M
E
D
1
fa"her blecdin g. BUI if Ihe pain return.
witb
violence
after having
tea
red
;¡
conñderabJe
time~
il
is a "CO that
a n:w
inRammation
is forming , which ¡ndicates bleediog
as much as (he
primary,
but not in the Came
de~Tee.
The nrencth of Ihe palieot Rnd pulre, the violence
oE
the paio itnd di·tficuhy of refpirat\on, are, in a great mea–
{ure, tO determine the quanlily. When Ihe p04fe and
Orength ftem to require bleediog, cupping on (he
Ihonl<l<rs will ,e1ieve Ihe brea!! and head . L iILew.ife Ihe
ufe of blirters,
¡{rues , (etODS,
are very ferviceable
iD
in.·
'ftammatj.ons of (he luogs .
L .ying a blilter on Ihe part
affe~ed
i. Ihe proper cure
o(
a pkurify;
bu,
a peripoeumony is n..urally more d••-
¡erout
i
and the more foas (he
epifpa1l.iccannot operate
lo
direélly on tbe lunc. as ,he pleura . BUI even i. ,hi.
~are,
hliltering i. mon 'o
be
. e1ied on after hleeding.
You moy firn bliner ,he back, and af'erward. one or
botb fides. Epifp.flies lend
te>
relieve toe hrean, not
e>nly when applied toothe chen,
bu,
alfo
to
.h. extremi.–
ties
i-
ánd promo
xpel..'loraüon: Whereas bleeding
mun he ufed c.u'ioufiy, if
aL..u..
.fter Ihe fpitting ap'
-pears.
Th-e
(ever
and the inflam.mation require a cool,
dihning
regimen. and nitrou, and rela·xing medicines;
rogecher
with
a
moderately cool, free ai.f, and quret both
of
body
and mind. A dore
room
i5
vcry incomm.odious;
ir
jt canno'
be
.voided, it (hould
be
prudently ai recl. There
i.
nOlhihg more proper ,han ,hin-whey, a ba'rley p,ir""
,.,itl> ¡¡quorice, -6g.,
élc.
,he infufion of peéloral herb••
'fucb as ground.ivy, maiden·hair, colc's-foor, h)'trop,
Oc.
T .hefe (hould
be
gently acidula,ed wi,h juice of Seville
onnges or Jemaos. Honey will
Tender
them more deter–
gen<.- Any or . 11 Ihefe ,hing. m.y be drank wortn hy
luroS" in frequeot
(mall draughu,
fipping Ihem as
ir
were
perpe,ually. Thefe relaxi ng, emollíent drink., . nd va–
pours arifiog from them, are in a more e{fentiaJ manner
necelf.lry, · ",heo the expetloration is very difficult and
tough. When i, is fudden ly fupprelfed, aod ,he diflicul–
.ty
of hre..hinc grcatly a"cmen,ed, an emetic of oxymel
Qf fquills \ViII he proper, if ,he violenee
e>f
the fever
i. abated; bu,· <ory Jiule (hould be drank af,er i,
10
pro–
mote vomiting.
"¡hen much fincere, Borid. or fro'hy blood is fpí, up,
1ake away as much blood immediately as the patienc's
flrength will bear.
If
,he h",mop,oe conlinues, bleeding
in ,he f.phcena will be found of the ulmon fervice. Then
direél cooling emuHions, nitrous, demulcenr,
~nd
mucila ..
ginous medicines
j
aod vegetable and even mineral acids,
if
the fpi,ting of hlood is ve ry confide..hle. The drinIL
may be a decoélioDof red poppie., col,'.-foo" and figs,
acidul'led wi,h elixir of vi triol. The cough m.y he ap–
pe.fed wi,h diacodium, or • foft linaus. B u, llrong a–
Ilringents .ód large dofes of opiates are h.d.
In a
CATARRHAL PERIPNEUMONY,
the matter ex ..
peétor.lted is extremeJy tbin and crude, and the deSuxioo
fo very acrid as tO excoriate the wind ·pipe, caufing
3D
incerranl and very violent cough. Hc:re, a great 1015 of
blood is not nece(fary
j
but fOlDe fhould be drawn in (he
beginning to abate the inHammatory difpofition. Blifiers
Ihould he applied e.rly. and purgatives are proper.o carry
off
,he ferous colluvie.. A demuleen,. pe.!\oral plifan i.
e
1
N
E.
proper to tem perate lhe acrimllny or lhe humours.
It
fhould be taken tvárm with mild diaphorctics, Coffee
i,
a.
ufefill
drink.
D ireél
diacvdillm,
or
c-lixir pangorictJlIJ ,
to moderale the cou;;h, in fnu.U dure3 oftc::n rtpe;tted. :
[peruJa
u LÍ, OIManU1fJ,
l1l)Jr,h,
and
comphor,
teod lO
incra!l.'ate the lhin caturhal humour, anJ abate (he ir–
ritation.
ID the
PUTRID PEI.1PS EUMONY
tbe expeétoration is
Jivid, gJeet;::, and faniou'J, frcquentJy rcfemb(¡og rhe Ites
of reú wine ; rometimes more bhck, and fomctimcs very
fetid. Th..
Es
o(teD ,he cJfe of ,he h:ghly fcorbu"e ;
p:uricufarly f.·ilor., afler .. lonc voy"ge. Blood t. keD
from Ih.efc,
ar~ rs
to be in a dilrolving putrefceut
Chte.
The craIr;;mentum i'J 100fe and teoder, the
fcr-.Jmturbid
andoreddiCh; th.e rongue ls black; the teeth furred wirh
a dark., thick fordes; lhe bTealh otfcnfive
i
the urine
higb-ccloured or blaeki(h . l:llaek fpOlS, or a d)'fentery,
frequcntly appear on ,he r,r,h. fiXlh , or fevemh day. T he
pulfe andO l! lenglh fink .f..r bleeding: fomet intes a
van anxiety, fainting, a cold fweat, a thready intcrmit·
ting pulfe fOl)o artt.r. , "'his has fometimes happened in
in pleuro-peripneumonies, where the pain of the fide was
"ioleot, the load at lhe breafi great, and the cough con ..
fid crable.
Thi. will nevCT bear a fecond bleedinc lO .dvanlage;
feldom
,he
fila , unlefs ,here is a confideraWe degree of
Hrmnefs anei .tenfioD in the puJfe. '''hen there is reafon
tO be diffident, order fCiuificadons aod cupping.
In this difeaCe give a decoaionof tlgs, colt's
foot~
anJ
red poppies, weH .eidula,ed fi,l! ",ilh juice of S.vill. o–
ranges or lemons, and afterwards with
g al fulphuri.1; oc
elixir
vi/riol.
nitre, olibanum, rnyrrh, flowers of fulphur
and bole ma-y be adminifired, with
conjuv .
lujultr,
rob
of elder, currants, rnucilage of quince.feeds, and
/Jrup.
d~ ruh~o
id4() :
camphorated "¡negar, with {yrup o( elder
or ralberries, is an excellent medicine. A fpoonful or
two of there latter {houJd be given t'ver and anon
Sound
cyder, and wine and water with Sevillt: orange or lemon
juice, draDk warm, promote expeétoration when dencient .
T inélure of rofes with
red
poppy P..owers, has Inoderated
an ¡nordinate deRuxioo of {hin blood.y ichor. However,
oxymelof fquills, and ftrong dnnamon.water, are fre·
quentl y neceffary
10
pump up the ichor, when a great
rattling in che throat and difficu lty of breathing indicate
a van quantity of it in the lungs. And yet the violence
of tbe cough may be
of.enappe.fed by elixi r allbma,icum
or diacodiurn . T he patienr is to be fupported with fago,
panada. hart(horn jelly, ro.fied appl<., ere.m
oC
harley,
or thick gruel, wÍth a liule wioe and juice of lernoos,
giving a Jittle al a lime, and o(een. Strawberrics,
rar–
berries, currants, cherries, may rometimes be indulged.
At , he clofe, the whole depend, on a well-regula,ed
die,. A
,ol!
wilh dilutt d red po" wiDe, mulled with
SevilJe orange.peel, mace, or cinnamon, and well aeidu..
l'led, may he "ery ufeful. Blil!ers are feldom heDefici. 1
iD
rhi$ cafe, but often mifchievous .
A ver y thin yellow fpitting, eithcr fhews lhat norhing
hu, .he ,hinnen pan of ,he b!ood i, n,.íned th rouch ,he
alleries
oC
the lunC" or .ha, ,he \Vhole maf. of blood he.
gíns tOdifohe; thdt us bílious principlts are highlyex.tlted,
and ,ha, all tend.
tO
a
gener~1
putrefaélicn,
1<
i, com-
monl,