1000000031

and af,erwards a bliner 00 Ihe fame place, which has heeo

fuccefsful when the urual methods failed. An emollient

cooling clyner Ihou ld immediately fucceed bleeding, e–

fpeciall y

lhe

body is cofiive; and nitraus medicines,

with

cooling, emollient, diluting regimen. fhould be

forthwith entered upon. Thín whey. a decoétion of

barley aod red poppies, aod emulfioos, win ferve fo r

drink.

Though the fymptoms Ihould vaoifh 00 blinering, il

will be more

recure

bleed agaín : unlcCs a

profure (\Veal,

comes on

with

relief from paio, and makes all other re–

medies unnecelTary.

BUl

the lungs are likewife in–

flamed, the cure

cannOl

be "fo fpeedy; for [hough lhe

lira

bleeding and a bliner fllould give eafe, yet a repeti–

tion

will

be needful. Sometimes

lhe nitch

returos and

fi xes on the other Cide;

bUl

tbis may be treated as lhe

nrfl:

with

che (ame

fllece(s.

H uxham lay. a grea, IIrefs 00 camphor and nitre j oio·

ed wi,h fman dofes of ,he paregorie elixir ; aod if there

ís a vehement pai!!. he thinks opiates may properly be

joioed with them, as they have a great power of re)ax–

íng tbe over [eoCe libres. of moderating the

[00

rapid

courfe of the bload, aod of promo,ing ,he coneoDioo of

lhe morbific malter. Hence, after the uCe of Qpium,

there is generally a corious rediment of the urine.

is necelfary ,ha, the body be kep' opeo, aod ,he

boweJs free frorp fpafms; ' o which purpofes emoJlient

c1yflers are proper. wirh oil of Cweet :tlmonds.

lo ,he firn lIage of the pleurify or peripoellmooy, laxa·

tive clyC1ers and lhe cooler diaphorerics are proper ; but

all cathartics and warm Cudorifics do harm. T he time

(or attempting the diaphoretics is when the per[on Cinds

eafe by the blillel': BU( whenever ,he fpittiog begios,

the diaphorefis mu(l ei{her be omitted, or joioed to ex–

peétorants; whercof the chief is oxymel of rquills

or .in

great heat or drought, fome more p)cafant acid. Bm in

lowoefs, af,er repea,ed bleedings, give fal, of hartfhorn

j oined toComeoi): This \ViII raife the pulfe,and

promote

expeétoration when it flags.

If, notwithnanding lhe dirchuge, the brean continues

to labollr, bleeding is aill requifite: For the luogs are

nOt tO be overpowered by che omiffion of bleeding; nor

is ,he fuppreffion of the fpittiog 10 be hazarded by bleed·

jng tao freely. But with regard

bliners, there need

little cautíon

as they are always fearonable, to raiCe, re–

lieve

dlC

breafl, and tO promote expeéloration.

In the courre of expetloralion, a vomit \ViII Cometimes

be ufeful io difcharglng the load of vifcid phlegm.

Ihe phlegm is tough. or the patient cofiive, and opiates

are givcn, they mua be joioed wi,h fquills.

' >Jhen ,he pleurify cnd. in a fuppuratior or abfecfs,

tlle figns are, a flight vague fhivering. which Orten re–

turns without any evident caure ; a remiffion of the pain,

while lhe dilnculty of breathiog remaios; a redocrs of

the cheeks and lips; thirO; a feb ricula, or flight feve r, e–

fpe eially in the evening; a weak, fof, pulfe.

When ,he abfcefs is aDually formed, Ihere is an obCli·

nate dry cough, which ¡ncreares after feeding or motion ;

lhe breiHhing is diffi cuh,

fmllll,

thick. (hort, and wheez–

ing. worCe arter eating and motion; lhe patient can on–

Iy lie 00 the

C.de

aJfeD.d; a 00\'1, periodieal fever>

whieh is exafperated with a irring 30d ealing; a decayed

appetite, great thirít. noéturoal fweats, paleoeCs, leanneCs.

and exceHive weakneCs.

This either ends iq a conrumption; or the mauer

ralls inta the caVlt)" of (he tborax, aod fo beeomes

3D.

empyema.

O.l lhe

BASTARD PLEUR.fSY .

HOFFMAN

Cays, thal the reat of every genuine pleuri.

fy is in ,he

luo~s.

as appears frotn ,he opeoing of ,hofe

, ha, die of ,h" dlfctSc.

Therefore,

the inflammnion oceupies the externa

pans only,

is a

BASTAR.O P L EVRISY;

iftheextern3

furfaee of the lungs, like

eryripelas, it is a genuine

pleulify.

HASTA RO

PLEVRI SY

is attended with a very

acute and pncking pain in the fide, which is exafperated

hy ,he toueh; Iying 00 the aJfellcd fide is dillieul,;

there is a dry cough. withuut [he ejeétion

purulent or

bloody man er, whlch. if ílrong, increafes the pain . There

is likewife a

fever,

with a hardifh, depre{fed, and fre.

queo, pulfe.

The caufe does RO' feem 10 be io the blood, bUI ralher

in ,he (lafis of 3n acrid ferum at the eonnetlion of the

ends of the fine azygous arteries and veins

as alfo of tbe

Iympltatie velfels of the pleura, and ¡'ke\Vife in ,he perio–

Heum of [he ribs. where the fenfe is more acute.

Hence

is nothing elCe but a kind of rbeumatifm. and

is common tO thofe who are now and then troubled with

eatarrhs, rheumatic and anhritic paios, or a hemicrania;

erpecially

they come out of a hot air ioto a cold, or

the contrary, particubrl y in the evening .

This docs not requi re bleeding, unlers there is a remark..

able plethora; but a diaphore(js, and a more free perrpi.

J a,ioo. On the feventh day it geoerally difappears, aod

is witholH daoger.

L aoeifius advifes to bleed plen,ifully in the' arm, and to

fearify the pan affeDed. After this ,wo eupping glalfe,

are tO be applied ,her«o, whieh will cure , he difeafe as

by enchantment.

HofFman obferves, tha, thofe are apl lo fall io'o a ba–

a ard pleurify who are mueh expofed 'o a moin cold au–

tumnAl or wintery air: For there are no diCeaCes or in–

flamma[Qry fevers fo foon generated

the intempe–

ries, inequality, and ehange of lhe airo as thoCe of the

brean. \Vheo ,he fummer has beeo hot aod dry, and Ihe

weather has fuddeoly changed 'o eold, wi,h a northerly

wind, not ooly eartarrhal defiuxions have enCued, but

rheumatifms and pleurifies, with bloody Cpiule Oled violent

pains in the (¡de, have beeo very frcqtlent. For the air,

from continual infpiration, immediatcly aEeéts the lungs

internally, and externaliy the thorax and ribs. which are

beCc[ with thin murcles, membranous nenes and velfels ;

for which reafon fpaflic crifpatures are readily indllced,

2nd the free cireulation or the humours rlopt.

The bel! \Vay is 'o keep ,he part aJf. Ded in a ' empe–

nte and equal heat. io a warm bed;

eCp~cially

the fki n

of every patient, as in the gout and eryíipelas, caonot

hear topies.