In the first stage of acute attacks involving the bronchi of both lungs in vigorous adult persons, and especially if the inflammation extends into the smaller tubes, causing much dyspnoea and dry râles, there is no single remedy that will so certainly and speedily check the intense engorgement of vessels in the bronchial membranes, and thereby gain time for the action of other remedies, as one prompt and liberal abstraction of blood by venesection. In cases of a little less severity, and in children, the application of from two to twelve leeches to the upper and anterior part of the chest, the number being regulated by the age of the patient, will be a good substitute for the venesection. And in case leeches are not at hand extensive dry cupping over both the anterior and posterior parts of the chest may be applied with much benefit. Immediately after the venesection, leeching, or cupping, and without these in cases of only ordinary severity, the whole chest may be enveloped in an emollient poultice or in folded napkins wet in warm water and covered with oiled silk. At the same time the following combination may be given internally: {179} No. 1. Rx. Liquoris ammonii acetatis, (60.0 c.c.) fluidounce ij; Tincturæ opii camphoratæ, (75.0 c.c.) fluidounce iiss; Vini antimonii, (15.0 c.c.) fluidounce ss; Tincturæ veratri viridis, (6.0 c.c.) fluidrachm iss. M.--Sig. Give to an adult 4 cubic centimeters or 1 teaspoonful in a tablespoonful of water every two, three, or four hours, according to the severity of the case. The same may be given to children, the dose being properly adjusted to the age of the child. If the tongue be coated, the bowels inactive, and urine high-colored, from 6 to 30 centigrams (grs. j-v) of calomel, according to the age of the patient, may be given, and followed in four or five hours by a saline laxative sufficient to procure two or three evacuations from the bowels. Under the influence of these remedies the high fever and great sense of soreness and oppression in the chest which exist in the first stage of the more acute cases in previously healthy subjects rapidly diminish, giving place to more moist râles, easier breathing, and some expectoration. As soon as such amelioration of symptoms has been obtained, the mixture containing veratrum viride should be discontinued, and the following formula substituted in its place: No. 2. Rx. Syrupi scillæ comp. (45.0 c.c.) fluidounce iss; Tincturæ sanguinariæ, (15.0 c.c.) ounce ss; Tincturæ opii camphoratæ, (60.0 c.c.) fluidounce ij. M.--Sig. Give to an adult 4 cubic centimeters in a little additional water every three or four hours.