129 / 868
110
M
E
D
a gangrene, which
nl3y
be prcvented .
by
lime water,
t'xaJ~ed
with camphorated
rpll'it
of \Vine and (<J I am
momac,
BUI
foment;\tions : nd cataplarms of
the common hcm–
lock, frequently repea,cd and duly con,inued, aro fouad
more effc:tludl
than
all other
remedies.
0/ ¡he
D .opsy.
D.o" ,.s are of varion. kinds ; ·bu' ,hore uruall y
treated of
by
authors are lhe analarea.
areites,
and tym–
panites ,
"'¡hen ,he Iymph flagna,e. , hroughout ,he \Vhole h. bi,
of lhe fubcut,meous fat) or is fhed therein,
it
produces
20
anaCarea,
which extends ¡tCelf
l Jfo tO lhe abdomen
and
(crolum.
When ,he water is colleéled in ,he duplica,ure of ,he
peritonzum, in the cavity
oC
the a.bdonlen. between tbe
pCJÍtonz\Jm
and
lhe '9ifcera of lhe
abdomen,
or in lhe
dilated c:l.vities of tbe glands aod veffds contained in
lh e
abdomen, i, · alled an arci,es.
\f
,he Jropry is o\Ving
10 lhe rarefaétion
oC
fome fieam or vapou r,
arifing from
water, pus, ichor, or airo peot up and heated tdI they
putrefy, theo ít is a tympany.
The cauCe of Ihere dire.Ces may be, a f. mily dirpor(,ion
there,o; a hafly drinking
100
gre.. a quan,i,y of cold
water, and
in
nO[
being evacu'lted upwards or downwards,
or by fweat, or urine excited by heat or modon ; acute
difeafes, eÍpecially the mofl ardent, attended with un·
queDchable thirn, or olher9Jife ; a lienterioll! dyfenter
y
of
a
long conrinuance;
.11
obflinate obnruélions of ,be
vifcera; anÁa fchirrus of lhe Ji ve r. fpleeo, pancreas.
me–
{entery, kidneys, womb, or intellines
~
the jaundice
; ' a
violent quartan ague of long duralion; a lientery ;
a
diarrhrea
j
a long dyrentery ; the creliac paffion,
20
em–
pyema ;
a
confumption
j
the gout
¡lOO
gn:at evacualions,
chiefiy ,he blood; ,he drinking of alÚ¡>, r.rmented, and
·fpirituous )iquors; the fecd¡ng on unaeious aod hard
aliment; very large aod numerous hydatiJes haogiog in
.he cavi.y of ,he abdomen; melancholy; , he Ccurvy, and
the like.
T be (¡rfl fign of ,he approach of ,his direare is Ihe rwelling
of
the
feet and
~ocles.
which
in
the evening wi ll pit, if
prerred Wilh the
ñll~ers ;
which fwellin ó d1r..ppears
in the
morning, erpecially if ,here begin.
'o
be a dilliculty of
breathing. And ye, i, mul! be remembered, ,ha, preg
nant women, or
who[~
menfes are flopped. as alfo wnen
fuddenly freed from i\n inveterate aflhma. "re
4ff~él:ed
wilh ,he like rwelling. W hcn ,he fee, and legs are diC–
tended
ro
the utmoH.
the
walers rllnl into lhe abdomen,
and
cauft:
ir
to fwell
Ly
li ule aod little,
(il!
al lengt h the
more ncble vifccr:t are affl'c.:led therewith , aoei the patient
i.s
foon ovtrwbelmed
Wilh
{he dduge.
In
propoltlon as
.he direared part. inerea re in bulk. ,he refl fall away:
at
the fAme time Ihe difliculty oCbn:athinn. paueity of uri ne,
and
iflt~nre
thidl,
lhe
duce principal fymptoms, grow
more in tolerable.
W h,n
,he
abdomen is rwtllen, i, will rOllnn, when
fl rllck, ir lhe
difC3 f~
is
a
tympotny. lo the areites there
i! a ovire. af the R1.1[tI1<tllng water upon bCldi ly motion,
tlnlcrs the walers are inclulc.-J in a ryílis or bago
Ddi<les
<he
.a~ove· mcationcd
fyn'p'oms, .Ilcre
i.
a
e
N
E.
heavinefs , a torpor, a cofl iv! body, and ::tI length a {Jow
f..:ver;
rhe
p'utcnt
ncver
fweals . In proccfs or time,
{he:
ílagO<Hing \Vd.ters, being peol up in
a
hOl pl.lce, become
acrimoOJuu~;
henc. .; ulct:rs, gaogreoes, bleeding
al
the
nofe,
a
prmubennce of
th~
navel,
a
mortilleadon of the
vifcera, and
d~ath.
"fhe ..:uró(tive indications io an ana[arca, as
weJl
as
in
an aCeites, are to rellore the humours tO lheir nalurar
fluid'ty
~
lO ióvigur;ue tht:: languid circulation; to brace
up and ílrengtuen the relaxed tolids; to promQ(: the
fccrC!tlons; and lO earry
off
the redu ndant nagndliog
juicl::s.
S .rong draaic purges, {leel medicines, abrorbents, de·
tergents and fiomachlcs, are bell [uited to anCwer theCe in–
teotloos.
Tile firfl 'hing
lO
be done i. 'o evacuate ,he ferou.
humours by ealhanics.
There
are
tWO things of unCommon efficacy in
the
dropfy
j
thef~
are.. elaterium and antimoOlal wine,
efpe
~i¡.dly
fo, t.hoCe whieh art: oot ealily
purg~d;
tWO
gmns of ,he fo rmer is a proper dore for mofl conlH–
tutlons.
As
fo r lhe antimonial wine, ::tn ounee Olnd
a
baJf,
or
two ounees, as the patient's flrenglh will admir, given
in
the morning,
wiJl
in due time free the abdomen frorn the
load of
w.'e,.
If
i, do.. no' purge downward.
as
well
as upwards, mix i, wi,h fyrup ofbuck,horn after <he.,hird
or foun h doCe.
S ome greatl y recommend Bontius', pills for ,he drop–
fy, ,he dore of wh il:h is from half
a
[cruple
lO •
rcru–
pie ; bu, H eifter prefcribes ,hem from half
a
dram ' o
a
dram.
Mrl.yrne
affirm~,
that mereurius du1cis, without doi ng
any miCchief
10
,he body, aél. direél ly upon ,he morbi6 e
e.ure. and if poai!>le dd froys it. If
a
f.liv.,ion follows ,
it is OOt dangerous, but may be prc,'c:lted
ir
the mercu..
riaJ he joined tOao aflivc cathaníe.
J\lhny p.raire
Ihe
jnieeof lhe rOOI of iris palulhis Jutra;
and we h;¡ve
30
¡n(b.nee of its
effica~y
in a
mall
d~plo~
ra hle dropry, in ,he
Med.
effnJl;
eigh,y drops or wbicl>
wt re Civcn every hour
io
a JiHle fyrup of bnck thorn,
which brough' away m. ny quartS of wa'er by /lool ,he
firU night; lhe qUJntity
was
dail y increared
ull
jI
carne
to two drams, anO at laft was mixt with
a
fourth pan oE:
, he ryrllp, and given by Cpoonf"I,.
SOmetiOles purgati\'es are
[O
be tntirdy omi nen. when
the parient is of a weak cooClitution, or women
futlj~ét
tOo vapours; and then diureties onl), fhoulJ be maot:: ufe
of
i
among which, thof: are
moU
pl.h\ erful which conlin
of lixivial ftt lts
Boerhaav.:: Iikewife
pro
pares
to attcnuatt the humours
hy
fmall dofes oC mereu ria.1 prcpar:ltions, to
be
raken
e·
very other morning. in
a
littlc pulp of
a
ro"Hed applc ;
as half
ti.
graio of turhid\
miner:~ I.
wlth ten grai ns
01
white
ginger; or
on~
graio oC red precipic,ue,
with
fi:<
grains of
nutll\cG
i
or
fe yen
grai os of calomd, with cighl
of
\YlOter's
b.. k.
Some
ha\'e
been
curcd
by
a
pcrtinacious :tl>!lincncC'
from
all li'luids.
l í\'in~
upon rC.l bif..:uit
Wi lh
a liult'
r.de. iln\-t
a \'t:.ry filt le rídl winc.
Extcrn:tIlYJ
fri\.<"l¡olls vf lhe p_Jrts
have beco
fOllnd
b~ncGci.1.
OJ