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.osof 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.Cebefore ,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