184 / 868
M E
D
e
N
E.
in t\Vo dars,
ir
nothing forhids ;
ir
!he
("in ts, thcr.c is
no dangcr. She
mua
Jikewi(c be purgcd, as mad fo!ks
Are,
with jalap,
fC30lmony.
diagrid. The doCe
mua
be
increafed one third, ?s bc,ng hard
tO
purge. Emctics
are alfo good; for
(he
y
evaclfatc
lhe
bile, which ahates
lhe acrimony of the humours. Jo lhe
intervals,
arder
frequent emollient clyHers , tO which add half a dram
of tal prunella, or a
liu)c
vi negar
morning and
night. baths
and femicupia; moderate (he
heaf,
irritation, and fenfibi–
litY
oC
the
parIs
afFeéted : as airo emellicot injeétions in·
to lhe vagina, and fomentations, or pc(faries of cotton
may be Heeped therein; fal prunella may alfo be mixed
t!Jer~in .
kills. and ,he \Vomb and vagina .fler a di(ft ltion appear
lO
be of a blaekifh brown.
Ir
it ends in
a.
fupp ur:ltion,
the diCeafe is of ]ooger date, which generaJly happens to
women nOI
in
ehild·bed:
It
begins
to
d¡(eover ¡trelf ahout
the
"inth or lenlh day,
by
the celfationofrnoH or Ille
in·
flamm:uory (ymptoms, whieh will return aboul
lhe
twclfth
with a fhooting paio in the afFeéled parl.
A
gaogrcne or
mortification happcns on 'the (ourth or
fifth day, and is
kno~n
by
a
weak, languiChing, aod
intc:r~
mitting pulfe, and by a fuddeo ce(fation of all the fymp–
tom! .
Ir
the diCeare" exeeed!
~he
time of the former termina.
tions, and the in(J .. mmation is ruperfieial, it
is
apt tO turo
to
30
induratÍon or feirrhus
j
whieh ulcerruing, beeomes
a
caneer, and is ioeunhle.
Ir,
ahout (he twenty (l eond
day, there
is:
a reoiteney or hardners, and a dull heavy
pain
iD
the region
o(
Ihe
uterus, there is a fcirrhus formed.
0fan
INFLAMMATION
of Ihe
WOMB.
AH inBammation of lhe ulerus appears (rom extraor–
dinary oeat, and a fixed
pain in,the groin, with an acute
(ever, a pain in the loio, and bdly, aD ¡nflation of {he
abdomen, a rlimulus tO m"ke water and go tO fiool
j
heat,
and
di
ffi.cuIty
of urine; tumour, pain, heat, and tenfion
of ,he hypoganric region; redoefs of the o. uteri, aod
grea, heat of ,he vagin. .
If
the fore. pa« of the uterus
is affelted, there is a dyfury or he., of urlne; if the back
part. a
tenefmus, frequent faintings and cardialgia. a
burning fever; or,
ir
the inflammation is violent, a Iy.
pyria, in which the external pans or extremities are cold,
aod the internal burn, and the pulfe is imper.ceptible; a
delirium and phreofy: ,he breaHs fwell io preportion a.
the
inftamed ulerus.
This difeafe may be faid 'o be fuperficial or more
grievous .od profound.
It
i. eafy
for~ed
in child-bed
women, apd frequendy accompanies the milk.fever; and
may be cured in a few days, if rightly maoaged : Bu'
when it is very ioteofe, and attended with grievous fymp.
tOms without remiffion, it kills on the feveDth. nimh,
or
e1eveoth day; aod a white miliary fever gen.rally fuper–
veDes, which is
tbe
'Norf\: omen. for it Chews
a
mortifica·
tion of the merus. WheD tRis fever happens. there are
fpanic and painful nriélures
i~
the abdomen, the flux of
the uterus is nopped, the body is
colliv~,
the fee, are
cokJ; there is ao urging to make water, whi ch is painful;
the head looks red, and fwdl.s; ,he eyes lhioe; drop. of
blood fall from ,he nofe; the miod is di{lu rbed; the Oeep
i. liule, with terrifying.d reams: there is likewife mon dif-
6cuh breathing, faiotings, convulfions, a phrenetic deli·
...¡um, which eommonly have a fatal tendency.
This difeafe o.óuld be Jillinguilhed from an ioBamma–
tion
of
the bladder
or
re(tum; whieh
ma
y
be done from
the place o( the pain: in ,hat of the bladder i, is fuperfi .
ciar, as if
ir
were in lhe i"teguments ; in that of the rec·
tum ir is very deep, as if abau t lhe os facrum; in that of
lhe uterus it
is in lhe
middle, with
a vioJént heat in
lhe
"agioa, if the fioger is.introcluced. If the bl. dder is af–
fetled, there is an extraordinary heat and relendon of
U·
Tine
i
and a
teneemus, if
in t-he
reétum : In lhe bJaddcr
i
othe
pain is
preciCely on
,he os pubis
j
in
lhe
rettum,
the
anus i, affeéled. If thefe fymptOms h.pgen in aD inOam·
r",uian of the
oterus, they
are
more
flig~t.
If
lhe
inflolmmation is not refoJved,
h·
generally ends
in a
mortitic;uion,
.ulcer, or
caneer,
A
mortificarían foon
VOL.II1.
N° ¡6.
2
Women in ehild·bed fometimes have lhe womb inlJamed
(rom rhe (..
uh
of unfkilful midwivcs, or hard lahour
j
oc
,he lochi a are Ilopped by pains, or hyrlerical fpafms ,
dread, or eold; wherefore proper precautions Chould
be
ured 'o preven, it; which may done by keeping them un–
der a.gentle diaphor«ic regimen, and by allaying the al–
mon febrile hea,. Oil of almonds is proper alooe, or
with a founl> part of fperma « ti, given d••ly 'o half an
ounce in chieken·broth ; externally lhe whoJe abdomen
lhould be aooin,ed with oil of dill , camomile and white–
JiJies, of eaeh an ounee, oil of earaway5 a dram , or
a
drana
of c.mphor; !ayi ng a warm napkin doubled over the
fame.
The tumulr being thus appeafed, the loehia are to be
promoted
with
pills of bitter extraéh, temperate refinous
gums, and aJoes well correéled, of which
XT
gr.
is
a doft!
morning and evening, to
be
continued from 6Te to eight
days. Thefe are alfo good when the aftcr-binh or pan
of it
is
retained.
If there is a -fever, the belly is dillended with wind,
the lochia are re,ained, and the fpafms tend
lO
the upper
pa"s, you mult bleed in ,he foo, . .
The drink may be ehieken·broth, with feorzonera.root ,
fuccory, and lhavings of hanlhorn boiled therein. As alfo
temperating and r<:folving powders made of crab5.eyes, and
their folulion. nitre, and
f.d
polyehren. To whieh may
be added clyllers of whey, camnmile-Bowers, mllg· wort,
fage,
&c.
wi lh honey, nitre, and fin
uf
hens.
In women out of child·bed ,he iofi.lmma'.on generally
happens in the neek'of lhe uterus aod the vagina; and lhen,
befides the foregoing things, you murt appJy epithems to
the pubes, uterine injeélions, pelTaric5, and (upporitories.
The epilhem may be of arquebu rade water fou r onnees,
e{fenee
of
faffron, camphor:l!ted fpirit of wine, of eaeh two
ounees, nitre a dram, dilfolved in elrlcr·fiower water'
and, as circllmfianees requi re, mixed with
vinegar,
or rue'
or feordíum, and applied
Wilh a
double c1oth.
The
in~
jeétion may eonfiH of alfes milk, with flowers of eJdcr,
myrrh. and (affron; and
a
liuJe nitre
O1;¡y
be added tOthe
deeoétion. The
~cntfmus
may be
appeaf~cl
wilh emoJJic:1 t
half baths, or wMh an ounce of oil of Cweet almonds, ano
xij grajns of rafFron,' inje8:i!d
ioto
th~
anus. Thefc: re.
medies are ufeful in cafe of • fuppuration.
t
T
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