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M E D 1
The intlammation of ,he face .aDd hand. being now a,
tbe heigh" ,he io'erllices be,ween ,he pullul•• are of ,he
colour of damalk rofes; and ,he mor. miId Ihe d.feafe
ÍI, (he ,greue.. .is rhc Jikeoe[s.
The punules .boul ,he face, a. Ihey ripen, grow more
rnugh .nd y.ellow. Bu, 00 Ihe hands aod ,he other pans
of Ihe body, ,hey grow IVhi,er and lefs rough.
00 Ihe elevenlh day ,h. fwelling of the face aod io·
flammatioo difappear; aod ,he ponule. beiog ripe, .od of
the lize o( a large pea, grow dry, aod fall ofT.
On the fourleenth or 6f,eenth day they vaoiOI eo·
ti,el y ;",xce'p' fome obllioate puCtules 00 ,he haods, whieh
cantinue a day or twa Icoger, and tbc:n break. The refi
c;ome off·jo .braooy feaJes, aod io the face leave pi.. be·
biod tbem.
Through lbe wbole courfe of this Ihe patieo,'s
body is either wholly bouod, or he goes to 11001 bUI very
feldom . Ceoerally tbofe whu die of tbe fmall·pox, die
00 tbe eigh,h day io the diClioa. aod oo 'lhe eleveoth io
!he coofioeo, fort. Theo ,he face, which ough, 10 be
turgid, and me ¡nterCliees Rorid, on rhe contrary is fiaccid
and whitiCh, at ,he fame ,ime th., the pullul•• are red
aod elented, .ven after ,he dealh of ,he patieo'. The
fweal, which was injudieioully promoted by eordials "da hOI "'gimen, fuddenly ceafes; io Ihe meao while
the patient is Ceized with a phrenfy, a violcnt aoxielY, a
toJliog aod fickoef. ; he makes wa'er ofteo aod linle, and
a few hours clofe the tragical fcene.
lo lhe coofiueol fort there are the fame fymptoOls, bUI
1Duch mare violent. The fe'ler, anxietyJ fickoefs, VQ–
miting. Oc. more crueLly tarment (he patienr; · yet he
(lde. not fo fooo fall ioto a fweal, as io the dillioé! kiod.
A loofeoefs fometimes precedeo Ibe eruptioo, aod coati·
Dues a day ar two after it.
00 the third day, fometimes befare, feldom laler, the
fpolS appear; aod the foooer, ,he more will ,hey ruo 'o·
ge'her. Sometimes the eruption is retarded Iill the founh
er 6f,h day, by fome terrible fymplom; fu ch as, a molf
acute paio in ¡he loios, like a 6, of ,ne grave!; in ,he
lide, like a pleurify; io ,he joints, like ,he rheumalifm ;
in lhe llomach, with a ficknefs and vomitiog.
But the fymptoms do no' remil after the eruplioo, a.
in the dilliné! fort; bu, the fever and o,her complaints
coolinue '" molelllhe patieol maoy doys after. Some·
times Ihe rpols appear like ao eryfipelas, fometimes like
the meaOes, but are dillioguiChed from Ihem by the lime
.Qf ,be .eruptioA. As ,he difeafe iocreafes, ,~ey 90 not
rife 10 "oy coofiderable heigh' , beiog intangled wi,h
e,her io ,he (~ee; but 'ppear like a red bli(ler, aod cover
1111 ,he countenaoce, whiéh fwells fooner lhao in ,he dif.
~ina kind. Afterwards they feem not anlike a wbite pelo
licle glued to Ihe face, and are oot much bigher than its
(urface.
The eighth day being pall, tbe white pellicle grows daily
more rough, aod of a dulky coJour. The paio of the
fkin becomes mOre intenfe, and al Jan, in the more
cruel kind of mis difeafe, they do OOt fall off io broad
large fcal es, ,ill after ,he ,weotieth day. Bu, this io ,he
mean time is worthy of ob(ervation, Ihat {he more the
iipeoing pu(lules are o( a browoiCh cvlour. they are the
\Vorfe, and tbe lonser in [alling off; and tbe more yellow
e N E,
Ihey are, the ¡.f, Ihey rUn toge,her, aod the foooer they
difappear.
When rhe pellicle falls off, rhere is 00 roughoefs 00
the face, bUI branny fc..Jes fuoD appear in liS room, of a
very corrofive oat ure, whlch lene dc:ep pin ht:hlOd them.
and rornetimes ugly {cus; lomt:times lhe fhoulders and
back are quite deprived of lhelr cuticle.
The daoger of the difeafe is 'o be . ed from ,h.
ou mber aod multitude of ,he pullul.s 00 the face alooe.
The pullul.. of the haods . od ¡ee, .re ,he greatell; aod
lhe farther {hey are removtd rrom lhe extremities, Ihe
lefs (hey are; iD aduhs a {alivation, and in children a
diarrhcea, is a figo, though oat always, of the conflueot
fort. The fpitt!ng rumetimes begws with tbe erllption,
fometimes two or three days after It; the manel is at
firn thin, but on lhe eJeveot"h day it is vl:cid, and hawked
up with difficulty ; the puient is (hirtly and hoarfe, ex.
tremely Ileepy, aod his lenfes exeeeding dull : he fome.
times eoughs when he is drinking, and the "quor regur.
gitates rhrough his nolldls: 1hen the fallvation generally
ceafes, but ,he fwelliog of the face oughr not to go down
quite till a day Or two after, when tbe fpittlng IS over ;
if ,he haods do OO! begio 'o fweU remarkably, and coo·
,ioue fo for fome lime, the patiem will fuddeoly leave the
world.
The diarrhcea does 001 fo fooo attack childreo as the
falivatioo does meo. lo both fans o( this difeafe the
fever predominates from lhe firn onret lill lhe eruption ;
Iheo it aba,es till tbe pullules are ripe, at which time il
terminates.
The day 00 which the patieo' is moll in danger, in the
lean erude and roon coromon fort of rhe eonBuent, is the
eleven,h from Ihe firll atta"k of tbe direafe; io tbe more
erude. the fourceeoth; and io lhe mofi crude, lhe feven.
reenth: fO~limes, but very reldom, the patient daes
not die lill ,he tweo'y.firn. Bu, iD ,he fpace of time
from me eIevenlh la lhe feventeeolh, as [he evening
comes OOJ tbe patient is daily tormenled witb a 6t of in·
quietude.
In ,he maoagtmenl of the patieot in ,he dillioé! fort,
regard Olould be had ro ,he feafon of the year. 20d th.
(lrength of the patieo!. L et this be a general rule, 'o
keep ,he palieo, io bed during the fir(l days o( the dif.
temper, taking care to defend him from the incJt:mency
ot lhe \Vinter by f'roper means ; and to moderate the ex–
ceffive heat in rummer by cool airo For lhe palient
ougb, oot to be Itified by heat aod cloatbs, nor Chould
Ihe eruption and perfpira,ioo be checked by cold. Ho",·
ever, greal care ought 10 be taken io general 10 fupply
him wilh pure and cool air; becaufe a h OI air caufes dif·
ficulty of brealhing, checks ,he fecretioo of urine, aod
increafes ,he number of pu(lules on the ioternal orgaos of
the body.
Wi,h regard to DI[T, it ough, tO be very Oender,
moilleoiog, aod eooliog; fueh as oarmeal or barley.gruel ;
aod in ,he begiooiog, the bell regimeo is that which keeps
the body opeD, aod promotes urioe. This eod is ob·
tained by boiliog preferved fruits \Vith their (ood, fuch
as figs, D amafcene plum•• aod tamariods; .nd by giving
them fubacid liquors for driok ; as fmall ·beer acidulated
witb orange or lemoo juice; wbey turned Wilh apple.,
boiled