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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.en

the 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.nd

ou 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.lt

ion 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

.