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.lybe 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.onor 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.cei, 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.tkout [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.Heu!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