1000000031

1\1

bleeJing, and then the

/,ri,,:.• vi.•

mull be cleanfcd with

doublc dofe of emc.>tic wine, or cml!tic

tclnar, olhcr·

wif" it .viII have no

drd l .

They will eveo bear half a

drJrn of

C1ars

of aoumony in fine po\Yder, with plcOty of

w arm water dunng lhe operati(.ln.

lhe ' vomlt works

lvell upw..trds and downwards, .he patient is in a falr way

of reeove! y Then a milder dofe of ipeeaeu.nha mull be

given

with

tanar

emetic.

lhe dofe does

"al

\York ei·

tber

w~y.

he is gencr",lIy Ihe worfe for

it,

and a Cbonger

dofe

,uld be g,véo fooo after.

it vomits, but does

not purge, ao anlimonial cathaníc, or

j....

lap

and

mercury

{bould be

exhlbited

in a larger quantity than ordinarYI

and theo the patieot fllOuld dri nk plcntifully of warm

broth . The vomits and purges Olould be repeated at

proper intervals ·till the difeafe dlfappcars. If they work

too much o ao opiate ma)' be given

night,

bUI

\Vilh

calHion, fUf fear of

rendc:ring lhe

p;uient

coHive, which

is the worll thing that ean befal him. 'Vhen purga–

t¡ves do nat opcrate fufll ciently, emollient. laxative, and

anodyne

cLy~s

mull be injcéled frequendy to emply the

gulS.

Ofthe

ILlAC PA SSlON.

THP.

iliac paffian is a pain in the fm:\1! iotdlines, apt

'to turn to an inBarnm.uiao, io which (heir' perinallic

motion

¡s

lovelleJ, and their conlents. and evcn (he

excremenlS themrelves, are voided by lhe mouth in vo–

miting. Nothing

wilI

pafs downward, Dat

much as

lIatus.

is preeeded with eollivenefs, whieh is foon followed

,,¡eh

OlOIt

fharp and vlolent paíos, with an Ir.flammation,

diO:enfian. and

tumour of the umbilical rrglOo, which

feels hard to the toueh ; Ihe b..dy is fo bound. that nei–

ther wind nor excrements can pafs dawnward: Soon after,

the'

wind firfi makes its w:ly upward, lhen comes

0 0

nau

fea

and

frequenl vomiting of a biJiO\1S aod pituitous mat ,

ter:

Tbe

breathi!1g grows difficuh, and ",hateveris

eal

draok is

fOOD

thrown up again; redddh

f:ece~,

\dth a nink·

ing fmell, are afterwards torced

by yomiting: This is

fueeeeded by lofs of Ilrength, a preternalural heat, a hard

and contraéled pulfe. Wilh grcat thirn; lhe urine ¡s'red,

and \'oided with diflieulty . 'Vheo the eafe beeomes de–

fperate,

hiccup and deli ril1m aJ.lpear: the nerves are dir

. ended, the body is all io a eold fweat, aod violent con·

vulfioos and faint ing filS pOl an end to the tragedy.

lo fome who have been ddreéled, the gut feemed to be

twifled ; but mon commonly one pan of the gDt eoters

in–

to the other. This difeafe may alfo proeeed from a rup–

ture either of

the

(croturo or the groin ; from pojfons ;

from any thing that Ilops up the p.(fage lhrough lhe fmall

guts. {uch as haro dry food, qUInces, pears, unripe

a–

cerb

fruit, when eaten

large quantities; to .... hich

drinkiog litrle, a fedeotary life, aod a melaneholy difpo–

filion of miod, will greatly eootribute. Th,fe all tend tO

harden the frece•. The grofs iotelllOes ",ay alfo be plug–

ged up ",id, feyb, I. ; efpeeially if. perfon, either through

fhame, or for want

conv~niency,

doc! nOI hHen tO the

calis of nature

As tO lhe prog.nollies ; lhere is hope of reeovery while

there is

ioBammation, :u.d while

yllers are admitted

into the body, aod reoderee! baek the rame way; as airo

while rhe p"in fhifls from

One

place

anolher, and the

paio

:lOd \'omiu ng

are nOI

conunual; Jlk !!wirc: wllcn the

difeafe proceeds from

f:eces

ob(lruéling the intc=filnes.

T tic: hope is fhll

greater,

Jaxittive medicines begin to

make their way down\Vard. But

there IS 3n

ir.flciOl–

mation, which is known from a

leva ,

the vehemente of

the

p~in,

fiJppr\. ffion of unne,

hard and quick

pul fe,

ao unqueneh.ble thirl!, a tOfliog of the body. aDd ex–

treme

debihty,

with

colctoefs of Ihe extreme pans, the

cafe is dcfpcrale. A fudJeo ee(falion of pain, aod abfo–

lute wan( of Hrengl!l, with

wtólk

pulle. falnting

fi.s,

and a

ftinking breath, {hew

Ibe

¡ntcOrnes 3re mortdlcd.

As to lhe cure;

6TU

all

is necelfdry

bleed

th~ ~rm,

and .lfterwards, in an hour or two. exhlbit·

a pow<rful clyller. The fmoké of

tobacc~

blown ioto the

howcls . dlrough an iO\'ened pipe, is very

efficrlcio~s:

ThlS may be repeated afrer fome time, uol«. the effeél

of the firll renders it unneee(fary

the dileafe wdl no'

yield to this, a pretty Il rong eathanie is ddvife.ble,

If the patient cannot relain the cathaníc, Jet him take

drops of the rhcbaic tinaure in half an ounce of fpi.

ritous clnnamon water; and

~hen

the vomiung and paio

remit, Jet the calhartic be repe3ted; if lhe pain return.!',

give

the anodyne again, and repeat it every founh or

fiXlh hour ti11 the ¡Q{dlines are eafy, and the cathartic

begins to pafs dowoward•.

A fter the paio has bren, miligate:d with aoodYDes,

e'laplafm !hould be applied tO the hypogallrie regioo tO

Clop the vomlting aod hieeup; whieh may be compored

of equal pdrts of old veDiee treacle and expre(fed oil of

nutmegs, with the: addition of oil of minI and camphor..

This done,

gentle lax.:Ilive ..of manna, cream of tartar,

.nd oil

01"

fweet almonds, may be giveu.

When

there is aD inflammalion, nothing is better than

(ix

or e¡ght graios of pU1"ified nitre, and

half

a grain of

ca mphor mlxed with fome antifparmodic pow.:..ler, and

ukcn in a convenient vehicle. Outwardly appJy '\ JjDi ..

ment of ao ounce ofaxungia humana, [ :\ny other pene ..

trating fat will do as ",011] aod a dram of camphor.

BUl

when other things fai l

the cure of the ¡"ae paf ..

(ion, recourfe Olull

h.ld

tO 'luickrilver, which fome·

times has furprifing eff«ls; hall' a pound. Or" pound

moU, is fufl1cient , with fat broth or oil

and t·he padent

Ihould lie on his right fide, or walk geotl y about the room,

lhal its defcent may be eafier.

BUI

there is an

aétuaI

inAammation, Ihe ufe of quickfil\'er fh ould be forborne ;

il the patient dies, rrom what caure rOe\'er , the

byltdndt::r5-

will probably allirm the quickfilver kdled him.

T here is no manoer of danger in (he urc: of Opi:\tfS, tO

mitigue the palO, providcd thcy are exhi itt'd In the be..

gioniog, afte r bleedlOg, or before there are .ny figns of a

martificí\tion.

Cly'llers are generall y very advaotagtou.; for 11,. )' re–

che frnrOlS of the &rots inte(linc:s: and for this pur·

pufe warm water with fyrup of marlhnullo\4s

\ViII

be lu(..

6eient; and if Ihe Ilr<ngth \ViII permlt, they IhoulJ be

injtlled every t\Vo hOU IS, (rom tht firfl

d.ly

of (he

attJ('k.

T hcy likcwife rellrain the ioverúon of the pcril\.J.luc

mO–

lion, and [often lhe fa:ees.