Table of Contents Table of Contents
Previous Page  85 / 868 Next Page
Information
Show Menu
Previous Page 85 / 868 Next Page
Page Background

66

M

E

D

1

red wine, perh3ps a liule diluted, which' modcrates lhe

fweal, fupports lhe palient, and kecps up tbe miliary pa–

pillz.

T owards the declin!! of lhe rever, when lhe rweets are

copious aAd weakening. give fmall dofes of lhe tinéture

of lhe

bark, with

fafFroo

and {nake·root.

interpofing now

and ,ben a doCe of rhubarb, 'o c. rr y off ,he punid col·

Jllvics, which makes lh!! intermiffions or remiffions more

diClina and manifeCl.

When lhere is 3n evident inter:lliOion, give preparations

of lhe bark

Out

of draughts made \Vilh {ah of wormwood

and juice

onemoo.

This method willlhonen theCe

(eve·cs,

even

wilh

miliary eruptions.

U nder any

eVilcuations,

diluting

nouriOlment

is abro–

lu,ely neeeClary 'o keep up ,he Cpirits and repair ,he

10Cs

of ,he juiees, and ,he pa,ien, Chould be frequently promp'–

cd to take

the01.

When aoy difchaTges are very ¡mmo·

dera,e, ,hey may be prudently reClrained, bu, not repel.

led.

Gi!chrifi affirms. that to alllhe warmit)Wt"'attenu:uing,

flimulating, or antifpafmodic remedies, donabar lhould be

added, and ,h2t in no fm all quanti,y. And he highly

reeor.lmends ,he uCe of ,he bark in ,he decline of long

Iln-ous fcvers, or afccr a remiffion .

And when there

is

oecahon for bIiCle,ing. he ,hinks the head moCl prcferable

whenever ir is much añ:él:ed, though he does

001

difap–

prove ,he laying bliClers on ,he back and limbs.

'Vhen ,he low, depreCliog, nervous Cymp,oms are

flronger, the higher methods of Climulating are more ne·

cdfary

and

c:afily borne; in raving, with a

10\11,

inter–

mining pulfe, CubCultus, faio'ing, and eoldncCs of ,he

extremities. bcfides frequent bliffering, \Ve mull: give

camphire and cafior. T he ufes of Virginian {nake.root,

valerian, aJa

rztida,

rnyrrh, aDd

terreOl1S

abCorbents, are

well eoough known, and the forms in which

lhey

are

¡¡iven. R efreChing juleps Chould no, be ,aken by Cpoon–

fu! s, bu, by draughts. Acrid ea..plaCms may be laid 'o

l he fee, ,ill ,hey begio tO CliI:lula,e or raiCe a juCl degree

of he.,: ,hen apply poultices of bread, milk, and vine–

gar, efpecialJy during the

cX3cerbation,

to allay the heat

and firuggle

i

rtnewing them ahernately, in order tO keep

up a gentIe h!at and llimulus. A quick, hard, i\od mOre

conlraéi:ed pulíe, with fmart heat, toffing and anx.iety,

lhew it is over·done.

Oj'Epidemie, Catarrhal, Erup,ive'FEvER',

T li

E

s

E

fevers are continual, hut DOI violent: theyare

attended with a proClration of Ctrength, watching, lofs

of appctite, and are fometimes joined with an eruption of

fpots on the IIdn, arifing from the plenty and ¡nteaine

d¡lTolutíon of an excrementilious Ctrum, not without con·

taRion and danger of life.

Thefe fevcrs were called

by

the ancienu,

conlinIlQ/~

gUDlidian, [eroUJ flvt rJ ;

and by Conte of the maderos,

malignanl calarrha/feven,

becaufe they are mild

al

fidi,

and aHcnded with a running

al

the nofe, a catarrh, an

¡nfarllion or the breaft, and a cough

00

the lirO days, Wilh

exacerbations at night.

At the be;¡inning of this direare, the face of the patient

has a morbid aCpea. and he is out of order three or four

days before ne takes tO bis bed. He

complai.os

of a Cpoo-

e

N

E.

taneous wearineCs, a grievous pain or his body and joint!,

as if his bones ...vere

~: ruifed

aoe! broken; his Ctrength is

languid, his apPC:lite is

Ion,

he has a Olglll L1inting

lit,

a cardl.dgic

o",u l~a,

a pain in che head, an U3QUlct Oeep,

wi[h coUivenefs. lo the evemng there is a coldnefs and fhi–

veríog followed by hCdt, the fymproms ¡ncreafe, and there

is a grearer lofs or ltrenglh, infomuch thar he can fcarce

fiand uprighe The p;.l,in in the head grows \Vorfe.

Wilh

a giddioefs ;l1ld inqnietude. Sorne have a violeot pain tl\

the back. others in

lhe

fide: lhey have an anxiety about the

prrecordia. the internal pans are hor, lhe filuces dry, lhe

puJfe coctraéted, quick and weak, the urine is pale with–

OUt a fediment, and Ihe breathing difficuh.

On

the founh or elevcnth day, fpot5 appear in fome,

chieBy

00

lhe back, brcaO. and arms, with or without

reIief. Sorne have more, fome lefs, of various colours,

as purple, a browninl , lívid, or a pale rofe. TheCe are

rometimes broad, Comctimes CmaJl

~

and in many like Oea.–

bi,es. T heCe differen, (po" Cerve ' o diClinguilh ,he fever

by feveral names, fuch as miliary, punaicular, ballard

petechial, aod the like.

When this difeaCe is at its OUt, or vigor, all the

fymptoms are \Vorfe ; the inquietude ruos very high , as

weH as ,he ,oCling of the body wi,h unuCu. 1 pollures.

The mind is dillurbed, the fpeech incohereot, fleep want–

ing, the fwe;n

i9

coldin\, Wilh a more inteofe difficulty

or breathing, and a contraéled, unequal, quick and fre ·

quent pulfe, as in the nervous rever.

Wheo a fubrultus tendinum, want of {hirCl, rU!llbling

in the belly, hiccup, an inBamadoo of che faue!!s from

aphth:e, convuHioos, a fyncope, wich coldnefs of

the.eX

'–

tremities, and a moa plentiful fwe:lt, Cuper\fcne to theCe

fymptoms, they are cenaio foreruoners of death.

On

the other band, when a fweat breaks out about or on the

critical days, that is, the Ceveoth, eleventh, or fourtcenth

day. and contioues feveral days, though want of Hrength

Temains ; or ir there is 'a 100feneCs for fome days,

it

is a

lign of health: and this the more cenain, jf che

contrac~

,ed pulfe enla'ges, ,he hard grows foft and b<comes more

equal ; if the patient is more chearrul, and his Jying in

bed morc= fc:d-tte, with a hardoef, of hearing. and a turbid

urine depofi,ing a (edimen,.

Jf

,his happen. abou' ,he

critical days, it ;s a cenain ligo ot a happy eVento

After

this ,the fleep, appetite, and Hrength, gradually return;

bu, this is Ccldom the

e.Ce

before ,he fourteen,h d.y.

P atients of a firong confiitution, the common people,

and ruC'tics, with. a good regimen alone, genertll1y fucceed

betler than the weak, the timorous, the

f.id

, the lhoughtful,

the Juxuriaus, the OOlhful, and the Oudious. AH excre·

tioos byutine, floo), or fwcat, are bad in the beginoing.

and on other

d~ys

exctpt the critic.d , Thofe that die

are carried off by a phrenCy. or

30

inBammation of the

m!ninges. or of the mfophagus and fauces from aphtha:

of ,he Clomaeh itfelf. If blood is ,akrn away in ,heCe diC–

eafes, it is e¡ther of a bright red, Ycry fJuid and ferous,

or

' 00

,hiek .nd bl.lekiCh .

In ,he cure of ,his di

(e.Ce

, ,he phyr.ei.n Chnuld ,.ke

care nat tO difl:urb the falutary excretions, but proceed

cautiouOy, and ab!lain from

fl:ron~

medicines of every

kind, watchinf! and .lffiHing th'e motioos of oaturc as much

as polliule. The ir.dieations are,

l.

To reClra;n aod pre-

veni