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C'qua!, lhick , wri;lklcJ, 3 01.\ rOl1gh j arterwards ulccrs a–
rife WlllC:l c:Jufe:: lhem to rall off.
ll . Th'c ¡nfiJe or lhe Il"lomh, [hroar, and nofe, are alfo
a(fcélen; lhe. u\'ula and l onti)~ uecome painrul, hot,
inBamed, and ul cerated; punulcs app ..·;]r in (he ronf (,r
the mouth, which degener:u c ioto round, malignant,
phagedcnic ulcers , whi..:h rOl Ihe bone as far as lhe
no(lnls. The pituitary menórane is I:kcwifc: liabl: to
puOules, which produce malignant ulcerations that infc:ét
the bonc::s of lhe nofe with a c.arles, particulllrly lhe vomcr;
which being caten aW3y, lhe nofe falls uown j lhe \foice
becomes hoarfe and low ; th(! ~ums being covcrcd \Vil"
a phth2!, ulceratc and rOl; ,the tt:eth ache, gro\V rolleo, and
falt out; and lhe breadl is vcry offcnfive.
In. Tbe patient is excruciated wi lh paios in lhe night–
time, when in bed and co\'ered wilh cloaths: thefe are
either tenfi\'e, pi icking, pul rative, or rcnding; fixed or
w andering; which fometimes occupY thc ml1 fculous and
m cmbranous parts like the rheumuifm, fometimes the
t endoos ~d ligaments aboul the joints refl!mbling the
gOl1t; Comctimes th::y are with tumour or infidmmation,
fometimes withoUl.
IV. The bones are affelted in various manners; in the
middle exaltares arifc, either rort ot hard , fome times with
inteofe pttin, fomctimes without. T he heads of I he pones
. alargc every way, but uneq;¡ally, whicb produces tu–
mou rs, paios, difficulty of motion, and Hiff joints . As lhe
caries increares, they become brittle, and break upon the
leafl elforr. S~m.times theyare Co far difl'olved, as tO bend
like Coft wax.
V . 'Vhen thc Iymph is infeBed, the Iymphatic Or CODo
globate glands become hard and callous. and form, in
l he neck, annpits, groio. and mefeolery, ht\rd, moveable,
circunúcribtd tumours , like the king's evil. The Iym.
phatic veffels are dila,ed, ex,ended, and enlarged by a
thick flagna,ing Iymph, and form Coft encifled tumours
or gummata: ] o the tendoos it caufes nodes, in the
ncrves ganglions, 2nd in the Jigaments of the joints tophs .
VI. Nei,her do the ears and eyes ereap: ,he fury of
this : for the latter are externally . lf. éled wi,h
palO, rednefs. itcbing, and lippitude; and inrerna lly,
being load~d wi,h humours, the fi gh, is <jdiroy.d, .nd
fometimes a fuppuration fupen·cop.s. lfthe vitreolls hu–
mou r oflhe cyes is thickcoed, it caures a glaucoma¡ ir the
cryfiallinc, a canralt; if {he aqueous, hairs or fpider s webs
fecm to float in the ai ro
T he cafS are affc.. 'lcd with a finging noife, hardncf, or
hea ring , d eafnefs, and paio. whilfi their interna1 fub!lancc
is exulceraterl and f\:ndercd carious.
A fter lhis catalo:.pe of {ymptoms. it is no wonrter that
al1 the a.nim:tl, " ital, and nau:ral funaions Ihould be d~pravecl, ,he (ace be pale anJ livid, Ihe body em:\ciated
and unapt for motion, and tha< the patient Olould fall in ·
to 3n at ropby and ma rafmus_
vVomcn llave difordcrs pro?cr tO'the fex j :a, cancers in
th: brean, :l fupprC'JJioo (.r overflowing of the menfes, the
""hites. the hy!leric p.ffion, 30 inflammatíon, abfcefs ,
fcirrhus, gangrene. uker ann C.lncer of lhe U'omb. They
..re ('ither barren or fuhjefl 10 abonion ; or the children
they bring into the \Vorld have on univerC.1 erylipdas,
are half roU o, and CO\'cr~d with ulccrs _
e N E.
Thc m: tho.:is of cl1ring the pox are princip llly (our :
l . T'hc C0mOlon. by f,divl lioo; 1 , By gi\'ing 'luid.ril"er
pills; 3 , B y mercurial fritlioos, ....·111 eh Me to be pu rged
off befure a faliv.u ioo is raifed; 4' By tweJllOg, wit!J a
decoétion of guaiacum.
- t"he r.feil and mofl commod;ous method of ·ation i.
lly mercurius dulcis tix times i'ublimed, giveo inwardly in
the milder pox ; or uy mercurial untl'ioo, when lhe dlfeafe
is g Ot inlo the bORes.
F ifu:en grai os ol' mercurius dul cis rnay be given in a.
morniog. and lhe like dofe .H night, Wilh e"/~{]ar. (f..'(;rdi~:
After thrcc, four, or fi ve days with (bis mana~emcnt.
\Ve ufually obfervc the fau ces tO inflame; the infides
or the ehe..ks 10 be ,umid, or high and ,hick, bcing
ready to faJl within the teeth, upon Ihuuiog the moutb ;
the loogue 100ks white' and fou l, lbe gums {tand OU I, the
brea,h (links; aod the wholo inlide of lhe nlou,h appeau
Ihioiog, as if p:uboiled, and Jying io furrows .
The infide of the mou lh ,hus beginning tO be whealed,
Y9u may expeél: fooo to fee thcm ulcerated. efpecial:y a.
bou! the faltval gldods, which empty lhemfeh,t!s lhereJOta.
Now il may be proper to delirt a d ay or two, to obrerve
the iocre"afe of the ulcers, whJt Ooughs are like tO be
raifed, and what their df'plh and dimenCions are like to
prove; from which a Dear conjelture may be made of lhe
dur:uion as well as quaotity of lhe rpitting now begun,
and lhe eonfi!lence of the drilling Iympha whe,h<r more
or lers fluid.
When the C. liva,ion is thus begun, your only bufiner.
;s to eocourage your patient chearfully lO go oo . Let
his dict be fin, " chicken·broth, water gruel, .nd panada.
H is drink, fmall r:,ck-whey, or polTl!t-drink, with a draugbt
of good rmall.beer \Vith a toafl b«ween whiles.
T hus, af,er Come d ays rerpite, ir. ar,er the rpitling
comes on. you find the patient heany, his ch; ps but Iittle
fwelled 00 the , aod as litde rore within, Ihe ulcc:rs
noc increa (jog, wíth few or 00 Ooughs appearing lherein.
the flux ~I fo incoofiderable in quaOlity, you may now glve
a Ccruple of m,re. dule. in ·cldl. < féord. at go;ng tO refl,
repcating it two or th rt:e days following, a.s yon find oc·
cafion, and then w:tit the ifTue again_ This is lhe fafen
and mo(J pruden, me,hod.
]( he fhould I" ve tak,n h. lf.n ounee of calomel, wi,h
Jiul: ah ennioo as lOthe fw elling and foreoefsof his mou¡h,
and as little appearance ol' his flaveríng. his pulfe ano mher
circumCb.nces fa\'ouri ng the fame, t\nd no íll {yrllptom ap·
pearing, you may vomit him with vilj or x grains of turpeth
mineral in confen"e of rofes, or mixed with x or xv gr.ins
o f calcmel, encouraging the operatioo with fnull draug!1ts
of commoo poffet.drink between whilec , upon ~h 010-
lion lO reach , bUI not lo:\diog the therewith, as
is cu!fom:uy io m he!r cmetics. I f there is occalion, it
may be rcpeated [.\10 or three dAyS after, whicb \\ill for ..
ward the falivation more! eff~tlu.tlly th,lO more dores of
C:lI.)mcl fi mply repe.Hed wCluld h;\\'e done.
If a falivation canool he r:oifcd tO any 'lulntiIY. as in
fome it Ci\nnot. rou mufi forhcar and purge' J( off, .nJ
bivc: calomel once or 1\\ ice a-wc:ck, aod purge il uJT tite
Ilcxt day, or l \.VO dJ}'s 3Jle:r.
. " 'hon ,he rpitting enes \Vdl fOT\\'"d,
takc its courC. till i, ¿edices of i,[,h' ;
it tn2y he lelr tO
""lliCh, i:1 pro·
r ortil'n