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M

D

Thofe. ..1fo are ¡iable. to ';t, ,;,bofe fwealy feet are too

·ruddeoly cbillcd; or who fuffer ,heir feet 'o fwea, in

\vet (hoeS' and llockings. Hence

huntiof

ánd ridi'ng

iD

jn the

~old

are

perniciaus.

lt

ffiJy

'Iikewifc' be received

by contagion, and is heredi,ary, defcending frolB father

to foo .

T he curattve indieatioos requiTe, firll, that -.:he primz

"ire be fe, free fróm a load of indigefied cruditi••, and

the vifcera be reCl ored to

lheir

prifiine vigour: that

by

thefe means ,he alimen" may

b~

duly concoaed and alli–

milaled io,o healthy fluids, and fuch as will pafs freely

through ,he fm alleft velfel. ; ' while wha,evcr is un6t

for oounrhment may pafs off

by

perfpiration

J

in due time

and quan,i,y.

Se~ondly,

,ha, the fluid fiagnation iD,

and fiufling up ,he [malefi velfels', may be e>lpell.d ,he

body, and a free palfage ,h rough ,he cootraaed velfels be

rellored.

T he 6rfi ioteo,ion mo.y be anCwered by vomito aod

~entle

cathartics, repeated as oecarion requires;

by

biners,

aromatics. antircorbutic

medicino;

by

alkaline fixed falts,

ta1:.cn in fmall qu.mtitics for a long time;

by

alJments

anrt drinks that are nouriOling,

Jigilt.

eafy of digellion.

quickly .Ifimilaled aod ,akeo in due qUlO,i,y; by power–

fui

c:xercife

o(ten

rt-peated and

long

c:>ntinued. and

eCpe.

cially by riding in a dry, pure, fereoe ai r ; by friaioo,

by mOLioo of ,he affeaed parts, by goiog ' o Geep

al

early

h OlllS.

Tile recood iotentioD may be aofwered partly by ,he

preceding

an ide.

-a,

weJl

as by procuring

gentle fweats .

by ba,hiog in narural aod ar,,6ci.1 bath.; by rwea,iog

!n a bagoio; or

by

the ufe

of volati le

[:ftrs,

and

copi–

ous drinkiog of atteouatiog liquo.. aaually hot, io ,he

rllorning. whiJe in

bed,

in orCft'r

to

prpcure a (weat ; as

alfo by mercurial purge., taking a large quanti,y of di–

Juents af,er (hem · oy friétioos of the whole body, efpe–

ci211y ,he p'rtS affea, d, wlth hot, dry lineo c1c¡,hs, till

a redoefs appe

Ir ;

by cold ba,hs, and ,he like. There

things eing

'ufed

with

prud..:n

:e,

and according tO the

yario:Js tempero'lments of

the

patient, wiU

yidd

no

fmall

relief, even in the

nodous

gOU l itrelf.

As

the proximate

caufe, lies

in

the vitiated (late

of

the

fm. llefi nervous velfels of ,he body, aod of ,he fluid tha,

pafftS

lh

rou~h

them, it is no

woneter

that bleeding will

not

reach

lhe

minter, {late,

or

caufe

oC

lhe

diCeare'

yet

i,

m.y fome,imes do guod by accideo" by

ca~fing

a fmall

revulGoo, aod by aba,ing ,he u' geo, fymp,oms

Nor

wiIJ

emeti..:s

or

catharti~s

yíeld

Co

much

re·

lief as is commonly 'hough" becaufe they of,eo raiCe

a

diflurbance in

the

ne(vous

Huid, diminilh

the other

fiuids,

and weaken the expulrive faculty . But much

greater benefit m.y be expea ed from fudorifics righdy

ad.,ioittercd .

Noth,ng is ,more fatal than to hinder che gout"y

maner,

now

grown molture, and

remaíning

uncxpelled. as well as

uncorreélcd

by

proper medicines, (rom

faJling

on lhe

uCual parts,

wlllch indced caufe

great pam.,

but

no danger.

Ir

il

invades

the

brain"

it

wiJl

occafton apoplexies, pal–

fies, a deliriunl,

wtaknelTes,

dozi ng. lremors, or

univer–

{di

cOflvuHions :

If

it

3U3tks

lhe lungs,

il

produces

3n

aHhma; a

lough, or a

[uffoca~íon ;

ir

lh..:

interco(h,ls

and eleura, a convulfive plcltTlfy; if ,he abdominal vi·

l.

e

N

E.

(cera,

naufeas,

anxieties,

vomiting.

belching, gripin¡,Ir

or {pafms of ,he vifcera.

lt;.

almoft iocredible hojv

maoy dife. res i, create.,

whi~h

are fuddeoly mortal; '?t

a' leafi

00'

to be cured bu, by reviviog ,be 6, of

'~e

gout, whieh had beeti diftu(b<d, aod reoderiog i, as fevere

as poffible.

Thefe laft mentioo.d evils happen from injudiciou. "p–

plicatiohs of

narCOtic9, refrigcrants,

aHringe.nu

,

or'

ip–

cralfams; or

from

medicines

whi~h

cauJe

a revulGon from

the

difeaf"d

p.art,

or from debilitating, evacuating, or

fuffocatiog remedi@s.

H eoce bleediog, purgiog upward.

or downwards, p,laClers, poult,ices, of the nature

abov~.

meotiooed, aDd al! opiates, prtftloce ,hefe effeéls; as alfo ...

(pon'.oeo". weaknefs brough'

00

by ex'reme old agc; ór

from ,he extreme parts beiog fo obfiruéled, eorrup'éd,

withered , or periO\ed,

Ihat

lhe

mórbific

maltee

cannot

pafs ,brough them any looger.

To abate ,he excellive

p.in

in the part affeaed,. if .here

be

an abrolu,e hecelli,y, opiates may be giveo interoally,

and (he patien, may d,ink pleo,ifully of ho,. whey, or

any·o,her liquor of ,he like na'ure. Ex,eroal emollients

and aood]nes may be ufed laid

0 0

pretty ho" or ,be part

afFt.'éted ma-y

be

beat

with

neules, or it may be anointed

wi," ,erebinthina,ed balra., of fulphur, ·O'r tow may be

burnt

Ihereon.

Though .here i, oothiog of aoy moment to be done in

,he fir, y." i, .will be

l'r~per

' o abfiaio from fleCh for fome

days,

and to Jive

upon

water.geuel,

oc

[uch IIke diet;

bu,

0 0

looger than the fiomaeh is averfe to fleCh, for

fe~r

of bringing

0 0

a difiurbanee of the animal fpirits; but

.heo grea, care Chould be taken id .he d,e"

bo,h as

tr

quanti,y and qualny.

As foon as ,he paio is almofi gooe, and ,he fwelling

and the weakne[s

only

remain,

lIothing can

be better

than

warm fiomachic aod fpicy pbrges, dured and [epea,ed ac;–

cording ' o rhe flreng'A of ,he pa,ient. This beiog pre–

mired,

if

the patiem's firength is impaired, and his

Henl

wafied, give alfes milk .with pear!,

h.lf

apio, or a piot

in a

morning

early,

and at

fh'e

or

fix

ó' ...

Jock

in

the

ar·

,ernooo ; ..nd ' o keep up ,he appe,i,e "hich ,he milk

commonly pall., aog

10

pre,'ent its cooling e!feas

0 0

¡he

flomach,

a

Jigh t

biuer

made

o(

geDtian, cionamoD. and

orange.peel only,. ,he lal! double ' o ,he o,her ' wo,

infu~

red in fllerry or white wine.

and

laken

twO

hours before

.11eals, may ue ured mofi conveniently. This eourfe m.y

be:

continued

two

or th ree

week.s;

after Ih1S

a

courre

of

B21h

or

German.fpaw

waters wnh (leer, riding,

a

Jight

wlúte Cood diet, and generous

wine

.drank temperateJy,

will be mol!, proper . .

Ou, of ,be

61,

thofe ,hing. are mofi p(oper whieh pro–

mOle

the concodioo

of

the aliment.

wherher

by

medicines.,

exerciJe,

or

ditt.

Ir.

the

di~1

lhcre

is a

medium to

be obCe rv(d; the p<\–

tiem

(hould

neithcr eat

more

than the flomach will digelt,

OOr be (o abilemious as 'o defraud the parts of fuch a

proportioo of aJiment as

is neceffary

lO

maictain the

firenw h and

vigour.

A-s

tO

t1;e quality

of

lhe rood, the

pa,ien,'s palale is ID he cooruhed: bUI he (hould dioe up–

on one ddh of meal only; for feverol kinds o( ne(h, ea'eo

at the

f~mc:

me:.!.

1

dillurb the digefl ive faculty more than

the fam e quan,i,y of any ooe fort . As for o,her .,hings,.

lbe