123 / 868
I O_~
M E D I
'Vhen lhe
Cure
is
p~rrormed,
it
w jJl
be
ncccff'al'Y,
by
W:ly
of prc\'cntion,
te
blccd
onCe!
in lix months, for [e\'er.d
years togcther.
BUl
ir,
by
rearon of the "iolence
or the
diforder, or
dlC
unlkilful uf!!
oC
Hyptics . (here 111OUld,
afler
Ihe ft)itting
of blood , aTiCe a ddliculty of brc¡uhing, which
COllt1l1u.llly
¡ncreaCes. a wandering Oli\'ennc heat anci redocCs of
lhe chccks, a dry hulky cough.
a
flight heltic fever,
a
prclcrnalural
thirH. a
weakne{s,
or
{cnre
oC
wci.c:ht
in lhe breaflo
it
is a fi gn th,n lhe
wound
(rom whence
t he blooJ ()owed h;!.s alrc:tdy bcgun
to
changc
tO
mat·
ter about its lips. Thcll under the
crua
oC
dl'icd
!"Ioad
Ptll
is farOl ee! ; ..nd this collc!ébon degenerares ioto a la–
tent
V
o
M I
e
¡\ ;
:lrPJ
lhat b ing broken, becomes
an open
ulcer of Ihe lung•.
The efTdls of .n ulcer of Ihe lungs thus formed, are
generaJly Ihe(e ",hieh foJlow: An iner..(e of Ihc aerillluny
alld qu;\ntity of lhe putrid pus, a dilalation and corro–
ding maceradon of the memLrane or bar; in which it is con–
taintd ; a coO\'er n o( the blood-\'cfl"c1s
tUl
lhe broochia
ioto pus; a puru cm
conCnmption of
lhe whole lungs . or
o f oneaf ilS Jobes ;
a
continu.d dlycough, 01'
Cpiule
lhook
ofF
by
lhe connant concufiions of lhe cO\1gh ; a converfion
of lhe blood fiowing
in
10 lhe
ulcer
into
pus; an incr.eafe
of lhe vomica
in
lhe
lungs ;
lhe
burUing
of lhis \'omica
joto lhe lube of lhc larynx ; the fom4!times [llCTocaling
difcharge of the
pus,
or
Ihe
dai ly coughing up of O1atter,
which finks in water, andis thick , fweet. f.u. felid . whilC,
red. yellow.
I¡,-id,
afh,coloured, or flreaked, and which.
pUl iOlo Ihe fire, has Ihe (meJl of burnllldh . Someumes
the vomica
breaks
iota the cavity
of
lhe thorax;
fro l11
whenec
proceeds
diAiculty
of
breathing,
and
lhe olher
fymptoms of an
empyell1~,
Then lhe rt[piralion grows
e"eeeding bad; Ihe ehyle .nd Ihe \Vhole ma(s of blood
are convened
inlo
pus ;
Ihe
uCual methoo of
nourilhment
is
deflroyed. lhe
folids conlinually confume and waClc
away; :\ hcélic
fe,'er
appcars. with
a
fmal!
hn&uicl pul
fe,
and
lhe
he:n in
lhe
upper
pan
s intcnrl.', lhe chceks look
Ted. and the Cace
hippocralic.
G enerally
there is ao
in·
expretTibl!! anxiety
lO'Narels
lhe evening
j
30
unu(ua) lhirft;
profure noélurn;tl
fWGus ;
r~d
punulcs; a
fwelJing
of
the
(cet
or
h:\nds
00
lh~
fide a{[céled ; exceflivc weakneC9 ; a
h O?Tfe
voicc:
a fallillci off
oE
(he
h~ir ;
ao
itching
lhrough.
out lhe body, Wilh watery puHul:s
i
a dcbilitaling di·
arrhrea, with yt.llo\V,
(ctid,
purulcnt,
cad:wcroll!: Hools
j
.a
(urprdJion of Ihe (pillling ; and Ihen de>lh_
H ence lhe following pror:,noflics may
!.)(: formcd.
Ao hercdit:uy phlhifis is lhe
mo!~ Jan~crous
of alJ.
2nd is incurable
unlcfs
tIlc fpining
oE
blood
be
pre,tcJlttrl.
i\
phthilis
from
('
xttrr.al\'iolrncf, that is,
prúcel.'u·
íng froOl fl'illir.g of bloocl e! "fed Ihcrcby, ís Ihe fhsht–
efl
of .IL
A phdllr.s in ",!lieh Ihe vomiea break. (utldenly, .ou
l he patient e",(jl)' bl ings up a wlllt,!,
conco~cdJ
fmcoth
pus,
and
in 'lu;¡olity
pr0l'union.lblc to
dh.
u!cr r,
",itn–
Ollt thirn.
anJ
wilh
3
~ooct
appc:titc ancl
di~:dllun,
<iuc
fecrc\ions
ftod excruiuns, 15
cl.!l;tbl,-"
thullgh with
(1IJ1i·
(uhy .
.
Tlc;I\)'.
rolid,
f1inl:;r~.
f\'
('(1
fl
ittle,
with
nír.ht.f,\cus ,
li,
ai
d ...
d :s,
p:licllch uf
ti (
fa,
t:,
Ih\.
n(jll r"~
I'in,'hcd
ur,
liohing
In
lh~
llOlplcs,
in
unatJOD [lhe
DJlb, { ..
JI;"n
vJT
e
N
E.
of
the
h.,ir, ancl a
colliqu:l\i\'c
diarrhcea,
are figns
of
ap–
proaching dc:.uh .
vVhcn
il
vomica is known to be
formed
in lhe lungs,
lhen lhe phyr,cian
l1\utl tnOt'aV(Hlr
to n pen ;md
bredk
it ;
which is 10 be don\!
by
11lI 1I~
dlet. ri<h og on borCebJck,
w.lrm v:tpour:o ilnd
cxpe~tor,lnts :
Vlhtch J one,
J.
Thc Llond muJl be guorded .nd d<fendcd . g.infl:
tht: purlllcn l in reéboo,
by
rcmedies
which are
OIoderately
.nu .glecably aeid ?nd C"hiOI, by vulnera ry htrbs . (moolh
balf:llll ics
giv~n
in
\'arious forms, io great plenty, aod
cOlluoued a long time.
2 .
Thc ulcer :I1UO be e1eared as (oon as pollible from
lhe purulenf maner, lhe lips
of
il
cle<lnfed
and con[o)j.
d:tted, which j:o
:'0
be
done l>y
liquid medicines, by
Ihing;
wh¡eh
pl'01l1ote
cn\l~hin~.
hy moti'Jo. rid¡ng.
couotry·ai r ;
chef!!
are
CXpCIlCOlS. 'rhc
le:tn lc...rs
are delergcnt b3Ifd..
mies, ufeJ in",ardly anJ oUlwardly. The eon(olidatllrl
are parcgorics.
3.
The , Iimenl muO be (ueh
as
requires ,he le.O force
to m ...ke il pafs freely
throngh the
lungs, and be lherc
afTinllhrccl,
and
a.l
{he famc time! be
lit
for
nourilhmtnt
Alfcs Inilk is
nry
fuitable 10 this
¡ntentioo,
as alCo bU l·
termi!k .
Snf ..dl
repea.t~d
blccdings are
nOl
only benefici al io
old
coughs. thre:ueninAconfump,ions. but airo
after
purule:nt
(pilling and hetloe fymplOms have appc>red . The qu.l n–
lit
y
of
Hood
10 be
drawn
is
froOl four
l O
fevco
or eíght
ou nces,
once
in
('ight
Or ten d.tys
SctOns,
or iflücs madc
io
the
f¡de
of {he
pan
that is
roon
affcéted ,
are
vtry
bend ici¡d.
' Ve
O1UCl:
endeavour
lO
di minilh
lhe
deAuxion on
the
lungs, by blcediog and gende pnrgi ng, as weJl
as
peéto–
rals. ac...::ommodateJ
10 lhe "arious fintes of Ihe ditl ...m–
per,
viz.
by
thickening
medlcine~
and al1enuant!= , and
fuch as temperate lhe
heétic
fc:ver, with emulfions
and alfe, mi l!:,
&c
and I.IUy, by healin!: Ihe uleer wil h
balfaOli ·:s. as
opol>~lfamum;
lhe
dore
is 'lO drops upon
Cug~r;
bUI this is nOI tO bt: laken before duc tVacudtions
have bl!en
6rH
madc.
i\ rtcr f\'acuations.
grc;u care muO
be
taken
lhal the
eough be "I'pcc(ed,
1.11
lhe I"n&s OlOuld be wc.kened by
the cominu:lI ..gitadon,
'f he
n1(Jfi
rO\
't.rt'iZn
rcmedy tO
renorc
lhe
lun}!5
to
their
priHine
vl~our
Is 10 get
on
horf(back
c\'ery
day ;
anJ he
t!1:lt
wdl
pUl
hiOlfcl E
IIpon [his excrcife for a
cure,
nceu
"al
be
tlCU
clowo
lO
any fLril\: rulc:s
of
diet,
nor be
d::uarred
rUin
:In}' ron
of
111('31
or
drlnk.
lince the
wllote
llreC~
of
lhc Iltill
cr
dc..'pcnds
wholly
(lO
Ih~
cOIIH30t
and contiou." cxcrcife of ridJl1g. 1.unU Cea,
\'0) d&í'S
ha\'c
of
ldlc bcco
gll'.!t
1)'
rccommeoded,
Jn the "rU
na~c
oE
thi:;
diC(":!"c,
when the Jungs.
traclta~:I .
:mo 1
!Lt.nJs,
throll~lh' ut
the , hole pulmnndry
ttIUc:.
"re
flutr..:J
with 3 pituitolJS .lIl ttC'r, fc.r'UJtt'd from
lhe
mí!(~
oE
hluuJ,
:md the p.tflt."nt
i!
:¡:I!It1eJ \\
ith 2 evo·
tioU:l1
cou;!h,
('(pCClicJly
In
lhe
ni
t
!lu-lIn1C', 311 propcr me·
lltuds mu(t
!JI!
llfcd
10
Jlup
Iht
11
Ih~'\
ot tlJis c.nallh.
:'\od
lO
c;oucotl :hc
hUl11o\ll~
;tI
n'.u
1, iIllJl.l! ...d.
r id!. nlncd
mu!!
l~c
l.¡I.('1I
fl~lnJ
tL.'
:1101,
fu'm
fi .'
10
ttn
01l0 C\.$,
ir
111,·
p:U It.:1lt IS
plc. th,' ,'C,
I)r
:h~ul'(,llhd
10
11~'l!cli"r;
litis 15 10
hf'
ttrc. ·" ..
d
~·n·'r . l"i~c"
r
d
11, 4"',
;lt
pro \,r
iOl(f\.ds, d l'u 'iJIJ)' :{ (he
~\I:
..
C'!
1::IUI1l
I~ II~\.
2-
iuf'u..:,!.U