1000000031

ti"

MI LK F EVFR .

ABOUT

the fourlh cl' y, ,he brea(l, ¡:enerally begin to

t:row turgid and painfu!.

VI<

ha ve formerly ob(ervcJ,

thac, during th e time of uterine

gdbtioo,

tht! breafl s in

rnan

wOlDcn

gradu ilJl y

¡ncreare

liIJ

th~

ddi\'(fry,

growioA

fofter a, ,hey are enla'

¡¡eel

by ,he vend, b.eing more and

more filled wi,h fl uid. ; ai,J by this gradual dillention

thoy are prepared for (cereting the milk from the blooJ ',

after delivcry. D uring the

t wO

or three lirel days

.l rtcr

parturllion, efpeci.dly whcn the \Vom:ln has und;:rgonc a

Jarge 'difcharge, lhe

brc~fts

IlJve b: .:n rometimes obferveu

(ubr.¡:\e aDd grow ftaeeid; anJ .bout ,he , hird or

fourth day. when ,he loehi a begin 10 clecrea(e, the brean,

fwell agaiD 'o Iheil former fi z<. anJ Jlre'eh more and

more. qn,i1·,he milk, being (eere,ed. is ei,her (ueked

the ehild l or frequently 01 i,(elf run, out at the nipplcs.

Mofl of the complaiou incident to womeo ,(ter delive·

ry,

proeeed' either from ,he obflruélion of the loehia in

tcrus, or

rhe milk in the

brea.fh,

oc..:aGoned

any' Ihing thal will prodoee.a fever ;

(u~h

ealehing

cold, long and (evere labour. eatinE food th.t is

hard.of

d ige:!ion.

' ~nd

drinking Buids thal

quicken. lh~

eirculatioD

of the blo'od in fhe large velfd.; by whicb mean. the

fmaller. wilh all the fecre,ory and eKcretOry duéb,. are

obflruéled.

The diCcharge

the loeh.. being

ditrerenl in wo·

men of diffefent eonflilution,. aod

ueíid~s

in fome mla–

fure dependiDg upon the method of maoa¡ement, and Ihe'

way of lif. peculiar to the patien" we are 001.'0. judge

of her lituation from the colcur,

quantity,

iilnd duróltioD

of them; b",t from th¿ o,her Cymptoms that .lteod th.

diCcharge; aod if tbe woman (eems hearty. and iQ a fai,

way of recoTery.

nathing

ought

be done with

a vievt

lo a"gmenl or diminifh the evacuation.

f Ihe diCeharge

be grealer th.n /he can' bear. i, will be a!tended with all

tb.

Cymp,oms of inaoi,ion; bUI a, the 10chia'Celdoro /low

fo yioleotly as to defiroy Ihe palient of a fudden, fhe

may be fupported ·by a proper nourifhing diel, a/lilled

wilh cordial and rellorative medieiDe. : Lel her. (or

tK'

ample, uCe brolh., jellies, aDd alfe, milk; if' th. pulCe

¡.

laogoid aod Cunk, fhe may take repea,ed doCe. of the.

conldl. cardiu.

with mixtures compoCed of the cordial

w.'ers and vol'lile Cpirits : Cuballringents and

opi.te

. freo

queotlí' .dmini/lered, witb Ihe

corto Peruvialf.

in dif–

ferenl forms,

aod auOere

wines,

are ,

of great

fervic~.

On lhe olher hand, when the diCcharge i. too Cmall, or

halh ceáCed altogether, ,he Cymp,om, are more dangerou.,

and require'the contrary method

cure: for

DOW

the

bulioeC. is 10 remove a 100 gre.. plenitDde of ,he velfels

jo aod abaut -the uteru,. occafioning

tcofion, paio,

and

!abour. in Ihe .cireulatiog /luid, ; from

whe~ce

proceed

greal he.. in Ih;

~rt,

refileCsner•• fever. a full. hard,

quick pulCe, paln. In Ihe head aod

b.ck

, oBuCea, and

dillieullY in bre.thiog. TheCe complai..., if nOI

lir/l

prev.nted, or rtmoved ' by re/l aod plentiful Cweating,

mufi be Ireate" with ..oreCeélion .nd Ihe .ntiphlogiflic,

method.

Wheo Ihe. obfiruélion i. receD' , lel Ihe palieDr li.

quiet, and eneoun¡¡e·a pleotiCul disphorefis, by drinkiog

frcquently of warm

\l':!~kJ

dihHing fluid"

ruch

as wa ...

t.::r-c;nlc'l, b;u ley.w.n er,.

lt.t,

or weC!k chicKeo-hroth.

S!Jo~:d thct~

meth0ds be uff'd '\I.,jthout fuc::cfs, and the

p3tieot,

(oH

¡'rom

:). iI13

rdicvc.::J

reH.

plenliful

fweat..

itlg,

01'

a fdRcic:nt

dJidl..

rge o( the.

ou:lruéled

lochia. la.

_bour

undc.. r an hot dr

y r'<Iil,

;~n:<iety,

and a'quick, hard,

alld rul l pulre. thz \Varc.l J i. phoretrés ll1ufl b! laid aGde'

becauCc. It :hey folil o: ha\'ing ,he dofired elTdl, th'ey muQ.

ncccfCu ily ¡ncreafe

Ihe

ft!v er and obfiruétion,

and

recourfe

be had

bh:t'Jing

lhe

arm

or ancle t'J more or Icfs

quantit)'. :u::ordihg to

t!)(~

degree

of rever and ob(lruc.

[ IOi1 ;

;;.nd this

cvacuatioil mult . be Tt'pcated

Ihere

occ:i1iJn. \'lh:!n

th~

obílruétion

not total, it is fup.

poft:d

more

PIoper to S!:::;:d

eh:

ancle

thah

thl! arm '

and ar t.his

I.fl

. when the dlCcharge is ahogerher fiopped:

Ht:r ordlnMy dnnk ought to

lmpregnatc:d with nitre.

Ole i. cofli,·e. emollienrand gently opening glyfiers'

may be occar.onally ir.jeéled ; a.d he" breafls mult be fo-

. meOled and Cueked, ellher by rhe mou,h or pi'pe gl:'lfe•.

If,

by theCe means, the rever is aba.ted, and ,he oecef.

{a·ry dlfcharges returo,

tbe patient

com:nonly recoven ;

but, ir the compl ...ints continue, the 30tiphloginic me[hod

mu(l fiill be purCued: If. ootwithnanding IheCe elfo",.

Ih, fever'is oot dj",inifhed or removed by a pleDriful diC–

charge of ,he loehia from' Ihe

uter.us

, the milI< from the

brellts, or by a critical el'ac'u¿tioo'by 'fweat, urioC',or

ílool, and -the woman is every obw aod tbeQ

auack.ed

wirh

cold fhiverings; an abCe.r. or abCeelfe. will probably be

formed

.in

tbe uterus or oeighbourin'g

paru, or

in the

breaCls ;

and

fometimes, the

mauer

will be tranO ...ted to

other Gtu.lioDS, and th.Ceal of i, forerold from the par!'s

beiog alFeéled with violent paios : IheCe abCeelÍes .are more

or ler. dangerou•• according

the place in which they

h.ppen. the l.rgeneC. of tl:¡e fuppuruioo. and tbe good

01' b.d coo(litulÍon of ,he patient.

If when the pain, iD Ihe epigafiric regioo are yioleOl,

.nd th: fever inereaCed to a

ve~

high degree. the puieot

fhould all of a Cu<lden eojoy a,celf.tioD frolD pain, .wilh–

OUI .nY previous diCcharge or eritical ensPlion,. Ih. phy–

lician may

proDouoce tbat a

morti6catioo

beguo;

cC.

pecially if, at Ihe CaOle lime. Ih.- pul(e

~comes

low,

quick, waverinc aod iotermittio&: ¡ftbe womao'.

coua–

lenance. {rom being florido turo. dulky- and pale. wbile

fhe

h~rCelf.

a.d all ,he, aneodanlS, cooeei.e \her múcb

mended ; in Ihal caCe, lbe wiU grow deliriou,, aod die iD

'1ery

(hon

time.

Wh. , we have Caid 00 rhi. Cubjeél. regard. Ihal fever

which proeeed. from, the ob/lruéled loehia, aod in ",.ich

Ihe breafl. ,may likewi(e be affeéled: but the onilk fever

i. tha< i.

whi~h

,he brelfl. ate originally coneerDed, and

which may h.ppen Ihough the I"chia eonlioue 10,Bow ill

Cullicienl quaotilY ; neverthelefs. Ihey mutually promole

each otber, aod both are to be treated in the

manD~

al–

re.dy

eKplained; Damel)'. by opi'les. dilueDIS. lod di–

aphoretiqJ

the

be~¡oDiDg;

aod, thefe

prefcriptioos

{¿¡l.

ing, ,he óbfiruélion. mufi be reColved by rhe antiphlogi–

/lic metbod deCcrib.d above. Tbe milk. feYeraloo1:, wheo

tbe uterus is not concernad,

not fo daogerous, and

mueh more

ear.ly

relieved. Womeo of ao healtby eon–

/litutioo, who Cuckle Ibeir own cbiJdreo, havo ¡¡ood oip-

plct.