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M

E

D

fpotted. Thefe fpo," eonúfl of very fmall red pimples ,

alOlorl contiguous,

and

riCing

but

linte

abovt: the Ocio.

They

may.be

fd, by. gende ,oueh of ,he ,finger. bu, ,he

rifing eanoo' .,úly be d,feerned by ,he naked eye.

From ,he faee ,he fpo" gradually proeeed 'o Ihe breafl,

belly, Ihigh., aod legs. The Cymploms do nOI immedi·

audy vanifh after the eruptioo, as in (he

(mall·

pox, exeepe

(he vomicing. The cough and

(ever

¡ncreare, with dif–

ficuhy of breathing. The \\

eakncfs.

and a

dd luxion

on

the eyes, fleepineCs, and want of appetite. fiill centinue.

00 ,he Cixth day, and fometimes fconer, rhe fkin of

the (ace and forehead begins

tO

grow rough; and rhe eu–

tide breaking, lhe

pufiules die

3way;

while on the

re!~

of ,he body lhe fpo" are broad and red. On Ihe eighlh

day

lhe

(pon difappear

in

the (ace,

and

are fcaree per–

ceivable eJrewhere. 00 the nioth (hey quite

vaDjfh;

fine,

thin, ligh, .feal.., Jike Bour, falling off from ,he Ikin >,

tbat time.

The meafles in general

are not dangerous, unlefs (rom

aD i'nf ....lubrious epidemical conUitution of the year, which

Cometimes.renders them malignant . This may be knowo

bya Cudden lofs of flrenglh, coldnefs of ,he extreme parts,

great refile{fuefs, vomiting, difficulty of fwallowing. and

a

deliriunl.

Ir

petechial fpots or miliary eruptions fu·

penene

J

there

is

great danger.

A

coocinual

cOtlgh, a

looCeners, and greiH inquietude, are bad. ProruCe fweatS

are no good f'gn. When ,he diCeaCe is ended, if ,he

cough and hoarfenefs remaln. a confumption and heétic

will follow, withou, fpeedy al1ilhoee.

ThoCe ",ho die of the meaO.. are generally fuffoe.ted

on

the ninth day. Some, when the

difeare

is ended.

have a looCeners, which continues (everal weeks, and

bring:: on a mortal/abu: Sorne have a Oo\V fever, with

O:n atrophy and a fweH ing of Ihe abdomen, whien are fa–

tal.

Ir

ehildren are fufpetled 'o abound wi,h erudilies in

IrimiJ viiI,

it

\ViII

be proper to evacuate with half a graio

of tartar emetic, aod Cyrup of fuccory \..ith rhubarb.

When there are worms, an1hehnintics (hould be given.

ID adul.. abouoding whh blood, phlebolomy is oeeetr.,y

on the 6rfi day', Medicines too hot, and cold nitrous

things, are equaJly hunfu!.

As

foon as the eruption is

eoded a gentle catba n ic

i5

proper.

" In a cough nOlhing is beller [han oil of almonds

fre~

drawn, mix, wilh fyrup of eapillaire; half a fpoonful of

which I'hould be giveo often io water·gruel.

,

To abCorbeni and di.phorelie powders, half a grain of

faffron may be ,drled.

VV'hen this difeare attack! women who are rubjeél: tO

bypochondriac or hyfleric fpafms, or when lhe mcnflrual

~ox

is at hand. it is often atteneded with raiOling (jts,

diAlcuhy of

bre~thing,

with conrlriél:ions

of

the 1hroat,

and great anicicty'of the

pr~cordia.

T'hercfore lhe crup–

tions are not tO be driven out Wilh hot remedies, bU( ra–

t-her with fu eh things as allay fpafms,

parc~oric

<lnd caro

,minative clyflers, fometimes blec:ding, :ts alfo

a

little

ca–

fl or añd nitre mixt with bezoa rdic powders. By thefe

means the [pon wiJl appear in a fhon time.

When

ti.

di;urh~a

h<lpper.s, it mull be cautíouny treated,

and not haflily llOP1; becilufe it carries off a great dtal

of 61th, anu often pUIS

3D

end 'O thc dife.k Then it

e

1

N

E.

it will be bell to wafh tbe acrimony out of the intellines

by demulcent cly!lers. But if. when lhe dtfeafe is over,

the diarrhrea continues obCtinate, it

will

be proper to add

a

few grams of the

bark

of eleuthcria Wilh bezoardic

powders.

When there are hzmorrhages, which are genera]ly

figos of malignilY, nOlhing mull be \lCed that is diretlly

aHringent, much lefs opiates and anodynes.

Ir

lhe patient falls iOIO too profuCe , f"'eat, fo ,hat

the linen is quite wet, it mufi be changed very cautiou(]y

for fuch as is wt::ll aired and warrn, otherwife the fpots

will lliike io. Many have been killed in a few hours, by"

a f"dden ehange from ho,

10

eold.

When the fpots are gone, the patients nlOuld not ex–

pofe themrelves tO the air; but be careful of their diee ;"

o,herw,Ce ,hey may faU iDIO ao a{lhma, fulFoealing eatarrh,

or confumption'.

Sydenham, for ,he eough, orden ,he foUowing.

Take an aunee and an half of Ihe petloral deeotlion :

fyrup, of violets, and true maiden·hair, of each an

ounce and a half: make Ihem into an apozem, aod

take three or four ounces four times

a~day.

L el the palien[ keep his bed for

' \VO

days af,er ,he firct

eruption.

Ir,

after Ihe meaOes difappear. a diffieulty of brea,hing,

fever. and olher fymptoms, {hould Cupervene, refembling

an inflamadon of rhe lungs, let blood be taken away free–

Iy

from the arOl, once, twice, or ,hree times, as occa–

lion (hall require; leaving a due (pace between each

bleeding; and le! the petloral apozem above deferibed be

given, or oil of fweet almonds aJone. About twelve

days~

from the ¡nvaúoD, let the patient be purged.

Of th.

SMALL

Pax.

THE fmaU·poK i, eommonly di.ided inlo two kiods:

the diflintl and eonftuen'.

The diílíntl fort begins wi,h ehilneCs"nnd {hivering,

inteofe heat, a violent pólin of lhe head ano back, 3n in ...-

clil13tioo

tO

vo:nit: in aduhs.

a

great propen{jty to fweat;

a pain at the pit

oC

lhe fiomach, if

ir

be prelTed wilh the

hand; a dl1lnefs and drowGne(s, aod fometimes epileptic

(¡{S,

efpcciaJly

in

children

j

and if the breeding of teelh

is over, it is a ligo the

fmall~pox

is at hand; for if the

fi[ happens over nighl, lhe fmall pOK wiU 'ppe.r in the

morning, and are, generall

y

fpeakiog,"o[ the favourabJe

{Orto

On ,he fourth day from lho beginning ,hey bre.k ou'.

fome times

Jater, fcldom before. al which.time the

fymp ..

toms either abate or wholly dirappear .

Tlle fpolS

al

I;rfl are reddiOl, and Cpread themfelve.

over dle [ace, neele. breall, and the whole body. Then

there is a paio

in

the fauces, which

incr~art:S

as the pulluJes

grow turgid .

On Ihe eighlh day Ihe fpaees b",'!crn Ihe pu{lules, whieh

hilherto wcre white, begin

tO

gro\V red and rwelJ. and to

be affetled Wilh • leDúve pain. The eye lid. are pulfed

up. and ciare lhe eyes; next to the face, 1he hands bc.

gin

10

fwdl, and Ihe finger. are dillended

¡

,he pu{!"le.

of lhe Cace,

herore

fmoolh and red, begin to be I'ough

({he firU (igo or maturation,) and whitifh, and throw

ou~

a

yellowi!h roat"r,

iD

eolour like

a

honoy·eomb.

The"