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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.ue

in 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.