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largc orifice; or cpeo rerenl ,'cios iU the rame time, fJi=.
t,hejll,'Iu1ur, thcjrc.ntal, and a vcin in the roOt.
Holfmtlo pre(C:fs the hJecding al lhe llar.:, procurcd
by thlulling up a Hraw, a pen, or a Ckc\yer i or, ~\S Prin–
gle adv¡Ct:s. ~pp)y fix or f:.\'cn )c:cchcs 10 th<! tC!lIlp:cs.
The rdi of lhe cure canfiOs in blillt:rs, ¡Uh.i things com–
mon la otller ¡nnammatOr)' fc:n:rs.
Thc cure of the (ympw,ilatie phrcnzy, if the pul(e
will bt:ar it, is by opt.ning a "eio; bUl if this Ctlnna t be
done by n::\f"n of IO\Yn<.fs, it is to be aucmptt':d by
!s and bliOcrs. lt is ufual la bcgin with blifiering
the he~d, but in miliury t,o(pitaJs is lO be left tO the
b it. ' fh e bdl itnern:d medicines art! nitre and cam phor.
H offtilan's pro?onion is fix graios cf nirre tO oae of
cill1lphor; fnlílll dores of whlch are la be;: often repeat–
ed.
'fhe p:uit nt's drink O\ould be [\Vect whey, or acidula–
teJ by turning th~ milk Wilh dtron or temon jUl.:e, and
with ¡j·r. e 1IJ¡·conio. 'ro cycry qUIJt adJ a
dratn of purified nitre or fal pcunelht. Alfo ~mullions
ar~ convenient. of the four cold fuds, v:i th b:\flcy-watcr.
to evc:r-y quart of which add l\YO fcruplc::s of nitre:.
AntiphlogiClie c1yCl<r' are likewi(c proper : but if all
the(e n,eans fail, reepur(e mua be h. J tO cuppiug in the
lower p'artsJ la o¡>iatcs, and mild bli:1crs.
Oj' the PLEUR.,y .
THE pleuri(y is moCl predomin,.nt betwcen the (pring
2nd lhe: fummt!r.
lt bcgins with chilncfs and fbivering. which are (000
fueceeded by hcat, lhirn. ioquietude, and che othu com
mon (ymptoms of a ferer.
Afler a few hours the patieol 1S feized Wilh a violent
pricking paio in one of his fides, about lhe ribs; which
fometimes extends it(el f towards tbe filOulder· blade.,
{ome:times 10\Vuds lile b:tck· bODe, aod fometimes towards
,he fore.par .. of the breaJl ¡ and thi. is attended with f, e–
quent coughing.
The mauer whieh the patient (pi.. at firll i. linle .nd
thin, and mixed with partid.. of [jlood ; but as the die·
cafe advanee!, it is more plentifu) and more eOO1:oéted,
but OOt without a miXlUre of the bluod.
The f"'er koep~ an equal pace with the cough, pain,
and Cpining of blood; and in proponion as the expetlo·
ra:ion becomes more free. it Ccnr.!Jly uecreaft!s j fOnl~·
limes the body is coflivc, romctimes lOI') opeo.
The hlood drawn from a veio, as fooo as il is cold, look!!
like meltcd (uet.
In !I,is di(e.(e the pul(e is remarkably h>rd, .nd (<cm.
to ,'ibr:!.tc like a t~n(e firing of a :nufical inflrumcnt, which
is the pathngnon,onic fi~n.
Hencc: plurifics ;'trt: dininguiflu:d ioto lhe moiO and the
dry. !t is likewi(e obfcrv.ble, ,ha! the pain in the fade
is more intcnfe at the lime of inrpiration, bUI more milti
al rhe time of t!xCpiration.
There is no f~v1.·r wherrin lhe erifes are more regular
than in the pkurify and pc!,ipncumony: ror in )'onnr. per–
(ons. and tho(e lOf:t full h.bir of body, blootly (pinle ge·
nenlly appcal s on the rocrth dav, ;\n¿ C\n the: flventh tIle
dircare tI.;rminatcs by a prOfl\fe !\ '¡CaL lJUl in lhe phlcg
I))a~ic and mort imh,<l¡vc, as alCo lhof: in whom lhe diCcafe
VOL. 111. 0. 72. 2
e N
has token d«pcr hold of the Iones, it \Viii eontinue till
the elenmh u1' fourtccn:h ¿ay; {toinci off Pdrtly hy ex.–
p.:[tor;aion, p.udy by (wl'at: tlltn lhe pulfe uc::cun,es
mure Coft, anJ the p.uicm f~tIJs into an cafy refrdhiog
Oce p.
Bu[ when on critica! da}'s the crifis is imperfeél. there
is indeed a (\Veal; but il neither et¡f<:s lhe p:ttient. nar
terminares thc diCc:aCe. When it contiuucs till,he t \Venty–
firn dc\y, lhere is re<tCun 10 fcar a dangerous abfeeCs in
the br.:afL le is lheretol e a good {ign when the expec–
torati<m proel!c:ds from ,he bOllOIll of (he h\IlgS. bringing
up a vifcid maner on che founh clay, mixca with blood,
afterwilrds yello\V. and Come times purulent. 1 'he fooner
che: ex peét:oracion 113pp~ns. the gre,ner the hopes of rl!.
covcry.
A 100Cenefs is not fae\!; urine wichout a redimenl is a
fufpcéled fign; and a profufe (wl..at• .unle!s on critical
day'l, is fidl worf\! . On tllt! elcvt!och anJ t,,-,elfth days a
loofenefs 1S nOI much to be Ceare.:l, unlefs toO great. for
il fometimes carrit s off purulent m:1tter. If a bleeding
al the naCe: happcns about lhe founh ,Jay, it is generaJJy
anenJed ",ich a rcmarkabJe altcration of lhe ,Jifeare.
" rho(e who die of lO infhmmatioD of the lung! are fufro .
eated, bec:1ufe: lhc mal ter adheriog tO ,he veficles and
bronchial du\.'ls cannot be coughe:d up.
In ilJl illflammatory fevers, lOO hOI a r<'gimen is to be
fi,unned, bo,h with r<fpctl to the bedcloaths and the he"
of [he room; nor mun lhc padent be ex.pofcd [O the cold
.ir ??r dri~k things atl"ally c?ld. Likewi(e all (hong
fudonhcs, dlllrcucs, and cathartlcs, are hunru!. Nor, if
the paticllt has lhree or four Oools, mufi [he courfe of
nature be (topped.
The DIET íhouJd be cooling, relaxing, flender, and
d iluting. Moiflcning things uken warm are pre:rerable
to alJ others. Hence, barley orO:H me,,1 grucl, fweeteoe
ed \V,th hODe:y, is proper¡ as alfo (\Veet whey.
'-'he indicalions of cure are, 1 , To prevent lhe farther
aaC.s and Hagnatioo of the hlood. 2 . To dilute ann diC–
(olve the lentor of the blood in pleuritics. 3. To mol.
Jify, cafe. and relax lhe Cparm, pain, and copious afRux,
in order lO put lhe! impall:ed blood again ioto mOtioD by
the htlp of the appul« of the .rterial blood . 4. To pro.
mote lhe excretion of lhe viCcíJ, bloody, aDd vUlulcnt
maner, adhfring [O tIJe bronchia of lhe lunes, fo {hat it
may be broughl up and ao ~blccfs pre\"ented.
Take away teo ounees of blood on faóe of the pa"
acr.tle<~. If the phy~c,an ts ealled be!ore the thinl day,
the pautot IYlng en hls back, muO 10le a large quanlily
of blood fronl a \l. ¡de orífice in a Jarge vdrel, and retch
dcep fi ghs, or eou gh. to promote its eelt:rity ¡ and die
par! acretled filOul<l be rubhed gtntly at the (ame time.
T he hleeding (hould L'c conlinued cill che pain remies or
the paticnt is ready lO f..inL lt nl0uld be repeOlted as o'ften
as (hc fymploms r~tuJn which it \'las int~ndcd to remo\'C.
The ab(cDeecf (he whiteinR.lrnmatDry pcllicle- from Ihe fur.
face or{he blo .d, ",hen cold, fllCWS ir is time: to leave ir off
This Huxh:¡mconlirms byhisownexperience. ; and ;\dc!;:
that a(ttr the fOilrtn J ay bleeding is nO! (.(e He I,ke–
\Vi fe rccommends fomentillg Ihe p.\ft; whkh Orll!n talcs
the p:Jin, and lerminatls the dilt-:trc, BUl if it is Clulií _
nate, he rceomm::::nds Oinh t fcuific;\tions i thcD c:uPllino '
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