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often indolent tumoors, whieh arife by degrees in the

gl ...nds of "he neck, under the chin, armpi ts, groio. hams,

arms, ao d

wrms;

but ir is man

co0101ooly

feated

(he

ncck, and beneath the ears.

L ikewife eold "'mours, whieh 'ppear

the joints aod

bones, as on (he knees, elbows, hands, and feet, but

more parlÍ'cularl y on (he fi ngers, are difarders of tbe

fero·

phulous kind : as alfo the greatefl p. rt of thofe obflin. te

fiuxi..ons, which (aU gradually on the

joinu ,

withOUl

manifdl cauCe ;

and

which are

attended

with

abreefs ,

a caries, and fwell ing of the bones,·

calleo

the

[pina vtIJlo·

fa ;

efpeei.lly of the apophyfes and epiphyfes. O f the

{aOle kind are

likewire

the oedemata or white fwelliogs

which arife in the

afms,

Iegs, and [eer, princi pallyabout

the joiolS . T hey eo núll of a jelly or eo.gulated Iymph,

whieh puffs them up , bu< do not pit wheo prelfed with

\he bngers like dropúcal fwelling•.

In the

eyes~

the fcrophula creates in6ammations; in

the eye. lid. a pulling up of their edges wirh great forenefs

and [mili ülcers; in the aogle. of the eye 'a fi{l ul. la·

chrym:li., hy úleerat;ng the gland pl.oted th«e for tbe

percolatioD of

tea

es;

in the lips, exc.effive and preterna ..

tural thickneCs ; in the nofe

often creates [he

cruay

ul·

cer ealled ozzna. AII whieh, except the lall, are ofteo

tbe forerunners of th is difeafe, antecc:clent to {he great

fwelliogs and foul ulccn which appe.r io itS maturer Itate.

The gl. ods of the external par" are not alone attaeked

with thi. difeafe ; for thofe of the mefentery are . Imoll–

al ways affd\ed ; which appears from the opening of per–

fons dying of this difeafe. Sometimes the difeafe hegios

in the mefentery; and fometimes the liver, (pleen, womb,

lungs, windpipe, brain, and other interna)

pans,

are fero·

phulollS:

Heoee

[circheus tumours, incurable caneers, oh ..

lI inate flu xioos, rebellious ophthalmies, m.lignant abfcef–

fes, fill ulous ulcers, dangerous quiofeys, ter<ible epilep–

fies, mortal conCumptions of the luogs, fiubboro jaundices,

dropfies, cholics, hypochondriac .nd hylleric affeélions.

T he fcroi'hulz are hard tUfllours; becaufe tbey are pro–

duced by a lhiek coagulated matter ; they are cold, be·

caufe they are caufed by a Ilagnatino of !he Iympha in the

part .ffeéled.

T he ferophulx may he raid to be benign, wheo they are

fuperC:cial

when

(hey

nOI

much raife the fkin, nor

chaoge its colour; w heo only tbe gl.nds are puffed up,

anrl are [oft, moveable, without adhefion and ¡ndolene .

The malignant fc rophulz are evident fro01 the lar genefs

af the

tumour,

irs

hardnefs and adbe(ion : from its be–

coming livid or red ; from Íts being painfu l ; and, when

ulcerated, from the eallofity of lhe lips of the ulcer, and

from their

difficult

cure .

As to tbe prognollies ; the benign fcrophulre admit of

' n eafy cure, efpecially if they are

f~ated

in tbe conglo–

bate gland., and are moveable, fuperficial, and fof.. T hofe

\~;hich

attack

lhe joims, the tendoos, the ligaments, lhe

bones, which are near large \'elfels, or comprefs lhe afpe–

arteria, or the oefaphaglls, are very difficult to

cUl e.

The incernal fcrophulre are

mllch~more

dangerous

than the

external.;

for

w~en

they

turn

tO ao'abfeefs, they are iocu·

rabie. They ore .Ifo more or lefs troublefome in propor–

tion tO the progrefs they have m'ade, the pans whieh they

attad., and the temperameot of the patient. Ifthe llrum",

ha.e beco loog ulcerated, aod are become fioous aod vi-

roJent, and

they:li.c

oear

OOle

another, they often

6nd :1

commun:cJtioo, though they appedr dininét: In this c"re

Ibe

lips grow

callou5,

and

lbe

uJeers corro{ivc:, frc:quenily

fordid; aou the cure is DOt tO be expeét::d as long as· une

cyais remains of

111"

velfds that feed rhem. T bofe who

are

Cl!iz~d

Wilh IlnJ 01Zín lhe

ncck

tlfter fony years

age,

feldom recover.

Clrumous tumou rs arife from

caries

the booes of

the fingers or haads. the cure is difficult ; but more

fa in

\he

feet

and

toes. If

the os calcas, joint of the ancle,

or afiraga lu!, or in th:: knee·bones, or dchia, or the like,

....here they e.ooot be fafely laid open, tte

c.fe

deplo–

rable, and che.patient ge:nerally dies of

marafmus.

In che cure, lhe diet fhoold be thi n and attenuating ,

light and 'enfy of digellion ; .and all fal t and fmoke·dned

meat lhould be carefu!ly.voided.; as alfo beef, purk, filh ,

hare, cheefe, and in general all things that are hard of

digeHioo, or which yield indifferent oourifhment. T he

ai r

(hoJld be pure, f....eet, .nd dry; aod \he body fllOuld be

kept al\Vays open.

T he cure may be beguo by hleedi ng, efpecially if the

patic:nt is plethoric. and theo a mercurial or antimonia.l

vomit

a(ter which he fhould tótke a

gtntle

purge, oflen

repeated, fu ch as the common purging potion ot Syden–

ham

and, as almofi all remedies which are good in ve...

nereaJcafes are ufcful

this,

mercuri~)

vomits

Olnd

purga ...

tive, will he proper.

S'ome give ethiops mineral alone (or three months; be. (

ginoiog with twelve graios,

and

increafing the dofe gradu...

.Jly to a fcruple, or balf a d ram, and decreafing io tbe faroe

mann~ r

is certain

that the

united

raree

mercurials

and an–

timonials will do wooders io thefe cafes, ir pr. dently gi–

ven aod long comioued;

.hVdyS

beginniog with fm.1I dofes

fi rll.

Sorne make ufe of the decoétio n of fponge; the dore

four ounees: orhers, burnt or ealcioed fponge; tbe

dofe is half a dram morniog

aod

evening ,

Turner

mentioos

cure from an eleétuary made of (he moa

gri\ty and fabulous fponges that could he got, which

were dried

aa oven (o much as 'lO be lit tO pulverize.

T he dofe was a fpoonful night and morning.

Olhe" recommend the abforbem powders and diapho–

retie antimoay; othen aga¡o, tinéture of antimony in a

glafs of the deeoétion of tbe woods; Dr F rancis Fuller,

the decoélion of cohs·foot ufed for a long time. Fallopius

praiCes the root of bUlchers·broom; the dofe

a dr;un

with

x ,

gr, of the root of cammon fiower-de·luee.

Arn.

d. Vil/anova

looks on lhe root of ferophulari. or figwo rt

as a fpecifie; the dofe is a fcruple in powder. An<\ Allen

mentions [\Vo cures performed by white archaogle, boBed

milk,

which

coagulates; the whey of which muR:

be drank, and the curd applied to the fores. Of late the

mineral Wate" of M offa t in Aonaodale have beeo draok

with

great advaotage.

Epfom fah dilfolved in a pint or water in fuch a quao–

tit)" as to keep the body open, and taken Irke fea wdter,

has ofren eured this diteJfe.

After all, \\'e h ave another medicine ",hoCe vinues

curiog this difeafe have been htely celebrated,

"iz.

the

j . fuilS b.,k .

1 .

Take of the bcll rhubarb, half . n ounee; of

Bo–

reDtioe