M
E
D
jdlies and water gm,1. OutwJrdly, the following lini·
mcnt is ureful in
~II
CKreS :
T~ke
uf oíl off",cct almonJs
2
aunees,
and a dram of
ctlmphor
i
mix and makc {hem
in
lO
a linimc:nt, to
be ítrpliu.l wann
10 lhe!
Homach
0l the
~INSEY.
A
~
I
~
SE
Y
is an ínflamm:uion of
Ihe fauces,
with
a
'burtJing pain . tumor and rednefs; a
d:fficllhy
al' breilth–
inb or (wallowio!'!; and a
f~ver,
proceeding from a l1:dis
of 1:ilood, or a vifcid ílcrid ferum in the ·fanguineous
oc
Iymph,tie vefl;'I,.
l[ begins
Wilh
a rever, which is follo\\'cd
wirh
a paio
ami infl,unmation of
Ihe:
fauces,
c.\ufing
lhe
uvula, ton(jls,
0",1 larynx to fwell: whenee gre.t dillieulty of breallling
and fW<lllowing e"fues .
This difeafe m.y be feated ,t the root of the tongue
nenr lhe
OJ
"JQid~/;
lhe
forQ1//;na
of the
nollrils
opcning
to the bone; the b<ginning of the
.,fophpgur;
,he mufcles
of the pliarynx; thr,¡j¡¡¡ternal and external murcies of ,he
Inrynx; lhe greaterand l.:fferglands; lhe tonGls, or the
mufcles mO\'ing (he jaws.
"Vheo a quinfey ,fFeéts the intern,1 mufcles of the
Ja~ynx
.
.
and there is no outward redocCs about :l1)Y pan
of lhe neck, bOl a burning paio inwardly, a 10Cs of voice,
3nd great diRieuhy of breathing; it often kili, in tlVenty·
four hours. This is
caBed
a
~1J(ulch~.
\Vhen it
i,
(eal–
ed in lhe internal muCcles of the pharynx,
it
is 'called a
/Jnanch~
..
in which there is no external tumor and red–
nefs, but a great dillieulty of fwallowing and bre.thing,
aod whatever is drank returos through the nofe. When
there is an outward tumor aod redocfs, and the external
muCcle. of the pharynx are affeéted, it is a
pProfjnnnch.;
wlien the extemal muCcles of the larynx, a
porp'ynon.
d •.
A quinfey is likewife dillioguirhed into the uue and
fpurious. The!rue .rifes from the fl,fi. of the blood;
the fpl1rious or bafiard (rom a congenion of lhe ferum .
The former is acute, always auended wilh a rigor and a
(ever. The latter has rather a Iymphatic or catarrha l,
than ao acute (ever. The tlrfi has not ooly a LJurniog,
pricking pain in the inner parts of lhe fauces, but lhe
tongue ¡s· {Urgid with bJood, and of a dark reddifh
colour
j
Ihe face is Jikewi(e red; there is a great pul–
fatiorl' of lhe temporal arteries; fometimes a head-ach,
a torpor of the Ceofes ', rometimes faintiog.
When 'it i. very violent, there (s a diflicultyof breath·
ing, high anxiety,
and
coldnefs of lhe eXtremilies; aoc'
is very dangerolls, requiring fpecdy help. Bm in lhe
fpllrious, ,hofe fymploms are ei\hc:r abeeot, or more
inild ; nor is lhe dapger fo great.
This difeafe may be c.ufed by a fupprellion of fome
ufual fanguineol\s cvacuation; by admiuing the cold air
After a flrong Cudo.ific ha. been taken; and by Iying in
rooms new plaiflered or white-wafhed. Sorne cauflic
poifon! a{fea the thToat more than other pnls. White
hellebore aH3cks lhe fauces, and brillgs on a flrangulo.tion.
<rhe fame'coCucs (rom
thefolal1l1mfuriofu1JI,
and the bite
of amad dogo The fumes of ..fenieal and mercurial
mioerals, as alfo lhe vapours of mineral fpirits, will have
lhe farne effcéts.
e
N
E.
lt
Cometimcs comes On CpotancouJly, alld is agaio the
fylll
p:
0111
tlr :mOlhe'rdi(eaft!, as the lIían
hec.L
aou dyfentery,
efp~<ially
if tOle flux is hallily (\" pped.
It
has happeoed
from
lhe
tlrikiog
in
or,an
cryr.pd.LS; CJr fometimt!s (rom the
gOUt bc..ir.g illjudicio:IOy
trt':ued
wilh topicks
j
as
alfo
(10m
lhe finall.pox, or
a
m;¡,lignant or pe(lilentiif.1 fever.
The
cauCe:: of
lhe:
rymptom:nic JlfcJft:
IS
coHivenefs. or fupprcl–
ft:d perfpira:ion, or the Clrikiog in of eruptions. When
il
is cpiJemic, it h:ts fomedlÍng of maligllit)'_
'Vheo the f'wtllilld,' plin. and redn fs, appear more ou t–
w>rdly, anJ v,nirh by degrees, it is a fign of a happy fo·
lutioo of the difeafc: . But when the externa1 fwcllincr
fuddenly difappens, without a mitigiltion of the
fyOlp~
toms,
jI
fllC:ws the morbific malter
10
be traoílated elfe–
where, and will change to a phrenzy or pcrípneumony.
Or
this difl.!.lfc
Olay
termin.uein a luppuration or g:\ngrene,
or a fchirrus . A frothing at the mouth, [he trlngue
vaflly flVeUcd, and of a purple, blackifh eolour, portend
death .
In
thefe ínfhmm3tions a Oight diarrha:a
reli~ves:
Therc:–
fore alimencs which promote it are uCefu], as tamarinds
infufed
in
whey
~
deccélioos or farinaceous vegetables
moderately acidulated, and
fueh
as Jbound with a cool–
ing n¡trous falt, are pro?er. Burnet is raid
tO
be a fpe–
cdic in Ihis cafe. Mulberries are beneficial, and aJl
3-
cids.
~he
mouth and throat mufl be kept moifl, and the
nofe clear, th:u Ihe air may have cli!ar palfage through
it.
When the pa,ient cannot Cw.Uow, he may be nouriflled
by clyflers.
T ake away blood plentifuUy from the arm, and af.
terIVards open a fublingual vein; but bleeding in the ju.
guIar yields the befl .mllanee, .nd is mueh more fafe.
If
the fymptom•.eontinue tO be very urgent, the bleeding
may be repeated in fix or eight hours ,ime, tiU they be·
gin tO be more mild.
After the firfl bleeding, laya flrong and large blifler
00
the fore·put of the neck, or a piece of Banne! dipt in
the volatile liniment o
Then let the pans inflanted be touehed with the fol–
Jowing mixture:
L
Tak. a fullicioot quantity of honey of rofe. aod
fpirit of fulphur. JI1ix them.
Then the following gargle i. to be ufed, held in the
mouth
till
it is hOl before it be (pit out; which is to be
repeated pretty often:
2.
T alle a pound of barley.water, 8 ounce' of honey,
and
2
drams of fpirit of fal armoniae. Mix tbern.
Emollient fieams, or even lhe neam of hOl water
ta–
kcn
iD
at the moulh, are beoeficia!.
Ir
the patient is
nOl
able to fwallow any nourifhment,
3.
T ake ten ounces of beaf ..tea,
10
grains of nitre,
and 6 drop. of fpirit of fal t. Mix .nl! make theol
ioto a clyfler.
L et)t beinjec'led every eigh,h hour, after the belly has
becn clcanf<d with a purgiog clyfler.
Ir
the tumour tenlis to a fuppuration, it
i!
beCl pro–
moted by holding fat, dried figs in the mouth; alld when
the toofils are full of an inflammatory ichor. honey of
rofes ruixt with fpiri t of vitriol) anJ often applied
(O
the
ral
t \Vidl a pcuciJ, ¡s c:>:celleot.