M
E
D
1
tinu~s,
lhe fwelling oC lhe neck commonly grows )¡u gcr,
Ihe fauces bl!comc llJ.ccid, dry aod livíd ;
amllhe
patltot
a few hours
2ftcr
this exp;res .
N itrous cooling mt:dicines frcq ucndy produce the Jike
cEre8 s ; they ¡ncreare ,he i.:lintnefs which accomp:-nics
t hi.
dire.re, and , ither dirporc the patieot tOcopious fi nk–
ing (weatS, o r Clools.
U
pon
the whole, it appears, thar 0111 c\'acuations which
tend la
Id len
lhe natural fl rength
oC
lhe conHi tution,
aTe
injurious; :md thoCe perrons aTe commonly in the greatd l:
danger who have bcen previouOy indirpored, or their
llrength impaired by g,ief.
Ir
lhe pu rginn . thererore. comlnucs long
ar(C~r
the firfi
exacerbadon of .the diCtare,
il
is a dangerous Cymptom ;
for though ir may fometimes be rd lrttined for {he preCent
wilh apiates or all rincents, yet
it
commooJy returos with
greater vehemence when tl\ei r efficacy ceaCes, and iD
a
(hOrt time exhaufl , . he rm.1I degree or IIrcog.h remaining.
In thi, cafe they generally rwea. very liu le ; the r.uces
appeu d ry, gloO'y, and livid; .he external tumou r grows
largf ; they \'oi.d .heir excremeou wi thout perceiving it,
aod faJl into profure fweau
j
the refpin eion beCOOles
di f~
6cult and laborious, the pulCe links, rhe extreme pans
grow cold. and death, in a few hours,
cloCes
che fcene.
T he eye lores its luUre, and becomes opaque and dilO,
fomeri mes revera1 hour! before death .
A COpiOllS rlux of piUiitous malter to the glands and
other pan s about the fauces, have feerned fomctimes to
be the c.ufe o(rudden death.
It
i. necefTary .ha. the patient (hould be kep' in bod as
mueh as may be, .hough ,he
dife.fe(hould reem
10
be
llighl ; for a purgiog has come
00
for want of eare in .his
«fpeél, the reooers of the Ikin d.(appeared, and • diror–
der ",hieh ",i,h conG r.cmen• • Iooe "'ould probably have
gone
off
io t ·.vlce twemy-four hours, has !Jeen reodered
tediou. anel dillicul t.
Al the fi rn. while [he fi ckneJs and vomitiog concinue,
it
wi ll
be:
lldl
to promlHe the diCcharge, by givi ng an
i n~
fuGon of green tea. camomiJe flowers, carduus, or a few
grains of ipecacuaDha.
Ir
.he rymptoms do no. abate by this mean" gi"o fm. 1I
d raughts of
mint~ (ea,
with a (ixth pan bf red pOrt,
fre~
quently, togethcr with fome \Varm and cordial arom;uic
medicine, e\'ery four or (ix hours .
T he diarrho::a, as well a, vomiting, generally ceares
in
lers than twelve hours from the (¡ra auack: I f it coo–
tinues Jonger,
it
is neceffary
to
chc:ck it ; otherwirC:!
il
oc~
cdions great faintncfs, finks the
fircnClh.
and
in
the end
product s dangerous conf: queoce, .
T 'he
aronJarje cordi
al. co",monly ..ke off tll is rymptom, if given pl entirully,
and the vomieing likewi Ce.
P atients generally complai " of ao ex('cffi"e
f~ intners
foon after they are taken ill.
T he
urgcncy of Ihis fy.n rto01
feems to indicate lhe dcgrec of d1\1&Cr ; aod
3n
abítlc
meót ofit
is
a preu y f",re prefa geof rccovcry. Aroll1.u ic
medicines are JikewiCe found urtful jn rCnJovinz this fylOp
tomo W ine may be
~i \'en
in
CmaH c¡uanut :cs in whcy,
or mint , baum, or Cage lea, barlcy.w.lll!r, grucl,
píln:l~
da,
fa go, and the Jike ; fo r it is "ot ooly
an
ant¡fq>uc,
but a
g~ncrous
cordial.
\Vh.enthe fa:otnc(, is exceni vt,
it may be ¡¡iven alono.
e
N
E.
87
nliners likewire relie,·c faintings ; rhey m.y be 3Fplied
wilh
adVnnt~~C
10
the uCu21pans , and
10
the neck
00
e.eh(jdc, from bdow the ear almon to the c1avicJl!, as oecaGon
requires.
\ Vllh regard to the ulcers, \Vhich
dem.ndou r earl y
and conCI. n< au eOlion : \ Vhen the direare i. of the mild –
efl kind, only fu perroci. 1 ulcera,ion is obrervoble, which
O1ay
cfca pe lhe notice of a perfon unacquainted with
ir.
A thi n, pa je, white nouCh feem, to ;tccompany the next
degrec
i
a thick, upake, aOl·coloured one is a tanher ad–
vanee j and , if the pan s have a livid or black afpea, lhe
c. re is nill worre. T here Ooughs are real mortifications of
the Cubnance j (ince, whenever rhey come
"fr,
they leave
an
ulcer of a greater or l. fTer depth, as the Oough, are ru–
pediciaJ or penctratir.g,
T he thin, acr id ichor, which is d¡fcharged from under
the floughs, often . proves of b:!d confequence, efpeciaJly
to child ren.
I f
gargles are iojeéted , tlley ci, her prevco c.
.hem from reaching the feat of the diforder with theie
tongues, or lhey fwallow them and the putrid tajot of lhe
ulccrs together; whence fatal purglOgs enrue, or fata'! ha:–
morrhagcs from .he penetrating gangreoe. T hoCe that
have
a.
plenliful difcharge from the fauces, carrying off
this ichor, are feldom auended with licknefs, vOOliting,
or excdli,'e faiutocfs
j
and where lhere is Jiu le or no diC ...
charge, the fymptom, are commonly mon dangerous.
H ence lhe grtat advantage of gentle fi iOlultltiog
aro...
matic gargles appears ; bec.ure they promote .he dif–
charge of pituitous matter, and, doubdeCs, fome part of
the corrolive Auid along wi th it.
'l~o
w
hich, if we add
antifeplics and delergents, to cheek Ihe progreCs of the
mortirication, and to cleanCc lhe (ordid uleers, cvery
in–
dication
wilJ
be anfwered.
\ V llen the difeare is mild, .he Cymptom. favour–
able,j the floughs fuperficial. order a gargle of {age.tea,.
with
a
few rofe· leaves in the ¡nfufio n. T hree or four
fpoonruls of vinegar may be mixed with half an ounce of
lhe tea, with as mueh honey as
wilJ
make
il
ag:-eeabJy
.cid.
I f ,he Ooughs are large, .nd are can off Oowly, tbey
m. y be tOuchcd ",¡tb mel a:gyptÍacum, by mean. of an
armed probe.
It
is not uncommon for hcétie hcats, nigh[ {weats, want
of appctile, and dt:jellion uf fpirits, to altend thoCe a con–
fidel
able
time who
h:1ve
had the
di{t.·aCe
in
a
Cevere
mao.
ner.
Arres milk commonly relie,'cs them, togelher with
a
decoaion
uf
lhe ba rk,
ílnd
elixi r vitrioli .
1"'he ("aufe
uf
this Jifcafc feems
lO
be
;t
putrid virus, or
1I/iafl.'Jt1 fu i .t!t.·lItriJ,
introduc~d
intó .he habi t
by
coo–
ta~lon,
pri"cipally by means of the br.a tl, of the fi ck
pedon.
1~hc
inlentions of cure in this diCeare is
( O
keer up the
vil vi/jt ..
tO cncour:ICI!
tite
cuticular difd,argc:s ; and
lO
conCJl1cr
l l.t!
(pl"c.tding putrcfclétion. 'rherlrore, all eva..
cu.l.tlllns which
IdfclI lhe
Hrcnglh, particnlarly blecding
2ne!
purciun,
and alJ che nilrOl1S antiphlogillic medicines,
arl.! !.ir,hly improper.
Ancl fincc o Jaxity of fib rcs predifro(es perrons to re–
cl:ivc lhis
dil'ca{e,
ir is
Ol:1 nirdf, both \Vil" reS:\rd lO lhe
prefc
'rv.ltion and cu re, ton:c mc(\icinC's areind i,,·atcd · and
amo"n thoCe the bark j uaIy d,ims the fi rO place. '
T.hc.