1000000031

the intermiffionJ

"\on,

may be ncce(fary

give the

b...rk befare the fwcaling is quite over,

If lhe diCeaCe has beco ne¡;lefled in lhe firn n.gcs, or

arter the

rCOliffions

or imcrmi(Jions

changes

COn

ttn:Jal'fever, with a fuIl ar.d hard

pulfe ,

"ti

mufl: be

0l'en!d. BUl

therc is a pain in lhe head,

Of'

deliriu""

an,hhe pulCe Cmall, il will be beft lO apply leeches

lhe

temples .

BUl

whether the pnient is bled or ooc, lJliftcrs

áre lhe ben remody ,

lhe

prillla: vid!

are lo.ded, cly'

fiers or a laxative nuy be proper;

bUl

neilh~r

vomitS

[lar purgcs; nor are thoCe

be repeated without cau–

l¡on , To lheCe

r~medies

the C.line draucht may

¡,¿

ad·

d~d ,

Swealing is che prop:r

crifis:

ie is nerer

be pro–

moted by theriaca or vola:iles; bu!

when

lhe

pulre

links,

and petechiz , or orher Cymptoms appear

ie will be pro·

per

ure

lhe

warmer alexipharmies, aDd to treu the

diCeaCe

li~e

roalignant fever.

A , looCeneC, is the lean favourable crir.s: yet if there

ire coHe paios, or a tenfion of the belly, attended

\Vidl

dryneCs' of..lhe íkin', it win be proper tO procure nools by

clyt1er,

or a

gentle laxative, fueh as

tl).e

in rufion of

rhubuD with mallDa.

-¡

which

tObe rcpéated as the pa–

tieot can bear

it-

CAUSUS,

BURHING FEVER .

THE principal fymptoms oCa cauCus are,

heat alnlon

Burning to the touch, mon remarkable about the vital

¡1uu;

bUl more mode,rate towards the extremities, which'

are (ven fometim:s cold: the breath is extremely hot ;

there is

drynt{s of the whole Odn, nollrils, mouth. and

t-oogue: The rerpiration

thick, difficult, and quick ;

the longue is dry, yellaw,

black,

ptlTched, and rough;

me tbirn'is 'unquenchable; there is loathiog of food, a

naufea and vomitiog; ao aoxiety. inquietude, aud great

laflitude

liule caugh, a fhriU voice,

ddirium,

phrenfy

continual watching or

coma, convullions,

aod

tbe odd day. an exacerbation of the fever.

. ID

this temperate c1imate theCe fort of fevers are very

rare; thore that are more cammon among us are the burn·

ing fanguineoDS, or the continual biliou$ fevers without

remiIlion.

This begins without any remark.ble coldneCs or fhi·

vering, with greal

heat,

thirfl, watching, anxiety and in·

;¡

uietude.

fanguineo- bilious connitutions,

and in

bo·

ies full of bot bilious · blood, th ey terminate in critical

days in he.lth or death, ' being fidt preceded with a Ota·

kiDg.

Thcy terminate

iD ::I

faluttry manner, with

fweat

bleeding al the

noCe.

, On the third and fourth day it often prove. mortal; il

reldom exceeds lhe fevenlh,

violent .

is often terminated by on ha:morrhage ; wbich if

Cmall on the third and fourth day, it i, a fatal fign.

ben if il happens

critica! day.

A Colution of this fever on a crilical clay, may alCo be

v'omiting, fiool, fweat, urine, or

fpitling

thick

plllegm.

Ihe exa«rb",on of lhis diCcaCe harpens on the

Ce·

cond or fourlh day, it is a baJ

r.gn

; 'ID lhe r.xth, not

fo hod:

The

uri!lc

!Jb.ck,

(mall

qcan!it)', and thin,

is fJtal

fo is

Cpitiin~

or pilli;,g of blood.

l\.

J ifliculty Qf Cwal·

VOL.

IU, N°,

72,

lowing is abad

r.gn;

bUl the \Vorn

al! i, coldneC, of

the extreme parts. The face red and fweaty, is bad ; a

paroris

DOl

tending tO fuppuration

(at

lhe body

tCO

loafe is fatJI.

trcmor turning iOlOa delirium is mor...

t~l :

il ofren changes ¡01oa peripneumony with

ddirium.

Whcn this dlCeare fucceeds gripings of the bowels, it is

worH of all,

critital octermination of this fever

ufually

pre..

ceded by a rigor, qr fhaking .

The

of • burning fever is mon

ear.ly

oblainee!

in apure, cool air, frequ endy rcnewed :

The

patieot

mu(\ not be opprelTed or nifled with ¡'ed c1oaths, but

fhould r.t up often , He fhollld drink plentiCu!ly

01'

Cofl.

fub acid, aqueous, and warm liquors. His diet {b ollld'

be 1ight, made of

pearl

bJ.r1ey,

oatme.tl

and

fu~·acid'

fruits.

Bleeding is necelTary at the beginning, if thére is

plethora, or figns of a p<trt icul;u infhmmatíoo, or

the

heat is intol erable. or the rarefaélioo toOgreat,

or a

fe:'

vulGon nece{fary, or the rymptoms urgent. in which

cir–

cun,(lances lhe diCorder is hardly to be vanquifhed by any'

other remedies.

Sofr, diluling, laxative, antiphloginic cooliQg c1y(lers,

are

be repeated as Ofl as the heat,

colliv~nefs,

ando

revullion require (hem.

The whole body i. to be moin,ned by receiving ,into

the .nonrils the Cl:eams of warm water

by warhiDg the"

mouth, lhroat, feer) and hands. with the fame; by ro ...

rncntiog with wt\rm fpunges the places where the veffels

are

m'Ja

numerous, and

mon

exporcd to the tauch.

The

medicines fhould be aqueous, foft, nitrous, gratc-.

fullyacid, gently laxative. not promoling fweat and uTine,

by their acrimony, but by their plenty

fuch as r(mO\'e

the conlraélion of the fibres, refolve the lhicknefs of the'

humours and dílule, and temper their acrimony.

To appeaCe thirn iD this diCeaCe, .nd lO moicten the

tongue and parched fauces, there

nothiog better than

fweet whey, in a qua" of which half a dram ofpure oi–

tre has beeo dilTolved , Small draughts of this, a liule

cool, may be drank frequently, which \ViII likewiCe ex.

tinguifh the pcrn3turJI heat. The mouth and thraat

may

alfo be wafhed wíth water, mixt \Vilh fyrup of mulbcrrit:s

and nitre.

Purga·jves are

dange~ous

befare the crifis, but c1yfiers

may be ured. made of milk, honey, and a )ittle nitre.

After

,he

crifis, which is known by

Ihe

fedim~ot

in the

urine, laxatives made \Vith tamarinds, manna, rhubarb,

ráifins, or cream of tartar, are abfohHely neceff.'lry

O, ¡he

Burning llilious FOV ER,

YE LLOW FEVER

¡he

W eH,lndies.

TH' yello\V rever begins \VÍlh a momentary chilneCs

and nlivering, which

foon fllcceeded by

burnll1g heat

all over the body, bUl is Celt more inlenCely aboul th.

p'rrecordia', T he pulCe is high, nrong, and rapid; the

eyes are heavy ; with a throbbing paio in ,he hcad, aod

a I/iolent be:l.1ing of

the

temporal arteríes . and

thick,

laborious rcfpiration :

~here

naufeoufnefs, and

reachioz to vomit; í\nd when any' thing is

rown up, it

of lhe biliolls kind ! Befides theCe,

eat anxicty, rain in

t.ne

back and loin" :ínlan une. Cy laflil ud. io . 1I lhe limbs,

.II bou!