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J 06

M

E

D

3 ,thick m:\tter which cannot be expeétorated .

or

the

pleura, from

3n infhmmatioo,

from a wou nd thc:-t!i n,

hcaled out\Vttrdly

b UI

opeo inwa rctl y : from a

bfuife,

or

a conce.tled rupture

oC

it ,

turning to pus .

o r

the' dia–

phragm,

w~en.

arta <ln inllammat ioo* it fuppl1ratcs,

~od

ureaks on its

upper pArt.

Alfo of the

m~dianim'lm

and pericardium affl.:él:ed in (he like manner.

A n empycma

rp.ly

be forefeen (rom

30 inll lmmation

of

any of tlkauo\'c men tioned parts, which is nOllenninated

and refolved

by

conco:t ion, rC\'uHion, a cri ris,

Or

medi–

cines ;

b UI

is fullowed

by

lhiverings.

' 3

febrícula ¡ocrea–

fing

dI

nigbt,

a

wandenng

heal,

él

(c.!n(c

oC

hC;lvinefs in

lhe

p.\rt

that

WilS

pained. a

ddTiculty

of breathing, a

want o( appetite, a"d ao unu fua l (hirH.

A n "élU:.t

I

empj'ema is known (rom twenly days being

elapfc:!o lince the IOflft.mma:ion began. withou t expctlora–

t ion of (he

ma((er~

from the fjgns of a "cmlca in the live

abovementioned pan s diCa ppcarinn; fr om

a

new pain,

cough, d iffi culty of breathing, anu .fpitr,ng, arifi ng, and

aflerward~

golO

off; from a dry cough

J

a weight on

the diaph r"l;ln, nOI being ablC! tO lie bUI on one fide. a

noife

made

by lhe fl uéluation of the pus. upon moving

the bfJd y ; from a (Jow rever. a flu rhing iD the cheeks,

hollow eyes. he¡H in the ends of the fi ngers. crookednef,

of ,he nails, and a r"elling of ,h e abdumen.

The conCeq uences of (his difc"fe are.

a

continual ac–

cumuLltion o( pu, from the ulct"r not yct .hed.led; the

matrC!t increaliog in its acrimony, putrefaét ion. rank

[I1'ell , and ,hinners. by being fhut up in a ho" moil!

place; an impediment in raifing the diaphragm and ex·

tending ,he lungs ; a fhortncrs and ditlicu l,y of brea–

thing. aod not ealily performed unlefs in "n ereél pollure,

a

dread of luffocation when laid down ; an inabi lit y of

Jying,

bUI

on the afft:'éted fide ;

a

conllant d ry cough, Wilh

oanxiely

j

a

maceratioo and corrolion of the Jung!, pleura.

d iaphragm, pericardium: and even of the heau it(elf,

converttng them gr3dual1y ioto fihh y corruption; whence

a hd tic ftver, qlÚck, fm . U pulre, con(lan, redner, of

t he cheeks, lo(s of appetite. perpetuaJ thirll, ext reme

weakners, and fainting

filS.

H ence all ,he flUld, become

u nfil for nutrition, circulation, or

any

other oAlce:

The conCequence of which ¡s, a waUing of lhe whole

body ; a putrefaélion of ,he nuids, which may be d ir–

charged through the corroded lungs

J

or ea rricd down·

wards by a fatal fa nious diarrhcea ; night.fweau,

pu·

Rules in

th~

face, crooked nails. a Oli ning yellowne(s of

the ncin, and a hi ppocratic countcnance.

The cu re of this d lfeafe is dilPcrent, according to its

different caufe and nate.

\Vhen a vomiG.a or abfcefs is known to be formed in

" oy o ( lh e parts before mentioned. all

end~ílvollrs

are

(O

be ured,

ti,.,

it may be fp«cli ly broken

"nd .dt,ermi~ed

to the outward pares , which mult be attempt¿d by

ac·

tual or potentiaJ eauteries. or by ¡ncifion and propcr

D10·

tion.

W iJen the vomica is atluílll y broke, theo

it

is to

be

evacuatcd by lhe momh, if n:\turc CC!e01s lOencour:lge it;

or by urine. ir thc re appear any figns in it of p,lffing th:u

w ay ; o r

by

an apen ure of the thorax by a prop\!r in(lru·

,.,enr .

Seto

SURGFR Y .

In general, al! iofla..'nmatioo. of the lungs or p:eura are

e

1

N

E.

followed by an.•

dher.on

or there par.., which allow

na.

ture lO makc a pafI'rlge extcrnalJ y: And it ís common

in abfcdfcs of thl! pleu ra and interco!tal murcies

lO

find .

then¡ bre:ak outwardly

~

nor is it uncommon even in

me

Jungs. ·rhnefol

e,

whcn (here is an íldhelion, no ocher

op:;:rcl~ion

is necdTary than

to

open the tumour wuh a

~ancet. w~~n

the

I)US

ís

form~d;

and if the luppuralion

IS fo plenuful as nOl to admit the

heal~ng

of

the

OUt.

ward ulcer, ir may

ue

kept opt n

Wilh

a hoJJow tent.

Hoffm~

g:ves

an ¡nHauce of a pl.:rfon, who, after

a

per!pncu~)ony,

.fel!

in~o

an empyem:.t, and was cured

by

taklng mdk boded Wllh fug.!r of rofes. Th e quantity

\Vas three pints

a~day.

A s aIro ballamic pills made of

flo ~ers

of fulphur, oil

01

fwecl almonus, fperma celi,

vemce turpem ine, [alIron, anu oil of

an¡f~ed.

L ikewife

a. powder

mad~

uf

cnbs eyts, fpcrma celi, fugd.r. myrrh,

II<luonee powdcr, and boje annoniac.

Of /h,

SCU R VY.

T H' s di(lemper chi, fly , ffe.9, ,he iohabi,ao" of cold

northt:rn countrles, and cfpeclally thofe who live in mar...

I'hy . tow, fdt and moiH [oils, neH llagnatlOg water, whe.

ther

fr t:{h

or f;tlt.

: hoCe \Vho h\·c id

le

feJ eOlary. lives

are

mMI

rubj~~t.

chicHy in Iht;: \Vioter, to (he aUclcks of

this cldea(e¡

3.5

alfo Ibo(e who [eeJ upon falted

C:lnd

fmoak–

d ried

flelh

or

61h.

fea bifcuit, ninking water, unfer–

mented f:\rinaceous vegt!t:\bJes, peaCI!. beans, fh arp Calt

oJd chee(e ; likewife thore \IIho are fu bjeél to meJanchoJic,

maniac:lI, hy!1eric, or hypochondriacciJ d.Corders .

lt

is known by Cpontaneous wcarinc:Cs. hea\'inefs of.the

body. difficul,y of brea,hing, efpecially a(,er bodily mo–

tion ; roneonefs of the gums. a ninking breath, frequent

bleeding

~(the

nore, d,tncuhy of walking; fometimcs

a

fwelJing. fomt'tiOles

a

f¡(lIiog away of the legs,

in

which

there are alwótYs I¡ vid, pJumbeous, ye!Jow, or vioJet–

coloured fpo,,; the colour of ,he

f.ce

i, generally of a

pale tawoey

The (¡ rfl (Ia,e of ,his d ir..fe begin, wi,h unurual lazi–

nefs, fpom aneous wearinefs ; che palient loves tO be in a

fitting or IYl ng poflu re; there is a paln in aJl the murcies,

as if he was

over

t¡red , eCpecially of the legs and loins ;

when he wakes

in

lhe morning,

aH

his

joint~

and

muCcles

feem

t O

be lired and brul(c:!d.

lo ,he recond

Ha

te,

,he gum,

r\~ell .

grow paio ful, hot

and itch ing, and bleed upon

tho!

leaH preltu re; lhe roots

of the teeth become bare and loofe ; he fee ls pains in all

the ex ternal and internal parts of the body, imitiiting

di(l(mpers proper

te

the "arious parts.

I n lhe third Hate. lhe gums at Jength

gro\V

putrid.

wi th a c:ldavcrous fmeJl

i

\Vhcn lhey are

inA,lm~d.

bJood

dilliis from them. anrl a gangrcne enfut;:s ; the Joofe teeth

by degre,-, grow yellow, black . • nd rolten; ,h< rubhngual

"eins bccome v.uicous. and Ilke ringt;

j

thefe are Ortcn

frllal h:enwrrhages,

\~'hil

h

bre.tk

out [rom che extern.l

fld n, wllhoUI any ;¡ppearaoct: of

a

wound frolll lhe lips.

gU01S, momh,

nofe.

lungs. Homítch, J¡ver. fplc:en. p3n·

creílS, intdlines. womb, kidneys,

6c

Obllln.He

u!cus

arife. or the very worH kind. whlch no applíc.ltiuns will

cure, and which are 3pt lO turn lO

a

~

lnglt:n.:

i

the)'

b~·c.\k

out

in aJl

pan s, blle cfpt'ci.t1ly

che

I('~q.

ilnd :tre attcndt:J

with a lIeoeh. T here is a kind of an itch auJ d r)' r. , b"

wn h