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H.lIer tells us, thal c.mphire affill, greally in Glling
the fmall pOX of the confluenl kind with pe:ech:::: ; and
Monro, that lhe Peruvian bark does the fame, th;¡t it
filled lhe cmpty veficlcs with matte.r, changed lhe watery
ranies into thick white pus, made the petechi:x: 01" fpOlS
tUTD graduaJly to a pale colour, and caufed Ihe pax lO
blacken fooner ,han \V.s expeaed. The dofe in powder,
i5' from ten to twenty grains, in (ome rieh fyru p. .with
nn aromalie; ciiflilled wate~J every fOUT or five hours.
Children may take i, in a c1yfler, with • fmall qu.ntity o.f
warm milk, arter lhe bowels are unloaded with a prepa.·
ratory c1y'ller. Irlhe dyfieTwas retained too fhort a time,
Iyrup of poppies \Vas added, or diafcordium. Thefe injec–
tiaos weTe repeated morning or evening. or ofmer. The
batk has had good effeas in mitig.,ing ,he fecondary fever.
When lhe Jungs are gretltly {lufFed, il is n'ol to be given.
When lhe cruption appears without much fear or paiD,
it is nat without dd.nger j (or the puClulcs frequendy do
not tend to malUrity,..:I d there is no CupP,uration made.
R ence the fe\'cr ¡ncrea es, with inquietude ofbody. anxie·
ty of mind, difficulty of breathing. and a delirium. which
carry off the palient in a ,few days. In this Hate, \he
.fever, ought rather to be niCed than checked ; and then
\Varm medicirie's are ID be direéted which proÓiote (uppu~
ration, by increafing lhe motion of the blood, and 'lhif!ning
the humours, fuch as Virginia fnake·root, contrayerya·
roo.t, .faffron. a(fa (<:elida, myrrh, and the like .
Bu' abo" e .n, BLtSTERS mufl be laid on ,h. limb•.
When the matter of the ¡nfeélioD is oyer abundant, as
it happen~ in ba.d cafes. nature neyer fails endeavouringto
throw·off the load. :rhus in adults a fpiuing comes on
upon lhe firfi days of lhe eruption; whereas chiidren have
a loofenefs almofl ,hrough the whole difeafe, which is
n9' 'o be inc~nfiderately flopped. So in adults, if ,he
fpitting cloes not go on to our wifhes, it ought'to be pro·
mo,ed by medicines which Ilimula,e ,he glands of ,he
,nauth, efpeciaUy gargles mad. of a decoaion of muflard–
feed an<! pepper, wi,h ,be addi,ion of oxymel. For in
"the conRucnt and malignant fmall-pox, ir this flux does
not arife and continue to lhe end of the difeare, ir is a ve'ry
bad fign.
The ",e,hod of aba,ing the rigour 01" ,hi. difea(e, and
preveming the great mortaHty with which it was often
attended, bX inocolation, is DOW fo well known aod fo
generaUy p,.ai fed, tha, a particular detail of it in this
place is unneceerary.
Of1ht 'ER.YSIP ELAS. Dr SI ANTHONY'S FIRE.
AH ERYSI PE LAS is an eruptive fever, (rom which no
"art of ,he botly is exemp' ; but i, chiefly au .cks the face.
Jt begins with chiloers and fhivering. and other como
mon fymp,oms of a fever. The part affeaed fwells a
}ittle, with great pain, and intenfe rcdneCs, and is beret
with a van number of liuJe punules j which whcn the
inflammarion is increafed. are coovertcd ioto Cmall bliHers.
Thi. has grea, .flini,y with a pellilential feve r; '
for it begins luddenly. with great fluking, heat, lofs of
flrength, violent pain in the bOlck and heOld; to which
nlay be added vomitiog. and a ddirium; but Ihis is to
be underflood of the worll rOrl. O n ,he ,hi rd or fourth
d.y ,he maligoant mallcr is ,hrQwn ou, on ,he fu rface of
e N E.
,he body, and then the fymptoms a Jiule .bMe. T here
is orten a p:'!:in. rt:tlncfs . and tumour in rhe inguin;:¡1glands.
from whence maner of ;¡ hot fiery C:1l3lity de.fccnds to
the fee,. If ,he head i. attacked, ,he parotid glands
are afFetled; if lhe breans, the axillary. The mammary
and .xillary gl.ods .re no' feldom ulcera'ed, and affea
lhe jojnts with a virulent corruption. And likewife, as
in lhe plague, there is nothing more dangerous thao tb~
return of ,he exrelled maUer back froro ,he of
the body to the inwa rd paru.
In fome. efpeciaJly young perfons, the m:lttcr is DOt
fo virulent, nor the fever fo great; lhe glands rem8:io
unaffeéled. and ,he erup,ion happens on ,he fecond day.
This is not at all dangerous.
An erytipehs is either true, or fimpJe and fpurious,
which is likewire called fcorbutic. The' Gmple only af–
feas tbe (urface ofthe Jkin, and reodily yields lo ,propér
remedies. But the rpurious i, more chronic., is harder tO
ture, and often degenerates into malignant ulcers. ' B~.
lides, ',his difeafe i$ {ometimcs idiopalhic, 'or a primary'
difeafe ; and fometimes fymptomaticJ or a fecondar}'
one. For ¡nnance, in the anafarca, the aCeites, the yel·
low and black jaundice, • (ymp,omatic e.yGpel•• fome–
times fupervenes, and quickly kills the patient.
lf it ft:izes the FOOT.t, lhe pans contiguous willlhine;
¡fit be attended Wilh great pain, it will afeend to the legs,
and wiIJ not bear~to be touched.
Ifi, au.cks the FAcE , i, fweJls and loob red, and
,here are plenty of wa,ery veGcJes . The eyes are·cJofed
up with ,he fweJling; ,h~re is a difficu!ty of brea,bing;
thefauces and nonrils are very dry, -often attended witb a
numbners and drowfinefs:' henee an inflammatioD oE tbe
brain ii to be fea red, or a mortallethargy,
If i, aJfeas ,he B RE A Sn, ,bey fweJl, and grow almoll
as b-ard as a none, with exquifite pain, -aod they are very
apt to .cuppurate. There is 'a mofi violent pain in the
axillary glands; in which an abfcers is oflen formed.
lo childreA ,he umbilical region generaJly fuffers, wi,b
a fatal evento
If in a day or two ,he 'umour fubGde., ,he heat and
pain ceaCe, lhe roCy coJour turos yellow, tbe cutiele
breaks and faJls offin fcales, ,he dangeri, overo When
the eryGpelas is large, deep, and faJls upon a pu, of ex–
quiGte fcnfc, the pa,ien' i. no' ve.y fafe. Bu, if ,he red
colour changes ioto black and blue, it \ViII end in a mor...
tification. If tbe inBJ.mmatioo cannot be dircu{fed, it
wiJl (uppura,e, and bring on finul as and a gangr<ne.
When lhe patient is cacochymic, the Icg will fometimcs
fweJl three rimes as big as the nalurallize. and is core<!
wi,h great difficulty. Thof. who die of ,his , die
of ,he fever, which is generally aHended with difficuhy
of breathing. fOOletimes a deli riom, fome times with Oeep¡.
nces; and this in feven days time.
Let the patient"s diet be only watcr-gruel , or barlc::y.
bro,h ,~wi,h roalled apples . If he drinks any bcer, le, it
be very fmaJl ; and le, him keep ou, of bed fume hours in
a day.
T ake away 9 or 10 ounees of blood, and the nex~
morning let the patient tt\ke the common porging pmion.
1t is a connant rule among praétitioners, in all acute
and erup,ive fevers, 'o keep ,he body in a gende diapho–
refis.