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that the general
same side, was of three years' standing ;
health of the patient had been uniiormly good, until a lew
months after the disease of the antrum was noticed, when
his lungs became affected, attended with cough, pain in the
breast, and expectoration. The gentleman informed me
that since that period he had never been free from cough,
although he had experienced temporary relief from change
of air and travelling. With regard to the disease of the an-
trum, he paid so little attention to it, and kept it so private,
that it was not known even to his own family or physician,
until quite recently, when it became so aggravated as to
force itself upon the attention of the patient, his friends and
physician, who, greatly alarmed, immediately sought the as-
sistance and advice of that eminent surgeon Dr. M'Clellan.
Upon inquiring whether phthisis was hereditary in the fami-
ly of this gentleman, he assured me it was not ; that none of
his relations or family had ever had it, that his father died
an old man, of a fever, and that his mother was still living,
and in the enjoyment of good health. It was the unqualified
opinion of the gentlemen, of his family, and of his physician,
that pulmonary affection proceeded from his teeth and dis-
eased antrum, and what might appear rather singular, that
for a year before the disease of the antrum was detected, the
physician had imputed the exciting origin of the affection of his
lungs, to use his own words, " to be somewhere in his head."
The gentleman was a man of excellent habits, remarkable for
his temperance and correct christian deportment. I immedi-
ately extracted all those teeth whose alveoli had been affec-
ted by the disease of the antrum, and the fangs and decayed
teeth on the opposite side of the same jaw. I then partially
cleaned his teeth, gave him an astringent wash for his mouth,
and dismissed him with a request to see him at the expiration
of one week ; in the interval of which time, constitutional