1000000031

1 12

E D

ruhi ~{t

this di

fC',l r..:.

antl

why

fp.\fms of

hr po:hon–

(\ri

~lc.tt

" ~nJ

h}Hc:ric.•1

p':l fons

prwhr:c the

[.un!!

dE.,a.

$ud\Ic.:n f, ights ,

\hz

ger. :ration of

tOO

grc:".t plt.·nty of

hile ,

fchirthou,

t UtllOUfS 01'

ukcrs of tite ¡iva. "bHruc·

tiaos of tht: menfc.:s. obH:nate imt:rmnting ft:vc(s. and

tll..: hil\.·s of v(nam;:;us aOlnldls, will alf,) produce tbis

d i(r>.t(c-.

~rhc

prognollics oí

chis

ñirc:l fe

¿jrra w:lh

rcg:trd to

, he p:uienl's

:l~e,

h.lbif,

rcnr.th

anJ

conHi tution,

well as

\Vilh

rdpe~l

to the virulcnc!! or milrlnefs

lhe

caures , and

ils dur:nion.

\oV hcn toe p.lticnt is

young.

an~1

lhe

difcare

nOl

c()m~.lic:Hed

\Vith ;\ny

other,

fu c!l

as a

<¡u~lrtan

ague, l he

?Jre~tio

hypodlOndriaca, or an ob!1 ruc–

t ion or

fcinhus

of lhe Ji\"er,

and

has

oot

contln~led

long,

it is eatil y cured. BU(

aflt.:r [he

cure l[ freC]uently

TcturnS,

with

yellow greeniíh calcu r, and an inouratioo

of [he

li,'er,

generally terf\linates in

a hcélic

h::cmorrhítgt!. A j01undice arifing from violent tr::tn(pons

aoger,

lhe fpii.fmodic

ariaure

of the

¡nleaioes

bi!iary cluéls;

~l(cd

draaie purge or emetie,

eafily

cured

takeo

time; but

encourQged by gricf, or

the

body is

weakened

bya

preTious diforder,'

lhe

cu re

dimeult.

Emetics are

highly

prcr er

io [he

core

the

j:mndice,

10d yield fpeedy relief, if ,he dif••re does oo!. proeeed

from violent anger, fpa(ms of lhe flomach, a

c¡H¿ial ~ia,

fp . rmodie ed ie, or. Hooe loclged io ',he eyflie dutt,

c xci(ing a violent uneafinefs about the pr::ccorrlia. But

whcn a bilious

Cordes, lodged in

lhe

duodenum,

and

do–

fi ng up

the

orilice

the

du~qus

cholcdochus, inlerCepts lhe

}laff:tge of the bi le; or when a tenacious, mo·.eablc,

and

1101 Itighly concreted bilious matter,

pl u~s

up the hepíuic

dulh.

cmeties are of

fiogular

eAicacy in eVoleu;aing

ic,

fcruple of ipecacuanhJ., .with a grai o of tanar emetíc,

w iIl be

-a

proper dofe:

two graios of tal

emetic. in

drau~bt

of generous wine-, or in

Ola

inCuljon of manna,

<Jrinking

water

grutl aCter

¡t.

L ikewifé in this cafe,

;¡ft~r

emetics, cathartics wiJl be

propcr, compollnclcd

;loetiC9 and mercurials:

T ht=n

fapona:eolls attenuants, preparalions of t::.rtar, flnd vo–

la,iles.

And

here

\Ve mua-

recornmend

the terra

foliAta

tart;\ri,

otherwire

c;\IJt..'d tartarum regenerfltu m, [and by the

(01-

Jc:g:,

Sal dillrctiells,J as

the

g,refHefl

di([alveol ,

3:1d the

rnofl r Oe/e lfu i ...emedy io ,his

dife.fe.

dilT'olv<s ,he

nlofl tr:nacious fubOances,

and

open, all oblt ruétions of

t he "iCcera; and )'et has no aerimony, and m:\y be faCe–

Iy given in ,he pleurify aod d ropfy.

rts

dore is from

:fivc

grains

fcruple

and

upw?ros.

V'¡hcn

jaundice is attcooed

Wil h

an hXOlCrrh¡¡gc, it

is ahv;¡ys dangerous. beeftufe

denotes a

0100:

acriOlo–

nious

and dtfrc.)ved

llate

cf the blood

in which

cate,

attenu;¡nts,

aloetics, volatiles, and eh.dyuea les, are

Iitrlc

betler

thoto poifon

whereas acids,

diluenls.

dcmulcents ,

;mo

miorral

W;l:ler,. ate very bencfiei;l l, H cmp feeJ ,

bo:kd in OIilk

til!

it ur::aks, is oft n adv.tntagt ous, [the

d ore is , ouncc's t'lIice a.day,] or an emulfio n of whilC:'

pC'lppy

fecds

dnd

fwe'_t

almtlnds .

:Iftt'r

moc1cratc bleeding,

(i f ,he p3t<nt is fO"crifh, aod ,he pulfe

wjli

ollow

i, ) aod

gentle purging.

O[ Ihe

Dluous

C OLIC .

"C ILI OVS

c(,I:c is tlltenclcu w:th the following

rymp.

tOIllS; a

hOctde

vuicc, a (:u li IAltilit. a ":Oflrinu.d

lo.ulllng:

viau

d~,

vO:~lI(in~

hil ious

porae~()us

tnAllef,

hie–

cup,

ft=\'(nfh Ilc;a,

¡;-¡qUIClU¿C.

In;:t.n~·

th idl ,

blaer

talte in lhe

Ol~urh.

an·J the urine

Illde

:l"d I.igh COIOUft"d .

H OFF.

AdJ

thefe. a uu rol og,

<l.cute . cor.unual

p<lm

::óout the

region

f)f

the

:1;1\'.:1 ,

wl11; h

tha

C~t=m~

b,nu

the belly as Il were

with a girJh:,

í s conlra(lcd

io:o

poira as

t!te:

pati!.!nt

W~~

boreJ

lhrough.

whleh

fo me·

tinles rcmiu, anJ

lh eo

grows

mOl

e "iolent. In tht" be–

ginning it is not

mucll dt!terminld .to

one

poine, nor

is (he vomiring fo frc.q u:.:r:t, nor docs lhe body fo

obHi–

nately wilhHand the force of ciHhan ics. BU( as the

p~in

increares. the more: it

fixed to a poiot, lhe vomiting is

frequ~nl ,

tlie

bod y

OJore

eofl l\'c!,

till

¡;;t

It"n;;lh it

termin2.tes in the' iliac p...!hon. At (his time the p ..

intenfe

as to occitfion

fingultus, a ..!cllrium.

coldot"fs

in [he extr!!nlities ,

aod

ehillir.g. clammy Iweats, whieh

are ;tlways a dangerous omen in

t h lS

difc:lfe.

is ddlinguillit"dfrom:l

lit

orthe

gra\·el.

as the

p~in

this lies in lhe kidney, and is extended from thcnce by

the

ureter

tO lhe (eflic!e;

arter

c3tlllg. lhe eoJie pain in·

creares, the nephritic ab.ncr·; evac.."uations upward

downw::.rds relieve the colie more chan a

fit

of the

gravel.

The

urine in

lhe ldtter is more clc:lr

and

thin

ilt

firll,

af–

terwards there is a rediment, and at length gravel or

fmall

fl ones ;

where..s io lhe eolie lhe urine is mere thick in the

beginning.

Blet'd Creely in the arm;

and'

after three or tour hours

exhibit

<lO

anod1'r.e,

and lhe

oext

day

;¡

gentle eathar–

tic, which may be repcated every other day, to the

lhird

time ,

Sydeoham reeommeods ridiog, efpeeially when the cure

is 01,11' pd.lliated wi th opiales.

,he

dire.fe

is e.ured by a plen,iful ea,iog o((urnmer–

fruits, (he

palient

fllould

dri:1k po{f<t.drink plentilully.

then take an O1noJync, and bleed the next day.

R uffel

obrerve~ ,

.th.a

when the colle

proceeds

from

cofti\'encfs

withom a

Ce\'er,

lhen a

plnt

of fe-..l·\\-atcr,

c!rank evcrY·l1lorning.

wiJl

cure

it.

th!:!

fidl

onrC[

of the dife..t(c is negleélcd, and

procceds.to

inn.lm

–

m:ltion, with a

feve r,

\'omi ti ng,

and retention of lh< ex–

creme:lt, and there

reafon

apprehenfive of the

iliae pafTiun ; wh eo blaek

vomiting

fupcr\'enes,

and

lhe

(2!ces are th rown up

lht:

OlOUlh;

as alfo when

there

is a quiek wt"3k

pu lle,

and eold f\Vcats fupervenc; lhen the

paticnt

wiil

be carried off

a monlfil.·ation. Som<times.

artt!r the rigOTs,

pus

will !how

itrelf in

Come

place

or o·

ther. which prevcnts il1lOlediate

dcath ;

while a pUfultDt

tcncfmlls affii3.s the unhtl ppy

patl~nt.

O[ Ihe

IlvsTERlc

COL I C.

T HIS is a eommo" fymp" 001

("If

lhe hdlt rie ralJion,

amI

ath

ndl.."d with a moH \'icl:"Ol p.lin :¡bout

lile

pa of

the t!oma..:h, ..tS .liro \\idl

""mHing uf a

grc.:nilh

hl1n"~l1r,

anJ a

great tinking ot

lhe fpil'its :

Aft\'1

.J.

JJ)'

or n\ o Ihe

p.•

!!...

·l

s uff. bm

UrOI\

thl.· fllJ.thtdl

tn(\t!on

pcrtur',a–

tiu n uf the

m.nu

il foon fl'turns agJin.

Ncithc:r