1000000031

E D

About twelve hour!

arter

the ¡ovarion, the tongue is

dry, harfh, rough. and.diCcoloured, with inCatiable

thirn;

there is a

rarenefs

311

over

the

body,

great reHlcCfnefs, and

a delirium.

In [he lall(lage [he patient lahours undcr

great coma,

oppreffion of ¡he pr::ecordia, heaving of lhe

lungs,

an in ·

terrupted rcfpiration, tremblings of

lhe

tendaos, caovu}·

{ions, and cold c1ammy fweats.

h ufually

terminales

in a favonrable crifis, or

the

death of lhe patient, about lhe founhday arter lhe attack.

T he regul.r erir.s generally difeovers itfelf by a fuffu·

lion of the bile

. 11

over the furfaee of the body about the

,hird day . The faITron tinaure is frequently difeovered

io lhe eyes

tweh'e

hours after the ¡ovarion : lhe foooer

'Ppears, lhe more favQurable is the prQgnofliek.

the jaundice comes on too rooo,

is bad

ir with

livid fpats, which fometimes, though rareIy, appear,

falal. If the Oda eootinues obflinately dry and rough,

the cafe is dangerous; and rhe more fo, the longer it eoo·

tinues -; for lhefe ver'!. eldom recover, be the pulfe ever

fo good. The pulk t. not

be depended on; for many

have a good pulfe

few hours before dealh . If the

YO ·

mitiogi

are.~Dcecrant,

gro\V darker, and the hiccup Comes

00,

it is generally fata!' If lhe faee is greatly fluChed ,

.nd the veffel. of the ",hite of the eye are turgid with

blood, as in 3n aphthalmia attended with a phrenzy, the

patient

likdy ' o die io a v"y Iinle lime, efpeeially if

, be Otin

dry.

But jI .he head contioues e1ear, the pulfe beeomes foft,

lhe pajn., n.ufea, and anguiCh are relieved by bleeding ;

as alfo if the humours vomited up

~re

carried downwards

raxatives; if then the inquietude ceafe" the fl<Ío grows

(o(t and moia, and the patieot has better fpirilS; it is

probable he will reeover.

B leeding is the firfl thjng to be dooe, more or lefs,

3eeording to lhe force of the difeafe and lhe flrength of

the pltient; and, if the fymptoms continue io their full

vigour, fhould be repeated once io fix or eigbt hours,

¡effening lhe quaotity proportionably eaeh time.

After the firft bleeding, gi"e a vomit of ipecacuanha,

quickened witb three or four gratos of emetie tartar, (or

rather t\Vo graios,) which wíll bring up a great quantity

of yellow, porr.eeous, and fometimes blackiCh bile, and

carry the humours downwards.

After this lhe patient may drink plenti fully of diluting,

refrigerating, and flibacid liquors, made with oraog:!s,

lemons, tamarind s, fpirit orrulphur, (pirít of vitriol, aod

fueh like, in barley·water, fpriog .water, or other thin

and cooling vehicles . H e may likewife be allowed tartiCh

juicy fruits; as aoana!, granadilloes, Barbadoes cherries,

and water-mclons; as airo plantains, and bananaes. roan·

.d for food, jelly of gltavaes,

&c.

Cooling te(laeeous powders are likewife very benefi·

cia!'

Towards lhe evcning it \ViII be neccffary to injeét a

c1yC1:er. roaete of lhe coro mon dceoaion, with half an

ounce of eream of tartar, an ounee of manna, or ao ounee

or pulp of e.nia adJed to il.

Whcn the operiuion of lhe c1yfl:er is over, paregorics

will be proper. as thus :

T ake 2 ounces of mint·watcr, one ounce of einnamon

water, 25 drops of the tinaura thebaiea, and a luf·

ficient quantity of fu gar.

T he room OlOuld be kept eool, and fprinkled IVi th

vinegar.

rofe water, and eooling herbs. Frefh air fhould

be admiued. but not to blow di'reétly on the patieQ[ 's body.

Blirters are alfo or great eflicaey at this junaure ; whieh

if .pplied before it be

100

late, a coma, the deadly fymp–

tom of this diflemper. very rarely enCues.

T he patiem's diet Chould be nothing but thin panada

and water gruel, gratefully Cwectened and acidulated.

Befides plentiful .nd frequent dr.ughts of eooling li·

quor, the p'ltiem fllould be al lowed preCerved tamarinds,

mees of lemon with a Hule fugar ; but aboye all, peo·

guins, which by ,heir fh'lrpnerS penetrate the thick te–

nacious feurf. ·whereby the gl.nds of the momh will be

unloaded. Opiates mull alfo be ufed in larger dofes than

in Europe.

Cooliog and leoient elyllers mufl alfo be repeated every

cigh t hours.

\ Vhen [he patient begins tObe comatore, the third and

Jafi Hage of the difeare is advancing; in which are, dif·

ficuhy of breathing. oppreffion of the

prtrco,.dia,

convul.

live twitching of the tendoos, interruption of the pulfe,

aod at length its total

ce(fati~n .

: In this eafe, a eomple&t fet of bliflers mull be immedi·

alely . pplied, or the old on.. renelVed; IVhieh mart

laid tOthe nape of the neck ,

lhe wriíls, thighs, and

legs, and a large one on the crown of the head. To the

foles of tbe feet may .be laid a cataplafm of fah ·herriogs

and muflard.

W ith regard lo the urgent fymptoOlS; pains of ,he

head, watchfulnefs, and deliria, are to be relieved by e–

mollient and laxative c1yfiers, gentle purgatives, eup.

ping with fcarificatio n, opeDing the frolltal veío, lotioDs

of the feet, and nareotics.

Bliflers are alfo ufeful fo r lhe fame purpofe.

Convul{jons requi re much the

fa me

treatment externa'.

Iy ; and internally,

aurum

1/JujiVU7J/,

(the dofe from fou r

grains to a feruple.) To reltore the flrenglh of the p'–

tient, liule more is required than a fiomaeh purge or t\Vo,

mild aod agreeable bitters, and a refiorative regirneD of

broths, jellies . and white meats.

If the yellow tinélu re remains upon the

fkiD,

give a

vomit of ipecac. aDd a purge or

t \Vo

with the decottioa.

of fenna, tamarinds.

ec.

and allow the ufe of lemoos, o...

ranges, and otber acid frui,s . . If this diforder proves

obfiinate, treat it as the jauodice.

Oí rh.

SENECAL F' VER.

TH E

fever which chiefly prevaik in this country in the

months of July, Augufl, and September, is of the worf1:

kind.

ufually be:¡in. with drowfinefs, I.Oilude, and

great rigors, which continue frequen tl y three or fou r

hours, and are fucceeded by iotenre heat and fweats.

For three or four days it remits, and both lhe rhiverings

.and hot fits bccome more moderate. D urios this period.

the pulfe

quiek and

101V;

but aften..rds beeomes rull·

ei", unlefs fome

ev~cuation

intervene. At this time pro·

fufe Cweats are eafi ly bronght on; in which cafe ther.e

are littlt! Ilopes or recovery. A parched . dry (J(in, is as

bad a fympl om, if it eonlinues more lhan a d.y; for .o

ioterrmitting