1000000031

monly attendecf

Wilh

viot~nt

cough, and

ex?eélor:Hion

is pcrlormr.:u

wito

cxcecding

grc;iIt

<:tfli cuh)'. l\1any

times

fucceed~'rl

:\n h;tmOl"(C from (he

rupture

o f (he

vt'I'f.:ls

p:tnilul:1I 1y

when

lhe

tongl!~ .

:1ppC;US \'c.:ry

red,

fmouth, dry , and OJin:ng, with a

I;inu of E,id bhd¿crs

il{

!he

tOpo

T hlo! concot1ed matter of irtlhOlO1::t:ory obllruétions of

the lung3 is partl y fpit off, and pttn ly c3 rricd off by thi\.. k

tu rhirl urine in

laq~e

c¡nar,t itics,

depofi, iog

mu..:h

redd.OI

or ydlow' ('oloured

rcdllncm;

"olÍ

(ometi mcs

partly

bili0US

nouls.

No:hlng

promotes th;s

ul'ioe,

Cl nd

(heCe

lloof~,

more cff\.é\ually

th.Ullax.tti\'e

c.:I)'!ters.

Sometiml'9

the morbid

Olftttcr

critic.dl

trar,Oaltd

t O t:lC

¡tgs , to

,he grcat rdicf of lhe

bre~dl

ar.d thc.:n..fon: . in fevere

pulmonic difordcrs, a c1o!rivation of the

h~lInollrs

ro the

legs may be attempted by tepid bathing and bldl«s. The

difcharj:!e (rom 'the ulcera.(\:d bliHers mufl- nOl be fudde nly

fupprclT<d; (or then the diflicul, y of breathing and cOl1gh

will r-:-turn, or a \'flry grcat pu rging or profure f",'cats

\Viii (uc..ecd.

tbe pa,ient is not rtlicved in eight days, the ¡nRam–

mation will end in a (uppllration, anci an ab(t:e(s of the

lu ng!. and fometi01es in (ame other pan of the body ;

lhe (yn1proms of which are an obílinatc dry cough, whieh

motion and taking of fooci \ViII ¡ncreare. The eafidl po

llure in Iying \ViJl be on the afFd\ed fide; there wiJl be a

flow fever, with chilneCs and fhivering at uncenain pe ..

riods; exacerbations after motion or a repatl; ihirfi,

night rweats, a frothy urine, palene(s. leannefs, weak–

oefs. In this cafe, bleeding mu(l be (orborne : the diet

muO be milo, (oft, incralElting, and more plcntiful.

T e ..

pid

v~pours

(hould be ti:t.keD imo the: Jungs, of decoétions

of proper ingredients .

\Vhen by the fymptoms and time the impollhume may

be judged tO be ripe. the vapour of \"inegar il(elf, and

any thing which creares a cough, as oxymd, exercife,

and concufTion, are proper. The fooner

is broke, lhe

lefs danger lO tbe lungs.

In tbis Clate, which is nOl ahfolulely defperate. the ali·

ment ought lO be milk, and tbe drink milk and barley–

water, with gemlc anodynes, that the patient may have

fome reno

the in81mmation ends in a gangrene, lhe

cafe js defperate; if in a fchírrus

incur.lble.

0/ rhe

BASTARD PER I PNEUMONY .

lhe beginning of lhe (ever the patient is hOl and

cold by turns, is giddy upon

{he

learl motion , and

~om

plains of a rending pain of (he head whc;::never he coughs;

he vomíts up every thing thu he dri nks

the urine ís

turbid

and intenCely red; lhe cht'cks and e.yes look red

and inOamed

his breilthing is thick and

fhoft ;

lhe wllole

thorax ís fuIl of paio. and the Ilr3itntfs o( his lung";, 3S

often as he coughs, is perceived by the by fia nders

whence the free courre of lhe bJood is preven tt'd, which

creates a fioppagt of Ihe c¡ rcu laríen, and

tak~s

aw,I Y aJl

the fympt om·s

0(.

(ever, efp·:ciaJly in tho(e o( a

(u))

h.–

bil or body; lbis m. y ¡¡Ifo h"J>pen from the bloo,)'s

be.ng

overloaded with .a Area; C}U:tntilY of pi[Uitous m?tter,

which opprdrcs it

fo.ts

prevent a f,:bnle I..bl1l1ition .

This difc..fe fomctimes O,::ds upon the palie", unawarCL

~itb

a Oight weatinefs, a wcakncfs

a general proOration

VOL.

ll!. N°

73.

F..

of the facultics of the mind. thick :..n,1

n\t)rl

brc~thing,

beginning with :m opprclTion

(".r

the brettl1-.

The com–

motioos it excites are (o fmall, th:H lhe he:u and fe\'cr

are' fcarce fu{ficlcnt lO makc lhe patient ft" nfible of his

d ange.r. Afterward, lliglH I'h:vt:rings \\bich come on

(¡IS.

and the attacks of a gentle fevcr, appcar; whcnce

the difTicullY of breathing and weaknefs fudd::nly inelca–

fing, bri!'lg

death

\Vhcn perpetua!, laboriol1s wheez ing, grcat ar.xicty

;¡¡od cooCtam oppreffion on ,he prxcordl:l , coma:ous

fymr.

toms, cold extremitits

ano oark

bad·colo~ red

nai ls–

and vi(;lge come on, the patir,::nt is in

im~nediilc~

dangcr.

\Vhen cOll1atous fymploms and a \'cry dlfTieult ble3th–

¡ng remain after blecding, cup aod fcarify the neek

:l.nd

O\oll lders. T his has frcquently had a furp rifing ef–

fe-tt. ' Vlhen the caCe is very lhrealening, bliHer the fea ...

rifieatioos.

After

bl ecding~

let lhe p:uieot ha\'e the following c1 yOer,

hieh mun be repe;ned daily lil! lhe lungs are rdieved.

T ake

ounees o( ha""y, the yolk of an egg, and

ounees of buley. walcr, lv1.tke them into a ,cly(lcr.

L et lhe patient's diet be very Oender, fu ch as weak

broths, fh arp\'!ned a litde with orange or lemon j uice,

and he may drink a weak mixture of honey and water;

(he (leams of w.\rm Wilter

m~y

be l"kcn in a( the mouth.

L ikewi(e let the legs and feet be bathed, and largo

bliflers appEeel . Sydenham advifes

reretition o( the

blceding

lInd

purging alternately, evcry othe r day, or ae

grealer inlervals, as the Hren,glh and (ympwms require.

But he has genera))y (ound twice bleeding (u/licient.

O.r Ihe

hFLAMMAT I O N

Ihe

L'Vl:R.

J::

[he liver is inflamed,

comprelfes the fiomach,

diaplú agm, and the neighbouring \,¡fcera of the abdomen

jt Clops dte circu lation of the fiuids, hinders lhe genera:

tion and excretion of the gall, and all digenion.

pro–

duces a grcru many bad (ymptoms, as the jundice, wi th

all the difeares depencling thereon

for lhe liver recei",:s

the refiu< nl blood (rom almoa aJl ,he pans o( the ab–

domen, and is the chie( in(hument o( almoCl aJl lbe di–

gellions that are made (here.

A fever, an intiammation, and pungent paio on the

region of the li ver and diaphragm, a tenlÍon of the

hy–

pochondria, ycllowne(s of [he Ikin and eyts,

3Ad

a faftron _

coloured u:ine, are figns of an inflammatory dilpoCition of

lhe liver.

begins with celd and nlivcriog. fometimes with vo–

miníng aod a fever,

wa~ching,

dillicult breathiog, in–

quictude, and coOlvenefs .

Thi~

is a kind of rht"\ll11atic

or erylipclatOus rever, proceeding from a fharp vifcid

fe rum, lancin3ling the nervous fibrilla!.

is fometimes

accompanied with a ba(blrd pleurify,

which it is akin ..

is not

v~ry

dangcrous, and rarcly kills, unlcfs lhe

vifcera are unfou nct ,

NilrCotics and fudorifics ar-c tO

rnl1nned.

T his dircafe termi n:u es as other inflaOlll1ations, bcing

cl1r~d

by rer"Jlotion, conroélion , and c,<crct;on of che 010r–

bid matter ; or I.'lfe in an i\bfr('fs, rchirrns, or gi\ ngrene.

D uring the firH {tone, a warm regimen and CafTron are

impropero

CouHng rcfolving liquors, tak·cn ¡n\Varuly, as whey

Wilh