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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.ic

cannot 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-.Jm

turbid

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.en

appe.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,