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blood freel y. Then ,he orgaflll of ihe Llood mufl be.p
peafcd with dill1ents, acids, and nttrous comporitions.
AnJ certlinly if any dire:\fc requires acids, and th~ jl1icc
of tan frnils, it is this, fuch as l:\marinds, and the juices
of CUrr;\nIS, oranges, and Icmaos.
T ake two pounds of water; rofe-water, white fug!lr,
and juice of oranges, of e3eh ane Qunee.
The jclly of h.,,(horn pretty ,hin. wi,h the ad–
dition of or.lnge-juice, fugar, and rofe-water, will make a.
propcr demulcent and cooling drink; or whey turned with
juicc of lernoos or oranges.
. To direét ,he mo,ion of ,he blooJ 'o ,he furfaee of the
body, gende di.phore,ies will be proper, flleh as ,he be–
zoardic or abrorbent powders, fometimes alone, and (ome–
times with ciuon juice. L ikewife ¡ofuGons of lhe leaves
of veroníc:1, ftordiulJI, or oardfl(lJ ben~di{lul. with fennel–
feed, drank in the manner of tea, erpecially to promote
fweatiog on lhe fourth day, when the diCeafe is Jike to
termioate with this f~ar}' excretion.
1, will be neeeffary, whether ,his fever be fimple or
p utrid, lO keep the body open; for \Vhieh purpofe a
c1yller made of whey, honey, oil of fwect almond., \Vi,h
a linle nit re and falt, will be proper; for by lhis means
the lIriélure of ,he in,eflinal fibre. will be relaxed, and
flatus's will be difeharged, \Vhieh diflend ,he colon. lo
tbe 'decline of ,he difeafe, when ,here are apparen' figns
of éoaiQo io lhe urine. a laxative of manoa and cream
'ortartar, or caffia and rhubarb, will he of great ufe.
Oí Ih. BILIOUS FEVER.
T ". bilious is a kind of a burning fever. It begins
'with intenre heat, thirH, anguHh, and ioquietude. There is
likewife a vomítiog, or a ' perpetual reaching ro vomit,
'with (requent bilious .flools, a coldnefs of the extremi·
tieso interHal heal, and cardialgic anxiety. This fever
is either acute, or very acute. In this Ihe CymptOms are
more violent, lhe bílious purging upwards aod down·
wards is very plenti(ul, j oined lO a cardialgia wirh faiot·
ing. It generally kills before ,he feven,h day, with an
ínRammatioo o( lhe (lomach and duodenum; the ligos of
which are, a fixcd igocous heat aboul the pr&ecordia, Willt
a coldnefs of the extremities, high inquietude and anxi·
e,y, a hieeup, and a' plen,iful eruélation of bile .nd falival
·Iiquor. a jaundice-colour o( the counlenance, and a hippo.
eratic face.
Sorne are not fo acute, but run a -greater Ifllgth, Wil h
now' and then a remimon, and perhaps an intcrmiflion,
'and have an exacerbatioo, \Vith vomiting. anxiety, and
coldnefs every o,her day, or every ,hird day, and ought
'10 be caBed continual quotidians or tertians.
Ir is e. u(ed by a bilious fluid feere,ed plenti(ully in ,he
1iver. and poured out into the fiomach aod duodenum,
where by its acrimony and corrofivencfs it flimularcs the
nervous lunies, corrodirig and inflaming them; wheoce
the fymptoms proper te this fever arife, fu ch as a burn·
íog heat, a carrlialgic anxiety, a naufea, a reaching to
vomit, and :.t \'iolent purging upwards and dowow3rds.
. Hoffm~n, io lhe cure of lhe bilious fevers Olentioned
by him, would have the cauflic acrimony oC the bilious
juices abalccl aod rhcathed by ahrorhent powders aod nitr e,
which OlOuld be ,aken in a fu/licien, 'lual:ti,y of a liquid,
e N
and often repcated. H e likcwift:: recommends emulfibn.
of alOlonrts, of the cold feeds; d Jer·flúwer water, rafe–
water, Oc. as alfo j ellies of hartfhurn, Olilk and water,
oil of fwect almonds, (weel whey, chicken· brolh.
A(ler thefe things, medicines mun be given to rea rain
the impc!tuous bilious excretiOils, and to abate the too
quick (y(laltic ~od perifialtic motion of the biliary d\lth.
and tO prevent rhe fOO grear excretion of the bile.
10 [he cure of lhe BILI0VS FEVEI\ of the camp.
Pringle, befare il becoOlcs continual, dépends 00 the pro·
per ufe of evacuations,. the neutral falts. and the. bark.
BLEEDING is the fidl thing lO he done 10 e\'ery cafe, ami
is to be repeateu oocé or oftener, accordíog to lhe urgen·
ey o( Ihe diflemper. The vernal and later autumnal re–
miuents are accompanied with rheumatic, pleuritic paíos,
and other fymptOms of high in8ammation, which require
more bleedings than the intermediate feafon. To omit
this, and give rhe bark too foon, will briog 00 aD iD8am·
mator)' fever A vein may be opened fafely eit.her du–
ring the remimon, or in lhe height of the paroxyfin.
After bleeding, give ao eme tic in [he remiflion or io·
termiffion of the fever, and rather foon a(ter a paroxyfm
than befare ooe. BUI emetics do harm when the fioOlach
í.s inAamed , al when lhe diCeafe has eonlinued fome time,
and has affumed lhe type of a continual fever. However,
\Ve may [afely give one when the fever imermits, or has
confiderable remiffions. Ipecacuanha is Cafeel, but antimo...
nials mon efficacious. If the remiffions are fmaJl, or the
fe ver great, or there 1S a tendency to vomit, the former
is befl. BUl when the remiffioDs are diClina, or the re·
nJiffion perfea, lhe Jatter .lhould he preferred; or it may
be joined to the (ormer; lh.n is, two grains of tartar
emetíe, with a [cruple of ¡he powder of ipecaeuanha.
Thofe vomi" are befl whieh produce 1I00", efpeeially if
,hey procure a plen,iful difeharge of corrup'ed bile up–
wards or dowDwards.
If the body comioues coaive. a Jaxative will be pro–
per, efpecially if lhere is a tene[mus, or paios in the
bowels. T he falioe draugh" with falt of wornIwood and
lemon-juice, \ViII bring the fever fooner tO regular inter–
miffions.
Whenever the fweats are not profure enough iD propor–
tion to lhe fits, the qllantity of ao ouoce of /pir. }Vii".
dueri may be giveo, divided ioto two or three 'draughts,
before they go off. lt promo,es a plen,iful di.phorefi.,
without heating.
A s the fevers never without an lOflammalion in the
beginning, and theo rarely have complete paroxyfms, lhe
bark is oot to be given tilJ lhe urine breaks, there are
entire ilion intermiffions; nor yet be(ore bJeeding, as was
obf<rved above; nor before ,he firfl paffages have beeo
cleanfed; otherw¡fe the fever wiU retutn, or a tympanites
will be produeed.
It is heCt to give the bark in fllbftance io Rheninl \Vine;
or an ounce of it may be made imo ao ele{luary, Wilh fy.
rup of JemoDs, and a dr<tm of fal ilOlOloniacum . If (he
paticm híl:s nOI beeo purgc:d, it \ViII be proper tO add as
much rhubatb as will kcep the body opeo (or lhe firn rw~
-:.or three days of ufing that medicine, 11 is chietly uCerul
\\llen the bilous h umonrs abonnd. as they moflly do in
madhy.eountries. lf ,he paroxyfms are 'luo,idian, aod
tbe