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28 Although other medical writers, such as George Lipscomb, rejected Brees particular formulation of asthma, they tended to agree that fumigations were of limited value: It is unnecessary to expatiate on the inutility of fumigations of all kinds, wrote Lipscomb in 1800, nor do I think it worth while to combat the visionary idea of aerial medicines being capable of subduing the violence of the paroxysm, before the serous effusion has been expectorated. 29 Prior to the nineteenth century, then, the inhalation of vapours and smoke occupied a variable place in the treatment of asthma in most western and eastern medical traditions