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t he! p.H t'-Ot may fced upoo w!Jat he likcs ocH, providcd it
is not nurp, n.,f f.¡!ttd, oo r fcafoncd \Vi,h fpic~s . H~
{1\\JuIJ c.n 110 Cuppt.:r; bm inllcad lhereof fhou ld d rink a
draugh t of gao,l (m;\!I·becr, whcrc'1 y lhe brecding of
lhe gravel m.l}' be prevccltcd . lf (he palient is troublcd
wllh lhe .gr.l\·d or none, and makcs bloody water, he
m ay purgc \Vid, manna on~t'! a weck, and take a paregorte
a l ni··he.
Ti~e !non Cuitable drink is fu eh as ¡, nOl ro flraog :\s
, vine, nOr fa weak as water, fOf lh e hU ler by its colunc[s
will dcpnl.\'c lhe Homach . or this rOrl is lhe L onetan
table·becr, or water with a liule wine. B Ul, whcn [he
gouty malter has feized lhe whol~ body. 11e mufl abnai n
from all fl!rmcntcd tiquors, though c\'er fa mild and
fm. ll.
BUl ir lhe patient has beeo ufc!d to fironn or Cpiritu0119
liquors, or is ~dvanced in years, or throllgh weakneCs
car.not. digcfl his aliment o he may, al meals, indulge
hiOlfelf \Vlth a draught. of Spanilh \Vine, which is beu er
than- Frendll'!'
mu[l likewiCe be had '0 ,he rymp,oms, which,
in lhe 6t, end,mger the patient's lire. The mofl com·
mon is a weak ano languid fiomach, aHended with fi ck·
ncfs and gripes, as if from wind . In this care nothing i5
better than a glafs of Canary d rank now and then, to–
gClher with exercirc. But, if the fymptoms will nol ad–
mit any truce, give twenly drops of the thebaic ti"éture
in rpirituous alexitereal water, pro vided the head is nOl
'3ttacked, and let lhe patient compofe hirnfelf to ren .
If the nephritic pains fhould come upon the gout,
"\\/hich often happeos, let lhe patient omit all olher medi–
cines. anJ drink a large quan~ity of po(fet.drink. in which
the lea\'cs and r oots of mallows and mMfhmaIJows have
becn boilcd . T hcn let a cly[ler be given, and af,erwards
a Iarge doCe of lauu.lOum.
"VV hen lhe gout has Ceized on the heild, it is to be
treated as any other he?ct·each, or as an inflammation
of thc brain and its mcmbrane ; blcr c1ing in {he arOl or
j ugular, cupping on lhe back, and blificring between {he
fh oulders. bur crpeciall y on the ancles, { O givc the gouty
h umou r a vent downwards. In young and (lrong confii,
tUlions mercuriAl and antimonial vomils will do wonders.
L :ke'vife gt.;ntle Homach purg('s are lO be pourcd down
continu..lly, th:\t ¡s, { WO or th ree fpoonfuls eY~ry third
hour, lill th~ eíFt'ét is obtained .
lercurial vomits are not only proper for the gou t in
the HOO1ach, but they are abfoluttdy necdr.tryas weIJ as
mt:rcurial purges, when the gOUt becomes rixcd ro, and
pcrmanent in a placc, as alfo when il is difperfcd dlJ over
'lhe h",bir like a rheu:'llatifm . T hcfe aaive medicines mufl
.{¡di render the humol1rs l1uid, .which gUIll guaiacum,
with di.tphorcric antlmony, pcdificu in, wiIl afterwards
c.1.1 ry off.
O/ ti" S C' AT'CA, or HIP Ca u T.
T H E rciatiea is a violenr ami obflioale pain in lhe hip,
<hi4.l1y in lhe joint w~.crc lhe heAd or lhe thigh bone is
reel·i\'l.'u InlO the at:C:la',ulum of th<1 ~oxcndix. ' r he plin
will l~)mC:lim('s extend ¡t(df tOIhe 10\Vtr [l.t rl of Ihe luios .
iO th~ tltigh. II'C, aod l'Veo tO lhe cxtrcmity of lhe fool j
I)'et. outw .u dly, there is no f\\ c:!JinCI no ir.flammatÍt ll,
,." , change of ca lour in ,h n,in.
E.
Somctim.:r; therc i3 fue!1 a f¡l.Ifm of the murdc!s o, th::
fiJt! arTu:¡ed, the patient cannot fl.lOd uprighl, with·
OUt lhe u[moO pain.
\Vhcn the fdatie;\. has contioued VJ:ry long, th ere is
fueh a. eollct\ion of pituitous humou r in ,nI! cavity of d i'!
joiot, that, by rel.txing lhe lig;¡ Ol..!lll'i. it often c;!.ufcs a
luxarion. Somctimes it caufes an aridura, or waC}¡ng a·
way of the ac1j aecnt pan s.
\ -Vhen the p;¡in leaves t~\e hip, and movcs dO\\'l1wards.
it is a fign th:n the fpéifms are refolved . A violent m~·
tian of the bocly gcneraUy cxarpern,es,h e pain.
A ftc r a ccntl e cathilrtic, or clyller, blecding \ViII be ~
proper. efpecially in ,he ancle; alCo JeecheS ap?l,ed 'o ,he
hxmorrhoidal veins h:\Vc beco found beneficial Strong
purges are hunful; bUl mercurius d ulcis given with rcam..
mony, or fome other purgative, will be o( fervice
I f the patient is old or weak, lenient purges will be
mofl proper; and on the intermediate days a dofe of
calomel, which is aflcr wards lO be purged off; and fo
repea ted alternately for fome time.
Baglivi obrerves , t.hat if nOlhing elfe \ViII do, in pains
o f the external pans, recourfe muH be had to eau·
fiícs. particuJa d y the leaves of ranunculus, or a mixture
of quicklime and Cof, Coap, which are beneficial in ,he
hip ·gout.
eheyne obferves, that whea ,he gou' is diCperCed over
lhe whoJe habit, or is fi xed and fettled on a particular
joint, mercurial vomils and purges are neceCfary tOdil10dge
it; but the fci;!.tica will not yield tO this, and bm rarely
to any other methods of ufe; but, by the following
method, a perfe(t cure may always be obtaioed, ir (!le
diflemper is a genuin:: fci:nicJ, lhough of maoy years
Clanding. _
It confills in taking one, two, or tbree drams , to half ah
ounce, according tO tht! Clrength of lhe patient's flomdch.
of dle ethercal oil of turpcntine; which i5 that which
comes off betwcen the rpiril and lhe oil in drawing off
the COOlmon oil of tUl pcntine; this is to be taken in tri–
ple the quantity ofvirgin honey. in a morningfalling, (oc
fou r. five, fix, or eight d a)'s at fanh ert, inte rmitting a
day no\V and then, as the patit nt's occafions rc.:quire. or
his fu!fers by it. L arge draugh,s of r.,ck-whey
m ufi be drank aftcr il, to Ccttle it 00 the fi omach, oc
carry it into the blood; likewife cvery night murl be la ·
kcn a proper dore of lIIatthew's pills [or a fcruple of
,hefil.faponac,,"] ,ha< ¡s, if ,he oi! has becn token io lile
morniog.
T o remove lhe bro(fer remains and Ilrcngrhen lhe weak·
ened pan, the p,(tient muO tJkc a dram or t wO drams of
fluwa of brimflol1e, for fi)J11C time t\Vice a d.1Y, in a teJ-cup
full of milk . If lhronr;h great int~Olp::ran.:e, or :l \'iolent
eold. lhe patieot rd apfes , let him n pcat the former nie–
d icines for il dily or t\Vo. Then, tOílrengthen the- ,hríJII.e
1/;.t· and cnlh'cn the fpirits. let him drink lhe H,nh oc
Spaw Wdtcrs \Vlth Ol!d, rtnd bitters \\ Ith \ .., les.
Oja Yil"ul~ntC oN o RR llo r,\.
r\ V I R V L F ~ T G onorrhcca. Or C L .-\ P, rrOC~t;Js f r o 01 In:·
pure eOlllOIl wlt h ..in inl~ I..'1':"d woman.
T his d ,fh:mpcr br~ins ar.J 111•• k",s it~ pro,:-.rcfs: in l!~~
rollow,")! O1.mnt:r. T he: p.ilÍc:nt . fO,)'l"r o r r. <l 'CHJ–
lOS as thl \ uman witll \\ h"mh h:::-luJ CJnV'lr.H.iull \\ \$
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