1000000031

!vI

The only cer!>in "iagnoClios of ,his

difc.fe

are aph–

,l\Ous ulcers and lluughs

the

lon!iJs

and

pans

abollt

lhe pharynx.

1\'10(1 perfons in the beginning have a naufea and vo·

miting. and fome

loofcnt.'fs. T hofe \Vho are coUive,

have, upon the uee of lhe

genddl

eccoprotics. immcdiatc·

Iy b<en f.iud ",i,h a diarrh,u, di/ncul[ 'o re

(lr.in

. AII

medicines which und

move

lhe

bdly,

nOl

excepting

rJiubarb, are extremely dangerous.

Tbufe;: who have had lhe difet\fe with mon

violence,

have bdd lhe: head 2.lways hCrtvy and ílupid. and lhe eyes

foul and ruH of tears. No[ a few have had ,he h<.d

covered with petcchi::e and purple fpots.

The fir(l [hing

be done is ' o order [he ho, /leanl of

a boiling mixture, of vineg;tr, rnyrrh, and honey,

received imo lhe tt.roat, through an ¡nverted funnel. If

is nece(fary

make

mil

more penetrating. add fome

of [he

piril. Mindereri.

This /le,m can fcarce be ufed

too rrequeotly, provided

is received Wilh

due degree

of heat.

the

pri1lJ~

vi.e

reem foul, or much loaded, it may

be necelf..ry ' o begi n ,he cure by c1eanfing [he (lomaeh

with

carduus tea, in which a litde Cal vitrioli is difTol–

'ved, and fome olhcr gentle and quick emetic. No Other

evacuation feems proper, and lhis is ooly

be uCed at

.he very beginning of [he difeafe. If ,he phyfician is

DO' called in foon enough, i[ will be necclfary [O begin

immediately by giving ,he bark, joined wi[h ,he

p iro

JJ1ind~rt,.i

The bark is mon efficacious

Cubllance; but when lhe

{leeng'h of [he patien, is much, reduced, and [he digef–

powers' weakened. which is uCual in putrid [evers,

lhe very

fira-

Ceiz.ure, t!;te decoélion or extra{t may be

though[ preeerable; bu"his la(lis feldom [O be had genuine.

making lhe decoétion, it ought tO be done wi lh as

gentle a hea, as pollible, aad [hea evaporate very Oowly

lO procure the extraét, len it be burne lOO, and lhat lhe

yola,ile parts may fiy off as li,tle as may be.

In the uCe of the

JpirilUJ

Millder~ri,

care

fhould be

ta~

ken chat it be exaélly

neulnliz.ed

; or rather, as lhe

dif~

care is putrefcent, that

may incline towards lhe acid.

This is particularly ofufe whorelhe heatis ..ry grea<, i,

being very attenualing and antifeptic.

When the putrefaétion is fufficiently conquered, it will

be necelfary [O c1eanfe [he fir(l palfages wi,h a fmall dofe

of rhubarb ; which is lO be repeated at prope'r intu\'als,

continuing the bark,

&c.

on the in[ermediate days

lor

t:on{jderable time.

T o complete lhe cure, lhe patient nl.ould enter into

courCe of baIC.tmics. chalybeate waten, with elixir vi–

trioli, and the like, in order to (lrengthen the folids and

invigorate the blood; for lhis diCeafe is Ijable

return.

.efpecially jr ,hey have af,erwards a fever of ,he putrid

k ind.

Oja

PHR EN ZY_

PHREN 1. Y,

if a primary

diCeaCe,

is a true

inRamma~

.tioo of lhe dura and pia mater

fymplOllltltical, lhe in–

.fJammatory

OldltCr

is trtmOated ioto the meninges of the:

brain from fome olher pan .

The primary phrenfy is preceded by hca, aad a violen.t

inflammatory paio within lhe he::cI, a rednefs of [he eyes

and face, unquie[ and troubl<d n!ep, a lIigh[ degree of

foil

watching. f.ldol!Cs,

fierceners~

fuddcn forgctfulnefs,

gathcring of threads from the bedcloaths.

A fyOlp[Omatic phrenfy fucceeds any .cu[e difeafe ; bu'

is wor!t when it

'prtceded by an infLlmmation or the

pleura, luogs, or di:lphragm.

black tongue. 3n obfii–

nate coCliveneCs. Cuppreffion

urine, white t3::ces. which

is alway' a fatal figo, pAle. dircoloured, thin urine, a wild–

ncfs in lhe looks

and

aétions , with a red viC;,ge,

bl.d.ck

cJoud in the urine. and watching, are Ggns of

appruach~

nig inftammalion in lhe head.

The fymp,omatic phrenfy fome,imes 'ppears in ,he /late

of maJignant, eruptive, and fponed fever,. the fmalI–

pox, malignanl catarrhal fevers, camp-fevers, particular–

Iy the Hungaric.

generall y fupervenes about the cri–

tical days, with a rigor, lrembling

oE:

joints, tenGon

(he prrecordia. and coldnefs of the external pans. witb

thio urine. The palient being weakened wilh

lhe

prece–

ding direare <tnd long watching, which debilitates [he tone

of the vefTeis of the membraoes of lhe braio; whence

.the fiafes are not lObe refolved, aod wheoce (be patient

is general ly killed on ,he ,hird day.

A phrenzy i. [O be dillingu ifhed from [ha< fligh' alien–

:nioo of miod which happens in acute fevers before lhe

critical eruption . This goes off readily. nor

the urine

thin and watery, nor is il atcc:nded witb a rigor ami a re ...

frigeration of the external parts

is alfo to be di ...

flinguifhed from

deJipience and raving, from a great

lofs of (heng'h and \Veakaefs of [he brain alter ,he decli–

nalion of an acute fever; for lhis will go as the llrength

returns, e¡lher fpolaneouOy, or with propa remedies :

BOtb kiads, whea prefen[, have [he following fymp–

toms:

A deprivation of the ideas of fenfible [hings, as alfo

of [he facul,i.. of ,he mind and afFellions; an unruly

fiercencCs and wildnefs; an unquiet and often turbuleot

!leep, a reCpiratíon !low and great, .be (ace ofteo exceed ...

ing red, [he afpell grim. ,he looks fierce, ,he eyes wild

and protuberant, a dropping of rhe noCe.

A phrenzy is generally fat.1 on [he ,hird, fourth, o.

feven[h day; \Vhich la(l i, fel dom exceeds.

Wheo

does, and is violent, it oflen ends io madners ;

which increafing graduaUy, the patient becomes ravlng

mad.

T he alimen' ough' 'o be lIender, of f"inaceous fub–

llances) as water·gruel acidulated; the drinl.- . barley·wa...

ter. fmall .beer, or the decoélion of tamarinds.

This difeafe, of all o[hers, requires ,he fpeedie/l 'p–

plications . Profufe h3!morrhages of the nofe often refolve

i,; and copious bleeding, by opening ,he temporal arte–

nes, is lhe moll efficacious remedy.

The cure of ,his dife..fe requires diligent atten,ioD to

the follo\Ving ,hings :

Varices of ,he veins-, or the bleeding piles, are beaeli–

cial.

A loofenefs is likewife good.

A pain in ,he bre, (l and fee ,. or a violen, cough fuper–

vening. oflen pUl an end to the difeafe; as airo an ha:–

morrhage.

Theeefore plen,iful bleeding is oecelfary, ,hrough a

r¡:e