M
E
D
fpotted. Thefe fpo," eonúfl of very fmall red pimples ,
alOlorl contiguous,
and
riCing
but
linte
abovt: the Ocio.
They
may.befd, 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"