-/ •?--^Hs ARMED FORCES MEDICAL LIBRARY Washington, D. C. THB CHARLESTON MEDICAL REGISTER, FOR THE YEAR^ M.DCCdlLv^^% -AY. By DAVID RAMSAY, m. d. CHARLESTON: Printed by W. P. TOUNG, No. 41, Bxoad. Street, Franklin's HtAD. 1203* INTRODUCTION. jS/IEDIC At facls, cerreilly ftatedand'diligently com- pared together, reflecl great light on the praitcce of phyfic. Conformable to this ejlabiilhedprinciple, it mfji be obvious, that annual Jlatements of the principal events, connecled ivith the health of the inhabitants, made by phyjicians in different places, wculd be particu- larly ujeful. The more extenfiveh this was done, the better ,• but in the United States, the advantages of fuch publications are enforced by peculiar co/ijiderat.oasy, In the old world the attention of learned men has been employed for many centuries, in applying the generalprin- ciple of medical fcience to the local peculiarities of each particular fpot. Knowledge of this kind, in America, chiefly rejls with individuals. To bring it within :Le reach of the community, requires the joint labors of prac- titioners in every part. If one phjjician, in each of the cities and towns of the United States, and feveral in the country parts of each fate, were to favor the public with an annual account cf the Jlaie tf dfeo.fs, and of the circumjlances connecled with them, as jar as their obfervations extended, there would, in ti/,ie, be an accumulation of materials, from which we might obtain the following advantages : I. More correff knowledge of the difeafes of the Uni- ted Statu. As z. J iv INTRODUCTION. 2. A Comparative view t>f the health and longe- vity of the inhabitants in different places. 3. Authentic evidences of all chunges of the climate that took place; and particularly of the effects produced on the health of the inhabitants from clearing ana cul- tivating the foil, and from the different modes and ar- ticles of culture. 4. Perfons laboring under any eonjlitutional predif- fofitionto particular difeafes, mightfeled, ivithprecif on, a place of rejidence, leajl likely to call into action the particular predifpofition, under which they labor- ed. Such is the extent and variety of climates in the United States, that this might be done, in almoft every cafe, nvithout changing the government or language, to -which perfons propojtng a change of refdence, were accujlomed. 5. Phy/icians would be enabled to direct invalids t$ fuch a route in travelling, as would bef fuit their par- ticular habits and difeajes: from the want of this local knowledge, improper advice is frequently given. 1ho longitude and latitude of places afford no certain rule. Iheir influence, controlled by a variety of local circum- fiances, is by no means uniform. The advantages of the propofed annual publicationt •would not be confined to the medical department. The farmer and gardener, from an average of feafons, would be afjijled in forming their opinion of the bejl time for their refpedive operations. The enterprifing agriculturijl, who wijhed to enrich his country with fame new productions, would be in- formed when and where to make his experiments, bj comparing the obfervatious auxilify to the pradice of phyfic, with the ufual habits of the particular commo- dity he wijhed to introduce, INTRODUCTION. v A facility might thus be given to the introduction of ginger, japan fago, of the almond, al If pice, caper, clove, cinnamon, camphor, nutmeg, red cotton trees, andfe jtral others valuable exotics. There are, doubt- lefs, portions of the United States fuit able to the culture $f theje articles ; but that fuitabtenfs is unknown it- foreigners, and equally Jo to the owners of the foil. The fame obj'ervation applies to the inn duct ion of nevt animals, and of new branches of manufacture. Suc- cefs, in both cafes, muft be materially influenced by the degree of heat and cold, and of the moijiure and drynefs tf the atmofphtre. ^ The foreigner, who wijhed to remove to this land of equal rights, would, aljo, be enabled to determine where to locate himjzlf, in a fituation leaf variant from his trans-atlan.x rejidence. tVith thefe imprejjions, the Jillowing contribution is reJpeSifullyJubmitted to the public. However imperfecl the execution may be, the plan is Juchy t la. if improv- ed by the wifdom, and curri.d into ijfect by the in- dujhy op'jnore enlightenedphyjicians, j)ine conquerable benefit muji refult to the United Slates. DAVID RAMSAY. Charleston, South-Carolina, January, 1803. & * THE CHARLESTON MEDICAL REGISTER, FOR the year 1802. V^HARLESTON, in the year 1802, was af- fli&ed with four epidemics. The fmall-pox, the meafles, the influenza, and the yellow-fever. There were cafes of the Small Pox in almoft eve- ry month of the year. It proved fatal to four children, though inoculated for it by fkiiful phy- ficians; and alfo, to about twenty other perfons, who took it in the natural way. Thefe died un- der circumftances horrid to fee, and painful to re- late. Covered with confluent fores, they could neither ftand, fit, nor lie, without exquifite pain. Their bodies, and bed-cloaths, were (HfFened with fcetid diicharges from every part of their fein. The whole emitted a flench intolerable to by- ftauders. Humanity was put to the rack, while it e The CHARLESTON it difcharged the offices neceflary for their fupport. In one cafe, an unfortunate negro (who caught the difeafe, remote from help, and unknown to hi* owner) was fo far bereft of all power to help Limfeif, that rats devoured a iarge portion of hii "Jendo Achillis. fome days before he died. The recoveries from the fmall-pox were much more numerous than the deaths. Though in many cafes, the fubjecls of the former fufFered compara- tively little, there were others who efcaped with difficulty, and after a painful and diftreffing confinement. A confiderable number, (fuppofed to be not lefs than twenty) took the fmali-pox in the natural way, after having been inoculated for it, and after medical practitioners declared that they had had the difeaie. One of thefe unhappy patients died, and others fuffered more irom it, in confequence of no pains having been taken to obviate a mala- dy, from the attacks of which they fuppofed them- f-iives to be free, till its advanced ftages evinced ir. miftake. The meafles began early in the year, and in the courfe of four or five months, gradually fpread over the city. A few cafes alfo occurred in No- vember and December. They were generally mild, excepting where they attacked perfons labouring under complaints of the breaft. There were very few inftances of immediate death from this difeaie; but it proved fatal in its confequences to feveral who where of a confamptive habit. In perlonsof this defcription, and others who were not confined to a low diet, nor guarded againft night air, and damp cold weather, the original malady was fol- lowed MEDICAL REGISTER. 3 lowed by confequences more ferioufly alarming than itfelf. In the moll dangerous period of the difeafe, bleeding and bliftering were found to be of eminent fervice. A careful avoidance of warm ftimulant drinks—of heat and cold—a ftrid conformity to a low cool regimen; together with a flow gradu- al return to a full diet, produced the happieft ef- fects. Convalefcents, who continued weakly, re- ceived great benefit from changing the air ; parti- cularly from failing. The influenza was cotemporary with the mea*- fles; but more general. In fome, inftances whole families were feized with it, nearly at the fame time. Excepting the eruptions in the latter, the fymptoms of both were very much alike, and re- quired a fimilar treatment. The influenza, chief- ly attacked thofe who had previoufly gone through the meafles. It feemed, as though one conftitution of the air favored the production of both. The in- fluenza, though painful and diftreffing, was very feldom mortal. The general complexion of the difeafes, for the firft feven months of the year, was inflammato- ry. Pleurifies, acute rheumatifms, and complaints of the breaft, were uncommonly frequent. From thefe precurfors, fome predicted a fickly fummer, and a great prevalence of yellow-fever ; but they were agreeably difappointed. July, and the firft feventeen days of Auguft, were cool and healthy, there was only one day in both months, in which the mercury, in Fahrenhiet's thermometer, reached eighty-nine. The old inhabitants were generally free from difeafes of every kind; and only two i:rangers died of the yellow-fever before Sep- tember. i . The CHARLESTON tember. Fourteen of the laft days of Auguft, and the twenty-two firft of September, were fteadily warm ; but not to fo great a degree as in fome former years. In only three of them (the twenty- fixth of Auguft, and the fourteenth and fifteenth of September, did the mercury rife as high a* eighty-nine.) On the other hand, in only two of them (the fifth and fixta of September) did it fall below eighty. in this warm feafon, the yellow-fever began to extend; but waslefs mortal than ufual. More than half, who Were attacked by it, recovered. The m-jdeof treatment, which feidomeft failed, was depletion, followed by a mercurial falivation. There were a few, and only a few cafes, where calomel produced its ufual efFedts, in v. hich the patient did not recover. Where the difeafe proved fatal, its fuperior excite- ment rendered this, and evtty other medicine, comparatively inert. A few ftrangcrs, though from northern latitudes, paffed the fummer (their firft) in Charlefton, without being attacked with the yellow-fever. In three cafes it proved fatal to perfons, who had refided in this city for eighteen months immediately preceding. No inftance occured of the death of any under twelve years of age, from this difeafe. The eagernefs of the people to receive their winter goods, early in the feafon, induced men in trade to order matters fo, that feveral veffels from foreign parts, arrived in Charlefton, with their unfeafoned crews, in the months of Auguft, and September. To fuch, the yellow-fever was particularly in* hofpitable. MEDICAL REGISTER. 6 hofpitable. To others, arriving in the fame feafon,' SullivanVIfland afforded a fafe retreat, till the danger was over. Exceptions to this, have here- tofore been very rare, and generally could be accounted for from fome irregularity ; but in the year 1802, five cafes of the yellow-fever, (and two of them fatal,) occurred in one houfe on thac ifland, while the other inhabitants were generally healthy. No inftance can be recollecVd, in which there was any ground to iuppofe, that the yellow fever was either imported, or had been comagious. No phyfician, nurie, nor ocherperfon expoied to con- tagion, from their int^icourfe with perfons labour- i ig under yellow-fever, caught the difeafe. It was exclufiveiv confined to ftrangers ; and amocg them there was no evidence of its being cornmum- ca ed from one to another. Having enumerated the difeafes, that afflicted the inhabitants in 1802, 1 proceed with pleafure to point out fome events, in the fame year, which have a favorabie afped on their future health. \ accinai/ou was introduced into Charlefton, in February, and in a fhort time became general. It hau been long known in England, that perfons who fmrn nuking cows were infected with a dife A.- peculiar to them, called the cow-pox, were afterwards fecurefrom the attacks of the fmall-pox. The ingenious Dr. jenner, poflefled of this fact, inftituted experiments to aicertain the practicability of propagating the cow-pox from one liuman fu'oject to another, and with the fcnie fecurity from the fmall-pox, that was acquired by perfon* •riginaily infected from the cow. The refulc was fl The CHARLESTON was favorable to his wilhes, and eminently fo to the interefts of humanity. In 1798, he publiftied an account of his en- quiries and experiments. In four years vaccinati- on, as eftabliftied by him, was introduced into Charlefton, and rapidly extended from the Atlantic to the mountains. The practice was particularly recommended by the following facts : Among many hundreds, who were the fubjectsof this new difeafe, none died, or were ferioufly fick; and no cafe occurred where the fmall-pox followed the cow-pox, though many who had gone through the latter, were fre- quently expofed to the contagion of the former. As far as a comparifon can be made, the vaccine difeafe exifted in this climate, in a milder form, than in more northern latitudes. The fubjects of it were feldom laid up, or ceafed a fingle day to perform their ufual buii- nefs. Puftular eruptions, to any confiderable de- gree, were very uncommon, and never dangerous. The vaccinated fpots fcarcely ever degenerated into fores, except were they had fuffered violence from fcratching, or other wife. No cafe can be recol- lected, in which common water, or at molt lead wa- ter, failed of fpeedily healing the arm. Forty years elapfed, after inoculation for the fmall-pox was introduced into England, before it became general in this city, bo little was then known of the difeafe, that Charlefton, though much lefs populous than at preknt, loft Eve-hun- dred of its inhabitants by tht 'mall-pox, in the fi.fl year after the general introduction of ii oculation. The contrail between the old and new inocula- tion MEDICAL REGISTER. 7 tion mult afford pleafure to every benevolent mind. Nothing is now wanting to exterminate the fmall-pox, but a general and fimultaneous vacci- nation. This might, by previous concert, be car- ried into effect in a very fhort time; not only in this ftate, but in all countries with which we are con- nected. Till fomething of this kind takes place, all new born children, and many others, areexpofed to danger from every veffel that arrives; for it may convey to our fhores a perfon infected with the fmall-pox. From a fingle cafe of this kind, that difeaie may be introduced, and when intro- duced, no one can compute the extent of its rava- ges : for it propagates itfelf by the agency of invi- fible effluvia, and ceafes not, as long as it finds fuf- ceptible fubjedts within its reach. Our fituation is peculiarly expofed. No laws forbid the introduction of the fmall-pox, nor the fpreading of it by inoculation. In either cafe it may find us unprovided with the aegis of Jenner. The natural cow-pox has not yet been difcover- ed among our cattle, and the artificial is likely to die away among us from the want of a regular fuc- ceflion of fubjects. Once already, fince its intro- duction, it has been loft ; and there is reafon to fear it foon will be loft a fecond time. The year 1802 gave birth to the Charlefton Dif- penfary. The City-Council generoufly voted 1000 dollars to defray the annual expences thereof ; and twelve phyficians pfFered their fervices, gratuitoufly, in attending and prefcribing for the patients of the inftitution. It is but juftice to add, that the truftees have faithfully done their duty j and the fick ac- B knowledge 8 The CHARLESTON knowledge that they have been as carefully attend- ed by the phyficians, as could have been expected, in cafe of their ability to make them compenfation. Ninety-nine patients have partaken of the benefit of this inftitution in the firft eight months after it was opened. From its progrefs, an abatement of mortality, and a diminution of difeafes, among the lefs opulent citizens, may be reafonably expected. The fame year gave life and activity to the com- pany incorporated for the purpofe of fupplying Charlefton with wholefome water. The neceflity of this had been pointed out to the inhabitants, as long ago as November, 1797, and before either Bofton, New-York, or Philadelphia, had adopted any meafures for the fame purpofe. The Charlefton water company was incorporated in the year 1799; but it was as late as the year 1802 be'fore they a- dopted efficient meafures for carrying into effect the object of their incorporation. The inhabitants had been previoufly fupplied with water from wells and cifterns. Againft both, ferious objections exifted. In conformity to ancient cuftom, the bodies of the dead, for more than a century, had been interred within the limits of the city. From the moift texture of our foil, the bottoms of graves, and of the vaults of neceffary houfesand the tops of wells, are for the moft part nearly of the fame depth ; that is from fix to eight feet from the furface of the earth. Jn feveral fpots of the city all three are located in the vicinity of each other. Add to this the impurities codected on the furface of the earth, through which much of the well water muft have penetrated. MEDICAL REGISTER. 9 penetrated. Country people, complained that the city water difturbed their bowels. The citizens found that their linen, when wafhed in Charlefton, was lefs white than when they refided on their plantations. Apologies founded on the qualities of the water, were brought forward to juftify the too common practice of attempting to correct them, by the addition of large quantities of ardent fpirits. Objections of a different nature, were made to1 the ufe of rain water, collected in citterns. Though our climate is moift, yet droughts from three to twelve weeks long are not uncommon. As often as fuch dry fcafons return, they, who depend on cifterns to be fupplied with rain water, mull expect to drink it old and in a vapid ftagnant ftatc. This is evident from an examination of the pluviometric.il obfervations made laft year in thu city. From them it appears, that though the whole quantity of rain, that fell in the courfe of the year, was thirty-nine inches TYth; yet of this nearly one third fell in the month of July, and that there fell five inches in one day (twenty- third of September,) which is more than twice as much as fell in January, February, Iv^rch, Octo- ber, and the firft twenty-nine days of November. More than a fixth of the whole fell in one glut, about the middle of July; to which, if you add the rain on the twenty-third of September, and the thirtieth of November, it will appear, that more than one third of the whole annual amount, fell in three ftorms. So uncertain and irregular mult be the fupply of cifterns, which is derived from rain. B 2 From 20 The CHARLESTON From experiments made in 1740, by Dr. Lin- ing, in Charlefton, it appears that the perfpiration from his body, in a fummer's day, equalled one hundred and thirty ounces. This amount, multi- plied by the number of human beings, and other animals, in Charlefton, will yield upwards of one hundred thoufand weight of perfpirable water, thrown daily into its atmofphere. Every drop of rain water, before it reaches our cifterns, muft pafs through an atmofphere expofed to this daily mafs of contaminated materials. It furely cannot bear any comparifon with water filtered through a fandy foil, remote from all the offenfive matter, with which Charlefton abounds, and conveyed cool and clean to our doors. The water company being now completely or- ganized, and under the direction of an active in- telligent prefident, and board of directors. Six hundred fhares taken up, and the preparatory ar- rangements conhderably advanced, a reafonable hope may be indulged, that the final completion of the work is at no great diftance. In addition to the fupply of wholefome water for domeftic ufe, a furplufage for keeping the ftreeti cool and clean, and for baths, will probably be pro- cured. In every point of view, the profpects of improving the health of the inhabitants are very promifing. Nothing great, or decifive, was done laft year by the police of the city, for obviating the occaiional caufes of its local difeafes. Nuifances were flowly re- moved, and the ftreets were very imperfectly clean- fed. But few trees were planted in the city, and moA of thefe were Lombardy poplars, which drop MEDICAL REGISTER. it drop their leaves fo early in the feafon, as to be of little ufe in purifying the air when their aid is moft wanted. Very Hale was done by authority for fill- ing up the low grounds. The greateft exploit in this way was the work of an individual. Improve- ments have been commenced, and confiderably ad- vanced by Mr. Wm.M'Leod, on the north weft angle of new Eaft-Bay and Water-Streets; which, when completed, will prefent a falutary dry furface in place of a vile unwholefome quag-mire. Though there were frequent inftances of the de- ftrudtive effects of thunder in the Northern States, laft fummer, we fuffered nothing materially from that fource. Its found was diftinctly (and in a few cafes very loudly) heard on forty-eight days, viz. April 7, 8, 10, 30. May 6, 11, 13, 15, 22, 28. June 3, 7, 9, 14, 17, 18, 19, 22, 25, 30. July 7, 11, 18, 19, 20, 21, 22, 28, 29, 30, 31. Auguft 3, 4, 7, 8, 9, 12, 29, 30, 31. September 3, 11, 12, 13, 14, 20, 21, 22. No- vember 30. - One houfe, near the weft end of Broad-Street, though defended with lightning-rods, was ltruck, but not materially injured. Lefs rain fell in 1802, than in any of the feven preceding years. The whole quantity was thirty- nine inches and a tenth ; and the number of rainy days were fixty-four ; the particulars, will appear from the following table : 1802. Days of rain. Inches. Tenths* January 21, 27, o 4 February 13, 15, 22, 25, o 8 1 2 B 3 March is» The CHARLESTON Inches. Tenths. Brought over, i 2 March 14, 22, 08 Apri' 17, 19, 30, 2 o May 6, 11, 15, 17, 20,28,29, 3 o June 3, 7, 14, 20, 22, 24, 25, 3 4 July 3, 5, 12, 13, 14, 15, 23, 24, 25, 26, 27, 28, 29, 30, 12 I Auguft 1, 3, 8, 9, 10, 11, 12, 13' 29> 3l> 4 9* September 3, 11, 23, 26, 29, 5 8| October 3, 24, 31, o 2 November 30, 2 4 December 4, 8, 12, 13, 18, 30, 3 2 Days fixty-four, 39 1 Though there were only fixty-four days in which an actual fall of rain took place, yet the index of the hygrometer, pointed to damp in all degrees, from one to one hundred and one, for three hundred and fifty-two days. As far as we can rely on this inftrument, we muft admit, that there were only thirteen days of a dry atmofphere in the year 1802 ; thefe were April 26, 27. May 8, 12, 18, 19, 24, 25, 25, 31. June 16. November 5, and 7. The higheft degree of drynefs, pointed out in thefe days, was fifteen, v/hich took place on the twenty-fixth of April. That the atmofphere fhould be fo generally damp, in a year in which there was comparative- ly fo little rain, excited furprife. On the accu- racy, of the recorder (Dr. R. Wilfon,) the moft implicit confidence was defervedly placed. To afcertain the fenfibility of the hygrometer, the following experiment was made on the fixth of MEDICAL REGISTER. i3 of January, 1803, by Dr. R. Wilfon and myfelf. Between one and two, P. M. in a fuowery day, when the index pointed to thirty-feven damp, a lighted candle was held near to it for ten minutes. In the courfe of this fhort period, the index changed its pofition forty-two degrees, that is from damp thirty-feven, to dry five. The candle being withdrawn, in one hour it returned to thirty damp. Eafterly winds were very prevalent in 1802, and air holds water, both in folution and combination. Neverthelefs, the refult is fo vari- ant, from common apprehenfions and feelings, as to require farther inveftigation, before the almoft conftant dampnefs of laft year is admitted.* The comparative dampnefs of the different months may be feen in the following table : January, 3 1 days damp from 11 to 76 degrees February, 28 do. 10—96 March, 31 do. 4—62 April. 28 do. 3—95 May, 23 do. 2—30 June, 29 do. 1—45 h[y> 31 do. 30-101 Auguft, 31 do. 30—90 Septem. 30 do. 14-100 October, 31 do. 12—90 Novem. 28 do. 4—60 Decern. 31 do. 5—77 Damp days, 352. — Dry do. 13. —Total, 36;. The * The meteorolo gical obfervations referred to in this work, were all made by an inllrument, containing a thermometer, barometer and hygrometer, conftrufted by Dolland, and fufpended in a corner of an open paflage, leading to the ftair cafe, in the houfe of Doctor Robert Wilfon, near the weftem extremity of Broad-ftreet. H The CHARLESTON The weight of the atmofphere, and the di- rection of the winds, for the year 1802, may be learnt from the following table : Barometer. winds, days, winds, days. J.-inuary, 30 12^30 74 StoNW. 17 Kto SE. 14 February, 30 13—30 90 do. do. 15 d*>. do. 13 March, 30 20—30 80 d >. do. 20 do. do. 11 A;»ril, 30 30—30 75 do. do. 22 do. do. 8 Mjy, 30 40—30 73 do. do. 26 do. do. 5 June, 30 30—30 72 do. do. 18 do. do. 12 July, 30 15—30 40 d \ do. 21 do.- do. 10 Auguft* 30 10—30 54 do. do. 16 do. do. 15 Septtm. 30 10—30 50 do. do. 18 do. do. 12 Oftober, 30 20—30 90 do. do. 8 do. do. 23 Novem. 30 10—30 60 do. do. 14 do. do. 16 Decern. 30 5—30 70 do. do. 17 do. do. 11 The lateft froft in the fpring of 1802, was March the fifteenth; the earlieft in autumn, was October twenty-fixth, or rather November firft; the coldeft day was February twenty-third, ther- mometer thirty-two; the next coldeft day, was December ninth, thermometer thirty-three. The greateft and leaft degree of heats, in each month, was as follows : January, Greateft 74, Leaft 45, February, 69, 32, March, 74, 44, April, 86, 61, May, 84, 66, June, 86, 72, July, 87, 70, Auguft, 89, 72, September, 89, 60, October, 8i, 54, November, 74, 45, December, 70, 33; The MEDICAL REGISTER. »5 The following table, in which the days are elaffed, will fhew the number of warm days in the refpective months, and the degree of heat in each day; but without fractions. The firft column ftates the higheft range of the thermometer, in thi whole courfe of the days oppofite thereto, in the fecond coluun : 1802. i. s. January. February. oj March. I ^ S days. 5 ^ days. s$! days* b. ^. JM 74 29. 69 II. 74 30. 72 6s 8. 72 10.19.25.30, 70 27. 67 3. 16.17. 71 18. 68 3- 9- 66 21. 70 17. 20 67 16. 21. 65 4. 14. 15. 69 3. 24. 66 4.8. 15. 30. 64 9. 10. 26. 6/ 9. 26. 29. 65 2.7. 63 12. 18. 06 L 1. 16. 62 14. 17. 62 7. 22. <>5 »3- 23. 6c 15. 19. 61 13- 63 2. 6. 59 18. 60 1. 28. 25 61 28. 58 11. 23. 59 27. 60 15. 21. 22. 57 20. 6 58 20. 2 12. 5. 56 1. 22. 24. 55 24. 59 4- 55 26. 13. 53 s. 6. 53 11. 54 25. 12. 10 48 19. 55, 8. 27. 51 5- 3i- 45 23- 54 57 14. 7- April. i6 T HE CHARLESTON T. April, days T May. days. T June, days. 86 26. 84 6. 86 22. 23 80 4. 14. 83 10. 6 s «3 H 79 3- 82 5- 84 24. 78 3°- 81 26. 83 3-3°- 77 2. 10. 25 80 11. 22 28 82 11 12. 17. 76 7. 13. 18 7> 25. 9. 27. 20. 21. 22. 29. 7o 12. 13.15.21 81 10. 6. 75 9 77 24. 29. 80 2. 8. 9. 15. 74 1.8 12.19. 27 76 23- 3°- 16. 25. 28. 73 21. 5. 75 4~3»- 79 7. 18. 19. 7l 28. 6. 74 16. 19. /8 29. 70 17-24. 73 8. 14. 20 77 5. 26. 27. 69 23- 2 1. 18. 3. 76 1. 68 11. 7'- 7 17- 74 4- 67 16. °>- 2. 66 *• 65 20. July. August. September. 8? 9- 39 26. 89 14 15. 86 8. sd 27. 88 7- 13- 85 10. 18. 21. 87 25. 87 11 16. 22. 30. 86 29. 8b 2. 10.17. 84 4.6.7. 19.31. 85 2. 28. 24 O s 4. 12. 18. 19 83 20.23. 29.27. 84 3°- «4 1. 82 1.2. 3.5. 83 1. 20. 31. 83 20. 21. 81 24. 16. 17 82 7.8.12.13.17 81 22. 80 11.26. 28 25. lS 21.22.23 80 3.8.9. 78 15. 12. 8) 3.9. 11. 16. 79 5- 76 14. 80 6. 19. 7» 6. 72 *3- 79 *5- 75 23. 78 4,5.14. 7i 28. 77 10. 68 67 66 65 3'. 25. 26.29. 27. 24. MEDICAL REGISTER. »7 fe s ♦^ October. | November. "la Dfcember. 1 SJ s 8 days. days- -:-i days. 81 16. 74 26. 70 27. 28. 80 13. 14. 17. 73 24. 68 23- 22. 23. 7° 16. 22. 24 ^5 5. 29. 79 .5.18. 07 7. 21. 11. 30. 64 21 22. 26. 78 9. II. I9 06 10. 17. 62 14. 77 6. 12. 21. °5 19 20 23.15 60 15- 76 5- 64 13. 12. 8. 58 20. 24. 30. 75 10. 7. 8. 62 14. 5 7 12. 4. 73 4- 61 9. 29. 55 3- 72 3- 59 3.18. 54 6. 1. 7i 2. 20. 31. 57 5.6. 53 11. 25. 70 26. 27. 5^ 2. 27. 5° 2. 31. 69 1. 55 4- 49 J3- 67 24. 30 54 28. 4of maftica- tion. In the feve.uy-ughth year of her age, fhe executed fome i.ig.r.ious needle wo;k, which icquir- ed both eye fight and judgment ; and wa3 active and ufti'ul to the laft montn of ber life. She rofe early, worked much, and was teinpeiuce. W;