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with forrel boiled in it. O lltward romc:nutioo" and rre–
quent injcélions of c1y(h:rs. bathinn. :tnd f,iéliol1s, relax .
and render the maner tluid. Honey, wich:1. liHle RheniOl
\Vine, or vinegar ; lhe juic:!s and jeUies uf fillllC ripe:
garden rruits; and thoCe of fome:! l.lCldccnt pld.DlS. as
cnd¡ve, dandeJion. antl ¡eallce, are rcColvent.
F ar oily epithems. and phi!lcls. are tO be fhunned .
C amphor in croct.":ued (pirie of wine is only to b¿ ured in
t he beginniog. or when the r~\ler is nlod( rate, and na·
t ure (JuggiOL Bleeding at fidt is neceR".iry 00 the afFc:!clc:!d
fideo in thl! hanu or rOot.
Violent purging hurts: gem ly rcJdxing lhe bclly re·
lieves: dilu~ou , wit h "itrOlls fahs , art beneficial, or
tamarinds boiled in w"rm ,water or \Vhey.
A clyner purdy oleo", is benelieial, with a bladcler- full
of ao emollient dccodioll. Inw.lrdly, :; and refolvclll
mixtures.
Ir it is an ended with the j undice, (hen arply epitht'ms
ofcardulIJ b~lIe.lil?:II) fcordium. WOfnl ',l/uod , cldel llu\V·
e rs, chamomile, f¡¡¡ads of lovage and CU Inllli n boiled in wine,
and often applied.
Pringle Cays, the befl remedy, after plentiCu l bleeding,
is to lay a large blifler over the pan .ffcaed
Bloody fiools, nOI in ao extreme dcgrl!e, or fiu:aked
with blood, ougil, not tO be nopped, bee.uCe they help
'0 reColve the dillemper : bleeding" the noCe ofteo does
"'lie Carne.
T he feve riCh matter is frequently. carried off by urine:;
and therefore d iureties not highly flimul>tiog are proper.
Sweating ought not to be promoted by hot cardíals,
but encouraged by warrn diluting Jiquors.
T he cafe is deplorable, when the inBarnmation termi–
n ates in a fuppuralion, uo lefs lhe abfcefs f'oints outward·
ly, fo as il may be opcned. F ar ir the pus is evacLlated
ioto the aLdomen, it produces putrefaélion. or an incu–
rable hepatie dyfcnte. y or bloody flux. '
O[ a PARAPHR E NIT I S.
T HIS dife?,fc is::m inflamrnation of the diaphragm, and
parts adjacent. A renitis is attended with a "cry
acOte continual fever, an intolerable inAanutl,uory pain of
lhe pan afFeéled ; which is eXlrclllely augnlented by in·
fpiration. coughing. Cneezing, rcpletion of the Hornach,
a naurea, ?omiting, compreHion o f lhe abdomen in going
t O !lool or maki ng water. H ence. the breathing is thick,
!hon anct Cuffocating, and pcrformed only by lhe mOlien
of lhe tlwrax. T here is 21ro a conUant ddiriunl ; a
dr.iwing of the hyporhondria intVards ;\nd an
in\'oltlmuy IttUlhter. con,ulfions, ilnd ma.dotCs.
T his direare lt'rrninatcs as in a pleurify; lJut is atteQdcd
with more: violcnt rymptoms, and i9 much more f.Ha1. Ir
the pan aífetlcd fuppurates, the m;¡ner will fall into lhe
abdomen, and produce a purull·nt aCeites.
Thccure mufllikewiCt! be attemptcd in the Carne manner
~. io a pleurify.
O[ Jh~ I s rL A MMATION o/ th~ rNTES T I NE' •
TH 1S diC~.Co contrafls the in«(fines, and flops up the
palrage lhrough them. T here ¡Sil vchement , fixcJ.. lJurn–
in::; p:\in , whil:h is irritated by things takcn io\vu¿ly.
\Vhen th: inDdmmatioD is in the uppcr po. t of the in;c-
e 1 N E.
fli nes, the nom"ch \ViII be gre:\tly dinended by wind_
' Vhcn t!l e p.iín ¡, exarpcriltt:d. it prouuces con'/uHions of
the diJ ph r.I~ll1 .\Ild abd ...IOlIn:d l1lu!des, "'ollliting, painful
inflatio'ls, with runúhnus. and fharp ~nping p'l.ins which
m.• y bl¡ .lg en lh..: pódTion, o r lWl lhng uf thl! guu.
W hcll there is a burning pain in th~ ;¡lJdomen, with a
prelcrn:'lUr:t1 he;:at of tlle! whob body, as <tifo a quick puICt:,
lo(s ol' Itrenglh, allxiNY , t¡nd Inquietude, rhe leat of the
diC<a(e moy j ultly be fll'peacd 'o be in ,he intdHnes. If
(he Ourp p.1I0 is aboyo! (he na vcl ~nd bdow (he HOIU3Ch,
3Hended with :\ fevcr, n"l1r~a, and reaching, it is a fign
tlut lhá t part of the! culon is afFdl~d which lies ocnCnt h
the:: llc'l1lal:h, and is ext~nJ:d from lhe risht lO the Jeft–
(ide. Ir lh..: p.lill líes in tht! righl hypochondrium, un–
der the fpunou i Tibs, it fhcws th;H part of the cuJon tO
be inAammed where it j oins te lhe ¡Iium• . \Vhen the com–
plalnt is ol' lht! lefl fidt!, undcr the loios, where the pro~s
murcie is plac~d . it is a rign the colon and th;tt pArt of
lhe merc:ntt'l'y joinc:d thl!¡'cto is lhe feal of lhe dir–
eafe, cfpecially when it adht:res lO Ihe peritonreum. But
whclllhe p;u n IS in duo! middle uf the abdomen abCiut lhe
n.\Vel, il fllews the Cm.lll -guts are certainiy ¡ff~I.C¡ctl. I n
all theCo c.Ces the pain is luppofed tO be a<tondcd with a
(ever .
When thúc is a rever. and a uurning pain in the low·
er pan of the belly, a<tended with a Cw.ellmg, whieh end.
io a .::opious, putrid, or purulent flux, \Vitil a great difor–
der of the bo~'els, it Ihews the Ceal of the difeaCe tO be in
the mcfentery.
This Ihould earefully be diflinguilhed from a
cholic proceeding from a cold cauCe, becaufe what i5 good
for th.: )atte r is poifon in lhe form~r. It mull have a
rpredy remedy, or it \"IiIl Coon end in lhe iliac pallioo or
a morti ficacion.
He6des copiou. bleedillg, there is hardly any other
method or cure than fomenting and rcJaxing the lJowels
with eOlollien t liquids , taken ' warm both by the moulh
and in el yflers, t¡nd this every hour. Yet acids in very
deCperate cafes have becn known tO give relief; fuch as
lhe juice of lernoos 13ken uy thc,mouth, and vineglr and
Wil rm water given in clyOers. \Vhen the vomiling is ex..
cdTive and continual, opiales fllould be givC'o to quiet lhe
convulfions.
Pringle affirms in this caCe, th:.t the bell method of cure
is tO J...y blillers over lhe part ~ffc(tcct ; and it has been
praétifed with fucceCs. In particul;tr theyare ufeful in
the ileus, and Ceem tO aofwer equ.lly well iD the 6xed
pains of lhe bowcls, whethcr from an inHammatOry or a
flJtulellt caure.
Warm (omcnt:nions, or yOUI16 , \'igorous, and fOllad
animals. applird lO the body, are eXlrcmcly beneficia!.
A'OUTH. T he potient Ihould 001)" be nourilh"d wit h
brolhs, in which gendy delergent r001$ ha\'e becn ¡'oll~d.
)3 oER H.
lt is a fJtal error of fome prallitioners. whcn they find
the body obl1inatdy col1ivt:, to gi\'c one purge arter ano–
ther; which not only exafpcrtltc5 (he difeare, bUl renders
it maria!. Even th..: e1yrlers r.lould nOllJe m:uie of vel y
HilOul:'I.ling incredienls; hut of milk alone, "'ilh a liure
nitre; or rain· water , wi:h fyrup of violets; or of marfh.
mal!oYls, or rofes foluti\'c.
Aft~r