1000000031

Th.. inR:unmotory pain which arifes

Crom

a lh>rp falt

f( rum in lhe

glanduJous

pans

of lhe fauces, with red·

nce" aod" copious flux of roali\'3,

bU l Wilhout

rever,

may be cuced with a gargle ofbrandy zlone. An infl:un–

ntation of the fauces is lometimes cu ced wi"th ten drops of

camphorated fpirít of \Vine, in which a graio of nitre has

been dilfolved, and fu!fered to pafs tlowly down

,he

throat.

The acute and inJlammalOry quinfey may be defined ,

u An inll? mmation of fome pan or

pan s,

either within

contiguous

rhe

throat, rendering deglutirían p:tinful,

or1impraBicable ; and, when

is of

lhe man

dangerous

•• kind, likewife affeéting re(piration."

When ooly fwallowing is impaired,

lhe

p:uts inflamcd

may be lhe

lonfi ls.

the velum

p.tlati,

and

uvula,

lhe muf

eles o( the ph. rnynx, and ,hofe o( ,he l. rynx, which

raire

pull it down in deglutition, but whofe ::taion

.is not concerned

mode, ~ting

the apenure of the

glottis; ",hile ,he laryoK i,fclf

aaj the

afpera ¡""ia

remain free.

But when the reCpiration is pinched, bcfides other

parts, ,hefe mufcles, which are employ<d in opening and

rhutling the glouis, mua be innamed; :and Jikewife,

probably the inner membrane o( the l"ynx, and ,hofe

murcies and flb res that join the rings of the afpera arteria

together:

And

fomelimcs there minute

and

remote parts

are

afFelled without any rednefs or tumour. either within

the fauces , or outwardly on the throat: This kind of

quiofey is the moll dangerous aod fuddenly

d.rlru~ive

of _11,

The prafli,ioner in every kind of quinfey ought ' o Jook

(arefully into the mouth and fauces, in order

difcern

where aoy redne(s and lumour

is;

lhat by comparing lhe

appearaoce of the pans

witb

Ihe funaions impaired, he

m.y be enablcd to form <he better judgment ...i,h «fpea

to the feat of ,be diCeaCe, ,be progoollic, and me,had of

cure.

I f the breathing i. r<markably _Irefled, there is abCo–

lute necelli,y

applying a11 the

moti

ellicacious remedies

witb ,he greatell briO,neCs and fpeed poffible. T befe are

plenuCul and repe.ted bleedings, a large blifler betwceo

the fcapulz; fomentations and cataplafms outwardly ;

neams

be received

¡ntO

the throat. tbe bell ingredieot

which is "inegar; fmart, but cooling purges

or, if

theCe canno' be go, do\Vo, clyUers of,he fame kind ; ba–

thing lhe feet and legs in warm water, and even femj .

cupia

DO'

made too ho" for

lear

o( raifing <he pulCe

' 00

high,

But even though ,he reCpiration lhould no' be alrcfled

at 6rn.

Ihe fymptoms are otherwife violent, remedies

ought to b. fma"ly and quickly applied lO preven, fup.

puradon. For \..hen the infla.med pan tends tO fuppura.

tion,

the tumour ke:eps increafing: 2nd when tbe pus

.~ua11y

Cormed, ,he bulk m.ybe foenl arged as ,oendan–

ger fuffocó\tion,

or che

patient may

n.uvcd by

tOlal

pri...ion of Cwallo,!"ing; fo ,h.. fuppura,ioo lhould

al–

",ay. be prevented, if poflihle.

(in the courfe o( ,he d¡flemper the pa,ien, lhould ron

• nfk

o( bcing fu!foc,ned. the operatioo ofbroncho,omy

b<come. necelf,¡ry, See SUkCEkY,

Vo... IlI.

N°

72.

Of thcM.lignan'

~ ' N'EY,

or P utrid Sor.! T HRoA'r .

T H

difeaCe generally comes on wi,h Cuch a giddinefs

of the head, as orten precedes ftlinting, whh a chilnefs

or fl,ivering like that o( an ague fi" followcd by grea,

heat; and theCe alternatcly fucceed each other for fome

hours,

tiJl

lengeh

Ihe

heat becomcs confhnt

2nd

in·

lenfe.

The

patient then complains

of an

acute

p~in

the head , of heat 2nd roreners, rather than paio. in th'!

throat; ClifFnefs of the neck

comruonly great ficknefs,

vomiting or purging, or both . The faee

feon

a(ter looks

red

and

Cwelled.

[he

eyes inOamed and watery . as

in lho

meaOes ;

with

refile{fne(s, anx.iety, and faiotners .

(requently Ceizes ,he pa,ient in ,he (ore-pan

the

day; and as nigh, approaches ,he hea, and refllelfoefs in–

creaCe,

continuing tiJl

IOwards morning

when arter

lhort, dil!u rbcd flumber, ,he only repoCe during Ceveral

oigh ts,

fweat breaks out, which mitigates the heat and

rdUelfncfs, and give. ,he difeaCe Come,imes ,he appear–

ance of an intcrmittent.

(he mouth and throat be examined foon arter

[he

6rll attack, ,he uvul. and ,onfils wi11 ' ppear fwe11ed ; and

thefe p:u

tOgethcr with the velum pendulum palati, as

wdl

as the cheeks on each fide, oear the entrance intO

the fau ces, aud as much or the fauces and the pharynK

behi nd as can be feen, appear o r a Borid red colour.

This colour is commonly mofl obCervable

0 0

the pollerior

edge of lhe palate. in the angles above the tonfils, and

upon ,he tonlils ,hemfelv•• , Inllead o( ,his rednefs, a

broad p:ucb, or fpot, of 3n irregular figure. and of a

pale white coJour, furro\lnded with a fto rid red, is fame..

times to be [een . T bis whitenefs is commonJy like tbat

o( the gums .f,er having be.1O prelfed wi,h the finger ;

or as

a matter ready to be dircharged lay underoeath.

G enerally on ,he Cecond day, ,he face, neck, breal!,

and hands, are of a deep eryfipeJatous colour,

with

a fen..

Gble

,umefa~ion,

The fingers are fo (requently tinged

in a remarkabJe manner, that it has been no hard

mat–

ter ' o guefs a' ,he diCeafe from abare 6ght o( ¡hem.

great number o( fmall pimples of a more intenfe co–

lour than that which fu rrounds them. appear

the arms

and other parts. Where lhe redceCs is lean ¡menre, they

are Jarger

and

more prominent, which

geDer<l.lIy on lbe

arm9. brean, and lower extremites.

As the O(io becomes red, (he ficknefs commooly

goes

off, and the vomiting and purging

cea

re.

T he

appearance io lhe

fauc~s

continues

the

Carne, on1,

the white place becomts of a more op<ike white, and is

difcovered to be a 11ough, concealiog ao uleer of the

f.me

dimenGon•. T hefe ulcera,ions-are geoera11y firU diC–

cernible

the aogles above lhe tonfils, or

the tonftls

themfelves, They are alfo oCten feen in ,he arch (ormed

by ,he uvula and one

,he ,onfils; on ,he ph.rynx be–

hind, on the ioftde of (he cheeks, lhe bafis ofthe tangue,

which ,hey cover like a ,hick furo \Vhere the diCorder

mild, there is only

fllpcrficial uJcer, of ao irregular

figure,

ooe or more o( thofe parts, fcarce

difl-in–

guin,ed froln ,he Cound pan, bu< by ,he in<quali,y

furface. Likewife the rcdnefs and eruption do n01 tt.lways

appcar, and

fome oot t¡JI the third, founb, or

fiflh

day, or 121er.

The