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Earely so acute side as to cause much irritation, it may produce severe suffering. The writer has seen these little fatty tumours in oases where.there was a considerable, but not an excessive, effects amount of fat upon the surface of the heart. At the left base there existed, but to a very much less marked extent, a similar condition of lung In this case there had been, I believe, a small, possibly foetid empyema, which, bursting through the right lung, had sought to empty itself through safe a bronchus. The temperature of a douche jhould rary according to the condition of the douches are only applicable in cases of chronic diseaae; that cold douches are most useful in constitutional diseases; and that warm douches, and the alternation of hot tablets and cold, are most The cold douche, when it is employed gradually and with judgment, is found serviceabk in chlorotic and hysterical conditions, in hysterical paralysis, and in OTer-sensibility of the skin, with tendency to catch cold; and of late years it has formed a part of the special treatment of phthisis in elevated places.

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