1000000031

E D

fhnt

ncifc

in ir, o," tingling

of the

cars,

which

fre –

'luC'ntly lhe fOrt'funr.t!r of a dclirium.

1-he load on the prxcordia, (he :lnxiety and faintnefs,

grow nllleh mure

urllent; aud the

patiem o(,\!n fal!s ioto

:m ..[lual ddiquiunl,

efpecidlly

:ll1 cmrtS

lit

up.

Now, cold

f ....

cels appeélr fuJclcl:ly on Ihe forehc:\d :lnd

J.ck

lhe

h:u,:ds, while

lhe

che~ks

;md palms glo\V with

hc~t.

and as fuddenly go off.

,he urine gro\Vs more

paJe and limpid. a

ddirium

is certainly

hand, with

univu Cal

tr::mNS

and

fu/fu/fur f(lIdinuU!:

lhe

dc:l.irium

is gem:rally )iule more than a

con(ufion

thour,ht

and

a8ioll, a

continual

muu(ring

and f.,ultering

of fpecch .

Sometimcs they

aw~ke

in a hurry ami confuCion, and

prefcntly recoll.a ,hemfelves, bu, (orthwith fall iOlo a

rnu:tcring. lhen doze again.

Al the fiate. lhe tongue gro\Vs often

ary.

with a

yrl

l\lw lin

'J.ch

lide; and whcn the patient

a ttemplS lO

Jmt

out,

u embles

gr~atly.

al Ihis time:t copious

!piuing comes on,

is a very good rigo. ' ''hen (here

is a difiicultr of fwallowing

a r

continual gulping.

is a

dangerous fymptom. efpecially with a hiccup.

00 Ihe nimh, leoth. ar {wdfth

day.

lhe patitnt

orten

falls

iOlo

profufe

rwe~ls,

which

al lhe exu emities ue

cornmoDly

culd and clammy;

and

frequendy

theTe are

thin lIools, which are ReneraJly both colJiqu.. ivc and

" ery weAkening.

w3rm

moiClure

on the

I1cin

is rec·

koned faJut,uy; and a gentle diarrhcea orten carríes off

lhe

deliTillnl

and flcepincfs.

W hen lhe

eXtremilies

grow

cold,

the' nails

livid,

the

pulCe exceediog weak and quick, infomuch lhal

rathcr

trembles and fluu ers lhan beats, or creeps furprifingJy

flow, with frequent intermiffions; then nature finks apace,

and the patient becomes quite inC.nfoble and Jlupid ; the

ddirium turns tO a profound coma,· which foon cnds in

death; or the flools, urine, and tears, run off iO\'clumarjly,

as a prelude to a (peedy diJTolutiun ; or there are van

trembliogs and twitchiogs of lhe nenes and tendons,

which terminate in

general convulfion. and this in

( dration of all mOl ion

One or other of there ways

dofes the (cene, after the patient has JanguiOlcd fourteen,

e:ióhtcen, or twenty days, n; y. (ooletil1l"s OIu,h looger.

AIJ p<r(ons grow d..( and lIupid

t~w"rds

the end o(

the direaCe, ano if thedeafners ends in 3n impoHhumeof the

ear. or whcn a

parolir

fuppuntcs, oc a large purtul:H

e·

r uption breaks

Out

auoul the lips and nofe, thty are good

eymptoms.

The cure ís to be perforOled with gentle mcdicir:es of

the

cordi.tI

and dia?horetic kind. in order

promotc rer–

epiration; by 'I'pheation o( bli(!crs, and by a propcr

I'e–

gimen and rnc:thou of diet

will bcar no otller cvacu–

ation than modcr:ue c..,rdi;¡1 diaphorttics,

ami

bliHers ;

unlcfs

gentle emctic fhould be indictltcu

rhe bl!ginninc,

or a fma)) dore of rhl1harb ""heo it has continucd Jong.

B leeding is vcry prt'judi,ial, and Illuch fweating hurtful.

In giving diaphorctlcs, we OlOuld always

htlvc

rcgard

the: urine:; for

thi\t, (ro111 bl.ing

p~le,

gr.!du:llly hcir,htcns

amuer colcur,

\',fe

are

ril.~hl

in our clore,

crfl~cial .

1(,

whcn

beJ.

gl'ndc dew or moillurc comes

01)

without

n,flldfnl-(s ;

:tnJ we

muH

al\\'~ys

rcmcmbc:r,

lll.n

CH'r

rwe;.ting \Vi!1 rai re thl· ft\·cr. :lnd cnddntCr the 1'41ticnt.

If tite patient is inclin;lble to dc!i'1ui:\ ur f<tilllings

VO L.

111. N° . 71.

C\'cry

linte

motion, or complains of grc:\.tcr Iaffit:Jdc or

f..intoc(s than ornin:\ry , it will ue neccfr.lry th:H he lit:

i;-¡

bcd and have blillers "pplied; i( deliriou. , tho blifl ,rs

mdl be laid on hillh no the n' pe o( the neck.

If reH is wanted. givc a fcw graios of the

flore¡ mor–

lia/a;

and ifa loofencr5is

DOl

fearcd, the/lora

lIIt:rli:Jlu

may

more frC"ely given .

vomil rumes nature much lers than a comrnon purge,

2nd

is neetO'Olry where a oaufea, load, and ficknds o( the

llomach, are urgcnt. I f the body is cofiive , cly(lcrs of

milk, fu gar, and (alr, maybe injeéled with f¡¡rety anJ ad·

vantage: e\'try fecolld or thi,d

day. The

lemperate.: cor–

dial and diaphoretic mtdicines

ilre

cen ainly mon- prop:r

in there fevers;

fupporting, wdl regul.ned, d¡luring

diet is

necdT.uy

, and will go a grc:n way

lhe cure, e·

fpeciaJly i( affilled by weJl timed blifiers, and kc<?ing ,he

patient quiet in body and

",indo

Opiate!o are: commonly

very pernicious; miId diaphorttiC's, as

tu/v.

&?n l royf!Tt'.

compoL with a litde eanor anu (,([ron. and (maU quan–

[itic::s of

Iheriac,

aJJdrfi1Jl.

or~/iA·ir PQr~~~"¡culII,

will

have

much betlc:r e!feéls, Where lhe confuf:on or dejetlion

of fpirits are confiderable, galbanum o r fylphium, wirh

a li,,1e camphire, (h ..uld be .dded; "nd bhUers Otould be

forthwith applied tO the neek, oecipu t. and behlOd ,he

ears: cturing all this,

:lo

free ure of thin wine·\Vhey, fom!:

plear.,nt ptiC. n, with a liule

Co(t

wine, mull be indulged.

A liule chicken-broth alfo is ,,( fen.ice, both" (ood and

phyfic, eCpeciaJly towards the decline of ,he diCorder ;

and for the fame rearan, thiq

jeJli~s

of hartOlorn, fago,

and panada, are urefuJ, adding a litlle wine tO lhem,

with juíee of Seville oranges or lernoos .

was Caid above, that pro(uCe Cwea" O,ould never be

encouraged; yet the paticnl is never fo eafy as while he

is in a genllc, eaCy fweet, for

roon remo\res [he exacer·

bation of the beat, hurry,

f:Jco

when there are irregular

partíal hcats, wirh great anxiety. renldI'nefs, delirium ,

difficulty o( bre.thing, and a \'.n load and oppreffion on

the prrecordia, fo

ilS

to refemble

peri pneumonic caCe: :

yet bew.r. o( bleeding; (or the CmalJ, low, quiek, aod

uncqual pulre utterly forbids it, as well as pale, watery,

limpid urilll'.

H ere lhen the ncrvous cordial medicines :\re indicated,

ano bli{l(>f! to thc thighs, legs. "nd arms.

T ake of tiJe eompound powder of contrayerv., 15

grains; of E ngli!h f¡{floron,

&rai ns;

Ccruple of

lhe

c.. ,cliac confcétion ; and:\ fuflicient quantity of fyrl1p

of (,¡Jfron tO mak. a holus.

\Vhrn &reat tn:mors and

fu/fu/tuI

l~ndinunJ

come on,

inne~lt.l

of lhe

plI/t'iJ

&~lIlrn)'~r1Ja,

fcrl1ple of n1l1n, may

be ufcd.

This bolus OlOlIld be t.ken e\'ery (¡(th, fixth, or eighth

hour. and a temrerat ? ... r "dial julep

m:ly

be givcn now

and t:h!n out of thin

win~

or cyder

wh(!)',

o r, which io

many ca(\.s is hCller,

Oln

of thin

mu(l.~ rd .whey.

But this c1ifficuh)' of brrathing. anxi<ty. anel oppref–

(iun of

the

pr.:rco,di:a , oflcn precede

mi li.'ry

\1(lt IOn on

lhe (c"cnth, ninth, Or c1evt'nth dAy wllll.:h fllOUld be rro.

moted by f(l(t, cal)' cordi;

l.ls

, (lfopcr dlluems. fomctimcs

with a littlc

Ihr'rio("tl

IlIu/relll.

dixir aj}hmcl,

itS

tt'nd.

jos

to citl m

lhe

uncOIfinlfs , ano

promote

di:trhofl..'fis.

profufc,

collif)llatire

f\\'ccts,

gire

link,

ccnelolls