In the other case, there was not such a degree of fever, but there was an expectoration of matter, frequently streaked with blood, and evident signs of an ulcer in the lungs. The person who laboured under these symptoms, had tried the usual remedies of pectorals, pills, linctuses, &c. with the usual success. He grew daily worse. He had formerly found much relief from bleeding, but had left it off for many months, on a supposition that it had lost all effect; and he had allowed an issue to be healed, on the same supposition; though he still persevered in a milk regimen. I mentioned to him the case of the young lady, as it is above recited. He immediately took the resolution to confine himself to bread and grapes for almost his only food. I advised him at the same time to have the issue opened, and to continue that drain for some time; but this he did not comply with. He forsook, however, the town for the country, and passed as much of the morning on horseback, as he could bear without fatigue. He soon was able to bear more; and after about three weeks or a month, his cough had greatly abated. When he had persisted in this regimen between two and three months, he had very little cough; and what he spit up was pure phlegm, unmixed with blood or matter. He has now been well above a year; and although I understand that he occasionally takes animal food, he has hitherto felt no inconveniency from it. He passed the second autumn, as he had done the first, at a house in the country, surrounded with vineyards. The greater part of his food consisted of ripe grapes and bread. With such a diet, he had not occasion for much drink of any kind; what he used was simple water, and he made an ample provision of grapes for the succeeding winter.
Though I have no idea that there is any specific virtue in grapes, for the cure of the pulmonary consumption, or that they are greatly preferable to some other cooling, sub-acid, mild fruit, equally agreeable to the taste, provided any such can be found; yet I thought it right to particularize what was used on those two occasions; leaving it to others to determine, what share of the happy consequences I have enumerated were owing to the change of air, how much may have flowed from the exercise, how much from the regimen, and whether there is reason to think, that the favourable turn in both cases depended on other circumstances, unobserved by me.