the time when the south-western air left the meadows and pestilential borders of the town, it had crept into every chamber of the place; yet physicians here, well know that no disease of a malarious character invaded these cham- bers, which were, most of them, left open during every night of the sultry autumn. Writers entitled to credit and authority, by position and professional character, assert, that a gauze veil, or a gauze screen in a window, adds much to the security of the wearer or the occupant of a chamber, in even the most unsound places. We can scarcely see how any gas or EFFECTS OF DRYING. 101 vapour, simple or compound, could be arrested by such a defence ; but it is easy to suppose the detention of organ- ized and comparatively bulky bodies electrical and glu- tinous, or moist. However intense may be the virulence of a miasmatic atmosphere, its powers are greatly abated by artificially drying it. Hence, wood-cutters and waterers on the coast of Africa, find it advantageous to kindle a number of fires in the vicinity even of their sultry work. Lind attributed the greater health of the ship Edgar, compared with that of her consort, to the location of her cooking apparatus, " between decks." Folchi, a Roman writer, says, "many persons are known to me who have, during many years, preserved themselves from fever, in the worst parts of the country around Rome, by adopting the most rigid cau- tion in retiring within their houses before evening, closing the windows, warming the rooms, and taking care not to go out in the morning until the sun has been some time above the horizon." Old John Kaye speaks of the ex- emption of cooks and smiths from the sweating sickness. (Sudor. Angl.} There is no other poison, save that of the fungi, so far as we know, which is thus disarmed by dryness and heat. In any view of the case, the fact is inexplicable unless we suppose an organic cause, to which the absence of humidity is antagonistic. Immemorially, the sleeping in damp sheets has been thought hazardous to health ; but the keepers of hotels and boarding-houses know that the danger is very slight, unless the sheets have been put away in a damp state, and have acquired a mouldy smell. The constant practice of the hydropathists shows the little hazard of a wet sheet, while daily experience demonstrates the certainty of at least stiffened and painful muscles, and an arrest of the 9* 102 FOMITES. Schneiderian secretions, after spending an hour or two be- tween damp and musty bed-clothes. The Scottish High- landers are said to dip themselves, dress and all, into the sea, when obliged to sleep out of doors, after being drenched by rain. As water is supposed to act unfavour- ably by means of its coldness, we cannot easily explain the known benefit of this substitution, except by a refer- ence to the acknowledged power of salt to prevent the growth of fungi. It may seem rather curiously nice to notice another point connected with this part of our subject; but as you are all students now, and will, I hope, become true scholars hereafter, I will observe, that every one who searches for knowledge among old books and manuscripts, has been occasionally attacked by sternutation, and at least a tem- porary coryza, when he has disturbed the dust which has long slumbered within their leaves. As the dust of a room swept daily, and the pulverulent clouds of a summer road do not so affect him, he seizes his microscope and detects the cause of his sufferings, in the numerous organic spores which have grown into power to torment, among the dampness and darkness of the leafy envelopes.* We can scarcely doubt the events recorded by Lind, Rush, Webster, Hosack, and others, of the partial intro- duction of yellow fever into places always otherwise ex- empted from it, by trunks of unwashed clothes, brought from infected regions. Boerhaave, Cullen, Lind and Rus- sell think fomites, which are soiled and placed in a con- fined depository, are more to be dreaded than the excre- tions of the sick. * My distinguished friend, Professor Hare, finds this experiment among his old papers, even a hazardous one, as it always seriously affects his health. FOM1TES. 103 Hosack asserts, that the virus is, under such circum- stances, augmented in quantity. Hecker, to whose opinions I have already referred, holds that fomites may even aggravate tJte infectious powers of a virus. Doctor Rush mentions one trunk-case, in detail, and says that he heard of two other instances, in all of which only those suffered who opened the packages. According to William Stevens of Santa Cruz, " The poison is made more intense ~by being confined in clothes and bedding." In 1747, the trunk of a young supercargo who died at Barbadoes, was opened in Philadelphia in the presence of Mr. Powell, Mr. Hatton, three Welshmen, a cooper and a boy of Mr. Powell's: all sickened, and died of yellow fever within a few days. "I have seen the cases of some servants in Mr. O.'s family, attacked by yellow fever, upon receiving the cloth- ing of a relative who had died of that disease in the West Indies, at a time, too, when no yellow fever prevailed in New York." (Hosack.) On the same authority, we learn that, after the death by yellow fever of the late Gardiner Baker, whilst on a visit to Boston, where it prevailed epidemically, his clothes were sent home to his wife, then a resident of Long Island. The opening of the trunk was followed by yellow fever, of which Mrs. Baker died. No disease of the kind existed at that time in New York or its vicinity. A recent report to the Legislature of New York on the subject of Quarantine, contains unanswerable facts of this kind, both numerous and well authenticated. Were yel- low fever a contagious disease, these examples of propaga- tion by fomites might be easily explained; but as its non- contagiousness is clearly shown, by even stronger testimony than that above cited in favor of introduction by fomites, 104 YELLOW FEVER. we are left to explain the difficulty, as best we may, con- sistently with a belief in its importation by trunks and clothes, and a thorough conviction of its total want of con- tagious power. There is left but one escape, and that lies in the supposition that fungi, when lodged in the trunks among filth and animal matter, find, in darkness and dampness, the fittest imaginable growing place. That, in scarcely any of these cases, the disease advanced beyond those who inspected or handled the clothes, is only proof of the usual difficulty of sowing successfully tropical seeds in temperate climates, and of the inaptitude of fungi to grow under any but the nicely adjusted conditions upon which many of the tribe rely. Were I disposed to sup- port farther the opinion just defended, I might cite Dr. John Bard of New York, Dr. Lining of Charleston, the late Dr. John C. Otto, Drs. Bond, Cadwallader and Gra- ham of the last century, Dr. Holt of New Orleans, Dr. W. S. W. Ruschenberger, Dr. Joseph Bailey, Dr. Westerveldt, Dr. Vache, and a host of others of the present day for examples of propagation by trunks and clothes. Of a similar character is the question of the importation of yellow fever in ships. From the angrily mooted case of the Hanckey, in 1793, by which the yellow fever was brought from Africa to the island of Grenada, to that of the Eclair Steamer, which, in 1845, carried it from the same coast to Buena Vista, and even to England, there has been a tempestuous dispute about importation and conta- gion. The contagionists point to the Bann at ascension, and even at Bahia, and to the Buck at Bristol, a high and healthy village on the Delaware, and to the Vanda at the usually salubrious town of Roundout, one hundred miles up the North River, as evidence of importation, and, of course, of contagion. They can go even further, and show that there are at least eighty recorded examples of the production of YELLOW FEVER. 105 yellow fever in unusual places by vessels which came from its ordinary habitat. On the other hand, physicians very generally reject the doctrine of its contagiousness, because it is not carried about by infected persons, because its victims, however much crowded together in a hospital which is removed to a short distance from the infected spot, do not produce it in those who visit or nurse them, or sleep with them at night. Persons thus habitually exposed, show their sus- ceptibility, by suffering an attack by visiting, even for a few minutes, only the open streets of the morbific place. This objection is so strong as to throw the contagionists into all kinds of devices to defend their untenable position; such as, conditional contagion, contingent contagion, con- current local causes, tertium quids, between the imported and local agents, all of which, entirely hypothetical, de- pend for existence, even in the minds of their expounders, upon the first assumption, the contagion of yellow fever ;^ an assumption which owes its acceptability solely to the \ fact of importation in ships, and propagation by fomites, together with the hitherto insuperable difficulty of giving to it a different explanation. " There is our position !' say they to their opponents; " destroy it if you can!" The opponents are reduced to the necessity of giving to numerous well attested phenomena a flat denial. The anti-contagionists, on the other hand, point to the dispers- ing invalids of a pestilential city, and ask, why they carry not disease to the country. They exult in the immunity of the hospitals, and, in their turn, inquire with confidence, " Where is your contagion?" They are answered by sub- tleties, and suppositions, and hypotheses. Is not all this very contrary to the true spirit of philosophy ? Would it not be better to admit that yellow fever is often imported 106 YELLOW FEVER. in ships, is now and then carried in trunks, and may pos- sibly be sometimes an accident of the locality ? Might it not be also said, that we know of no contagious disease which presents any analogy to the contingent contagion claimed for yellow fever, and that, therefore, we must, for the present, suppose that it is portable and yet is not con- tagious ? If I have made a good footing for the fungi, as pro- ducers of diseases very like to yellow fever, I may be in- dulged in my hypothesis, which alleges, that a tropical fungus, carried off in dark, damp, animalized holds of ships, or in the offensive clothes of sick or dead seamen, may be introduced into the summer-clime of unaccustomed places, and there, as it came from, may go to, the shore, and be sometimes reproductive. May I not suppose that the germs, when once ashore, may slowly migrate land- wards, and even by chance be carried or wafted to other neighboring spots, where they may grow, and create new foci of disease? that the requirements of an exotic may make such visitations rare, and such dispersions unusual? and that the equatorial plants may be nipped, and even totally destroyed by an unaccustomed frost ? Through this theory of ours, we can easily see why the disease may be imported, why it is imported rarely, and why it makes so slow a progress from the spot to which originally brought. It will, also, explain its non-conta- gious character, and even its occasional but rare visit to a village or hamlet. It may also account for its apparently spontaneous appearance in such places as Charleston, Sa- vannah and New Orleans, in which the winter may not be severe enough to kill the germs, but yet may so affect them as to make their reaction difficult or partial. It is only thus that we can comprehend how a perfectly CHOLERA. 107 healthy crew may bring with them, in the closed hold of their ship, the germs of disease, which, after their dismis- sal, may pestilentially affect the " stevedores" who dis- charge her, or only the laborers ivho disturb her ballast. We can thus, too, explain the usual pause between the first set of cases caught by visitors to, or laborers on board, the ship, and the attack upon the inhabitants of the vicinity. This curious interval, noticed by almost every writer, occupies about ten to fifteen days, whilst the period of incubation, after exposure to a known source of infection, is only about five days. (Vach£.) This interval is only to be explained by the supposition that germs, of some kind, have gained a footing on shore, and have germinated and grown more numerous. It is the crop in the hold which produces the first set of cases* It is the crop on the land which causes the second. It is only through the action of some organic cause, that we can explain the tenacity of the attachment of yellow fever to certain ships, and these, too, among the cleanest and best aired vessels in the British service. The Sybille had three several epidemic attacks between the 23d of June, 1829, and the middla of April, 1830. Two of these occurred while at sea. In the West India service, cer- tain ships have usually an outbreak on going into even a healthy harbor. Perhaps no disease has so much puzzled the etiologist as cholera. Its singular local origin, its yet more singular progress, its apparent inconsistencies, its diffusion from a tropical point over the habitable globe, and especially its invasion, in winter, of the frozen steppes of Tartary and Russia, all tend to confuse the observer of epidemics. At one time, slowly, against the monsoon, it advances on a long geographical line, at the rate of from one to two 108 CHOLERA. miles a day, whilst at another, it flies on the wings of commerce, almost as fast as there are means of convey- ance for men and merchandize. At one time, it ascends or descends along the valley of an innavigable stream, slowly and regularly, as if progressive by its own loco- motion ; at another, it flies with the ship or the loco- motive, across seas and continents. A stranded vessel throws it upon the shore of a lonely sea-island, (Dick- son.) One ship conveys it from Dublin to the St. Law- rence,* another meets it in the midst of the Atlantic ', and carries it to New York,f while a third, from the same source,J deposits it at New Orleans. Steamers scatter it far and wide as they ascend from New Orleans to the various branches of the river above. Contagion might ex- plain the progress, where there are always materials to form a line of march, but contagion cannot account for its solitary advance over untravelled wastes or untenanted seas. Contagion cannot explain its presence in the atmo- sphere of the mid-ocean, nor its manner of assailing a city at once, at its most opposite points. Contagion is at fault as explanatory of the exemption of classes, the almost ex- clusive invasion of low, damp, dirty habitations, and the uniform appearance of a general premonitory state, be- fore the irruption of the cholera itself. The attacks of cholera within a few hours after expo- sure to infection, the introduction into hospitals of large * The Carricks. f The packet ship New York. J The ship S wanton, Captain Duncan, from the healthy port of Havre, was assailed by cholera after being at sea for twenty-eight days, (Lat. 25° N., Long. 57° W.,) and after losing fifteen persons in thirteen days, she arrived in the Mississippi, five days before the epidemic outbreak at New Orleans. The Ship New York, also from Havre, was attacked at sea, sixteen days out, and arrived at Staten Island, two days before the cholera appeared at the New York Quarantine Station. (Whiting.) CHOLERA. 109 numbers of cholera-patients, whilst the old inmates en- joyed complete immunity, as at the Odinka, at St. Peters- burgh, the diseased condition of a single vessel, the Dread- naught, in the Thames, in 1837, the great exemption of physicians and nurses, the attack of the old rather than of the young, or of those at puberty, all militate against the notion of a propagation by contagion. On the other hand, many cases are cited where the cholera came with bodies of men, caravans, and ships, and seemed to be propagated by personal communication. At one time it confined itself to one wing of an army; at an- other, it spread progressively from left to right, along the line of encampment. Sometimes it affected but one out of thirty men in each of a great number of large tents, and sometimes it restricted itself to one or two such tents, which it completely desolated. No wonder that men were puzzled and perplexed, being contagionists at one time and place, and anti-contagionists at another. No wonder that Mojon and Holland should have endeavored to avoid the difficulty by reverting to the exploded doc- trine of Kircher and Linnaeus, the animalcular theory of disease. The animalcular, being an organic theory, would ex- plain well enough, the phenomena of progress, were it not for the apparent absurdity of supposing that animalcules of tropical origin could exist and procreate in a Russian winter. The want of proof that aniinalculae are poison- ous, or that they fulfil the conditions for such a theory, has been already stated. But if we assume for cholera a fungous origin, all dif- ficulties vanish; and, as in the case of yellow fever, an easy explanation may be given of every apparent incon- gruity. We have only to suppose, what is known to hap- 10 110 CHOLERA. pen in other cases, that the fungi, on which cholera is assumed to depend, acquire at times, as do the germs of some contagious diseases, an unusual power of reproduc- tion and diffusion, a greater potency of expansion. Such germs may be carried by men, and goods, and ships, or may make a slower progress by their own unaided ac- tivity, or be scattered by the winds, to regerminate, wherever special conditions are found. Thus can we see why the poison prefers the route of streams, or infests the damp parts of cities; and why classes living in clean apartments in dry districts, suffer so little. "VVe can see why women escape better than men, why both cholera and yellow fever, by the natural tendency of the vegetable cause to the organs of generation, almost al- ways cause miscarriage of pregnant women, and why, when a city or country is unhealthy, the fungiferous causes of death, by over-stimulating the organs of repro- duction, usually make a compensation by the births, for the unusual mortality. Can we not thus explain the appearance of contagion, where there is no contagion, and the absence of contagion while there is an obvious conveyance of the epidemic poi- son from place to place? We are no longer surprised to learn that cholera ad- vanced regularly from the tent nearest to the water, to the others successively, until it reached the end of the lines; nor do we feel astonished that it was, in another case, confined to the tent nearest the tank, or to the flank company, or the brigade on the left or right of the army. We now see why ninety men detached from a large corps, and attacked on the first night of absence, on the borders of a lake, were, without damage to the corps, promiscu- ously mingled again with it, after being brought back, THE PLAGUE. Ill totally disabled, to the original encampment. We can understand now, how, in the Odinka Hospital, whose sa- lubrity was previously proved by the absence of cholera during an epidemic at St. Petersburgh, its eight hundred inmates continued in their usual health, despite the intro- duction from without of five hundred cases of cholera. We can see how a corps, in its march through an irregu- larly infected country, may acquire and lose the cholera several times; how a healthy corps may enter a sickly army, en route, and not suffer from the prevailing malady. The diffusion, the limitation, the leaving the infection be- hind, or the carrying it forward, all admit of an easy ex- planation, if we assume the hypothesis that germs or spores, created exteriorly to the body, are the seminia morbi, and that they are liable to the usual accidents by which seeds are conveyed, or lost, or favored or repressed. It would now weary you, my young friends, were I to carry you over the same twice-trodden ground, in an en- deavor to apply to the phenomena of the origination and propagation of THE PLAGUE, the same explanatory theory. It fits it quite as well, nay, in some respects even more perfectly than it does the etiology of cholera and yellow fever, but, after what has been said, you can yourselves make the application. In pursuit of our task of explanation, I am bound to f ' give a reason for the extraordinary exemption of Brazil^- , New Holland, and the Polynesian Islands, from malarious } diseases. They are volcanic, or organic, or alluvial. They have rank vegetation, and heat and moisture, as demanded by McCulloch, and sulphur-products as called for by Daniel and Gardiner, and a soil in process of drying after being wet, as suggested by Ferguson. They have the exuber- ance of vegeto-organic life of Armstrong and Doughty, 112 EXCEPTIONAL PLACES. and yet they are not infested by malarious diseases. Not a shadow of explanation, do any of these hypotheses offer of this anomaly. But if we assume the fungous theory as a basis of explanation, we may readily believe, nay, certainly might know, that such exceptions are, on the doctrine of chances, to be expected. No plant is everywhere, and such plants as are here alluded to, are especially capri- cious in habits and actions, according to causes which, though yet unstudied, obviously control them. On our theory, the occasional exception should be looked for; on any general chemical, or mechanical, or atmospheric the- ory, it is inexplicable. Under such a view, we are not astonished at finding Brazil healthy and Africa pestilen- tial ; for their obvious, much more their minute vegetation, is so dissimilar as to render a difference in their invisible phytology highly probable. These considerations naturally lead us to inquire why the febrile diseases of various countries differ so much. Why have we no yellow fever in Brazil, or India, or Egypt, and why no plague in Florida or Calcutta ? It is for the reason, that, though of the same great general class, the fungi differ greatly from each other in special properties, and that the protophytes of each country, although many of them are nearly alike, present some of them, almost contrasted properties. The agaricus clypeatus of the west of Europe, poisons in one way, the amanita muscaria of Siberia in another. One irritates, the other intoxicates. So, a certain kind of mucor produces dysentery, another typhoid symptoms, and a third excessive vomiting. The ergot of rye excites formication, fever and sphacelation, the ergot of maize, fever, loss of hair and nails. Is it then, a matter of special wonder, if a fungus with one set of pro- perties, should germinate in India, another in Egypt, and a third in Cuba. QUARANTINES. 113 Nor should we be astonished at finding a surprising fe- cundity at certain times in certain classes of plants, by means of which they not only multiply prodigiously on their customary soil, but readily advance beyond their wonted boundaries. In this way I may explain the ra- vages of the plague in Europe, and of the yellow fever in North America and Spain; and account for the intrusion of cholera upon European ground, and its failure to main- tain its conquests for any prolonged period of time. The plague retreats back to the Nile, Euphrates,* and Dan- ube, its native home, the cholera withdraws to Hindostan, and the yellow fever to the southern coast of America and to the West Indies. It is twenty-six years since yellow fever visited Philadelphia. During that time, there have been many seasons of as great heat and drought as in 1793 and 1798, and, every year, arrive at our wharves, vessels from infected ports; but the germs of disease do not bear transportation always, and our fungiferous tend- encies at home have not invited a visit. Long may it so be in both respects! To speak of quarantine regulations, does not come pro- perly within the scope of my subject, but the importance of the question may perhaps excuse me for the suggestion that, on the principles here "laid down, the detention at quarantine even of the sick, is, for yellow fever and cholera, unnecessary; while the importance of detaining * At Erzcroum, the capital of Armenia, the winters are cold, the ther- mometer rarely rising above 32° F. and descending often as low as 25° or even 20°. In summer the heat has a range of from 66° to 81° 5 — ; yet this place and its adjacent villages, seem to generate the plague. It ap- peared there in 1840, about the middle of August, and in 1841, in the be- ginning of July. 10* 114 DISEASES EN SUITE. and purifying cargoes and soiled baggage, becomes appa- rently more imperative. I alluded, in the last paragraph, to the fungiferous tend- encies at home, by which, may be invited from abroad, an exotic fungus. This idea affords an explanation of a fact universally noticed, but not easily otherwise explained. I mean the growth of various diseases of a common cha- racter, before the irruption of a great pestilence. If these depend upon a fungous origin, their growth will be aug- mented by the augmentation of their cause, until the foreign intruder, urged by a new and inherent impulse, and welcomed by a domestic facilitation, enters upon a career of desolation. The fungiferous exaltation is shown by the early ripening and imperfect maturation of fruits and even roots, whose organs of reproduction are, by invisible ergots, over-stimulated. The decay of roots and fruits, the tainting of meats, and the moulding of other things, are but parts of the unwholesome "crypto- gamisin," which at length, intrudes upon living things; when murrain among cattle, and pestilence among men, complete the history of a calamitous period. Similar principles seem to govern the movements of diseases now generally acknowledged to proceed from germs. The contagious maladies, small-pox, measles, scarlatina and hooping-cough, are almost always present in some part of a great metropolis, or at least in some part of a great country; yet their tendency to propagation is often, for years, so slight as to confine their ravages to a small number of victims. But at times, and sometimes after long intervals of comparative inactivity, these affec- tions suddenly acquire a wondrous expansibility. Their germs are scattered far and wide. The slightest exposure brings on disease, and where but a few individuals suffered, SLUMBER OF OLD EPIDEMICS. 115 thousands are attacked. A careful examination of the meteorological conditions affords no shadow of explana- tion. At all temperatures, in every variety of humidity, beneath every kind of skyey influence, these diseases be- come epidemic. Time seems to have for them some kind of bonds, for they seldom continue epidemic long, and do not usually return as such, for a lapse of years. Ac- cording to Humboldt, small-pox becomes epidemic in South America, about once in from fifteen to twenty years, and that sometimes without a known re-introduction. These outbreaks seem to depend rather on germinal power than extrinsic enforcement, and remind one of the locusts, wrhich, though every year present in small numbers, ap- pear by myriads at periods of from seven to seventeen years. As the larvae of these insects lie deeply buried in the earth, beyond the reach of anything but the mean annual moisture and temperature, which are but slightly varied, we have yet to learn what spell it is, which calls them in countless throngs, into active existence. The plague-spell has not darkened the portals of Chris- tian Europe for more than one hundred years, and the sudor anglicanus has not floated on its fetid mists, since the House of Tudor resigned to the Stuarts the throne of England,. But these genii of a former age are but asleep. Their time is not yet. When they shall again recover their germinal vigor, and pass beyond their wonted limits, or awake from their long repose, they will retain probably, as before, their new activity or more extended dominion, for a series of years. It is true that a happier age, in comfort and cleanliness, and medical knowledge, has arrived to check their progress, and to limit their deadli- ness ; but it is vain to hope that any disease has been en- tirely eradicated, or any germ totally lost. In a few 116 CHOLERA. years the cholera will, according to pestilential usage, re- tire to its old limits, and there perhaps seem to expire, until forgotten and contemned, it will, after a long repose, burst again over the fields of India, and the realms of Europe and America.* * Since this paragraph was written the cholera has returned to Europe and America, unchanged in character, and unmodified in severity. Again, it haunts damp rural places, and offensive urban localities. Again, it se- lects its victims from amongst the poor, who are destitute of the oppor- tunity of defending themselves from the circumambiency of the provoca- tives of infection. Filth, dampness, and innutrition ; fatigue, bad habits, and neglect of premonitions, doom these unfortunates to the superadded evils of pestilence, torture, and death. CONTRASTS. 117 LECTURE VI. EXPLANATORY CHARACTER, OF OUR THEORY — CONTRAST OF THE HEALTH OF SEASONS AND PLACES. — SUDDEN ONSETS IN AFRICA. — THE MAREMMA — VOLCANIC ERUP- TIONS.— SPUR TO VEGETATION. — REVOLUTIONS IN LOCAL HEALTH. — FAIRY RINGS. — NON-RECURRENCE OF SOME DISEASES. — LIEBIG'S THEORY. — EPIDEMIC MOST FATAL AT ITS ONSET. — DRY SANDY PLAINS SICKLY. — RECAPITU- LATION. INDEPENDENTLY of any observable cause, the crops of various kinds differ in a remarkable manner in different seasons. Most of you must have seen the wonderful pro- duction of the fruits of all kinds in certain autumns. A year or two since, the trees actually bent down and broke under the immense load of apples, which were left to rot in the fields in many places, for want of the means of se- curing them. No cause for this exuberance was observ- able. Farmers sometimes have good crops even in oppo- sition to the inclemency of the season, and as often, under the most auspicious meteorology, are chagrined at the un- accountable shriveling, or paucity of their grain. So is it with the fungi, which, in opposition to hostile meteoration, spring up in unusual places, or abound prodigiously in cus- tomary positions. Thus in 1798, a year of protracted heat and drought, Condie and Folwell reported, as remarkable, the abundant production of various classes of mushrooms. 118 CONTRASTS OF CLIMATE. So, were there unaccountable moulds and mildews, in the driest periods of the pestilential years, in New York, Phi- ladelphia, and Natchez. Sometimes but one kind of germ is stimulated, as in the case of the apples already cited, sometimes many are excited, as in some years of great and general "pomonal" luxuriancy. So is it with the fungi, as manifested by the extension of only one disease, or the co-existence of many. Of all plants, the cryptogami are the most capricious, or most susceptible of modification by unseen causes. Hence the quality of the season is scarcely ever an index to the morbid condition of any particular year, although heat, moisture and a redundant vegetation are general precursors of malarious action. We can, on our hypothesis, easily explain the arrival of the annual morbid orgasm, after the rains of one coun- try, and in the rains of another. Whether hot or cool, wet or dry, the sickly season is the harvest time of the fungi, which lie tied by time and not by circumstance, until their customary period of activity has arrived; when more or less stimulated by moisture, and food, and elec- tricity, they show a feeble or a strong fecundity. On our supposition alone, can we account for the sudden effect, in Africa, of the first rains. The dry season bakes the earth to a crust. The lesser vegetation is dried up under the scorching glare of a tropical sun, and nature seems almost at a stand. That is there, the season of health. But the rains commence, and almost in a moment, arises a morbid influence inexplicable by reference either to heat or moisture, or any ordinary decomposition. " The rain had scarcely commenced," says Mungo Park, "before many of the soldiers were affected with vomiting. Others fell asleep, and seemed as if intoxicated. I felt a strong inclination to sleep during the storm, and as soon as it CONTRASTS OF CLIMATE. 119 was over, I fell asleep on the wet ground, although I used every exertion to keep myself awake. Twelve of the sol- diers were ill next day." Only some of the fungi, whose rapidity of growth is wonderful, and whose power of caus- ing vomiting, drowsiness and intoxication is acknow- ledged, can be plausibly brought to explain the phenomena described by Park. The very sudden production of ex- cessive mould on everything, so as to rot to its centre in forty-eight hours, a piece of cloth or leather, evinced the fungiferous force of the African rainy season. Moisture and heat alone could not produce such effects, for in Brazil no such phenomena are observed or recorded, although the rains are as heavy and the temperature even a little higher. Contrasted with Africa, is a spot almost as unhealthy as " The- Coast." While the latter is low, wet, marshy and filled with the rankest vegetation, the Maremma of Tus- cany and the Roman States is high, dry, free from per- ceptible moisture, and used chiefly as pasture-grounds, which are in no respect unusually fertile or productive. Yet the Maremma, throughout its extended domain of nearly one hundred miles in length, is scourged by the most intense forms of malarious fevers. The campagna di Roma, so celebrated for its pernicious fevers, is included in the Maremma. This apparent deviation from the healthfullness, which should pertain to a country so dry, and so free from marshes and streams, has always presented to the miasmatists an es- pecial stumbling block ; and a clever writer seems to think that a general malarious theory cannot be accredited by the profession, which will not explain satisfactorily the cause of the unexpected insalubrity of the Maremma. The surface of the Maremma is formed throughout of 120 THE MAREMMA. volcanic tufa, which, when sufficiently softened, forms a pasturage, on which feed large herds of cattle. It con- tains the finest pastures of Italy, -on the soil of which are commingled the ordure of cattle and the disintegrated tufa. The former is known to be a favorite growing ground of the fungi, and the latter, I shall now proceed to show, is even better calculated for the same offices. According to M. Roques, the fine mushroom, polyporus tuberaster, of the Italians, grows in the environs of Naples, upon a species of volcanic tufa, very porous and of an ar- gillo-calcareous nature. In the pores of this stone, is de- posited the matrix of the plant, from which, when moist- ened and shaded, grow up vast mushrooms, four or five inches high, and eight or ten inches broad. These stones are sent to France and England, where they are used as in Italy, for the production of mushrooms. The English Philosopher, Boyle, first described this stone, under the title of Lapis Lyncurias ; "which," to use his own lan- guage, "rubbed, moistened, and warmed, will, in a very short time, produce mushrooms fit to be eaten." Old John Hill, who wrote, a century ago, a volume on Materia Me- dica, published a book entitled "Lapis Fungifer," in which he describes a stone of this kind, in the possession of Lady Stafford. It was a hard, heavy mass, of an irregular shape, and granulated texture, like shagreen leather. This formed the nidus for the perennial root of a fungus superior to common mushrooms. One of these fungi weighed, accord- ing to Hill, two pounds two ounces, and measured six and a-half inches on the head. The Doctor presumes that the Lapis Violaceus of the Germans is of a similar nature. The Neapolitans bring the tufa used in their horticul- tural processes, from Calabria, where are found the sam- ples of that volcanic earth, of the finest quality. It is THE MAREMMA. 121 placed for cryptogamous purposes, in shaded excavations, or in natural caves, or in cellars, where, by its means, are produced vast quantities of the best mushrooms. In the Maremma, where the volcanic tufa is the basis of the soil, the surface is intermixed with the animal re- mains of departed empires, and the ordure of cattle, is covered with grasses of old pasturages, and is wet with heavy dews. Everything, therefore, conspires there to a fungiferous end. The tufa is fungiferous, the manure is fungiferous, old pastures are always fungiferous, and the dews of the Maremma not only make night fungi- ferously hideous ; but, by their chilly humectation, act as excitants of the train of nervous symptoms, and, as does driving the cattle in the milk-sickness, they bring on an attack, which, but for this element of the suite, might have been escaped. Instead, therefore, of being surprised at the ascendancy of malarious diseases in the Maremma, we should feel at a loss for a mode of explaining any want there, of a miasmatic predominancy. The fungiferous productiveness of the volcanic soil of Italy, is shown by reference to the report of Professor Sanguinetti, Official Inspector of the Fungi at Rome. Not having access to the original, I quote from Dr. Bad- ham's beautiful work on "The Esculent Funguses of Eng- land." "For forty days in autumn, and for about half that period every \ spring, large quantities of funguses, picked in the immediate vicinity of Rome, from Frascati, Rocca di Papa, and Albano, are brought in at the differ- ent gates. " The return of taxed mushrooms in the city of Rome, gives a yearly average of between 60 and 80,000 pounds weight, and if we double this amount, as we may safely do, in order to include the smaller untaxed parcels, the 11 122 VOLCANIC EPIDEMICS. commercial value is upwards of 2000?. sterling. (10,000 dollars.) But the fresh funguses form only a small part of the whole consumption, to which must be added the dried, the pickled, and the preserved." Thus about 140,000 pounds of mushrooms are sold in Rome, a weight equal to that of 175 oxen. A reference to the fungiferous power of the tufas ena- bles us to explain a hitherto most puzzling fact, as recorded by many authors, and as specifically treated by writers on epidemics. It is remarked by Webster, and Hecker, as well as by other writers, that volcanic eruptions and earthquakes, when productive of disease, do not cause it immediately, nor even in the current year, but usually in that which follows it. If mephitic vapors or gases were the cause of the epidemics in such cases, immediate con- sequences should ensue ; but if the volcanic ashes, or the sulphur and calcareous products, excite the disease by evoking excessively the common cryptogamic growths, or exciting into action, the long slumbering spores of new or unusual protophytes, we ought to find their record in the morbid history of the succeeding year or years. So we learn that the year 79 of our era, was marked ly no un- usual mortality, although Vesuvius darkened, by its ejected ashes, the sun itself, and scattered its products through the atmosphere even to Syria and Africa. Herculaneum and Pompeii were so deeply buried as to be lost for nearly 1700 years, and the soil of Italy, from the Alps to Sicily, was dusted with the furnace-formed products of the vol- cano. But in the following year, when the now acknow- ledged fungiferous properties of the tufous ashes could exert on the soil their stimulating influence, disease deso- lated Italy, and a plague raged with resistless power. That fatal epidemic destroyed daily, for a prolonged sea- son, 10,000 inhabitants of Rome. (Webster.) CAPRICE OF MALARIA. 123 One other difficulty remains to be removed, and I shall then, gentlemen, leave this subject for your future con- sideration, and, if worthy of it, your future investigation. Writers on malaria not unfrequently complain of the un- accountable irregularity of miasmatic action. Attributing, as they usually do, the diseases of the autumn to vegetable or other decomposition, they are disturbed by finding not the slightest relation between the supposed cause and the alleged effect. Heat, moisture, and vegetation being the concurrent elements of their theory, some proportion should be observed between the amount of these, and the intensity or diffusiveness of malaria. But, alas for the speculation, disease sometimes most abounds in seasons remarkable for the negation of the alleged causes. Cool years are healthy, cool years are sickly. Dry years are salubrious, dry years are lethal.* Wet years present the extremes of health and sickness, and years of a mixed character have been in the plus and minus of the scale of salubrity. Only one element seems to make any ap- proach to a constant relation to the state of health, and that is, a tendency to excess of vegetable life. In the autumn of fertile years, there is often the greatest mor- tality. Can this arise from the decomposition of the vegetation of that year, which has just been completed? Does the vegetation submit, in the open air, to so rapid a change as that which is to be admitted, to rationally entertain the malarious theory, as usually received ? I think not, and farther, the occurrence of severe malarious diseases in barren places, on rocky heights, and sandy plains, shows that we may more rationally attribute the diseases of * "For atNewtown, Long Island, and in most parts of this island, these diseases have existed in seasons of the greatest drought." (Hosack.) 124 FUNGI POISON — THE SOIL. fertile seasons, rather to the spur given to the general vegetation, which is also communicated to the crypto- gamia, than to a decomposition, which remains without proof, and which, when obviously most active, fails to ex- cite disease. As the fungi grow at the end of the phenogamous sea- son, their production depends on causes which may or may not have been felt by the common vegetation. Hence, disease seems in this aspect, of inscrutable origination, unless we look exclusively to the causes which may excite vegetation throughout a season, or only in the spring and summer, or only in the autumn. There is a kind of corollary to the last proposition. Places of malarious character often become, at least for a time, quite salubrious, and places which have, for a long course of time, been healthy, unexpectedly and without apparent alterations, acquire morbid conditions. The streams run at their mean height, the pools are filled to their common capacity, the vegetation seems to follow its wonted course; but the health varies according to unseen influences, for all visible and measureable events move in a customary round. These diversities of salubrity are unexplained by the geology, the agriculture, the climate and the meteorology, which, remaining the same, or mov- ing in defined and customary cycles of obvious similitude, leave no evidence of having any effect on the morbid irre- gularities. It would seem as if the unknown cause were migratory, or had long fits of irregular repose. Now, we know of nothing which possesses an acknowledged power of creating febrile diseases, by which such irregularity can be explained, save by reference to the habits of the fungi. The cryptogami have, in a high degree, the curious pro- perty of destroying their own reproductive powers, or of poi- soning against themselves the soil in which they grow. The FAIRY RINGS. 125 lapis fung if er or volcanic tufa, if actively employed, loses, in about three or four years, its power of production, which is only reacquired by a repose of several seasons. To this peculiarity is now ascribed the production of what are, in Europe, called Fairy Rings. These curious de- nuded circles, amidst the vivid green of an English com- mon, were once attributed to the tiny feet of fairies, who were supposed to make the spots, so marked, their place of revelry. Subsequently they were thought to be the effect of electrical action. Now they are known to be produced by the eccentric growth of various kinds of fungi, and might, therefore, be properly termed the vegetable ring- worms of the fields; or rather the ring-plants of the com- mons. Commencing, as do the ringworms, at a spot, these fungi move progressively outwards, leaving a bare unve- getating space behind them, upon which neither fungi nor grass will grow for a time. Finally, the grass returns, and filling up the centre, follows the protophytes, so as to produce a broad circular belt of scorched earth, which grows more and more in diameter. The fungi, evolved only on the outer edge of the belt, do not again attack the centre, in which the soil appears to have lost its power of sustaining them. Most persons attribute this fact to the probable exhaus- tion from the soil of some special element necessary to the growth of these fungi. That this view is erroneous, may be inferred from the observed decay of the fungi on the spot where they grow, by which the elements of their com- position are restored to the soil at once.* Besides, if such elements were removed and not thus restored, it is not easy * The ploughing in of crops of clover is one of the best expedients for the enrichment of the soil. Land is impoverished only by removing its products. 11* 126 FAIRY RINGS. to see, how that soil could ever regain them by repose. But if we suppose the deposit of poisonous exuvise in the soil, by these plants, we can understand how time, reac- tions, and soaking rains, may remove them, and again permit a reproduction, where, for a time, it is prevented. A curious exemplification of the poisoning of the soil against their own growth is afforded by the fungi which have so lately preyed on the potato-crop. In Ireland the potatoes grow much better in the subsequent year, when the diseased potatoes ,have been left to rot in the soil, than when they are carefully removed. We have other analogies for this idea. Macaire, who has given much scientific attention to the effect of plants upon soils, observes, that certain vegetables enrich the earth by their exuviae, as, for example, the leguminous vegetables excrete much mucilage, and thus fertilize it for the graminese, but that the papaveraceae injure the soil by the deposit of opiate-like substances, and thus prevent or render growths imperfect. So is it with the peach and bitter-almond trees, which, as well as other plants, that produce prussic acid and the poisonous hydrocyanates, render the soil in which they grow incapable of succes- sive crops of the same kind of trees. A nursery in which young peach trees have been planted, and from which they have been soon removed, will not sustain the same kind of stock for eight or ten years afterwards.* Nature thus se- cures a variety, by a succession of dissimilar vegetations. I might multiply examples; but these are enough for our present purpose. In this way are the fairy rings formed, and in this way are the grasses protected from the end- * Manuring the soil from which a peach tree has been removed, does not mend the matter j removal of the soil, or long repose, will alone suffice. NON-RECURRENCE OF DISEASES. 127 less destructive ravages of their enemies, as is the human body from the recurrence of violent diseases. This view may explain the gradual extinction, or unex- pected reappearance of trees, shrubs and flowers. The Prim, a New England hedge-bush, began to fail, according to Webster, in 1775, and finally perished. In 1664, com- menced the mildew in wheat, in New England, which long rendered it impossible to cultivate that grain on the Atlantic coast of three Eastern States. So have the Morillo cherry tree, the Buttonwood tree, the Linden, and some others, begun to decay, some in one way, some in another. The peach tree is unhappily dying off in New Jersey, so that, perhaps, in a few years, we may have to look exclusively to the South for that delicious fruit. Of all the known vegetable productions, the fungi ap- pear to have the greatest variety of abating and destroy- ing conditions. They poison their own soil, they depend for luxuriancy on nice contingencies, they are the food of many insects, who eat them up spores and stems, whilst they prey voraciously on one another, fungus being super- imposed on fungus, in an almost indefinite series. Thus, then, may we not improbably account for the occasional disappearance and reproduction of malarious diseases in malarious situations. The obstruction to their own reproduction on the part of fungous vegetables may be, I speak it with great hesita- tion, the cause of the non-recurrence of certain violent diseases, such as yellow fever; while it may analogically explain the non-recurrence of diseases produced by con- tagious germs, such as small-pox, measles, &c. May I be pardoned here for a short digression? Liebig has attempted to elucidate this difficult point by a chemi- cal explanation. He avers that each contagious disease 128 NON-RECURRENCE OF DISEASES. is produced by the action of a species of ferment peculiar to it, upon as peculiar a matter contained in the solids or the fluids of the body; by which means said matter is consumed, and thus, is a reproduction of the disease pre- vented by the want of the material upon which the morbid action may be founded. This famous theory of the cause of the production and non-recurrence of certain conta- gious diseases, has great plausibility and a charming sim- plicity. It is, also, supported by analogies deduced from the fermentation of gluten, in the production of bread, and that of saccharine matter in the generation of alco- hol. The fermentable substances having been consumed, the process ceases, and, without the super-addition of new materials, cannot be renewed. The objections to the theory of Liebig are both numer- ous and, I think, unanswerable. The existence of the fermentable matters, as well as of the ferment, is purely hypothetical, no proof being offered of the detection of either. It must, also, be observed, that there is, on this hypothesis, a peculiar substance to be acted on, for each of many diseases. Thus there must be one for variola, one for rubeola, one for ^varicella, one for scarlatina, one for pertussis, one for yellow fever, and one for every other non-recurrent disorder. Each of these substances must reside in the system without necessity, and apparently without cause. No influence seems to be exerted by them on the health or structure before disease comes, and their elimination leaves the system unaffected subsequently. But there is presented to my mind a still more important objection, wrhich may be thus stated. For example, every one knows that persons who take small-pox in the natural way, have, usually, severe attacks, a multitude of pustules, and, according to the theory, a very extensive fermentation, and a reproduction of a large NON-RECURRENCE OF DISEASES. 129 quantity of the products of the fermentation. Of course, there has been consumed a great mass of the peculiar fer- mentable substance, on the pre-existence of which, the susceptibility to small-pox was founded. In inoculated cases, as a general rule, the disease is milder, the pustules are much less numerous, and the peculiar matter is con- sumed in much smaller quantity, while the products are consequently less. A vaccination produces, usually, only one small vesicle. Its fermenting power consumes, there- fore, but a minute amount of matter, and produces but little virus. Yet, commonly, by each of these processes, the peculiar fermentable material is totally consumed, and the person is commonly protected from a subsequent at- tack of small-pox. This objection to the theory of a ferment, seems un- answerable. But it may be strengthened by adverting to the fact, that by making many insertions of vaccine virus in different parts of the body, we may act on a great deal of the fermentable matter, or, by making but one or a few, we may consume but little. Yet, in either case, no one pretends to say that the degree of protection, or the liability to a re-vaccination is altered. These objections, while they unsettle the hypothetical basis of Liebig's ex- planation, totally destroy its theoretical conclusions. A peculiar matter is assumed as existing, is supposed to be consumed, and not to be usually reproducible. This mat- ter, however, may be equally well consumed by a small or great fermentation, its own quantity seeming to have no relation to the extent or activity of the process, which is governed solely by the mode of using the ferment. How will the analogy, upon which the whole theory rests, sus- tain the argument of the great chemist? There is a cer- tain quantity of gluten to be consumed in pannification, 130 NON-RECURRENCE OF DISEASES. the action upon it of a ferment, by which the whole is changed, must be ever the same in amount, although it may not require exactly the same time. If 'the process be less active, it must be proportionally prolonged; if it be more energetic, it will be completed in a shorter time. But the more violent action of a variola is not sooner at an end than the gentler process of a vaccinia, both re- quiring for their completeness about the same period of time. Taking it now for granted, that the chemical theory will not satisfy the physiologist or pathologist, I will pro- ceed to make an argument for the non-recurrence, as pro- ducible by the leaving in the system the exuviae of germs. A reference to former parts of these lectures show, that many plants, and especially protophytes, poison, against themselves, the soil in which they grow; and that thus we may, not unsatisfactorily, explain the apparent capricious- ness, as to health, of both places and seasons. Supposing that the cell-germs, animal as well as vegetable, possess a like power when they grow in the animal frame, we can plausibly account for several things not otherwise explica- ble at all. Thus we may presume that some of these exuviee having no emunctory capable of their elimina- tion, remain always where the diseased processes left them ; and thus stand as an obstacle to the future action of simi- lar germs.* We can thus, and thus only, say why certain contagious diseases cannot recur, and why certain diseases which are not contagious, as yellow fever, for example, possess a like disability. Their germs having once re- acted in the body leave behind a poison, or, at least, an * Syphilitic poison lurks unexpressed in the system for years, or through life, exemplifying itself only in the offspring. So gout leaps over a genera- tion, in which, however, its cause must be ever present, though latent. FIRST CASES OF EPIDEMICS. 131 impediment, by which their future reaction is there pre- vented. But certain contagious, and even non-contagious diseases, obviously dependent on germs, have the power of recur- rence for many times. Yet even these are subject, at least temporarily, to the same law; for, otherwise, none of these diseases could have a termination. The impedi- mental matter being either emulged or decomposed, after a period, shorter or longer, according to each disease, leaves the system open to a reinfection ; and thus syphilis, favus, and aphthee may, for many successive times, disturb the health of the same individual. Returning to the immediate object of the present lec- ture, I proceed to explain why it is that the first cases of an epidemic are usually so much more fatal than those which follow them. This is especially true of the diseases of a miasmatic character and non-contagious maladies, such as yellow fever and cholera. Toxication, when of vegetable origin, is made less potent by habit. Thus, in process of time the habitual drinker or opium eater, tole- rates enormous doses of alcohol or opium. Nay, even when made as obviously drunk even to insensibility, the old toper is in less immediate danger than the beginner. His organism recovers better, and while the novice dies poi- soned or apoplectic, the snoring habitual drunkard reco- vers from his coma and cerebral congestion. Thus is it with those who are toxicated by an atmospherically con- veyed fungous poison. At first it proves eminently fatal; subsequently, although its symptomatic expression may be as strong, its danger steadily decreases, until at length almost every case recovers. For this reason, medical men, at the commencement of a violent epidemic, are driven too often from a treatment 132 FUNGI OF SANDY PLAINS. founded on proper principles, into a loose and dangerous empiricism. For the same reason, are they disposed, at a later period of the attack, to rely upon means of cure ob- viously inert, or improper, because, the lessened mortality smiles an approval. Let any one found his treatment from the first, upon a proper knowledge of the pathology, and a decent regard to prominent symptoms, and he will succeed in the end, not only much better, but also much more satisfactorily to himself, than those who lower them- selves to the level of mere empirics. The deaths are at first owing, not to the greater potency of the cause, but to the keener susceptibility of the recipient of disease. While it increases the severity of the cases, this suscepti- bility is not greater for our remedies, and therefore we must necessarily have, at the outset, less success. The malarious diseases commonly found in the rich alluvial courses of rivers, or shores of lakes, sometimes abound on sandy plains. Several writers describe the sickly plains of Brabant as superficially dry and almost bare of vegetation, and Dr. Ferguson informs us of the desolate aspect of Rosen thai and Oosterhout, in South Holland, where a level sandy plain bore nothing save some stunted heath-plants. Beneath the surface, was found at no great depth clear potable water. The plain on the side of the river opposite to Lisbon, dreaded for its pestilential character, is also dry and sandy. Here no -ordinary vegetation, no decomposition, can explain to us the cause of this malign power. But there is a teeming vegetation beneath, and almost at, the surface of such places, to which alone can we attribute their diseases. Truffles, a species of mushrooms, grow prodigiously in such places. They delight in sandy plains, and their microscopic congeners are also there in abundance. Such RECAPITULATION. 133 plains, in our own southern country, emit a fungous or mouldy odor,* soon after night; which fact has not a little puzzled curious observers. May not the healthful power of the plough be mainly attributed to its destruction of fungous growths of this, and of other kinds. Almost every writer on malaria, speaks of the beneficial influence upon health, of a constant culti- vation. Now, we know, that when a country is covered with woods, it is usually salubrious, and that when cleared, and put under imperfect tillage, it becomes more sickly; but that a regular system of husbandry by the plough, restores to it all its former healthfulness ; while the placing it for some time in pasturage, causes it to again retrograde to a certain degree. The plough is the especial enemy of the fungi, which, either beneath the surface, as truffles, or upon it, as mushrooms, are obviously lessened or extirpated by the constant disturbance of an active tillage. Nothing else known to be capable of affecting the health of the in- habitants, is materially altered by agricultural processes. I have now, gentlemen, brought to a close the pro- longed examination of the cause of miasmatic fevers, and non-contagious epidemics. Let me recapitulate, in a very cursory way, the most important elements of our argu- ment. I began, by showing that all the usually received opin- ions on this subject, are liable t@ insuperable objections, except that which refers to the causation by organic life, and especially by animalcules, as held by Coluniella, Kircher, Linnaeus, Mojon, and Henry Holland. * This is, probably, the cause of the musky odor noticed by Humboldt, when the soil of sonae tropical regions is disturbed. 12 184 HECAPIT U LATION. While I was impressed, for the reasons so ably stated by Holland, with the greater probability of the organic theory, I prefer, for reasons stated by myself, the fun- gous, to the animalcular hypothesis. My preference is founded on the vast number, extra- ordinary variety, minuteness, diffusion and climatic pecu- liarities of the fungi. The spores of these plants are not only numerous, minute, and indefinitely diffused, but they are so like to animal cells, as to have the power of penetrating into, and germinating upon, the most interior tissues of the human body. Introduced into the body through the stomach, or by tha skin or lungs, eryptogamous poisons were shown to produee diseases of a febrile character, intermittent, re- mittent and continued; which were most successfully treated by wine and bark. Many cutaneous diseases, such as favm and mentagra, are proved to be dependent upon cryptogamous vegeta- tions; and even the disease of the mucous membrane, termed aphthae, arises from the presence of minute fungi. As microscopic investigations become more minute, we discover protophytes in diseases, where,, until our own time, their existence was not even suspected, as in the dis- charges of some kinds of dysentery, and in the mrcina of pyrosis. We are therefore entitled to believe that dis- covery will ber on this subject, progressive^ The detection ©f the origin of the nrascardine of the silk worm7 and a great many analogous diseases of in- sects, fishes and reptiles, and the demonstration of the cryptogamism of these maladies, their contagious character in one species of animate, their transfer to many other species, nay even to vegetables themselves, all concur to RECAPITULATION. render less improbable, the agency of fungi in the causa- tion of diseases of a febrile character. A curious citation was subsequently made, of the f ungi- ferous condition during epidemics and epizootics. These moulds, red, white, yellow, gray, or even black, stained garments, utensils and pavements, made the fogs fetid, and caused disagreeable odors and spots, even in the re- cesses of closets and the interior of trunks and desks. These moulds existed, even when the hygrometric state did not give to the air any unusual moisture for their sus- tentation and propagation. Their germs seemed to have, as have epidemics, an inherent power of extension. The singular prevalence of malarious diseases in the autumn, is best explained by supposing them to be pro- duced by the fungi, which grow most commonly at the same season. The season of greatest photophytic activity, is, in every country, the period of the greatest malarious disturbance. The sickly season is, in the rains in Africa, in the very dry season in Majorca and Sardinia, in the rainy, season of the insular West Indies, and in the dry season of Demerara and Surinam, Even when the vege- tation is peculiarly controlled, as in Egypt by the Nile, and the cryptogami are thus thrown into the season of winter and spring, that season becomes, contrary to rule, the pestilential part of the year. Marshes are a safe residence by day, whilst they are often highly dangerous by night. In the most deadly localities of our southern country, and of Africa, the sportsman may tread the mazes of a swamp safely by day, although at every step, he extricates vast quantities of the gases, which lie entangled in mud and vegetable mould. This point, so readily explained by reference to the ac- knowledged nocturnal growth and power of the fungi, is a complete stumbling-block to the miasmatists. 1 36 RECAPITULATION. The cryptogamous theory well explains the obstruction to the progress of malaria offered by a road, a wall, a screen of trees, a veil or a gauze curtain. It also accounts for the nice localization of an ague, or yellow fever, or cholera, and the want of power in steady winds to convey malarious diseases into the heart of a city, from the adjacent country. It explains also well, the security afforded by artificially drying the air of malarious places, the exemption of cooks and smiths from the sweating sickness, the cause of the danger from mouldy sheets, and of the sternutation from old books and papers. On no other theory can we so well account, if account at all, for the phenomena of milzbrand and milk-sickness, the introduction of yellow fever into northern ports, and the wonderful irregularities of the progress of cholera. The cryptogamous theory will well explain the pecu- liar domestication of different diseases in different re- gions, which have a similar climate; the plague of Egypt, the yellow fever of the Antilles, and the cholera of India. It accounts, too, for their occasional expansion into unac- customed places, and their retreat back to their original haunts. Our hypothesis will also enable us to tell, why malarious sickness is disproportionate to the character of the seasons ; why it infests some tropical countries and spares others ; why the dry Maremma abounds with fevers, while the wet shores of Brazil and Australia actually luxuriate in health- fulness. The prolonged incubative period, the frequent relapses of intermittents, and the latency of the malari- ous poisons for months, can only be well explained by adopting the theory of a fungous causation. Finally, it explains the cause of the non-recurrence of RECAPITULATION. 137 very potent maladies, better than the chemical theory of Liebig ; and shows why the earliest cases of an epidemic are commonly the most fatal. When I entered upon the task of elucidating for you this very difficult subject, gentlemen, I did not dream of its extent and importance, nor did I suppose that it would have imposed upon me so much research, or inflicted upon you so many lectures. I have, therefore, not attempted to account by this the- ory, for the periodicity of malarious diseases, rather for want of time than want of power, and from a desire not to tax too severely your patience. The task is now completed. Yet, after all my labor and your polite attention, the theory presented to you, may not be finally demonstrated. But it is the most consistent with the phenomena known at present, and is much better sustained by established facts than any other hypothesis yet presented to the world. It has, therefore, the requisites of a philosophical theory, which, in other and more exact sciences, would be accepted, not to be held as absolutely true, but as, in the present state of our knowledge, the most plausible and convenient explanation of the pheno- mena. It has another value. It will revive the inquiry into the causes of fever, by giving to it a new direction, by oflering new points of view, new motives for study and new lights from analogy. If, too, its confirmation or re- futation should give to future inquirers after truth, half the pleasure which I have derived from excursions into this new field of mingled reason and fancy, these Lectures will not have been vainly elaborated. -. THE END. LEA AND BLANCHARD'S PUBLICATIONS. MEDICAL BOOKS. TO THE MEDICAL PROFESSION. THE following list embraces works on Medical and other Sciences issued by the subscribers. They are to be met with at all the principal bookstores throughout the Union, and will be found as low in price as is consistent with the correctness of their printing, beauty of execution, illustration, and durability of binding. No prices are here mentioned, there being no fixed standard, as it is evident that books cannot be retailed at the same rate in New Orleans or Chicago as in Philadelphia. Any information, however, relative to size, cost, &c., can be had on application, free of postage, to the subscribers, or to any of the medical booksellers throughout the country. LEA & BLANCHARD, Philadelphia. DICTIONARIES, JOURNALS, &c, AMERICAN JOURNAL OF THE ME- DICAL SCIENCES, quarterly, at $5 a year. AN ANALYTICAL COMPEND of the various branches of Practical Medicine, Surerery, Anatomy, Midwifery, Diseases of Women and Children, Materia Medica and Therapeutics, Physiology, Chemis- try and Pharmacy, by John Neill, M. D., and F. Gurney Smith, M. D., with nu- merous illustrations (nearly ready). CYCLOPEDIA OF PRACTICAL MEDI- CINE, by Forbes, Tweedie, &c., edited by Dunglison, in 4 super royal volumes, 3154 double columned pages, strongly bound. DUNGLTSON'S MEDICAL DICTION- ARY, Gth ed., 1 vol. imp. 8vo., 804 large pages, double columns. HOBLYN'S DICTIONARY OF MEDI- CAL TERMS, by Hays, 1 vol. large 12mo., 40-2 pages, double columns. MEDICAL NEWS AND LIBRARY, monthly, at $1 a year. ANATOMY, ANATOMICAL ATLAS, by Smith and Homer, large imp. 8vo., 650 figures. HORNER'S SPECIAL ANATOMY AND HISTOLOGY, 7th edition, 2 vols. 8vo., many cuts, 1130 pages. HORNER'S UNITED STATES' DIS- SECTOR, 1 vol. large royal 12mo.,many cuts, 444 pages. aUAIN'S ELEMENTS OF ANATOMY, by Sharpey, many cuts (preparing). WILSON'S HUMAN ANATOMY, by Goddard, 3d edition, 1 vol. 8vo., 235 wood- cuts, 620 pages. WILSON'S DISSECTOR, or Practical and Surgical Anatomy, with cuts, 1 vol. 12mo., 444 pages. PHYSIOLOGY, CARPENTER'S PRINCIPLES OF HU- MAN PHYSIOLOGY, edited byClymer, 1 vol. 8vo., over 300 illustrations, 3d edition, with many additions. CARPENTER'S ELEMENTS, OR MAN- UAL OF PHYSIOLOGY, 1 vol. 8vo., 56G pages, many cuts. CARPENTER'S COMPARATIVE ANA- TOMY AND PHYSIOLOGY, revised by the author, with beautiful engravings (preparing). CONNECTION BETWEEN PHYSI- OLOGY AND INTELLECTUAL SCIENCE, 1 vol. 18mo., paper, 2J cts. LEA AND BLAN CHARD'S PUBLICATIONS. MEDICAL BOOKS. CYCLOPEDIA OF ANATOMY AND PHYSIOLOGY, based on the large work of Todd, in two vois. large 8vo., numer- ous cuts (preparing). DUNGLISON'S HUMAN PHYSIOLOGY, 6th edition, 2 vols. 8vo., 1350 pages, and 370 wood- cuts. HARRISON ON THE NERVES, 1 vol. 8vo., 292 pages. MULLER'S PHYSIOLOGY, by Bell, 1 vol. 8vo., 886 pages. ROGET'S OUTLINES OF PHYSIC OLOGY, 8vo., 516 pages. SOLLY ON THE HUMAN BRAIN, ITS STRUCTURE, PHYSIOLOGY, AND DISEASES (preparing). TODD AND BOWMAN'S PHYSIOLO- GICAL ANATOMY AND PHYSI- OLOGY OF MAN, with numerous wood- cuts (publishing in the Medical News), to be complete in one volume. PATHOLOGY. ABERCROMBIE ON THE STOMACH, new edition, 1 vol. 8vo., 320 pages. ABERCROMBIE ON THE BRAIN, new . edition, 1 vol. 8vo., 324 pages. ALISON'S OUTLINES OF PATHO- LOGY, &c., 1 vol. 8vo., 420 pages. ANDRAL ON THE BLOOD, translated by Meigs and Stille, 1 vol. small 8vo., 120 pages. BERZELIUS ON THE KIDNEYS AND URINE, 8vo., 180 pages, BENNET ON THE UTERUS, 1 vol. 12mo., 146 pages. BUDD ON THE LIVER, 1 vol. 8vo., 392 pages, plates and wood-cuts. BILLING'S PRINCIPLES, 1 vol. 8vo., 304 pages. BIRD ON URINARY DEPOSITS, 8vo., 228 pages, cuts. BASSE'S PATHOLOGICAL ANATO- MY, 8vo., 379 pages. HOPE ON THE HEART, by Pennock, a new edition, with plates, 1 vol. 8vo., 572 pages. HUGHES ON THE LUNGS AND HEART, 1 vol. 12mo., 270 pages, with a plate. PHILIP ON PROTRACTED INDIGES- TION, 8vo. 240 pages. PHILIP** ,N SCROFULA, 1 vol. 8vo., 350 r /s, plates. PROTj f ON THE STOMACH AND RE- NAL DISEASES, 1 vol. 8vo., 466 pages, coloured plates. RICORD ON VENEREAL, new edition, 1 vol. 8vo., 256 pages. VOGEL'S PATHOLOGICAL ANATOMY OF THE HUMAN BODY, 1 vol. 8vo., 536 pases, coloured plates. WALSHE ON THE LUNGS, 1 vol. 12mo., 310 pages. WILSON ON THE SKIN, 1 vol. 8vo., 370 pages ; a new edition. Same Work, with coloured plates. WILLIAMS' PATHOLOGY, OR PRIN- CIPLES OF MEDICINE, 1 vol. 8vo., 384 pages.' WILLIAMS ON THE RESPIRATORY ORGANS, by Clymer, 1 vol. 8vo., 500 pages. PRACTICE OF MEDICINE, ASHWELL ON THE DISEASES OP FEMALES, by Goddard, 1 vol. 8vo., 520 pages. BARTLETT ON THE HISTORY, DIAG- NOSIS AND TREATMENT OF TY- PHOID, TYPHUS, BILIOUS REMIT- TENT, CONGESTIVE AND YELLOW FEVER, a new and extended edition of his former work (nearly ready). BENEDICT'S COMPENDIUM OF CHAPMAN'S LECTURES, 1 vol. 8vo., 258 pages. CHAPMAN ON THORACIC AND AB- DOMINAL VISCERA, &c., 1 vol. 8vo., 384 pages. CHAPMAN ON FEVERS, GOUT, DROPSY, &c. &c., 1 vol. 8vo., 450 pages. COLOMBAT DE L'ISERE ON FE- MALES, translated and edited by Meigs, 1 vol. 8vo., 720 pages, cuts. COATES' POPULAR MEDICINE, a new edition, brought up to the day, many cuts (preparing). CONDIE ON THE DISEASES OF CHIL- DREN, 2d edition, 1 vol.Svo., 658 pages. CHURCHILL ON THE DISEASES OF FEMALES, by Huston, 4th edition, 1 vol. 8vo., G04 pages. CHURCHILL OIV THE MANAGEMENT AND MORE IMPORTANT DISEASES OF INFANCY AND CHILDHOOD (preparing). CLYMER AND OTHERS ON FEVERS, a complete work, in 1 vol. 8vo., 600 pages. DEVVEES ON CHILDREN, 9th edition, 1 vol. 8vo., 548 pages. DEVVEES ON FEMALES, 8th edition, 1 vol. 8vo., 532 pages, with plates. DUNGLISON'S PRACTICE OF MEDI- CINE, 2d edition, 2 volumes 8vo., 1322 pages. ESQUIROL ON INSANITY, by Hunt, 8vo., 49G pages. MEIGS ON FEMALES, in a series of Letters to his Class, with cuts (a new work, nearly ready). THOMSON ON THE SICK ROOM, &c., 1 vol. large 12mo., 360 pages, cuts. WATSON'S PRINCIPLES AND PRAC- TICE OF PHYSIC, 3d improved edition, by Condie, 1 very large vol. 8vo., over 1000 pages, strongly bound. LEA AND BLANCHARD'S PUBLICATIONS. MEDICAL BOOKS. SURGERY, BRODIE ON URINARY ORGANS, 1 vol. 8vo., 214 pages. BRODIE ON THE JOINTS, 1 vol. 8vo. 216 pages. BRODIE'S LECTURES ON SURGERY, 1 vol. 8vo., 350 pages. BRODIE'S SELECT SURGICAL WORKS 1 vol. 8vo., 780 pages. CHELIU3' SYSTEM OP SURGERY, by South and IVorris, in 3 large 8vo. vols., over 2000 pages, well bound. COOPER ON DISLOCATIONS AND FRACTURES, 1 vol. 8vo.,500 pp., many cuts. COOPER ON HERNIA, 1 vol. imp. 8vo., 428 pages, plates. COOPER ON THE TESTIS AND THY- MUS GLAND, 1 vol. imp. 8vo., many plates. COOPER ON THE ANATOMY AND DISEASES OF THE BREAST, SUR- GICAL PAPERS, &c. 3V EW EDITIONS LATELY PUBLISHED BY LEA BLANCHARD, MEDICAL BOOKS. DICTIONARIES, &C, DUNGLISON'S MEDICAL DIC- TIONARY, NEW EDITION, (the 7th,) much improved and enlarged, with over 6000 words not in the 6th edition. In one large octavo vo- (lume, over 900 pages, double co- lumns. 1848. NEILL AND SMITH'S ANALYTI- CAL COMPEND of Practical Me- dicine, Surgery, Anatomy, Mid- wifery, Physiology, Materia Medica and Therapeutics, and Chemistry, for the Use and Examination of Students. In one very large royal 12mo. volume, of over 900 pages, with nearly 350 wood cuts. ANATOMY. SHARPEY AND QUAIN'S ELE- MENTS OF ANATOMY, edited by Leidy. Complete in two large octavo volumes, from the 5th Lon- don edition, with about 500 wood- cuts, (nearly ready.) WILSON'S HUMAN ANATOMY, by Goddard, FOURTH EDITION, (1848,) one volume 8vo., 252 wood- cuts, 580 large pages. PHYSIOLOGY. KIRKES AND PAGET'S PHYSI- OLOGY FOR STUDENTS, BASED ON MULLER'S LARGE WORK. In one large royal 12mo. vol., 500 pages, with 120 wood-cuts. MATTEUCCTS LECTURES ON THE PHYSICAL PHENOMENA OF LIVING BEINGS. Edited by Pereira. In one royal 12mo. volume, 388 pages, 36 cuts. SOLLY ON THE ANATOMY, PHY- SIOLOGY, AND PATHOLOGY OF THE BRAIN, with a Description of the Typical Form of the Brain in the Animal Kingdom. One vol. 8vo., 496 pages, 118 wood-cuts. PATHOLOGY, BLAKISTON'S PRACTICAL OB- SERVATIONS ON CERTAIN DIS- EASES OF THE CHKST, and on the Principles of Auscultation. In one vol. 8vo., 384 pages. BLOOD AND URINE, Manuals of, by Reese, Griffith, and Markwick,one vol. large 12mo., 462 pages and six plates. BURROWS ON THE DISORDERS OF THE CEREBRAL CIRCULA- TION. One vol. 8vo., 216 pages, with 6 colored plates. LALLEMAND ON SPERMATOR- RHOEA, translated by M'Dougall. In one octavo volume, 320 pages. WHITEHEAD ON THE CAUSES AND TREATMENT OF ABOR- TION AND STERILITY, being the result of an extended Practical Inquiry into the Physiological and Morbid Conditions of the Uterus. In one vol. 8vo., 368 pages. WILLIAMS' PRINCIPLES OF ME- DICINE, comprising General Pa- 1 LEA & BLANCHARD'S NEW PUBLICATIONS. MEDICAL BOOKS. thology and Therapeutics, together with a brief general view of Etio- logy, Nosology, Serneiology, Diag- nosis, Prognosis, and Hygienics. Edited by Meredith Clymer, M. D. In one octavo volume, THIRD AMERICAN EDITION, much im- proved, 440 pages. PRACTICE OF MEDICINE, ASHWELL'S PRACTICAL TREA- TISE ON THE DISEASES PECU- LIAR TO WOMEN. Edited by Goddnrd. NEW EDITION, (the 2d.,) 1848, 520 pages, one vol. 8vo. BARTLETT ON THE HISTORY, DIAGNOSIS AND TREATMENT OF THE FEVERS OF THE UNI- TED STATES. Almost a new work. One Svo. volume, 550 pnges. BARLOW ON THE PRACTICE OF MEDICINE, (preparing.) DUIsGLISON'S PRACTICE OF ME- DICINE. A Treatise on Special Pathology & Therapeutics, THIRD EDITION, 184S, two vols. Svo., over 1500 pages. ME1GS' FEMALES AND THEIR DISEASES, in a Series of Letters , MILLER'S PRINCIPLES OF SUR- l GERY. SECOND EDITION, one vol. 8vo., 538 pages, (1848.) ^MACLISE'S SURGICAL ANATO- MY, one vol. royal 4to., with 64 beautiful lithographic plates, (pre- paring.) SARGENT ON BANDAGING, and the principal Operations of Minor Surgery. One vol. royal 12mo., 380 pages, 128 cuts, just published. MATERIA MEDICA AND THERA- PEUTICS, BIRD (GOLDING) ON THERAPEU- TICS. In one octavo volume, (pre- paring.) CHRISTISON AND GRIFFITH'S DISPENSATORY, or Commentary on the Pharmacopoeias of Great Britain and the United States ; com- prising the Natural History, De- scription, Chemistry, Pharmacy, Actions, Uses, and Doses of the Articles of the Mnteria Medica. In one very large octavo volume of over 1000 closely printed pages, with 213 large wood-cuts. to his Class. One large 8vo. vol.jELLIS'S MEDICAL FORMULARY, 670 pages, (1848.) NINTH EDITION, (1849,) with Ad- MEIGS ON CERTAIN DISEASES \ ditions and Improvements. Edited OF INFANCY. One vol. 8vo., by Morton. In one octavo volume. (nearly readv.) 268 pages. WEST'S LECTURES ON THE M A Y N E'S DISPENSATORY DISEASES OF INFANCY AND CHILDHOOD, one vol. Svo. Pub- lishing in the Medical News and Library. SURGERY. AND THERAPEUTICAL RE- MEMBRANCER, comprising the entire lists of the Materia Medica, with every Practical Formula con- tained in the three British Pharma- copoeias, with relative tables sub- joined, showing by upwards of 660 examples, the extemporaneous forms and combinations suitable for the different medicines. Edited, with the addition of the Formulae of the U. S. Pharmacopoeia by R. E. Griffith, M. D. In one 12mo. vol. of over 300 pnges. DRUITT'S PRINCIPLES AND PRACTICE OF MODERN SUR-> GERY. Edited by Sargent. — > FOURTH EDITION, (1848,) one ] vol. Svo., 576 pnges, 193 cuts. DUFTON ON DEAFNESS AND THE (MOHR AND REDWOOD'S PRAC- DISEASES OF THE EAR. One \ TICAL PHARMACY, comprising vol. 12mo., 120 pages. FERGUSSON'S PRACTICAL OR \ OPERATIVE SURGERY. Onevol.j Svo., THIRD EDITION, (1848,) \ 630 pages, 274 cuts. 2 the Arrangements, Apparatus, and Manipulation of the Pharmnceutical Shop and Laboratory. Edited by Prof. William Procter, of the Phila- delphia College of Pharmacy. In LEA & BLANCHARD'S NEW PUBLICATIONS. MEDICAL BOOKS. one large Svo. volume, with over four hundred illustrations, (nearly ready.) OBSTETRICS, LEE'S CLINICAL MIDWIFERY, comprising the Histories of Five -• Hundred and Forty-five Cases oH Difficult, Preternatural, and Com- < plicated Labor, with commentaries. <- In one royal 12mo. volume, 238 pages. MEIGS' NEW WORK ON MID- WIFERY.— OBSTETRICS ; THE \ SCIENCE AND THE ART. In I one large octavo volume, with nu- \ merous new illustrations. SMITH ON PARTURITION, AND I THE PRINCIPLES AND PRAC- \ TICE OF OBSTETRICS. In one < volume, (preparing.) IN MEDICINE, and into its Power over Disease. In one crown 8vo. vol., 84 pages. TAYLOR ON POISONS, in relation to Medical Jurisprudence and Me- dicine. Edited, with Additions, by R. E. Griffith, M. D. In one large Svo. volume, 688 pages. CHEMISTRY, BOWMAN'S INTRODUCTION TO PRACTICAL CHEMISTRY AND THE STUDY OF ANALYSIS. In one vol., royal 12mo., with about 90 illustrations on wood. GARDNER'S MEDICAL CHEMIS- TRY, for the Use of Students: being a Manual of the Science, with its Applications to Toxicology. Physiology, Therapeutics, Hygiene, &c. &c. In one handsome royal 12mo. volume, with illustrations, 400 pages. KNAPP'S CHEMICAL TECHNO- LOGY, or Chemistry Applied to the Arts and to Manufactures. Translated by Ronalds and Rich- ardson, and Edited by Johnson. Vol. I, 504 pages, 214 wood-cuts. Same Work, Vol. II, with 250 wood- cuts, (nearly ready.) MEDICAL JURISPRUDENCE, EDU- CATION, &C, BARTLETT'S INQUIRY INTO THE DEGREE OF CERTAINTY NATURAL SCIENCE, &C, ATLAS TO DANA ON ZOO- PHYTES, containing about 60 co- lored plates. One vol. folio, being Vol. 9 of Exploring Expedition pub- lications. BIRD'S (GOLDING) ELEMENTS OF NATURAL PHILOSOPHY, being an Experimental Introduction to the Physical Sciences. Illustrated with nearly 400 wood-cuts. From the 3d London edition. In one neat volume, 402 pages. BRODERIP'S ZOOLOGICAL RE- CREATIONS, one vol. 12mo., (at press.) CARPENTER'S PRINCIPLES OF GENERAL AND COMPARATIVE PHYSIOLOGY. A new edition, re- vised by the Author. In one large Svo. vol., with beautiful illustra- tions, (preparing.) COLERIDGE'S IDEA OF LIFE, one vol. 12mo., 94 pages. GORDON ON THE STEAM EN- GINE, or the Motive Power of Heat. 1 vol. Svo., with many cuts. (Preparing.) MULLER'S PRINCIPLES OF PHY- SICS AND METEOROLOGY. Ed- - ited by R.E.Griffith, M.D,, in 1 vol. 8vo., 636 pages, with 540 beau- ful wood-cuts and 2 colored plates. RONALDS AND RICHARDSON'S METALLURGY, with numerous illustrations, (preparing.) SOMERVILLE'S PHYSICAL GEO- GRAPHY. In one large royal 12mo» volume, 382 pages. WEISBACH'S PRINCIPLES OF MECHANICS, applied to Machine- ry and Engineering. Translated by Gordon and Edited by Johnson. Vol. I., Svo., 486 pages, with 550 wood cuts. Same Work, Vol. II., with 350 wood cuts, (nearly ready.) 3 LEA & BLANCHARD'S NEW PUBLICATIONS. MEDICAL BOOKS. MANUALS FOR EXAMINATION. NOW READY. AN ANALYTICAL COMPENDIUM OF THE VARIOUS BRANCHES OF MEDICAL SCIENCE, FOR THE USE AND EXAMINATION OF STUDENTS, BY JOHN NEILL, M. D., Demonstrator of Anatomy in the University of Pennsylvania. Lecturer on Anatomy in the Medical Institute of Philadelphia, &c.; AND FRANCIS GURNEY SMITH, M. D., Lecturer on Physiology in the Philadelphia Association for Medical Instruction, &c. Forming One very large and handsomely printed Volume in royal duodecimo, of over Nine Hundred large pages, with about Three Hundred and Fifty Wood Engravings, strongly bound in leather, with raised bands. This work is divided into seven portions, corresponding to the leading divisions of medical and surgical science. These are paged separately, and may be had done up in stout covers, each being perfect in itself, and forming convenient volumes to carry in the pocket to the lecture room, or fining them to be sent by mail. It will thus be seen that it affords, at a price unprecedentedly low, a series of digests of the medical and surgical sciences, clearly and conveniently arranged, and forming a complete set of HANDBOOKS FOR STUDENTS, as follows :— ANATOMY; 180 large pages, with 157 ? MATERIA MED1OA AND THERA- Illusirations. Price 75 Cents. PEUT1CS ; 116 pages, with 29 illusira- PHYSIOLOGY ; 134 pages, with 40 Illus- | lions. Price 50 cents. trations. Price 60 Cents. CHEMISTRY; 94 pages, with 19 Illus- SURGERY; 122 pages, with 51 Illustra- $ trations. Price 40 Cents. tions Price 60 Cents. THE PRACTICE OF MEDICINE ; 152 OBSTETRICS; 114 pages, with 37 Illus- pages, with 3 Illustrations. Price 60 trations. Price 50 Cents. Cents. Any one of which may be had separate ; or, the whole will be done up and mailed, with the postage prepaid, on the remittance of $4; or, if S5 is remitted, The Medical News will be sent in addition. It should be noticed that the amount of matter on a page is unusually large, thu& making these Handbooks not only low priced, but extraordinarily CHEAP. SARGENT'S MINOR SURGERY. ON BANDAGING AND OTHER POINTS OF MINOR SURGERY; BY F. W. SARGENT. M. D. In one handsome vol.. royal I2mo , containing nearly 400 pages and 128 Illustrations. The very best manual of Minor Surgery we have seen.— Bvff. Mf.d fy Surg Journ. Admirably adapted to the use of the Student. — Charleston Med. Journal. We can unhesitatingly recommend this volume as one of the very best of its kind. American Medical Journal. We will adopt it as a text-book for the use of our own pupils, and we must recom- mend our fellow practitioners in all parts of the country to do likewise.— ^. Y. Jour- nal of Medicine. From PROFESSOR RIVES, of Providence. I think it admirably calculated to fulfil the object for which it was compiled, and it has afforded me much pleasure to recommend it to several of my country friends, as well as to my pupils. GARDNER'S MEDICAL CHEMISTRY. MEDICAL CHEMISTRY, FOR THE USE OF STUDENTS; BEING A MANUAL OF THE SCIENCE, WJTfl ITS APPLICATIONS TO TOXICOLOGY, PHYSIOLOGY, THERAPEUTICS, HYGIENE, &c.&c. BY D. PEREIRA GARDNER, M. D., Late Professor of Chemistry in the Philadelphia College of Medicine, and of Chemis- try and Natural Philosophy in Hampden Sydney College, &c. In one handsome royal I2mo volume, with illustrations. By far the greater number of medical students will find tins work of Dr. Gardner better adapted to their wants than any other with which we are acquainted.— Ohio Medical and Surgical Journal. Admirably adapted to the end and design. We shall be much disappointed if it is not adopted as a text-book in all our American Colleges.— N. Y. Journ of Medicine. An excellent work — one likely to be of great use to the student, and of no small value to the practitioner. — Charleston Medical Journal. 4 1