, !rv--1p .::-.4»r "^ 3p^- r ><&/:■■ & %'. €?Jf' ■;.v^i ;**£U 2&S*M ■*trr'.-v-v ■>'*!&! feivfe .* ->,*- *£^; j** .4'v • < ''i-;V'/- Vtff w CJ HH fc o (i. GO ^H o0. 3« & §3 1 j "A p. HH fe: O " So H "'' c HO O *. c > _,K Pi *^ •£ : 8x p £5 «■ ) fcjQ QD ^J.c/ ! fcfc Married.* MAyHrOH-BMOYER.~M»rT!«d on Tue.- day Evening, Slumber 16th, 18T1. in HamiN ton. Ohio. % &v. D.J. Starr, Mb. Bombo Mayhugh and Mibs 8a»ah Bmotbb- Death of the Kentucky Giant. JaMES D. FosfEB, the Kerdueky giant, died G/thii residence in Portland, Kentucky, on the 23th inst. in ua fiftieth year of his age. H, * as 3oren feet nine laches high, and was supposed to b« ha ttf. —Take one ounce of borax, half an ounce of camphor; powder these ingredients fine, and dissolve them in one quart of boiling water; when cool, the solution will be ready for use; damp the hair frequently. This wash ef- fectually cleanses, beautifies, and strength ens the hair, preserves the color, and pre- vents early baldness. The camphor will form into lumps after being dissolved, bu* the water will be sufficiently impregnated s / ^./llli, ■ ^^ 0 ?;<**/*■ y / ^ntffJh 'isf? *v* FOK Washington's false teeth are to be exhib- ited at the Centennial, in company and contrast with the finest dental work of New York. The wonder is, they say, that any man ever held them in his mouth five minutes. The teeth are bits of bone, scarcely trying to look like teeth, attached to gold plate, with strips riveted across to strengthen the teeth in plate; while coiled wire at the end of the jaws makes a spring and assists in opening and closing the ma- chine. 1ajj NN'S DOMESTIC MEDICINE, OR POOR MAN'S FRIEND, IN THE HOURS OF AFFLICTION, PAIN AND SICKNESS. THIS BOOK POINTS OUT, IN PLAIN LANGUAGE, FREE FROM DOCTORS' TERMS, THE DISEASES OF MEN, WOMEN, AND CHILDREN, AND THE LATEST AND MOST APPROVED MEANS USED IN THEIR CURB, AND IS INTENDED EXPRESSLY FOR THE BENEFIT OF FAMILIES IN THE WESTERN AND SOUTHERN STATES. IT ALSO CONTAINS DESCRIPTIONS OF THE MEDICINAL ROOTS AND HERBS OF THE WESTERN AND SOUTHERN COUNTRY, AND HOW THEY ARE TO BE USED IN THE CURE OF DISEASBS. ARRANGED ON A NEW AND SIMPLE PLAN, BY WHICH THE PRACTICE OF MEDICINE IS REDUCED TO PRINCIPLES OF COMMON SENSE. Why should we conceal from mankind that which relieves the distressei of our fellow-beings? EIGHTH EDITION. PUBLISHED BY S. & J. PERRY, AND J. McREYNOLDS. ■4* . ^ ^i ■£*jjf^M+1.\ SPRINGFIELD, OHIO: / Hp V-ifS? &<*•//JOHN M. GALLAGHER, PRINTER. •■*'-,* "+-*miM.-.J-^-' Jooo. ■ ■'* -.■:-&>■'■%*&■■■•& •• ■■■>''-'vJ^r^''^ ^Iter /\vm-ex . WB \ZO H3Z Entered according to act of Congress, in 1832, by John C. Gunn, in the Clerk's Office of the United States District Court for the District of East Tennessee. /.-<- ✓,*U o.Vf,,/ ->•*¥ 6 / : ,,**-*, i INDEX. PAGB ANGER, . -v - - - 27 Ague and fever, - - - - - 184 Apoplectic fits, ... 309 Asthma, - 318 Abortion, - ..... 434 After pains, ..... 459 Alum root, ..... 524 American Centaury, - - - - 576 Anodynes, - - - B - 624 Anti-Spasmodics, - 624 Amputation, ... - 694 Amputation of the arm, .... 696 of the thigh and leg - - - £98-699 of the fore-arm, fingers and toes, - 700 Accidents, ..... 661 BILIOUS FEVER, .... - 190 Boneset, - - - - - 541 Blackberry bush, common, ... - 544 Button Snake root, - - 545 Blood or Puccoon root, .... 551 Butterfly weed, or Pleurisy root, ... 568 Bluod letting, ..... 595 Beer for Consumption, - - - - 655 COLD BATH,.....164 Colic, ...... 200 Cholera Morbus, &c. -•.-'. - 203 Consumption, - - - - 224 Catarrh or Cold, - - - *:i. 274 Cow pox, or Vaccination, - - - \ijt - 339 Clap, - - - - 355 Cancer, ----- 380 Corns, - - ' - - - 385 Colic, - - - - - 423-486 Cramp, - - - - - 426 Constant desire to make water, . - - 427 Chills, - - - ■;--.:■ 459 (lild bed Fever - - . - -■■■-., ■ - 463 Constipation, - - - •* - . 485 Convulsions or fits, - - •' - y. 491 Croup, - - - - . -■ ■..." 493 4 INDEX. Cholera Infantum, or puking, &c. ... 497 Cancer root, Beech drops, ... 539 Camomile, - - - - - 545 Columbo, American, .... 550 Castor Oil, how to make, - -* - - 589 Clysters or Glysters, .... 599 Classification of medicines, &c. - - - 611 Concussion and compression of the Brain, - 665-666 Contusion or blow, - - - - 664 Contused Wounds, - - - 673 Cholera Epidemic, .... 709 Compound Accidents, .... 694 Catheter, 502 DISEASES OF THE LIVER, - - 238 Dysentery or Flux, .... 256 Drinking cold water when overheated, - - 272 Dropsy, ..... 277 Diseases of Women, _ - - - - 387 Diseases of Children, .... 472 Dogweod, ..... 522 Dittany, ..... 537 Directions for preserving roots, &c. - - 590 Dislocation, - - - - - 689 Dislocation of the lower jaw and shoulder, - 690 of the collar bone, elbow, wrist, fingers, &c. 691 of the thigh, 692 of the knee pan, leg and foot, 693 Diabetes, or great flow of urine, - - 295 EXERCISE, - - - t - 149 Eruptions of the skin, - - - - - 299 Epileptic fits, - ' - - - - 312 Ear Ache, - - - - - 330 Exercises of Children, &c. - - - 481 Eyes, sore, - - - - - 488 Emetics or pukes. - - - - - 612 Eating Snuff, - - - , - - 637 FEAR, ..... 22 Food, .....170 Fever,&c......178 False pains, - - - - - 430 Flooding, - - . - 431 Faintings, - - - . . \r- . 458 Fever of children, - - - - 496 Friction, - - ... 607 Fractures of the bone of the nose, and lower jaw, 681 of the collar bone. . - - 682 of the arm and bones of the fore arm, #683 of the wrist and of the ribs, - - 684 of the thigh, - - - 685 of the bones of the foot. - - 688 Falling of the palate, ' - 643 INDEX. 5 GRIEF, . . 63 Gravel and Stone. i . 288 Gleet, i 367 Green Sickness, - . - - 398 Ginseng, - . - ' 525 Ginger, - - 581 HOPE, - - 24 Head Ache, - 328 Heart Burn, - . 425 Horse Mint, . . 588 Hydrophobia, or the bite of a mad dog, 648 INTEMPERANCE » 100 Indigestion, or Dy rspepsia, - 215 Inflammation of the stomach, - 261' intestines, - 262 brain, - • 265 spleen, - 267 kidneys, . 268 bladder, - 270 lungs, - 641 breasts of women 460 during child bed labor; 460 Itch, . 308 Incised Wounds, - - 669 Ipecacuanha, - - 546-566 Indian Physic, - - 565 Indian Turnip, - - ■ - 574 Issues, - . -'. ■" 605 JOY, - - 29 Jealousy, - - 33 Jamestown weed, - . 516 Jerusalem oak, - - 536 Jalap, - . 571 Jaundice, - - 644 LOVE, - 45 Lax, - . 259 Lock Jaw, - .■ 378 Labor, - . 439 difficult, - . ■' ■■■>-/' ■-■. 446 directions after, :. *;.: t" 454 Lochia, - ■ - 457 Laxatives, • . 618 Lobelia Inflata, - . 577 Liverwort, - - 636 MUMPS, - - 330 Menses or courses > . 300 obstructed, . 394' great discharge of .400 cessation of '''.. 402 Midwives, directions for . '.'_ , ■*■'■:> 449 Milk Fever, - • ' '■'■' - '- 461 6 INDEX. 'ifv'" Meconium, 477 Measles, : : .; : >i 503 Mercury, : : : : 634 May Apple, : : : : 537 Manna, : : : ^59 Mortification, 650- -701 NERVOUS FEVER, 194 Night Mare, or Incubus, 647 ORIGINAL IMPERFECTIONS, : 478 Ointment for sores, : : 631 Opium, : • : 582 PASSIONS, of the : : : : :, 21 . Punctured wounds, : : : 671 Pulse, : : : 182 Pleurisy, : : : : 284 Palsy,. : : : : 315 Piles, : : : : " : 323 -429 Putrid sore throat, : : : 325 Pox, : : : 354 Poisons, : : : 369 Painful affections of the face, : : 376 Pregnancy, and signs of, : : 41C -415 cautions during, and diseases of 417 -418 Pain in the head, &lc. : 424 Prickly Ash, or tooth ache tree, : 572 Peppermint, : : 580 Purgatives, active, : : : 616 RELIGION, : : : 74 Rheumatism, : : : : 206 Red Gum, : : : 483 Rue and Balm, : : : 550 Rhubarb, : : : : 561 Rickets. 648 SLEEP, ' : : : : 142 "Scurvy, : : • 281 Saint Anthony's Fire> : : 301 Scald Head, : : 303 Sore legs, : : : 321 Sore eyes, : : 332 Small pqx : : : 342 Scalds and burns, •• : : 383 Sickness of the stomach, : : 422 Swelled legs, : : 425 Stoppage of Urine, : : 427 Sleep, want of : : 428 Swelled leg, : : : , 462 -Still born, : . : 473 Snuffled, : : : 482 Swaim^s Panacea, : : ; 635 Sudor ifics, : : 630 * Sore eyes of children, . f : 488 7 INDEX. Scald head, Snake root, Seneka, Sassafras, Sarsaparilla Slippery Elm, Scarlet fever, Sage, Senna, Sulphurous fumigations, &c. Stimulants, Sprains, Scrofula, or King's Evil, St. Vitus' Dance, TETTER OR RING WORM, Tooth Ache, : Twins, Treatment of new born infants, Thrush, Teething, : : Tobacco plant, Tansy, Tonics, : UVA URSI, : Urine, suppression or stoppage of VENEREAL DISEASES, WARM OR TEPID BATH, Whitlow, Warts, : Whites, : : Worms, White Walnut, Wild cherry tree, Wounds, Whooping Cough, Wen, White Swellings, YELLOW GUM, INTRODUCTION. Man, in the early days of nature, lived in a state of health, both in body and in mind: The earth produ- ced its fruits for him without culture; there were nei- ther irregularities nor inclemencies of the seasons. In a state of innocency, and under a mild and clement • sky, there was nothing to produce disease; spring was perpetual. Protected by the immediate presence of the Almighty, and as yet innocent of any violations of his law, he was happy in the enjoyments which the spontaneous benevolence of nature afforded him. But he has been the artificer of his own untoward des- tinies. He has transgressed the sacred laws of his Creator—and incurred the penalties annexed to his own transgressions! His days are now shortened, and encumbered with disease; spring is no longer per- petual ; for him now, '•'•the earth brings forth thorns and briers;" and for him the world has been visited with earthquakes, sterility, storms, and variations of the seasons, which blight the fruits of his labors, and bring mortal diseases and fatal maladies on their wings. Among the moral causes that have abridged the life of man, there is one which merits the attention of the philosopher—it is civilization! Civilization, by polish- ing man, and depriving him of his primitive rudeness, seems to have enervated him:—it seems to have made him purchase the advantage, at the expense of a mul- titude of diseases and miseries to which the first inhab- itants of the world were strangers—and with which the savages who only give way to the impulses of na- ture are still unacquainted. Man, in associating with 10 INTRODUCTION, his fellow beings in large assemblages, seems in some measures to have relaxed the strong ties on his earthly existence; society, by extending the circle of his wants, by giving greater energy to his passions, and by gener- ating those that are unknown to the man of nature, seems to have become a frightful and inexhaustible source of calamities. But was not man born for so- ciety; did not his individual weakness, and his severe and pressing wants, make him abandon at an early pe- riod the wandering life he had led in the forests in pursuit of game—and associate with his fellow-man? Could he not by associating with his fellow-beings, the better protect his existence, secure his happiness, and expand his truly astonishing faculties? There exists no country, in which men are not found in a social state; this is the case even in the most remote and frightful solitudes, from the Arabian deserts to the Po- lar regions. But cannot the social ties of men be drawn too close? Witness our large and opulent cities, where the population is immense, and where assem- bled multitudes seem to be crowded on each other; where, although the comforts and luxuries of life are to be found in abundance, the horrois of want are ex- treme! Are not these extremes always hostile to the social nature of man; arc not these large cities contin- ually the seats of mortal diseases; the abodes of crime and immorality; and are not physical and mom! de- pravity, always th-j consequences of such enormous ac- cumulations of people? When men first united, it was \>i small bodies; and they passed their days in innocence and simplicity. We should not then be astonished if they were robust7 and if they then arrived to a great age. They were exempt from the greater part of the diseases which INTRODUCTION". 11 affect us, because they had none but natural wants, which they could always satisfy without excess. The bever- age of nature quenched their thirst without the aid of spirituous liquors, and the friendly hand of nature gave them sustenance; but, in proportion to the increase of associations, they generated a multitude of fictitious wants, which continually torment us, their offspring, and render us unhappy; whence, instead of^those sim- ple foods which always prolonged life, man has the poisons of every chemical and foreign luxury served upon his table: and what are the results? Why—pre- maturely borne down with infirmities, and devoured with remorse, he dies disgusted and exhausted with ex- cesses, reflecting on innocent nature, whom he has out- raged! The greatest number of diseases and infirmi- ties are of our own begetting; because we have in- fringed the healthy laws of nature. Fifteen out of twenty cases of sickness, are produced by ourselves; it is by luxury and scandalous excesses, that we render our existence unhappy, and abridge its length. Man is a creature of habit; urged on by the propen- sities of his nature; he not only abridges the period of his life, but inflicts on himself the displeasure of his Creator. The rising morn, the radiant noon, the shad- owy eve, all tell him as they pass, that his temporal existence is short, his advance to eternity rapid! When we view man in all his bearings and depend- encies, we find, and the profoundest philosophers have done no more, that he is involved in mystery. The greatest philosophers have only discovered that they live; but from whence they came, and whither they are going, are by nature altogether hidden; that im- penetrable gloom surrounds us on every side, and that we can seek in revelation alone, the only source of 12 INTRODUCTION. comfort and explanation. The seasons are a memento of life. Spring, breathing into life the new-born flow- ers; Summer, with his genial warmth, ripening his luscious fruits; Autumn, with her golden harvest, be- stowing plenty on man; and Winter, with icy mantle, sounding the requiem of the departed seasons. First comes creeping infancy; next merry boyhood and aspi- ring youth; then, resolute and industrious manhood; and last of all, decrepit, cold, and declining age; em- blematic of the winter of existence, the shortness of human life. Behold the changes that have taken place in Ten- nessee, and in the whole western country, within the lapse of a few short years! Look for the wigwam of the poor Indian, who was once lord of the soil you now possess: it is gone, and his bones mingle with the dust of his habitation. The storm of enterprising civiliza- tion has wreaked its fury on the poor Indian; his land has passed into the hands of the white man, whose splendid mansion now rests on the graves of his an- cestors. His peaceful forests, once the abode of soli- tude and savage life, in which he unmolested tracked his game, now resound with the festivities of civiliza- tion, and the business hum of labor. Those innocent and forlorn people, who received our forefathers in the spirit of friendship, instead of being fostered by the genial hand of civilization, have been driven to the feet of the Rocky or Oregon mountains, and present a sad and solitary spectacle of their former greatness! In a few more years, the race of the poor Indian will be forever extinguished, and his council fires blaze no more: the wilderness has been subdued, and the house of God has been built, where once ascended the smoke of warlike and idolatrous sacrifice: cultivated fields INTRODUCTION. 13 and gardens extend over a thousand valleys in the west, never before since the creation reclaimed to the use of civilized man; in the enjoyment of civil and religious liberty, institutions of learning are hourly springing forth, diffusing the light of knowledge, and establishing the enjoyments and happiness of the west- ern world. A few years since, even within the mem- ory of many of the present inhabitants, this immense region was a perfect wilderness: the darkened intellect of the savage, knew God but in the winds and thun- ders; on every side, the dark foliage of the shadowy forest waved in the silent majesty of nature, and her noble rivers moved on in silence, with no other com- merce than the peltry of the hunter savage. Most of these rivers are now navigated by steamers, affording the quickest facility of transportation, and the most lu- crative commerce; supplying the remote interior of our country with the rich products of every foreign climate; our public roads are covered every year with the advance guard of civilization, and demonstrate what must in a short period be the result, under our wise, equitable and politic constitutions of government. The tree of peace spreads its broad branches from the Atlantic to the Pacific; a thousand villages are reflect- ed from the waves of almost every lake and river; and the west now echoes with the song of the reaper, until the wilderness and "the solitary place has been glad for us, and the desert has rejoiced and blossomed as the rose." God, in the infinitude of his mercy, has stored our mountains, fields and meadows, with simples for healing our diseases, and for furnishing us with medicines of our own, without the use of foreign ar- ticles; and the discoveries of each succeeding day convince us, that he has graciously furnished man with 14 INTRODUCTION. the means of curing his own diseases, in all the differ- ent countries and climates of which he is an inhabi- tant. There is not a day, a month, a year, which does not exhibit to us the surprising cures made by roots, herbs, and simples, found in our kingdom of nature, when all foreign articles have utterly failed; and the day will come, when calomel and mercurial medicines will be used no longer, and when we will be independ- ent of foreign medicines, which are often difficult to be obtained, frequently adulterated, and always command a price which the poor are unable to pay. The yet uncultivated wilds of our country, abound in herbs and plants possessing medicinal virtues, and probably thousands of them, whose virtues and qualities remain unknown. The travels of Lewis and Clarke, led to high expectations in every branch of science; the ob- servations and inquiries of these gentlemen, particular- ly of Lewis, were directed, among other things, to the diseases and medical remedies of our Indians; and they have given a large portion of interesting informa- tion on these points. Much, however, is left to be done by Jthe wisdom of our legislative bodies on these % points: for the time is rapidly approaching, when the beautiful temple of medical science, will stand divested of all quackeries and superstitions, and its rebuilders be rewarded by the blessings, the gratitude, and the admiration of mankind. Professional pride and native cupidity, contrary to the true spirit of justice and Christianity, have, in all ages and countries, from sentiments of self-interest and want of liberality, delighted in concealing the divine art of healing diseases, under complicated names, and difficult or unmeaning technical phrases. Why make a mystery of things which relieve the distresses and INTRODUCTION. 15 sufferings of our fellow-beings? Let it be distinctly understood, when I speak of professional pride and avarice, that I do not intend to cast an imputation on all my profession, for want of that heaven-born princi- ple charity, to our fellow-beings. On the contrary, we are furnished by history, with many prominent ex- amples of this divine form of humanity. Hippocrates dispensed health and joy wherever he went, and often yielded to the solicitations of neighboring princes, and extended the blessings of his skill to foreign nations. The great Bcerhaave did a great deal for the poor, and always discovered more solicitude and punctuality in his attendance on them, than on the rich and power- ful:—on being asked his reason for this, he promptly replied—"God is their paymaster." Heberden's liber- ality to the poor was so great, that he was once told by a friend, he would exhaust his fortune: "no," said he,. "I am afraid that after all my charities I shall die shamefully rich." Fothergill once heard of the death of a citizen of London, who had left his family in indi- gent circumstances:—the doctor immediately called on the widow, and informed her he had received thirty guineas from her husband, while he was in prosperous circumstances, for as many visits; I have heard of his reverse of fortune—take this purse—which contains all I received from him—it will do thy family more good than it will do me." Similar occurrences of the liberality of this great and good man, might be given almost without end: indeed it is said, that he gave away one half of the income of his extensive and profitable business, to the needy and afflicted, amounting in the course of his life, to more than one hundred thousand pounds. What an immense interest in celestial honor and happiness, must this sum not produce at the great 16 INTRODUCTION. day of accounts—the general judgment! With what unspeakable gratitude and delight, may we not sup- pose the many hundreds—perhaps thousands, whom he has fed, clothed, and relieved in sickness by his charities, will gaze on their benefactor in that solemn day, while the supreme judge accredits those acts as done to himself, in the presence of an assembled uni- verse! But, these good and great men, have gone where we must all shortly follow—and are now receiving the rich reward of all their virtues, in that kingdom where pain and affliction cease. When we trace the powers of human intellect, and the monuments of human great- ness, and all that genius has instituted and labor ac- complished; when we trace these things through alj their grades of advancement and decline—where is the pride of man? Behold in each successive moment, the monuments of the rich, the great, and the power- ful—tumbling into their native dust—and the hand of time mingling the proud man's ashes with those of the menial slave, so that their posterity cannot distinguish them from each other! When the sable curtain of death is drawn, where is the bright intellect of genius —and where are those we have loved and honored? At the threshhold of eternity, reason leaves us and we sink, notwithstanding all our precautions, and the aid of distinguished physicians. Yet such is the course of nature, that those who live long, must ouilive those they love and honor. Such, indeed, is the course of nature, and the condition of our present existence, that life must sooner or later lose its associations, and those who remain a little longer, be doomed to walk downward to the grave alone and unregarded, without a single interested witness of their joys or griefs! INTRODUCTION. 17 It is evident that the decays of age must terminate in death;—yet, where is the man who does not believe he may survive another year? Piety towards God should characterise every one who has any thing to do with the administering of medicine; nor should any individual ever administer medicine, without first imploring the Almighty for suc- cess on his prescriptions—for where is the man, who can anticipate success, without the aid and blessing of heaven? Galen vanquished atheism, for a considera- ble time, by proving the existence of a God, from the wise and curious structure of the human body. Botal- lus, the illustrious father of blood-letting in Europe, earnestly advises a physician never to leave his house, without proffering a prayer to God to aid and enlighten him. Cheselden, the famous English anatomist, al- ways implored the aid and blessing of heaven on his hand, whenever he laid hold of an instrument to per- form a surgical operation. Sydenham, the great lumi- nary and reformer of medicine, was a religious man; and Bcerhaave spent an hour every morning in his closet, in reading and commenting on the scriptures, before he entered on the duties of his profession. Hoffman and Stahl, were not ashamed of the gospel of Christ; and Waller has left behind him a most eloquent defence of its doctrines. Doctor Fothergill's long life, resembled an altar from which incense of adoration and praise ascended daily to heaven; and Hartley, whose works will probably only perish with time itself, was a devout christian. To this record of these great medical men, I shall add but one remark; which is, that the authoritative weight of their names alone, in favor of the truth of revealed religion, is suf- ficient to turn the scale against all the infidelity that 3 18 INTRODUCTION. has ever disgraced the science of medicine since its earliest discoveries. I have seen the flower of life fade, and all its fresh- ness wither; I have seen the bright eye of beauty lose its lustre; and my last and best friends close their eyes in the cold and tranquil slumbers of death—and have said, "where are the boasted powers of medicine, the pride of skill, the vain boast of science?"—How hu- miliating to the pride of man! Let every physician put this solemn question to himself: what will avail all the means I can use, without the aid of the Almigh- ty? All efforts, founded on years of experience and study, vanish at the touch of death; and the hold on life professed by the physician, is as brittle and slender as that possessed by his patient: the next moment may be his, and those remedies so often used with success in the case of others, will assuredly fail him in his own case at last. In some unexpected moment, a wave in the agitated sea of life will baffle all his struggles; and he, in his turn, will be compelled to pay that debt, which nature has claimed from thousands of his pa- tients. When on the couch of death, and whilst pe- rusing the works of Rousseau, the last words of the great Napoleon were, in the language of that author— "it is vain to shrink from what cannot be avoided; why hide that from ourselves, which must at some pe- riod be found; the certainty of death is a truth which man knows—but which he willingly conceals from himself" We shall all shortly finish our allotted time on earth, if even unusually prolonged, leaving behind us all that is now familiar and beloved. Numerous races of men will succeed us, entirely ignorant that we once lived, and who will retain of our existence, not even the vestige of a vague and empty remembrance! G-UNN'S DOMESTIC MEDICINE. OF THE PASSIONS. All the passions of man seem to have been bestow- ed on him by an all-wise Creator, for wise and benefi- cent purposes; and it is certainly the province of hu- man wisdom, to keep them under due regulation. In a moral point of view, when the passions run counter to reason and religion, nationally and individually they produce the most frightful catastrophes. Among na- tions, if suffered to transcend the bounds of political justice, they always lead to anarchy, war, misrule and oppression; and among individuals, do we not easily trace the same dreadful and disastrous consequences? With monarchial and despotic governments, we fre- quently see the unruly and ungoverned passions of one man, destroying and laying waste whole empires in a single campaign, and with democratical or republican institutions of government, have we not frequently witnessed the terrific consequences, to moral and politi- cal justice, which arise from the disorganizing and turbulent passions of the sovereign people. Individ- ually and nationally, then, the consequences of misdi- rected and uncontrolled passions are precisely the same, as regards every thing connected with political, legislative, and moral justice. But, as it is not my intention to enter into a disser- tation on the passions, farther than as they relate to man as an individual, and to their influences on the state of his physical system, I will first observe, that it is of the very highest importance to the healthy action of the human system, that the passions should be held "22 GUNN'S DOMESTIC MEDICINE. in due subjection. If you give way to the passions- you destroy the finest of the vital powers: you destroy digestion and assimilation; you weaken the strength and energies of the heart, and of the whole nervous system. The stomach is the workshop of the whole human frame, and all its derangements are immediate- ly felt in the extremeties, and to prove how strongly the connection exists, between the stomach and heart, the latter immediately ceases to beat, when the powers of the former sink and are destroyed. Distress of mind is always a predisposing cause of disease; while on the other hand, a calm and contented disposition, and a proper command over our passions and affections, are certain to produce consequences which operate against all predisposing causes of disease. Any com- plaint arising from great agitation of mind, is more obstinate than one occasioned by violent corporeal agitation. For instance; eating and drinking, and particularly in the case of drinking, disease may be combated by rest, sleep, temperance; but neither temperance, rest, nor even sleep itself, as every one knows, can much affect those diseases which have their seat in the passions of the mind. I shall not enter into the subject of the passions at full length. FEAR. Fear is a base passion, and beneath the dignity of man. It takes from him reflection, power, resolution, anq jMgment; and, in short, all that dignity and great- ness'SPsoul, which properly appertain to humanity. It'Ca'S great influence in occasioning, aggravating, and producing disease. It has been a matter of much GUNN'S DOMESTIC MEDICINE. 23 speculation with me, whether any man is born consti- tutionally a coward;—and my decided opinion is, that cowardice and courage are generally the effects of habit, and moral influence* I have frequently seen brave men, acknowledged to be such on great and important occasions during the late war, who trembled at the mere approach of danger, and acknowledged their want of firmness. The great Duke of Marlboro' was once seen to tremble on the eve of battle; being asked by a soldier the cause of it, the Duke made the following reply—"my body trembles at the danger my soul is about exposing it to?" And does it not appear surprisingly singular, but no less true, that a man shall be one day brave and the next day a coward? That there is a close affinity between the condition of the physical system and the passions, there can be little doubt; the same man who under the influence of opium, would brave dariger in its most giant form, is seen to shrink like a sensitive plant, when deprived of that influence. There seems to be a reciprocal exer- cise of influence between the body and the mind, which by man is absolutely inexplicable; but of this we are certain, that cowardice disorders and impedes the circulation of the blood; hinders breathing with ^Immediately preceding the great battle of Waterloo, on which was about to ba suspended the great political and military destinies of Europe, Napoleon employed a guide who was well acquainted with the country, to accompany him in reconnoitering the field of battle, and the relative positions of the hostile armies. When the battle commenced, his peasant guide, who had never before been exposed to the tumultuous shock of hostile armies, manifested strong and decided indications of fear, by dodging from side to side at the sound of the shot. Napoleon observed it, and taxed him with cowardice, which he acknowledged. He then reasoned with him on the absurdity of his conduct. "Do you not know," said he, "that there is a power infinitely superior to man, who rules and governs all, and who holds in his hand our destinies! If this be true, of which there can be no doubt, you cannot die until your time arrives; why then dodge the sound of a ball 1 when ynu hear it, it has passed you; and besides, when dodging the mere sound of one shot, you may throw yourself in the way of another." This reasoning had the effect; it banished all suggestions of fear, and the guide after- wards rode erect and steady, and manifested no indications of fear. I mention this circumstance, to show how much we are under the influence of moral power or the force of reason respecting both cowardice and courage. 24 GUNN'S DOMESTIC MEDICINE. freedom; puts the stomach out of order, as well as the bowels; affects the kidneys and skin, and produces bad effects on the whole body—and it may be for these and similar reasons, that the ancients elevated courage into a moral virtue. Many persons have fallen down dead, from the influence of cowardice or fear; and can it then be doubtful, that this passion has much influence in producing and modifying diseases? I feel assured, from practical experience, that in disorders that are epidemical or catching, the timid, cowardly and fearful, take them much oftener than those who are remarkable for fortitude and courage. Napoleon was so well convinced of these facts, that when his army of Egypt was suffering dreadfully from the rava- ges of the plague, in order to inspire his soldiers with courage, and to ward off those dangers which might arise from the fears of his army, frequently touched the bodies of those infected, with his own hands. Fear weakens the energy or strength of the heart, and of the whole nervous system; the infectious matter has greater power on the frame at this time—consequently the system being deranged, loses its healthy action, and cannot resist and throw off the epidemical disease. HOPE. Hope! what a source of human happiness rests in the pleasures of hope. Man cherishes it to his very tomb. Take from him hope, and life itself would be a burthen! How wisely has our Heavenly Father blended in our cup of misery, soft whispers of our fu- ture exemption from its influence. Without hope, how wretched, how miserable cur existence: what a pow- G-UNN'S DOMESTIC MEDICINE. 25 erful effect it has, when laboring under pain and bodily disorder! It raises the spirits: it increases the action and power of the heart, and nervous system; mode- rates the pulse, causes the breathing to be fuller and freer—and quickens all the secretions. It is, therefore, proper and advisable, in all disorders, to produce hope in the mind, if you wish to have any chance to effect a cure. Is there a being who lives without this balm of consolation, this hope of heavenly birth, which tells of happier days in bright anticipation! If such are the advantages of hope, as to the things of this field of thorns and briers—this vale of tears—what may we expect from that emotion, when it embraces the cer- tainty of enjoying felicity with God in eternity. When in ordinary health, and engaged in the pur- suits of life, hope is attended with many favorable effects of a fortunate event, without possessing the physical disadvantages: the anticipation of happiness does not affect us so excessively as the actual enjoy- ment; yet it has frequently produced more benefit by its influence on health, than fortune realized. JOY. This is a beneficent passion; it produces an extra- ordinary effect, and is of infinite benefit to the consti- tution, when indulged in moderation; but, if it should be excessive, or very sudden, it frequently does serious and lasting injury to persons in good health; and to those who are weak, or afflicted with disease, it some- times terminates fatally. The following instance of the melancholy effects of the too sudden influence of joy, will fully exemplify the power of this passion on ■4 26 GUNN'S DOMESTIC MEDICINE. the physical system, even when in health. It may be relied on, as it came very nearly under my own obser- vation. A gentleman in the State of Virginia, who had once been very wealthy, but whose pecuniary cir- cumstances had become much depressed, not to say desperate, as a last hope of redeeming himself and his family from distressing embarrassments, purchased a lottery ticket, for which he gave the last hundred dollars he could command. The purchase was made, under a presentiment, if such it may be called, that a certain number would draw the highest prize. All his property was then under execution. When the day of sale arrived, his father-in-law and himself took a walk into the fields, leaving his family much distressed with their misfortunes. A gentleman on horseback immediately from Richmond, rode up to the house and asked for Mr. B----, and was directed by his wife where he would be found. When the gentleman rode up to Mr. B----, without exercising the least precau- tion, he announced the fact that the ticket had drawn one hundred thousand dollars! The effect was such as might have been expected; Mr. B----immediately fainted, and was with much difficulty, and after many exertions, restored. In the circumstance I have just related, the great influence of this passion will easily be seen; and I trust it will be as distinctly inferred from it, that excesses of joy are frequently as danger- ous to the constitution of humanity, as those of grief, if not more so. I need scarcely remark here, that to persons laboring under disease, as well as to those in merely delicate health, joyful intelligence ought always to be communicated with much caution. GUNN'S DOMESTIC MEDICINE. 27 ANGER. "Next anger rushed—his eyes on fire!"—Of this most dreadful of the human passions, had I sufficient space to allot it, much might be said that would be of high importance. There is no passion incidental to humanity, an indulgence in which leads to so many dreadful, not to say horrid and frightful consequences: "To count them all would want a thousand tongues— A throat of brass, and adamantine lungs." I have before remarked, that all our passions were intended by the God of nature, if kept under the con- trol of reason and humanity, to be beneficial to the happiness of man. This position is demonstrable by reason, and sanctioned by the highest authority—the word of God himself, "tc/io never made any thing in vain." It is not the application of our passions to their natural, reasonable, and legitimate objects, that consti- tutes crime, and ends in misery and misfortune. No— it is the abuse of those passions by unrestrained and intemperate indulgence—and the prostitution of them to ignoble and disgraceful purposes! Was a noble spirit of resentment, for unprovoked and wanton inju- ries, ever intended by the God of nature, to degener- ate into senseless anger and brutal rage? A noble spirit of resentment, upon the strictest moral principles, was intended to punish wanton and unprovoked ag- gression, and by preventing a repetition of the deed, to reform the offender. I am perfectly aware that I here occupy a new, but by no means an untenable ground. Was the passion of love, the refined solacer of civilized life; the harbinger of successful procrea- tive power; the nurse which ushers into life successive millions of the human race, ever intended by the God of nature to degenerate into brutal lust, and to be 28 GUNN'S DOMESTIC MEDICINE. followed by a train of venereal diseases, which cank- ers life at its very core, "and visits the iniquities of the fathers upon the children to the third and fourth gen- erations?" Was the deep-seated and natural senti- ment of self-preservation, that essential safeguard of man in every stage of his moral existence, ever intended to degenerate into that childish, superstitious, base, and ignoble passion called fear? Was the elevating and ennobling passion of emulation that only seeks to rival superior excellence, so honorable to the pride of man, and so consonant to the native dignity of his soul, ever intended to degenerate into a dastard- ly passion of envy, which seeks to destroy by slander and defamation, the excellence it has not the honest virtue even to attempt to rival? Those who blindly decry the legitimate gratification of the human pas- sions, although they may do so from what to them seems the best of motives, ought to be aware that they do not arraign the wisdom of Providence, for implant- ing them into the human bosom; and they ought, also, in all cases, to avoid confounding the natural and legit- imate uses of the passions, with the abuses of their lofty and powerful energies. The passions, confined to their native objects, and, as I have said before, kept in due subjection to the restraints of reason and modera- tion, are essential to the enjoyments, the preservation, and the happiness of man; they only become danger- ous and criminal when permitted to produce misrule in the human breast, and are placed beyond the arbitrium and control of moral virtue, which is the true science of human wisdom. I remarked in the outset, that there was no passion known to humanity, an unrestrained indulgence in which was so fatal in its consequences to the peace of GUNN'S DOMESTIC MEDICINE. 29 society, and the happiness of manf as Anger. This deformer of the human countenance and character, is every where to be found; and its ravages seem coex- tensive with its existence; in other words, it seems to live through all human life, and to extend through the whole extent of society. It is even sometimes seen to wrinkle and deform the maiden brow of youthful beauty with a frown! But do not my fair countrywomen know, that the passions never fail to leave their impress on the countenance, and that habitual anger will render them more disgust- ing than the witch of Endor? They may be assured, and my remarks are not founded on cursory and superficial observation, that the more of native beauty there is to be found in the female countenance, the more easily will it be deformed by the vicious passions, and particularly by that demon Anger. The female countenance is more expressive of the finer, softer, and more amiable passions than that of man; in other words, the female face seems to be formed from finer materials, and to have been cast in a finer mould, and it is from these causes, that the female face is more expressive of the moral feelings, and sooner betrays indications of a depraved and vicious temper. The stern countenance of man, can assume and maintain a fixture of expression, under any circumstances; and it is the consciousness of this power, that frequently tempts him to play the hypocrite and deluder:—for were he conscious that his face would always betray the emotions of his soul, he would never even attempt to deceive! To the practiced eye of philosophical research and rigid scrutiny, no expression of the human countenance ever passes unobserved. To such an eye, all the wiles of the human heart stand unre- 30 GUNN'S DOMESTIC MEDICINE. vealed; nor can any subterfuge of counterfeit expres- sion, conceal the reality from its observation. The Scripture itself sanctions this doctrine: "A man shall be known by his look—and a proud man by his gait." If my fair countrywomen would reflect well on the doctrine I have just laid down, they would always cul- tivate the softer and more benevolent feelings of the heart; and always endeavor to be in reality, what they would wish to appear; for they may receive it as a valuable truth, not to be controverted by any of the artifices of self-deception, that they were never formed by the God of nature for deception and hypoc- risy : and that the purity and elevation of their moral feelings, or the corruption and depravity of their real characters, are as easily distinguished from each other, as is the surface of the ocean in a settled calm, from that same ocean, when lashed into mountain billows by the winds of heaven. Do we not see the ravages of this moral curse called anger, in every department of society? We see it beneath the domestic roof, embittering the enjoyments of the rich and poor; laying waste the harmonious sanctity of connubial life, and often entailing misery and misfortune on a helpless and unoffending offspring. But this is not all. We see it manifesting itself in its most horrid forms, in our halls of legislation; in our seats of legal justice; and even in our elections, in which every man ought to be permitted to act with perfect freedom, and without the least accountability to another. In all our electioneering conflicts; at least of late years, we can see the old and disgraceful max- im revived and fully acted on:—"those who are not for us are against us;"—as if a man could not exer- cise a right of selection, and prefer one man to another, GUNN'S DOMESTIC MEDICINE. 3i without forfeiting the friendship, and incurring the enmity of all the opposite parties. If we would reflect correctly on this subject, we would soon discover, that personal friendship and personal enmity ought to have nothing to clo with the matter; we would soon distin- guish that a real statesman, or an enlightened legislator, ought to be the mere tool, for factional purposes, of no party whatever. The noble and devoted patriotism, which gave birth to our truly great political institutions, emphatically forbids, that the American people should ever sacrifice to the narrow views of party spirit, what was destined by the God of nature, for the benefit of the human race! This government presents to Eu- rope, a spectacle of no ordinary character; in which their statesmen read the future destinies of man, and the political fate of nations. We are the only people of any age or country, who have organized a truly representative government, whose experiments in legislation—diplomacy—and arms, are to settle the important question yet undecided, whether the mass of mankind can bear the wide tolerations of political freedom; and whether man, under any circumstances, is capable of assuming and exercising the high prerog- ative of self-government! For what a stake, then, against all the monarchies and despotisms of Europe and Asia, are the people and this government con- tending ;—a stake, as I before remarked, in which the whole human race are interested! Before this view of the subject, my reader, how do our party squabbles and brawls at elections, dwindle down to nothing; to less than nothing! God forbid! that I should ever seem to turn censor of the age; or assume a dictato- rial tone, even in the cause of truth and moderation. I have been led into a slight notice of the preceding 32 GUNN'S DOMESTIC MEDICINE. subjects, by their strong connexion with the moral con- dition of man, and his too frequent subjection to the ravages of a most devastating, and I had almost said, a most damnable passion, which it seems is scarcely controllable, by all the energies of reason and moral sentiment combined. Anger was never yet an evi- dence of justice, a proof of virtue, or a demonstration of superior intellect; a mind of elevated endowments, will always endeavor to correct its sanguinary impulses and to expel its influence. The man of cool reflection, sees in its unrestrained dominion, a thousand evils which escape common observation. He sees that it frequently fills our prisons with delinquents; that it is sometimes the cause of endless remorse; and that it often loads the gallows with a melancholy victim! To speak of other than moral and religious remedies, for this dread- ful malady, would be idle and nugatory. I might tell you as a physician, to deluge your head with water as cold as the snows of Zembla; I might tell you to open every vein in your bodies to calm the raging and un- governable impulses of anger; I might tell you that an emetic would curb the tumultuous fever of rage, and restore you to yourselves: all these remedies would produce but a temporary cure; they would be but clipping the twigs from the bohon upas, and leaving the root untouched! The only sovereign powers or remedies, if you please, which can be efficient in cor- recting the evils of anger, must be sought for in early education, and in moral and religious principles, instilled into the mind at an early period of life. GUNN'S DOMESTIC MEDICINE. 33 JEALOUSY. This is a passion, the causes of which have seldom been investigated, although the effects of it are every- where to be found. The causes of it have generally something to do with love; but not always. The cox- comb and coquette, both of whom are incapable of genuine love, may be powerfully affected by jealousy; yet in both these cases, the lady and gentleman have only experienced a slight mortification of their vanity, and love of general admiration. The wound here is not deep, and is generally healed by the consola- tory admiration of some other jilt or jackpudding, as the case may be. I am not going to speak of the jeal- ousy of the warrior, which is sanguinary and daring; of that of the diplomatist, which is politic, cunning and circumventive; or of that of the statesman, which is embittered by spectres and phantoms of future glory! Nor will I trouble myself with noticing the jealousy of the poet, which is harmless, though vindictive; of the historian, which is longwinded and untiring in the pursuit of fame; or of the philosopher and man of gen- eral science, which is learnedly dull and heavily inves- tigative, in the pursuit of truths which eternally elude human researches! I shall confine myself to the sin- gle subject, of that jealousy which sometimes subsists between husband and wife, and which generally ren- ders both the objects of public curiosity, compassion, or contempt. Marriages are contracted upon various principles; such as the love of person, the love of fame, the love of money, &c. So soon as the rites and ceremonies of marriage are duly solemnised, and rendered matter of legal record, the parties individually acquire certain rights and privileges, of which it is a breach of the 5 34 GUNN'S DOMESTIC MEDICINE. municipal law to deprive them, as well as a violation* of the law of God. If the love of money induced the lady to marry the gentleman, or the gentleman the lady, any deviation of conduct, however indecent and immoral on the one part, ought never to be complained of on the other, provided the true intent and meaning of the compact be complied with, in relation to the cash itself! The same doctrines apply, in the case of a marriage contracted on any other principles. If the fame of either of the parties, induces the other to enter into the marriage bonds, and there be no other stipulation expressed or implied, infidelity to the nup- tial bed, profligacy of conduct, and even the most indecent deviations from moral rectitude, ought never to make a breach between the parties; the tenor and spirit of the compact being complied with, there is nothing more to be said. Nor would there be in nine cases out of ten, if married persons who are induced to captiousness and disagreement, would only be par- ticular in calling to mind, the real motives which operated in inducing them to marry. If the mere love of person, without any considerations relating to temper, moral excellence, and intellectual elevation of character, were the leading principle which induced the parties to bear the yoke of life together, surely neither of them have a right to complain of the want of excellencies, which were overlooked, disregarded and absolutely undervalued in the stipulations of the compact. I think this reasoning is fair; and absolutely too logical to be refuted; and, as I intend this book as a family museum of useful instruction and advice, I trust that what I have so far said on the subject of jealousy, and other causes of domestic discontent, will have its due weight. What right have parties who GUNN'S DOMESTIC MEDICINE. 35 have been improperly matched, or rather those who have improperly matched themselves, to disturb the peace of whole neighborhoods and communities, with their whinings, scoldings, and recriminations of each other? Will these proceedings benefit the parties themselves? Will these bickerings and brawls, di- vorce them from each other? Will their domestic disagreements, and their "fisticuff combats," if they should happen to be so far advanced in the "sweets of connubial love," reflect any respectability or honor on their innocent and unoffending offspring? Will their neighbors endeavor to compose their strifes, and hush them into peace with a soothing lullaby? No! they will in ten cases out of eleven, be gratified at finding ©ut, that there are others more miserable than them- selves; and do every thing they possibly can, to inflame the contest, by taking sides. Some will take the part of the husband; these are generally the gentlemen of the little body politic; some will take the part of the wife; these are generally the lady-peacemakers of the neighborhood; and before six months pass round, the whole country will be roused to a war of words—and resemble "a puddle in a storm," &c. But, to conclude the subject of this species of jeal- ousy, with as much seriousness as it seems to deserve; it may be remarked that the passion is generally found- ed on the tales and hints of servants, the surmises of tale bearing gossips, and the malignant inueradpes of those who delight in the diffusion of slander and defa- mation. There is a class of people in all societies, who are seriously afflicted with a disease called by physicians "cacoethes loquendi" It is a disease that is generated between ignorance, petty malignity, and restlessness of tongue, which forbids the repose of 36 GUNN'S DOMESTIC MEDICINE. society: in English, it is the "disease of talking.1* These people have considerable powers of invention; but, from their ignorance of the common topics of enlightened and manly conversation, they seem to be absolutely compelled to lie their way into notice/ The education of these people, commences at an early period of life. When very young, just perhaps able to go on an errand to a neighboring house, they are im- mediately asked on their return home, as to every thing they saw or heard there; their answers are such as might be expected, a mixture of truths and lies- Finding, at length, that their parents are interested in such tales—they commence with telling fibs—and end, confirmed and malignant liars! Parents, this is es- pecially addressed to you; it is worthy of your most serious consideration. But, there is a species of Jealousy, of a most ma- lignant and terrible character, such as that delineated by Shakspeare in his Moor of Venice, which some- times takes possession of the human bosom, and shakes the throne of reason to its very centre. This passion, or rather^this insanity, seems to me to be founded on almost speechless and unbounded love ; a love border- ing on absolute veneration and idolatry. This is an abstruse and intricate subject, and I freely confess that I approach it with unfeigned diffidence. IC*. There certainly does exist, in the very nature of man, <*ertast!r strong sympathies and antipathies, for which he is absolutely unable to account on reasoning princi- ples; and which, therefore, must be referred to the native inspirations of human instinct. These sym- pathies and antipathies are every where to be found; nor do I believe there exists on earth, one single indi- vidual, male or female, arrived at mature age, who has GUNN'S DOMESTIC MEDICINE. 37 not strongly felt the influences of these instinctive, I will not say unerring principles. They are discover- able in our choices of dogs, of horses, of farms; in fact, they are discoverable in all cases, where the biases of self-interest and ambition have no voice; and where nature herself rules the empire of election. Doctor Fell once asked Dean Swift, what was the reason, after all the advances he had made to concili- ate his friendship, that he could not gain him over; and received the following reply, which speaks a volume on the subject: "1 do not like you, Doctor Fell, The reason why, I cannot tell, I do not like you, Doctor Fell." These attractive and repulsive principles have been felt by every individual; and the probability is, that their influence is stronger or weaker, in proportion to the warmth or coolness of the human temperament; for I hold it to be impossible, that so sensitive a being as man, can ever behold an object possessed of any strength of character, and feel perfectly indifferent respecting it. If these sentiments of attraction or dis- gust, existed only in cases where the character of the object portended benefit or injury to the beholder, the matter might easily be explained, upon $ie rational principle of self-interest on the one hand, or of self- preservation on the other. Such, however, is not the fact; every man knows from his own experience, that the first view of an object is pleasing or displeasing, attractive or repulsive; and in fact, an object of attach- ment or disgust in some degree, without the least relation to the sentiments of self-interest or self-pre- servation. How much stronger, then, must be our feelings of attachment or disgust for an object, when we know or believe that the character of that object is 38 GUNN'S DOMESTIC MEDICINE. to determine, under certain circumstances, the happi' ness or misery of our whole lives! Parents and guardians of she destinies of youth, if you can for one moment suspend the delusions which fascinate you respecting wealth and aggrandizement, I wish you to remember;—that the closer in contact you bring those who have no natural affinity for each other, the greater and more distant will be the rebound! Have you never experienced an emotion of loathing and disgust, by being merely in the presence of an object, whose native and unalterable character was repugnant to yours? In other words, have you never experien- ced a moral nausea of all the sensibilities of your nature, by being compelled to an association with a being whose feelings, whose sensibilities, whose very modes of thinking, spoke a language abhorrent to your souls! If you have, you can form some idea of the irresistible repulsions, which sometimes influence the conduct of persons in the married state; freeze the few and cold affections which habits of enforced asso- ciation may have produced; and which seldom fail, sooner or later—either to make theni unfaithful to each other, or to separate them forever. This is not a threadbare^ream of the imagination, a mere chimera of the fancy; the affections of mankind are absolutely beyond their control. How often have you seen instan- ces in which the purest and strongest sentiments of parental duty, and all the efforts of reason herself, have been unable to overcome a repugnance to the marriage bond. Was this apparent contumaciousness the off- spring of wilful disobedience, and a fixed design to thwart your intentions of bestowing connubial happi- ness on your child? no—it was the struggle of nature herself in deep distress; it was the last effort she could GUNN'S DOMESTIC MEDICINE. 39 make, to prevent the violation of one of the most sacred of her laws! Seeing, then, as I think has been clearly demonstra- ted, that human affections are not under our control, at least so far as to be influenced by sentiments of duty, or admonitions of reason, are we not to presume, from the great variety of motives which influence many to enter the marriage bond, that thousands are badly paired and worse matched? I think so; and those who doubt the fact, for their own satisfactory convic- tion of error, will do well to investigate the real causes, of so much domestic discontent as is every where to be found; of so many quarrels and connubial bickerings; and, finally of so many divorces. I assert it to be the fact, and it will be supported by the experience of thou- sands, that wedlock is a perfect hell, and the worst one we know of on earth, even when surrounded by all the splendors of wealth and trappings of power, if it is not hallowed by human affections—and I assert further, and am in no way apprehensive of experimental con- tradiction, that where wedlock is consecrated by fixed and virtuou* love, it is and must be a source of high enjoyment, eve^n surrounded by the hardships, priva- tions, and daily sufferings of labor and drudgery. I have often been surprised, on going into*some of our cabins on the frontiers; there was the meat hanging in the chimney; the bread-tray on the only table; the straw bed on a rude frame; the blankets and counter- panes about the floor, from which perhaps a dozen or less of healthy, ruddy children had just risen; there was the corn in the crib, the cow standing with her head in at the door, and the meal bag under the bed. Great God, I have said to myself, is it possible that wedded love can exist in such a place as this! But I 40 GUNN'S DOMESTIC MEDICINE. was soon undeceived; the whole enigma was solved satisfactorily: it had been a marriage of pure and vir- tuous love untrammeled by the calculations of avarice, the meanness of false pride, and the groveling aspira- tions of petty ambition. On the other hand, I have frequented the mansions of the great, the wealthy, and the powerful; where, sur- rounded by luxury and wealth, and reclined at ease on a gilded sofa, love might have held a court superior in splendor and magnificence to that said to have been held in the fabled mansions of Jove! What did I see? I saw discontent, suspicion, and prying distrust, lower- ing in every eye. I saw that the hearts of the inhabi- tants of these splendid mansions were estranged from each other. I saw the servants in ^varied liveries, gli- ding in solemn silence from room to room; nor did one sound of cheerfulness or festivity, break the dull monotony of this splendid solitude; this gilded, carpet- ed, and festooned hell of wedded misery! I saw the owners of all this wealth and waste of luxury, take their solitary meal; for nature had denied them off- spring, in revenge for a violation of her laws. They approached the festive board, which was loaded with luxuries of every climate, with eyes averted from each other. No social converse; no interchange of thought or sentiment, enlivened the cold and hollow splendor of the scene. The servants in attendance helped them; even the common forms of superficial politeness were unobserved; nor did they recognize the presence of each other, unless in stolen and hateful glances. They seemed to sit on thorns; and no sooner was their mis- erable repast ended, than the one betook himself to the gaming table, and probably the other to her paramour. GUNN'S DOMESTIC MEDICINE. 41 These two delineations of life, are not mere visions of the fancy; they are to be met with in every country. They prove conclusively, that marriages contracted from improper motives, are always followed by conse- quences destructive to human happiness and the best interests of mankind. All the conflicts, discontents and jealousies of the married state, may be traced to improper motives for marriage or improper conduct after it. Perhaps there is one exception; which I shall name. The husband sometimes becomes jealous of the wife, and the wife of the husband, where there is no infidelity on either side; from a mere conscious- ness of being unworthy of an attachment. Cases of this character frequently occur; and it may generally, if not in every instance, be laid down as a fixed and settled principle in human nature, that where there is no positive demonstration of connubial delinquency, the party disposed to suspicion and jealousy, derives these surmises of deviation, from the simple fact of a consciousness of being too depraved to be an object of love! I am aware that this is a severe and degra- ding sentence, against those who entertain causeless suspicions; but the opinion is not less true than severe. The following is the routine of reasoning, usually ob- served by a man about becoming jealous of his wife. "This w,oman arrests much of the public attention. She is every where well spoken of. In all public assemblies, where I am considered a mere shadow, she commands the most unbounded respect, and I view every compliment paid to her beauty and accom- plishments, as an indirect satire on myself I am un- doubtedly her inferior in every thing; and particularly in sensibility and intelligence. I am conscious of my own meanness and depravity; she possesses too much 6 42 GUNN'S DOMESTIC MEDICINE. perspicacity and penetration, not to have discovered my real character—and cannot love me,—I saw her bowed to in the street; she returned the compliment with a smile. Yesterday, from my neglect and inat- tention, a gentleman of fine appearance and command- ing manners and address, handed her to her carriage; she thanked him for his polite attentions—by h----n, she never did love me! At Mrs. Fidget's ball the other night, she attracted general attention; her chair was continually surrounded by gentlemen of figure, compared with whom I felt myself a mere cypher; a gentleman bowed politely to her in passing,—angels and ministers defend me! It was the gentleman who handed her into her carriage—and I am no more thought of—I am a lost man forever." Man of fanci- ful miseries and imaginary cuckoldom, behold your portrait. This is the light in which the world beholds you. Having now in some measure accounted for the passion of jealousy, which is unfortunately too preva- lent in this country, I will conclude the subject by some general remarks. The marriage compact is entered into for two pur- poses. 1st. The happiness of the parties themselves; 2d. The rearing and educating properly, the off- spring of the marriage contract. The principles of a genuine attachment, such as ought always to be found in wedded life, can never exist in any degree of per- fection, unless there is a natural affinity between the parties—in temper, disposition, passions, taste, habits, and pursuits of mind. When this congeniality is abso- lutely and entirely wanting, the parties will gradually and almost imperceptibly become estranged from each other, and finally experience the influence of indiffer- GUNN'S DOMESTIC MEDICINE. 43 GUNN'S DOMESTIC MEDICINE. 97 risy, which is the religion of knaves, fanaticism, which is the religion of madmen, fear, which is the religion of cowardice, or superstition, which is that of fools: I mean that pure and elevated sentiment of divine love and admiration for the Deity, which leads us to faith in the great Redeemer of fallen and degraded man, and to the practice of benevolence, virtue, toler- ation, and charity for our fellow-beings. This divine and ennobling sentiment, when experienced in all its purity, banishes all the base, sordid, selfish, and ignoble passions from the human bosom, and elevates man, as it were, to a communion with his Maker. It cultivates all the finer affections of man for his feliow-beings; makes him a provident and tender parent; a chaste and faithful husband; a kind and benevolent master, and a useful, virtuous, and patriotic citizen: it makes him faithful in his friendships, virtuous in his loves, honest in his dealings, candid in his communications with mankind, moderate in his desires, unostentatious in his charities, and tolerant in his opinions. Fanatics, bigots, zealots, hypocrites; ye who practice fraud, vio- lence, hypocrisy, and all the deceptions and mummery of priestcraft on the sons of men, and yet dare to call yourselves the disciples and followers of the immacu- late Savior of mankind, compare yourselves with this portrait of a'real christian! There is a class of reli- gionists in every christian country, who are impressed with the absurd opinion, that the profession of faith in particular sectarian creeds, and the practice of a few frivolous rites and ceremonies, are quite sufficient to entitle them to salvation. The probability is that these people are deceiving themselves, or making the profession of religion a mere mask for iniquitous designs against the community; for, let their vicious passions 13 98 GUNN'S DOMESTIC MEDICINE. t or propensities be excited, and themselves thrown off their guard, and you immediately discover the true state of the case: in fact you soon discover them to be sensualists, swindlers and hypocrites. These people f j ought always to bear in mind, that those alone are gen- ii uine christians, who know the will of God, and prac- ttice its divine precepts: nor ought they ever to lose sight of the important and eternal truth—-that it is im- possible to deceive the Almighty. Compared with these hypocritical and unworthy professors, whose pray- ; ers are always on the "house tops," and whose devo- id tions are loud and emphatical that they may be heard, :J";■ the true christian exhibits an essentially different and 11 greatly more elevated character. He is modest, retir- H ing and unobtrusive, in his devotions; it is not the mere profession of piety and religion, that stimulates him in the performance of his duties—it is the heaven- born consciousness that his devotional exercises are ? i acceptable to his Maker, and that they will render him : [ serene amidst dangers and difficulties, animated and cheerful under the infliction of disease and sickness, and resigned to the will of his Creator. To such a man, disease, infirmities, and misfortunes in this life i? are nothing; he is above their influence: they can •jj, neither ruffle his passions, nor disturb the deep and ?f settled serenity of his soul. The death-bed of such a man is not the death-bed of the sinner: even the pre- sence of the king of terrors cannot appal the resolu- tions, or shake the fortitude of the man whose reliance b is on the love and mercy of his God. As a physician, 1 I some years since, in Virginia, attended at the couch of jip a devout christian, and a sincere believer in Christ; and was impressed with sentiments which can never be obliterated from my memory by the lapse of time. GUNN'S DOMESTIC MEDICINE. 99 The patient was a poor methodist preacher; he had been seriously and dangerously indisposed nearly two years; and was evidently awaiting the summon to "that borne from whence no traveler returns." Instead of seeing terror and dismay depicted in his counte- nance, which I had often witnessed in the cases of those who were not christians, all was cheerful serenity and mild resignation: no ghastly expression of feature be- spoke the terror of death, no indications of mental distress told of remorse for ill-spent life; nor did a single shade of gloomy anticipation, pass over the eye that was so soon to close in the cold and silent man- sions of the dead! The last words of the innocent sufferer were, and they are deeply impressed on my me- mory:—"my life has been devoted to the service of my God, and the benefit of my fellow beings: I await with perfect resignation to his will, the call of my Mas- ter."-------Here was an instance of the consolatory influence of true religion, which ought to prove conclu- sively that it is connected with none of the gloomy and depressing passions. In truth, it has always been matter of much astonishment to me, that the consola- tions which pure religion promises mankind in a future state of existence, could ever have produced on the mind of man any other impressions than those of cheerfulness, fortitude and resignation. I never could conceive how genuine religion was connected, unless perverted to the excitement of the gloomy passions, by misconceptions of the attributes of God, with emotions of terror and depressing apprehensions of futurity. Has man not assurances of an exemption from all the evils and calamities of this life, if he be a faithful and true christian, in a more perfect and elevated state of being, when -his corruptions shall put on incorruption— 100 GUNN'S DOMESTIC MEDICINE. and when the mere mortal shall put on immortality? Are not the doctrines of true Christianity, essentially connected with that sunshine of the breast, which we denominate a good conscience:—"and which nothing earthly can give, or can destroy!" The christian reli- gion was never intended by the Almighty as a source of grief, mortification and suffering: it is a pure ema- nation of divine love and mercy towards feeble, erring and fallen mankind; and was surely intended by divine wisdom, as an unfailing source of joy, consolation and happiness, both here and hereafter, to the human race! I have been more particular on the subject of religion, than at first view might seem necessary to the interests of medical science; but I have been long convinced, that the sentiments we entertain of a future life are not only essentially connected with the moral condition of mankind, but with the health and many of the diseases of the physical system, of which more will be said under the proper heads. INTEMPERANCE, Intemperance is the offspring of so many and such various causes, that it seems impossible to enumerate them, or even to reduce them to anything like scientific order. I will commence my remarks on intemperance, which in its broadest signification means excess in the gratification of our propensities, passions, and even intellectual pursuits, by emphatically observing that it is generally found in strong and intimate connexion, when really traced to its origin, with the pleasures and enjoyments, as well as with the miseries and misfortunes of mankind. I have before remarked under another GUNN'S DOMESTIC MEDICINE. 101 head, that with regard to the elementary principles of the passions, propensities, and intellectual powers of man, we know absolutely nothing with certainty; and that all we can possibly understand with respect to them, is derived fiom our consciousness of their exis- tence, and from the effects they daily and hourly pro- duce for our observation. Every capacity or, power of the human system, physical and intellectual, when exercised in moderation, and with strict conformity to the laws of nature, is pro- ductive of enjoyment and happiness: this natural and moderate exercise of our propensities, passions, and mental energies, when matured into habits of life and character, we call temperance; and, it is the abusive degradation of those same intellectual powers, pas- sions and propensities, by their unrestrained and exces- sive indulgence to the destruction of health and happi- ness, that we call intemperance. I will give some familiar examples of the application of these princi- ples, in order that they may be fully comprehended by those for whom I write. We are all liable to hunger and thirst; and all of us require sleep, for the renova- tion of our bodily and mental powers when fatigued. These are natural wants; and their gratifications are always essential to health and happiness. We all know perfectly well, for instance, that when we satisfy our hunger and thirst in moderation, and renew the strength of our systems, of mind and body, by sleeping no more than the requisite time for producing those effects, the satisfaction of these natural wants invariably pro- duces healthy action of body and mind, attended with enjoyment and pleasure. But, on the other hand, when in eating or drinking, we overload and surcharge the stomach with meat and drink, and when in sleeping 102 GUNN'S DOMESTIC MEDICINE. take more repose than is required for the renovation of our bodily and mental systems, our excesses are always productive of nausea, uneasiness, indigestion, and stupidity, and we habitually become gluttons, drunkards, and sluggards, and are a disgrace to our- selves and society. The same doctrine and mode of reasoning may be applied to the passions of mankind. When they are indulged in with natural moderation, and never suffered to run into riot and excess, they are always conducive to health; and productive of many of the enjoyments and pleasures of life; hut, when they gain the ascendancy of the moral feelings and rational powers, when they prostrate the bulwarks of religion and morality, and are indulged in all their debasing and destructive excesses, the progress of the passions proclaims the premature decay of health, strength, and happiness—and emphatically announces to the unfortunate victims of excess, that they are fallen indeed! In truth, what has just been remarked with regard to the natural wants and passions of men, may with strict justice be applied to the lofty and pow- erful energies of the mind itself. It has been truly remarked by an acute and profound investigator of the faculties of the mind, that "he who thinks with great intenseness and profundity, will not continue to do so for many successive years"—and in proofs of this, I will note some instances which will have much weight in demonstrating the fact. Sir Isaac Newton, who was probably the greatest astronomer and mathe- matician of his own or any other age, several years previous to the close of his life, was utterly unable to comprehend the meaning of his own works; in addi- tion to which I will notice as a well authenticated fact, that the celebrated Dean Swift, the energies of whose GUNN'S DOMESTIC MEDICINE. 103 mind were inferior to those of no literary man of the same age, several years previous to his death became a driveler, and confirmed idiot. Whether it be true, that intense, subtile, and powerful intellect, acts upon the mere carcase as a sharp sword does upon the scabbard; or whether the mind itself becomes exhaust- ed and worn out, by an overstrained and continued excitement of its powers, I leave for metaphysicians to determine:—but we certainly do know, and the ex- perience of all ages and generations proves the fact, that excessive mental exertion not only produces fa- tigue and lassitude in a few hours, but that if such exertion be continued for a few years in succession, it invariably blunts and wears down the keenest and soundest intellectual energies of man. The broad and comprehensive view I have just given of temperance and intemperance, in regard to the physical wants, passions, and intellectual powers of man, I believe to be the only correct exposition on general principles that can be given; because it embraces all the destructive excesses to which man is prone, and refers all those excesses, to the abuses and degradations of his eleva- ted and noble faculties. I commenced with remarking, and I wish the princi- ple to be kept in view by the reader, that the vices of intemperance when fairly traced to their origin, will always be found in connexion with the enjoyments and pleasures, as well as with the miseries and misfortunes of mankind. Mankind may be distinguished into two great classes or divisions:- First, those whose pleasures and enjoy- ments, and whose pains and miseries, partake so great- ly of a physical character, as nearly always to be referable to corporeal or bodily functions and sensa- 104 GUNN'S DOMESTIC MEDICINE. tions: this class is composed of men who are properly denominated sensualists; in other words, they are individuals who can only be rendered happy or misera- ble through the medium of the senses. Second, those whose general characters partake more of the nature and habitual influence of the intellectual powers; and of the emotions and passions of the mind; and whose enjoyments, pleasures, sufferings and miseries, are more intimately connected with the mind and imagination; these may with much propriety be denominated men- talists. Among the great aggregate of mankind, the reality of the distinction between animal and intellect- ual man, as regards the native basis of the human character towards one or the other extreme, is demon- strable from the following facts. Hunger and thirst, for instance, are corporeal wants; they are essential to the health, strength and support of the physical or bodi- ly system; and may be called corporeal or bodily passions, when they become sO powerful as to impel men to gluttony and drunkenness:—desires and propen- sities being nothing more, when considered in relation to the corporeal system, than slighter shades of the physical wants and passions of men. Love and ambi- tion, on the contrary, are passions of the mind and imagination: they are the offspring of refined sensibili- ty, and deep-toned energies of intellectual character; and when acting in their native sphere, are so far ab- stracted from all corporeal considerations, that they only occasionally act on the physical wants and pas- sions, and then only for the attainment of specific objects. When the passion of love, for instance, is directed to the perpetuation of the human species^ which I will remark in passing, was not the case in the love which existed between Jonathan and David, the GUNN'S DOMESTIC MEDICINE. 105 intellectual passion of love only acts on the sexual and corporeal functions; but, I would ask any sceptic on this point, whether the love of literature, mathematics, astronomy, or any other science or intellectual pursuit, has any connection whatever with propensities, wants and passions, founded on the merely corporeal or bodi- ly functions of mankind. And surely it will not be questioned, that the food and nourishment required for exercising, giving pleasure to, and strengthening the mind, are essentially different from those required for the sustenance, health, and strength of the body: and we all know perfectly well, in reference to the corpo- real and intellectual functions and capacities of men, that the strong predominance of either class operates unfavorably and sometimes destructively to the other. The fact is, that we oftentimes find the loftiest and strongest passions and mental energies, connected with delicate and sometimes feeble corporeal organization, debility of stomach, and prostration of strength: nor is it unusual to observe, that those who possess uncom- monly high health and physical strength, are frequently in the other extreme, as regards the exercise of the mind and passions. But further; every man who has acquired any experience, respecting those states of the physical system when the mind and passions act with the greatest force, must Know that a full stomach al- ways blunts the mind and feelings; and that inanition or emptiness of the stomach, is favorable to intellectual operations. This fact is so well known, that the Creek Indians, in all their public deliberations on important national concerns, use what they call the black drink, made of the parched leaves of the spice-wood boiled, which vomits them copiously and produces the inani- tion just mentioned; without which, they allege, th«y 14' 106 GUNN'S DOMESTIC MEDICINE. are inadequate to deliberating on their national affairs. Some medical writer has remarked, that physical de- bility, and a diseased state of the system, impart, as it were, a preternatural excitement to the mind; and in- stances the cases of Boilieu, Erasmus, Pascal, Cicero, Galba, Pope, and several others, who were as remar- kable for the feebleness of their physical constitutions, as they were for their gigantic energies of intellect: the same writer also remarks, that abortive, feeble, and sickly children, almost invariably display powerful characteristics of intellect when grown to maturity; and instances the cases of the great Lord Littleton and Mrs. Ferguson, both of whom were seven months' children: to which he might have added the case of Richard the Third, who, according to Shakspeare's account, was "deformed, unfinished, and sent into this breathing world scarce half made up." On the other hand, it has frequently been remarked by men of acute and scrutinizing minds, that high health, great corpo- real strength, and uncommon muscularity of frame, are seldom remarkable for subtile and profound genius, or for an attachment to purely intellectual pursuits. This is so notoriously true, that the opinions generally form- ed by the vulgar, of the persons of men who are con- spicuous and renowned for great intellectual powers, are almost invariably the very reverse of what may be called the corporeally contemptible realities. In de- monstration of this fact, innumerable instances might be given, in addition to those found in the persons of Alexander of Macedon, Frederick, king of Prussia, John Philpot Curran, Aaron Burr, Alexander Hamil- ton, Thomas Jefferson, James Madison, Andrew Jack- son, and lastly the late emperor Napoleon, who was nicknamed by his own soldiers, from his contemptible GUNN'S DOMESTIC MEDICINE. 107 stature and proportions, the little corporal. I will here make an observation on this subject, which I do not recollect to have seen in any writer. We are always to presume, that the soundness and strength of the physical constitutions of men, lead to great longevity or length of days: and it is a fact as notorious as true, that such men are seldom or never possessed of much mind; in other words, the sword is not sufficiently sharp to cut the scabbard. I am acquainted with a man, a pauper, of this county, who is said from good authority to be one hundred and ten years of age, who I was informed on enquiry, never even in the meridian of life had more than a very ordinary mind: and Thomas Parre, who died in London on the 16th No- vember, 1635, aged one hundred and fifty-two years, it is said was greatly noted for having been a man as remarkable for his deficiency of mental energies, as for his lascivious and sensual propensities. "It was ob- served of him," says the London Medical Museum, "that he used to eat often, both by night and by day, taking up with old cheese, milk, coarse bread, small beer, and whey; and which is more remarkable, he ate at midnight, a little before he died. Being open- ed after his death, his body was still found very fleshy; —his breast hairy; his genitals unimpaired, which served to confirm the report of his having undergone public censures for his incontinency," &,c. &c. I would by no means wish to be understood, that there are no individuals possessed of high health and great physical strength, who are remarkable for strong intel- lectual powers; Newton, Johnson, Shakspeare, and a thousand other instances might be given as exceptions to the general rule just noticed; but w,e are all well convinced not only that high health and strength lead 108 GUNN'S DOMESTIC MEDICINE. to corporeal amusements and pursuits unfavorable to intellectual improvement—but that debility and disease act in various ways extremely favorable to accessions of mental strength. In the first place, debility and disease lower the tone of those passions which impel us to active exertion and amusement; in other words, they impose a powerful restraint on the physical appe- tites and propensities—circumscribe us to amusements and pursuits connected with the operations of the mind, confine us to the company of our elders, whose superior experience and knowledge are beneficial to our intel- lectual improvement; and "by keeping up an action in the brain, in common with other parts of the body, they tend to impart vigor to the intellectual faculties." From what has been said, I think it will appear evident, that from both natural and accidental circum- stances, there is a distinction to be drawn between those men whose pleasures and pains are connected with physical or corporeal character, and those whose enjoyments and miseries are more intimately associated with the powers and passions of the mind: and it was for these reasons that I alleged in the outset, not only that intemperance was the offspring of various physical and intellectual causes, but that when traced to its origin, it would generally be found in strong and inti- mate connexion, as well with the pleasures and enjoy- ments, as with the miseries and misfortunes of mankind. This is a view of the subject of intemperance and its causes, which I presume has never before been taken by any writer; and although it must of necessity, like every thing else human, be subject to imperfections both in data and conclusions, yet it may have some salutary tendencies. It may possibly invite the atten- tion of the learned, to further and more satisfactory GUNN'S DOMESTIC MEDICINE. 109 investigations of the subject; it may exhibit the neces- sity of seeking for the real causes of intemperance, in removing its habits and effects from the human system; and it may invite society to the exercise of more lenity and compassion, when laboring for the reformation of its unfortunate and melancholy victims. Abuse and degradation were never yet influential in reforming the intemperate; for, what interest did any man ever yet feel, for the preservation of that which he has been convinced, by abuse and degradation, was of no esti- mation or value? Intemperance is confined to no rank in life; to no particular grade of genius and intellect- ual power, between a Socrates and an idiot; it is found in the hut of the savage, the haunts of the learn- ed, the hovel of the beggar, and in the palaces of kings; its causes are as various as the capacities of man for enjoyments and pleasures, and as multiplied as the various miseries and misfortunes to which he is subjected through life: what a farce then it must be, for any physician to attempt to remove the different causes of intemperance, without knowing what those causes are, and by the application of one specific reme- dy to such an infinite variety of causes. Would you attempt to remove diseases of the mind, by merely physical remedies? Would you, on the other hand, hope for the removal of merely corporeal diseases, by the application of intellectual means? Would you soothe the mental anguish of remorse, without the con- solations of religion, and assurances of divine forgive- ness? Would you, in other words, attempt to destroy a poisonous variety of plants, without striking at the roots of their existence and vitality? The mere pleasures of sense, as well as those of the intellect, are susceptible of being rendered more 110 GUNN'S DOMESTIC MEDICINE. intense, by the application of stimulants: in the varied and endless catalogue of stimulating powers, are to be found all the great allurements to dissipation and con- firmed intemperance; but it will hardly be contended, that one grade of stimulants, possesses the same strength and adaptation of allurement, with all the varieties of mankind. Physically speaking, one man's system is excited to pleasurable sensations by snuff, the system of another by tobacco, of another by wine, of a fourth by spirits and opium, of a fifth by highly sea- soned and stimulating food, &,c. &c; and we are all perfectly aware, that a persistency in the use of any or all the above stimulants, will sometimes degenerate into a confirmed habit of intemperance in their use, too strong for the restraints of either the moral or in- tellectual energies of the self-devoted victims. You will frequently hear the devotees of any or all the above excesses, execrating the very agents they employ in wearing down their constitutions with incidental diseases and premature decay, and moralizing with the finest touches of elocution on the heinousness and immorality of such dangerous and degrading excesses; and what does all this prove? Why it demonstrates conclusively, that the habits of dissipation and intem- perance, like all other derelictions from the standard of nature and philosophic moderation, are to be resis- ted in their first formation, and before they can acquire the resistless force of torrents, before which all human resolutions, and efforts of preservation, sink to rise no more! There are two periods of human life; there are two marked and distinct periods in the pro- gressive excesses of dissipation and intemperance. In the rise of life, we act upon every thing around us, from a confidence in our own strength, and a conscious- GUNN'S DOMESTIC MEDICINE. Ill ness of being able to master and shape our own desti- nies: in the decline of life, when the physical, moral, and mental energies begin to fail, we act upon less resolute and less confidential principles; in other words, we merely act on the defensive, and resort to expedients for warding off* diseases, dangers and death. These two periods are strongly marked in the lives and characters of all men; from the General, who achieves victories in his youth, and sustains defeat in his old age, to the man of intellectual powers and pursuits, who, like the immortal Milton, writes a "Paradise Lost," in the meridian of life and intellectual resolution, and a "Paradise Regained," when the tremors of old age and irresolution have crept over him. This is a faithful picture of a man of dissipation and intemperance. At first he adventures on an excess, partly from the attrac- tive force of the allurement, and partly from the con- sciousness of moral and intellectual resolution to with- stand any temptation to dangerous indulgence. In the formation of intemperate habits, this is precarious and hostile ground: the scripture says, "let him who stands, take heed lest he fall." The habit of intemperance is of slow or rapid growth, in proportion to the strength or weakness of our resolutions to withstand temptation. Where many and strong motives combine to retard our progress in excesses of intemperance, we advance slowly and almost imperceptibly to self-destruction. When the animations of youth, and the convivialities of conversation, are sufficient for the production of pleasurable sensations: when we are highly suspectible of impression from the varied charms of nature; and while the brilliant prospects of a long and animated life, seem "to bid an eternal Eden smile around us," the temptations to degrading intemperance are only 112 GUNN'S DOMESTIC MEDICINE. those which enhance the intensity of other pleasures. But, in proportion as all these fairy prospects fade on the vision; in proportion as the repetition of these en- joyments causes us to lose the sentiment of novelty, and especially when satiety of such enjoyments produ- ces lassitude and coldness, we invariably descend to more sensual and intense expedients, for renewing sen- sations of pleasure: and unfortunately for mankind, those expedients are too often connected with the dis- sipations and intemperance of the glutton, the epicure, the opium-eater, and the drunkard. This descent to confirmed habits of intemperance, in all its varied stages of degradation, need not be delineated; these graduated debasements are visible in every department of society, and are so common, as almost everywhere to have lost their novelty and impression. I have not yet spoken of those dissipations, which seem to be connected with the energies and passions of the mind; and compared with which, the intemperate excesses of the mere animal appetites and passions of man, dwindle into a comparatively insignificant and ordinary character. Where the character of an indi- vidual is decidedly intellectual, there always will be discovered at an early period of life, a strong native propensity to an indulgence in intellectual pleasures, and in those passions which are more closely allied to the mental powers. I mean here those pleasures of the mind, which have their rise in the memory, the understanding, the imagination, &c. and those which are the offspring of an indulgence in those passions of the mind, which we call love, hope, ambition, &c. With regard to the pleasures of memory, they are as various and unlimited as the objects by which we are surrounded in nature; they comprise every thing cog- GUiNN'S DOMESTIC MEDICINE: 113 nizable by all the senses of man, the impressions of which can be stamped upon the retentive faculty; and they embrace also, those recollections of our own con- duct, which are fraught with the pleasures of a good conscience. It is absolutely impossible to define or limit the pleasures of memory: they embrace our pa- rents, our early friends, and all the objects of our youth- ful attachments; the houses in which we were born and educated, the haunts of our youthful and innocent diversions, and all the objects of our early pursuits. The pleasures of memory also comprise all we have learned of the heroism, the magnanimity, and the in- telligence, of the great warriors and sages of antiquity; they in fact embrace all the recollections of the mind, in its recognizance of all the objects and events which have ever been pleasing to us: and they particularly afford us happiness from a review of a well-spent life. But are there not pains, as well as pleasures of mem- ory? There are; and here commences the cata- logue of dissipations, the first impulse to which is to be found in the mind. Was it an inherent baseness and brutality of native character, that rendered Robert Burns intemperate? Was it a bestial love of the liquid poison which finally destroyed him, that origin- ated and confirmed those habits of intemperance which sent him to an early grave? No: his dissipations commenced in the convivialities and pleasures of a refined, delicate, and superior mind; and were con- firmed into habits of intemperance too stubborn for the control of his moral energies, by the lowliness of his fortunes, the poignancy and vulgarity of his sufferings, and the pains of his memory! Why do we see a man like this, the prey of a morbid and confirmed melancholy? And why do we hear him warbling 15" 114 GUNN'S DOMESTIC MEDICINE. forth his distresses, when contemplating objects yet dear and painfiilto his memory, in the following in- spired and tender strains: "ye mind me of departed hours—departed, never to return!" The fate of Ro- bert Burns has been the fate of thousands whose names are lost to fame, and who have sunk into obscure and lonely graves, unpitied and unknown. Thomas Paine once remarked, that one of the greatest miseries of human life, consisted in not being able to forget what it was painful to remember. Mr. Paine's character was highly intellectual; his whole life had been devoted to conferring political benefits and moral miseries on mankind: and it is not merely possible, but highly probable, that the desertions of society on account of his theological writings, and the pains of his memory, led to those confirmed habits of dissipation and intem- perance, which ultimately destroyed him. But the instances just submitted to the reader, are but two out of thousands which might be adduced, to prove the influence of the pains of memory, in originating and confirming fatal habits of dissipation and intemperance. How many millions have sunk into the vortex of in- temperance, from the influence of those pains of mem- ory, called an accusing conscience? Physician— "canst thou minister to a mind diseased," by medical prescriptions which can only affect the body? The pleasures and pains of the understanding come next under consideration; and present such a field for the investigation of philosophy, as can only be delinea- ted in outlines. Curiosity is the first passion, or rather emotion of the human understanding; it leads the mind to the investigation and scrutiny of all the objects of na- ture and art which present themselves to man, betwixt the cradle and the grave: the emotion or passion of GUNN'S DOMESTIC MEDICINE. 115 curiosity does more; it leads us to the investigation of objects beyond the boundaries of time, and impels us to attempt a revelation of the great enigmas of eternity itself! The mind of man is naturally attached to truth, and always experiences pleasure in the discovery of it, when the disclosure is found beneficial to comfort, health, fame, or to enjoyments of any description; in all these cases, and innumerable others, we experience what may be called the pleasures of the understand- ing. But has not the human understanding also its pains? I think so; we all know perfectly well, that the period of death must arrive : and does not this cer- tain anticipation give pain to thousands? Is not the fear of death painful? I will admit that the uncertain- ty of the moment, wisely and benevolently hidden from us by Providence, in some measure blunts the painful anticipation of death; but what are the mental pangs of the convict, who is given to understand, that he must be executed to-morrow! Both the pleasures and pains of the understanding, have relation to the dis- covery of truth. Suppose a man be bitten by a serpent, of whose character he knows nothing; is he not alarm- ed? Suppose that he immediately discovers the reptile to be harmless; do not the mental pains of alarm cease: and does he not experience pleasure from the consciousness of security from danger? Here the pleasure of the understanding is derived from a benefi- cial discovery: but suppose he ascertain that the reptile by which he has been assailed is of a venomous and fatal character, and that he clearly understand his immediate destiny to be death, are not his mental pangs identified with the pains of the understanding? I have not space, in a work like this, to go into a philosophi- cal detail of the important truths connected with this 116 GUNN'S DOMESTIC MEDICINE. subject; and regret to be compelled to differ from the authority of the great Doctor Rush, who alleges that the pleasures of the understanding have no antagonists in pain. A knowledge of facts, is the aggregate amount of the truths acquired by the operations of the under- standing : where these acquisitions of knowledge de- velop consequences beneficial to human enjoyment and happiness, they are always productive of pleasure to the mind, through the medium of the understanding: but where by the operations of the understanding, the mind is brought into a full view of dangerous and disastrous consequences, the results are always painful and unhappy. This I believe to be a full and fair statement of the case; and were it not, I would like to know, what influence in the religious reformation of mankind could possibly be derived from faith in the belief of future rewards and punishments! Ignorant of consequences, what to man would be the happiness or misery of either prosperity or misfortune? And how are either to be calculated without the operations of the understanding?—can a man even calculate the results of a plain question in arithmetic, without the operations of this mental power? It is alone by the pervading and subtile powers of the understanding, that we are enabled to feel the realities of either intellectu- al pain or pleasure, happiness or misery. The memo- ry of man, acts upon nothing but facts and events which are past and gone; but the understanding oper- ates also on the present condition and circumstances of mankind, and even extends its views to futurity; and these are the reasons why the pleasures and pains of the understanding, are more intense than those of the memory. These are also the reasons why we are led astray by the festivities of present dissipations and in- GUNN'S DOMESTIC MEDICINE. 117 temperance; and these are also the true reasons, why we resort to the banquet and the flowing bowl, to drown both past and present sorrows connected with the mind. Thus we see, that both joys and sorrows are capable of producing habits of intemperance and dissipation: Physician, can your medical drugs restrain those joys, or remove those sorrows which spring from the mind itself, when all the maxims of moral wisdom and philo- sophy have failed ? No; you must resort to the restrain- ing powers, and the consolations of religion and morality. The pleasures and pains of the imagination, com- mence where those of the memory and the under- standing terminate: and there is this specific differ- ence between them; the powers of the understanding and memory operate on facts and probabilities, while those of the imagination riot in the wild excesses of fiction, romance, and absolute improbabilities. The range of the human imagination seems to be unlimited; and what is very extraordinary, and something difficult to be accounted for, its vigor and creative powers, seem to be proportioned to the weakness and want of cultivation of the understanding. All the records which have descended to us from very ancient times, seem to favor the presumption, that the empire of ima- gination, fiction, and romance, in the dark periods of antiquity, gave a tone and character to the human mind; and that the early records of history only teem with romantic fictions which defy belief, and with delineations of prodigies which never existed, because the philosophic investigations of the understanding had not yet corrected the errors of the imagination. It was probably for these reasons, that Homer, in his "Illiad," admits and describes a plurality of Gods; and 118 GUNN'S DOMESTIC MEDICINE. that Ossian's fancy saw the ghosts of departed heroes who had been slain in battle, half viewless among the clouds of night. Had the progress and improvement of Homer's understanding, enabled him to arrive at the sublime conclusion which announces the existence of one great first cause, he never could have delinea- ted in poetic numbers the distinctive characters of his fictitious deities; and, had Ossian not been ignorant enough to believe in ghosts, his imagination never could have deceived him in the belief, that those of his forefathers were witnessing from the clouds, the sanguinary horrors of his battles! The fact seems to be, as I have said before, that the empire of imagination commences where the matter of fact and philosophic operations of the understanding and memory cease; for I think it will not be contested, even by men of ordinary intelligence, that it is impossible to imagine the existence of a thing which we are convinced has no being; or to fancy a thing to be true, which we know to be a falsehood. Can any man imagine that sugar is bitter, gall sweet, or that two and two make five? No: the truth is, that a knowledge of facts and realities destroys all the frost works of fancy and fic- tion, and demonstrates clearly that philosophy and science have nearly extinguished the fire of poetic ge- nius. In other words, few men can be poets in this age of philosophic improvement, who will not borrow or steal from the old writers, or who cannot find subjects of poetic inspiration, on which little or nothing is or can be certainly known. Newton or Locke would have cut as contemptible a figure in poetry, as Homer and Ossian would have exhibited in astronomy and metaphysics. We all know, that the fire of the imagination is GUNN'S DOMESTIC MEDICINE. 119 weakened and destroyed by old age and experience; and that those who always deal in fictions are always the victims of folly. The pleasures of imagination are always the most brilliant and powerful in the youthful mind; and the reasons are obvious. This is the peri- od when all impressions made on the mind, by disclos- ing to us the opening beauties of nature, and the imposing splendors of creation, are entirely novel and without alloy. This is the period when none of the cares and anxieties of life, overshadow and begloom the fairy prospect of fancied and endless felicities to come; and this too is the period, when our youthful friendships are untainted by a knowledge of the base- ness and selfishness of mankind—and our loves of the supposed divinity of the female character, are unalloy- ed by those appalling discoveries of experience, wisdom, and philosophy, which teach us that every thing human is imperfect, and unworthy of our idolatrous devotions! These are the reasons why many modern philosophers have been of opinion, that the state of savage and un- cultivated nature, as regards a more refined condition of the human mind, is much more conducive to human happiness than any other; for say these men, "where ignorance is bliss, it is surely folly to be wise." If these delusive fascinations of the imagination could continue through life, uncorrected by the bitter lessons of experience and wisdom; or if man could be so educated, as never to seek or experience happiness but in the realities of life and nature, the wild delusions of fancy would never lead his judgment astray in the pur- suits of happiness; nor would he ever be discontented* with the moderate enjoyments which the realities of existence afford him. But one of the most difficult lessons in wisdom and philosophy, is to be able to ac- 120 GUNN'S DOMESTIC MEDICINE. quire and preserve through life that balance of charac- ter which preserves to us the innocent delusions of the fancy, without suffering them to interfere with, and ultimately to destroy our rational attachments to the colder realities of life. It is the want of this just equi- poise, between philosophic moderation and strength of judgment, and the acute sensibilities allied to a cultiva- ted imagination, that constitutes the real vortex in which so many men of enlightened and lofty genius have sunk to rise no more. Relying on the pleasures of imagina- tion for happiness in early life, never dreaming that they are in a world of sad realities, which will in- volve them in misfortunes against which nothing but the exercise of prudence and judgment can guard them, and continuing to enjoy the present moment, without looking forward to the probable and untoward contin- gencies of futurity—they are never aroused from their brilliant and illusory visions of fanciful and imaginary happiness, until they are overwhelmed with real mise- ries and misfortunes, and pressed upon by those impe- rious calls of want and necessity, which cannot be silenced by visionary or imaginary means. Here com- mence those pains of the imagination, those lacerations of sensibility, and those horrible anticipations of real and unmitigated suffering, which no human language can describe, and which are so often seen to goad the man of genius and superior endowments to dissipation and intemperance, and precipitate him to all the despe- rations attendant on ruined fortunes, and an early grave! This is the vortex that has swallowed thousands of the greatest men that ever existed; this is the bottomless ocean that has engulfed millions of the brightest and most useful men that ever had existence. It is useless to speak of the love of liquor being the cause of intern- GUNN'S DOMESTIC MEDICINE. 121 perance, as applied to men of lofty and powerful ener- gies of mind, and it is worse than useless to attempt the reformation of such men, without knowing and reachigf the real causes of their derelictions. Nearly all that has been written on the subject of intemper- a:ic3, has been superficial and nugatory, and confined to the mere contemplation of its effects. Would you prescribe remedies for the mere effects of a disease, without knowing and striking at the real causes? Would you attempt to guard yourself against the point- ed dajger of an assassin, without paralyzing the arm that held it to your bosom? I will admit that you may remove the diseases and habits of intemperance, where they are merely connected with the corporeal system and physical sensations of men, and have noth- ing whatever to do with the mind, by the administra- tion of medical drugs, which will act on that corporeal system, and by the substitution of new bodily habits for old ones; but beyond these points you cannot go by physical means, when you advance on the confines of the mind, and the intellectual passions. Here you are in a new region, and must adapt your means to the origin and nature of the disease, you must empJoy the moral powers of dissuasive eloquence, the divine con- solations of religion, held out by scripture to erring and repentant man, and its denunciations against the con- duct of the self-destroyer; you must employ the max- ims of philosophy, and the admonitory precepts of true wisdom, you must soothe the victim of intemperate despair, with reasonable hopes of a better fate, instead of irritating him by abusive and degrading denuncia- tions, &c. &c. But, as this is a most important subject, I will endeavor to elucidate it a little further. When the causes of disease are connected with the mind and 16 122 GUNN'S DOMESTIC MEDICINE. its passions, mere physical restraints and even punish- ments will amount to nothing in attempting a cure. There is a class of mankind, I will admit, who, like children whose moral susceptibilities cannot be acted upon, must be restrained from excesses, and even the commission of crimes, by ignominious corporeal terrors and punishments; this class of men always possesses more of the physical or corporeal, than of the moral and mental character, and must be acted on by pillories, whipping-posts, and sometimes gibbets. But terrors and punishments which merely affect the body, have no influence with those men whose minds and passions are morbidly affected, or those who are under strong moral impressions of rectitude of conduct. The whole range of martyrs, who have suffered unspeakable tor- ments in the cause of religion and patriotism, demon- strates these facts. Would you then attempt to restrain from intemperance, by mere corporeal and physical means, the man whose mind and its passions are affect- ed? Certainly not; every man whose character is decidedly intellectual, feels that his native dignity is outraged and degraded by corporeal and ignominious restraints or punishments, and will in nine instances out of ten, destroy himself to escape from his own senti- ments of degradation. While the genius of conquest, in the person of Napoleon, was lowering by successive victories all the national banners of Europe, a French soldier of the line presented himself to the Emperor, and desired to be shot. When interrogated as to his reasons, he replied that he had been sentenced to receive ignominious corporeal punishment for some misdeed, rather than to submit to which, he preferred death: the impression made on the mind of Napoleon was such, that ignominious corporeal punishments GUNN'S DOMESTIC MEDICINE. 123 were immediately abolished throughout the French armies. It is almost needless to remark, on those passions of the mind, called hope, love, ambition, &,c.—that they are alfproductive of pleasures and pains, in proportion as their influence is bounded by moderation, or char- acterised by excess. The pleasures of hope have been finely celebrated by Campbell; ana* are well known to have a powerful influence in blunting the miseries and misfortunes of mankind during life, and even in illuminating their anticipations of a happy im- mortality beyond the grave! But the pleasures of hope have their counterpoise of evils and miseries; and when indulged in to excess, or founded on visionary and impossible principles, frequently terminate in dis- appointment and despair. Here wisdom, fortitude, religion and philosophy, are probably the only essential and efficient preventatives, against these intemperate palliatives of disappointed hope, which have led thou- sands to drown themselves, their fortunes and their miseries in the bowl. The miseries of despair and disappointed hope, are seldom the portion of those whose educations have been moral and judicious, or who have been early taught to distinguish the realities of life, from those illusive and visionary expectations of it, which never can be realized even by the greatest prosperity. The visionary gildings with which youth- ful feeling and animating anticipation invest the untried scenes of life, always dissolve before the lessons of wisdom and experience; and where these privations are followed by positive misfortunes from which there exists no hope of redemption, intemperance almost invariably succeeds, as the only remedy by which tem- porary alleviation can be obtained. But this conduct 124 GUNN'S DOMESTIC MEDICINE. is founded in short-sighted and desperate policy; be- cause, to the mental pangs of misfortune, are always added the miseries of corporeal disease. Love is likewise an intellectual passion, and, like hope, is productive of pleasure and pain, happiness and misery. I have before spoken of. this passien, as con- nected with the enjoyments and happiness cf man; it now becomes my-duty to take a brief view of the sombre colorings of the picture, end to develop some of the causes with which its miseries are connected. Love is always founded on perceptions of real or ima- ginary perfections; when this elevated and ennobling sentiment is based on the perception of qualities which really exist, it invariably leads to happiness, and is an unerring indication of superior wisdom; but when it is founded in errors of the imagination, and in the false perception of merely visionary qualities which have no existence, it generally eventuates in misery, and is a decided mark of overweening stupidity and folly. The first step to misery, in wedded love, where the qualities of either of the parties are not sufficiently noble to sus- tain the passion, is the discovery of blemishes of person, disposition, mind or character, which were not known previously to marriage. This discovery produ- ces a chill of the affections, which Jeads to a more narrow and scrutinizing investigation of the causes of our having been deceived. If they are found to have originated with ourselves, we invariably undervalue and detest our own judgment, which would suffer us thus to be deceived, and immediately become dissatis- fied with ourselves; and it requires no great exercise of wisdom to know, that those who are dissatisfied with themselves, are displeased with all those around them. On the contrary, if it is found on investigation that we .5- GUNN'S DOMESTIC MEDICINE. 125 have been deceived by the hypocrisy of the individual to whom we are tied by bonds which death alone can dissolve, contempt and detestation are the inevitable consequences; for it is no more possible for a man or woman or moral discernment to love an unworthy ob- ject, knowing it to be sue!:, than it is for a human being to hate the presence of virtue combined with .peerless, beauty. Here then commences that series of domestic and conjugal miseries, winch defies and baffles the power of mere language to describe: and the parties soon become estranged from, and perfectly hateful to, each other. Home becomes a hell; the tavern and gamingtables are resorted to; to bad company habits of intemperance succeed, and the event is, death by confirmed habits of intoxication, or life embittered by negligence, disease, poverty and want! I am the more particular in mentioning the effects of "love to hatred turned," and in tracing those effects to their causes, not only because the picture which is true to life may be instrumental in preventing deceptions and hypocrisy in courtship, but because it may have a tendency to illustrate the eternal truth, that no miseries can ever be drowned in the midnight bowl, unless the chalice contain the poison of death itself!----1 said that love was always founded on the perception of real or vision- ary perfections; with that founded on amiable and noble qualities, I have here nothing to do, because it is al- ways permanent, and always unshaken by misfortunes. This position requires no further proof than can be found in every country, and in the sphere of every man's observations on life. Where, however, the at- tachment is founded on illusory perceptions, it is not only short-lived in itself, but eternally liable to destruc- tion by variations of fortune. Some persons, indeed V 126 GUNN'S DOMESTIC MF.DJCLM.; all individuals of the human species are formed by nature for enjoying the felicities of attachment and love. With these elementary principles, and with a heart alive to the tenderest sensibilities, the devourer of novels and romances, in which the human charade^1 is invested with perfections that never pertained to it, is peculiarly liable to miseries amHnisfortunes in love, I say once for all, and/wish it to be borne in mind by th& reader, that 410 inordinate and excessive passion, not even that of love itself, was ever tne offspring, of cor- rect perceptions of human nature, such as it.really is. Where is the maii)or woman of reflection, who does not know that human nature is^not perfection; and who is not perfectly convinced, that it is a compound of personal and moral beauties and imperfections. Those who are in time made acquainted with these philosophic truths, and have early learned to know that man is a compound, to say the best we can of him, of virtue and viqe, strength and weakness, wisdom and folly, will never experience any of t|ie passions in their extremes. Their loves and hatreds, thek. friendships and enmities, and indeed all their other passions, are true to nature, and therefore always characterized by moderation. Loves and hatreds are only felt in the extreme, because in the former case we are blind to imperfections which really exist; and because in the latter instances, we shut our eyes against many noble traits of character, which would mitigate our unquali- fied hatreds. The same may be said of our friendships and enmities, and indeed of all our other passions: even the sneaking scoundrel avarice, if he did not overrate the object of his desires, would abandon his swindling propensities, and relax his gripe on the mise- ries and misfortunes of mankind. It is the immoderate I GUNN'S DOMESTIC MEDICINE. 127 overrating the objects of our passions, that produces all their excesses; against which no human being can be guarded, unless through the medium of wisdom and intelligence, which alone can stamp the genuine value on every object of human desire or pursuit. Few in- stances arc to be found on record, where the miseries of disappointed love have been experienced in the extreme, by persons whose errors of imagination had been corrected by experience, and the acquisitions of true wisdom; and even where all the agonies of dis- appointed love have been felt in their excesses, they produce different effects upon the different sexes. On woman,*they induce a disposition for retirement and a solitary life, which sometimes ends in confirmed melan- choly, sometimes in insanity, and not unfrequently in a broken heart. With man, on the other hand, the ex- cesses of unfortunate love produces very different effects, they urge him to mix in crowded assemblies, in the hum of business, and in the haunts of men; they dis- pose him to attempt a forgetfulness of his miseries, by exploring new scenes of life, in countries t« which he is a stranger, by - encountering the dangers of the field and flood; and by drowning the memory of his mis- fortunes in the oblivion of the bowl! Of the miseries of ambition, and the excesses to which they lead, the space allotted will not allow much to be said. Like love, the passion of ambition, both in moderation and excess, depends for strength on the value we set on subjects of ambitious desire. To those whose wisdom teaches them the true value of earthly objects, the passion of ambition is always productive of enjoyments; but when an over-estimate of the objects of ambitious pursuit, arises from false though dazzling perceptions of those objects, the passion always 128 GUNN'S DOMESTIC MEDICINE. acquires an uncontrolled dominion in the human breast, producing misery to the individual, and frequently the most dreadful desolations to society and mankind. When ambition is confined to moral bounds, in other words, where it is restricted to dohig[good,it becomes a powerful auxiliary to religion and morality, and to the peace and happiness of mankind. "Duf, talents angel bright, if wanting ivortli, Are shining iustruinents in fdse ambition's hand, To finish faults illustrious, and give infamy renowuP* Where ambition is laudable, and restricted to benefi- cent and moral objects, it serves to dignify and adorn the human character: and even where thus character- ized, it meets with failures and disappointments, it pro- duces no serious and lasting miseries to its votaries. The real passion of ambition is of a heaven-born char- acter; it is founded in a strong desire to be remember- ed with gratitude and admiration by posterity and future ages—and is the legitimate offspring of a vital and deep-seated sentiment of immortality! We see its indications in every department of life, and in every age of the world. The monumental inscriptions of ancient times: the mummied catacombs, and the great pyramids of Egypt themselves bear witness of the universal prevalence of this all-absorbing sentiment of immortality, and of the dreadful comtemplations which accompany the anticipations of being swept from hu- man memory by the hand of time! The desire to be remembered, is as obvious in the school-boy who in- scribes his name on a V:cg cr a rock, as in the lofty and headlong careers of Charlemagne, Alexander and Napoleon:—who desolated nation:.; and overturned em- pires, to give their achievements to posterity and future ages.—When the passion of ambition, of whatever grade, or to whatever objects directed,-is disappointed GUNN'S DOMESTIC MEDICINE. 129 in its expectations, it invariably leads to dissatisfaction with life and mankind, and frequently plunges its vota- ries into the vortex of intemperance and debauchery. These effects are not only confined to the ambition of men possessing lofty and powerful energies of mind, whose objects of ambition are correspondent in eleva- tion, but they are discoverable in all the inferior orders of society, and in all the subordinate ranks of intellect- ual power: they are in fact as observable in the Ceesar who is disappointed in the possession of an imperial crown, as in the humble votary of literature and science, or the hook-fingered and swindling devotee of avarice, with whom wealth is the idol of adoration! Let any of these men, be finally and permanently dis- appointed in the first and great objects of their ambi- tion, and if they are destitute of resolution, fortitude, wisdom, and philosophical energy of intellect, they invariably sink in the whirlpool of intemperance, de- bauchery, and sottishness :—Alexander the Great died from the influence of a fit of intemperance, because probably he had no more worlds to conquer; and it is needless to advert to the thousands of instances which every where present themselves, of men of all ranks and grades of life, who sink into insignificance and obscurity, from the effects of intemperance, brought on them by disappointed ambition. I have now, I think, shown some ©f the various causes of intemperance, and probably to the satisfac- tion of reflecting men, traced some of them to the physical and mental constitutions of men: as far as it is practicable to be done by observations of mere effects. In this brief essay, by no means correspond- ent with the importance of the subject, I have neither followed nor profited by the hacknied theories which 17 130 GUNN'S DOMESTIC MEDICINE. have heretofore been published; I have endeavored to view human nature such as it is, and to remark the developments of the causes of intemperance, such as they have appeared to me in my medical pursuits; and if I have not been as successful as might be desired by medical men who are the real friends to humanity, I may at least have furnished some materials which may be useful to such fathers of the profession as Mitchell, Physic, Hossack, and many others, who are engaged in developing the mysticisms of medical science, and rendering them intelligible to mankind. REMARKS, preliminary to the MEDICAL PORTION OF THIS WORK. I have now done with the passions most material to be thought of in a work like this. I think I have spoken of them as they deserve; and as being the real causes of very many and obstinate diseases; and I also think, without any sort of vanity on the subject, that I have taken views of them which are not only new, but such as will be satisfactory to men who are pleased with common sense, and matter-of-fact dis- closures, instead of visionary theories, and old doctrines that have been worn thread-bare by repetition. Where I have found the essences of the passions beyond the reach of investigation, I have freely confessed the truth; being determined not to veil my ignorance of what is most likely hidden from us by divine wisdom, by long sounding words which when explained would make men of common sense laugh at medical quackery, and by technical language which means next to nothing. I have spoken of the passions as I have seen and wit- nessed their effects on the human system, and on the peace and happiness of society generally; and particu- larly as regards intemperance, or rather excess in fear—joy—anger—jealousy—love—grief—religion— gluttony and drunkenness, I have ventured to go as far into some of the remote and constitutional causes of 132 GUNN'S DOMESTIC MEDICINE. them, as I possibly could without running into mere theories, not supported by the experience of mankind. In treating of them I have been limited much by want of space; and have therefore in some instances, been compelled to comprise as much information as possible in a few words: and I must also observe here, that on intemperance, religion, love, jealousy and anger, I have extended my remarks further than on the rest of the passions; because I consider them of vastly more im- portance to the health and happiness, and to the dis- eases and miseries of mankind, than all the rest of the passions put together. I have classed religion and intemperance under the head of the passions, because all our desires and aversions become passions, when they become too strong to be controlled and moderated by moral sense and reason; and if even these were not the facts, mere names are nothing but blinds, frequent- ly placed by the learned between the reader and the realities of things, to conceal the naked poverty and barrenness of the sciences, as professed by literary men. If our education consisted more in a knowledge of things, and less in a knowledge of mere words than it does, and if the great mass of the people knew how much pains were taken by scientific men, to throw dust in their eyes by the use of ridiculous and high-sound- ing terms, which mean very little if any thing, the learned professors of science would soon lose much of their mock dignity, and mankind would soon be unde- ceived, as to the little difference that really exists be- tween themselves and the very learned portion of the community. I am the more particular on this subject, not because I wish to lower the public opinion respect- ing the real value of medical knowledge, but because the time has arrived when the hypocrisy which has GUNN'S DOMESTIC MEDICINE. 133 attached itself to religlvn, the pettifogging dissimula- tion which has crept into the practice and science of law, and the quackeries which have so long disgraced the practice and science of medici.ie, are about to be scattered to the four winds of heaven, by the progress of real knowledge, and the general diffusion of useful intelligence. The great body of the people are begin- ning to find out as I remarked in substance in my dedi- cation—that when we take from the learned sciences all their technical and bombastic language, they imme- diately become plain common sense, very easily to be understood by all ranks of men. I have also said in that same dedication, and I now repeat it, that the really valuable materials in medicine, and those which are the most powerful in the cure of diseases^-are few and simple, and very easily to be procured in all coun- tries; and on this subject I will say something more which may probably be considered new. I not only believe, that every country produces, or can be made to produce, whatever is necessary to the wants of its inhabitants—but also whatever is essential to the cure of diseases incidental to each country; it is by no means probable, that an all-wise creator would create man with wants he could not supply, and subject him to diseases for which there were no remedies to be found in nature, and in all the different countries and climates of which he is an inhabitant. If such were not the facts, how miserable would be the condition of the human species; eternally harassed by the calls of wants which could not be satisfied, and afflicted with diseases for which they could .find neither the means of alleviation nor cure! How did the Indian nations of this country become so populous and powerful, un- less from finding the means of supplying their wants, 134 GUNN'S DOMESTIC MEDICINE. and of mitigating and curing their diseases, on the soil and in the countries which gave them birth? The fact is, that this country, like all other countries, produces spontaneously, or can be made to produce by the genius and industry of its inhabitants, all that is requir- ed by the wants of the people, and all that is essential in medical science; and the sooner we set about find- ing out, and fully exploring the resources of our own country, the sooner will we be clear of the abuses and countless impositions in the adulteration of medical drugs; and the sooner will we be exempted from indi- vidual and national dependence on other nations. There are many drugs that come from abroad, that are made good for nothing, by adulterations or mixture before they reach us, or lose their virtues by long stand- ing and exposure; and any professed druggist if he will tell you the truth, will tell you the same; and these among many others, are the reasons why I mean to be very particular in showing you, as respects the plants and roots, &c. of this country, not only how great are our resources, but how easily we can evade roguery and imposition, and obtain pure and unadul- terated materials in medicine, if we will be industrious in developing the real resources of this country. The science of botany, like many others I could name, has dwindled into mere mummery and hard sounding names of plants, &,c. I can find you, indeed you can easily find them yourselves, very many individuals pro- foundly learned in botany, who can tell you all about the genus and species of plants and herbs, and can call them individually by their long Latin names, who can tell you nothing whatever about their use to man- kind, or whether they are poisonous or otherwise; and I want to know whether such information, or rather GUNN'S DOxMESTIC MEDICINE. 135 such want of information, is not mere learning without wisdom, and science without knowledge. But why need I speak of the science of botany alone, as having sunk into frivolity and superficial nonsense; the same may be said of many other of the sciences, which were in their origin and early progress useful to mankind. Real knowledge consists in understanding both what is useful and what is injurious to mankind; and true wisdom amounts to nothing more than appropriating to our use whatever is beneficial, and avoiding whatever is injurious to our enjoyments and happiness: this is the true distinction between common sense and non- sense; or if you will have the same idea in finer lan- guage, between wisdom and folly. For the common and useful purposes of mankind, the refined fripperies and hair-drawn theories of mere science, are of no use whatever; indeed they never have had much other effect, than to excite a stupid admiration for men who pretended to know more than the mass of mankind: and it is this stupid admiration, this willingness to be duped by the impudent pretensions of science and quackery combined, that has led to impositions and barefaced frauds upon society, without number. Wher- ever artifice is used, it is either to cover defects, or to perpetuate impositions and frauds; and if you wish to know how much of this artifice is in vogue in the science and practice of medicine, ask some physician of eminence to give you in plain common English, the meaning of those mysterious and high-sounding names you see plastered on bottles, glass jars, gallipots and drawers in a drug store, or doctor's shop. There you may see in large and imposing capitals—Datura Stra- monium, which simply means Stinkweed, or vulgarly Jamestown weed : Tanacetum Vulgare, which in Ehg- 136 GUNN'S DOMESTIC MEDICINE. lish means Common Tansy: Chenopodium Anthel- menticum, good heaven! what a name for Jerusalem Oak : Spigelia Marilandica, which means nothing more nor less than Pink Root: Alium Sativum, which means Gloves of Garlic: and who would ever suppose, unless he were previously initiated into the sublime mysteries of the "Physicians' Materia Mediea," that Cantharis Vittata was the Potato Fly—that Hcdeoma Pulegioides, was merely the common plant Pennyroyal: that Phy- tolacca Decandra was nothing but Poke weed : that Panax Quinquefolium was nothing but Ginseng: that Rubus Villosus meant in plain English, the Blackber- ry: that Egpatorium Perfoliatum was nothing but Bone-set: that Polygala Seneka was Snake Root: that Laurus Benzoin was no more than Spice-wood: that Asarium Canadense was Wild Ginger: that Babtisca Tinctoria was only another name for Wild Indigo: that Hydrastic Canadensis was nothing but Yellow Root: that Podophyllium Peltatum was merely the May Apple, or common Jalap of the shops : Sanguina- ria Canadensis, was no more than the Puccoon or Blood Root, well known to every old woman in the state : that Cornus Florida was nothing but Dogwood: that Gillenia Frifolliata was merely Indian Physic: that Symplocarpus Foetida was nothing but Skunk Cab- bage : that Anthemis Cotula was the Wild Cammo- mile: that Lobelia Inflata was nothing but Wild To- bacco : that Comptonia Asplenifolia was only the Sweet Fern:—and so on to the end of the chapter. But, on consideration of the importance of this information, I will add a few more instances of the shameful imposi- tions practised on the mass of the people, by the quack- eries connected with Medical Science. They are as follows:—Oleum Ricini, meaning Castor Oil: Un- GUNN'S DOMESTIC MEDICINE. 137 guentum Picis Liquidae meaning Tar Ointment: Oleum Tereginthinse meaning the Oil of Turpentine: Zanthoxylum Clava Herculis meaning the common Prickly Ash of our country: Sal. Nitre meaning Salt Petre: Tartarized Antimony meaning Emetic Tar- tar : Sulphate Soda meaning nothing but Epsom Salts: Ruta Graveslens meaning our common Garden Rue: Salva Officinalis, the common Sage: Sambucus Ni- gra, common Elder: Serpenlaria Virginiana, Vir- ginia Snake Root: Myrtis Pimento, common Pepper: Ulmus Americana, meaning Red Elm: Aqua Calcis meaning Lime Water: and Carbo Ligni, Charcoal of Wood!! These, I think, are fair specimens of the use- less technical terms and phrases, with which the science of medicine has been encumbered by a policy hostile to the interests of every community; in which the reader will easily distinguish, if he will look one foot beyond his nose, not only that big words and high- sounding phrases are not superior wisdom, but that three fourths of the whole science of physic, as now practiced and imposed upon the common people, amounts to nothing but fudge and mummery. In fact it has always seemed to me, whenever I have reflected seriously on this subject, that all these hard names of common and daily objects of contemplation, were ori- ginally made use of to astonish the people; and to aid what the world calls learned men, in deceptions and fraud. The more nearly we can place men on a level in point of knowledge, the happier we would become in society with each other, and the less danger there would be of tyranny on the one hand, and submis- sion to the degradations of personal slavery on the other: nor are these all the benefits that would certain- ly arise from a more equal distribution of useful 18 138 GUNN'S DOMESTIC MEDICINE. information among the people. We all know perfectly well, and if we do not we ought to do so, that there are two ways of acquiring a greater name than com- mon among men. One is by putting on affected airs of superior wisdom, and the concealment of weakness and ignorance, to which all men are subject: and the other is, by exhibiting to the world, great and useful energies of mind and character, of which nothing can be a more decisive proof, than success in our under- takings. But this is not all; the less we know of the weaknesses and imperfections of what the world calls great men, the more we are disposed to overrate their merits and wisdom, and to become their humble follow- ers, admirers, and slaves. This is the reason why I wish to impress upon your minds, the simple and im- portant truth, that there is not so great a difference between men as there appears to be; and that you are always to find out in the characters of men, the differ- ence between impudent presumption, which seeks to blind you to defects, and modest and unassuming merit, which is above hypocrisy and deception. On the other hand, I wish you to remember, that the more we know of the ignorance and weaknesses of great men, ignorance and weaknesses which they all have, however they may try to hide them, the more easily we will feel ourselves on a level with them, the less we will be compelled to think of their assumed superiority, and consequently the less danger there will be of our becoming their most humble followers, their tools of dirty purposes, and in fact their slaves. The fact is, if we would always strip the fine coat, the ruffled shirt, the well-blacked boots, and what would be better than all, the hypocrisy and presumption, from about those who pretend to lord it over us; and if we could always GUNN'S DOMESTIC MEDICINE. 139 hit the true medium of truth and justice, in forming our opinions of each other, there would be much less fraud in this world than there is: for you may rest assured, and I desire you most particularly to fix it in your memory, that no man or junto of men, ever yet attempted to cheat or impose on your credulity, with- out first forming a contemptuous opinion of your dis- cernment; in other words, all attempts to cheat and deceive you, are direct insults to your understand- ings. With these remarks, in which I have been as plain as possible in point of language, in order that you might the better understand my meaning, I will now go on to describe to you, in as plain language as can be made use of, all the diseases we are most lia- ble to in this country, and all the best remedies for those which are brought to us from other countries. I intend also to describe particularly all the roots, and plants, and so on, which we have about us in our gar- dens, barn-yards, fields and woods, which are useful in the cure of diseases. These will be important consid- erations, because I am convinced we have many things the most common about us, that as medicines are as good as any in the world, and the knowledge of which by the people themselves, will enable them to cure their own diseases in many instances, and avoid many and great expenses. The language I will make use of, as I said before, will be extremely plain, the object of the work being, not so much to instruct the learned as the unlearned; nor will I regard in the slightest degree, any of those petty critical remarks, which may be made on such language, provided I succeed in adopting language which can be understood by those for whom this work is intended. And here 1 cannot avoid remarking, that since this work of mine 140 GUNN'S DOMESTIC MEDICINE. was commenced, and measurably finished, I have received from New York, the first number of a period- ical work on the same plan that this is, to be written by some of the greatest medical men in the United States, some of whom are Mitchell, Hossack, Mott, McNeven, &c. These gentlemen, as well as myself, are convinced that the time has come, when all the mysteries and technical language of the science of medicine, must be made plain to the people of this country, and when the old frauds and quackeries of the profession must be laid down, and discontinued in practice. I am gratified, that men whose names have so much weight, have undertaken to make the science of medicine plain; because otherwise I should have stood alone in the great attempt, and had to contend with all the petty critical remarks, of all the petty pro- fessors of the science^ and all those who wish to make a mystery, of what every man in the community is fully able to understand if well explained. Before concluding these observations, it may not be improper to make some remarks, intended for the more youthful portion of those into whose hands this work may fall. Some of the diseases I am compelled to mention and explain, necessarily relate to a sex whose weaknesses and delicacies of constitution, entitle them to the highest respect, and the most tender considera- tion : nor can any youth be guilty of a more flagrant breach of humanity, nor more completely disclose a brutal and unfeeling disposition, than by manifesting a wish to turn into unfeeling ridicule, the diseases and calamities of women: I would at once pronounce such a young man a brute, a poltroon, and a coward. But I am confident there are few if any such in this coun- try, because there are few or none who will not recol- GUNN'S DOMESTIC MEDICINE. 141 lect, that their venerable mothers were of the female sex, and that they have probably sisters and other rela- tives of the same sex. I wish the younger portion of my readers also to recollect, and I most respectfully request them to do so—that when perusing my book, on the various diseases to which the human body is liable, as to their uncertainty of life, and the slender thread on which it bangs, I wish them to remember, how unknown to them are the vicissitudes of the world; how easily they may be thrown into strange lands, destitute, friendless, and afflicted: I wish them to en- grave on their minds, that sacred rule of doing all things to others, which they would wish others should do unto them: that they would always let the tear of sympathy drop for their fellow creatures in affliction and distress, and always let their hearts melt at the tale of human woe, for which God will bless them in all his works. ON SLEEP. "What better name may slumber's bed become? Night's sepulchre, the universal home. When weakness, strength, vice, virtue sunk supine, Alike in naked helplessness recline; Glad for a while to hea,ve unconscious breath, And wake to wrestle with the dread of death.'1'' To exist as it were between death and life; to rove in imagination, unfettered by the cold and strong reali- ties of waking existence, through a boundless realm of visions which seem real; this is what we call sleep, without knowing much of any thing about its causes. The real cause of sleep has been a matter of much guessing and speculation with medical men; even very learned philosophers have disagreed in opinion re- specting the cause of sleep, and nearly all the little we know on the subject is, that when the sable curtain of night is drawn around us, the mind and body worn out and exhausted by the fatigues of the day, sink into soft repose. Napoleon, whose genius seemed capable of seizing every subject of contemplation with a giant grasp, re- marked, while distinguishing between sleep and death, that sleep was the suspension of the voluntary powers of man:—and that death was a suspension of those that were involuntary. This was probably the most correct distinction between sleep and death, that has ever to my knowledge been drawn by any man; and I will endeavor to explain as clearly as possible, what GUNN'S DOMESTIC MEDICINE. 143 I think he intended by it. When we lie down to sleep, we voluntarily exclude the operation of the senses; in other words, we see nothing, hear nothing, feel noth- ing, smell nothing, and taste nothing, and endeavor to think of nothing—this is as far as we can go in the matter, for no man can possibly tell when he falls asleep, or in other words, when an entire suspension of the voluntary powers of the body and mind take place. While in this situation, however, we know that the sleeper breathes, that his heart beats, that the blood circulates, that the stomach digests its food, and that perspiration takes place: now, as the will of the sleeper has nothing to do with these matters,- they depend upon the involuntary powers of the human system, and when these powers cease, death takes place. This is as far as we can go as regards sleep and death, for as to dreams and their causes, all we can tell about them simply is, that during sleep the mind and imagination act with such brightness and power, as to leave strong impressions on the waking memory; I say the mind and imagination, because we not only distinguish ob- jects as if they were present, but because we can and sometimes actually do reason about them and that too very correctly. It is impossible for us to enjoy good health, unless blessed with sound and refreshing sleep: without sleep the whole frame is thrown into disorder, and a strong disposition to disease; and the mind is much confused and weakened. Without the due repose of sleep, the appetite for food is depraved and sometimes lost; the health and strength fail; and the spirits become dis- tressed and melancholy in the extreme. The acrid matter is thrown off during sleep, insensible perspira- tion is increased, and the body increases in growth in 144 GUNN'S DOMESTIC MEDICINE. a greater degree than when awake and actively em- ployed. You are much taller in the morning when rising from a refreshing sleep, than during or after a day of severe fatigue. Sleep assists much in the cure of diseases, and may be considered, if sound and refreshing, a favorable symptom of recovery in sick- ness. It is a welcome visitor in fevers, because it diminishes the rapid motion of the blood, and conse- quently cools and refreshes the system. It is of infin- ite benefit in dysentery or flux, because it restrains the frequency of the stools; also in female diseases—in »consumptions, rheumatisms, pleurisies, and in flooding; in fact, the cure of almost all diseases requires sound and refreshing sleep, and so well known was this fact to a physician of great eminence, that he seldom or never gave his patients operative medicines, before he had produced sound sleep by the administration of an opiate. The body receives nourishment during sleep; and this is the reason why the growth is greatly promo- ted by sleep: all men who are inclined to obesity or fatness sleep much. All young plants grow in the night time; indeed all young animals grow in the night while sleeping; and this is the reason why children require more sleep than grown persons. I have already told you in my introduction, that man is a creature of habit, and may therefore accustom himself to almost any thing by practice. Napoleon had an alarum watch, for the purpose of awakening him at any hour he chose. During a campaign, one of his field officers entered his tent at two o'clock in the morning, having some important business with him. Contrary to his expectation, he found the emperor up and dressed, and employed in laying off the plan for the battle of the next day, and addressed him thus:— GUNN'S DOMESTIC MEDICINE. 145 "You are up late, emperor." "O no," said Napoleon, "I have just risen; my sleep is over." After calling for his coffee, his usual practice immediately on rising, he communicated to the officer the method he had fol- lowed to ascertain the time of sleep required by his constitution. "I had," said he, "been accustomed to awake every night, after sleeping five or six hours, and to continue awake during the remainder of the night. This led me to believe that I remained longer in bed, than nature and my constitution required; and deter- mined me by this alarum watch, to abridge my hours of sleep ten minutes each night, by rising ten minutes earlier. I soon discovered how much sleep nature required by the length of time I slept soundly, which was only five hours. I have since continued this prac- tice, and find my health good, and nature sufficiently restored and refreshed by it. When in actual service, and my mind much employed, my usual time of sleep is but four hours, from eleven till three inclusive, ces, which means the stool—by suddenly stopping the perspiration, or sweat—or from getting the feet wet—or from exposure—or from worms—and lastly, from the application of poisons to the stomach, of a metallic nature—by which I mean metals under various forms and preparations. GUNN'S DOMESTIC MEDICINE. 201 REMEDIES. If the colic is produced from wind, which you will know from belching, or from a rumbling noise in the bowels, or from the ease you experience by a discharge of wind, a tumbler of warm whiskey toddy, made with warm water, sugar and spirit—to which may be added peppermint, or strong mint tea, or tea made of ginger, calamus, dog-wood blossoms, give relief The appli- cation of warm salt to the belly will give ease immedi- ately, or until more powerful remedies can be given If the stomach is much distressed, an application of garden mint made warm by stewing it, and applying it to the pit of the stomach is excellent. You will then immediately, if necessary to the relief of the person afflicted, give a simple clyster, made after the following directions: a quart of thin gruel, made of corn meal and strained; to this add a table-spoonful of hog's lard, and another of common salt, which must be thrown up about milk-warm into the bowels. For further directions as to clystering, look under that head for instructions, as to the apparatus to be made use of. If the pain still continue, and the person be corpu- lent or fat, bleed and give the warm bath immediately. If you have no bathing vessel, or tub large enough to put the body in, apply cloths dipped in hot water and wrung out, as warm to the belly as they can be borne. If the above remedies fail, give a tea-spoonful of castor oil, and in it put fifteen or twenty grains of calomel; and if there is yet no relief, give one grain of opium and ten grains of calomel, and continue the clysters. But, if the pain does not yet abate, laudanum must be given in large doses, both by the mouth and by mixing it in the clyster. The doses of laudanum must be increased gradually until relief is obtained; and 1 have given as 26 8 202 GUNN'S DOMESTIC MEDICINE. much as a table-spoonful before I could effect my purpose. If the misery be excruciating, to a grown person I begin with fifty or sixty drops in mint tea— and when relief is obtained, I give a good dose of castor oil, and clyster to open the bowels: this prac- tice has been generally successful. The practice of the Baltimore Institution, as directed by Doctor Pater- son when professor there, was in desperate cases to give a simple clyster as before mentioned, omitting the salt and lard—reducing the quantity to half a pint of gruel, and putting into it fifteen or twenty grains of emetic tartar and injecting it into the bowels. This remedy I tried in Virginia, in two or three desperate cases of colic, with perfect success; but it should never be used, unless the situation and violence of the case demand its administration: it is an aetive and power- ful remedy, and may be relied on in urgent cases. Persons who are subject to this dangerous complaint, should be very cautious as to their diet or food, abstain- ing from every thing that disagrees with them; and above all, they ought to avoid costiveness, or in other words they ought to go to stool every day at a certain time, and solicit nature to perform her duty—for by so doing, a habit of evacution will be at length produced, which will overcome the most obstinate costiveness: and to produce a stool, a piece of hard soap about half the length of the finger, may be introduced up the passage. In all obstinate cases, which seem not to yield to common remedies, examine the passage of the fundament with the finger, so that if there be any hard lumps of excrement they may be removed—for while they remain, all your purges and clysters will be useless. A spirituous infusion of the berries or of the bark of GUNN'S DOMESTIC MEDICINE. 203 the prickly ash, is made use of in Virginia in violent colic, and is a good remedy. This tree is a native of Jamaica and other tropical countries, as well as of the United States, and grows to the height of sixteen feet, and is about twelve inches in diameter. It somewhat resembles the common ash, and the bark is covered with sharp prickles. The fresh juice expressed from the root, affords certain relief in colic, and what is called dry belly-ache. The important fact was dis- covered in the West Indies, by watching a female slave who collected the root in the woods, and gave two spoonsful of the juice to a negro suffering under that colic called the dry belly-ache, 4 at intervals of two hours. It occasioned profound and composed sleep for twelve hours, when all sense of pain and suffering had vanished; and the cure was completed by giving an infusion of the expressed root in water by way of diet drink. CHOLERA MORBUS, OR PUKING AND PURGING. This disease is generally produced by the food becoming rancid or acid on the stomach; and if from an over quantity of bile, the purging and puking will show it, by the discharges being intermixed with a dark bilious matter. This disease is also produ- ced from breathing damp air; or from being expos- ed to inclement weather; or from getting the feet wet: —but mostly from eating such food as disagrees with the stomach and bowels. The mind has a powerful influence in this complaint; and I have frequently observed in my practice, that the disease was produced 204 GUNN'S DOMESTIC MEDICINE. in many cases of females in delicate health, by the passions of the mind, as well as by sudden stoppages of the menstrual discharge. The disease generally commences with sickness of the stomach—painful griping, succeded by heat and thirst, quickness and shortness of breathing, with a quick and fluttering pulse. When the case is dangerous the extremities become cojd—the perspiration or sweat is clammy and cold—there is also cramp, and great changes and irregularities of the pulse, which, when accompanied with hiccupping, are strong evidences of the approach of death. REMEDIES. Apply to the stomach and belly cloths steeped in warm water, or in spirits in which camphor has been dissolved; or you may apply a warm poultice, made of garden mint stewed; or a poultice made of mustard and strong vinegar, will be found of great service applied to the stomach; or a blister of cantharides or Spanish flies: and in extremely dangerous cases, where it is not practicable to draw a blister in the usual way, do not hesitate to scald the part with boiling water, at the same time applying hot rocks or bricks to the feet. Give hot whiskey toddy, or that made of any other kind of spirit; let it be strongly mixed with peppermint, or ginger, or calamus; and let chicken water or thin gruel be freely taken by the patient. Give clysters made by pouring boiling water on the inner bark of slippery elm, or those made of flax-seed tea, either of which must be thrown up into the bowels milk-warm. See under the head of clystering, for the manner of administering this operation.—The first object in this dangerous complaint is, to cleanse the stomach and bowels of any offensive matter—after which the giving GUNN'S DOMESTIC MEDICINE. 205 of thirty-five or fifty drops of laudanum in mint tea will be proper; and if these should not arrest the pro- gress of the disease, make a clyster of a table-spoonful of starch and a half a pint of warm water, in which put a tea-spoonful of laudanum, and throw it up the bowels as directed under the head "clyster." If this does not give relief in fifteen or twenty minutes, repeat it again—and again. If the person who is attacked is of a full habit, that is, fat, stout and vigorous, the loss of some blood by the arm, and the warm bath will be necessary. If the attack be moderate, a good dose of calomel will gener- ally put a stop to it—for this will evacuate the bowels, operate as a stimulus, and remove the diseased action. Very frequently this disease appears as a symptom of fever; and then of course you are to treat it as you would any other kind of fever. In all cases, after using laudanum to relieve your patient, particularly when you have used it to an extent, it is proper and necessa- ry to give, after relief, a good dose of castor oil. Per- sons who are subject to this sudden and dangerous disease, should be cautious as to what kind of food they indulge in; and should be very particular in avoid- ing the causes which produce it; because by impru- dence, the disease may return with double violence and danger. The rapidity with which cholera morbus proceeds, requires the remedies to be promptly applied; for the disease is, generally speaking, highly dangerous, and soon terminates the life of the sufferer, unless relief is speedily obtained. A few hours' suffering, in severe cases, weakens the patient surprisingly; and, therefore, you will easily see the great importance of nourish- ment of a light, stimulating, and strengthening kind, 206 GUNN'S DOMESTIC MEDICINE. being given. Besides attention to nourishing diet, wine with any kind of bitter ought to be given, or cold cam- omile tea three or four times a day, the dose a wine or stem glass full, or elixir vitriol, ten drops three times a day, in the tea made of black snake-root, or Virginia snake-root: besides all which, flannel ought to be put on next the skin of the patient. But, in concluding my remarks on the treatment of this complaint, I must urge the particular necessity of the warm bath and clysters, as almost certain means of relief, if properly and timely administered. RHEUMATISM. This painful and excruciating disease, in which the poor sufferer drags out a miserable and wretched exist- ence, is quite frequent throughout the western country —and particularly in East Tennessee. I shall commu- nicate respecting this disease, in which I have had much experience, such remedies as will, if properly managed, succeed in entirely removing it from the system, unless anchylosis of the joint has been formed; for in such a case nothing can possibly be done with it. Anchylo- sis means a stiff joint: this state of the system is exhibited generally under the form of Chronic Rheumatism, of ten or fifteen years standing. In every case where the patient can, in the slightest manner, move the joint, \ have no hesitation in saying the cure can be made, if attentively and properly managed, according to the various methods of treatment laid down, which are as follows. Embracing the general mode of treatment as used by physicians, and the method I have invariably followed with unbounded success in Virginia and Ten- j GUNN'S DOMESTIC MEDICINE. 207 nessee, hundreds are now living in both states who can attest or prove, that they have been entirely cured of this disease by me, of many years standing, after they had become entirely helpless, and unable to walk or move without assistance. There are two diseases, or rather two different stages of this disease: one of which is called inflammatory, and the other chronic—the first is accompanied with fever, and the other, the last, is nearly or quite without fever, and of long standing. Rheumatism is brought on by exposure to the cold and wet; by sleeping in damp places; by remaining too long on the damp ground; by sleeping in a current of air at night, immediately under an open window; by exposure to the night dews; by taking off a warm dress and putting on a thin one; by being greatly heated, and becoming suddenly cool, thereby checking the perspira- tion or sweat. There is a disease called by physicians, Rheumatic mercurialis, which means Rheumatism produced by the improper use of Mercury; that is, by permitting the Mercury to remain in the system, without giving the proper remedy to carry it off, which is flour of sulphur. This flour of sulphur is nothing more than Brimstone purified, and pounded or ground very fine like flour; it is the true and certain antidote against mercury; as you will find explained under the head of Sulphureous Fu- migation—or a sweat produced by the use of sulphur. First.—Inflammatory Rheumatism is to be relieved in the first stage by bleeding; as you will perceive by the fulness of the pulse, and by the person afflicted being of a robust and full habit of body; here it will be neces- sary to bleed freely from a large orifice. If the heat is great, you must proportion the loss of blood according to the violence of the symptoms; and you must repeat 208 GUNN'S DOMESTIC MEDICINE. the bleeding on the second day, if you find it necessary from the violence or continuation of the inflammatory symptoms, which can easily be distinguished by the pulse, the feelings of the sufferer, and lastly by suffering the blood to cool. If the blood, when cool, has on its surface a huffy coat of a yellowish hue, it denotes a highly inflammatory state of the system; but, in bleed- ing, you must take care not to go so far as to produce debility: and, therefore, after the first bleeding, which must be regulated entirely by the violence of the attack, it will be proper to give an active purge of calomel and jalap, twenty grains of each, mixed well together, and afterwards with any kind of syrup. This should be carried off by gruel, or warm balm, sage, or dittany tea, if possible, to produce gentle sweat or moisture on the skin. If then the disease does not begin to yield, give another purge of ten grains of calomel and ten of jalap, mixed well, and given as before directed. This will procure purging, and a copious perspiration or sweat. You will find now, that by moderate purging, so as not to debilitate or weaken the patient, the complaint will begin to subside, or perhaps entirely. These mild purges must be of epsom salts, glauber salts, senna and manna, or castor oil. If your patient at any time gets weak from purging, give warm toddy made of any kind of spirits; or if you wish effectually to check the purging, give twenty or thirty drops of laudanum or a pill of opium : see table for dose. This will arrest or put a stop to the purging; and if there is any griping, put the laudanum when you give it in some strong mint tea. When the joints are very painful, and the skin red, swelled and inflamed, cup over the parts: see under the head of cupping for the operation—which is very simple and easily performed. Cupping freely will be a GUNN'S DOMESTIC MEDICINE 209 useful remedy. The inflamed or swollen parts, should be kept wet with cloths dipped in vinegar made milk- warm : and at night a poultice made of rye flour, mixed with vinegar and warm water, will give much relief. If the inflammatory symptoms are considerably removed, a pill of opium or a dose of laudanum, (see table for dose,) will procure the rest or sleep so much desired in this afflicting complaint. The parts which are painful should be well rubbed with a liniment, made of two table-spoonsful of laudanum—two of spirits of harts- horn—mixed over a slow fire in four table-spoonsful of butter without any salt in it: this being put into a bottle and corked tight, must be used three times a day, at the rate of a tea-spoonful each time, and the parts kept well covered with flannel. These remedies should be used separately or together, as they may afford the afflicted person relief The diet should be very light and cool- ing; this being a matter of great importance. By strict attention to this, you wiH be enabled to get quickly reliev- ed, and save the taking a vast deal of medicine. In fact, while inflammation prevails, the less the patient takes of nourishment the better; and solid and animal food are both to be avoided: No spirits, wines, or stimulating drinks whatever are permitted in this state of the sys- tem : and even when the afflicted person is getting better he must take only such nourishments as are necessary to support the system and recruit its powers—for by imprudence in diet a relapse may take place of a dan- gerous and languishing nature. Second.—Chronic Rheumatism, as distinguished from that called inflammatory rheumatism, has little or no fever. Chronic means, when the fever or inflamma- tory action, has nearly, or, indeed, entirely subsided. It is sometimes brought on as a mere consequence of 27 210 GUNN'S DOMESTIC MEDICINE. inflammatory rheumatism—and sometimes it proceeds from cold and exposure, or from the system being pre- disposed to it by some old disease; for it frequently steals on so gradually, that the patient bears with it until the pain seats itself in some particular joint, or part, giving the most excruciating pain. When fairly seated by length of time, it usually prevents the sufferer from using his limbs, and from the misery attending it through- out, large lumps or swellings are produced by it: these are the symptoms by which you will know chronic rheu- matism. This slow, obstinate, and painful disease, must be treated as follows: First—the bowels are to be kept open by the simple laxative of sulphur. A tea-spoonful must be given of a morning, mixed with honey, on an empty stomach—and one at night, if necessary to keep the bowels open. One or two purges a day will be suffi- cient: avoid the damp ground, and also getting wet while taking sulphur; because it opens all the pores of the system, and under these circumstances becomes dangerous. This medicine is truly valuable in this dis- ease, and too much can hardly be said in its favor; nor is there any danger in it, if you will but keep from the wet and damp. You may occasionally vary the treat- ment, by giving epsom salts in the room of sulphur, but it must be in moderate doses. The next object in curing this complaint is, to keep up a gentle moisture on the skin, in other words a gentle sweating; and for this pur- pose I shall give you a remedy which is very simple; and which in itself has cured hundreds, both of rheu- matism and pains generally. Take one ounce of gum guiacinn and two drachms of saltpetre, put these two articles, after pounding them together, into a quart of old whiskey, and give a table-spoonful in a little cold GUNN'S DOMESTIC MEDICINE. 211 water, three times during the day. This dose is for a grown person. If the stomach be weak, lessen the dose in proportion—and so on for a delicate or weakly per- son. It acts as a powerful stimulant—produces gentle sweatings, &,c. By continuing in the use of this simple remedy, in which there is no danger, I have effected cures in cases of long standing, several of which were considered hopeless. The principle to be pursued in removing this com- plaint is very simple: it is either by moderate or by profuse, which means large sweats. Take a blanket, or any thing which will prevent the steam from passing off, and put hoops into it, in the same manner that you would into a partridge net, so as to keep the blanket, or whatever else you use, on the stretch. Let the bottom hoop be large enough to cover the tub, or whatever other vessel you use: let the next hoop be something smaller, the next one smaller still, and so on up to the top one, which must be large enough to admit the head to be put through. This machine, or whatever else you may please to call it, must be long enough to cover the body without touching it, except at the neck, where it must fit so close as to prevent any steam from escaping, which migiit affect the nose, face, or any portion of the head. In this situation, the patient being enclosed in the case- naked : let him sit or stand, with hot rocks placed under him; on which so as to confine the steam to the body, let the following extract be gradually and very slowly poured. Four or five days before you wish to give this bath, take a quart of whiskey, and put into it half an ounce of saltpetre, one ounce of seneca snake-root, well bruised, and half an ounce of sulphur in a quart bottle. This liquor must be poured very slowly, or rather drop- ped through an aperture in the blanket on the rpcko; by 212 GUNN'S DOMESTIC MEDICINE. which a powerful sweat will be produced, which must be continued for a quarter of an hour, if the patient be not too weak to bear it so long. When the patient is in this bath, if any faintness or sickness takes place, the bath is to be stopped, the patient wiped dry, and imme- diately put to bed: and if much debility or weakness seems to exist, you must stimulate with warm toddy, made of any kind of spirits, with warm water and sugar. In my practice in Virginia, for five years I used this steam bath with unbounded success; and in some cases which I considered absolutely hopeless, cures were produced. By the effects of the vapor or steam bath, as just describ- ed, I was induced to try its effects in two cases of inflammatory rheumatism, in which one of the patients was unable to move without assistance for six months previous; all the usual remedies in that stage of the disease having been tried without any benefit. John Sypold, a man of about thirty-five years of age, of a full habit, a resident of Montgomery county, Virginia, was hauled to me in a wagon nine miles, laboring under inflammatory rheumatism. His situation was truly mis- erable, from the most severe and excruciating pains. I determined, with his consent, and after explaining to him my doubts as to the final issue of his case, to try the following experiment. I bled him freely from both arms; and his situation was such as to require five per- sons to assist me in getting him into a wooden case I had constructed for the purpose. His pain was so severe as scarcely to admit of his being turned over; but as soon as the steam was put in operation on him, he became tranquil—and in ten minutes a profuse sweat broke out on him, which produced great relief. He had continued in the bath fifteen minutes, when I pro- posed to have him removed: but the pleasantness of GUNN'S DOMESTIC MEDICINE. 213 his sensations induced him to desire me to let him remain: he said that those were the only moments in which he had experienced a relief from pain in six months. After continuing in the bath half an hour, he descended without assistance covered with sweat: his body was then rubbed well with coarse towels, and his joints also, with the liniment I have before described, made of hartshorn, laudanum, and butter without salt. I gave Mr. Sypold the bath three times, making each time shorter; in two weeks he was entirely relieved from pain, and in three months he walked to Lynch- burgh with his wagon, a distance of sixty miles, and returned, without experiencing the least return of his disease. Hundreds have since been relieved by me in Tennessee, of this disease, by this remedy of the bath, as just described—and in chronic cases, by the simple use of gum guaiacum as already mentioned. I shall now proceed to give the common remedies, as used by physicians in this complaint, many of which are valua- ble, and afford speedy and salutary relief In all local affections, distinguished by stiffness, and want of power to move the joints without considerable pain, rub the part well with the liniment before men- tioned—or with opodeldoc—or whiskey, in which red pepper or mustard has been infused or soaked—and with these or either of them, rub the joints or places affected with a brush, continuing the rubbing for some time, the longer the better; and use inwardly the gum guaiacum as before directed. The poke berry bounce, made by putting the ripe berries into whiskey, and using a wine glass full of it every day is of service. The seneca snake-root is also valuable in this disease, by boiling an ounce of it in a quart of water, over a slow (ire or on coals; stewing it down to a pint or less, 214 GUNN'S DOMESTIC MEDICINE. and taking a table-spoonful of it occasionally through the day: you may increase the dose as the stomach will bear it. Fat light-wood, steeped in spirits, and taken in small quantities, is also serviceable. Tea made of sarsaparilla, and drank freely, is a good reme- dy; or take a large handful of rattle-snake root and bruise it well—put it into a quart of spirit and let it steep by the fire for several days; and of this take a wine glass full every morning. In the stage which I have lately described, which is chronic rheumatism, the patient is frequently, by hav- ing had the disease a long time, reduced to great weakness: if so, he should use some bitters to strength- en the system; such as dog-wood bark, wild-cherry tree bark, and poplar bark, in equal quantities in whis- key, or spirit of any kind—old if possible; or if spirit disagrees, make a tea, and use it three times a day—a wine glass full; or cold camomile tea same quantity; or take eight or ten drops of elixir vitriol, in a wine or stem glass of cold water, three times a day. In this state of the system, horse-radish and mustard will be proper to use with your food. Your diet should be as usual—no change is necessary in chronic rheumatism. Exercise is important, if the patient can possibly have it —and flannel should be worn next to the skin. The warm salt bath, as described under sea or salt bath, will be of great utility in this state of the disease; or you may use it by pouring over the body three times a day, strong salt and water, made milk-warm. If the above remedies should not relieve, after a proper and patient trial of them, recourse must be had to the French Remedy, called Sulphureous Fumigation. For instructions look under that head. GUNN'S DOMESTIC MEDICINE. 215 INDIGESTION, OR DYSPEPSIA. This common and most afflicting disease, so much disturbs and deranges our moral and physical nature, that it is difficult to determine which suffers most from its attacks, the mind or the body. From the variety of shapes which this complaint assumes, it is very difficult to describe it in a plain and comprehensive manner; in fact, it is so frequently associated in close connexion with other diseases to which it bears a strong resem- blance, particularly those of the liver and bowels, that in many cases it deceives the most experienced and intelligent physicians. This complaint, like the gout, may be said to be no respecter of persons: from the prince to the beggar, you can see misery inflicted, with- out discrimination of persons or ranks, by this demon of human suffering, indigestion—under whose influ- ence the body is tortured for years, and the mind con- tinually wrecked in a troubled sea of the most unhappy and melancholy feelings. This disease originates in a great variety of causes; among which it is often found associated with a dis- eased state of the liver. Persons who have used spirits of any kind to excess* or stimulants of any description, such as spices or highly seasoned food, and those also who have used tobacco to great excess, by which the coats and functions of the stomach have been impaired and debilitated, are liable to indigestion. A costive habit, acquired by permitting the bowels to remain 4oo long without evacuation, will bring on this formidable malady; and persons who are long confined to any stationary or sedentary business, without taking the necessary exercise, are generally submitted to this disease called Indigestion. When the complaint is firmly seated in the stomach, it is marked by eructa- 216 GUNN'S DOMESTIC MEDICINE. tions or belchings of wind; gnawing and disagreeable sensations at the pit of the stomach; risings of sour and bitter acid into the throat, occasioned by the food not being properly digested; great irregularity of appe- tite, which is sometimes voracious and at other times greatly deficient; and a sinking and oppressive debility or weakness of the stomach. In addition to these symptoms of indigestion, on gratifying the appetite at any time, the stomach in a short time afterwards be- comes oppressed with sensations of weight and full- ness ; the head becomes confused; the sleep very much disturbed; the bowels very irregular and costive; the urine high colored; and the poor victim commences taking medicines for relief, and brooding in dejected silence over thousands of unhappy retrospections of past life, and countless melancholy anticipations of the future, in which death in all its attendant and imagina- ry horrors, stands conspicuous and appalling. Nor are these the only miserable indications of indigestion; I have known many persons whose tempers and dis- positions have been materially affected by indigestion; so much so, indeed, that they were incapable of describ- ing their own sensations; and who, when ridiculed by their friends, in merely pleasant raillery, as hypochon- driacs, have wished their sufferings were ended by a close of their existence! If the liver is connected with this disease called indigestion, a dead and heavy pain will be felt in the right side: the water deposited in the urinal or pot, will have, on cooling and settling, a brick-dust colored sediment, which, if permitted to remain any length of time, will adhere in rings of a reddish hue to the inner sides of the urinal; a pain will be felt in the top of the shoulder and back of the neck; the feet and hands will GUNN'S DOMESTIC MEDICINE. 217 frequently get asleep, from want of regular and ener- getic circulation; the complexion will become of a yellowish hue or tinge; great and general uneasiness of the whole system will be felt; and sometimes, when the liver is greatly diseased, occasional puking will come on—in which last case, a diseased state of the liver being evident, I must refer the reader to that head. REMEDIES In the removal or cure of this disease, great reliance is always to be placed in the systematic regulation of your diet, as to the times of taking food—the quantity of that food—and the qualities to be taken; and any person laboring under indigestion will soon discover, that regularity and temperance, in fact abstemiousness in eating and drinking, will be productive of as many benefits to the sufferer, as want of system and intem- perance will be of serious injuries, and dangerous consequences. I am decidedly of opinion, with regard to dyspepsia, that by withdrawing the causes of irrita- tion from the stomach, and applying such remedies as will have the effect of lessening irritability of the gen- eral system, unless the patient be entirely too much exhausted, nature would effect a cure without the aid of that farrago of medicines generally swallowed in this complaint: and I wish it here to be distinctly understood, that unless those who are tortured with indigestion absolutely relinquish all excesses of the table and the bottle, no cure can be hoped for or expected. Doct. James Johnson, of the .Royal College of Physicians, has correctly and elegantly described the remedies for indigestion, in nearly the following lan- guage: There is a great error committed almost every 28 218 GUNN'S DOMESTIC MEDICINE. day in this disease, which is, by flying to medicines at once, whenever the functions of the stomach and liver appear to be disordered, and the food imperfectly digested. Instead of taking purgative medicines day after day, we should lessen and simplify the food, in order to prevent the formation of such things in the body, as will assist to produce and increase the disease; but in attempting to induce a patient to adopt this rule, I am aware that great prejudices are to be overcome. The patient feels himself getting weaker and thinner; and he flies immediately to nourishing food, and tonics and strengthening medicines for a cure; but he will generally be disappointed in the end by this plan. From four ounces of gruel every six hours, under any state of indigestion, he will derive more nutri- ment and real strength, than from half a pound of animal food, and a pint of the best wine. Whenever he feels any additional uneasiness or discomfort, in mind or body, after eating, the patient has erred in the quantity or quality of his food, however restricted the one or select the other. If the food and drink irritate the nerves of the stomach, they must be redu- ced and simplified down even to the gruel diet above alluded to. I have known the dyspeptic patients gain flesh and strength, on half a pint of good gruel, taken three times in twenty-four hours, and gradually bring the stomach step by step, up to the point of digesting plain animal food On a biscuit and a glass of water, I have known persons who were afflicted with this disease to dine for months in succession; and on this small portion of food, to obtain a degree of strength, and a serenity of mind, beyond their most sanguine hopes. You will perceive, that in all the different forms of indigestion, diet is the first thing, and the GUNN'S DOMESTIC MEDICINE. 219 principal cure in this disease; and rely upon it, for I assert it from sad experience in my own person, that it is absolutely vain to expect a cure, unless you have courage and perseverance to reap the fruits of such a system as I have laid down to you in diet, and not to change it, however strongly you may be tempted by the luxuries of the table, and the seductions of convi- vial society; and when you have escaped the miseries of this worst of human affliction, you must be extreme- ly careful how you deviate from the right diet which has restored you to health; for no disease is so liable to relapse as indigestion. An unrestrained indulgence in a variety of dishes, or in vegetable and fruit, or a debauch in drinking, will be certain of making the poor dyspeptic patient pay dearly, in suffering and wretchedness of feelings, for his straying from the cor- rect path of temperance and propriety. The least over-exertion of the stomaeh, caused by its being over- loaded or too highly stimulated, will be certain to cause you to be on the stool of repentance for some time afterwards. As soon as you have the least reason for supposing that you are laboring under indigestion, commence first with an active purgative consisting of ten grains of calomel, ten of rhubarb in fine powder, and ten of aloes likewise finely powdered. These three articles are to be mixed well together, and made into pills, with honey or syrup. After this purgative medicine, which is intended to clear the stomach and bowels of all their unhealthy and injurious contents, which always when present keep up a constant irrita- tion in the stomach and intestines, no more very active purges are to be given—because the frequent and almost constant employment of active purges, always do more harm than good, by unnecessarily weakening 220 GUNN'S DOMESTIC MEDICINE. the system: one satisfactory evacuation by stool in the course of the day is quite sufficient; and by more than this the stomach and bowels are teased, thereby produ- cing debility—the real parent of morbid irritation. When this disease of body is avoided, and the stomach and bowels at the same time kept sufficiently easy and clear, and the temperate abstemiousness I have advis- ed strictly followed, the poor sufferer under indigestion may confidently expect an extinguishment of the flames of his torture. A little rhubarb root chewed at night—or the follow- ing simple pill will be of service. Take of rhubarb in powder half a drachm, of Castile soap one drachm, and of ipecacuanha in powder half a drachm—mix them well together in honey or any syrup, to which add a little powdered ginger to make the mixture pleasant to the stomach; make it into thirty pills, one of which you must take every morning, noon, and at night; this will give a tone to the stomach and bowels. but as an alterative; and keep them gently open—this is an innocent and most useful pill, and will afford great relief, with proper exercise and diet. A tea-spoonful or a table-spoonful of common charcoal, pounded very fine, and taken three times a day in a tumbler of cold water, is an excellent remedy in this complaint. This article is made in a proper manner, by taking a lump of common charcoal made of any kind of wood, and burning it over again in an iron ladle or skillet, to a red, heat: then suffering it to cool—and pounding it as before directed. This coal powder ought to be imme- diately put into a bottle and corked tightly, in order to exclude the action of the air on it—and whenever any of it is used as before mentioned, the cork ought im- mediately to be returned to the bottle. The quantity GUNN'S DOMESTIC MEDICINE. 221 of the charcoal used, must be regulated so as to pro- duce moderate operation by stool. I have knownr hundreds relieved by this simple and innocent remedy, when the diet has been properly attended to, after many other remedies had been tried in vain. Physicians call this pounded charcoal, carbo ligni, in their learn- ed prescriptions; which I have often found very pow- erful in relieving diseases of the liver, when other remedies had totally failed. Epsom salts and magne- sia, in equal quantities, ground fine in a mortar, and given in doses of a tea-spoonful in a glass of cold water, every morning on an empty stomach, is also a fine remedy in dyspepsia and indigestion—and if neces- sary at any time to have the bowels gently opened, will always be found beneficial and effective. When the stomach and bowels have been kept free from irritation for any length of time, by the mild treatment I have laid down; when the tongue becomes clean; when the sleep becomes more refreshing; and when the mind becomes tranquil, the spirits something animated, and the head clear, fresh beef made into a weak soup, may be ventured on, with a little well- boiled chicken; by this diet you may gradually try the powers of the stomach, and know by your feelings how much they will bear without injury. If it produce uneasy feelings, such as before described, to either the mind or body—or to both—within the day or night of this trial of animal food, it should be lessened in quantity. If that will not do, you must entirely relin- quish it, and resume the old diet of gruel. When animal food can be taken, without producing any pain and uneasiness, you may gradually increase it according to your feelings. Begin with one ounce of animal food, and gradually increase the quantity, but with 222 GUNN'S DOMESTIC MEDICINE. great caution. After a while you may venture on sim- ple food, so that by degrees your stomach may acquire some strength and firmness, which it will now do be- yond your most sanguine expectations; but you must always remember, to eat just such a quantity as will produce no uneasiness or languor after eating; no unhappy feelings of body or mind during digestion. It is quite unnecessary for me to enumerate all the kinds of food which it will be improper for you to eat; I have already explained to you, that the most simple food is the best. Milk and rye-mush is an excellent dish in this complaint; and I have known many persons, who, by using it six months together, without any ani- mal food, have been entirely and permanently cured. No hot bread is to be used at all; stale bread and biscuit, the older the better, but without any butter, are very good in this complaint. How often have I been asked by my dyspeptic patients this question: Is it impossible to cure indigestion without resorting to low and very abstemious diet? I have always said it is im- possible—and I now repeat it, for the ten thousandth time; and those who think otherwise, will find, if they act up to their opinions, that after spending their money, and making apothecary shops of their bodies, that all the medical remedies in the world, without very tem- perate and abstemious living, are not worth one cent! Always have patience: there must be time for every thing, and particularly for the cure of indigestion— Reflect on the length of time, and the great variety of causes which produce this disease, and you will soon see that it cannot be cured in a few hours, or in a few days. The stomach, like a weary traveller worn down by fatigue, requires rest, tranquility, and cooling diet, to allay the feverish state of the system, produced by GUNN'S DOMESTIC MEDICINE. •223 high and long-continued excitement, and perhaps by terrible excesses! Cold water is the only proper drink; and to persons who have been accustomed to the use of spirituous liquors, some gentle bitter may be taken, but in very small quantities. But in respect to drink, I am perfectly convinced that water alone is the best drink for persons afflicted with this disease of the stomach. After a com- plete change has taken place in the system, by a low, regular, and very abstemious diet for some months— the patient will find, if it will agree with his stomach, which his feelings will soon tell him, immense benefit from taking a mixture compounded of equal quantities of the root of the poplar, the bark of the wild cherry tree, and the bark from the root of the dog-wood, with a small portion of black snake-root, made into bitters with old whiskey or very old rum. This bitters must stand four or five days before being taken; and then given in small doses, diluted with water; three times in each day—but if it occasion any unpleasantness of feeling or sensation in the stomach or head, it must be immediately discontinued. Tonics, or strengthening medicines, are never to be given in the fever stages of indigestion, or while the slightest irritation exists, or the consequence will probably be, an inflammation which will terminate fatally. The warm or tepid bath should be frequently used in this complaint, taking particular care to rub over the stomach well with a brush in the bath, and a coarse towel immediately on leaving it. For bathing, and the manner of preparing the warm or tepid bath, look under the head warm bath. Injections or clysters of simple milk and water, luke-warm, or of warm water with a table spoonful of hog's lard mixed with it, thrown up 224 GUNN'S DOMESTIC MEDICINE. into the bowels, occasionally, will be of much service in this disease: because they will remove any irritable matter which may remain in the lower intestines, thereby lessening one of the greatest enemies you have to con- tend with, which is morbid irritability. For clysters —look under that head. Clysters, constantly used with the warm bath, will obviate or do away the necessity of taking medicines by the stomach, and very much expe- dite the cure of the afflicted sufferer. In this disease, the acid or sour belchings may be corrected or removed, by the simple use of magnesia or chalk: a tea-spoonful of either of which articles, may be taken in a wine or stem-glass of cold water. . he charcoal, prepared as I have before mentioned, is also well adapted to remov- ing this unpleasant and irritable state of the stomach arising from acid. I have now given a faithful, plain, and full description of this tedious and most afflicting malady, called dyspepsia or indigestion—together with an account of the most approved remedies for its re- moval. CONSUMPTION. Consumption spreads its ravishes in the haunts of gaiety, fashion, and folly—but in the more humble walks of life, where the busy hum of laborious industry is heard, it is seldom known. In the last stage of this dismal waste of life, although there are many means of alleviating, in some degree, its miseries, there is neither remedy nor cure for this disease—and yet so flattering is consumption, even when very far advanced, that the unfortunate victim frequently anticipates a speedy recov- ery, and is preparing for some distant journey for the GUNN'S DOMESTIC MEDICINE. 225 renovation of health, when in a few days, perhaps a few hours, his wearied feet must pass the peaceful thresh- hold of the tomb, and his body sink to everlasting rest. Thousands are yearly falling in the spring-time of life by the untimely stroke of this most fatal of diseases, and although medical men have for ages been endeav- oring to put a stop to its ravages, I assert it without fear of contradiction that in the last stage of consump- tion, there is no remedy within the whole circle of medical science, that will cure the disease; but I have no doubt the period will arrive, when this formidable enemy of the human species, will be subdued by some common and simple plant, belonging to the vegetable kingdom, which is at this period totally unknown; for 1 have always been impressed with a decided belief, that our wise and beneficent Creator has placed within the reach of his feeble creature man, herbs and plants for the cure of all diseases but old age, could we but obtain a knowledge of their real uses and intrinsic virtues. I wish it to be distinctly understood, with respect to what I have said of this disease, that I mean Consumption alone, and entirely unconnected with any other complaint. The cure of consumption should always be attempted in its forming state, before it pro- duces active symptoms of cough, or matter from the lungs, or inflammatory or hectic fever. I have often seen this fatal complaint cured by attention to it, in the first symptoms, but how often are they permitted to steal gradually on, creating no alarm or uneasiness, mistaking it for a simple cold, until it makes consider- able progress, and the complaint becomes permanently seated in the system. Consumption can easily be distinguished from any other disease by the following symptoms:—the patient complains of weakness on the 226 GUNN'S DOMESTIC MEDICINE. least bodily exertion, the breathing is hurried, oppressed on ascending any steep place, the pulse small, and quicker than natural, a feeling oj^ightness as if a cord was drawn across the chest; slight, short, dry cough, becoming more troublesome at night; a spitting of white frothy spittle termed by physicians mucus. As this disease advances, the spitting becomes more copi- ous and frequent, and sometimes streaked with blood, of a tough, opaque or dark substance, solid and of a yellow or green color, having an unpleasant or fetid smell when thrown on burning coals, or if this matter is put into pure water it sinks to the bottom of the Vessel; by this simple test, you can easily distinguish it from mucus which has no smell, and separates into small flakes, and floats upon the surface of the water —thereby enabling you to judge as to the progress or formation of this complaint. Consumption is considerably advanced when the following symptoms occur: a pain in the chest, and in the side, which is increased by exerting the voice by long or loud talking; pulse is quick and hard, gener- ally from one hundred to one hundred and fifteen strokes in a minute; the urine or water is highly color- ed, and deposits in the urinal or pot a muddy sediment; the palms of the hands, and the soles of the feet have a dryness and burning sensation; the cheek, and fre- quently both cheeks, have a flush or reddish hue, exhibiting itself about the middle of the day. This flush lasts for one or two hours when a remission takes place until the evening, when the feverish symptoms again return, accompanied frequently by a shivering or cold sensation, continuing until after midnight, then terminating in a profuse perspiration or sweat occasion- ing great prostration or weakness. In the last stage of GUNN'S DOMESTIC MEDICINE. 227 Consumption, the whole countenance assumes a ghast- ly cadaverous look, tjae white part of the eyes have a pearly and unnatural appearance, while the eye itself beams with sparkling animation and lustre; the cheek bones are prominent, the mouth and throat resemble or look like that of a child having the thrush; the legs swell, the nails are of a livid or purple color; frequent purging, ending in profuse sweating, cough hollow, difficulty of respiration or breathing, and the patient has a restless and disturbed slumber; during sleep a curious noise is made from the throat, like suffocation, occasioned by the collection of matter or pus in the throat and mouth; when these last symp- toms make their appearance, the period is fast approaching when the unhappy sufferer will lay his weary and aching head in the calm and peaceful man- sions of the dead. The alarming increase of Con- sumption in the United States, affords an ample field for medical research; the bills of mortality taken in the various cities show the immense number who die in the flower of life, by this merciless disease. In three years the number of deaths in the British me- tropolis, is stated to be fifty-two thousand, two hundred and thirty-seven; and among these, were, under the general head of consumptions, seventeen thousand five hundred and fifty-nine—making the number of deaths annually in London, by Consumption, three thousand. The rapid progress made in our country by this fatal complaint, is sufficient to serve as a warning to every parent, and head of a family, in order to avoid those causes, which, sooner or later, end in this unmanagea- ble disease. The causes which produce Consumption are, exposure to cold and damp air, using tobacco to excess, either by smoking, chewing, or by using it in 228 GUNN'S DOMESTIC MEDICINE. snuff to clean the teeth, acting as a powerful stimulant, thereby producing irritation; the use of spirituous liquors to excess; obstructions and inflammations of the lungs; the suppression of natural discharges, par- ticularly the menstrual discharge or courses; scrofula, diseases of the liver and stomach, and unfortunately, receiving a hereditary disposition or taint to this disease from father or mother. The narrow chest and high shoulders, weakness of the voice, whiteness of the teeth, fairness of complexion, and light hair, have all been observed to accompany a predisposition to con- sumption. Much reliance, however, cannot be placed upon these signs, except where a number of them con- cur in the same person. While the empire of fashion bears so arbitrary a sway, and the followers of pleasure are bound by the fascination of example, and the con- tagious influence of that spirit, which insinuates itself into the bosom of each and every one of its votaries, so long will the sage precepts of wisdom be unheeded till the emaciated form, the glassy eye, and hectic blush, speak in language too strong for utterance, that the disease is established, and the yawning grave stands ready to receive its devoted victim. I hardly know an object of more tender concern to the anxious parent, or the medical adviser, than a young and beautiful female in the pride and spring of youth, and strength of intellect, borne down by the invasion of a malady, which has so often selected for its sacrifices the most amiable and interesting beings of God's creation. And when, moreover, all this can be traced to one single act of imprudence, one offering on the altar of fashion, who can forbear to utter a sigh, when they behold a lovely woman, laced to such a degree as to impede respiration or breathing! As well might the i GUNN'S DOMESTIC MEDICINE. 229 hardy Russian or Laplander, amongst his snows pre- tend to brave the severities of his icy climate in the flowing robes of tropical indolence, as a female to indulge in the Grecian costume or dress, under the influence of such a change as we experience during the winter and "spring months. This predisposing de- bility for Consumption runs in families, and may be traced from generation to generation—moving on the leaden pinions of unshaken time, without a remedy to arrest its course. REMEDIES. The cure for this formidable complaint is to be attempted by a removal to a warm climate at an early stage of the disease, and to attend to the preservation of an equal temperature in the atmosphere which the patient breathes—a sudden or frequent alteration of heat and cold is fatal to an irritable consumptive system. If possible consumptive persons should remove to a warm climate the moment a predisposition is discover- ed; a change to a warm or temperate atmosphere during the winter months, may be the means of re- moving the predisposing cause to this complaint; it is, however, to be regretted, that this change is often de- layed until a late period of the disease, when the strength is so much exhausted that sufferers cannot take suffi- cient exercise to assist the climate in restoring health; it is then too late, and the unfortunate victim of this complaint had better remain at home, for by leaving it, he is deprived of the attention and society of his friends, and exposed to much unnecessary fatigue and anxiety of mind. If the disease is so far advanced as to prevent the patient from going out of doors in the winter months, his chamber or room should be kept warm at an even temperature by a stove; the unpleas- 230 GUNN'S DOMESTIC MEDICINE. ant smell which frequently arises from a stove in a close room may be removed by burning tar upon it; this fumi- gation or vapor, constantly inhaled or breathed, is considered by physicians as a valuable remedy in con- sumption ; the usual method of inhaling the vapor or steam, is by putting a small quantity of tar into a coffee- pot or earthen vessel, which is to be heated, and the fumes inhaled from the stem of the vessel. This sim- ple but valuable remedy, allays the violence of the cough, and produces a free and copious discharge of mucus or matter; inhaling of the vapor arising from warm water with a little vinegar added to it, several times during the course of the day, will assist in promo- ting the discharge and tranquilize the cough. These valuable but simple remedies should not be omitted in this complaint. Bleak winds, night air, and exposure of every kind must be strictly avoided; the body should be well defend- ed by wearing flannel next the skin, also the feet properly secured from the damp; frictions, or in other words, rubbing the whole body with a brush or coarse towel from fifteen to twenty minutes in the morning, and at night, will be of great service in this disease, the friction to be continued twice a day as long as the complaint lasts. As nothing tends more to aggravate the symp- toms of a Consumption, at an early stage of it, than a aesponding mind, brooding over real or imaginary calamities, every thing should be done to cheer the spir- its, such as cheerful society, music, &c. &c. Be careful to regulate the bowels, if possible by diet, and by friction, (as before described,) but if recourse must be had to medicine, let it always be mild, and in no larger doses than are necessary to discharge or move the bowels; for this purpose clysters of simple milk and water thrown GUNN'S DOMESTIC MEDICINE. 231 up the bowels, or warm water, with a tea-spoonful of hog's lard will be proper:—for clystering and the method of administering them look under that head. Rhubarb root chewed in small quantities at night will produce a motion, epsom salts and magnesia mixed and ground fine in a mortar, dose a tea-spoonful in half a pint of cold water—or a table-spoonful of common charcoal pounded very fine in the same quantity of water—for the method of making and preserving this innocent but valuable medicine, read indigestion. The consumptive patient should daily take as much exercise as his strength will admit of, except when the weather is unfa- vorable. The best exercise will be riding on horseback, but if this produce fatigue, substitute the use of some kind of carriage, or a swing, so constructed as to admit a chair in it, for the patient to recline or rest when fati- gued. In my practice I have used a large basket of a sufficient size to admit a small bed to be placed in it; the patient can lay at full length, and receive the advan- tages to be derived from the swing, without experiencing any fatigue. This basket is about six feet in length and two feet in width, having six handles by which it is sus- pended to the ceiling with ropes, or in any convenient place, free from damp or moist atmosphere. In what- ever way exercise is taken, the greatest care must be observed to guard against cold in any manner whatever, for this important reason: tubercles or ulcers of the lungs are formed in winter in cold climates, and their progress to suppuration kept back in the summer, and this is the cause why I urge your removal to a warm climate at an early period of this disease, for when tubercles or ulcers become permanently seated in the lungs, the case may be considered incurable; but palli- ative remedies may be given with proper diet, and 232 GUNN'S DOMESTIC MEDICINE. change of climate, so as to prolong the life of the unfor- tunate victim of the disease. I shall explain for the satisfaction of my reader what is meant by the lungs, and their structure. In anatomy it denotes the viscera or lobes in the cavity of the breast by which we breathe; they are connected with the neck, and situated on the right and left side of the heart; being furnished with innumerable cells which are formed by the descent of the wind-pipe into the lungs, those bronchial tubes com- municate with each other; and the whole appears not unlike a honey-comb. The most important use of the lungs is that of respiration or breathing, by which the circulation of the blood is supposed to be effected; the evacuation of the faeces or excrement, and urine, greatly depends on the constant action of the lungs, but like- wise the sense of smelling is enjoyed by inhaling the air; and it is chiefly by the organic structure of these vessels, that mankind are enabled to speak;—lastly, they perform the office of excretion, and expel those useless matters, which, if retained in the system, would be productive of fatal consequences. The treatment of consumptive persons must be regulated according to the manner in which the disease shows itself; an energetic course of practice by the physician in the first stage or symptoms of this disease, may be the means of saving the life of his patient, or in other words preventing con- firmed consumption. If there is a pain in the side, or breast, accompanied by cough with fever, the patient should be bled immediately; the quantity of blood taken must be regulated by the constitution, strength and hab- its of the person. Bleeding should be continued every third day, if the inflammatory symptoms continue to exist, regulating the quantity of blood by the strength and feverish state of the patient. I have generally GUNN'S DOMESTIC MEDICINE. 233 found in my practice, that after bleeding moderately the symptoms considerably abated, the fever diminished, less pain in the breast or side, cough relieved, and the respi- ration or breathing much improved; after the inflamma- tory action is subdued, apply a blister over the breast and side, if necessary from pain; this blister is to be kept discharging or running, and should it heal, put on another; the object being to continue a drain or run- ning as much as possible—similar to a seton or rowel— as you value the life of your patient, enforce a rigid and low diet, of the most simple nature, for hundreds die from imprudence in this respect, who might be relieved if they could but have courage and firmness to live on gruel and milk and avoid altogether animal or stimula- ting food. I have had an opportunity of testing the effects of low diet in Consumption, and I feel fully satis- fied that it is highly essential in the cure of this disease. In the early stage of this alarming complaint give an emetic or puke, of ipecacuanha—see table for dose; and repeat this emetic once or twice a week as the obstruction or case may require; this is to be continued through the disease and much benefit will result from it, for I rely very much on emetics in my practice in Consumption; for the purpose of moderating the irrita- tion of the system and allaying cough and fever, give small doses of tartar emetic of half a grain dissolved in a small quantity of flaxseed tea, balm or sage tea, slippery elm tea, marsh mallow tea, any of which may be used; the tartar emetic must be gradually increased, and given at intervals until the irritation subsides; if the tartar emetic affects the stomach or bowels, add a few drops of laudanum to each dose. By a little caution ■he emetic tartar may be gradually increased with much 30 234 GUNN'S DOMESTIC MEDICINE. benefit to the patient by lessening the fever, allaying the cough, and producing expectoration, or in other words, a free discharge from the breast; as an active and valu- able expectorant, much benefit will be derived from the Indian turnip. This valuable plant is very common in the Western States, grows in meadows and swamps, six or eight inches high, purple leaves three in number, roundish berries, of a light scarlet color; the root of this plant boiled in milk is a valuable remedy; or take of the peeled root one pound, and three pounds of loaf sugar, pound them well together in a mortar so as to make a fine powder, and take a tea-spoonful twice or thrice a day as the case may require; Gum Arabic, or peach tree gum, will answer, held in the mouth to allay the cough. Cooling medicines through the whole course of the complaint will be proper, particularly nitre, equal quantities of epsom salts and magnesia mixed, pounded fine in a mortar, doses of a tea-spoonful to be given in half a pint of cold water will cool the system and keep the bowels in a laxative state; the dose to be increased if necessary to act on the bowels. In the advanced stage of this disease the patient is usually much weak- ened by night sweats; this should be checked by administering the following pills: copperas—called by physicians, sulphate of iron—one grain, rhubarb one grain, gum myrrh two grains, oil of cloves one drop; these pills should be repeated three or four times a day; and ten or fifteen drops of sulphuric acid, or the same quantity of elixir vitriol, taken every two or three hours in a cup of flaxseed tea, when the febrile symptoms are severe. Pills composed of sulphate of copper, one grain, ipecacuanha one grain, made into a pill, and repeated every three hours, is a valuable remedy; infu- GUNN'S DOMESTIC MEDICINE. 235 sion of wild cherry-tree bark, made with cold water, tar water, and cold camomile tea, are all good strength- ening remedies in this stage of the complaint. A purging attends this disease which is very exhaust- ing, ending in profuse sweating, as before mentioned, for as soon as the one is stopped the other too frequently comes on, producing thereby an extreme degree of weakness. When this takes place, use opium united with a small quantity of ipecacuanha or sugar of lead, if the disease is severe:—see table for dose. An infu- sion of galls, or tormentil root, with cinnamon and gum Arabic, will check the purging. About this stage of the disease the mouth and throat are filled with sores, similar to the thrush; here astringent gargles 01 sage tea, a little borax and honey, to wash the mouth and throat, will be proper, aided by tonic and astrin- gent medicines, are the only hope of giving relief in this last stage of Consumption. My practice is, to give opium to a considerable extent; increasing or decreas- ing it, as the situation of the case may require. By this valuable medicine, we have it in our power to protract the period of life, and to lessen the distress of the patient. The inexpressible delight produced by opium, when the poor sufferer is prostrated, can scarce- ly be described. It always soothes the irritations of the cough, and mitigates all those symptoms which cannot be removed. The influence it exercises over the mind and imagination of the patient no human language can describe. In some constitutions, opium disagrees with the patient, and produces restless and irritable feelings. When this is the case, recourse must be had to other sedatives or soothing remedies; for instance, to garden lettuce; which is fully equal to opium in producing a mitigation of pain, and in allay- 236 GUNN'S DOMESTIC MEDICINE. ing inordinate action. For the manner of preparing this valuable remedy, which every one is in possession of, see the head Garden Lettuce. Iceland moss has, also, for some time past in Europe, been resorted to as a valuable palliative in Consump- tion; and more recently in the United States, it has acquired considerable reputation in this disease. But like all other boasted remedies, the powers of this herb have been most probably overrated. It, how- ever, not unfrequently proves highly beneficial, by strengthening the patient, diminishing the hectic symp- toms, and allaying the cough. It has another impor- tant advantage. It strengthens the digestive powers, without producing a constipation or costiveness of the bowels. This medicine is quite innocent: the Laplan- ders use it in various ways, and among others as food. When employed as an article of diet, they bruise this moss, and steep it in several successive waters: by which means they extract its bitter qualities, and it then affords them a highly grateful food, of a soft and glutinous consistency, similar to jelly; but the method of preparing it for consumptive persons is as follows. First wash it well in clean cold water; then boil one ounce of the moss, with a quart of water, over a slow fire—and while stewing, add of liquorice root, cut up very fine, two drachms, or about as much as the size of the middle finger. A tea cup full of this medicine must be drank four times a day. Or—if the taste of this preparation is too disagreeable, you may boil a quarter of an ounce of the moss in a pint of milk for ten* min- utes, and take the milk for breakfast and supper— always taking care, that the quantity be not disagreea- ble to the patient's stomach. For a description of this moss, and where it may be had, see Iceland Moss. GUNN'S DOMESTIC MEDICINE. 237 Lichen or lungwort, which grows on the bark of the white oak tree, and which looks like a shell or skin, is said to possess the same medical qualities as the Iceland moss. It is called lungwort, (I had almost forgotten to remark,) because of its strong resemblance in shape to the human lung. A tea made of a handful of the lungwort to a quart of boiling water, and used as a common drink, is not only a good palliative in Consumption, but when made into a syrup with honey, is very beneficial in hooping cough. Doctor Hereford of Virginia, a gentleman of distin- guished reputation as a physician, has made some interesting communications in the newspapers, relative to a plant called liverwort, which he presumed to be effectual in the cure of Consumption. For a descrip- tion of this plant, and the method of preparing it, look under the head Liverwort. The Doctor is certainly entitled to be considered the first who made use of it in the cure of Consumption; and his communications on the subject will entitle him to the thanks of posterity—if for no other reason, than that it has been found an excellent palliative remedy in this dreadful disease. So high at one period was the excitement of the public feeling, respecting the virtues of this little plant as a certain cure for Consumption, and so great was the demand for it, that it was frequently sold at Nashville for the enormous price of five dollars an ounce. After some time, it sunk greatly in price in this country, being discovered to be very plentiful in the mountains of Tennessee. Like all other boasted reme- dies, which have been called specific cures in Con- sumption, the liverwort is only considered a good palliative—a mere alleviator of the miseries of the disease. 238 GUNN'S DOMESTIC MEDICINE. DISEASES OF THE LIVER, The liver is much more frequently the seat of dis- ease, than is generally supposed, even by many physi- cians of reputation and experience. The functions it is designed to perform, and on the regular exeadion of which depends not only the general health of the body, but the powers of the stomach, bowels, brain, and whole nervous system, show its vast and vital im- portance to human health. When the liver is seriously diseased, it in fact not only deranges the vital functions of the body, but exercises a powerful influence over the mind and its operations, which cannot easily be described. It has so close a connection with other diseases; and manifests itself by so great a variety of symptoms of a most doubtful character—that it mis- leads, I am well persuaded, more physicians even of great eminence, than any other vital organ. The inti- mate connexion which exists between the liver and the brain; and the great dominion which I am persuaded it exercises over the passions of mankind, convince me, and has long since done so, that many unfortunate beings have committed acts of deep and criminal atro- city, or become what fools term hypochondriacs, from the simple fact of a diseased state of the liver. I am well aware, that the remark just made in allusion to the crimes of mankind, will by many be considered new and daring: to these men I answer, that my busi- ness is with truth, regardless of consequences. But to proceed with my subject:—I have long been convinced, and it may be added from experience, that more than one half of the complaints which occur in this country, are to be considered as having their seat in a diseased state of the liver. I will enumerate some of them. Indigestion—stoppage of the menses—disordered state GUNN'S DOMESTIC MEDICINE. 239 of the bowels—affections of the head—lownesss of spirits—irritable and vindictive feelings and passions, from trifling and inadequate causes, of which we afterwards feel ashamed—and last, though not least, more than three-fourths of the diseases enumerated under the head consumption have their seat in a dis- eased liver. I will ask you, reader of the particular description for whom I write,, is not this a most fright- ful catalogue? But I will add one more of these general indications of a diseased liver, before I speak of the symptoms of those particular diseases to which I at first intended to direct my attention. Under the head "Intemperance,"—page 55—I have spoken on that subject, in general and philosophic terms; but I neg- lected to mention under that particular head, that a diseased liver is frequently the cause of intemperance, and sometimes the effect of it; and I will now remark, that in either case, when the disease has arrived at a great height and strength, it is next to impossible to reform the drunkard, without absolutely operating on him for a disease of the liver, by medical remedies which will actually affect his physical system. I will also remark here, that many of those men who are called confirmed drunkards, are only men laboring under a disease of the liver, whose influence they can- not possibly resist by any moral power they possess, without the means 1 have just mentioned, or medical aid—and this may be the reason why Doctor Rush once alleged, that drunkenness was a disease. How often do we see men, who in their moments of sobriety, confess to their friends and families their im- proper courses, with a full determination to refrain, and no doubt with every sincerity of heart, who, after refraining from liquor a certain time, become restless, 240 GUNN'S DOMESTIC MEDICINE. fretful or irritable, and depressed in spirits; now, I do know, that in hundreds of instances, the love of liquor is not the cause of their becoming again intemperate. You will hear those men attempt to describe the wretchedness of their feelings when they abstain from liquor; they cannot do it: Now, reader, must not this be a disease, with which the mere love of liquor has nothing to do? There are two strongly marked forms of diseased liver, requiring entirely different courses of treatment to effect a cure: one is called acute and the other chronic. The first is known by inflammatory symp- toms or fever, accompanied with slight chill, and very much resembles an attack of pleurisy, being character- ised by pain in the right side, which rises to the point of the shoulder. On pressing below the ribs on the right side, you will feel the pain more severe. There is sometimes a sharp, and sometimes a dull heavy pain about the collar-bone; you have painful and uneasy sensations on lying on the left side, difficult respiration or breathing, dry and hacking cough, sometimes a vomiting or puking of bilious matter, your bowels are costive, your urine or water of a deep saffron color, and the quantity made quite small, great thirst, tongue dry and covered with a white fur, hard and frequent pulse, from ninety to one hundred in a minute, and sometimes intermitting, skin hot and dry; and after several days' continuance of the disease, the skin and whites of the eyes put on a yellow color. On a close examination of the blood drawn from the arm, you will find its appearance somewhat singular. Be- fore it begins to coagulate or congeal, and while the red part is settling to the bottom—and before the buffy or yellow coat is fully formed, it looks of a dull green GUNN'S DOMESTIC MEDICINE. 241 color; but, immediately after the full formation of the upper coat, it changes from a dull greenish hue to a yellow. In warm climates, the liver is more apt to be affected with inflammation, than any other part of the body; this is owing to an increased secretion of bile, from the stimulus of heat, and several other causes. The liver is the largest, and most ponderous or heavy of the abdominal viscera or entrails. In adults, by which I mean grown persons, it weighs about three pounds— and serves to purify the blood, by secreting or taking from it the bile. Its situation is immediately under, and connected with the diaphragm, generally called the midriff; this is a muscle which divides the thorax or chest, from the abdomen or belly. When inflamma- tion of this organ takes place in hot climates, it is a highly dangerous disease; which, when spoken of by physicians, is called hepatitis. When physicians only mean general disease of the liver, they call it, in equal- ly general terms, hepatic derangement. The disease of the liver sometimes terminates in the formation of matter in an abscess, which has to be discharged, of which more notice will be taken in the proper place. Chronic:—a term applied to diseases which are of long continuance, and most generally without fever. It is the opposite disease to the acute. When this stage exists, the complexion and countenance put on, or rather assume, a morbid or diseased appearance. You will experience, frequently, a giddiness or swimming of the head; a general weakness, and dislike to motion or exercise; frequent headache; indigestion; flatulency, or belching of wind from the stomach, with acid taste in the throat and mouth; pains in the stomach; your skin and eyes will be of a yellow color, similar to jaun- 31 212 GUNN'S DOMESTIC MEDICINE. dice; your urine will be high colored, depositing a red brick-dust colored sediment in the urinal or pot, and frequently your water will be mixed with a ropy mucus, and when left some time in the vessel, will form a pink streak round its inside; and your stools will be the color of clay. By attending to these evacuations, their color will be almost a certain characteristic or mark of this disease: observe, however, that when you chew rhubarb root, it will always give your stools this light- yellow color; you will experience a dull heavy pain in the region of the liver, extending to the point of the shoulder, and a great loss of appetite; your whole system will be oppressed with an unusual sense of fullness; on examination by pressure, there will be felt an enlargement and hardness of the liver; and in some cases, there will be experienced great oppression of respiration or breathing. I must remark, that the symptoms which I have here described, as indicative of the chronic stage of this disease, will always depend yery much on the length of time the disease has been making its ravages on the system, for it may be com- pared to the midnight assassin, who steals on your hours of rest and security, with noiseless foot—and deals you the deadly blow! The truth is, that chronic affection of the liver, is a far more common form of disease in the United States than the acute. A disease of the liver, of the acute form, is produced by all causes which excite inflammation or fever. The chronic form of this complaint, is generally produced in the United States, by the excessive and imprudent use of spirituous liquors. A residence of any continu- ance in hot countries, or even in warm climates, where a free and unrestrained course of living is indulged, is almost certain to produce the disease; intermittent GUNN'S DOMESTIC MEDICINE. 243 fevers of long continuance, are also apt to produce a ■chronic stage of the liver; but I am compelled to say, if I must speak with candor, that I believe more than two-thirds of the whole number of liver complaints in £he United States, may be traced to hi temperance. REMEDIES. For an acute inflammation of the liver, you are to depend principally on the prompt and immediate use of the lancet, by bleeding the patient "freely, according to his age, his strength, and the vfolence of his pains. After the bleeding, give an active purge of calomel and jalap—see table for dosa If this does not diminish the pain, bleed again and give an active dose of calomel at night, and a dose of epsom salts in the morning. After the first copious bleeding, I have generally, by giving an active dose of calomel and jalap, succeeded in lessening the violence of the complaint; but if it still continued severe, I pursued moderate and frequent bleedings, with doses of calomel at night, and epsom salts in the morning, and decreased the bleeding gradu- ally until I stopped it. Apply, also, a large blister over the liver, which will assist in mitigating and lessening the pain in the side. Also, cup freely and daily over the liver; it will be of great benefit by drawing off the blood from the interior. For cupping, look under that head. Small doses of emetic tartar in this stage of the disease, given occasionally in balm or sage tea, from one to two grains, will determine to the surface, or in other words, produce moisture of the skin, and thereby relieve the feverish symptoms. In this stage of the complaint particularly—and indeed through the whole course of the disease, the warm bath will be found one of the finest remedies. Indeed, too much reliance cannot well be placed on warm bathing, accompanied 244 GUNN'S DOMESTIC MEDICINE. by friction—by which I mean, rubbing the body well with a brush, immediately after leaving the bath: the truth is, that this friction ought, by no means, to be omitted by the patient; I can from experience vouch for its beneficial effects. After following the course of practice which I have here laid down, and the disease still continuing obsti- nate, which it frequently does when it has been of long standing, you must depend on mercury. When I speak of this medicine, do not be alarmed or frightened at its name; for, with the rules which I lay down, (read under the head Mercury,) it will be as easy to manage this medicine as a dose of epsom salts: and the various injuries which result from this valuable medicine, for without it, it would be impossible to prac- tice medicine with any kind of success, arise from its abuse: in fact, the injuries sustained by its use are owing to a want of cure, and administering it on every trifling occasion, when medicines not so active would answer a much better purpose. There are various preparations of mercury; but, at the head of this article for removing this disease, stands calomel—and thousands of empirics or quacks of the United States, who publish in every news-journal some long-named remedy to cure diseases without the use of mercury, are the very fellows who use it most in some disguised form: and indeed it becomes in this way truly dangerous; for the patient, regardless of weather or exposure, having no knowledge of what he is constantly using, destroys instead of benefits his health—or, in removing one disease, lays the founda- tion of another still worse in its consequences. This medicine is the only sure and positive remedy, that can be relied on for the removal of the diseases of the GUNN'S DOMESTIC MEDICINE. 245 liver, when permanently seated in that organ; and so powerful and necessary is it for the correction of its disorders, that it is called by a distinguished physician —the key of the liver. In administering this medi- cine/there are various ways of introducing it into the system, which must be done according to the stage of the disease, and the symptoms of the chronic form. If violent, active mercurial preparations must be used constantly, and steadily given. If the symptoms are gradual and not dangerous, the medicine must be in pro- portion to the state of this disease, and of a milder form of mercurial preparations. By reading under the head of Mercury, you will there see the different forms in which this mineral is prepared—and that it may be given to act promptly or mildly on the system. My course of practice in this disease, has been to employ the use of calomel from an early stage of the disease, after having purged the bowels well frequently by its use alone or combined with jalap. I generally admin- istered in small doses, say from one to two grains every three hours, until salivation took place: or to act with more mildness, about the size of a nutmeg of mercuri- al ointment, {oil of baze,) was rubbed over the region of the liver, every night until salivation was produced. I make use of the words, "oil of baze," because they form the name by which the country people usually ask for the article in the shops. When this takes place, you will know it by the following circumstances: you will spit freely; the salivary glands will become enlarg- ed, and the throat sore, the gums tender, and the breath have an offensive and peculiar odor, &c. In rubbing the ointment over the region of the liver, if any pain or uneasiness is produced by it, which is sometimes the case, you must rub it on the inside of the $46 GUNN'S DOMESTIC MEDICINE. thighs. In some constitutions, calomel disagrees with the patient; I have had such cases frequently. When this is the case, and your patient's situation requires it, recourse must be had to a milder preparation of mer- cury—the blue pill. For the method of making this pill, look under the head of Mercury. The usual method of administering this mild and gentle prepar- ation is, by giving a pill twice or three times a day, morning, noon, and night. If the symptoms are less urgent, twice a day will suffice—and if very mild and gradual, a pill at bed-time will be sufficient. Pursue this course steadily, until the gums are affected, or a copperish taste is experienced in the mouth : this must be kept up gently until the disease is subdued, or some visible effect is produced upon the system. After the effect is produced, stop the use of mercury—and give time to see the advantage you may have derived from your course of practice. The blue pill, although a mild preparation, is not without its inconveniences. It sometimes occasions griping pain in the bowels, by which it will at times run off, without producing the effect intended, which is an approach to—or salivation itself—so as to induce a change or alterative effect on the liver. If this be the result, a small portion of opium or laudanum will check this griping, and prevent the pill from passing off without producing the effect intended and desired. Where there are uneasy and unpleasant sensations produced by these medicines, particularly when Dyspepsia, or Indigestion is con- nected with a diseased liver, which is very frequently the case in the United States, there is a considerable degree of morbid or diseasod sensibility in the stomach and bowels, which can generally be removed by joining some innocent and gentle anodyne with them; but GUNN'S DOMESTIC MEDICINE. 247 where this morbid sensibility does not exist, the ano- dyne ought to be omitted. When this slow and gradual mercurial taste can be kept up in the mouth for some time, without actually producing a great flow of spittle, or salivation, great benefit will be felt by the patient: and I have always found, on an actual salivation being produced,.the symptoms entirely removed, and a cheer- fulness and change of feeling so different, as at once to inspire that confidence of returning health, which can alone be communicated by the prudent and care- ful use of this valuable specific. Persons who are prejudiced against the use of mercury, and there are many who entertain an unfavorable opinion of its use, whether from having observed its injurious effects from bad treatment, or from the terrible and unfounded tales which are daily circulated respecting it, I cannot say, have never witnessed its innocently beneficial effects in diseases of the liver, in as many instances as I have. The fact is, that I have known those very persons travel one hundred miles to obtain relief "without the aid of mercury," from some published quack medi- ciney who always met mercury under some disguised form. But, without those whose prejudices are not to be removed respecting the use of mercury, I shall give such remedies as are highly recommended in this com- plaint, by some of the most distinguished physicians of Europe and the United States. The late experiments made with the medicine I am about to recommend, have proved by their influence in the practice, equal to mercury—in fact, they prefer its use in the first in- stance : for, say they, "if it does not succeed, which is not apt to be the case, it leaves the system in a much 248 GUNN'S DOMESTIC MEDICINE. better situation for the use of the last and certain reme- dy—mercury." This medicine is nitric acid; and may be obtained at any doctor's shop, or wherever medicines are sold, at a very trifling sum. This article, in its pure state, is perfectly colorless, and transparent as pure water. I have frequently received it from the northern cities of a slight straw color; but this is not so good as that which is perfectly pure and transparent—and is, in fact, nothing more nor less than aqua fortis. It is made of sulphuric acid, which is merely oil of vitriol—and nitrate of potass, which is no more than simple salt petre. Nitric acid, in its pure state, should be cautious- ly handled, or it will destroy your clothes, and stain your hands of a yellow color which cannot be washed off. It is used by the country people generally, to color the stocks of their rifles. I suppose this caution will be sufficient. It becomes quite harmless, after being diluted or mixed with water. The method of using the nitric acid, or aqua fortis, is as follows:—a quart bottle of water may be made agreeably sour, that is, to suit the taste of the patient, and sweetened with sugar so as to make it a pleasant drink. Take as much of this drink from your bottle during the twenty-four hours, as your stomach will bear without inconvenience. Sixty drops of this nitric acid, will be sufficient for a quart of water. This medicine, like mercury, must be gradually continued, until some visible effect is produ- ced on the system. This will be felt by an affection of the mouth and glands, and excite spitting, similar to mercurial preparations. In all constitutions of a scor- butic or scurvy habit, or those laboring under great weakness,Jthe nitric acid will be a better remedy than A GUNN'S DOMESTIC MEDICINE. 249 mercury; because it acts as a tonic or strengthening medicine, at the same time that it tends to correct the scorbutic affection. In several cases, in which I have had opportunities of trying the nitric acid in the form I have mentioned, it has always had beneficial effects, with the exception of the single case of a lady of delicate and irritable stomach: she was compelled to discontinue its use, from the acidity it produced on her stomach. This I endeavored to remedy, by gentle emetics or pukes, intended to cleanse the stomach of its impurities; and by afterwards giving magnesia, and charcoal, and such other articles, for the purpose of neutralizing or destroy- ing the acid. All, however, did not succeed, and I was compelled to desist. From this practice, and general experience, I apprehend no other difficulty with regard to the beneficial effects of the nitric acid in chronic affections of the liver, than the simple fact of the patient being unable to take it a sufficient time to produce the effect desired. In such cases as the above, therefore, much benefit will be experienced from the use of the nitro muriatic bath. This valuable and grateful remedy, is by far too much neglected in the United States. The reason of this neglect I apprehend to be, because its application is considered to be attended with some trouble. I recollect a circumstance in point. I directed one of my patients to bathe his feet every night on going to bed in this bath: "What, doctor," said he, "every night?"—"or every other night," said I: he exclaimed —"How much trouble!" This is the reason, I have no doubt, why this simple but valuable preparation is so much neglected. But to those, who, like myself have witnessed the surprising cures produced by its 32 250 GUNN'S DOMESTIC MEDICINE. use, the trouble will be considered a matter of no con- sequence. I shall, for the satisfaction of my reader, relate a case. Mrs. Stoner, wife of John Stoner, of Botetourt coun- ty, Virginia, was in the last stage of this disease; and had been attended by several distinguished physicians, who treated her case for consumption. At the time her husband called on me to visit her, his object was mere- ly to procure the administration of some palliative remedies, to soothe her cough, and relieve her obstruct- ed respiration or breathing, which had nearly suffoca- ted her several times: he entertained neither hope nor belief, that any medical assistance could, by any possi- bility, permanently relieve her. In truth, from what I had heard of her case, I candidly stated to Mr. Stoner, that my visits would only be a useless expense; and advised such remedies as were calculated to allay irri- tation. Two or three days afterward, Mr. S. made a second application, and to gratify an affectionate and tender husband, and a numerous and highly respectable connexion, I consented to visit her. On my arrival, I found her situation, as I at first supposed, to be critical in the extreme; in fact, the last stage of consumption- hollow cough—breathing very difficult and obstructed —constant expectoration, or discharge of matter, occa- sionally streaked with blood—regular paroxysms of fever, accompanied with flushings at mid-day, and toward evening terminating in profuse sweats—diar- rhoea or dysentery—in fact, her case was such an exact resemblance of the last stage of consumption, that the most experienced and skilful physician would have been deceived. I remained all night; and very attentively examined this, (as I at first supposed,) hopeless case. About midnight she requested some GUNN'S DOMESTIC MEDICINE. 251 / nourishment, which was immediately prepared, and of the lightest kind. She had hardly swallowed it, before it was rejected or thrown up: and for the first time, I observed the extreme irritability of her stomach. On inquiry, she stated that from her first attack the slight- est food would oppress her stomach with a sense of burning and fullness, and become sour, accompanied with the most unpleasant sensations, until what she had eaten was rejected and thrown up. I now questioned her minutely, as to all the symptoms from the com- mencement of the disease; and her answers fully con- vinced me, that the liver was the primary seat of the disease. Fully impressed with this opinion, although debilitated in the extreme, and reduced to a mere skeleton, and so weak as almost to faint on the slightest exertion, I determined, even in this last and almost hopeless stage, to try the nitro-muriatic bath. Fear- ful that the bath, in the usual way, would be productive of fatal consequences immediately on its application, I hesitated some hours; but with the consent of herself and her family, having candidly stated to all parties my serious doubts as to the success of the remedy in this stage of her case, I proceeded to the use of the bath in its mildest form, by suffering her hand alone to remain in it for fifteen or twenty minutes. In five minutes after her hand was in the bath, she complained of great uneasiness in the region of the liver, which gradually subsided after withdrawing her hand. This night she rested well. The following morning, expectoration was greatly increased. This day I placed both her hands in the bath : there was immediately great oppres- sion ; her nervous system became much agitated; and her extremities were becoming very cold. I immedi- ately removed her hands from the bath—and she 252 GUNN'S DOMESTIC MEDICINE. fainted. There was now much increase of pulse; and great oppression of breathing, almost amounting to suffocation. On a sudden, as if by a convulsive effort, she threw up about a pint of yellow bile, similar in color to the yoke of eggs. The oppression from this time ceased; her breathing became slow, easy, and regular: and, by a continuance of this bath, gradually persevered in, and moderately increased to sponging the whole body with it—and lastly to using it as a foot bath, she improved daily—and in eight weeks I had the satisfaction of seeing her attending to her domestic concerns, in tolerable health, which gradually improved until she was entirely restored. The strength of the bath I used, was about equal to weak vinegar and wa- ter. For the period of about six weeks, during which I was engaged in performing this cure, the relative of this lady, the Rev. Mr. Crumpecker, pastor of the Dunkard society, an individual whose character as a christian, a philanthropist, and a man of integrity, would do honor to any age or country; together with his friend John Stoner, sen. were absent on a visit to the State of Maryland. On their return, they were astonished to find Mrs, Stoner, of whom they had taken leave for eternity, in the vigor of comparative health and strength, and attending to all her domestic affairs. I mention the names of these gentlemen particularly, because when they peruse my report of Mrs. S toner's case as treated by me with the nitro muriatic bath, they will confirm the fact of her entire recovery from the use of this bath. It may be necessary to state, that Mrs. Stoner's diet consisted of milk and water, and mush and milk; and nothing stimulating; being entire- ly restrained from animal food. The nitro-muriatic bath is formed, by mixing equal GUNN'S DOMESTIC MEDICINE. 253 parts of the nitric acid and muriatic acid together. / You must pay strict attention to the following directions, or your carelessness will produce unpleasant consequen- ces. When these two acids come in contact, that is to say, when they are poured together, without having been previously mixed with water separately, a gas, or volume of what appears to be smoke, will immediately fill the whole house. This gas has a very disagreeable smell, and is dangerous to the lungs. The proper man- ner of mixing them is, first, to fill a glass bottle about half full of cold water; next, you must put in one of the acids, and shake it up with the water; then you must put in the other acid, and immediately cork the bottle tightly, occasionally shaking the acids together. This will prevent the unpleasant smell I have mentioned, and retain the virtues of these medicines, if you keep your bottle well corked: the fact is, that none other than glass bottles with stoppers of the same material, can keep these acids in. Having stated to you how this nitric acid is made, it is necessary also to communicate the method practised in procuring the muriatic acid. It is distilled from nothing more than common salt, by means of sulphuric acid, or in other words, oil of vitriol. It ought always to be kept with wax over the cork, so as to prevent the fumes from escaping; they are very unpleasant, and in large volumes suffocating. But when either of these acids is mixed with water, as I have before directed, and the other then added, they lose all unpleasant effects, and become nothing more than strong acid, like vinegar, and water. You will easily perceive by these directions, that you may make the nitro-muriatic bath weaker or stronger, as you may think proper. The bath is very easily made at any time; for by mixing some acid from 254 GUNN'S DOMESTIC MEDICINE. the bottle before mentioned, with water pleasantly warm, to about the strength of vinegar and water, you have the bath. Bathe the feet and legs in this bath, from ten minutes to half an hour, according to the strength of the patient, immediately before retiring to bed. If the patient be very weak, bathing one hand a few minutes will be sufficient; if a little stronger, the whole body may be sponged with the acid; and if still stronger, the feet and legs to the knees may lie bathed, according to the circumstances and times just mentioned. A narrow wooden bucket or box, sufficient to admit the feet and legs, and to permit the bath to reach the knees, would be advisable: it would be a saving of the acid, the requi- site strength of which can always be tested by tasting it. You may preserve the bath or acid in an earthern crock, or in any glass vessel, and by warming it again, continue to use it when required. It is impossible to specify the time this bath should be used; this must depend on the effect produced, and the strength of the patient. The object is, to bring the system moderately and gradually under its influence; which is easily done, because it may be made so inno- cent, by applying it very weak, as to be borne in the most delicate state of the patient. I have witnessed persons being immersed in it up to the chin for half an hour; while others, who were very weak and ner- vous, were strongly affected by the immersion of one of the hands. The great advantage of this bath is, that you may regulate its strength to any point necessary. I have no doubt it would be highly beneficial in indiges- tion, and in all depraved states of .the biliary secretion, producing melancholy and despondency of mind, or in other words, hypochondriasis. The nitro-muriatic bath will be found also a valuable remedy to females. GUNN'S DOMESTIC MEDICINE. 255 This bath, or the nitric acid taken by the stomach, ought always to be very much diluted with water; and if any very considerable effects are produced, the use of it ought to be stopped for a week or two, and gradually resumed again: whenever it produces very uneasy sen- sations, you must be guided by your feelings; nor are you ever to take any animal food, or use any stimulants of any kind, while using this bath, or the nitric acid in any way. If the bathing, or sponging the body, should not keep the bowels open, or in a laxative state, you must take some simple medicine, such as epsom salts, senna and manna, or aloes, or any thing else that will keep the bowels gently open. In addition to what I have said, it may be remarked in conclusion, that equal quantities of epsom salts and magnesia, ground very fine together in a mortar, and a sufficient quantity taken to keep the bowels gently open, always act beneficially in diseases of the Liver: the common dose is from one to two tea-spoonsful, in half a pint of cold water. Or you may mix equal quantities of jalap and cream tartar, ground fine in a mortar, and give doses of a tea-spoonful. This last is a drastic pur- gative, and acts powerfully on the Liver. I have never used it in my practice, always preferring, as a mild purgative, the salts and magnesia. The low-ground sarsaparilla, found in almost every part of the United States, is also a very good remedy in diseases of the Liver; it ought to be taken plentifully, cold, in decoc- tion or tea. I must not omit to remark, and that emphatically and strongly, that the use of the warm bath, as described under that head, will be almost indispensable in the cure of all diseases of the Liver, aiid in all stages of those diseases. I cannot relinquish the subject of Diseases of the 256 GUNN'S DOMESTIC MEDICINE. Liver, without mentioning in terms of almost unquali- fied approbation, my candid opinions of the waters of the Harrodsburgh and Greenville Springs, situated in the county of Mercer and State of Kentucky. These waters are known to act powerfully and beneficially on the Liver; nor do I believe there have been many instances, if an absolute consumption, or an induration of the Liver had not taken place, in which those waters have not been efficient in removing diseases of the Liver. Their almost certain efficacy is so well known, that they are frequented by thousands of invalids, during the summer months, from every part of the United States. And I would advise all persons laboring under com- plaints of the Liver, or under Dyspepsia or Indigestion, and who have become hopeless of the influence of med_ ical prescriptions, never to omit, if it be possible for them to travel to those Springs, to give those waters a fair trial. They are situated in a beautiful and health- ful country, and the accommodations are alwrays such as to insure the comfort and convenience of all invalids who approach them. DYSENTERY OR FLUX. This disease is always attended with Tenesmus, or a constant desire to go to stool, without being able to pass any thing from the bowels, excepting a bloody kind of mucus, which resembles that generally scraped from the entrails of a hog. These desires to go to stool, are usually accompanied with severe griping, and also with some fever. After a few days continuance of this com- plaint, your discharges by stool will consist of pure blood, and matter mixed; and from severe straining to i GUNN'S DOMESTIC MEDICINE. 257 evacuate, parts of your bowels will frequently protrude or come out, which soon becomes a source of great suffering. Dysentery or Flux, generally takes place about autumn; when the whole body has become irritable by a continuation of warm or rather hot weather, and has been suddenly exposed to cold or damp; it is also produced by eating unripe or green fruit of any kind;'by sudden suppressings or stoppages of the perspiration or sweat; by the eating of some putrid or decayed food; and sometimes it arises, from some peculiar cause existing in the atmosphere:—when this is the case, whole neighborhoods, and extensive tracts of country, are affected by it fatally. REMEDIES. If your patient is vigorous, hale, and generally healthy—and there is considerable fever, the loss of some blood in the first stage of the disease, will be proper. But if, on the contrary, the patient be a weak- ly and delicate person, the loss of any blood would be highly improper and dangerous. First: cleanse the stomach by an emetic or puke of ipecacuanha; then give a purge of calomel; (see table for dose.) Next: if the disease does not abate, you must repeat the purg- ing daily with castor oil: this is the best medicine you can possibly use in this complaint. As the stools are generally very offensive, you can easily correct them, by giving a tea-spoonful of prepared chalk, in a little cold water, three times a day; this prepared chalk is nothing but common chalk freed of its impurities. Give clysters frequently through the day, made of slippery elm; which is to be thrown up the bowels cold. In case of violent pain, bathe the stomach with lauda- num, and spirits in which camphor has been dissolved; and apply cloths wrung out of hot water to the belly; 33 J 258 GUNN'S DOMESTIC MEDICINE. or blister over the stomach. If the belly is hard, and sore on being touched, grease it well with any kind of oil or lard: here the frequent use of the warm bath will be of immense service. When the disease is very obstinate, administer a clyster morning and night, of a mucilage of cherry-tree gum—or peach-tree gum, dissolved in water until it will be ropy and glutinous —in which drop from fifty to sixty drops of laudanum, for grown persons; and so on in proportion to different ages. Throw this clyster up the bowels cold; (for the method of doing which, see under the head clyster.) The warm bath, and castor oil, in this disease may safely be depended on. If the desire of going to stool is very frequent and painful, introduce up the back side or fundament, (I must speak in plain terms,) a pill of opium of from three to four grains. It must be put up with much care and tenderness; because in this com- plaint the parts are always very sore—its remaining there will greatly allay the irritation of the lower gut, and produce much relief and immediate comfort: the proportions of opium in the pill, must be varied accor- ding to the age of the patient. The common black- berry syrup, ought to be prepared and kept in every family in this country, and used freely in this complaint. I frequently apply a remedy in this disease, which I claim as the discoverer; and which very often suc- ceeds, when all others have failed: it is flaxseed oil, to be given in the quantity of a table-spoonful, twice a day to a grown person, and reducing the dose according to the age of the patient. It may be necessary to remark, that small doses of ipecacuanha combined with opium; say three grains of ipecacuanha to half a grain of opium, formed into a pill and given twice a day, after purging well with castor oil, will be an excellent GUNN'S DOMESTIC MEDICINE. 259 remedy to check this complaint, by producing a mois- ture on the skin, and allaying the irritation of the bowels. The drinks should be of the mildest kind, such as slippery elm tea; flax-seed tea; water melon seed tea; and diet of the lightest kind—such as jellies, chicken soup, lamb soup, &c. &c. LAX, OR CONSTANT LOOSENESS OF THE BOWELS: {Called by physicians Diarrhoea.} This disease is unattended with any fever, and not contagious or catching, as is the disease immediately before mentioned. It generally prevails among per- sons of weakly constitutions; persons advanced in years; and those who have lived intemperately. Many are naturally or constitutionally of this habit or body; and others are subject to its attacks, on the slightest * cold or exposure, which at all affects their bowels. The appearance of the stools in this disease, are very different at times: sometimes of a thick consistence; sometimes thin; at times of a slimy nature, and then again of a whitish color—changing to green, yellow, dark or brown, depending very much on the food, and the manner in which it agrees or disagrees with the stomach and bowels; sometimes, and that not unfre- quently, it is produced by worms. REMEDIES. First:—give an emetic or puke, in the morning; and at night for a grown person, give a large dose of cas- tor oil, with from thirty-five drops of laudanum in it; but always lessen this dose in proportion to the age of your patient. Next:—a stool is to be produced daily, 260 GUNN'S DOMESTIC MEDICINE. by the use of the castor oil. When the griping attends the complaint, warm garden mint stewed, and placed over the stomach and belly will give relief. When the disease has been brought on by cold, or sudden stoppa- ges of the perspiration or sweat, use the warm bath, and take some snake-root tea, so as to produce a deter- mination to the surface, or gentle moisture on the skin. This troublesome complaint, frequently continues on many persons through life: such persons should be particular as to what they eat, and avoid every thing that disagrees with their stomach and bowels; always taking care to defend their feet against the damp ground, and wearing flannel next to their skins. Friction—or rubbing the whole body every day with a brush—par- ticularly over the region of the stomach, liver, and bowels, will oe of much service. Old French brandy, taken in moderation, and well diluted with water, is not only a good remedy in this complaint when consti- tutional, but frequently a preventive against attacks. When worms are presumed to have any influence in producing this disease, which may be suspected from a fetid or offensive breath, the complaint is to be treated for worms: see which head. When the complaint arises from weakness, opium will be found highly im- portant in restraining its excesses, and removing the debility. By using the clysters of slippery elm, or those made of common starch and warm water; for direc- tions how to use which, look under the head clystering. Much benefit will result, by cooling the bowels, and allaying the irritation which always exists in this disease. GUNN'S DOMESTIC MEDICINE. 261 INFLAMMATION OF THE STOMACH. This complaint can easily be distinguished from any other by its distinctive and peculiar symptoms: it is, therefore, impossible to mistake it for any other disease, if the least attention is paid to the indications of its presence. There is always violent pain in the stomach, together with a sensation of heat or burning in it; there is, also, a great increase of pain in the stomach, when any thing is swallowed; and an immediate rejection and puking of it up. Also, a sinking and loss of strength; great thirst and uneasiness; a continued moving of the body from side to side of the bed; and as the disease advances, frequent hiccoughs, accompanied with cold- ness of the hands and feet. When these last symptoms occur, hiccoughs and cold extremities, they are extreme- ly unfavorable, and will probably terminate fatally. In- flammation of the stomach is produced, by corrosive poisons taken into the stomach, or drinking extremely cold water, when the body is overheated; by receiving violent blows, or wounds in the region of the stomach; by the gout; by strong emetics; and lastly, by large quantities of iced liquor taken into the stomach. REMEDIES. This being a very dangerous disease, and the life of the patient depending on the bold and free use of the lancet, you are not to be deterred from its use, by any apparent feebleness of the pulse. The proper practice is, to bleed freely every few hours, until the inflam- mation is subdued. As soon as you have subdued the inflammatory symptoms, by frequent bleeding, the patient is to be put into the warm bath, where he is to remain as long as possible. You are then to have a large blister prepared, which must be put over the region of the stomach, the moment the patient has left the ^62 GUNN'S DOMESTIC MEDICINE. bath: or, if there is no blister at hand, apply a large cataplasm or poultice of mustard and strong vinegar. Keep open the bowels, with clysters made of common starch, or slippery elm, or flaxseed oil, or thin gruel, or chicken water §qfled strong. These clysters will assist to nourish thef>atient, especially as he will be unable to ' take the aligl^est nourishment on the stomach. When ^tiie mfllmmarfon ist reduced, and the stomach will bear ijf'ii pif^'if opium (see table for dose) will be servicea- ble. The dietwshould be of the lightest kind; such as / jelly, slippery elm tea, rice and light-soups—a very little , at a time, and administered with extreme caution, with small doses^of laudanum. Small quantities of the best sweet oil, about a tea-spoonful at a time, given during the continuance of this complaint, will very much assist ^ allaying the inflammation. When this disease ter- minates fatally, it invariably ends in mortification; and this will nearly -always be the case, unless the lancet is used freely in the first instance. A sudden change, from great misery to perfect ease, is^conclusive evidence of H mortification. INFLAMMATION OF THE INTESTINES. This complaint is extrefiMy dangerous, and requires immediate and very active measures to arresi its course. The symptoms are very distressing, and are always accompanied with sharp pains in the bowels, and par- ticularly about the navel. The belly seems tight and hard, and so tender that the least pressure with the fingers gives great pain: you will know it from colic by pressing the belly; in colic, the pressure gives relief; but in inflammation of the intestines, the belly is so sore GUNN'S DOMESTIC MEDICINE. 263 that the least bearing on it gives immediate and excru- ciating misery. Great weakness attends this disease; the pulse is small, quick, and hard; the urine or water is highly colored, and passed off with difficulty; and the bowels are very costive. Inflammation of the intestines is produced by very nearly the same causes as those which are productive of inflammation of the stomach; and is attended with very nearly as much danger as that disease. It arises from a severe colic; from hard, undi- gested food remaining in the bowels, from drinking cold water when the body is overheated; by blows and wounds in and about the region of the bowels; by long and severe dysentery; by worms; and lastly, by hernia or rupture. REMEDIES. The remedies are much the same as those for inflam- mation of the stomach: the object being to arrest the disease instantly, and before mortification can take place, which always, when it occurs, terminates the matter fatally. The only hope of relief, is from the immediate and free use of the lancet; for without its instrumentality you may abandon every hope of saving your patient] Therefore, take blood immediately from the arm, letting the stream be large, so as to draw the blood off sud- denly. You must repeat the bleeding frequently; as the urgency and critical situation of the patient may appear to demand it: cup the belly and apply a large clyster—to be made of slippery elm or flaxseed—the elm is the best for clystering—and the warm bath. Look under the different heads for information. The only medicine that ought to be given in this disease, is the best sweet oil, in doses of a table-spoonful each, and that frequently. I have no authority for it: but I should in my own practice, if attending a case of this 264 GUNN'S DOMESTIC MEDICINE. kind, mix a tea-spoonful of the finest charcoal, prepared as directed under the head of indigestion, with each dose of sweet oil: and I should also mix charcoal with the clysters of slippery elm. A distinguished physician, recommends clysters of cold lead water in this com- plaint, to lessen the high action, and subdue the inflam- mation. I would suppose, although I never tried it in this disease, that his remedy is valuable: it is made by mixing, very weak, the sugar of lead and cold water, and throwing it up the bowels with a clyster-pipe. Look under the head of clystering. After the violence of the disease is subdued, you must throw up the bowels, as a clyster, fifty or sixty drops of laudanum in any simple mucilage, such as flax-seed tea or slippery elm. This clyster will allay the irritation, and may be given twice a day; early in the morning, and late at night—diminishing the quantity of laudan- um, according to the age of the patient. The diet should be of the lightest kind, and always cautiously given, to patients recovering from this dangerous disease: this caution is the more necessary, because the disease may and frequently does return from very slight causes; espe- cially where persons have been, afflicted with it several times before. In ^ruth, and to speak plainly, it is only by proper diet, and that of the most simple kind, with great care in preventing exposure, that such persons can remain secure. Flannel should be worn next the skin, and the warm bath frequently used, for the purpose of preventing the recurrence of this very dangerous and often unmanageable complaint. GUNN'S DOMESTIC MEDICINE. 265 INFLAMMATION OF THE BRAIN. This disease has destroyed some of the most distin- guished men, in Europe and America, among whom may be named, the celebrated Lord Byron, General Nathaniel Greene of the Revolution, and the late Doct. Dorsey of Pennsylvania. It arises from intense study; from exposure to the heat of the sun; and from every other cause which produces an over-fullness of blood on the brain. The symptoms are, a very high fever; great pain in the head; the eyes look red and fiery; there is also great watchfulness; the patient is unable to bear the smallest light; there is also, generally, a heavy, dull sleep, with frequent startings as if in alarm; the memory fails, and in the first stage of the disease, the patient dislikes to talk; but, as the complaint ad- vances, the eyes assume a great brightness—the patient becomes furious and talks wildly, and generally on subjects which have left deep impressions on the mind when in health. The tongue becomes dry and of a dark color; the pulse small, quick, and hard; and the poor sufferer is frequently seen to put his hand or hands to his head. The Brain.—This organ is larger in man than in any other known animal. Its general weight is from two pounds five and a half ounces, to three pounds three and three quarter ounces. I have weighed sever- al at four pounds. The brain of the late Lord Byron, (without its membranes,) weighed six pounds. REMEDIES. Bleed as largely in quantity, as the strength of your patient will possibly admit: let the blood be taken as suddenly as practicable from the arm, by a large orifice or opening, so as to permit it to flow in a copious and bold stream. If the patient, by bleeding from the arm 34 266 GUNN'S DOMESTIC MEDICINE. freely, becomes weak, and the disease is not subdued, shave the head, and cup freely all over it:—for the method of cupping, look under that head. Apply over the whole head immediately, the coldest applications that can be found, such as wet towels constantly wrung out of the coldest spring water—or ice if it can be had; these cold applications are to be constantly renewed, until the disease is subdued. Give, also, active purges, and that very frequently, consisting of twenty grains of calomel and twenty of jalap. If the symptoms are very violent, give a clyster made of thin gruel, with thirteen grains of tartar emetic well mixed in it: this clyster must be given once every day, as long as the disease continues severe. Your patient's head should be placed on high pillowing, and his body kept in bed, in as upright a posture as possible, so as to lessen as far as practicable the determination or flowing of the blood to the head. After the violence of the disease is removed by bleeding and purging, &c. apply constantly, poultices made of pounded mustard seed and vinegar, to the feet and ancles; or blister them, with can- tharides or Spanish .flies, prepared in the usual manner. The feet and legs, should, also, frequently be bathed in the usual way with warm water: this will divert, or draw off the determination of the blood from the head. The diet and drinks should be of the lightest, simplest, and most cooling kinds. The room ought to be kept dark, and perfectly cool; nor ought the least noise to be permitted to disturb the quiet of the patient. When reason begins to return, and the fever to subside, be extremely careful to attend to these instructions; be- cause the slightest cause will bring on the disease a second time, with more violence than in the first in- stance, which will in all probability terminate fatally. GUNN'S DOMESTIC MEDICINE. 267 INFLAMMATION OF THE SPLEEN. When there is an inflammation of the Spleen, consid- erable pain is felt in the left side, where the Spleen is situated. By pressing the fingers on the left side, a throbbing sensation is easily discovered, and a pain is felt by the patient, extending from the side to the left shoulder, and not unfrequently through the belly. The most remarkable symptoms which attend this disease, and those which may be relied on, are puking of blood, great weakness, watchfulness, and not unfrequently the mind is much confused. This complaint, like all other inflammatory diseases, is attended with considerable fever. It is brought on by long continued fevers, and by affections of the liver; and persons who have suffered much from long attacks of fever and ague, are liable to what they term ague-cakes, which are diseases of the Spleen, and which are apt to terminate, without the application of proper remedies, in inflammation of the Spleen. Where there is no inflammation, and the side is swelled, the disease is called chronic. REMEDIES. Purge well, and frequently, with calomel and jalap; (see table for dose.) Also, cup over the Spleen: for the method of cupping, look under that head: and always, if the disease is of the chronic form, blister over the Spleen in the usual manner. The nitric acid will also be found a valuable remedy; (read affections of the liver, page 238, where you will find the acid treated on at large.) A broad belt worn over the Spleen, with folds of cloth to press on it, will be a good remedy: as will, also, rubbing the side daily with equal quantities of spirits of hartshorn and sweet oil. 268 GUNN'S DOMESTIC MEDICINE. INFLAMMATION OF THE KIDNEYS. In this disease there is always great pain in the small of the back, similar to that felt in colic, but seat- ed much nearer the back bone and loins. There is, also, in this complaint, a deadness and numbness of feel- ing in the upper part of the thigh; considerable sickness at the stomach; a great desire to make water frequent- ly, which is done with much difficulty, and in small quantities at the time. The urine or water is of a deep red color, showing that there is great internal fever; the slightest motion gives pain; and, even in sitting upright in the bed, the patient is extremely restless, always receiving more ease by laying on the affected part. Sometimes one of the testicles is retracted or drawn up, so that you can scarcely feel it. The com- plaint is brought on by great exertions in lifting; by violent and sudden strains; by exposure to cold when over-heated; by lying on the damp ground; and by too frequent intercourse with women. Sometimes the disease is produced by hard substances, calculus, stone, or gravel, formed in the kidneys; and I have known two or three instances, of its having been produced in young persons, by that horrible practice called by phy- sicians onanism. REMEDIES. Like all other inflammations, that of the kidneys requires the free use of the lancet; always repeating the bleeding from the arm, as the urgency and severity of the symptoms may seem to require. Cup freely over the small of the back: (for cupping read under that head.) Apply flannel cloths, wrung out of hot water, to the small of the back; and give clysters of warm milk and water, in equal portions, which must be thrown up the bowels three or four times a day. All GUNN'S DOMESTIC MEDICINE. 269 the drinks should be made warm, in which must be dis- solved some kind of gum, such as that of the peach tree, or any other kind of gum, that will produce a mucilage. Flaxseed tea will answer a good purpose, as will also tea made of slippery elm bark; in both of which you may put a little spirits of nitre. The bowels are to be kept open by castor oil, and by moderate clystering. The warm bath must be frequently used, and applied for a considerable time at once, over the whole body; during which, the patient in the bath, must have his body well rubbed with a soft brush or woollen cloth: this bath must be repeated every day, and twice a day if necessary. The warm bath is a most valuable remedy in this complaint, and must not be neglected. After the violence of the disease has been subdued, by the use of the lancet and warm bath, &c. as before noticed, to give ease and quiet slumbers to the patient, administer a pill of opium, or thirty-five drops of laudanum; for the different doses of which, proportioned to the different ages, see table for doses. Or a clyster at this time, made of flaxseed tea, with forty or fifty drops of laudanum mixed with it, will give great relief by allaying both pain and irritation. A decoction or tea made of dried peach-tree leaves, made by boiling a handful of the leaves in a quart of water, until it decreases to three half pints, to be drank occa- sionally through the day:—this is an excellent remedy, and has been known to succeed in this complaint, when the sufferings have been unusually severe. In some cases, inflammation of the kidneys cannot be removed, until abscesses or ulcers are formed: this state of the case will always be known, by the pain becoming less severe; by great weight being felt in the small of the back; by chills, succeeded by flushes of heat; and 270 GUNN'S DOMESTIC MEDICINE. when by suffering the urine or water to settle in the urinal or pot, you can discover a mucus matter on the bottom. When this is the situation of the patient, the uva ursi will be found a useful medicine: for description of which and its medicinal qualities, read under the head of uva ursi, sometimes called the upland cranberry, and some- times the bearberry. The usual dose is, two or three times a day, half a pint of the decoction, or tea made of a handful of the leaves, to a pint of water; or a tea- spoonful of the pounded leaves, three times a day, taken in any kind of syrup. INFLAMMATION OF THE BLADDER. Immediately above the privates, in this complaint, there is very considerable pain; which is much increas- ed by pressing on the part with the fingers. There is, also, a constant desire to make water, which is voided with much difficulty, and in very small quantities. There is a constant desire to go to stool, and always some fever; also great restlessness, where the disease is produced by stone or gravel; or by stricture or contrac- tion of the urethra, or canal which leads from the bladder; or by this passage being stopped up; or from the lodgment of hardened lumps in the lower gut, caused by costiveness or constipation of the bowels. In the last case, I have frequently known an instrument introduced, if the finger could not remove the solid and hard excrement, called by physicians the fceces. This disease is, also, sometimes produced by injuries received, such as severe blows, kicks, falls, &c.; by taking tinc- ture of cantharides or Spanish flics—and by that false GUNN'S DOMESTIC MEDICINE. 271 and foolish delicacy, which leads some persons to hold their urine a considerable length of time. I recollect a case which terminated fatally by this false modesty. A young lady of respectability, was introduced to a merchant who was travelling from Philadelphia to New York, and placed under his protection to perform the same journey. The post-coach runs the distance, from ninety to one hundred miles, in about eleven hours: this distance she travelled in excruciating torment from retaining her urine, and died from the effects of it, on the second day after her arrival at New York. She was in the bloom of youth, health and beauty; and I mention the case emphatically, as a warning to others, who from false delicacy might do the same thing. REMEDIES. You must, as in all other cases of inflammation before mentioned, depend much on frequent bleeding, and the free use of the warm bath: and on all such medicines as will determine to the surface, or in other words, pro- duce a gentle moisture on the skin. Also, get a syringe and inject water made pleasantly warm into the bladder, which will remove the irritating causes: and, after wash- ing out the bladder with warm water, as just directed, make a decoction of slippery elm bark, and let it become COol—with this decoction or tea, mix a very weak prep- aration of sugar of lead, which must be dissolved in cold water, and throw up this preparation into the bladder occasionally; this will lessen the inflammation, and assist in finally subduing it; but I caution you to make the solution of sugar of lead very weak. You are not to use a blister in this complaint; because it would act immediately and particularly on the bladder, by suppressing the urine. Clysters of the mildest kind are to be given; they will always soothe, relieve, and 272 GUNN'S DOMESTIC MEDICINE. reduce the irritation of the bowels, and the adjacent parts. If the pain is very severe, laudanum should be given: see table for dose—and the water frequently drawn off by a catheter: the fact is, that a physician should be immediately called; but, if necessity should urge the use of the catheter, by a person who is not a professional man, a description of the instrument, and of the precise manner of using it, both in male and female cases, will be found under the proper head. DRINKING COLD WATER WHEN OVER- HEATED. The imprudent use of cold water when a person is overheated, almost invariably produces cramps or spasms of the stomach, which usually terminate in death. In the year 1816,1 saw five persons expire in less than ten minutes in the city of New York, from drinking cold water; in truth, the deaths became so frequent at the different watering places throughout the town, that pla- cards or printed bills were ordered by the city council to be stuck on the different pumps, to caution all persons against drinking cold water when overheated and bathed in sweat. This dangerous and fatal practice, if it even does not produce immediate death, almost inva- riably lays the foundation of lingering and destructive diseases, which are extremely difficult of cure. That eminent and distinguished physician, Benjamin Rush, describes the causes of fatality in these cases, in the following manner: "When large quantities of cold water are suddenly taken into the stomach, under circum- stances of an overheated system, the person in a few minutes afterwards loses his sight, and every thing GUNN'S DOMESTIC MEDICINE. 273 appears dark about him; he staggers in attempting to walk, and unless supported, falls to the ground; the breathing soon becomes very difficult, and a rattling noise is heard in the throat; the feet and hands become cold, and the pulse cannot be felt—and generally in about five minutes, death is the consequence, unless speedy relief can be obtained." Iced toddy, when taken under the same circumstances of being over- heated, has often been known to produce the same fatal effects: and I have known many instances, in which ladies in full health, have been brought to the brink of eternity in a few minutes, from eating iced creams when over-heated by dancing. The truth is, that very cold articles of food or drink, even when the body is moderately cool, sometimes, in peculiar consti- tutions, are productive of dangerous consequences: cases which are not very violent, and which come on with cramps or spasms, should be immediately attend- ed to, or they will also terminate fatally in most instan- ces, by inflammations of the stomach. REMEDIES. "I have discovered," says Doctor Rush, "but one certain remedy in this desperate, and if not immediate- ly relieved, fatal disease:—this remedy, and it may be relied on, is laudanum; which has to be given in the quantity of from a tea to nearly a table-spoonful im- mediately in violent cases, before relief can be obtain- ed." When laudanum cannot be had in time, a glass of strong whiskey or brandy, one of which is generally found forthcoming every where, may be given. Laud- anum, however, is so very easily made, and so fre- quently necessary in all families, that it ought always to be kept in preparation for use: it will frequently save the expense of sending for a physician at an unseason- 35 274 GUNN'S DOMESTIC MEDICINE. able hour, and oftentimes save life in sudden and desperate cases. For the mode of preparing it, see under the head laudanum. Every person about to drink cold water, when warm and in high perspiration, should observe faithfully the following rules. First: pour considerable quantities of water on the wrists: and next, wash the face, temples and hands, with water, and suffer them to dry. These measures, from the coldness of the water applied, and the evaporation which succeeds, will abstract or draw from the interior of the body, and particularly from the vital parts, a considerable portion of heat; and prevent the sudden and dangerous action of the cold on the stomach, and other vital parts of the system. You are, also, when you drink, to take the water in small quantities at a time; in fact, not more than half a pint at once: re- peating the draughts about every five or ten minutes. It would be the safest plan, even with the above pre- cautions, to mix some spirits with the water. Farmers engaged in harvesting their grain, should always let the water remain some time in the vessel before using it;—many fatal diseases have originated, in an impru- dent disregard of this cautious practice. CATARRH, OR COLD. Colds are so common in all countries, and their modes of treatment so generally known, that not much need be said respecting them; further than to remark, that early attention will frequently prevent their laying the foundation of other complaints, which may in the end prove highly dangerous, and very difficult to remove. Persons of delicate constitutions are most GUNN'S DOMESTIC MEDICINE. 275 subject to colds; and from the carelessness of such persons, in neglecting to avoid exposure, and to remove the early symptoms of disease, more than two-thirds of the whole number of consumptive cases, in all coun- tries, arise and become fatal. Cold usually comes on with a dull heaviness of the head, which feels as if the nose was stopped up, which is generally the case. There is, also, at times, much sneezing, which is always followed by discharges of a thin watery mucus from the nostrils. You have soreness of the throat; cough; and chills stealing over you, with occasional hot flushes; persons of very weakly constitutions have, also, a tight- ness and pain of the chest. Sometimes the symptoms are highly inflammatory or feverish; this is nearly always the case with very irritable constitutions—in which instance, the complaint must be arrested imme- diately. Here I repeat, because it is all important, that most of the consumptions of this country, originate in neglected colds, brought on by exposure to the night air; by damp feet; by changing warm clothing for thin; by becoming warm from exercise, perhaps in a crowded ball room, and suddenly exposing the body to a cold current of air; and by many other imprudent courses of conduct. REMEDIES. Immediately before going to bed, bathe the feet and legs in warm water fifteen or twenty minutes; then wipe and rub them perfectly dry, and wrap them care- fully in warm dry flannels. After lying down, take a large drink of warm sage, or balm, or hysop tea, or any thing else that will sweat moderately. If the head is much stopped up with the cold, you may relieve yourself in a sitting posture, by covering the head with flannel or a blanket, and producing a steam beneath 276 GUNN'S DOMESTIC MEDICINE. and surrounding the head; this can easily be done, by placing a hot rock in a crock or basin, and gradually dripping water on it, at the same time holding the ves- sel on your lap; and closing all the avenues by which the steam might escape from about your head, except- ing one through which you are to breathe. This will give much relief in a short time. My practice in the commencement of a cold is, to give an emetic or puke, which in nine cases out of ten relieves the patient at once, and cuts short the advance of the fever: see table for dose. When fever is very considerable, with violent pain in the head, indicating inflammation, the loss of some blood would be advisable: after which, give a tea-spoonful of antimonial wine, every three hours, in any kind of drink; this will determine to the surface, or in other words produce a gentle moisture on the skin, and allay the feverish symptoms. The bowels should be purged moderately, by the daily use of epsom salts, in small quantities, dissolved in cold water. If there be any pain in the chest or side, after employing the above remedies, put a blister over the part affected with pain, and keep it running as long as possible: look under the head blisters. The diet in colds, should be light and cooling. Heating or stimula- ting articles, either of drink or diet, are highly impro- per, and always produce more or less fever. The best drink during the day, is flaxseed tea, with a small portion of acid in it. After the feverish symptoms are removed, a troublesome cough sometimes remains: this may be relieved by the use of balsam capaiva, in doses of ten or fifteen drops, on lumps of sugar, given three times a day; and a dose of paregoric, each night at bed time: see table for dose; or a small pill of opium: see table. The French have an excellent GUNN'S DOMESTIC MEDICINE. 277 remedy for curing cold, which I have frequently em- ployed with success, producing immediate relief. They apply a poultice of boiled onions to the sole of each foot on going to bed, after having bathed the feet and legs well in warm water: and if the throat is sore, they apply the boiled onion poultice to it. This is a valua- ble application, and may be much relied on. If the chest is much oppressed, the application of this poultice to the breast, will almost invariably relieve. The following remedy, which is an excellent and efficacious one, has frequently afforded relief, in cases where colds had nearly settled down into confirmed Consumptions. Take one tea-spoonful of flaxseed, half an ounce of liquorice, and a quarter of a pound of raisins: put them into two quarts of rain water, and simmer the whole over a slow fire, until you reduce the quantity to one quart. Then prepare some candy made from brown sugar, and dissolve it in the liquor boiled down to a quart; half a pint of this is to be taken every night on going to bed, mixed with a little good vinegar to give it a slightly acid taste; this will certainly relieve a cold, if used a few days. I have been more particu- lar on this disease than at first view might seem neces- sary; but, considering it as intimately connected with, and in many instances the forerunner and foundation of consumption, I think I am justified in treating it with great attention. DROPSY. Dropsy is a disease of the whole system, arising from debility or weakness, and can easily be distinguished from other diseases, by the collection of water in some 278 GUNN'S DOMESTIC MEDICINE. part of the body. By pressing the fingers on the flesh with some force, a depression or pitting will take place, which can be seen some little time after the fingers have been removed: in other words, the flesh will have lost its elasticity, and will not immediately spring back, on the removal of a pressure. Or, if the water is lodged in any particular cavity of the body, it may also be heard distinctly, on any sudden change of position, or rapid movement of the body. Among physicians, it is called by different names, according with the different parts of the system, in which the water may be deposited. When the water is seated in the cavities of the head or brain, the disease is called hpdrocephalus:—when seated in the cavity of the chest, it is called hydrotho- rax:—when in that of the belly, ascites:—when seated in the scrotum or bag of the privates, it is called hydro- cele:—and when the water is effused in the cellular membrane, which is the thin and delicate skin found among the muscles or flesh of the body, and which is the same that butchers blow up in their veal and mut- ton, the dropsical disease is called anasarca. There is strong resemblance between dropsy of the testicles or stone in men, and ascites ovarii in women; the latter being small collections of dropsical fluid, in the ovaria, which are two oval flat bodies, which are about an inch in length, and half an inch in breadth, situated about an inch behind the womb, and which are supposed to contain and supply whatever the female brings to the procreation or formation of the foetus or child. This is proved from analogy, by the simple fact, that an animal deprived of the ovaria, as in the case of spaying swine, looses all power of conceiving, and all venereal desires. I omitted to mention, that hydrocephalus or dropsy of tjie brain, is a disease common to children, and will be GUNN'S DOMESTIC MEDICINE. 279 treated of under the proper head. I have, in the first instance, and contrary to the impressions of some medi- cal men, given it as my decided opinion, that dropsy is a disease of the whole system—and my reader may be assured, that I am sustained in that opinion, by many of the most distinguished physicians in the United States. REMEDIES. More diseases of dropsy have been removed by bleed- ing, and more relief has been obtained from it, than from any other known remedy; for which reasons, it is now considered as satisfactorily proved, that this complaint is more frequently inflammatory than was generally supposed. For this very important information, we are indebted to that highly distinguished physician, Doctor Benjamin Rush. Bleeding must be entirely regulated, as to frequency and quantity, by the relief it affords to the patient. In my practice, I always use it freely; and never omit at the same time to purge freely with calomel and jalap—see table for dose—or jalap alone. If these purges operate without pain, and the stools are fluid or watery, and your patient is not much weakened by them, it does not matter how many stools are produced daily; because the remedy is an efficient and proper one. One ounce of cream tartar, in half a gallon of water, drank during the day, will be of much service: in truth, all articles which will increase the flow of the urine, or water from the bladder, called by physicians diuretics, are very useful in this complaint. The following cures, which I shall notice in the words of an experienced and distinguished man, give evidence of the correctness of some of my introductory remarks, among which are the following: "The discoveries of each succeeding day convince us, that the Almighty has graciously fur- 280 GUNN'S DOMESTIC MEDICINE. nished man with the means of curing his own diseases, in all the different countries and climates of which he is an inhabitant; and there is scarcely a day, month, or year, which does not exhibit to us, the surprising cures made by roots, herbs, and simples, found in our own vegetable kingdom, when all foreign articles have utterly failed," &c. &c. The truth is, that the wise and benefi- cent Creator of the Universe, has made nothing in vain; and the time will come, when the apparently most use- less and noxious plants, will be found eminently useful in the cure of diseases, which have hitherto baffled the profoundest skill, and the most powerful energies of genius. The following are the words of the author just alluded to: "I am knowing to two extremely distress- ing cases of dropsy, being entirely relieved by means of the bark of the common elder. One, a woman advanced in age, in the last stage of this disease, who lost a brother some short time previous, by the same complaint. The other, a young woman, who had been for eighteen months confined to her bed, during four of which she was unable to lie down, and who is now wholly free from dropsy, and recovering strength in a most surprising and unexpected manner. A great many other cases, less aggravated, have been cured by the bark of the common elder; I have used it myself with universal success; and its immediate adoption by the afflicted, is truly important and deserving attention. The receipt is as follows:—take two handsful of the green or inner bark of the white or common elder; steep them in two quarts of Lisbon wine twenty-four hours —if this wine cannot be had, Teneriffe or Madeira will answer: take a gill every morning fasting, or more if it can be borne on the stomach. The bark and leaves of the elder, have long been known as powerful GUNN'S DOMESTIC MEDICINE. 281 evacuants. I ought to have said in the proper place, that the young woman I have mentioned, used the elder-barked wine, at the instance of one of the most distinguished physicians of Boston; who had previously tried every known prescription without success, and that the use of the elder entirely cured her." The following remedy, handed to me by a respectable man, who resides in Roane county, Tennessee, (Mr. William Mead,) will undoubtedly be worthy of trial, and I therefore submit it to the reader:—"Take two or three handsful of rusty nails, and put them into half a gallon of good apple vin- egar : then boil, or rather simmer the vinegar, down to a quart, and strain it well through a linen cloth: next, add to the vinegar a quart of molasses, a handful of camomile flowers, and a handful of lavender from the garden. Boil or stew this mixture down to a quart. The dose for a grown person, is a large table-spoonful, to be increased gradually to one and a half: the dose, of course, must be smaller for younger and more weakly persons." The character of Mr. Mead for integrity and veracity, and his solemn assurances that the pre- scription has often been eminently successful, induce me to place it on record. The oxide of iron, in other words rust of iron, .would probably answer a better purpose than the nails mentioned by Mr. Mead. SCURVY. This disease is frequently of a highly putrid nature, and generally afflicts persons who have lived a consid- erable time on salted provisions, or unsound and tainted animal food. Those are also subject to it, who have been long confined without due exercise; those, also, 36 282 *"&UNN'S DOMESTIC MEDICINE. who have been unable to obtain vegetable food for a considerable period. Cold moist air, bad water, the morbid influence of depressing passions, such as grief, fear, &c. and the neglect of personal cleanliness, will also produce scurvy. With regard to cleanliness, I must speak in plain terms. Neglect of personal or bodily ablutions; in other words, washings among females at particular periods, are in reality the causes of very many cases of scurvy: and here I am compelled to say, that such are the cleanly habits of the French of the better order, male and female, I have never known a single case of scurvy among them, although much accustomed to their society in Europe: they are in the constant habit of using the warm bath. The disease called scurvy can always be known, by the soft- ness and sponginess of the gums, which, even on being gently rubbed with a soft sponge, will invariably bleed. Ulcers next form round the teeth, and gradually eat away the lower edges of the gums, by which the teeth become loose, and sometimes fall out. The breath is always offensive, and smells badly; the face is usually of a pale yellow color, and considerably bloated; the heart pal- pitates, or beats rapidly and irregularly, on slight exertion; the legs and feet swell; small ulcers or sores, break out on different parts of the body, and more gen- erally on the legs; pains are felt over the whole body; the urine or water is high colored; the stools smell very badly; the strength becomes very much reduced, and bleeding takes place from the nose, ears, gums, and fundament. When these last symptom's take place, the sufferer is near the termination of his earthly career; and it is no less singular than true, that the appetite remains good to the last, together with a perfect reten- tion of memory. GUNN'S DOMESTIC MEDICINE. 283 REMEDIES. All acids are valuable medicines in scurvy: such as common vinegar with fresh vegetables; in fact a bath made of vinegar and water, in which the whole body can be frequently bathed, will be of essential service; as will also the plentiful use of ripe fruits. Sour krout, or pickled cabbage, is so excellent a remedy in scurvy, that a Dutchman (whose name I have forgotten) receiv- ed a large premium from the British Government, for introducing it into the English Navy. When there is much debility, the moderate use of good old wine will be proper; as will also the use of nitric acid: see disea- ses of the liver, page 238, where you will see this medicine plainly described, together with its effects, by which the bowels will generally be kept sufficiently loose, at the same time that the system will be strengthened. If however, the bowels should be bound, dissolve a table-spoonful of cream tartar in a pint of boiling water, and when cold use it as a drink. I must not omit to mention, emphatically, that regular exercise is absolutely necessary in this complaint. You will find the follow- ing medicine, also, a good remedy: dissolve three ounces of common salt petre, in a quart of good vinegar, and take one or two table-spoonsful three or four times a day; or less quantities if the state of your patient will justify it. When the gums are much swollen, with con- siderable ulceration, and the mouth, teeth, and breath have a foetid or bad smell, the mouth must be frequently washed with water, prepared as follows: boil red-oak bark in water, then strain the water well, and in it dis- solve a lump of alum, to which add a tea-spoonful of finely powdered charcoal, which is to be prepared by burning common smith's coal over again. I have omit- ted to state, that if the breathing is difficult, or there is. 284 GUNN'S DOMESTIC MEDICINE. much pain in the breast, a blister should be applied on the chest over the pain: you are never to bleed in scurvy, if you do you will lose your patient. Pure air, moder- ate yet sufficient exercise, and the warm bath of pleasant temperature, with a sufficiency of vinegar in it, as before mentioned, will restore your patient. PLEURISY. Pleurisy is an inflammatory complaint, and requires remedies for the immediate reduction of the inflamma- tion. The symptoms are, a sharp pain in the side, particularly when you draw your breath; the pain then shooting into the breast, back, or shoulder; great diffi- culty in lying on the affected side; the tongue is of a white color; the urine or water of a high color; the face flushed and red; and the body very hot, denoting much fever. Sometimes this disease is accompanied with cough; and when this is the case, it is what phy- sicians call a short dry cough. Sometimes the cough increases, and is accompanied by spitting up of tough phlegm; and the blood when drawn from the arm, and suffered to cool, has a coat or covering on it of a buffy color, which always denotes inflammation. This com- plaint is brought on by exposure to cold and wet; by sleeping on the damp ground, and getting the^feet wet; by being exposed to sudden currents of cold air, when the body is overheated; by the suppression of certain periodical evacuations; or in other words by the obstruc- tion of the menstrual discharges in women. The winter and spring, are the seasons in which this complaint is most prevalent. I will endeavor, for the satisfaction of the reader, to notice such symptoms as indicate a GUNN'S DOMESTIC MEDICINE. 285 favorable termination of the disease; and, also, such as argue an unfavorable and fatal issue of the com- plaint. First, the symptoms are favorable when there is a free perspiration or sweating; when there is a copious discharge, by expectoration or spitting freely; when the urine, or water, deposites, on settling, consi- derable sediment or grounds, in the urinal or pot; when there is a spontaneous bleeding at the nose; or a gen- tle purging comes on; or the skin becomes warm and soft, with an abatement of thirst; and, when there is a considerable relief from pain in the head and side. Second, the symptoms are unfavorable, when there is violent fever; when the patient is delirious or out of his senses; when the pain suddenly stops, and the face or countenance changes its expression; when there is little, perhaps no expectoration or discharge by spitting; or if there is any thing spit up, it is of a dark color; and, finally, when there is a sinking and irregularity of the pulse: these symptoms are highly dangerous. REMEDIES. I have stated above, that pleurisy is an inflamma- tory disease, and that it requires the immediate reduc- tion of the inflammatory symptoms. You must, therefore, bleed in the first instance, as freely as the constitution and state of the patient will bear. If the fever still continues high, and the pulse remain hard and full; or, in other words, if the pain and fever, after the first bleeding, should be relieved for a short time, and afterwards return with any violence, it will be proper to bleed a second time moderately. In fact, I have frequently been compelled to bleed three and four times, before I could reduce the inflammatory symptoms. After the first bleeding, apply a large blis- ter over the pain, whether situated in the side or chest: 286 GUNN'S DOMESTIC MEDICINE. and, if the blister should not run sufficiently after be- ing dressed, and the pain should continue, apply another blister. After the bleeding and blistering, give a large dose of epsom salts; and if any considerable pain is felt, put the patient in a warm bath which will cover the whole body. I have, in more than fifty cases in the State of Virginia, relieved pleurisy by im- mediate and copious bleeding, and as early as conve- nient afterward, by using the warm bath. After the inflammatory action is in some degree removed, the Seneka snake root tea will be found a valuable remedy: look for a description of this root, under that head. Throughout this complaint, the bowels must be kept open, by the use of epsom salts, or senna and manna, or castor oil: epsom salts, however, will always be best, if they can be procured. Clysters of any simple kind, such as thin gruel milk warm, or starch dissolved in warm water, will be perhaps equally good for keep- ing the bowels open. See under the head clystering, and how to prepare clysters. When perspiration or sweating is not produced in moderation, by the reme- dies I have mentioned, equal quantities of antimonial wine and sweet spirits of nitre, mixed, and given in doses of a tea-spoonful every two hours, will assist in producing perspiration. Toward the close of this dis- ease, and after the inflammatory or feverish symptoms have subsided, and not before, if the cough should continue troublesome, give a pill of opium at night, or a dose of paregoric or laudanum: see table, for doses of these articles; and, also, under different heads, how they are made. If the pulse should sink, and your patient become weak, stimulate him gently but cau- tiously with warm toddy, or wine mixed with sugar and water, and apply blisters to the ancles, and cata- GUNN'S DOMESTIC MEDICINE. 287 plasms or poultices to the soles of the feet, made of mustard-seed pounded fine, and mixed with vinegar. These measures sometimes become necessary, from sinking of the pulse, coldness of the feet, or extreme weakness: they always produce excitement and warmth in the system. This complaint requires the strictest abstinence from all animal food, and from every thing which has a tendency to produce fever. The patient should live on the lightest diet, and such as will keep down all fever and inflammation: in fact, there is no disease mentioned in this book, which requires a more rigid abstinence from solid food than pleurisy. Noth- ing but toast and water, barley water gruel, or flax-seed tea, ought to be taken in this disease, and that warm and in very small quantities at a time; a little panado may be given as nourishment. Unfortunately, and for want of experience, when any person is taken sick in this country, and refuses to eat for two or three days, great alarm is created immediately lest the patient should starve to death: and I have known several in- stances, since I have been in the western country, in which the officious stuffing of patients with food, with the best possible intentions, has produced death, in spite of medical assistance. I wish all such persons as are disposed to cram their patients with food, when there is no appetite for it, and the stomach rejects it, to remember that nature generally speaks the truth. After recovering from this disease, great care must be taken to avoid all cold and dampness, and particularly exposure to the night air; because they almost always produce dangerous relapses. Flannel ought to be worn next the skin; and dressed buck-skin, I am convinced from my own practice, worn in the same manner by 288 GUNN'S DOMESTIC MEDICINE. delicate persons, is also an excellent defender from cold, and much superior to flannel. GRAVEL AND STONE. Gravel and stone, which originate in the same causes, are to be distinguished thus from each other. Gravel is usually understood to mean, calculi, (from the old word calx, a limestone^) or little sand-like stones, which pass from the kidneys, through the ure- ters into the bladder. The ureters are small tubes, which run from the kidneys to the bladder, and convey the urine into the latter. The word stone speaks for itself; it is a strong concretion of matter, which enlar- ges and hardens by time, seldom found in the ureters or tubes themselves, but generally lodged in the kid- neys or bladder: when the stone is in the kidneys, it is because it is too large to be passed off by the tubes leading to the bladder; and when found in the bladder, it is from the simple fact, of its being too large to be passed off through the channel of the penis. When a disposition to gravel (which I have just explained) exists in the urinary system, there will be occasional paroxysms or fits of pain in the back, which sometimes shoot downward to the thighs; and sometimes a numb- ness of one of the legs inside, accompanied with a retraction or drawing up of one of the testicles or stones in men. The pain I have just spoken of, is often extremely violent, and is sometimes terminated by a discharge of small gravel stones from the urethra, with the water in the common way. The stone, however, which I have also described, and which is GUNN'S DOMESTIC MEDICINE. 289 usually found in the kidneys or bladder, sometimes irt both, is a disease of more serious and dangerous con- sequences altogether. When the stone has acquired some size, if situated in the bladder, there is a frequent and almost constant desire to make water; sometimes the water passes off drop by drop, with much pain; and sometimes in a small stream, which occasionally stops short; in the last case, when the water passes in a small stream with sudden stoppages, there will be great pain for some minutes after, in the glans penis, in other words, the head of the penis. In some persons, the violence of straining to evacuate the urine, makes the rectum or lower gut contract, and expel its excrements: or if that gut be empty, this straining occasions tenes- mus or a constant desire to go to stool. In discharges of urine when stone exists in the bladder, there is very often blood to be seen in the water, and sometimes pure blood itself is passed off in small quantities. When the calculus or stone is formed in the kidneys, in addi- tion to the general symptoms of stone in the bladder, there will be felt a dead, heavy, dull pain, in the loin where the kidney containing the stone is seated; fre- quently accompanied by fits of shuddering, and creep- ing coldness, in and over the part affected; this shuddering and coldness of sensation, are sometimes so great, that sufferers have been known to blister the small of their backs, by exposure of the parts naked to the heat of large fires. In severe cases of calculus or stone, either in the kidneys or bladder, there is frequent- % ly experienced, during the time of passing the urine, sickness of the stomach, a desire to vomit, and much faintness. Aged persons are most liable to disorders of the urinary passages; which do not in all cases arise from gravel and stone, or even from spasmodic strictures 37 290 GUNN'S DOMESTIC MEDICINE. in those parts. These apparent disorders of the urina- ry passages, frequently occur in old persons from the constipation and retention of feculent and fetid matter in the bowels, which ought always to be attended to by gentle purging, and particularly by frequent clystering: for clystering, see that head. The gravel, and some- times the stone, when the latter has not become much enlarged from the lapse of time, may much more easily be removed from the bladders of females, than from those of males. In women, the urethra or canal which leads from the bladder to the exterior, is always straighter, shorter, and wider, than in men, and may in many cases be dilated so much by artificial means, as to admit the gravel or stone to pass off with the water. The extraction of the stone from men, by the use of the knife, is called by physicians, lithotomy. This is a delicate, dangerous, and very painful operation; and I have uniformly advised persons much advanced in age, and who were afflicted with the stone, to employ palliative remedies for the pains attending it, rather than lithotomy. REMEDIES. When there is much difficulty in passing the urine, and that difficulty arises from strictures or obstructions in the urethra or canal which conveys off the water; and especially where inflammation of the bladder is apprehended, the catheter must be used: for which, see the head catheter. When the complaint is painful $ and oppressive, in what are called paroxysms or fits of the gravel or stone, for I make no distinction between them as to remedies, and there is so much irritation as to lead to apprehensions of inflammation, bleeding should be immediately resorted to, followed by the warm bath; in which the patient should remain some GUNN'S DOMESTIC MEDICINE. 291 time. In most cases, I have been enabled to allay the pain entirely, by bleeding in the first instances, using the warm bath next, and then giving a pill of opium, or a dose of laudanum: for which, see head warm bath, and table of doses. After these remedies, if consider- ed necessary, the privates and belly should be rubbed and bathed with flannel cloths wrung out of warm water, in which camomile flowers have been boiled; after which, the cloths themselves should be applied warm, and suffered to remain. The drink of the pa- tient should be flax-seed tea; given as freely as you please. Should the pain still continue severe, give a clyster made of gruel, and strained, in which put two table-spoonsful of castor oil or sweet oil, and forty drops of laudanum. This is to be thrown up the bowels pleasantly warm: see head clystering. Old persons who are afflicted with gravel or stone, will find great relief from frequently using such clysters, and from taking in moderation, occasionally, laudanum or opium to procure rest: see table of doses. But, among all the palliative remedies ever yet discovered, I am compelled, from both experience and incontestible authorities, to believe, that, in all diseases of the urina- ry organs, and particularly in stone and gravel, the uva ursi of the mountainous regions of Europe, and possibly of this country, stands conspicuous and alone. The following cases of actual experiment, to which, had 1 space, many more might be added, will prove conclusively that it is a sovereign remedy, if not in dissolving the stony matter, at least in banishing the sufferings with which it is usually attended. Case 1st. At the age of thirty-two, Mr. B----hav- ing tried various remedies, submitted to an operation for the stone, with which he had been afflicted many 292 GUNN'S DOMESTIC MEDICINE. years. When the usual passage was opened into the bladder with a knife, a rough stone of the mulberry kind was taken out. Although the operation was well performed, the incision perfectly cured, and the severe pains he formerly felt had ceased for a time—yet, after the lapse of some weeks, he again began to be afflicted with excruciating pains, and great difficulty in making water. The urine was accompanied with a discharge of matter, which had continued ever since the opera-r tion—and now, instead of decreasing as was expected, it had become more abundant, bloody, fetid, corrosive, and inflammatory, and excited exquisite agony at every attempt to pass it off. After various remedies, ordered by the best physicians, had been tried in vain, the use of the uva ursi was recommended, and many cases in which it had been successful related to him by way of encouragement. On the 10th of October, 1762, after taking some medicines by way of preparation, he began with half a drachm of the powder of the plant uva ursi, which had been brought from Vienna for the greater certainty; this dose he took twice a day, ob- serving a temperate diet, and abstaining from every thing considered pernicious. In three weeks his pains were appeased; the matter was greatly diminished in quantity, and was also of a much less acid quality; and he voided his urine more freely. These circumstances gave him great hopes of being perfectly cured; nor were his expectations ill grounded: for in ten weeks, he was entirely free from pain, made water easily, and was no more afflicted with fruitless provocations to urinate. And now, April 25, 1763, by persevering in this course, he is so perfectly free from all sypmtoms of the complaint, that he considers himself perfectly cured. GUNN'S DOMESTIC MEDICINE. 293 Case 2d. A youth twelve years of age, of a tender constitution and delicate frame, having been' frequently subject to coughs and other ailments, was suddenly attacked with severe pain in the region of the bladder. This continued for several days; during which time he frequently cried out as if upon the rack: his wTater, which was very mucus, dropping from him very pain- fully, gave strong suspicion of the -gravel. The usual medicines were given; but in vain. He was next sounded by a skilful physician, and a stone was found in the bladder. About this time, De Haen's account of the uva ursi became public; and this was considered a fair case in which to give it a trial. After proper prep- arations, half a drachm of the powdered plant was given twice a day. For a week, no perceptible relief was obtained; but, in three days more the pain abated, and the water became less charged with matter. In short, by observing a regular diet, and by a steady per- severance in the medicine, he is now so entirely well, that an operation for extracting the stone by the knife, is no longer thought of. Case 3d. A gentleman near forty years old, of a good constitution, living in a place supplied with water of a bad quality, became afflicted with the gravel to a very painful degree. He frequently passed small stones, of a sandy substance, which he could plainly perceive to fall from his kidneys, where they seemed to be gen- erated, through the ureters into the bladder—always exciting, during their descent, intolerable misery. All the most celebrated measures adapted to such com- plaints, were fairly tried. Little or no relief was obtained. The matter voided in his urine gave suspi- cion of decay in the kidneys. The uva ursi was there- fore advised, and continued in the dose of half a drachm 294 GUNN'S DOMESTIC MEDICINE. twice a day; by which, with regular and abstemious diet, the patient in three months became perfectly well. I consider the foregoing cases, to which, as I have before remarked, many others might be added from excellent authorities, entirely conclusive as to the medi- cinal virtues of the uva ursi—for a particular descrip- tion of which, together with some other cases of cures in stone and gravel, I most strongly and seriously refer the reader. SUPPRESSION OR STOPPAGE OF URINE. This is a disease, which is frequently produced by inflammation of the urethra, or canal which conveys the water from the bladder: it is also sometimes produ- ced, as I have mentioned under "Inflammation of the bladder," by falls in various ways, and by that false delicacy, which induces a bashful and inexperienced person, to retain the urine an unusual and dangerous length of time. It is also produced, among those who have worn down their manhood in indiscriminate debaucheries in early life, and sometimes among those who are naturally of delicate and weakly constitutions, by taking too. large quantities of the tincture of Spanish flies for purposes which I forbear to name. It also, sometimes, arises from the necessary application of blisters, and not unfrequently from costiveness or con- stipation of the bowels. REMEDIES. Draw some blood; this will relieve the system. Then put the patient in a warm bath, which must be contin- ued from a quarter to a half an hour. Next give a warm clyster, made of starch and water, in which must be GUNN'S DOMESTIC MEDICINE. 295 mixed three table-spoonsful of castor oil. For the warm bath, and clystering, look under the heads. If it seems to be necessary, after these remedies, give a dose of castor oil by the mouth. If all these means fail of producing a flow of urine, the catheter must be skil- fully and cautiously used: for which, look under the head. Throwing cold water on the belly and thighs, will sometimes afford relief, when all other remedies have failed. A clyster of warm water, in which tobacco leaves have been steeped for a few minutes, is an excel- lent remedy; it must however be used with great caution; being very powerful in its effects, it must be made very weak—and should by no means be repeated, unless under the direction of a physician. Its immediate effects are—a general relaxation of the whole system, accompanied with prostration of muscular power, faint- ness, and sickness of the stomach; profuse sweat breaks out over the whole body; and if the remedy succeeds, the urine is immediately evacuated. GREAT FLOW OF URINE. This complaint is called by physicians diabetes. The word diabetes is derived from two Greek words, which signify—to pass through: and I mention the fact merely to show, how little connexion there usually is, between the derivation of words and their real mean- ing. The quantity of water usually discharged in diabetes, is more than double the liquid taken in both drink and food. The attacks of this disease are gener- ally slow and gradual. I have known instances, in which it has been more than two years in making its advances on the constitution. The symptoms of diabe- 296 GUNN'S DOMESTIC MEDICINE. tes are—larger and more frequent discharges of watef from the bladder tl)an common; the urine is clear and transparent as spring water; and having a sweetish and sickish taste, like sugar and water, accompanied by a faint smell, as if mixed with rosemary leaves. These symptoms generally occur without pain, and are usually attended with a varacious or greedy appetite. When this disease occurs on young persons, or is attended to in grown individuals at any period, it can frequently be removed; but, when suffered to proceed for any length of time, or when it attacks persons in advanced age, or those who have indulged to excess in spirituous liquors, it is extremely difficult of removal. As this disease increases on the constitution, for I certainly consider it a constitutional complaint, the whole body becomes emaciated, and gradually wastes away; the mind becomes dull and melancholy; the patient has a strong aversion to motion and exercise; there are frequent darting pains in the privates, accompanied with a dull and heavy pain in the small of the back; nearly con- stant thirst, which it seems impossible to satisfy; the bowels are costive, and the pulse irregular; as the dis-' ease advances, fever takes place similar to that in hectic and consumptive cases, the feet begin to swell, and death usually closes the scene. The favorable symp- toms in this disease are the following: the appetite becomes more natural, and the thirst diminishes; the' urine is voided in small quantities, and the desire to make water less frequent; the water assumes its natural color, .and regains its usual smell; the skin becomes more flexible or soft, and is suffused or covered with gentle and natural sweat; the mind gradually becomes more cheerful, and the desire for exercise increases: when these symptoms manifest themselves, there are GUNN'S DOMESTIC MEDICINE. 297 always great hopes of speedy recovery. The bodies of many persons who have died of diabetes, have been accurately examined by skilful anatomists: and the results have always shown, diseased state of the kid- neys and their vessels, and consequent derangement of their secretions—in plain language, and I am supported in the opinion by the celebrated Rush, and several other physicians of note, diabetes is a consumption of the kidneys. REMEDIES. Emetics or pukes are frequently to be given in this disease, and much dependence may be placed on them for a cure. Ipecacuanha is perhaps the best puke that can be given: see table for dose. Blisters are to be applied to the small of the back, and kept continually running: and a Dover's powder is to be given at night, which will produce a determination to the surface, or in other words a gentle sweat: to pre- pare these powders, look under the head Dover's powders. Use the warm bath frequently, and have the whole body rubbed well twice a day with a flesh brush, or coarse towel; the rubbing should at least continue half an hour to benefit your patient. Flannel must be worn next the skin. The tincture of cantharides, cau- tiously administered, is a valuable remedy, and should be given to a grown person, from eight to ten, and twelve drops, every four or five hours, in a little cold water, or in water in which some gum has been dis- solved : wild cherry tree gum, or peach tree gum will answer. Astringents may be serviceable in this com- plaint, and should be tried agreeably to the following directions:—Alum dissolved in water, and occasionally given throughout the day, as the stomach will bear it without inconvenience or unpleasant feelings, will be 38 298 GUNN'S DOMESTIC MEDICINE. serviceable: or sugar of lead, given in a grain and a half to two grains, twice a day in cold water, for grown persons, has afforded much relief and expedited the cure: for the dose of alum or sugar of lead, see table for the doses adapted for different ages. When it is possible to obtain chalybeate water, or in other words spring water impregnated or mixed with iron, you should direct your patient to use the water freely. East Tennessee abounds with those springs, on almost every branch or rivulet. As there is an acid of the stomach, which frequently accompanies the complaint, it will be proper to give your patient weak lime water, or chalk, or soda powders: look under that head, and you will see how soda powders are made. If fever is present in this disease, which is sometimes the case, the loss of a little blood occasionally will be proper. Your patient is to use no strong drink of any kind; to eat no vegetable food, but to live on animal food; to avoid cold and exposure of every kind; and to defend the feet and body well against the damp air—and, in good weather, to take moderate exercise. In my practice, I use the uva ursi tea, and have derived great benefit from it: i therefore recommend it with the utmost confidence. By the use of emetics, with this tea, and frequent bath- ing in warm water, if commenced at an early period, a cure may be speedily expected—(read under the head uva ursi, for a description of this plant, how it may be obtained, and how to use it.) The bowels are to be moderately purged, and kept open by castor oil; or by rhubarb, either by chewing it, or taking it in powder. Rhubarb is preferable to castor oil in this disease, and should be used if it can be obtained. (Look under the head rhubarb, for explanation of its qualities, and see table for doses.) Doct. Samuel Sair, GUNN'S DOMESTIC MEDICINE. 299 lately read to the Academy of Medicine in France, an interesting memoir on this subject. He refers most cases of incontinence or involuntary flow of urine, or diabetes, to a want of equilibrium in power, between the body of the bladder and its neck; in other words, when the muscular power of the neck of the bladder, is so much weakened or relaxed, as not to retain the urine against the contractible power of the bladder itself. With this view of the subject, he imagined that if he could stimulate the neck of the bladder, and not the body of it, he could succeed. He introduced, by means of a catheter, some tincture of cantharides, so as to touch the urethra in its prostatic part, and also the neck of the bladder: by this process, he cured three patients who labored under this disease. When this remedy is to be resorted to, the aid of a skilful physi- cian will be required. ERUPTIONS OF THE SKIN. The close connexion which exists between the stomach, skin, and bowels, is evidently demonstrated by the simple fact, that in many instances where the bowels are internally disordered, the skin exhibits exter- nal evidence of disease. The many eruptions which show themselves on the face, hands, legs, and bodies of individuals, are positive proofs of the deranged state of their systems internally:—and by removing the prima- ry or first causes, you invariably remove those eruptions, which are in general mere effects. You should, there- fore, always endeavor to ascertain, whether those dis- eases of the skin are not produced by some impure state of the blood, from a foul stomach, from costive 300 GUNN'S DOMESTIC MEDICINE. bowels, or from some constitutional disease derived from parents. If either of those causes produce erup- tions of the skin, you will easily see that they are to be removed by internal remedies—I mean those which strike at their roots: for, if you should succeed in dri- ving in the eruptions of the skin, by merely external remedies, you will always produce fever, and almost invariably seat some fatal disease on the vital organs. Whenever diseases exhibit their effects on the skin, you may be assured that they are efforts of nature to relieve herself from oppression; and the real business of a physician is to assist nature, and never to retard or stifle her operations. REMEDIES. The first great and important rule, in all eruptive disorders of the skin, is to open the bowels and keep them in a laxative state, by cooling medicines; such as epsom salts, or equal quantities of cream and tartar and sulphur. If the stomach is out of order, there being a close connexion between it and the skin, a gentle emetic will sometimes be necessary to cleanse the stomach, and to assist nature in throwing the whole disease on the surface, where it may expire and fall off in scabs. Tea, made of sassafras or sarsaparilla, should always be used as a common drink. Whenever fever takes place, which is sometimes the case, draw some blood from the arms, and give an active purge of calo- mel at night, followed by a dose of epsom salts in the morning. Common starch rubbed on the skin, in all kinds of eruptions, is a cooling and pleasant remedy; and the application of it on going to bed, will produce much relief from the itching, and consequently easy and refreshing sleep. Persons who are subject to eruptions of the skin, should live on light and cooling GUNN'S DOMESTIC MEDICINE. 301 diet: avoid salted provisions, and every thing of a heat- ing nature; avoid spirituous liquors, and use cooling acid drinks—and, by all means, keep the skin clean by frequent warm or tepid bathing. SAINT ANTHONY'S FIRE. This disease is called by physicians, erysipelas:—it is of an inflammatory character, and always attended with some fever. The skin burns and itches very much, and usually turns to a scarlet color. It generally com- mences in a red blotch, and quickly extends itself over the whole body. Sometimes the face swells very much, and becomes inflamed: there is, also, head-ache, sick- ness at the stomach; and not unfrequently, violent fever attended with delirium. REMEDIES. This disease is attended with inflammatory symptoms, and like others of the same character, must be treated by moderate bleeding, cooling purges, and cooling drinks. Bathe the feet and legs frequently in warm water, and remain in your room, so as not to be expo- sed to damp cold air, by which the disease might be struck inwardly. Every two or three hours, give equal quantities of antimonial wine and sweet spirits of nitre, in doses of a tea-spoonful, in a stem-glass of cold water. If the head-ache is very severe, the loss of some blood, a blister between the shoulders, and poultices made of mustard seed and corn meal, will give relief. Sprink- ling the body with fine starch, or with wheat flour, will greatly assist to cool and allay the irritation. A tea- spoonful of sugar of lead, put in three half pints of cold 302 GUNN'S DOMESTIC MEDICINE. water, and used as a remedy by washing the body, is also a valuable application. TETTER OR RING WORM. Thjs is a disease confined to the skin, for which med- icines are seldom given internally. It first appears as an inflammatory eruption of small magnitude, not larger than the finger nail, and gradually extends itself into a circle, which sometimes embraces the hands, sometimes the face, and not unfrequendy large portions of the body. Unless relieved, it at length becomes extremely painful, and is attended with an itching sensation, which is greatly increased by the least warmth or exercise. REMEDIES. Puccoon-root, called by some persons Blood-root, and by others Indian paint, steeped in strong vinegar, and applied as a wash to the parts affected, is a most excellent remedy—perhaps the best one known in this disease. The blue dye, made by the country people to color their cloth, has been sometimes known to remove it, when many other remedies had failed : this must be owing to the indigo and urine the dye contains. I do not recollect, however, one single case in my practice in Virginia, in which the puccoon-root and vinegar failed. In France, the application of the fumes of sulphur is always resorted to with success, in all diseases of the skin:—(read under the head sulphuric fumigation.) GUNN'S DOMESTIC MEDICINE. 303 ; SCALD HEAD. In this disease, the whole scalp or skin of the head is covered with small sores, which discharge very offen- sive matter. These sores eventually turn to little scales or scabs, while fresh ones continue to break out at the roots of the hair, and follow the same process of turning to scales and falling off. This disorder is infectious or catching, and is often taken by children, in consequence of wearing the hat or cap of persons affected with it. Sleeping in the same bed, or combing with the same comb, when the child ha's constitutionally a scrofulous taint, will also communicate the disease; which is some- times tedious and difficult to cure. REMEDIES First shave off the hair as close as possible; then cleanse the sores daily with warm soap-suds, and put on the following ointment, which must be spread on a bladder, and worn as a cap. Take two table-spoonsful of tar, and a sufficient quantity of suet or lard to make an ointment; to these add a table-spoonful of powdered charcoal, and two tea-spoonsful of sulphur. The bowr- els must be kept open with epsom salts, and a tea made of sarsaparilla and sassafras drank freely; these meas- ures will purify the blood. Once or twice a week, bathe the whole body in water of a pleasant tempera- ture. Doctor Chapman, of Philadelphia, one of the Professors of that University, recommends highly the following remedy: Take of liver of sulphur, three drachms; of Spanish soap, one drachm; of lime water eight ounces, and of rectified spirits of wine, two drachms: mix them well together, and use the whole as a wash.—(Where the remedies I have mentioned fail, look under the head of sulphuric fumigation, for a cer- tain remedy in all diseases of the skin.) 304 GUNN'S DOMESTIC MEDICINE. TOOTH ACHE. This disease does not always arise from decayed teeth; it is frequently the offspring of nervous affections, of cold, of rheumatism, and not unfrequently, among females, of stoppages of certain evacuations. I have known many sound teeth to be extracted unnecessarily, and on account of diseases which were afterwards dis- covered to be seated in other parts of the body; and I, therefore, earnestly recommend, that great caution be used in discovering the causes of tooth ache, before a tooth is suffered to be drawn. Tooth ache, in very many instances, arises from a disordered state of the stomach and bowels. In these cases, the suffering is generally severe, and must be removed by attention to cleansing the stomach and bowels. Many instances have occurred in my practice, where persons have requested teeth to be drawn to remove tooth ache, when all their teeth on examination were found to be sound. In these cases I have always relieved them by a purge. Among women, more than one half ofthe suffering from tooth ache, may be fairly traced to some bodily habit, or some nervous sympathy, to which the female constitution is peculiarly liable, and which may be remo- ved by other means, than the extraction of the teeth. Persons who have written before me, on the subject of tooth ache, have spoken of the disease as peculiar to, and confined to the teeth alone; when the fact is, that common sense and experience, will teach any man the palpable absurdity of such doctrine, and convince him that tooth ache is very frequently a common symptom of other diseases, which are to be sought out and remo- ved before relief can be obtained. tfUNN'S DOMESTIC MEDICINE. 305 REMEDIES. When tooth ache is presumed to arise from nervous affections, the nervous system is to be strengthened by gentle tonics, nutritive and cooling food, and moderate exercise in the open air. (When it proceeds from cold or from rheumatism, consult those two heads for direc- tions to remove it; and when it arises from stoppages of the menses in females, see and consult that head, among the diseases of women.) Extracting teeth ought always to be the last remedy resorted to; it is a painful opera- tion, and oftentimes a dangerous one, when attempted by an unskilful and clumsy hand. When a tooth is dis- covered to be defective, and that there is inflammation at the root, which is the cause of the pain, let the inflam- mation be reduced by blystering the surface of the cheek, or by sacrifying the gums with a lancet, and the tooth plugged with gold leaf, or silver or tin foil. Tooth ache is frequently owing to the nerve of the tooth being exposed to the air from decay: in this case, it is always advisable to avoid the extraction of the tooth, and to have it plugged as I have just told you, with gold leaf, or with silver or tin foil. These arti- cles can always be obtained pure. There are cases, in which the diseased tooth will not bear the wedging pressure of being plugged with gold leaf; in these in- stances, pure tin or lead ought to be used. These last mentioned articles, however, wear out in a fe,w years; and it is a truth well known, that tin will corrode, rust, or turn black in a short time, from the action of the acid generally used in food. Gold, in its pure state, is always preferable for plugging a tooth; it will some- times last twenty years. If the disease arises from inflammation, the practice of holding hot and stimula- ting articles in the mouth, is highly improper: you will 39 306 GUNN'S DOMESTIC MEDICINE. know when it arises from inflammation, by the follow- i ing indications—you will have head ache, which will | be attended with fever. Take a full dose of epsom or glauber salts, and repeat the dose if necessary. Apply to the face cold mush and milk poultices; or those made of meal and vinegar, as cold as possible; and, if f the inflammation runs high, and is attended with fever, the loss of some blood will be proper, together with the application of a blister over the pained part. Great suffering about the teeth, is frequently caused by certain nervous pains, to which females are sometimes consti- tutionally liable: these cases are to be treated with simple remedies, and scrupulous care, until the original causes are removed—and you may apply to the face some irritating tincture, such as Cayenne pepper, tinc- ture of Spanish flies, or volatile liniment. I have said before, that tooth ache sometimes arises, though not very frequently, from rheumatism: when this is the case, the whole sides of the face will be pained, togeth- er with the sound as well as the decayed teeth. There will also be felt, a dull, heavy pain, extending along"the jaw bone; and a stiffness of the neck, sometimes atten- ded with pain in the shoulder. The following is a good remedy:—Put a piece of lime, the size of a walnut, into a quart bottle of water; with this rinse the mouth two or three times a day—and clean the teeth with it every morning until the pain ceases. But, in rheumatic affec- tions, of the kind just described, see under the head rheumatism. The tartar, or scurvy of the teeth, is a very destruc- tive disease; it greatly injures the teeth, and frequently destroys them, before you are aware of the danger, Tartar is an accumulation of earthy matter, deposited on the teeth from the saliva or spittle. It collects on GUNW3 DOMESTIC MEDICINE. 307 the teeth of some persons, much faster than on those of others; this is owing to the natural or constitutional state of the fluids of the mouth. When first deposited on the teeth, it is soft and very easily removed with a tooth brush; but, if suffered to remain, it acquires hardness by time, and thickens about the necks of the teeth. The gums become irritated and inflamed by it; the sockets are next destroyed; and the teeth being left bare, without any support, are pressed out by the tongue, or fall out. The importance of removing tar- tar from the teeth, must be obvious to all: and the operation ought always to be performed by a skilful person, called a dentist—or by a physician. To pre- vent the accumulation of tartar on the teeth, and to restore the healthy state of the gums, nothing more is requisite than a stiff* brush, and pounded charcoal, mixed with an equal quantity of Peruvian bark. The use of all acids for the removal of tartar, is a base imposition. Acids will, indeed, make the teeth look beautifully white for a few days, dissolve and remove the tartar, and stop the tooth ache; but, in a few months, the teeth will become of a dead chalky white, next turn dark colored, then begin to decay and crum- ble to pieces, and finally leave their fangs in the sock- ets, exposed to pain and inflammation. Milk warm water, and the tooth powder I have mentioned, will not only preserve the teeth, but correct in a great de- gree the offensive effluvia arising from decayed teeth and unhealthy gums. J 308 GUNN'S DOMESTIC MEDICINE ITCH. This filthy disease is infectious, or in other word? Catching; and is frequently produced by want of clean- liness : it is confined to the skin, and first shows itself between the fingers in small watery pimples, gradually extending to the wrists, thighs, and waist. There is a constant desire to scratch, which is much increased after you become warm in bed. Cleanliness, and early attention to this dirty disorder, will prevent its being communicated to a whole family: children are apt to take it at school, and to communicate it to those with whom they sleep. Travellers are apt to take it, from sleeping in beds that have been previously occupied by persons who have it: therefore, a good caution in tra- velling is, to have the sheets and pillow-cases changed. Frequent instances occur in travelling, where persons of much respectability have taken the itch, and been much mortified by it, from want of this precaution. REMEDIES. Take one drachm, or sixty drops of sulphuric acid, which is oil of vitriol: mix it well with one ounce of hogs- lard, or fresh butter without salt, will answer. After it is well prepared by good rubbing, anoint the parts affected until cured; this is an innocent and certain remedy for the itch. Or, you may make an ointment of a table-spoonful of sulphur, and a table-spoonful of lard, or butter without salt, and put in the ointment a table-spoonful of the essence of lemon, or a tea-spoon- ful of the oil of lemon, which will give it a pleasant smell. This ointment must be rubbed on the parts affected, three or four nights on going to bed. Sul- phur is nothing more than common brimstone purified, and pounded fine. Or, you may take one drachm of red precipitate, and rub it well in a mortar with an GUNN'S DOMESTIC MEDICINE. 309 ounce of hogslard, or butter without salt, and anoint the parts affected: (this last is a valuable and certain cure.) A strong decoction or tea of Virginia snake- root, known generally as black snake-root, will fre- quently cure the itch when used as a wash. Tobacco leaves steeped in water, and used two or three times a day as a wash, will effect a cure; but this remedy must be used with caution on children. Water dock grows in wet ditches, mill ponds, and sides of rivers; and flowers in July and August. The root boiled in strong decoction or tea, and used as a wash, is a good remedy, for itch; the narrow and broad leaved dock, found in yards and fields, will answer the same purpose. Mercu- rial ointment, sometimes called oil of baze, is frequently rubbed on joints for itch; this is highly improper, because it frequently salivates, and produces pains in the joints and bones for life. APOPLECTIC FITS. This disease derives its name from a Greek word, which signifies to strike or knock down; because those affected with it are suddenly prostrated to the earth, and deprived of sense and motion. A variety of causes have been assigned for Apoplexy: but, they may all be comprised in the following words—whatever deter- mines, or throws, so great a quantity of blood on the brain, that it cannot return from that vital organ. It is not necessary to enumerate those causes, further than to remark, that among them are:—violent fits of passion, excess of venery, stooping down for any length of time, overloading the stomach, and wearing any thing too tight about the neck, great cold, and intemperance, 310 GUNN'S DOMESTIC MEDICINE. Persons most liable to Apoplexy, are such as have short necks and large heads. In attacks of Apoplexy in the severest form, the blood vessels are found bursted, and the blood poured out in various parts of the brain; and, when Apoplexy attacks in milder forms, those blood vessels are found distended, or swelled with too large a quantity of blood. This complaint has deprived the republic of some of her greatest ornaments, among which were the Hon. De Witt Clinton; the Irish patriot, Thomas A. Emmett; and William Pinckney Esq., our former minister to London. Intense and protracted mental exertion was probably the cause of the death of Messrs. Emmett, Pinckney, and Clinton; but, in most instances, Apoplexy is to be dreaded by corpulent or plethoric persons,—such as I have before named—hav- ing large heads and short necks, epicures, gluttons, and those who use spirituous liquors to excess. REMEDIES. The chief remedy in Apoplexy is large and copious bleeding, which must be repeated if necessary. Cup- ping at the temples ought also to be resorted to, the great object being to draw the blood from the head, and to relie/e the oppression of the brain as speedily as pos- sible. The next thing to be attended to, is to give the most active purges;—see table for doses. Apply cold cloths wet in vinegar, and the coldest water constantly to the head. If your patient should recover by the means directed, in order to escape from a second and third attack, the person should scrupulously observe the following rules of living: he must eat vegetable food, drink no wine nor spirits of any kind, avoid all strong' and long continued exertions of mind; and, after the full state of the brain has for some time subsided, the use of chalybeate waters, such as those of the Harrods- GUNN'S DOMESTIC MEDICINE. 311 burgh Springs in Kentucky, will be of much service. As this is a common and often fatal disease, I will make some further remarks on it. Many physicians have commended, and put in practice in this complaint, open- ing one of the jugular veins. They imagine, by drawing blood from one of these veins, they unload the brain, and relieve its blood vessels from distension, and the danger of rupture. The fact, however, seems to be otherwise. Instead of unloading the vessels by this operation, the pressure which is necessary to be made on the vein for the purpose of drawing the blood, evi- dently retards the return of blood to the heart; and a certain and inevitable consequence of this pressure, accumulation of blood in the arteries, and greater dis- tension of the blood vessels, immediately take place. To exhibit the force of this reasoning clearly, I will make an example of blood letting from the arm. The arteries of the arm convey, by the muscular power of the heart, all the blood in those arteries to the points of the fingers: here the veins take up the same blood, to return it again to the heart. Now, when we cord the arm tightly in order to draw blood from a vein, what are the consequences? Why, we stop the course of the blood back to the heart, swell the veins of the arm next; and, lastly, distend the whole of the blood vessels of the arm: and are not the same effects produced on the blood vessels of the head, by a strong pressure in cording the jugular vein? The above doctrine, as well as it can be explained from the works of the great Doc- tor Baillie of London, I am induced to consider correct. Instead of opening the jugular vein, in cases of emer- gency, I would recommend bleeding in the foot. In performing this operation, after the bandage has been put on, the foot should be put in warm water: the fact 312 OUNN'S DOMESTIC MEDICINE. is, that warm water applied to both feet, in bleeding for Apoplexy, would be attended with considerable advan- tage. EPILEPTIC FITS. This disease differs from Apoplexy, by the former having convulsions, and frothy spittle issuing from the mouth. The ancients gave it the name of the sacred disease, because it affected the mind, the most noble part of the rational creature. These fits last from ten minutes to half an hour, depending on their violence : they always leave the sufferer in a stupor, attended with great weakness, and exhaustion of the body. Epileptic fits arise from the following causes:—Original or natural defects; in other words, defects derived from nature, and severe blows on the head. When the disease ari- ses from either, or both of these causes in combination, it is seldom if ever cured. But, when it proceeds from any of the following causes, cures may be effectuated by medicine, proper diet, &c. In children, when it proceeds from worms, cutting teeth, impure and acrid matter in the stomach and bowels, eruptions of the skin which suddenly strike in, and sores on the head which are too quickly healed up, relief may be obtained by medical means. Relief may also be had in the cases of grown persons, afflicted from the too free use of spirit- uous liquors, from violent excitements of those passions which affect the nervous system, from stoppages of the menses in women, and those who have not yet had their courses according to nature. This disease is sometimes although not often, produced by great debility or weak- ness; and sometimes by onanism. GUNN'S DOMESTIC MEDICINE. 313 REMEDIES. In fits of this kind, a few days previous to the expect- ed attack, draw blood from the foot; and every night on going to bed, bathe the feet some time in warm water, so as to prevent too great a determination of blood to the head, as these fits generally attack persons during sleep. If considered necessary, give an emetic or puke to cleanse the stomach, followed by an active purge to act on the bowels—see table for dose. These fits generally occur about the change or full of the moon. The singular and surprising influence which this platfet is known to exercise in many instances over the human species, is absolutely unaccountable, and is even Vidiculed by many physicians; but I feel fully confident, from reflection and experience, that this planet has considerable control over certain diseases to which the human system is liable—one or two of which I wUl notice. The monthly courses of women, at particular times, are evidently under its influence: madness, or mental derangement, is in many cases greatly increased at tfie change of the moon; and it is well known to almost every person, that the periodical return of epi- leptic fits is generally about the full and change. These circumstances certainly denote some secret and mysterious agency, which is concealed from human knowledge. On a full examination of the different remedies recommended in epilectic fits, where they arise from circumstances which can be traced to some particular cause, please to refer to the different heads, remembering always, that when you expect to effect a cure, it can only be done by removing the cause. I have mentioned emphatically, bleeding in the foot, and the warm bath; these will remove the blood from the b rain, when harsher means have failed. The bowels 40 314 GUNN'S DOMESTIC MEDICINE. must be kept in a laxative state, by epsom salts, castor oil, or mild clysters—see table for doses and head clys- ters. By permitting the bowels to be the least bound, you subject the person to much risk of having a fit. An issue, or a seton in the neck, something resembling a rowel, and kept continually discharging, is a good remedy in fits. The use of tartar emetic ointment, is a remedy resorted to in the hospitals of Europe with success: I have tried it in two cases; it succeeded in one and failed in the other: this, however, is the usual fate of most remedies applied in this disease. Setons always lessen the fits in number and severity, and the tartar emetic ointment sometimes removes the com- plaint; they are, therefore, both worthy of a fair trial. For the mode of preparing this ointment, and the man- ner of using it, look under that head—and for issues or setons, see that head. All that can be done during the fit, is to prevent the person from injuring himself, by placing a bit of soft wood between the teeth, and unclenching the hands. The following remedies should be tried separately, and with moderation, where there is any hope of success:—plunge the whole body in a strong bath made of salt and water, a few mornings in succession, before an attack is expected; or, you may give spirits of turpentine, in small doses, on an empty stomach; or take the person afflicted through a gradual and moderate salivation with mercury. Doctor Currie, an eminent physician, speaks highly of the Digitalis or Fox-gloves, as a remedy in this com- plaint; but it must be used with caution. Five or six drops of tincture, increased two drops every five or six days, ought to be given—see table for doses. The bow- els must be kept open with senna and manna. Doctor Wharton, of Shenandoah county, Virginia, a man of GUNN'S DOMESTIC MEDICINE. 315 distinguished abilities, administered it with great suc- cess—see page 184, Medical Recorder. Persons who are subject to these fits, should avoid all strong and heating food, together with all kinds of spirituous liquors. Hog meat should never be used as food in any way; nor should any thing difficult of digestion ever be eaten. Moderate exercise must be taken, and every thing is to be avoided which is calculated to pro- duce melancholy, because the mind and passions have great influence on the nervous system. PALSY. Palsy is a disease attended with the loss or dimi- nution of the power of voluntary motion. It sometimes affects one part of the body, and sometimes another— but in whatever part of the system it prevails, there will always be a numbness, and almost entire want of feel- ing, and a loss of power to move the part affected. This disease may arise from Apoplexy; from any thing that prevents the flow of the nervous fluid from the brain to the organs of motion; from luxurious and intemperate living; from the suppression of certain evacuations, such as are mentioned in epileptic fits; from spasmodic affections or cramps; from too frequent intercourse with women, by which the nervous system is much weakened; from exposure to cold; from affec- tions of the spinal marrow; from any mechanical compression; in fact, from whatever has a tendency to weaken and relax the system in an extreme degree. Dissections frequently show collections of blood, and sometimes of serous or watery fluid, effused or spread out in the brain; and what is something singular, these • 316 GUNN'S domestic" medicine. collections and effusions are generally found on the opposite side of the brain from the parts of the body affected. REMEDIES. In no cases of palsy should bleeding be resorted to, unless the patient is of a stout and full habit of body, and where the disease originating in the head, causes a great determination of blood to the vessels of the brain. In all other cases, bleeding is of much more injury than benefit. Where the person is of a full habit, and there is much determination of blood to the head, in addition to bleeding in the first stage of the attack, active purges will be very beneficial. If, on the contrary, the person is of a delicate and weakly habit of body, is considera- bly advanced in life, or if the disease has affected the system for a time, bleeding and very active purges should never be used; it will be sufficient here to keep the lower bowels gently open, by mild and at the same time, stimulating clysters—see the head clysters. The fact is, that constipation of the bowels on the one hand, and excessive laxness on the other, are extremes equally to be avoided in palsy. Constipation or costiveness of bowels, always oppresses the brain with an accumula- tion of blood, which must be relieved:—and too much purging with very laxative medicines, invariably weak- ens the system greatly, and as I have somewhere before remarked, produces morbid irritability. Palsy, with the exception of the cases I have mentioned, must be treat- ed with tonic or strengthening medicines. Every second or third night take two grains of calomel, and three of ground ginger, in a little honey: these doses are to be continued, until there is a copperish taste in the mouth; here you must stop taking them. During all this time, you are to have the affected parts well rubbed with a GUNN'S DOMESTIC MEDICINE. 317 brush, for half an hour three times a day; and you are also once a day, to bathe in strong salt and water, made pleasantly warm.—See page 158, where you will find that out of 996 cases of palsy, 813 were benefitted by the warm bath. Blisters are also very beneficial in this disease, one of which ought to be placed between the shoulders, on the inside of each ancle, and one over the part affected: they should all be kept continually running, by the application of some irritating ointment. An issue or seton in the neck is also highly recom- mended, especially where the disease has originated from apoplexy. I have found great benefit in palsy, by using on the affected parts, the following liniment:—one ounce of spirits of hartshorn, one table-spoonful of spirits of turpentine, one table-spoonful of the tincture of Spanish flies made by steeping the flies in whiskey. These articles are to be mixed in half a pint of sweet oil, and well rubbed on the parts affected three times a day. If these articles cannot be had, bathe the parts in whiskey, in which cayenne pepper has been steeped so as to make it strong of the pepper. Use horse radish free- ly with your food, and take thirty-five drops of spirits of turpentine, on a lump of sugar three times a day. As soon as practicable, take exercise in the open air, and when on the recovery make use of water impreg- nated with iron, and use your bath cold instead of warm, in the manner of a shower bath:—see that head : the water should be mixed with salt. I will remark in conclusion, that electrifying or shocking in this disease, is very highly recommended, as is also the method of cure resorted to with great success in Austria, France, and Germany, which is the use of the sulphur bath, by which 673 cases were cured in the hospitals of 318 GUNN'S DOMESTIC MEDICINE. Paris, and 484 in those of Vienna.—See head Sul- phuric Bath. ASTHMA. In this disease, from an extensive experience, I unhesitatingly say, that Asthma when once firmly seated in the system, is a complaint that may be pallia- ted but never entirely removed by medicine. When the disease attacks young persons, abstemious diet and due exercise are the best remedies for subduing its vio- lence ; but, an entire and permanent cure of the com- plaint, is only to be expected from the spontaneous and powerful efforts of nature herself. In aged persons, where the disease is of long standing, great care and attention are required to lessen the severity of the attacks; this is nearly all that can be done by the boasted powers of medicine, when the disease has be- come obstinate by age. Many physicians have assert- ed that Asthma is a nervous disease; the contrary, however, has been established, by many dissections in the hospitals of Paris, and other cities of Europe. Corvisart, Baumes and Rostan, besides many others, allege that Asthma depends on a morbid or diseased alteration in the organs of breathing or respiration and circulation, by which congestions or collections of blood in the lungs are procured. Rostan, particularly, gives in evidence of this opinion the following facts:— he says in substance, that the bodies of many who had died of Asthma, were opened immediately after death, and that in all of them alterations in the structure of the heart and arteries, were found combined with ex- tensive congestive diseases of the lungs, proving that GUNN'S DOMESTIC MEDICINE. 319 disorders of the heart and large blood vessels, have much greater influence in the production of Asthma than is generally supposed. The symptoms of Asthma are, difficult breathing or respiration for a time, suc- ceeded by short intervals of comparative ease, which are followed by attacks similar to the first, in many cases amounting almost to suffocation; a great tightness across the breast and in the region of the lungs; a wheezing noise in breathing, attended by a hard cough at first, which gradually diminishes in toughness, until a white, stringy, tough mucus is discharged from the throat and mouth, accompanied perhaps by a gen- tle moisture on the skin. Persons subject to periodical attacks of Asthma, generally know the approach of those attacks, by the following symptoms and sensa- tions :—depression of spirits amounting to melancholy; sense of fullness and distention about the stomach, attended with uneasy and restless feelings; drowsiness accompanied by head ache, and a sense of tightness or constriction across the breast. These indications usual- ly occur about die close of the day, increase in severity during the night, and sensibly diminish towards morn- ing. REMEDIES. Bleeding must never be resorted to in Asthma:— although it is frequently practiced by physicians, it is altogether wrong, and must always be avoided. The reason is obvious, and particularly so in the cases of persons advanced in age. Bleeding retards, in fact, it prevents expectoration by the mouth and throat; in other words, it prevents hawking and spitting up mucus from the throat and lungs, which always give relief in Asthma. So soon as symptoms of an attack are felt, which I have just described, give a mild emetic or 320 GUNN'S DOMESTIC MEDICINE. puke; this will always shorten the attack—during j}.J,j which the feet must be bathed in warm water, and the ii..:-?i steam of warm vinegar inhaled, or breathed from the -J spout of a coffee-pot. Stew down, over a slow fire, half an ounce of seneca snake-root in a pint of water, ~l«,j after bruising it with a hammer, to half a pint: of this, pi take a table-spoonful every ten or fifteen minutes, and drink a small glass of warm toddy. I have frequently afforded relief in a short time, by merely bathing the feet and giving plentifully of warm toddy. The Indian ; l tobacco is a valuable remedy in this complaint, used in the following manner: take of the leaves, stem and pods, nearly as much as you can hold grasped between ;■''.■' the fore finger and thumb; put it into a bottle of whis- key, and in five days the liquor will be fit for use; of (}'[ which give a tea-spoonful every half hour until relief is obtained. When this complaint attacks young men, for it is much more apt to attack men than women, they should rise early and take active exercise, partic- ularly by ascending the highest and steepest hills and mountains, where they can breast the pure mountain ! breeze. These people should always rise from a hard ■ .', and give tier node g but warm balm or sage ^ iTik. If he shake j«> very severe, let the pers , count: V beet, g- asp wiifc both hands her thighs and legs, ar . d th< m fi o .ly but tenderly until the shivering su' , Recollect, now, that you are to give no heaths pirits at this time, or you will cer- tainly produce a fever. Should the chills continue, you are to have recourse to laudanum or opium—see table of doses. These last articles are not, however, to be given, unless the chills continue, or are very severe. AFTER PAINS. These pains are brought on, by the contraction of the womb, in the exertions of expelling the clots of blood and secretions, which are contained in the womb after the birth. When not very severe, you are to let them alone; but if too excruciating and severe, you will gen- erally relieve them, by applying cloths wrung out of warm water to the back and belly. If the pains con- tinue to be severe, throw a clyster up the bowels or fundament, made of thin gruel, milk-warm, in which put a tea-spoonful of laudanum—see the head clystering. 460 GUNN'S DOMESTIC 'MEDICINE. INFLAMMATIONS. From difficult or tedious labor, the parts frequently become inflamed and swelled; and sometimes there are quantities of blood, which form a substance in the mouth of the birth-place, which I believe has no' name. Although there is no danger in this matter, yet it fre- quently produces great pain and uneasiness. These inflammations are to be relieved by cold applications, such as cold poultices of light bread and milk; bathing the parts with, and throwing up injections of cold water; or by making use of the following preparation:—In a pint of cold water, put a tea-spoonful of sugar of lead, and bathe the parts with the mixture. Or you may rub them well with sweet oil, keep them cool, and daily cleanse them with cold water. If the belly feels very sore on being pressed, bathe it often in warm water; or apply cloths to it wrung out of warm water, and rub the belly well with the following liniment. Get equal quantities of spirits of hartshorn and sweet oil: mix them well together, and rub the belly two or three times a day with this mixture. This, with the warm bathing, as just directed, will give immediate relief. INFLx^MxMATION OF THE BREASTS. This disease generally arises from want of care after delivery; by which want of care I mean, that proper attention has not been paid to your system, in order to prevent fever, which is always produced from eating or drinking stimulating articles too freely, and before the milk has had time to secrete freely. This effect is also produced, by permitting the breasts to remain distended GUNN'S DOMESTIC MEDICINE. 461 too long with milk. In this case, great pain with in- flammation comes on; in other words^ fever is the consequence of this neglect. If there seems any disposition to inflammation, the best preventive is to apply, a few hours after delivery, warm poultices of light bread and milk to the breasts, for at least three hours. This will assist the natural discharge of the milk. If the child refuse to suck, fill a common black bottle with warm water, and apply the nipple to the mouth of the bottle, which will gently draw the milk, as the water becomes cooler. Bathe the breast well with sweet oil or hog's lard, at the same time. If the inflammation continue, put a tea-spoonful of sugar of lead, in a pint of cold water, and keep a cloth, wet with this mixture, constantly to the breast; but recollect, you are not to wet the nipple with this mix- ture, by which means it may get into the child's mouth. When the inflammation is severe, Doctor Physic re?- commends a blister over the breast. When matter is fully formed, make a small puncture or hole with a lancet, so as to permit it gradually to escape. I have always, however, relieved by poultices and sugar of lead, as above directed, without the painful necessity of using a blister. MILK FEVER. This fever is owing to the change of the system, after the delivery of the child, by the swelling and irritation of the breasts, from the milk secreted in them. This always occasions the discharge from the womb to lessen in quantity. You will now recollect the ad- vice I have given you before, as to applying poultices 462 • GUNN'S DOMESTIC MEDICINE. to the breasts for a few hours, anointing the breasts well with sweet oil or lard, taking some laxative medi- cines, and living on low diet. These measures and precautions, will enable you to avoid the following unpleasant feelings: heat, thirst, head-ache, and fever. Although this fever is quite common, and may be easily removed, yet the imprudence of neglecting the above advice, may be the cause of other complaints, which I shall in their proper places mention. If the breasts are painful, take a dose of salts to cool the system: and if the fever continue, the loss of a little blood from the arm will be proper. Drink mild balm or sage tea, in which put about twenty drops of antimonial wine. This drink may be given occasionally, so as to produce a gentle moisture or sweat on the skin. Take no heating articles, and live on light cooling diet. In a few days the milk will flow7, and the fever go off SWELLED LEG. This disorder takes place after child-birth, and I am happy to say that it seldom occurs, when due caution and cleanliness have been observed. I am of opinion, that it arises from some irritating matter being left in the womb, or at its mouth. When you discover this disorder, which is known by a pain inside of the leg, extending to the heel and the groin, the limb always begins to swell, so that the slightest motion gives great pain. The pulse becomes quick, the skin hot, the tongue white, the urine thick. There are, also, slight pains about the womb, and the discharge from the birth-place is dreadfully offensive. GUNN'S DOMESTIC MEDICINE. 463 REMEDIES. On the appearance of this complaint, get a syringe for females, or what will answer the same purpose, make a squirt of elder or cane, and throw up the birth- place, several times during the day, some warm water to cleanse it—and in the intervals of time, some good sweet oil. Wash the parts well, with water made pleasantly warm, and rub the leg or legs with the fol- lowing ointment. Take a gill of sweet oil, a table- spoonful of laudanum, and to these add a gill of spirits in which camphor has been dissolved. With this mix- ture, rub or bathe the legs twice a day; and provided the woman has no purging of the bowels, let her take at night, and also in the morning, two grains of calomel, mixed with the same quantity of squills, and made into a pill. This is to be repeated until relief is ob- tained. CHILD BED FEVER. This disease is called by physicians puerperal fever. It generally comes on, from the fifth to the eighth day after the woman has been delivered : but its being ear- lier or later, depends very much on the woman's consti- tution, and the particular state of her system. I have before mentioned to you, that you are to be very pru- dent in your conduct, respecting your food, drink, and the state of your bowels; for on these three things depend, in a very great degree, your uniform health, and exemption from this dangerous disease, puerperal or child bed fever. This fever sometimes arises, from a stoppage of the discharge which I have described to you, called Iochial discharge, and from the putrid mat- 464 GUNN'S DOMESTIC MEDICINE. ter which I told you it was composed of, and which I directed you to cleanse:—see the head lochia. An un- due secretion of milk, a stoppage of the lochial dis- charge, the absorption of putrid matter from the womb, exposure to too great cold or heat, all these things are capable of producing child bed fever. This fever is extremely dangerous, and requires the immediate at- tendance of an able physician; but, as you may be so situated as to be unable to obtain one, I shall explain to you clearly the symptoms of this disorder, and also the proper remedies. Child bed fever comes on, with a chill in the first instance, then a flushing heat; next, the woman be- comes restless, and a sweat breaks out. In a short time this sweat dries up, and the skin becomes dry and burning to the touch: there is now great thirst; flush- ing of the face; whiteness and dryness of the tongue; great pain in the head and back; sickness at the stom-. ach, sometimes attended with puking. In a short time the belly swells, feels full, and becomes very painful; so much so, that the weight of the bed clothes, gives con- siderable increase of pain. The bowels become quite loose in some cases, and in others much constipated or bound; so much so, that it is difficult to get a passage through them. By these symptoms you are to know this fever. I must here remark, that if this fever continues for some time, it is very apt to change to a typhus fever. When this is the case, the inflammatory symptoms subside, the tongue and teeth are now covered with a dark brown coat; small sores break out in the mouth and throat, similar to those in a child that has the thrush; the breath smells very badly; the stools are dark and very offensive; and not unfrequently small GUNN'S DOMESTIC MEDICINE. 465 purple spots appear on different parts of the body. When the last symptoms appear, the case is certainly a very doubtful one. In the typhus stage of child bed fever, refer to page 194, and you will find the remedies under the head nervous fever. The remedies in the first stage I have described, or child bed fever properly so called, are as follows: REMEDIES. While the cold stage is passing over, warm appli- cations to the feet and legs are to be made; and, when the inflammatory or hot stage comes on, as before described, the woman is to be bled from the arm, and immediately purged freely with calomel:—see table of doses. This purge of calomel, is to be followed up with a dose of epsom salts:—see table. If the woman is of a full, stout, and healthy habit of body, and the pains and fever, in eight or ten hours, do not begin to give way; and if the pains in the head and back con- tinue severe, I generally draw more blood from the arm. During this fever, obtain a phial of antimonial wine, and one of sweet spirits of nitre: mix as you can, equal quantities of these two articles, and give a tea-spoonful of this mixture every half hour, in a little water or tea: in other words, give it in such a manner,* as to produce a little sickness of the stomach, attended with a gentle moisture on the skin. If it be inconve- nient for you to obtain these articles, put into a pint of milk warm water, ten grains of tartar emetic, and give of this water one or two table-spoonsful, every one or two hours, so as to produce and keep up a constant sickness at the stomach. This will lessen the fever. Rub the belly well with sweet oil, and by injecting a little up the birth place occasionally, the irritation will be greatly lessened. The application of flannel cloths 466 GUNN'S DOMESTIC MEDICINE. frequently wrung out of warm water, and laid to the belly, will also be highly important in lessening the pains and inflammation.—Should the pain continue in the belly, apply a blister at the upper part of each thigh. I would advise blistering on the belly, that be- ing the proper place, but then you could not apply the warm cloths, which are highly important. It will, therefore, be better to apply the blisters as directed. Clysters made of slippery elm, and about milk warm, thrown up the fundament with a proper pipe, three or four times a day, will answer a valuable purpose, and be a cooling and soothing remedy in this complaint. You will recollect particularly, that in this disease, operations must be had by the bowels, during the in- flammatory period: and that when the disease changes its appearance and character to typhus, as it will some- times do, you are to gently keep the bowels open, but not to purge so as to weaken the patient. In this event, the continuance of mild clysters will be found truly a fine remedy. For the method of clystering, &c. see that head.—When purging comes on, so as greatly to weaken the woman, which is not unfrequently the case, you are to check it by giving a clyster, made with common starch on which hot water has been poured. This clyster must be about the thickness of gruel, and be about milk warm, in which you are to put twenty-five or thirty drops of laudanum: it must be repeated three or four times a day, as the pain and looseness may require. At the commencement of this child bed fever, the diet or food must be very cooling and light; but as the disease advances, and the woman becomes weaker, let the nourishment be increased: and if necessary, from her loss of strength in purging, or from other causes, GUNN'S DOMESTIC MEDICINE. 467 or if the disease seems to be approaching to the typhus or nervous fever, the symptoms of which I have fully explained, it will be necessary to support her system, by the assistance of good wine or toddy, and such nourishing food as will support the enfeebled action of the system. In these cases, wine and barks may be given also; or camomile tea made strong, and taken cold occasionally through the day; or, you may give a strong decoction of dog-wood bark, wild cherry-tree bark, and swamp-poplar bark, made from equal quan- tities of these barks boiled together and perfectly cooled, in the quantity of about a wine-glass full three or four times a day. These remedies are all valuable tonics, or strengthening medicines to support the system. Remember particularly, that no tonics or strengthening medicines are to be given, until after the system has been entirely cleansed of its impurities: and also, you are most particularly to bear in mind, that tonics or strengthening medicines are never to be given, when they produce or increase fever. Spirits of turpentine.—I am induced to believe, from testimony not to be questioned, that this valuable medi- cine, spirits of turpentine, has not yet received the attention, or been employed sufficiently in child-bed fever. So far as my studies and experience will enable me to form and deliver an opinion, I would prefer its use to that of the lancet in this fever, in the reduction of febrile and inflammatory symptoms. I have been in the practice, for several years past, of using spirits of turpentine as a medical remedy, and feel no hesita- tion whatever in asserting, that a fair and impartial trial of it, in a great variety of cases, would entitle it to rank and appreciation among medical remedies, of the very first order. In obstinate costiveness of the bowels, 468 GUNN'S DOMESTIC MEDICINE. and when every other remedy had failed, I have fre- quently used it with signal success; nor is there any thing superior to it in colic, and in various inflammatot ry or spasmodic affections of the abdominal viscera. In enteritis, which means inflammation of the intes- tines; in dysentery; and in hemorrhage, which means a discharge of blood, I know from practical experience, that it is a very valuable remedy. With these remarks, which I consider amply due to the subject, I will sub- join such testimonials of the efficacy of spirits of tur- pentine, as will entitle it to much attention in the treat- ment of child-bed fever. Says Doctor Payne; in substance, pages 98-9, of the 6th vol. Medical Recorder—"Puerperal or child-bed fever, within the last fifteen years, has raged with its usual violence in many parts of this kingdom, particu- larly in the westriding of Yorkshire, when but few of those attacked by it escaped. Before the publication of Doct. Brennan appeared, recommending the oil of turpentine in this fever, blood-letting was usually resort- ed to; but, there was much less success attending it, than appears to have followed the application of the same remedy, in the cases of Doctor Campbell. After reading Brennan's work, I was glad to try a fresh remedy in child-bed fever, because I had seen so little good result from blood-letting. It is now nearly eight years since I was called to visit a female, who labored under this disease; when the surgeon, who had only seen the patient a short time before, proposed giving the oil of turpentine, which was assented to, and given in doses of half an ounce every two hours. The effect was, a very copious discharge from the bowels, appear- ing to consist of a serous or watery fluid, tinged with green, in which were seen floating numerous pieces of GUNN'S DOMESTIC MEDICINE. 469 white matter, like coagulable lymph. Soon afterwards the patient became maniacal or deranged, and contin- ued so for several days, when her intellects were restor- ed, and she gradually recovered. "Since that period," says the doctor, "I have seen several cases of child bed fever, one of which had been attended by a surgeon, who had discontinued his visits. I believe she had not been bled. Her friends, seeing I had an unfavorable opinion of the case, called in a more experienced physician, and it was agreed to try the oil of turpentine as a last resource. Two drachms of it were given every two hours, which soon brought on a purging, of a matter of a like nature as before mentioned. I have stated, in the case first mentioned, that mania or derangement of mind had taken place from giving the oil of turpentine; and the probability is, that the largeness of the doses produced the effect, by throwing too much blood to the head. In the case I am now speaking of, two drachms only were given at a dose, and the result was, that although the patient seemed to be at the very verge of eternity, she quickly recovered." I will give but one other case. It is one communi- cated to the Medical Recorder, 6th vol. page 615, by doctor James H. Lucas, of the county of Madison, and State of Georgia. It is ably and clearly detailed, and will be highly satisfactory to the reader. "On the 15th July, I was called to a woman who had been delivered five days before of her third child, after a lingering labor of two days and nights. When I saw her, there was a wildness of expression, and great anxiety, with considerable sharpness of the fea- tures. Her pulse was from 100 to 110. She had a severe pain above the eyes, a hot and dry skin, and 470 GUNN'S DOMESTIC MEDICINE. great restlessness; the tongue furred in the middle, and a red appearance of the edges. There was much ten- derness of the belly, with an appearance like a ball over the pubes. Her bowels were costive; her extrem- ities cold, every morning about two o'clock, with a scarcity of the lochial discharge; the restlessness was also much more troublesome, in the afternoon. The child and placenta were both delivered as usual. As a preparatory means, ten grains of calomel were given, to be worked off with castor oil. This relieved her con- siderably, particularly her head. The next morning, the 16th, ordered her to take two tea-spoonsful of the spirits of turpentine, in a solution of gum arabic, or beaten up with the white of an egg, with a table-spoon- ful of castor oil in the evening to assist the operation of the turpentine. On the 17th, the tenderness of the belly had nearly subsided; the pulse was less frequent; and four more stools, of a green color and offensive smell from the oil and turpentine were voided. She was ordered to continue the medicine. On the 18th, the tenderness was gone, except on pressure; and the pulse was but 90 in a minute. Three stools had been passed of a less offensive smell, and but slightly tinged with green. The skin was much coolor than on the day before. The medicine was still continued. On the 19th, the pulse was natural, with a slight perspira- tion on the surface; the tenderness of the belly was entirely gone; the lochial discharge of its proper quan- tity and color; five stools had been voided, the two last of which were of a natural appearance; and her appe- tite was good. On the 20th, I found her up, quite cheerful, and perfectly free from fever or disease, and she has continued so ever since." From these cases, which are drawn from high author- .1 GUNN'S DOMESTIC MEDICINE. 471 ities, the value of spirits of turpentine, as a most valuable remedy in child bed fever, will probably be acknowledged by every reader of this work. DISEASES OF CHILDREN. Surely there can be nothing more painful and dis- tressing to a mind of sensibility, than to be compelled to witness, in very many cases without being able to relieve, the various and often fatal diseases to which infants are liable. That most of them are of a mor- « bidly irritative character, is probably well known to every physician who has attended to their symptoms; but what it is that particularly excites this diseased irri- tability in the intestinal canal, it would probably be difficult for even the most learned and skilful of the pro- fession to determine. The foolish and dangerous custom, of giving infants medicine the moment they are born, in order to keep them quiet, is a practice which ought always to be dis- countenanced, as laying the foundations of many disor- ders, sometimes destroying life itself, or entailing on the constitution maladies which last for life. Various medi- cines are given to infants, for very foolish and frivolous reasons, which had better be let alone entirely; such, for instance, as Godfrey's cordial, Bateman's drops, &c. &c. all of which contain opium, and do inconceivable injury to infants. I do not mean by these remarks, that these medicines are not sometimes beneficial; but to be constantly administering them on all occasions, and for nearly all possible purposes, must convince any person of common sense, that they are injurious both to the health and the constitution. By suckling infants, then GUNN'S DOMESTIC MEDICINE. 473 feeding or rather stuffing them, and then following up both by medicines, to keep them quiet, their tender stomachs are kept constantly loaded; and if they are not fortunate enough to puke up part of what they have been compelled to swallow, fermentation must and will take place, the stomach being unable to master such a mass, followed by colics and purgings. The above remarks are made in terms thus plain, that they may be distinctly understood by my readers, and that they may profit, in the treatment of their infant children, by their true meaning. STILL BORN. When an infant is born apparently dead, or giving no signs of life, it is said to be still-born. This appear- ance, however, should not prevent the midwife from making every possible exertion for the restoration of the child; by patience and perseverance, thousands of infants have been restored to life. If no pulsation or beating can be felt in the navel-cord, and if there be marks of putrefaction and decay, I need not tell you that all your efforts will be fruitless. The infant, in this case, where there is hope, ought to be separated from the mother as early as possible, and wrapped in a blan- ket made warm by the fire. As soon as possible after this, its breasts are to be bathed in warm spirits, at the same time that you gently apply to its nostrils spirits of hartshorn. If these remedies fail to restore the circu- lation, put it in warm water, keeping its head in such a position as to prevent suffocation. You may loosen the string on the navel-cord, so as to let it bleed about a table-spoonful, when it must be again tied. While these 60 474 GUNN'S DOMESTIC MEDICINE. measures are in operation, you are to prepare a clyster, made of a table-spoonful of spirits of any kind, and three table-spoonsful of warm water; and if the child does not breathe, you are to give this clyster up the bow- els with a proper instrument—look under the head clystering. The lungs are to be filled with air, by means of a common syringe, the pipe of which is to be introduced into one nostril, while the other nostril and mouth are to be carefully closed; when you are then by gentle pressure on the breast of the child to empty them: in this way the lungs are to be frequently filled and compressed until natural respiration or breath- ing takes place. Sometimes the application of a little cold water to the chest will restore children. In many instances, when the slightest action of the heart has been perceived, it would be advisable to keep up a fric- tion or rubbing over the body, for at least an hour. Cases are stated, and many of them, of infants still-born being restored by warmth and gentle rubbing, even when no signs of life had appeared for an hour or more after the birth. This should therefore encourage you to persevere, by every possible method, for the restora- tion to life of a still-born infant. There are instances, in which the child is born of a dark purple cast, in which the breathing is scarcely perceptible, and where death ensues in a few moments. When these appearances take place, the infant has generally some defect in the formation of the heart and lungs. Doctor Hosack advises, that a bath be made of oak-bark, four ounces of which is to be boiled for a few minutes in about two gallons of water. When this bath is prepared, add to it a pint of spirits of any kind, permitting it to become pleasantly warm, bathe the child up to the neck in this water. If it is convenient, GUNN'S DOMESTIC MEDICINE. 475 you may add to this bath occasionally a table-spoonful of spirits of hartshorn, so as to render it stimulating. When the child shows symptoms of recovery, take it out of the bath, and wrap it in warm flannels; and should the infant be taken in the same way again, you must immediately make use of the bath, after again warming it. TREATMENT OF NEW BORN INFANTS. According to the old custom, the moment the child was separated from the mother, it was plunged in warm water, or washed with spirits of some kind, and well rubbed with a towel, to remove the mealy matter which adhered to it, and to prevent its taking cold, or perhaps to harden its skin. These foolish and dangerous prac- tices, have caused the death of thousands of infant children, or produced some other consequences highly detrimental to their constitutions. The consequences * always are, that by washing and rubbing the child, you irritate and inflame the skin, which is at this time so tender, that nature in her wisdom has covered it with this mealy matter, to defend it from injury in entering the world, and to preserve it from irritability and inflam- mation afterward. An infant born in the winter season, has .more of this mealy covering than if born during the summer; it is also more thickly covered with it at the arm-pits, the bends of the joints, and so on, which are more liable to rubbing or frictional injury during labor, than other parts of the body: and in addition to these considera- tions, this covering is intended to protect the infant against the action of the atmospheric air. This cover- 476 GUNN'S DOMESTIC MEDICINE. ing is perfectly natural, and should always be permitted to remain until nature herself removes it. This will be done in a day or two, without assistance or artificial means by which the skin will be left white, soft, and beautiful, and the child exempted from innumerable dis- eases—diseases, which by the old custom of washing and rubbing would almost invariably ensue. By the old custom, the skin is greatly irritated and inflamed, then becomes of a dark red color, and afterwards breaks out with those eruptions or pimples, which usu- ally appear on children, called red gum. Every person of common sense must know, that the application of spirits of any kind, especially when rub- bed on the head and body of a grown person, will produce smarting and give pain. Now, I ask what must be the consequence to an infant, whose skin is so delicately tender, that nature herself has shielded it from the atmosphere, until it will bear the change with- out injury. In many cases of grown persons, the application of brandy to the head, and washing the body with it, have been .known to produce inflamma- tion of the brain, or lungs, or bowels: the evaporation from the surface being so great, as to induce a degree of cold sufficient to stop the perspiration or sweat. In infants, this evaporation produces inflammations of the bowels, or of the lungs, and sometimes of the mem- brane which lines the nostrils, by which the child is afflicted with a disease called the snuffles. The proper plan, and the one now practised in the different lying-in hospitals throughout Europe and the United States, is simply the following. Cleanse the face with tenderness and caution, with a little milk and water made pleasantly warm: then cover the body with thin muslin, over which is to be put the flannel In a GUNN*'S DOMESTIC MEDICINE. 477 day or two, the mealy covering will entirely peel off, and nature in due time will exhibit a healthy, delicate, and beautiful skin, free from every disease, and entirely exempt from all those painful and eruptive diseases to which infants are usually subject, from the old method of treatment. MECONIUM. When a child is first born, its bowels are filled with a dark colored greenish matter, called by physicians meconium. In a short time after its birth, or as soon as it commences sucking the first milk from the mother, which milk seems by nature to be intended to remove this dark colored or greenish matter from the bowels, for it is almost immediately discharged by a stool. This is the reason, and I think an amply sufficient one, why children should be put to the breast as early as possible after their birth. Sometimes the milk in the mother's breast is rather slow in coming; or from some particular cause, the child will not suck the breast, and consequently it-will not discharge by stool, this matter from the bowels which I have described. It will then be necessary to give it something to open the bowels, such as a little molasses and water, which should be ,me on suddenly, in others, the attack is gradual, and in tij> symptoms so slight as to pass unobserved by the v mother or nurse. In the former, the child, from being in the most perfect health, turns of a purple color, the features and eyes are changed, and the whole frame is violently convulsed or agitated. In a short time these symptoms are followed by faintings, or medically speak- ing, by a suspension of the vital powers; after which, the child gradually recovers; but for some time remains stupid and drowsy. In the latter cases, the infant shows uneasiness, changes* color suddenly and fre- quently, the lips quiver, the eyes are turned upwards, 492 GUNN'S DOMESTIC MEDICINE. and it stretches out, the hands become clenched, when the convulsion or fit comes on. Fits are apt to be produced by any thing which affects the whole nervous system, or that which produces irri- tation of any particular nerve; and by the sudden striking in of any eruptive disease, such as the measles, or any complaint which breaks out on the skin, from improper food, or irritating substances applied to the stomach or bowels will produce this disorder. These convulsions frequently occur during the period of teeth- ing; but I have found from particular attention to the causes which produce convulsions or fits, that worms are very often the cause of this complaint. But if they take place frequently, and with great violence, occa- sioned from pressure on the brain, or any cause in that organ, they generally terminate fatally, or cause the child as he advances in years, to become foolish. The treatment of convulsions or fits must depend on the cause which produces them. If the sudden striking in of any complaint, as the rash, measles, &c. or the drying up of any eruption or discharge on the body, it ought to be brought out by putting the child into a warm bath, then giving a dose of Godfrey's cordial or Base- man's drops, so as to produce to the surface, the conAs plaint; if indigestion or improper food ha« occasioned^ it, give a gentle emetic or puke oj>ipecacuanha, or emetic tartar—see table for dose/ If the bowels are stopped, or the fits are supposed t;> arise from irritating matter of any kind in the body^ it must be removed by purgative medicines, as two grains of calomel, mixed with five grains of rhubarb or jalap, which if neces- sary, assist with a clyster—for the method of preparing and administering a clyster, read under that head;— but if produced by teething, then scarify the gums, or GUNN'S DOMESTIC MEDICINE. 4W in other words, cut them down with a lancet immedi- ately over the tooth; this operation ought to be per- formed daily, until the tooth is through the gum, or the fits cease. When worms are suspected to be the cause from which the convulsions or fits are produced, the reme- dies recommended under that head must be employed. CROUP. This is a very dangerous complaint, and the rapidity with which it proceeds, requires prompt and immediate attention, or the disorder will prove fatal in a short time. Of all the diseases to which children are liable, croup is certainly the most dangerous. Every mother should understand the symptoms and treatment of this disease; as in many instances, before a physician can possibly be obtained, suffocation is the consequence. The croup comes on with a difficulty in breathing and wheezing, a short, dry cough, and a rattling in the throat when asleep. In a short time the difficulty of breathing increases, the face of the child is flushed, and the veins in the neck are very full of blood, and throb or beat very fast. The voice and coughing has a strange sharp sound, something like the crowing of a young cock; the child is very restless and uneasy, the body is hot, and attended by great thirst, and the pulse very quick. Those in whom the face is much flushed, seem over- powered by a heavy sleep, from which they are roused only by the violent fits of coughing. As the disease continues, the fits of coughing return more frequently, and are attended with an uncommon degree of agita- tion throughout the whole frame; the breathing becomes 494 GUNN'S DOMESTIC MEDICINE. more and more noisy; and unless relief is speedily obtained, the infant will die by suffocation. The remedy is an emetic, or puke. The moment the complaint is discovered, put six grains of emetic tartar into six table-spoonsful of warm water, and give the child about a half table-spoonful every ten or fifteen minutes. The intention is, to keep up a constant sick- ness and vomiting or puking. But if it is a violent case, you are to bleed it from the arm, and put it up to its neck in warm water. But recollect you are to keep up the sickness at the stomach, and puke it freely. I have frequently when the croup was severe, kept the child puking occasionally, through the whole night, and using now and then the warm bath, before relief could be given. In this complaint you will find the seneka snake root a valuable remedy; it must be given to the child frequently made into a strong tea. After using the remedies I have already described, without success, and the disease is desperate, the best remedy is calo- mel, in doses of forty or fifty grains. Do not be alarmed at this dose. I know by experience, in a hun- dred instances of the lives of children being preserved by large doses of calomel, which must otherwise have proved fatal. Then let me urge upon you the necessity of laying aside your prejudices against this medicine, and not to slacken your hand in this trying moment, if you wish to preserve the infant. So powerful and salu- tary is this medicine, that it frequently relieves the complaint in ten or fifteen minutes, without recourse to any other means. It acts on the stomach, bowels, and skin. Smaller doses may be given where the complaint is not very alarming; when given in smaller doses, you may add a little ipecacuanha, say two or three grains with the calomel, from which much benefit will be derived. GUNN'S DOMESTIC MEDICINE. *vo The following simple remedy is highly recommended by Dr. John D. Goodman, an eminent physician of Charlottesville, Virginia. The simplicity of the reme- dy, and the facility of its application, entitle it to a trial. "Whenever children are threatened with an attack of croup, I direct [says the doctor,] a plaster covered with dry Scotch snuff, varying in size according to the age of the patient, to be applied directly across the top of the chest, and retained there till all the symptoms disappear. The remedy is found to be always effectu- al when applied to the first and second stages of the malady. This mode of treatment was. from prejudice, neglected by me, and in one instance, in which, with very considerable difficulty, one of my children was rescued by the ordinary treatment. But on being urged to make a trial of the snuff piaster, I determined to make the experiment whenever opportunity present- ed. This was not long wanting; and when called to a child laboring under all the symptoms of the early stage of croup, such a plaster, made by greasing a piece of linen, and covering it well with snuff, was directed to be applied to the chest. The event was most happy, the symptoms of irritation, and half crouping cough, ceased shortly after; the child fell into a profound sleep, with gentle perspiration, and by the next morning, was free from all distressing symptoms. The plaster was re-applied for a night or two following, and then discontinued. Since that time, my family has been saved from a great deal of anxiety and alarm, to which previously they were subject, as we were obliged to keep Coxe's hive syrup, tartar emetic, and all other articles resorted to, constantly ready to meet the attacks of the croup, which were very sudden and frequent in 496 GUNN'S DOMESTIC MEDICINE. cold wet seasons. Since then we have found nothing necessary but the snuff plaster. If a child is heard to breathe hoarsely, or cough with any thing of a dread- ful ringing sound of croup, it is only necessary to apply the snuff plaster, and we feel under no further anxiety. Instead of being obliged to watch with the child all the rest of the night, when once the snuff is applied, we go to rest again, with a feeling of entire security, which we have never had the least cause to regret." FEVER OF CHILDREN. The various complaints to which children are sub- ject, being, as I have before mentioned, of an irritative nature, will generally produce fevers, and although severe while they continue, are not frequently produc- tive of danger if properly managed. A disordered state of the stomach and bowels, teeth- ing, exposure to cold, striking in of any eruption, and in short, every thing which can excite an increased action in the heart and blood vessels, will,produce more or less fever. The treatment of these complaints has already been described. When these fevers take place, cleansing the stomach and bowels will be pro- per, for which purpose, give an emetic, or puke, follow- ed by two or three grains of calomel, to which add four, five, or six grains of rhubarb:—for the dose of either of these medicines, see table; after which, Bate- man's drops, Godfrey's cordial, or paregoric, at the same time bathing the child in warm water, will greatly assist in lessening the irritability of the system, and removing the fever. GUNN'S DOMESTIC MEDICINE. 497 SCALD HEAD. This complaint begins in brownish spots on the head, and in a few days forms a scab, and discharges a thick gluey matter, that sticks amongst the hair. The sores gradually increase, until the whole head is covered with a scab, discharging this matter, which is very offensive. You are to cut off the hair as close as possible, and wash the head well every night and morning with fresh lime water. This is easily prepar- ed, by slacking a piece of quick lime, of the size of a hen's egg, in a quart of water, and when settled, pour the liquor into a bottle and keep it corked for use. CHOLERA INFANTUM OR PUKING AND PURGING. This vomiting and purging of children, called by physicians, cholera infantum, prevails during the heats of summer; it is a dangerous and destructive disorder throughout the United States. Of all the complaints with which childhood becomes afflicted in its earlier stages, this is, at least amongst the infantile population of the western country, the most destructive. When this disease commences, it is very rapid in spreading itself through the section of country or neighborhood in which it first makes its appearance. Its desolation or fatal termination depends very much upon the sea- son, section of country, and state of the atmosphere. The disorder generally shows itself before the middle of June, or about the commencement of our summer months, continuing its ravages through the warm sea- son, gradually lessening in violence as the cool weather approaches. Its frequency and danger are always in 63 498 GUNN'S DOMESTIC MEDICINE. proportion to the heat of the weather; children are subject to it from the third week after birth, to the second summer, at which period it is the most fatal to them. Many distinguished physicians have been disposed to consider teething as the cause of this complaint. I am, however, convinced, that this is not the cause of cholera infantum, or puking and purging. Yet, in children laboring under the irritation of cutting teeth, I have no doubt this complaint is much more severe than it otherwise would be, and that it is more easily taken by them, and that the disorder is more apt to be fatal in its consequences, I admit. But that it is brought about by the causes which I have before mentioned, will be admitted by every physician who has taken the trouble to investigate, or in other words, to search out the original causes of this disease. As I have before told you, the digestive organs in the early stages of childhood, are liable to constant irregularities and irritations; but what excites morbid irritations in the intestinal canal, is perhaps difficult for the most learned of the profession, at the present day, to determine. Yet, whatever influence the irregulari- ties of diet, teething, or other complaints, may have in producing this disorder, I am assured from long expe- rience, that the violent heats of summer, together with sudden changes, or exposure to a moist and unhealthy state of the atmosphere, are the usual exciting causes of cholera infantum, or puking and purging. SYMPTOMS. This disorder commences generally with a purging, but when severe, the child is seized with a puking and purging at the same time, when a few moments before it appeared in the enjoyment of full health. The dis- GUNN'S DOMESTIC MEDICINE. 499 charge, or stool is highly offensive, and colored, with a dark or yellow hue; the stools now become frequent, attended with severe griping; probably the motions will be as often as fifteen or twenty times during the twenty-four hours. So soon as the operation com- mences freely from the bowels, the vomiting or puking begins to cease; over the region of the stomach the slightest pressure will give pain, being very tender, and probably swelled; tongue white, thirst great, a constant craving for water between the times of purging, which cannot be satisfied. The skin becomes dry, and from the child falling away, which it does with great rapidi- ty, the skin is very much shrunk on the inside of the thigh; and while the feet are cold, the head and belly are hot; pulse small and quick, sometimes full; gener- ally towards evening the child is better, but after a short time the purging commences ^rgamr Countenance pale, wan, and languid; eyes sunk and dull; the child moans and sighs much; cannot sleep, is excessively irritable, sometimes attempting to bite its nurse, or rolling about its head, or constantly putting up its hands to its face; the stools become bloody. Even water itself will produce purging. The least jar or irregular motion gives it pain; noise and light cannot be endur- ed. It will scream on barely being touched. The gums are black and swelled; the lips on their edges are filled with a dark scurf; the inflammation takes place; the breathing becomes hurried and laborious: the pulse quick, weak, and irregular, and death closes the suffer- ings of one of the most painful and distressing diseases. REMEDIES. When this complaint is about to make its appear- ance—which you will know by a purging, a white tongue, skin dry and hot, slight fever, attended with 500 GUNN'S DOMESTIC MEDICINE. gripings, and occasionally accompanied with cramps of the abdominal and other muscles—nothing is of greater service than a gentle emetic in the morning, followed by a dose of calomel, mixed with a small quantity of ipecacuanha, at night. For doses medicine see table. The emetic not only cleanses the stomach, but produ- ces a soft moist state of the skin. The calomel and the ipecacuanha as I have described, will greatly lessen the severity of the disease, and not unfrequently entire- ly check it. But should there continue looseness of the bowels, with a dry skin and wakefulness, you are to obtain at a doctor's shop, a phial of wine of ipe- cacuanha—which is nothing more than the ipecacuanha steeped or mixed in wine—of this medicine, give the child a few drops through the day, in a little warm tea of any kind: this will produce a gentle moisture, or in other words, a moist sweat. At night give a dose of paregoric. For dose of this, or any other medicine refer to the table. The warm bath, that is, bathing the whole body of the child once or twice a day in warm water, will be found a valuable remedy, and greatly assist in the cure. Many children have entirely esca- ped this dangerous complaint by using daily the warm bath. By following the directions I have laid down, in a great many cases, the complaint will be so relieved as to render the further use of medicine unnecessary. When the" remedies which I have mentioned, fail, which is sometimes the case, give occasionally a dose of calomel, to which add a little ipecacuanha. As soon as the medicine has purged the child—or in other words, it has had three or four stools—you are to give a little paregoric, in which put a few drops of the wine of ipecacuanha. This moderates the operation of the purge and brings on a gentle moisture, or sweat of the GUNN'S DOMESTIC MEDICINE 501 skin. You will find great benefit from covering the child's belly with carded cotton, over which you are to put a broad bandage, drawn moderately tight. The cotton thus borne, will check the purging. Should the child be teething when it takes this complaint, immedi- ate attention ought to be paid to the gums, and cut, if necessary, when the teeth cannot pass through them. If the emetic or puke which I have directed, should hap- pen to act too severely, you can easily stop it by giving a dose of paragoric or laudanum, in a little tea made of cin- namon. So distressing in some cases are the effects of vomiting and puking—not from the emetic, but from the disorder itself—that you will be under the necessity of seeking means to check it; for this purpose there is nothing better than weak lime water and new milk, in which put a few drops of laudanum or paregoric, or apply green peach-tree leaves, beat up, over the stomach and the breast—this is a valuable application for put- ting a stop to billious vomiting: sulphuric ether is also a good remedy. If these, however, should fail in remo- ving the vomiting or puking, a blister applied over the pit of the stomach will scarcely ever fail. This last remedy should not be applied until a fair trial is given those which precede it. WHOOPING COUGH. This complaint occurs only once during life, and is contagious, or catching. It prevails in the western country during the winter and spring months, and its being mild or severe, depends very much on the atmos- phere* When the winter and spring are extremely cold 502 GUNN'S DOMESTIC MEDICINE. and wet, the whooping cough is generally severe, but on the contrary it appears under a much milder form. Symptoms.—Whooping cough commences like a common cold, and as it gradually advances, the breath- ing becomes more hurried and difficult, the voice hoarse, attended with cough; great thirst; after a few days, a strange whooping sound is made whenever the child draws a long breath, followed immediately by the cough. The agitation of the whole system is such at this moment that the child lays hold of whatever is nearest, in order to support himself during the fit of coughing; after which he pukes or spits up a tough, frothy, slimy mucus, and is for a short time relieved. The treatment is quite simple:—when you discover the child to have taken it, give instantly an emetic, or puke, of antimonial wine—see table for dose;—and should this puke not lessen the severity of the complaint, you are to give a second, and if necessary, a third; if bound in its body, a dose of castor oil. To lessen the cough, give frequently the juice of garlic sweetened with honey, or a tea-spoonful of sweet oil, to which you may add a few drops of paregoric or laudanum. The whooping cough is generally most severe during night: to allay or ease the cough, the use of paregoric or laudanum will be highly necessary—for doses see table. I have found great benefit in my practice by using in this complaint the tincture of assafoetida— which is nothing more than a small lump of assafoetida steeped fo^ a few days in a little whiskey, or any kind of spirits—of this tincture you are to give a few drops whenever the cough is severe, and you will find it to allay the irritation of the system, and mitigate or calm the cough. GUNN'S DOMESTIC MEDICINE. 503 Doctor Robertson, in the January number of the London Medical Repository, states that, of all the remedies he has ever employed in whooping cough, friction—which means rubbing—on the region of the stomach with the tartarised ointment, has been the most undeviatingly useful: for as soon as the pimples begin to appear on the breast, the disorder begins to abate. This ointment is nothing more than emetic tartar mixed with a little hog's lard. For a description how to prepare it, look under the head "tartarised ^ ointment." MEASLES. The measles generally make their appearance in the spring season. It is a contagious, or catching disorder, and like the whooping cough, attacks but once during life. Symptoms.—For a few days before they break out on the body, the child complains of sickness; seems dull and heavy; very great thirst; short, dry cough, with frequent sneezing, as if laboring under a severe cold; the eyes look red, and much inflamed. On the fourth day, the eruptions, or red pimples—which resem- ble flea-bites—make their appearance on the face and *" neck, which soon extend to the breast, and then cover the whole body. In three or four days they begin to go off; at the same time, the fever which always accom- panies the measles, begins gradually to decline. In some cases, the fever and cough will continue without lessening in their violence for several days or a week after the measles have entirely disappeared. 504 GUNN'S DOMESTIC MEDICINE. REMEDIES. As soon as the sickness or drowsiness is observed, and you have cause to apprehend, from the symptoms I have already described, that your child is about to take the measles, open the bowels by castor oil, so as to pro- cure two or three stools: the next evening—for it is at this time the fever is at the highest—give a gentle vomit, or puke, of antimonial wine. You will find, by giving gentle pukes, that the child will be greatly reliev- ed, by lessening the fever and oppression—this being the cause of the drowsiness and stupor. If the vomit should both puke and purge, so much the better, for the child will be the sooner relieved. When the fever and cough continue for a few days after the measles have entirely disappeared, a dose of castor oil will be proper, and which should be occasionally given during its con- tinuance. About this time, there is a dark and offensive matter remains in the bowels that produces this fever, and which ought and must be removed by means of these gentle purges. You will always know if the fever continues, by the dullness, thirst, and w7ant of appetite. Sometimes the measles and whooping cough attack the child at the same time; when this is the case, a physi- cian should be immediately called, as there is consid- erable danger. The diet in this complaint ought to be low; such as mush and boiled milk, chicken soup, &c. Nothing to be taken cold or hot, but moderately warm. Exposure to cold or damp must be avoided, or the disorder may strike in, which would be very dangerous. Let the child be kept in a room neither hot nor cold, but of a pleasant temperature. And you are to recollect that spirituous liquors of any kind, administered in any way, GUNN'S DOMESTIC MEDICINE. 505 is highly improper. Bleeding is sometimes necessary when the inflammatory symptoms run high, or the cough is very severe; but it ought always to be performed, if possible, under the advice of a physician. Blisters applied between the shoulders or on the sides, will abate the cough, and may be safely used at any time during the complaint. WORMS. The worms which infest the human body are—the long round worm, the maw, or thread w orm, the tape or long joint worm, and the fluke worm. The long round worm is called by the physicians, the ascaris lumbri- coides, deriving its name from slipperiness. It has three nipples at its head, and a triangular mouth in its middle. Its length is from four to twelve inches, and its thickness, when at its largest size, about that of a common goose-quill. The body is furrowed on each side, and the tail somewhat blunt. This worm is quite common in children, andnot unfrequently it crawls out at the mouth. It is generally of a milky brownish or ash color. The maw or thread worm—called by physicians ascaris vermicularis—has a blunt head; the tail of the male is blunt, but that of the female quite sharp and winding. It is generally from two to four inches long, quite small, about the size of a small thread, of a white color, and very elastic or springy. This worm is generally found in the straight gut, or fundament—most commonly in children, but not unfre- quently it is met with in grown persons also. They are frequently found in the intestines, or guts, in the form 64 506 GUNN'S DOMESTIC MEDICINE. of a ball so completely covered with a"slimy mucus, as to prevent the medicines which are usually given for worms,Trom acting—or in other words—causing their discharge by stool. In women, they sometimes escape into the vagina, or womb, and thence into the urethra, or canal* through which the urine passes—and they are also found in the intestines of children. The long thread worm—called, medically speaking tricocephalus dispar—is from an inch and a half to two inches long—of a clear white; the head is sharp; the body of the male is constantly in motion, in a curved or winding form. The female is straight, with a blunt head and sharp tail; they contain a brown matter, and generally inhabit the large intestines. The long tape worm—called by medical men taenia solium—is from one to six hundred feet in length: it is gifted with the power to contract or enlarge its diameter: that is, to draw up or increase its size at pleasure. It rolls itself into a round form, and falls from one side of the stomach to the other on turning, when in a recum- bent or lying position. When cramped by the position of the patient, or by hard pressure over the belly, or disturbed by food which does not agree with it, by medicine, or some disease proper to it, or tormented by the approach of death, it leaves its hold, leaps about and falls, as it were, into convulsions or fits. The broad tape worm—called, medically, bothrio- cephalus lotus—the head is longer than it is broad; scarcely any neck. Its body is flat; generally from ten to twenty feet long, and at its broadest part, from a quarter to a half an inch across, and of a white color. The fluke worm is about an inch long, and of a dirty yellowish, greenish or brownish color; you will know it by examining the worm which infests the livers of ani- GUNN'S DOMESTIC MEDICINE. 507 mals, as the sheep, the hog, the goat, &c. being the same worm. It is extremely difficult to say what are the original causes which produce worms. It is therefore impossi- ble that any physician, however learned he may be, can determine with any kind of certainty, the origin. That improper diet and food, assists in producing worms, is correct; but it is only true so far as this improper food deranges the action of the stomach and bowels, and weakens their action; for worms seldom occur if the action of the bowels is healthy, strong and vigorous. "Few infants have worms until they are weaned, which is to be accounted for on the principle, that the bowels are in better order during suckling than afterwards* when the diet is more varied and indigestible." To the learned and distinguished Robley Dunglison, Professor of the Practice of Medicine in the University of Virginia, I am indebted for the highly valuable infor- mation on this subject. Climate, infancy, weakened state of the bowels, and improper food, favor the production of worms. That climate has a particular influence, and is favorable to the origin of certain worms, is evident. A fourth part of the inhabitants of Grand Cairo have the tape worm; and in Holland—according to Rosen—it is quite com- mon. In the United States is quite rare. SYMPTOMS. The head is generally affected; the face is pale, and sometimes of the color of bees-wax; the lower eye lid becomes of a leaden color; itching is felt in the nose occasionally picking it; the saliva, or spittle runs down over the pillow during sleep; the breath has a remar- kable bad fcetor, or bad smell; frightful dreams; the child cries in its sleep and awakes with great terror; 508 GUNN'S DOMESTIC MEDICINE. itching about the navel; creeping or tearing pain in the belly, or a pricking and gnawing about the stomach; constant hunger, and yet the system becomes weak; frequent itching of the fundament; frequent dry cough, with tickling in the throat, accompanied with slow fe- ver; these symptoms, singly or together, denote the presence of worms. REMEDIES. A great many medicines are daily employed for worms. From long experience, and an extensive prac- tice, I have had a fair opportunity of testing their virtues, at the head of which stands calomel, worm- seed oil, Carolina pink root—sometimes called Indian pink root, or pink root—and spirits of turpentine; all of which, when properly given, are valuable medicines for expelling worms. You are first to commence by giving the child a suitable dose of calomel;—for which see table of med- icines. You are occasionally to repeat this medicine as long as the stools have a very offensive smell; and look unnatural. On the days between the administer- ing the calomel, give the child a little aloes, pounded very fine, and mixed with honey. For dose see table. "I have never known a case of failure," says a distin- guished physician, "when the patient, or child was freely purged with calomel, and then given either the worm-seed oil, agreeably to the directions on the phials in which it is sold, or the Indian pink root in tea." For a description of this root look under the head Car- olina pink root. The oil should be given on an empty stomach in the morning, on a lump of sugar, and when the pink root is used make tea of it, by pouring a quart of boiling water on a handful of the roots, of which you are to give a cupful night and morning to GUNN'S DOMESTIC MEDICINE. 509 the child; and to cause him to take it more readily, you may add milk and sugar: by this means children will take it as soon as any other tea. Sometimes the pink root will occasion the eyes to become sore; when this is the case, you are to stop using it until the eyes are perfectly well; this is produced, as is supposed, from some other root which grows with the pink root, and is frequently gathered with it. After using the pink root for a week or ten days, give a dose of calo- mel or castor oil. In those species of worm which I have described as uncommon, in our country, their ex- pulsion, or discharge is produced by spirits of turpen- tine, in large doses requiring the advice and atten- dance of a physician. Mr. Cloquet, a distinguished physician of France, affirms, that he has seen the long worm, or the one to which children are most subject, evacuated, or dis- charged by stool, after the belly had been rubbed with a mixture of ox's gall and common soap, oil of tansey or of camomile, mixed with spirits in which camphor has been dissolved, or garlic; and by the application of a plaster composed of common yellow wax, lithar- age, assafoetida, and galbanum, applied to the belly. Pure air, simple digestible food, exercise, and the use of all those means by which the system is strength- ened, should be attended to; otherwise as soon as they are expelled, they will again return. For this purpose occasionally administer to the child or person subject to worms, a simple dose of charcoal in new milk. According to the latest and most enlightened experience of the Medical Schools in Europe, charcoal is highly recommended. DESCRIPTION OF MEDICINES. REMARKS. I have now given a full and general description, of the important diseases to which the human body is liable, and of the various remedies to be used in their cure. I shall now proceed to describe, as far as prac- ticable, all the valuable roots, plants, and so on, possi- ble to be included in the work. I have observed in several books, purporting to have been written for the use of families, descriptions of many plants and roots, merely calculated to fill up and increase the size of such works, without being of any benefit as medicines, or even affording any useful information to the reader. I shall therefore, mention only such as are truly useful as medicines, and whose virtues are highly important in the cure of diseases. SENEKA SNAKE ROOT. This root possesses more virtues than any one used in medicine; and of all the roots used in medicine it is by far the most valuable. It is now more than eighty years, since its virtues were made known by physicians, by Doctor John Tenant, who learned its use from the Senagaroes tribe of Indians. By rewarding them liberally, he obtained their secret remedy against the bite of the rattle-snake, which he called snake root on GUNN'S DOMESTIC MEDICINE. 511 that account. According to their practice, it was ap- plied both outwardly and inwardly: either chewed and applied to the wound, or in the form of poultice. Doct. Tenant thought the Seneka a certain remedy against the bite of the rattle-snake, but it has since been doubt- ed. A reward was given to the doctor for this dis- covery, by the legislature of Pennsylvania. The Seneka was recommended by him, to be used in pluri- :sy; and in this disease it is a truly valuable remedy, after the free use of the lancet and the warm bath. Sir Francis Milliman, Doctor Percival, and many other distinguished physicians, have borne testimony in favor of its powers as a diuretic in dropsies—diuretic means whatever acts on the urinary organs so as to produce an evacuation of the water from the bladder freely. In croup this is a valuable medicine: and the discovery of it being such, is due to Doctor Archer, of Hartford county, Maryland, who first discovered its great effica- cy in croup, that frequently unmanageable disease. My practice is, in the first instance to employ the lancet, in the next the warm bath, and in the next the Seneka snake root, as directed under the head of croup. Giv- en as a strong decoction, which is made by pouring on one or two ounces of the best root, coarsely pounded with a hammer, about a quart of boiling water, which is to be stewed down to half a pint or less, in a close vessel over a slow fire:—a tea-spoonful every hour, or indeed every twenty minutes to a child as the case may be dangerous or otherwise, will answer the effect in croup. It is of infinite service if it pukes the patient when given in this way; because it brings, on a dis- charge of mucus or tough slime from the mouth and throat, which almost always relieves the person afflicted. It is proper, if the case is a dangerous one, to give a 512 GUNN'S DOMESTIC MEDICINE. dose of calomel with the snake root, adding to the cal- omel a small portion of ipecacuanha; in fact, in this disease, when very dangerous, I give large doses of calomel when I resort to this remedy: in simple and gentle cases of croup, an emetic of ipecacuanha, and the warm bath, will frequency give relief. A strong tea made of this root, and given as in croup, is an excellent remedy for the hives, or for rheumatism of an inflam- matory nature; and in violent colds, it is an admirable medicine to promote perspiration or sweating. Used in these cases, the best form is that of a handful of the root to a quart of boiling water, giving a wine-glassful of the decoction every two hours, if a grown person, and increasing or lessening the quantity as may seem to be necessary. The virtues of this root, in obstructions, or stoppages of the menses or monthly discharges, are absolutely incalculable; and every woman should return thanks to the author of all good, for giving such virtues to this root as are possessed, perhaps, by no other, in relieving this diseased state of the female system which, of all others, is probably the most dangerous. When the menstrual discharge is looked for and does not appear, four ounces of the decoction above described ought to be taken in the course of the day—indeed, as much ought to be taken as the stomach will bear without incon- venience. When sickness to puking is induced—which is sometimes the case when the stomach is weak or irri- table—add in the tea or decoction sonic cinnamon, or calamus, or angelica, or a little ginger; either of these in addition, will cause the stomach to retain the decoc- tion: there is no danger in the Seneka snake root, for I have frequently given it in very large doses in croup. The only difficulty is, that it sometimes passes off by GUNN'S DOMESTIC MEDICINE. 513 stool, without being productive of its usual benefits in female cases—the remedies for which will be spoken of under the proper heads. But in dropsy, this purgative effect of the seneka snake root is of great and impor- tant service, as well as its active and powerful influ- ence on the urinary organs. In all dropsical swellings, it ought to be used very freely, and will always be found a medicine of high and inestimable value. I will close the notice of this great root, by observing that it has the confidence of the most distinguished physicians of the United States, as well as those of Europe. The discovery of its virtues in female ob- structions, is due to Dr. Hartshorn, of Philadelphia, one of the best men, and whose heart is devoted to the cause of suffering humanity. SASSAFRAS. A particular description of sassafras is unnecessary, being known and found in every part of the western country. The root, bark, or flowers, made into a tea, is used considerably by the people in the country. It cleanses any impurities of the flood, and if distilled, affords a valuable oil, which is a good remedy in rheu- matism. It ought to be rubbed on the afflicted parts in small quantities: and if taken inwardly, a few drops are to be given on a lump of sugar, being highly stim- ulating. The oil rubbed on wens is considered a good remedy, and frequently removes them entirely. The sassafras bark, mixed with sarsaparilla, makes a good diet drink for cleansing impurities of the blood, &c. 65 W4 GUNN'S DOMESTIC MEDICINE. SARSAPARILLA. This root was first brought into notice by the Span- iards, in the year 1563, and was for some time after* wards, considered a certain cure for venereal diseases; [see page 346, where you will see venereal described.] It, however, afterwards proved unsuccessful, either for want of proper attention, or from want of knowledge how to treat the complaint. This little root has excited a great deal of inquiry and discussion among medical men, throughout Europe and the United States, as to whether it really is or is not, a cure for this wretched disease, the venereal. It has fallen several times into almost entire neglect, and as often been again revived into use. It has, however, lately been brought forward, with much higher reputa- tion than it ever held before, and if used in the manner I have described in venereal, may be relied on as a certain cure. Years of practical experience have con- % vinced me of the fact, even in the worst of the com- plaint. I will go still further, by asserting that the virtues of this root are not yet fully known and duly appreciated; and I sincerely regret, that the limits of my work will not permit me to go more fully into the great benefits I have witnessed from its use in chronic affections of the liver—for a description of which dis- ease, see page 241. In scrofulous sores, in all diseases of the skin, and for cleansing the blood, it will be found valuable. In rheumatism, gout, and to stop the effect of mercury, or to remove any bad consequences which have been pro- duced by its use, the sarsaparilla is also good. In weakness of the stomach called dyspepsia, [see that head,] it is an excellent remedy, by giving tone and strength to the bowels and stomach. The method of GUNN'S DOMESTIC MEDICINE. 515 preparing it is simply boiling, after washing it clean, in the proportions of an ounce of the root, split and finely cut up, to two quarts of water, which must be boiled down to one quart, and suffered to get cold be- fore it is taken. Take of it from a pint to a quart daily, or as much as the stomach will bear. The bark of the root contains the virtues. You must obtain it sound; and recollect always, that it looses its powers by being kept any length of time. The tea should always be made fresh every day. Sarsaparilla grows plenti- fully in the western country, and may be found along creeks, and on the banks of rivers. It is a small run- ning vine when torn from the ground, and extends some distance from the head, which is of a dark brown color on the outside, and a pale white within. When cut into short pieces it splits easily, and has a very bit- ter taste. The main vine is about the size of a com- mon goose-quill. It is a native of the Spanish West Indies, from whence it was formerly imported, until discovered to be also a native of the United States. The imported root is not quite as large as ours, and is of a darker color and much wrinkled on the outside. It may be considered as one of the most valuable roots in the western country, and although possessing great power, is entirely innocent. It ought most certainly to be used, in all cases in which mercury has had any effects on the system, or in which there is the least doubt that any infection lurks in the system connected with venereal 516 GUNN'S DOMESTIC MEDICINE. JAMESTOWN WEED. Sometimes called jimson, thorn-apple, stink-weed: and, by the learned, usually called datura stramoni- um. Whether this plant is a native of the United States or not, cannot at this late period be known; nor is it material that the fact should be ascertained, be- cause it is now found in every part of the American Union, from the state of Maine, to the Mexican gulf, and from the Atlantic sea-board, to the Rocky, or Ore- gon mountains. It was first noticed by the original settlers of Virginia, at Jamestown, from which circum- stance, it took the name which I have adopted. Be- verly, who in very early times, wrote a history of the first settlement of Virginia, thus speaks of its effects on a party of British soldiers, who had eaten of the leaves of the Jamestown weed as boiled greens. "One would blow up a feather into the air, whilst another would dart straws at it with great fury; another would sit stark naked in a corner of the room, grinning like a monkey,and making mouths at the company; whilst another would caress and paw his companions, and sneer in their faces. In this frantic condition they were confined, nnder the apprehension that they might destroy themselves, though it was observed that all their actions were those of innocence and good nature. They were by no means cleanly, and would have wallowed in their own excrements, had they not been prevented. After the lapse of ten or eleven days, their senses again returned, without their being able to re- member any thing that had occurred in the interim." I will give for the satisfaction of my readers some ac- count of the discovery of the medical properties of the Jamestown weed, and also adduce several cases in proof of those medical properties, abridged from the GUNN'S DOMESTIC MEDICINE. 517 account of Doctor Storck, whose authority may be relied on. "In the months of June, July and August, I observed in the neighborhood of Schoenbrun," says the doctor, "great quantities of the Datura Stramonium, or thorn- apple. I well knew that this plant was altogether out of use as a medicine, because several authors had pro- nounced it highly dangerous. On the 23d of June 1760,1 went out very early in search of the weed, and gathered a large quantity of it, and resolved to give it a fair trial, notwithstanding all I had heard and read respecting its poisonous effects, and of its producing in- sanity or derangement of mind. I next cut off the roots and threw them aside; then beat the leaves, branches and stalks in a large marble mortar, and pressed out about one gallon of the juice. This I evaporated to the consistence of an extract, over a slow fire, in a glazed vessel, often stirring it with a wooden spoon to prevent its burning; and the extract, when it became cold, I found to be a black brittle mass. I laid a grain and a half of this extract on my tongue, dissolved it against the roof of my mouth, and swallow- ed it down. It neither produced disorder of my body, nor the least derangement in my intellectual fac- ulties. After making several experiments on myself, and perceiving no manner of disorder, I concluded that the extract could be safely given to patients in small doses. We happened at that time to have a case in the hospital, in which it might be presumed this extract of thorn-apple, (which the reader will please to remember we call Jamestown weed,) would be of service. Before using it however, I consulted both ancient and modern writers, and all to no purpose. They had all laid it down in explicit terms, that it would disorder the mind, 518 GUNN'S DOMESTIC MEDICINE. destroy the ideas and memory, and produce convul- sions. These were all dreadful effects:—but notwiuV standing a query suggested itself to my mind in the fol- lowing form: "If the thorn-apple, by disordering the mind, causes madness in sound persons, may we not try whether by changing and disturbing the ideas and com- mon sensory, it might not bring the insane, and persons bereft of their reason, to sanity, or soundness of mind, and by a contrary motion, remove convulsions in the convulsed." This notion, I confess, was far-fetched, yet it was not without some good success. The experi- ments I made were as follow: "Case 1st. A girl aged twelve years, had been disor* dered in her mind two months; she answered confusedly when asked any questions, and what words she did utter were very imperfectly articulated. She was sul- len and refractory, and could be prevailed on by no means to do any thing. All the medicines she had taken had produced no effect. I gave her half a grain of the extract morning and night, and made her drink after each dose, a cup of tea, 01 some veal broth. On the third week she began to be less sullen; returned more rational answers, and spoke distinctly. In two months time—continuing the use of the same medicine, and giving three doses each day—she began to reason extremely well, and said her morning and evening pray- ers with a clear and distinct voice; gained a good memory, and gradually recovered her understanding. "Case 2d. A woman over forty years of age, was afflicted with vertigo, or dizziness of the head, and could find no relief frorn the medicines; she became gradually disordered in her mind, and finally a degree of madness accompanied her vertigo. She was brought to our hospital The medicines first prescribed gave GUNN'S DOMESTIC MEDICINE. 519 her no manner of relief. She began to be raving and furious; rose out of bed during the night, and by her bawling disturbed and frightened the other patients— some of whom she would forcibly pull out of bed. In this situation I gave her—says Dr. Storck—half a grain of the extract of thorn-apple twice a day. The first day she became more composed, but in the night she turned as furious as ever. The third day, I gave her one grain of the extract morning and evening, and all the symptoms became milder. She made some noise indeed, in the night, but soon fell asleep again. On the fourth day she began to give more reasonable answers, but soon fell again into raving fits. Her days and nights then became calm and quiet. On the eighth day, I gave her one grain of the extract three times, and continued these doses until the fourth week, when all her fury was laid. Her madness went off; soundness of mind, speech and judgement returned, and she slept as soundly as any of the other patients: yet the vertigo frequently and suddenly returned upon her as before, and at times with such violence as to make her fall down as if in a fit, but she always retained her presence of mind. It was enough for the purpose of my experiment, that the extract of the thorn-apple cured her madness; and perceiving that the vertigo was not removed, I forbore its further use. She lived five months in the hospital. All the functions of her mind were good and sound, but the vertigo turned gradually stronger, and the fits of it became more frequent, until at length a true fit of appoplexy carried her off. I dis- sected her and found many of the blood vessels of the head distended or swelled, and one of them turned bony for the distance of an inch and a half: besides which, says the doctor, I found the two anterior ventri- 520 GUNN'S DOMESTIC MEDICINE. cles of the brain distended greatly, and filled with many hydatids of all shapes and sizes. Hydatids arc little animals, formed like bladders, and distended with a watery fluid. All the viscera in the rest of the body, were in a very sound state. From these discoveries made after her death, it appears that the vertigo of the patient was an incurable disease; and it also appears, that the extract of the thorn-apple, or Jamestown weed, not only allayed her rage, but cured her madness without any bad symptoms." I have accompanied the discovery of the medical virtues of the Jamestown weed by Dr. Storck, with the two preceding cases, to prove clearly to my readers, that in the beneficence of his mercy, the great Father of the Universe, has clothed our soil with means, and those means powerful ones, of curing our diseases, with which we are measurably acquainted and with the medical properties of which it is our duty to become familiar. There is, in my opinion, nearly as much folly and stupidity in importing costly drugs at enormous expenses from foreign lands, while we have their equals at home, as there would be in importing bricks and timber from Europe to construct our habitations. Industry and science alone can develope the immense resources of this unrivalled country, and these we are personally, morally, and politically bound to employ. Every part of the Jamestown weed, exclusive of the root—of which we know nothing by experiment—when taken in considerable portions, operates as a strong nar- cotic, or stupifying poison. This is, however, no valid objection to its medical uses and properties; because some of our most powerful medicines, such for instance as opium and aqua-fortis, invariably destroy life, when injudiciously taken. I am not alone in considering this GUNN'S DOMESTIC MEDICINE. 521 plant as possessing high and invaluable medicinal pow- ers ; it has been spoken of in terms of high commenda- tion by many of the most distinguished physicians of the present age, among whom are Barton, Fisher, Bige- low, and King, of Connecticut. Among the Indian nations, the leaves of this weed are made much use of, especially in cases of wounds, contusions or bruises, ulcerations, and the bites of rep- tiles. The extract of this weed, procured in the manner above stated by Dr. Storck, is valuable in various cases of the chronic kind; by which I mean those of long standing; also in all those kinds of epilepsy, commonly called fits—those especially, which give warning of their coming on, or those which occur at regular times. It is also a better medicine than any thing yet known, for lessening the pain in sciatica, or hip gout. The leaves of the dried plant, smoked as we do tobacco, are of great use in attacks of spasmodic asthma—which means phthisic accompanied with cramp. In making use of this medicine internally, the dried and pounded leaves may be given in doses of a single grain. If the first dose produces no sickness or vomiting, you may give a grain of the leaves three times a day, and even increase the dose each time, until the effects are felt by the patient, or relief produced. The extract, however, is always to be preferred, given as before described by Dr. Storck, the real discoverer of the medicine. The bruised or wilted leaves are valuable in painful tumors, and, indeed, in most swellings accompanied with pain. They are, in these cases, to be applied externally, and in such quantities as to preserve their moisture against the fever of such tumors. The ointment made from the bruised leaves, is also valuable, and is made by 66 522 GUNN'S DOMESTIC MEDICINE. boiling them in lard or tallow, straining it well, and set- ting it off to cool. In the abridged extract from Doctor Storck, I have shown the value of this medicine in mania, madness, or frenzy; and I now say that the value of this discov- ery in 1760, notwithstanding what has been said against it, has been amply substantiated by experiments of many distinguished men of the present age, among whom are Barton and Fisher—in fact, Barton's experimental tes- timony alone, would be quite sufficient: and here I wish it to be distinctly noticed by those afflicted with epilepsy or fits, that his testimony is clearly in its favor, as a most powerful remedy, even in deplorable cases—he has proved the fact from actual experiment. I wish the reader also to bear in mind the following facts, with regard to the value of simple medicines: the most learned sometimes decry their use, because there is not scientific mystery enough about them to excite the aston^- ishment of the common people; and second, because they are often abused by quacks and pretenders, and men who have not perseverance and resolution enough to give them a fair triaL DOGWOOD; The dogwood is so common throughout the United States as to require no description whatever; it is in fact to be found in every forest in our country. The dog- wood bark is generally considered equal to the peruvian bark; but I conceive it greatly superior, not only on account of our always being able to procure it fresh from the tree, but because the peruvian bark is old GUNN'S DOMESTIC MEDICINE. 523 before it reaches this country, and nearly, if not always adulterated. It is among the best tonic and strength- ening medicines to be found in this or any other country. The bark of the root of the dogwood tree is the strong- est; next in strength to which is the bark of the body and smaller branches. In all intermittent fevers—by which I mean all fevers which go off and return again —it is an excellent remedy; and the only reason why it cannot be given in other fevers, is that when given in actual fever, it increases the pulse, and by so doing, does mischief; hence you will see the necessity of never giving it except when the fever is entirely off. In cases where it produces pain, or griping of the bowels, a few drops of laudanum will remove the difficulty if given with the bark. In most cases the dose in powder— which is the best way of giving this bark—is from thir- ty to thirty-five grains; and in some particular cases— mentioned under the proper heads—an addition of the snake root is to be made, in the proportions of thirty grains of the dogwood bark to six grains of the snake root, pounded to a powder. The wood itself, of the dogwood tree, is considerably used by dentists—by which I mean tooth-cleaners and setters—in putting in artificial teeth. The young branches, stripped of their bark, and rubbed with their ends against the teeth, ren- der them extremely white and beautiful. These are tooth-brushes of nature's presenting, and are infinitely better than those made of hog's bristles, and filled with snuff, and such other delightful aromatics! The negroes of the southern states, and those of the West India Islands, who are remarkable for the whiteness of their teeth, are in the constant practice of rubbing them with the small branches of the dogwood, or of some other tree which will answer the purpose. The ripe berries 524 GUNN'S DOMESTIC MEDICINE. of the dogwood, in spirits of any kind, make an excel- lent bitter for common purposes, and one well adapted to persons of weak stomachs, taken in the morning. All the Indian nations use the flowers at the proper season, in warm water, or in spirits, as a remedy in windy colic. The dogwood is an excellent remedy— boiled strong as a tea or decoction—for horses having that destructive disease, the yellow water: a distemper which carries off thousands of that useful and noble animal every year. Horses having the yellow-water, should be bled every day freely, and given nothing to drink but strong dogwood tea. The powdered bark of this tree makes an excellent ink, and the process is very simple:—Take half an ounce of the powdered bark, two drachms of copperas, two scruples of gum arabic, or cherry-tree gum, and put them into one pint of rain water; mix them together, and in a few days it will be fit for use. The medical virtues of this bark were dis- covered as early as the year 1787. It is an astringent, and also a stimulant, and the internal use of it ren- ders the pulse always quicker, and often fuller than it naturally is. ALUM ROOT. This is a native of all the North American forests, from Georgia to Maine, and from the Atlantic ocean to the Oregon, or Rocky mountains. It is a very strong vegetable astringent; by which I mean, that when applied to the human body, it makes the solids harder and firmer, by contracting their fibres. As a powerful astringent, it is usually employed in all cases of weak- ness and irritability, and report speaks favorable of its GUNN'S DOMESTIC MEDICINE, 525 virtues. It is generally used in external applications 'more than as an internal remedy: in piles, for instance —or hemorrhages from any part of the system: by which I mean spontaneous bleedings. GINSENG. This root is called by the people in the country gen- erally, for shortness, 'sang. It is found in great plenty among the hills and mountains of Tennessee, and brought into Knoxville daily for sale. Some few years back it was used as an article of commerce, and sent to the eastward in wagons as a commodity of foreign export, and afforded considerable employment and profit to the gatherers of it who resided near and among the mountains. It has latterly, however, fallen in price and value, as an article of exportation, and therefore but little of it is brought in for sale. This root was exported to China, and afforded to the shipper a handsome profit—generally selling it in the Chinese dominions for its weight in silver. The Chinese attributed great virtues to this root; so many indeed, that at one period—1784—the price at Pekin is said to have been eight or nine times its weight in pure silver. They considered it as a sovereign remedy in all diseases incidental to their climate and country, and had no confidence in any medicine that was not combined with it: and such was its astonishing reputa- tion, that it was rarely if ever, administered to the poor, on account of the highness of its price. They chew it, and take it in strong decoction, so as to get all the vir- tue from this precious drug. These people are remar- kable for their superstitious prejudices, civil, moral, 526 GUNN'S DOMESTIC MEDICINE. and religious: as a proof of which, they set a higher value on those roots which have a resemblance to the' human form, and ascribe greater powers to them than to those of a different shape. The ginseng has been fully tested by the best physi- cians in the United States, and they ascribe to it noth- ing more than its being a pleasant bitter, and a gentle stimulant for strengthening the stomach. It gives all its strength and virtues by being steeped in whiskey, or any other kind of spirits. TOBACCO PLANT, Called by the learned nicotiana tobacum. This very common plant was found in cultivation by the Indian nations, when the continents of North and South America were first discovered:—these, however, are not the only regions of the globe in which it is found to flourish: the East Indies have long been known to produce it. To describe the tobacco plant, would be entirely useless; it would answer as little pur- pose, as to describe on paper the countenance of an old friend, with whom we had long before shaken hands, and become perfectly familiar. I shall, therefore, con- sider it in no other light than as a medical drug. I shall first notice tobacco as a remedy for worms. I do not recollect ever to have tried it myself, but Doct. Barton expressly says—and his authority can in all cases be relied on—that "tobacco leaves pounded and mixed with vinegar, and applied as a poultice to the breast and belly, will frequently expel worms, in cases where very powerful remedies have been resorted to in vain. In cases, also, where poisons of any kind have been taken GUNN'S DOMESTIC MEDICINE. 527 into the stomach, and emetics given internally, and prove deficient in their operation, the tobacco poultice, as just described, if applied to the stomach will act powerfully, and force it to discharge the contents. In cases where the bowels are obstinately constipated, in other words, where great costiveness exists, the leaves of the tobacco plant, cured in the usual manner, stew- ed in vinegar, and applied to the belly, will be attended with signal success, when the most powerful purges internally taken have failed. The last mentioned ap- plication—tobacco leaves stewed in vinegar—is a good remedy in what physicians call ascites, or dropsy of the belly—of which there are two kinds: one kind is, where the dropsical water is lodged in the great cavity enclos- ing the intestines, or guts, &c.—this is called ascites abdominalis by medical men. The other is, where the water is lodged in a membrane, suck, or tube, about the womb, and is called ascite saccatus by physicians. I will, for the satisfaction of the reader, abridge a case of the latter kind from a letter of Dr. Cutbush, physi- cian of the American Marine hospital at Syracuse. The subject of the disease presumed by Dr. Cutbush to be dropsy, was a young woman brought to him by her parents. Some of her former physicians—thirty-three of whom had been consulted in her case—were of opinion that her disease was a collection of water in the womb; others, that it was dropsy of the ovaria— these are the parts taken out of female swine when spaying—others, that it was an enlarged liver; and others still, that it was an extra-uterine fetus, which is a case of conception, in which the child is not in the womb where it should be, but in the cavity of the belly, outside of the womb. On examination, Dr. Cutbush discovered a large tumor, or swelling in the abdomen, °28 GUNN'S DOMESTIC MEDICINE. or belly, which extended diagonally across it from the left to the right. The swelling, or tumor, which was unusually great, had a number of inequalities on its surface, which could be easily felt, and which, when pressed upon, produced extreme pain; no fluctuation or movement of water, however, could be discovered on such pressure. The case was new to him : and in addition greatly perplexing, because the first physicians of Naples had given contrary opinions respecting it, and had also disagreed in their practice. She had been under the free use of mercury twice—once at Naples, and once at Syracuse: at the latter place, mer- cury had been given in large quantities by a surgeon belonging to Lord Nelson's fleet, without any beneficial effect. "From this history and examination," says the Doctor, "I entertained no hopes of relieving her; but the solemn entreaties of her parents determined me to make trial of a remedy which I had found useful in obstinate tumors, and which finally proved the disease to be a dropsical affection of the womb itself, or of the right fallopian tube." [These tubes extend from the sides of the womb towards the ovaria—which I have before explained—and are supposed to grasp them in sexual communication.] "I directed the leaves of the tobacco plant, recently collected, to be stewred in vine- gar, and applied to the abdominal tumor." The first application produced sickness at the stomach, puking, vertigo, or swimming in the head, great depression of muscular strength, copious sweating, and a loose state of the bowels. Her pulse become low; and the vio- lence of the symptoms induced the doctor not to con- tinue the application long. On the succeeding day it was repeated twice—morning and evening—and pro- duced the same symptoms, but less violent; and attend- GUNN'S DOMESTIC MEDICINE. 529 ed with an immoderate flow of water from the vagina and womb. This remedy was continued twenty days, and the patient was completely cured. No medicines were given, except a little opium, and some wines occa- sionally. In cases of drcpsy generally, the tobacco plant has been found very serviceable. When given in proper quantities, it acts as a powerful diuretic—or in other words, it produces a great flow of urine—entirely dis- proportioned to the quantity of liquor taken into the stomach. This is a conclusive proof that it acts upon, and dislodges the dropsical fluid from the system. In cramps, or spasms it is also productive of much benefit: being well known to produce great relaxations of the muscular powers, and unusual prostraion of strength —on which account, it may also be given with advan- tage in cases of tetanus, or locked-jaw, and in fact, in all cases where there appears to be a derangement of the muscular energies, local, or relating to a particular part, or general, and involving the whole system. When tobacco is to be taken internally, by the stomach, it ought either to be in the extract, as described by Dr. Storck, or in infusion. The infusion is made by steep- ing an ounce of tobacco leaves in a pint of boiling water, and give it by the tea-spoonful with much cau- tion. One, two, or three table-spoonsful, in half a pint of warm milk, or thin gruel, will generally produce relief, if given in clysters, in cases of colic or very ob- stinate costiveness, where all other medicines have proved ineffecual. If these quantities produce no relief, and there is no sickness of the stomach, the clysters must be repeated every half hour, gradually increasing the infusion until one or the other of these effects be produced. In this way, the dangerous effects (V7 530 GUNN'S DOMESTIC MEDICINE. of tobacco may always be avoided. I will record a case in which obstinate constipation of the bowels was relieved by an infusion of tobacco when all other rem- edies had utterly failed:—In the city of Charleston, South Carolina, some years since, and before reading medicine, I was attacked at night with severe colic, which terminated in obstinate constipation of the bow- els. The pain was so excruciating that I was com- pelled to send for a physician : it was Dr. Whitterage, a gentleman equally celebrated for his philanthropy, and his profound knowledge of medical science. Dur- ing a period of ten days, apprehending an inflamma- tion, and consequent mortification of the bowels, this gentleman resorted to almost every known and power- ful remedy, without effect. As a last resort—of which he candidly informed me—recourse was had to clysters made of tobacco. The first, which was a weak infu* sion, had no effect; and the doctor directed my nurse to give a strong one at midnight. Her fatigue caused her to fall asleep, and it was neglected till morning. By this time—the tobacco having remained in the wa- ter all night—the infusion had become unusually strong, in which state a clyster of it was given. The .immedi- ate derangement of my feelings and sensations, and the horrible nausea and sickness of the stomach I suffered, are absolutely indescribable. I perspired at every pore, and so entire was the prostration of my muscular powers, that I had to be held on the close- stool. It was with difficulty that I could draw my breath. In a few minutes, by an almost unconscious effort, an extremely foetid discharge took place from the bowels, of the color and consistence of molasses, when I was entirely relieved. Subsequent experience has taught me to believe that, had this great and good GUNN'S DOMESTIC MEDICINE. 531 man applied tobacco leaves, stewed in vinegar, to the abdomen, whilst I was under the operation of medi- cines taken by the stomach, I would much sooner have been relieved from my miseries. In concluding this subject, it can scarcely be necessary to advise my readers, that the tobacco plant is an active and power- ful medicine, and dangerous when used to injudicious excess. THE UVA URSI. Sometimes called the bear-berry, the bear's whortler berry, and the wild cranberry. The uva ursi—sometimes designated by the names I have noted above—is a native of the mountains and cold regions of Europe, and it is said, of the north- ern parts of the United States. It is presumed, from numerous and well authenticated experiments, to be the best remedy ever yet discovered in all diseases of the urinary organs, whether of the kidneys, ureters, or bladder, and is therefore entitled to no ordinary consid- eration as a medicine. The dose usually given, of the powdered leave of the uva ursi, in any kind of syrup, is from twenty to thirty grains, three or four times a day, which may be doubled in quantity, in cases of extreme urgency and danger. The descrip- tion of this plant, given by the celebrated Galen, which is considered the most accurate one on record, is in substance as follows:—it is a low shrub, which grows and spreads itself near the surface of the ground, and has pensile, or hanging branches; bark of a redish or pink color, and is thickly set with oblong, oval, and entire fleshy leaves. The flower is oval shaped, and 532 GUNN'S DOMESTIC MEDICINE. broader near the base than the mouth, which has an edge scolloped into five divisions, with small, blunt, and curled points. The fruit is a roundish, red colored berry, similar in appearance to the small wild cherry, and contains five hard bony seeds, with plain sides, and no more. It is an evergreen, and produces fruit every two years. Every part of this shrub, particularly the bark and leaves, has a bitter and astringent taste. I am thus particular in the description of it, because the bil- berry, or red myrtle, is often mistaken by good botanists for the uva ursi—they being so nearly alike as scarcely to be distinguishable from each other. The only dis- tinguishing characteristics which can be depended on are these: the flower of the uva ursi has ten stamina, more commonly known by the name of antlers, or uprights, and the berries contain five seeds only—while the other, the bilberry, or red myrtle, has only eight stamina in the flower, and sometimes twenty seeds in the berry. I have some doubts, notwithstanding the opinion of the celebrated doctors Bigelow and Chap- man, for both of whom I entertain a high respect—that the real and genuine uva ursa of Galen, is not a native of any known and inhabited part of the North Ameri- can continent; and that its having been measurably brought into disrepute, like many other medicines, has been owing to the fact of other plants having been mis- taken for it, and used medically in its stead. Galen says that it is a rare plant, and is only to be found in the coldest countries, and in the neighborhood of moun- tains covered with eternal snows; and that he never met with it but upon two of the highest mountains in Europe, one of which was an Austrian Alp, called Gans, and the other a Styrian Alp, called the snowy moun- tain, six leagues from Marianstein. We have no such GUNN'S DOMESTIC MEDICINE. 533 mountains in North America, unless the Oregon or Rocky mountains, west of the Mississippi, of whose botanical productions we know little—perhaps nothing. But whether the uva ursi be an American plant or not, it can always be had genuine in the shops, and my prin- cipal motive for mentioning any doubts respecting its being a native of this country, is to guard those afflicted with diseases of the urinary organs, against the use of spurious or worthless plants in its stead. The following cases, abridged from a work of high authority, will show the genuine uva ursi in its true light. Case 1st. "A man about sixty years of age, had been about twenty years afflicted, at times with a diffi- culty of making water, which was usually voided by single drops, accompanied with exquisite torture, a foetid smell, and a mucus mixed with blood. Some- times there was a total suppression of urine, which could only be relieved by the catheter. He first took proper laxatives for the relief of the bowels, and then commenced taking half a drachm of the uva ursi every morning. This prescription was continued for seven complete months; by which time his urine became more frequent and full of mucus, but not so foetid as before; and the pain which had tortured him so many years, was quite gone; he slept well; had a good appe- tite ; grew strong; walked well; and made water with- out any pain. Case 2d. "This was also a man about sixty years of age, who had for a long time been afflicted with exquisite pams, and a suppression of urine to so great a degree, that for seven weeks he had never passed his water but by the help of a catheter. Half a drachm of the powdered leaves of the uva ursi was given him every morning, and a gentle dose of paregoric at night; and 534 GUNN'S DOMESTIC MEDICINE. after six days he had no further need of the catheter. Having persevered in the use of the medicine for four- teen weeks, he was restored to perfect health. Case 3d. "A man came to us, whose name was Christian: he was afflicted with hydrocele, or dropsy of the scrotum, or bag, for which he had taken medicines usually given in such cases. When this course was finished, a defect in the urinary system began to threaten —insomuch that in a short time his urine became of a white color; was passed with great difficulty and pain: and as soon as discharged, had a very bad and offen- sive smell. The catheter being introduced repeatedly, evidently proved that there was a calculus, or stone in the bladder. The uva ursi was therefore given in the quantities before noticed; by which, in a short time, so great relief was obtained, that not only a due retention of urine took place, but it was also passed without pain, in smell and color perfectly natural; and I assert it— says the writer—that by continuing the use of this med- icine for two months, every calculus sign and symptom was entirely removed; although by sounding him again, the calculus or stone was still found in the bladder. This is the first, and the only person, among all I have seen, who frequently made water of a healthy appear- ance whilst a stone remained in the bladder. How it came to pass, and by what means the patient should obtain such benefit from this plant, as to be entirely exempt from pain, and other inconveniences, when a stone still existed in the bladder, is what I must con-^ fess myself entirely unable to explain." GUNN'S DOMESTIC MEDICINE. 535 SLIPPERY ELM. This tree deserves great attention, as being among the best remedies in our country. I have mentioned frequently, that in many diseases it should be used as a poultice, and in many others as a clyster. I shall now describe the valuable properties of this tree more at large. The inner bark must be used—and that of the young tree is preferable. As a poultice, nothing is supe- rior, particularly in old gun-shot wounds. During the revolutionary war, our surgeons used it with the happi- est effects. They applied poultices of it to fresh wounds, and always produced immediate suppuration-- in other words discharge of matter—and a quick dis- position to heal. When any appearance of mortifica- tion was evident, the bark was pounded, and boiled in water, and made into a poultice. When applied, it produced immediately a surprising change for the bet- ter. In dysentery and consumptions, the inner bark boiled in water and drank freely, will be found a valua- ble medicine. It is cooling and soothing to the bowels, It may be made into a fine jelly, which if taken freely, is a certain and astonishing remedy in all bowel and breast complaints, and may be freely administered to children. This mucilaginous bark is so nutritive, that it supplies the Indians with food in times of scarcity. It is one of the most cooling and pleasant remedies, and I may add, that it is not only one of the most valu- able articles we have, but deserves the confidence of every person who practices or administers medicine. 536 GUNN'S DOMESTIC MEDICINE. JERUSALEM OAK. From this plant—which grows plentifully throughout the State of Tennessee, and too well known by almost every person to require a description—the oil called worm seed oil is made. This oil has for some time attracted a considerable share of popular favor, as an antidote against worms in children. It is sold in almost every store, under the name of "worm seed oil;" and persons who purchase this oil or medicine, should be careful that they are not imposed upon; because it is very often adulterated with spirits of turpentine, by which they are always disappointed in their expectation of benefit. In its pure and unadulterated state there is no medi- cine preferable to the oil made from the Jerusalem oak for expelling worms from children; but it must never be given when the child has fever, because it will in that case increase the fever—the oil being highly stimulating and inflammatory. When this oil is admin- istered, from eight to ten drops must be given to a child two years old, on a lump of sugar—it ought to be given three times a day, for three days in succession; after which you must give a good dose of calomel, say five or six grains, or a dose of castor oil—the calomel, how- ever, is the most certain to produce a full discharge of worms. If no worms are discharged, and they are still suspected to exist in the system, repeat the dose again, and again, until you bring them from the child. A wine-glassful of a decoction of the Jerusalem oak, made by boiling it in milk, in the proportion of a hand- ful of the leaves to a quart of milk, is a dose for a child: but the pure oil is by far the best. GUNN'S DOMESTIC MEDICINE. 537 DITTANY. This handsome little plant belongs exclusively to America, and is known by almost every farmer and his family in the country. It grows plentifully in Tennes- see. The dittany is always found in dry soils, and in shady and hilly places: it is used in slight fevers as a tea: every old lady in the country has more or less used dittany tea in colds. It is excellent to relieve nervous head aches, and is a good remedy in the hys- terical affections of women. In South Carolina and Georgia, the dittany is given frequently by infusing the leaves in hot water and administering it as a tea, drank as warm as possible, to produce sweating.. The medi- cinal virtues of dittany are much the same as penny- royal, mint, and sage: it a perfectly innocent plant. MAY APPLE, Sometimes called wild lemon, duck's foot, ipecacu- anha, and by the learned, podophyllum peltatum. This plant, which possesses very important medicin- al virtues, is presumed to be an exclusive production of the North American continent: it is every where found in abundance on congenial soils, from the state of Maine to the Mexican Guif, and from the Atlantic sea-coast to the Oregon mountains. In the language of the learned, it is a perennial herbaceous plant; in other words, the roots do not perish by the frosts and snows of the winter. The May apple is well known to almost every citizen in the United States: it has a plain upright stem, of a yellowish green color, about twelve or fourteen inches in height; two large horizon- tal leaves at the top, between which, and in the fork, 68 538 GUNN'S DOMESTIC MEDICINE. when in bloom, there is a white flower, which is suc- ceeded by a yellow acid fruit. Respecting the different properties of this plant, the reader is desired to recol- lect the fruit is good for food—the leaves poisonous— and that its medicinal virtues are wholly confined to the root. The season proper for gathering the root, is late in the fall, when the leaves begin to drop: if gath- ered in the spring, it is comparatively good for nothing. The Indians dry it in the shade, and use it in powders. The American May apple root is an excellent, gen- tle, and effective purge, and is presumed by many cele- brated practical physicians, to be greatly superior to the jalap obtained in the shops. Practical experiment has proved that this root operates more gently as a purge than jalap; that it operates a much longer time; and that it is by no means so drastic and griping as jalap. It is also preferable to jalap in other respects; it is less nauseous, and more easily taken; less irrita- ting to the stomach and bowels, and may be more easily used by delicate females and persons having weak and sensitive stomachs. It may be given with much advantage in what physicians call colica picto- neum, or dry belly ache—sometimes a dangerous com- plaint—in intermittent fevers; and particularly in dropsy, on account of its producing continued and large evacuations. Taken in a small dose, say of ten or twelve grains in powder, it is a gentle and easy laxa- tive : twenty, twenty-five, or thirty grains, usually oper- ate with activity and power; and where griping is apprehended, the mixture of eight or ten grains of ealomel will be of advantage. GUNN'S DOMESTIC MEDICINE. 539 CANCER ROOT—BEECH DROPS, Called by the learned, Orabanche Virginiana. This plant is the natural growth of every part of the United States: is usually found under the beech tree, and is of a sickly yellow, or pale pink color, and entire- ly without leaves. The root, which appears blunt and round at the bottom, and is covered with twisted and matted fibres on its lower end, is of a yellow color; the stems and the branches are finely furrowed; and on the ridges formed by these furrows, there will be found dark, purple, white and yellow stripes. Between the root and the first divisions of the stalk, there are blunt pointed and bud-like scales which stand out from the surface; and similar ones, but more resembling buds, are scattered along the branches nearly to their tops. The plant grows from eight to fifteen inches high. The reasons for my being thus particular in the descrip- tion of this plant, will be presently seen. From the best information I can collect respecting the history of the Cancer root, it appears to have been originally a cure for cancers, used by the Indians, and communicated by them to a surgeon of one of the Pennsylvania regiments many years ago, stationed at what was then called Fort Pitt. The physician to whom the secret was communicated by the Indians, afterwards came to Philadelphia, and advertised for the cure of cancers. He had been the student of Dr. Rush, who speaks thus of the application. "It gave me great satisfaction to witness the efficacy of the doc- tor's applications: in several cancerous ulcers, the cures he performed were complete. But when the cancers were much connected with the lymphatic system, or accompanied with a scrophulous habit of body, his medicine always failed, and in some instances did 540 GUNN'S DOMESTIC MEDICINE. evident injury." The word "scrofula," is derived from scrofa, a hog—because this animal is subject to a simi- lar disorder, which means king's evil. The physician who had the secret from the Indians, died in 1784, and it was supposed the secret had died with him; but Dr. Rush procured from one of his administrators, some of the powders, and found them compounded of the dried and pounded cancer root and arsenic; the proportion of arsenic—of the pure white kind—was not more than one fortieth part of the whole compound. Most of the cures effected by these powders, were situated about the nose, forehead and cheeks, and upon the surface and extremities of the body. Cancers, taints of the fluids of the body, or those which affect the whole lymphatic system, must be cured by diet and internal medical remedies. Dr. Rush says, that the powder compounded of cancer root and arsenic, in the proportions I have mentioned, and applied in the proper cases of cancer, produced inflammation, which separated the sound flesh from the cancerous ulcer and its roots, and that he therefore preferred the application of those powders to the use of the knife, in all such cases. I will conclude these remarks by observing, that the cancer root is a valuable remedy in old and obstinate ulcers, in which it has often been known to succeed, when all other applications had failed. It must be gathered in the month of September. GUNN'S DOMESTIC MEDICINE. 541 BONE SET, Sometimes called thorough-wort, cross-wort, Indian sage, and perhaps more properly, by the Indians, ague weed. The learned name of it is eupatorium perfoli- atum. The boneset is a valuable plant, and cannot be too highly prized as a medicine. I regret to say, that at this time most of its medical virtues remain unknown. It has been used in the hospitals in New York with great success, given either as a tea or in power. The limited size of my book prevents me from writing at large on the great virtues it possesses: but I will merely make this remark, that it is endowed with more real and genuine virtues than any plant now known. The stalk is heavy, and rises from two to four feet, perfora- ting or bearing the leaves at each join\ The flowers are white, and appear in July and August. The leaves at each joint are horizontal, teethed and rough, from three to four inches long, about an inch broad at their base, gradually lessening to an acute point, of a dark green color, and covered with short hairs. It is a native of the United States, and is every where to be found in Tennessee. It is generally found in abundance on the edges of ponds which are surrounded by thickets of brushwood; in low and damp woodlands; on the banks of small water courses, creeks and rivulets, which are deeply shaded by the close foliage of the trees; and sometimes in open meadows, and waste low lands. I do not know what the name of bone set was derived from; nor do I think it very material that the reader should be informed; because real wisdom and useful intelligence, have much more relation to the nature of things, than to the mere names of things. The medical properties of this plant are various and powerful; nor 542 GUNN'S DOMESTIC MEDICINE. do I believe there is one which is a native of the soil of our country, more entitled to the attention and experi- ments of medical men. The whole plant is extremely bitter to the taste, and in some degree astringent; by which I mean, that when it is applied to the tongue, or any other part of the body, it contracts the fibres and surface, without any voluntary exertion of the muscular power. It is a strong tonic or strengthener to the stomach; and always when used internally, produces an increased discharge from the skin, which, when con- densed on the surface, is called sweat: in these respects, from well attested experiments, its medical virtues are unequivocal as well as powerful. It can always be given successfully, and without danger, in violent catarrhs or colds, even when attended with some fever; because its stimulating effects are too slight to increase the fever, while the other qualities of imparting strength and causing perspiration, are in active operation. I wish the reader particularly to notice, that I mention the beneficial effects of the bone set plant, in cases of violent catarrh or cold, because it is a dangerous fore- runner of phthisis, or pulmonary consumption, in very many instances, and ought always to be removed imme- diately, if possible. This plant is also an excellent remedy in ague and fever, which is the reason of its being called by the Indians, by a name which in their language signifies ague weed. It is also a valuable remedy in all intermittent and remittent fevers, always acting as powerfully and beneficially as Peruvian bark. In fact, I think it in many cases preferable to the bark; because it can be given where there is considerable fever; in which condition of a patient, the bark cannot be administered without great danger. For this reason also—I mean because it never increases fever—it can GUNN'S DOMESTIC MEDICINE. 543 always be given, and has been repeatedly administered successfully, not only in remitting bilious fever, but in typhus and yellow fevers. Dr. S. G. Hopkins, of New Jersey, a physician of much celebrity, in an extensive practice of several years, during which the intermittent and remittent fevers were very prevalent, gave the bone set freely, in warm decoction, with great success. By giving the bone set very copiously, he always produced sweating to allay the fever; and in dangerous cases, pushed the remedy so far as to produce emesis, or vom- iting, and also purging. He related to several of his friends, that many of the farmers in his vicinity, without calling in a physician, had, by the liberal use of bone set tea, given warm, entirely succeeded in curing them- selves and their families of both intermittent and typhus fevers. The truth is, that in low typhus, which is very dangerous, and always attended with an unusually hot skin, the bone set is an inestimable remedy. It is always used with the best effect, in a warm decoction of the flowers and leaves, which ought to be dried in the shade, and kept for use; the warm decoction is generally preferable to the plant in substance; and from one to two table-spoonsful, given every half hour, will in most cases produce sweating without causing so much nausea of the stomach as to induce vomiting. If the fever is broken, and you wish to give strength to your patient, give the bone set in the powdered leaves and flowers, from twenty grains to a drachm, from three to six times in the lapse of twenty-four hours. Used in decoction as above stated, it is also a valuable remedy in yellow fever, as has been proved by repeated and well attested experiments. The bone set is also very efficacious in removing active rheumatism—for descrip- tion of which, look under that head:—but it ought to 514 GUNN'S DOMESTIC MEDICINE. be employed in this case after blood-letting to reduce the inflammatory action. With the above commentary on the important uses of this plant in medicine, I recommend it to the serious attention of my readers. It affords another proof that Providence has given us the means of curing many of our diseases, without resorting to the adulterated drugs of foreign lands. COMMON BLACKBERRY BUSH, Called by botanists rubus villosus. This root is every where known, and therefore requires no descrip- tion. It is eminently useful in all such diseases as are to be treated with astringent medicines: the root par- ticularly, is powerfully astringent, and when used medicinally, is generally made into a tea. When the ripe fruit itself is employed, it ought to be given in the juice, or made into a syrup or jelly. The tea or decoc- tion is made by boiling a handful of the bruised roots in a pint and a half of water, until it is reduced to a pint; thus prepared, it is given with success in diarrhoeas and dysenteries—a small tea-cupful every two hours— and has often been known to effect cures when many other remedies had failed. In the disease called by physicians, cholera infantum, known by painful gri- pings and purgings of children, a weak decoction of the blackberry root may be given with good effects; but as these purgings may in many cases be considered as the efforts of nature to remove the causes of disease, it ought to be given with much caution, and not until proper evacuations have been made to remove offensive matter from the stomach and bowels. In fact, it ought A GUNN'S DOMESTIC MEDICINE. 545 a> be given in no case of dysentery or cholera infan- tum, until all offending matter, if any is presumed to exist, be removed by gentle pukes and purges. Black- berry syrup, made from the ripe fruit, ought to be kept prepared in all families, and given freely in all cases of derangement of the bowels. BUTTON SNAKE ROOT. This is a native of all the Southern States, from the sea-board to the Mississippi; the root has a sharp, aromatic, and very bitter taste, and whenever chewed, it produces a considerable flow of saliva,, or spittle. A tea or decoction of it, taken internally, produces a dis- charge from the skin, and expectoration from the throat and lungs. By many physicians of reputation, it is held in higher estimation than the Seneka snake root, which it very much resembles in its effects. CAMOMILE. The tame species is a native of Europe, but may be cultivated in most parts of the United States, and par- ticularly in the mild climate of Tennessee. It is perennial: that is to say, its roots do not die by the frosts of winter, but shoot forth and blossom through succeeding years. The flowers are generally used for medical purposes, and sold in the shops : the single ones are the best, because they are the strongest. Infusion in water, extracts the medicinal properties of the cam- omile flower, which, drank cold, is highly useful as a tonic: in other words, it will give tone and strength to 69 546 GUNN'S DOMESTIC MEDICINE. an irritable and weak stomach, repair a debilitated or lost appetite, and operate favorably on such young fe- males as labor under what is called green sickness: which means the retention or suppression of the menses. It also operates as an anti-spasmodic: that is to say, it relaxes the involuntary contractions of the muscles of all parts of the body, and particularly of the stomach, in what is commonly called cramp: it is also of service in all nervous weaknesses of females. When taken warm, and in considerable quantities, it aids materially in the operation of emetics, or pukes, &c. &c.—The camomile flower when steeped in old whiskey, or in any good spirits, and taken two or three times a day, in moderate quantities, is an excellent medicine to give tone or strength to a weak stomach and restore the appetite. For women, given in hysterical complaints, this is a valuable remedy. IPECACUANHA. This root is a native of Spanish America; and in the Spanish language, it means vomiting or puking root. The word ipecacuanha is applied to several other roots which produce vomiting or puking to any extent. The proper or botanical name of this root is the raicilla: I have, however, adopted the name ipe- cacuanha—by which it is most commonly known to physicians. This root was first brought into Europe about the middle of the last century, but did not come into general use until about the year 1786, when it was introduced into the practice of medicine by Helvetius, under the patronage of Louis XIV. The ipecacuanha is one of the mildest and safest emetics, or pukes, with GUNN'S DOMESTIC MEDICINE. 547 which we are acquainted, and has this great advantage; that if it should fail to puke, it passes off by purging or sweating; and further, if by accident an over dose is taken, it is attended with no danger; as the whole of it is vomited with the contents of the stomach, as soon as it operates.—The vomiting or puking is promoted by drinking freely of warm water. The genuine ipecacuanha in its dry state, is a small wrinkled root, about the size of a hen's quill, variously twisted, and marked with projecting parts, apparently like rings—ash colored. Its taste is sickening, and slightly bitter, with little smell, and covering the tongue with a kind of mucilage. On breaking the root, the outer bark is very brittle; and it is in this brittle part that the activity and power of the root as a puke resides —the centre of the root being nearly destitute of medi- cinal virtues. This root is generally sold in the shops in a powder, that being the form in which it is used as a vomit or puke: the powder is the color of common ashes. I have now described to you the imported ipecacu- anha, or the medicine which is now used throughout all the world under that name; and I may justly re- mark, that it stands at the head of vegetable emetics, for the promptness, efficacy and safety of its operations. In powder, which is the manner in which it is gen- erally given, full vomiting or puking will be produced in a grown person, by a dose of a scruple, or half a drachm: or you may put a drachm into six tableT spoonsful of warm water, and give a table-spoonful occasionally, until it operates: or you may steep it in wine, and give it in small doses, until the effect you desire, is produced. 548 GUNN'S DOMESTIC MEDICINE. The medicinal uses of this powder, when properly applied, are very great and valuable. In addition to its acting as a vomit or puke, when given in small doses, so as to produce nausea—which means sickness of the stomach—it generally produces moisture of the skin—or sweat—evacuation of the bowels; and in still smaller doses, it generally stimulates the stomach, in- creases the appetite, and assists digestion. In small doses, it acts not only as a diaphoretic—which means sweating—-but as an expectorant—which means a free discharge of tough mucus and spittle from the mouth and throat. It is also a valuable medicine when given in small doses, to stop spontaneous bleedings from the lungs and womb. These bleedings are called hemorrh- ages. In intermittent fevers, it has generally succeeded in stopping them, especially when given about an hour before the coming on of the fever; and also when given so as to produce vomiting at the time of the fever, or end of the cold stage. Great benefits are often derived from this medicine in continued fevers, and particularly in the commencement of typhus fevers; an emetic or puke of ipecacuanha, followed with a sufficiency of this medicine in very small doses, to keep up a gentle moisture or sweat, will, if attended to in the early stage of this complaint, probably at once cut short the disease, or greatly lessen the severity and symptoms of the fever. Wine of ipecacuanha is sometimes substituted for the powder: it is, however, better suited to children. As an emetic or puke, the dose for a grown person, is one fluid ounce—which is about half a large wine or stem glassful. For a description of this wine of ipe- cacuanha look under that head. GUNN?S DOMESTIC MEDICINE. 549 COMMON TANSY. Tansy is perennial, or perpetual, and grows wild by the sides of roads, and the borders of fields, but is most frequently cultivated in gardens, both for culinary and medicinal purposes: it flowers in July, and fre- quently in June. The leaves are generally used as a medicine, and when steeped in whiskey, or any kind of spirits, make a moderately warm, and highly valuable bitter for weak stomachs, very beneficial to children in preventing worms. It should be given to them in the morning, on empty stomachs. Some physicians have spoken highly of its virtues in hysteric disorders, par- ticularly those proceeding from a deficiency or sup- pression of the menses or courses. An infusion or tea made of tansy, and drank freely, has been strongly recommended as a preventive of the return of gout SAGE. This valuable garden herb was once supposed by the ancients, to prolong the lives of those who would frequently use it. They dedicated to it the following maxim :—"How can a man die, in whose garden there grows sage?"—in allusion to its many virtues. It is too well known, and too much used to require a descrip- tion. It makes an excellent tea to produce sweat or moisture of the skin—and by adding a little lemon juice or vinegar so as to make it pleasantly sour, is a good remedy in fevers. 550 GUNN'S DOMESTIC MEDICINE. RUE AND BALM. Rue is also a garden herb; the leaves of which, made into tea, will produce perspiration, or sweating, quicken the circulation, and remove obstructions of the blood. It is valuable to weak and hysterical constitu- tions. Balm is also a garden herb, and affords a pleasant tea to be drank in fevers. When drank freely, it will pro- duce perspiration or sweat, and of course, is good in slight fevers. AMERICAN COLUMBO. This stately and elegant plant is a native of the United States, and is found in abundance in both Ken- tucky and Tennessee. It has various names: such as Columbia, Indian lettuce, columbo root, Marietta co- lumbo, and wild columbo. The stalk grows from eight to ten feet in height; it is strong, juicy and fleshy, near- ly square, and furrowed at the sides, and sends off its leaves, which are of a deep green color, at intervals of six or eight inches, to something more than half its length, and smaller leaves and flowering branches to the top. The root is biennial—that is, it lives two years—it is large, full of knots, plump and full, and of a yellow color : the leaves are occasionally opposite to each other; and usually grow from four to eight togeth- er : they are something sharp, and sometimes oblong: or in other words, oval, or egg shaped, and sharp at the points. The flowers grow in clusters, and are of a greenish yellow, or cream color. The columbo root, which is the only part to be used —is a mild, pleasant, and highly valuable bitter—act- GUNN'S DOMESTIC MEDICINE. 551 ing as a powerful tonic, or strengthening medicine. It is valuable in dyspepsia, or indigestion, and in diarrhoea, or looseness of the bowels, arising from a redundancy of bile. It will generally check vomiting or puking, and will always be found beneficial in colic, or cramps of the stomach, want of appetite, and cholera morbus —which means puking and purging: it may be taken in substance—by which I mean powdered—a tea- spoonful every three or four hours: or a decoction or tea, a wine glassful three or four times a day: or you may steep the root (say two ounces) in a quart of old whiskey, which must stand for a few days, that the spirits may extract the virtues from the root. This valuable bitter may be used three or four times a day, in doses of a table-spoonful or more; and by adding a few drops of peppermint to this preparation, it is a good remedy to moderate the puking which sometimes oc- curs with pregnant women. All persons who are sub- ject to lowness, or depression of spirits, instead of resorting to more dangerous stimulants, should use this Columbo bitter freely. BLOOD, OR PUCCOON ROOT, Sometimes called Indian paint, and red root, but learnedly denominated Sanguinaria canadenis. This plant is a native of North America, from the Canadian provinces to the Gulf of Mexico, and per- haps of no other region of the globe. It is not only a plant peculiar to the continent of North America, the virtues of which are so well known to the Indian nations, but its root is perennial: in other words, it is not destroyed by the frosts and snows of winter. It 552 GUNN'S DOMESTIC MEDICINE. generally grows about a foot high in rich wood lands, and varies in thickness from a quarter to three quarters of an inch in diameter—which means across. It is generally about the size and length of a finger; fleshy and round, and the end of the root has the appearance of having been cut off by a dull instrument, or as if it had been broken off in removing it from the ground. The outside color of the root is brownish, but on being cut, the juice flows of a blood-red color. The puccoon flowers early in April, bearing but single flowers on each stem. The blossoms are white, the stems perfectly naked; the upper side of the leaf of a pale, sickly green, and the veins which pass through it, of an orange color. The flower bud is of a faint, or delicate rose color: the seeds, which are round and pointed, are very numerous. The leaves and seeds of the puccoon plant—which is the name I have adopted—like the seeds of the stramonium, or Jamestown weed, are poisonous, and must never be used. The root seems to contain all its medicinal qualities; and is closely allied in its effects on the human system, to the seneka snake root, and in some of its effects, to the digitalis purpuria, or fox-glove. A decoction or tea, as it is usually called, made of the puccoon root, is highly recommended in the treatment of old and indolent ulcers—which simply means old sores that do not seem inclined to heal—and the dried and pounded root, applied a few times, in some cases of ill-conditioned ulcers, with callous edges, and an itcherous or itching discharge, seldom fails to produce a healthy state of the sores. It is an excellent remedy in croup, and must be given in doses sufficient to pro- duce vomiting, or puking; some physicians rely on it wholly in croup. It is also an excellent remedy in GUNN'S DOMESTIC MEDICINE. 553 dropsy of the chest—called by physicians hydrothorax— given in doses of sixty drops of the juice three times a day, and increased until nausea or sickness of the stomach follows each dose. This root in powder, from twenty to thirty grains, is an active emetic puke. Dr. Barton, one of the professors in the Philadelphia medi- cal college, thinks it nearly equal to the seneka, or rat- tle snake root, in cases of ulcerous sore throat, croup and hives, and diseases of this nature. It is a valuable medicine to produce a determination to the surface— by which I mean sweating—and also in colds, pleuri- sies, rheumatism, and other inflammatory disorders. When used for these last diseases, it should be given as a tincture—which is the root steeped for several days in spirits of any kind—and given in doses of ten drops every two or three hours, until a moisture or sweat is produced on the skin. This tincture is also valuable in jaundice, in torpor of the liver, attended with colic and yellowness of the skin, a disease com- mon to southern climates. The puccoon root, made into a tincture, and gradually and cautiously used, will be found a valuable medicine in stoppages of the men- ses or courses in women. I have used it with great success in my practice, when every other medicine usually resorted to had failed. My usual method of preparing it is, to steep about a handful of the root sliced, in half a pint of old whiskey, letting it stand five or eight days, when the tincture is fit for use; be- ginning with ten drops, and gradually increasing the dose, as circumstances may require. But you may give it in a decoction or tea—a handful of it to a quart of boiling water—a table-spoonful every two or three hours, as the situation of the patient may require. 70 554 GUNN'S DOMESTIC MEDICINE; This root, powdered very fine, and snuffed up the nose, is said to be a certain cure for polypus, a fleshy teat, or grisly substance, which grows in the nostril, gradually increasing in size, until breathing becomes difficult, and which sometimes, unless removed, ends in suffocation. I have lately made experiments with this root in a disorder called tetter worm, and in several instances succeeded in curing it when other valuable remedies had failed. Steep the sliced roots in strong vinegar ten days, and wash the part affected two or three times a day. I shall conclude my remarks on this valuable root by observing, that it possesses a great many valuable qualities which are probably yet unknown. The best time to collect it for medical purposes, is when the seeds are ripe—which is about the beginning of May. SENNA. I shall first describe to you the foreign, or imported senna, generally used in the practice of medicine; after which I shall describe the American plant senna, which, on almost numberless trials, has proved to be but very little, if any, inferior to the imported, or that sold in the shops, and mostly used by physicians. I have used them both and can discover no difference. This affords another proof of a bountiful providence, in bestowing on this people, a plant of so much value, and one which, before its discovery here, we were compell- ed to import from Egypt. Here I again repeat what I have frequently said in this work, that all that is re- quired of us are industry and attention, and we will GUNN'S DOMESTIC MEDICINE. 555 discover in a few years, thousands of medical plants in the western country, superior in every respect to the foreign, by which we will have this further advantage: we will always have them fresh, and in full possession of their virtues. The leaves of the senna are alone used in medicine. The imported plant grows in Turkey, Syria, and Per- sia. It is commonly called Alexandria senna, because it was once imported exclusively from the city of Alex- andria in Egypt. This medicine was originally receiv- ed from the Arabians—and large quantities of it are now brought from Nubia, which is known in Egypt by the name of the valley or country of Barabras; it is a narrow valley through which the Nile flows, where the view is confined on two sides alternately, by a lofty chain of mountains. Senna is the chief production or commodity of this country. It is not cultivated, but grows naturally on the sides of the hills and ravines. Each person has the right of gathering what grows in his district. Two crops are annually made, the pro- ductiveness of which depends on the duration of the rains, which fall periodically every year. The first, and most fruitful crop, is that gathered at the termination of the rains—the second crop is small. No expense attends the preparation of the plants, which merely consists in cutting and spreading them on the rocks to dry. This process, in that warm climate, only occu- pies a single day. The senna is then put up in bales of one hundred pounds, and the slave merchants con- vey them by camels to Sienne and Darao, where they are sold for eleven or twelve francs a bale—which is about two dollars and twenty-eight cents. They are then carried to the farmer-general at Cairo—an officer appointed by the government to examine and purchase 556 GUNN'S DOMESTIC MEDICINE. them. The sum fixed by him is from thirty to thirty- three francs—which is about eight dollars and twenty- seven cents. They are then sold by them to the European factors or merchants, for one hundred and six francs each bale, which is equal to twenty dollars and fourteen cents, and by them exported to the differ- ent quarters of the world. American citizens! why will you pay such accumulated and enormous expenses to foreign governments and merchants, for an article which is furnished plentifully by the soil of your own country? The demand for this article from Europe every crop is, generally, from about fourteen to fifteen hundred quintals, of one hundred pounds each. The great de- mand for this medicine, both in Europe and the United States, has induced the Egyptian merchants to mix with it senna of an inferior quality, which sometimes occa- sions it to fail in producing the immediate effect intend- ed. Although this fraud, when practiced, does no serious injury, it frequently disappoints us in the active operation of the medicine: the inferior senna, although producing eventually the same effects, is much slower and weaker in its operation. AMERICAN SENNA. Having given you the history of the European, I shall now proceed to describe to you our own senna, which grows abundantly in the United States, and particularly in the western country. In fact, it is found plentifully about Knoxville, and on the shores of the Holston river. I have told you that I had used both, and could perceive no difference in their operation— GUNN'S DOMESTIC MEDICINE. 557 and I now repeat the fact, that it may be the more for- cibly impressed on your mind. Notwithstanding this, those who prefer the foreign senna to our own, may easily gratify their preference, as the imported kind is now cultivated in North Carolina, and is found to flourish abundantly. It is evident that we do not obtain the pure plant from abroad: I have shown the manner of adulteration: why, then, should we not cul- tivate the foreign plant sufficiently for our own con- sumption, if we must and will have it? The wild senna of America is a most beautiful plant. I will describe it in as plain terms as possible—knowing at the same time, that it is very difficult, if not utterly impossible, to delineate in mere language, what can only be known to the eye :—It has frequently several stems from the same root; these stems are, generally, either entirely smooth, or furnished with a few strag- gling hairs. The larger sized leaves, I believe, are mostly confined to the larger branches, and are disposed in pairs opposite to each other, on the sides of those branches which run out nearly in a horizontal direction from the stem. The flowers are of a bright orange color, and are usually found on small sprays or sprigs, which shoot out in the angles formed by the stems and larger branches. Near the top the flowers are attach- ed to the main stems. The stems rise from two to four feet in height. The leaves are rather long—green above, and pale underneath; they should be gathered about the last of August for use. Dr. Barton, an eminent physician, and professor of Botany in the University of Philadelphia, informs us that he had some experience with the American senna during a term of practice in the Marine Hospital of that city. "I have," says the Doctor, "for some months 558 GUNN'S DOMESTIC MEDICINE. past, substituted the American for the Alexandrian senna, and very frequently employed it. I have, also, in a single instance, used it in my own family. I have had reason to confirm the high character which the American plant has long maintained." But, reader, whether you may prefer the imported or the American senna, which I consider equal in their medicinal powers, the following remarks are applicable to both, or to either of them. The senna is a valuable purge, and when good, is active in its operation, and at the same time quite in- nocent. Senna is seldom given by itself, but is always mixed with manna—a description of which will imme- diately follow this. When you enquire for senna as a medicine at a doctor's shop, always ask for a dose of senna and manna, because these two medicines are always given together. Sometimes a little salts is mix- ed with the senna and manna, especially if you wish to make the operation sure and active. In fevers, first giving a good dose of calomel, follow it up with the senna, manna, and salts: senna has but one fault; it is apt to gripe during the operation : this can always be prevented, however, by adding a little ginger. But, I believe, from an extensive experience, that after calomel to remove bile, if the following mixture be made up and given, it is superior and more innocent than any medicine now known as a purge:—Take of senna and manna, each half an ounce; of ginger, one drachm; of salts one ounce—pour on these medicines a pint of boiling water; cover over the vessel in which you make this tea, so as to prevent the steam from esca- ping. This tea. is to stand until it becomes cool. You are to give of it to grown persons, one gill every hour or two, until it operates freely. According to the age GUNN'S Domestic medicine. 559 of the person, you are to give this tea in smaller doses, and as it is quite innocent, it may be given to children occasionally in small doses, until the desired effect is produced—which is a free operation as a purge. If you wish it to act as a very mild and gentle purge, you may leave out the salts. I repeat, in order that you may remember it, that whenever the bowels are ob- structed, or whenever you require an active and search- ing purge, senna, manna, and salts, in the proportions I have just mentioned, adding thereto a little ginger, are superior to any means of operating on the bowels now in use. MANNA. The word manna, means a gift; it comes from the Syrian word mano, being the food supplied by the Almighty to the children of Israel in the wilderness: or it comes from the word mahna, what is it? an ex- clamation used by the Israelites on its appearance—so say the best authorities. The manna, or medicine so called, and that which is mostly used by physicians, comes from Naples on the Mediterranean sea. The best manna is in long flakes, moderately dry, brittle, and crumbling, of a pale yellow- ish color, and considerably transparent; in other words, you can partially see through it. If it is moist, very sickly, and dark colored, it is considered of an inferior quality, although not less purgative. The manna is principally collected in Calabria, Apulia, and Sicily, in the warmest season of the year, from the middle of June to the end of July. Various trees afford it: par- ticularly a kind of ash, called manna ash. It flows 560 GUNN'S DOMESTIC MEDICINE. from the trunk of the tree when tapped, similar to the' juice or sap of our sugar tree when used in the same manner. The liquor first flows from the tree like a white froth, extremely light and of an agreeable taste. The heat of the sun, in a few days, hardens it to the consistence we find it. Manna has something the taste of sugar, and is siekish and searching on the tongue. Its great resemblance to sugar, both in appearance and taste, induces children readily to eat it—in its effects, it acts on them as a mild purge. Manna is, however, a very feeble purgative medicine, requiring large doses for a grown person, say an ounce or two: for this rea- son, as I have before told you, and so directed, it must always be mixed with senna and salts. It ought never to be given alone, except to small children, as a mild and opening medicine. See table of doses. WHITE WALNUT. During our revolutionary war, when medicines be- came scarce, the physicians of the army employed the inner bark of the white walnut as a purge. In the dose of from ten to twenty grains, it operated well, by evacuating the bowels thoroughly, and was much resorted to by them as a purgative, in all billious cases of fever. By the addition of eight or ten grains of calomel, the efficacy of the white walnut may be great- ly and beneficially increased. As I have stated to you, the medicinal virtues of this bark are confined to the inner bark; and the proper time forgetting it in the full possession of its virtues, is about the month of June, because the bark is at this time considerably more powerful than at other periods. GUNN'S DOMESTIC MEDICINE. 561 I have used the white walnut in my practice, and always found it among the best purgative medicines pos- sessed in the Western country, and have very often been surprised that the article is not kept in the family of every farmer in the country. The manner of ex- tracting the virtues of this bark, is very simple:—It is merely to be boiled in water several hours, then strained and boiled again, until it becomes about as thick as honey. Two, three, or four pills which it can be made into with a little flour, make a dose of this ex- tract. One or two of these pills, taken at bed time, is a valuable remedy in the removal of costive habits of body, which occasion head-aches, colics, &c. &c. By increasing the dose, these pills are gocd in dysenteries and bilious fevers, and will be doubly beneficial, if com- bined or mixed with a little calomel. RHUBARB. Rhubarb, properly so called, is the root of a plant designated by the learned, rhevm palmatum. It is a native of various countries of Europe and Asia, and might be cultivated with perfect ease perhaps, in every part of the United States. Attempts have been suc- cessfully made to introduce the culture of this valuable drug into England: and it appears from authentic accounts, not only that immense quantities of it may be produced there, but that the English root is fully equal to the best rhubarb obtained from Turkey or China. The greatest difficulty seems to be in drying it proper- ly. Its cultivation is by no means difficult; it is merely to sow the seed in a light soil in the spring: to trans- plant the smaller roots the next spring, into a light soil, 71 563 GUNN'S DOMESTIC MEDICINEL well trenched, and set them about three or four feet apart. The third year, the plants will produce the flowers; but the roots are not to be raised for use until the fall of the sixth year. This is the whole process of rearing the rhubarb: a process which I am convin- ced every American farmer is fully equal to. The cultivation of this valuable medicine in the United States, ought to b'e considered an object of high individual and national importance. That our climate throughout the different States, particularly the Western States, is fully equal to its production, there can be no doubt, as it has been fully ascertained by actual experi- ment, That it will grow in Tennessee, I well know; be- cause it is now flourishing in abundance in the garden of Mr. Woods, fifteen miles from Knoxville. The root was originally purchased by Mrs. Woods, from some drug store in Knoxville, and planted for the pur- pose of an experiment, which has perfectly succeeded. I mention this fact in order to prove conclusively, with how much ease we might become independent of for- eign countries for thousands of medical drugs which are annually draining our country of immense sums of money. Such experiments as that made by Mrs. Woods, ought to be made by every person who has opportunity and leisure: They are duties the American people owe both to themselves and their country. There arc three varieties of rhubarb found in the drug shops; the Russian, the Turkish, and the East Indian rhubarb; the two first, the Russian and the Turkish, re- semble each other in quality and appearance, whilst the East Indian is of a somewhat different character. The best Russian and Turkey rhubarb, is in roundish pieces, with a large hole in the middle of them. The GUNN'S DOMESTIC MEDICINE. 563 East Indian or Chinese rhubarb, comes to this country in long flattish pieces, seldom, if ever, having holes in them. The Turkish rhubarb is the best, and is gener- ally used in this country. The marks of rhubarb being of a good quality are, the liveliness of its color, when cut; its being firm and solid, but not flinty or hard; its being easily pulverable, which means reducible to powder; and its appearing when powdered, of a fine high yellow color; and when chewed, by its imparting, to the spittle and tongue a deep saffron color. Rhubarb is one of the mildest, best, and pleasantest purgatives now in use in this or any other country; because with its purgative powers, it is also astringent and strengthening, and in this it certainly differs from almost every other purgative of the same class known in medicine. It is superior to nearly all other purges for another reason; it may be taken with opium, and act on the bowels as well as if taken without it. This is a vast advantage; because where purging would be connected with great pain, its being combined with opium, relieves the pain, while the rhubarb is left free to do its duty. The operation of rhubarb is slower and milder than any other purges; but it is very cer- tain in its effects, when given in proper doses. It may always be given with innocence and safety, in all cases of extreme weakness, where a purge to open the bow- els becomes necessary, and where violent and severe purging would be highly improper. You will find this medicine very valuable and safe, as it always acts with. much gentleness in relieving the bowels. It is a com- mon and proper purge for children, even at a very early period of life, and in every situation where their bowels become disordered; particularly in dysentary or lax; 564 GUNN'S DOMESTIC MEDICINE. because it leaves the bowels in a favorable state, after removing the offensive matter from them. It is also an excellent purge for grown persons, laboring under this complaint. In small doses, say from two to six grains, it is excellent for the stomach when laboring under indigestion, generally called dyspepsia; and mrst be given in such small doses as not to purge, but to act as a tonic, or strenthening medicine. There arc various ways of giving rhubarb; such as giving it in tincture, which means steeping it in any kind of spirits: but the best and most certain method of giving this medicine, and obtaining the virtues of it fully is to give it in fine powder. A dose for a grown person is, from about a scruple, or twenty grains, to half a drachm, mixed with honey, molasses, or any kind of syrup. The root chewed as tobacco, swallow- ing the saliva, or spittle, is an innocent and efficient way of taking it, for keeping the bowels gently open, particularly with those persons who are subject to habitual costiveness, indigestion, and those long trains of nervous diseases which afflict men and women who are subject to derangements of their systems from cos- tiveness. In such cases, if they will chew the root of the rhubarb, it will act as a moderate purge, and gently open the bowels: at the same time, it will act as a tonic, or strengthening medicine to the stomach, by which they will always obtain relief GUNN'S DOMESTIC MEDICINE. 565 INDIAN PHYSIC. Tins plant is a native of the United States; and as its name imports, was a great favorite among the Indian nations. It is almost every where found in the western country, inhabiting shady woods, and the rich sides of' hills and mountains, from the lakes of Canada to the Floridas. The number of stems proceeding from the root of this plant varies considerably; sometimes there is but a single one, and occasionally there are many. The stems are branched above, say about two or three feet from the ground; they are round, and commonly of a reddish color. The leaves are of a deep green, long and pointed, and the flower nearly white. The root of this iant, which is all that is used in medicine, is perennial: that is to say, it is not destroyed by the frosts of winter. It is composed of several long, brown, slendor shoots, which run out from the bottom of the stem, to some distance under the ground. This root possesses many of the virtues of the ipecacuanha, and is much used by the country people, as an emetic or *■ puke. Given in the dose of tliirty or thirty-five grains in the powder, for a grown person, it is an easy, safe, and certain emetic; and if you give it in what are called broken doses, of six or seven grains about every two hours, it will act as a sudorific; in other words, it will produce sweating. If you give it in infusion, or weak tea, a handful to a pint of boiling water, of which you may take a small tea-cupful every fifteen or twenty minutes, it will produce vomiting. The active power of this root, seems to reside exclusively in its bark, which, in addition to its emetic qualities, probably pos- sesses considerable tonic powers. 566 GUNN'S DOMESTIC MEDICINE AMERICAN IPECACUANHA. This singular, and very useful plant, is exclusively a native of the United States, and may be found in great plenty in the middle, southern, and western states. It nearly always grows in loose, moist, and sandy soils, and is very often found flourishing in beds of almost pure sand. The leaves of this plant vary so much in shape and color—and in fact, the whole plant itself varies so much in its different states, that it is often mis- taken by those unacquainted with its habits, for several distinct species of plants. The stems are numerous; they are nearly white below the surface of the earth or sand, and of a reddish color, or a pale green or yellow- ish hue above it. The leaves are opposite to each other, and generally of an oval form; I say generally, because they are sometimes of a long oval, sometimes pointed, and, unfrequently, linear. In the month of May, while the plant is inflrver, the leaves are very small; but as it advances in age, they become greatly increased in size. The seeds of the flower are only Shree in number, enclosed in a triangular, or three square capsule, 01 case. I mention these things par* ticularly, because they afford the hest possible means of knowing the plant. The root is perennial; in other Words, it is not killed by the f osts of winter. It is from three to seven feet in height, and from half an inch to an inch and a half in diameter, or across, and of a yellow- ish color; sending off towards its upper part, many small- er roots, about the size of smdl quills. I believe, and am sustained in the opinion by sever- al high uthorities, that the American ipecacuanha, the plant just described to you, is superior in its medicinal properties to ay other species known. The root of this plant alone is to be used; if the stems and leaves \> * j£ GUNN'S DOMESTIC MEDICINE. 567 bast possess any medical virtues, they are yet to be dis- of mi covere(j by experiment. It is a powerful emetic, both wge safe and certain in its operation, and is applicable to j^^ nearly all cases in which emetics are required. In d* small doses of from five to ten or fifteen grains, it is an omy excellent emetic or puke; but if given in doses of twen- thor ty grains it operates downwards, as an active purge. '£*< Larger doses produce, in addition to the above effects, heat, vertigo, (which means swimming in the head,) and great prostration or loss of strength. Dr. Barton gives us the following experiments on the American ipecacuanha, which I transcribe for the contemplation of the reader. "A portion of the dried root was finely pulverised, [powdered] and administer- ed with caution to several patients. I at first commen- ced with small doses, of three, four and five grains. In these.quantities, the powder produced nausea, [sick- ness of the stomach,] and determination to the skin, [sweating,] as small doses of ipecacuanha do. On increasing the number of grains to ten, vomiting was produced, with occasionally an operation on the bow- els. Fifteen grains I found sufficient to produce full vomiting in most cases; and in a single instance, hav- ing given the powder to an extent of twenty-five grains I had reason to be alarmed at the cathartic [purgative] effect which ensued and continued for four- teen hours, attended with distressing sickness at the stomach. I have tried the American root in various combinations, and can confidently assert, that in all the instances it has proved equal if not superior to the im- ported ipecacuanha. It has some advantages which the foreign article does not possess. Its occasional purgative effect is no more than what follows the for- eign medicine. This view of the subject derives 568 GUNN'S DOMESTIC MEDICINE. peculiar importance from the well known fact, that the imported ipecacuanha, is rarely if ever good, and perhaps seldom genuine." In this plant, or rather root for that alone is to be used, we see another instance of the bounty of Provi- dence in furnishing us with an article possessed of great medical virtue, the production of our own soil. And here again I repeat, that we have only to develope the resources of our own country, to become complete- ly independent of foreign lands for our u eful medical drugs. Even opium, as I shall shew you in the proper place,-can be made here, in sufficient quantities for our own consumption. We are in fact, paying enormous sums annually, for what nature and our own exertions would furnish us. Foreign ipecacuanha, adulterated, and inferior to our own, is costing us three dollars the pound, while we can have our own for nothing. BUTTERFLY WEED, OR PLEURISY ROOT. The butterfly weed, or pleurisy root, called by the learned, asclepias t.irberosa, is a native of every state in the American Union, and abound-, particularly, in the southern and western states. It flourishes best, and grows to the greatest peifection in light, sandy soils, and is frequently found under fences, and near old stumps in grain fields. From twenty to thirty stalks the size of a pipe stem frequently rise from the same root, and stand in almost every direction. These stalks are round and woolly, and of a reddish brown color on the sun side. The leaves are placed very irregularly, and are spear or tongue shaped, and cover- ed with a fine down on the lower side. The stalks GUNN'S DOMESTIC MEDICINE. 569 rise from one to two feet in height, and spread to a considerable extent; and at the extremities of the branches are found clusters of small shoots, on which are found the flowers, when in bloom—which is about the month of July or August. The clusters of shoots from the ends of the branches, as also the flowers, resemble those of the common silk weed, for which this plant is sometimes mistaken. There is, however, this difference between them, and it ought to be partic- ularly noticed: the flowers of the silk weed are of a pale purple hue, while those of the butterfly weed are of a beautiful bright orange color, and are succeeded by long slender pods, which contain the seeds. The seeds have a delicate kind of down or silk attached to them. The root of the butterfly weed is spindle or carrot shaped, of a light brown color on the outside, and white and coarse within. It has long been celebrated in the southern Atlantic states, and particularly in Vir- ginia and the Carolinas, not only as a powerful remedy in pleurisy, but in pneumonic diseases generally: by which I mean diseases of the lungs. This root possesses one remarkable power: given in proper quantities, it affects the skin, and produces copious perspiration or sweating, without heating the body. Given in the simple form of a decoction or tea, it often produces sweating, when all other remedies have failed in their effects. The powdered root sometimes acts as a mild purgative on the bowels; but it is more particularly and inestimably valuable in producing expectoration, or the throwing off of mucus from the throat and lungs; in causing perspiration or sweating, when other remedies fail, and finally, in reducing obstinate feverish affections. Its efficiency and power in fevers have been attested by 72 570 GUNN'S DOMESTIC MEDICINE. many of the best physicians in the United States. In feverish affections, proceeding from an inflammation of the lungs, in colds recently taken, and in diseases of the chest generally, this root is an excellent remedy. It is to be given in a strong infusion or tea; say a small tea-cupful every two or three hours. Many families have long resorted to this root as a domestic medicine, to relieve pains in the stomach, indigestion, colic, and so on, and for these reasons, call it wind root. Doctors Chapman and Bigelow, whose testimonials alone in its favor would be sufficient to establish its reputation, for the virtues I have ascribed to it, speak in very high terms of the medicinal powers of this root. "As a diaphoretic,'1 [or medicine which sweats,] says Dr. Chapman, "I think this root is distinguished by great certainty and permanency of operation, and has this inestimable property, that it produces its effects— sweating, without much increasing the force of the cir- culation, raising the heat of the surface, or creating inquietude or restlessness. On these accounts, it is well suited to excite perspiration in the forming stages of most of the inflammatory diseases of winter, and is not less useful in the same cases, at more advanced periods, after the reduction of the feverish action by bleeding. The common notion of its having a peculiar efficacy in pleurisy, I am inclined to believe is not without foundation; for certain it is, that it very much relieves the Oppression of'the chest in recent catarrh, cold in the head and throat, and promotes perspiration in protracted inflammations of the lungs." GUNN'S DOMESTIC MEDICINE. 571 JALAP. This plant was originally found native in Mexico, near the celebrated city of Xalapa, from whence it derived its present name, jalapa. It has since been discovered growing plentifully near Vera Cruz, and in our own countries of Florida. And on the authority of Dr. W. P. C. Barton, I take upon myself to assert, that it is also certainly a native of the state of Georgia. The root of this plant alone is used for medicinal pur- poses; and when of good quality, comes to us in slices which are solid and heavy, and of a dark grey color having little smell, and scarcely any taste. When swal- lowed however, it affects the throat with a warm and pungent sensation. This root is a powerful laxative medicine or purge; its activity resides principally, if not wholly, in the resinous part, which even when taken in small doses and alone, will sometimes gripe severely. The great activity of jalap as a purge, causes it to be much used in the onset or commencement of bilious fevers. Com- bined with calomel, in the proportions of ten grains each, was the purge generally given in yellow fever, by the great Dr. Rush, of Philadelphia, and which caused his students to give him the ludicrous nick name of "old Ten in Ten." Used as what physicians call a hydra- gogue, by which they mean any medicine which will expel water from the cavities of the body, the jalap root is entitled to all the praise that has ever been bestowed on it by the medical profession; yet I am induced to believe, from actual experience, and the practice of other physicians, that it produces a better effect in all dropsical cases, when combined with cremor tartar. Ten grains of jalap with one drachm of cremor tartar, constitute probably, one of the best medical t prescrip- J 572 GUNN'S DOMESTIC MEDICINE. tions ever known, where long continued purging is required in the cure of a complaint. The dose of jalap, when combined with any other medicine, is from twenty to thirty, and even up to forty grains. Our common May apple root, has sometimes been called the jalap of the United States. But I am of the opinion noticed above; that the genuine jalap of Mexico is a native of the State of Georgia, and probably, of all the southern states. Perhaps this would be an inquiry worthy the attention of the lately established Medical Board of Tennessee, especially if they intend to re- munerate the country for the privileges granted to them by the legislature. PRICKLY ASH OR TOOTH ACHE TREE. The prickly ash is a native of the United States, and also of the West India Islands, where it sometimes grows to the height of sixteen feet. There are two kinds of the prickly ash in the United States, which I believe possess the same medicinal powers: one is call- ed the ash-leaved zanthroxylum, which grows in the northern states, and particularly in the states of Penn- sylvania and Maryland, and the other is known by the name of the prickly yellow wood, growing abundantly to the south and south-west of the states I have men- tioned. The fresh juice obtained from the root of the prickly ash, is an excellent remedy in that painful com- plaint called dry belly ache. This discovery, like most others of importance, was the result of accident: it was made by watching a female slave in one of the West- India Islands, who ^collected the root in the woods, and gave two spoonsful of its juice every two hours to a GUNN'S DOMESTIC MEDICINE. 573 negro suffering severely under this colic. The medi- cine caused a profound and composed sleep, for twelve^ hours, when all sense of pain, and other distressing symptoms had vanished. The cure was rendered final by giving an infusion of the juice as a diet drink. The most important discovery, however, relating to the prickly ash, or yellow wood, is the following:—The juice of the root preserved in spirits of any kind, given in doses of about a wine-glassful, has repeatedly re- moved the most obstinate epileptic fits. I do not know precisely the manner in which this preparation ought to be managed, but would give it in the dose of a wine- glassful morning and evening. The leaves and rind of the prickly ash or yellow wood, in their taste and smell resemble those of the lemon, and possess a simi- lar volatile oil. The bark has a separate acrid, or hot and biting principle, which it will communicate either to water or spirits of any kind; this acrid or biting principle, however, is not perceived when the bark or liquid is first taken into the mouth; it gradually makes itself known, by a burning sensation on the tongue and fauces, sometimes called the palatine arch, or cavity at the root of the tongue. Chewing a small quantity of the bark, produces a great flow of saliva, or spittle, and is very often used in this way to cure the tooth- ache. The bark of the prickly ash has also acquired a con- siderable name as a remedy in chronic rheumatism, by which I mean rheumatism of a long standing. Taken in full doses, it produces a sense of heat in the stom- ach, and a strong tendency to prespiration, or sweating, and consequently much relief in rheumatism. The dose is twenty grains of the pounded bark, to be taken three times a day; or you may boil an ounce of the 574 GUNN'S DOMESTIC MEDICINE. bark in a quart of water, and take this tea, or decoction in the course of the twenty-four hours. In the West India Islands this strong decoction of the bark is used with great success, as a wash for old and foul ulcers, which it always greatly cleanses, and disposes them to heal up. The West India people also mix the pounded bark with what are called dressings of such old sores. The value of this remedy for old ulcers, is attested by numerous instances of its success, to be found in the London Medical and Physical Journal. INDIAN TURNIP. The Indian turnip is a native of every part of the United States; it grows in low rich meadows and woodlands, to the height of from two to three feet, and is too well known to require a very particular descrip- tion. The leaves are but three in number, of a round- ish or oval form; the stalk of a purple color, and the berries of a bright and beautiful scarlet. In its recent state, that is, when first dug up, the root is exceedingly hot, sharp, and biting to the tongue; and on being swallowed, a sharp acrimony is sensibly felt about the fauces, or cavity at the root of the tongue. Of all the American roots, the Indian turnip has the highest reputation in country practice, as a remedy in pulmonary or consumptive complaints: it is also given with considerable success in asthma, and in coughs of long standing. My own experience has convinced me, that it is among the most valuable of our expectorants, or medicines which cause a dislodgment of mucus from the throat and lungs, and that it is a good remedy in croup and whooping cough. The green or recent root, GUNN'S DOMESTIC MEDICINE. 575 boiled in hog's lard to the consistence of an ointment, has been found very useful in tinea capitis, or scald head, in which I would always recommend its use. When given in consumptive complaints, the fresh root should be boiled in sweet milk. When the dried root is to be given, it must be finely grated in the sweet milk—one root in half a pint of milk, and well boiled before it is taken. Some acrimony or sharpness should be perceptible to the throat and tongue, or the root has probably lost its powers. The ointment. I have men- tioned above, is valuable also in some diseases of the skin: such as ring worm, tetter worm, and so on. WILD CHERRY TREE. Th.s tree is so very common as to require no de- scription. The bark of this tree, or the bark of the root, which is still better, combined with the bark of the dogwood, when employed in the cure of ague and fever, bilious fever, and other diseases where tonic or strengthening medicines are proper, is by no means in- ferior to the best Peruvian bark. Combined with Virginia snake root, in the proportion of one part of snake root to four parts of ihis bark, it is an excellent remedy in intermittant fevers of an obstinate character, and long standing. You may either give it in powder, in the same dose that you would Peruvian bark,—see table of doses; or you may give it as a tea, or decoc- tion. It has also been found very useful in dyspepsia, or indigestion, and in consumption of the lungs. Infused plentifully in strong sound cider, it will in most cases remove jaundice, especially if preceded by a dose or two of calomel: and a strong decoction of the bark is 576 GUNN'S DOMESTIC MEDICINE. an excellent wash for old and ill-conditioned ulcers. It is a singular fact, that the leaves of the wild cherry tree will poison cattle: nor is it less singular than true, that the distilled water of the leaves is a powerful poison to most animals. This effect seems to be- independent on the presence of the same poisonous principle which exists in peach kernels, and other substances of a similar kind, lately shown to be prussic accid, the strongest poison known to us. AMERICAN CENTAURY. This is a very elegant little plant, a native of the United States; and is no less valued for its medicinal virtues, than admired for its simple beauty. The root, consisting of a few thick yellowish fibres, generally sends up but a single stem, which grows from a foot to eighteen inches high: this stem is smooth and four- sided, and where the branches shoot off, it has gener- ally two leaves, which grow opposite to each other: indeed, the leaves of every part of the plant grow op- posite to each other, and are oval and sharp at the points. The flowers are very numerous; growing at the points of the branches, from two to five in number, and are generally of a beautiful pale rose color. This plant is in full flower in the month of July. Every part of this little plant is a pure strong bitter, and parts with its medicinal qualities to both water and spirits—it has no astringent powers. On stomachs that are weak, it exerts a strengthening influence, and is considerably used in the southern states in intermittent fevers. In fact, by the best practitioners in the Union, it is general!}^administered in fevers: Dr. Barton says, A GUNN'S DOMESTIC MEDICINE. 577 "it was often employed with much benefit in the city of Philadelphia, in 1793, in certain stages of the yellow fever." On the whole, centaury may be confidently recommended for its pure bitter, tonic and strengthening virtues. It ought to be taken as a decoction or tea, and always taken cold: it may be given in powder, in doses of from ten to twenty grains, but I think not with the same advantage. In relaxations of the stomach, and general debility of the system, mixed with cala- mus or angelica root, it forms an excellent and strength- ening bitter. This root is called by the country people centry. LOBELIA INFLATA, OR INDIAN TOBACCO, It has been affected that the discovery of the medi- cinal virtues of this plant, is involved in unexplainable mystery; but it long since has constituted a portion of the standard materia medica: it is an annual or bien- nial indigenous plant, usually a foot or more in height, with a fibrous root, and a solitary, erect, angular, and very hairy stem, much branched about mid way, but rising considerably above the summits of the highest branches. The leaves are scattered, sessile, oval, acute, serrate and hairy. The flowers are numerous, disposed in leafy terminal racemes, and supported on short arillary foot stalks. The segments of the calyx are lined and point- ed : the corolla, which is a delicate blue color, has a labiate border, with the upper lip divided into two, the lower into three acute segments. The united anthers are curved, and enclose the stig- ma : the fruit is an oval, striated, inflated capsule, crown- 73 578 GUNN'S DOMESTIC MEDICINE. ed with the perristent calyx, and containing in two cells numerous very small, brown seeds. This species of lobelia is a very common weed, grow- ing on the road sides, and in neglected fields, throughout the United States. Its flowers begin to appear towards the end of July, and continue to expand in succession till the occurrence of frost. The plant, when wounded or broken, exudes a milky juice. All parts of it are possessed of medicinal activity; but, according to Dr. Eberly, the root and inflated capsules are most power- ful. The plant should be collected in August or Sep- tember, when the capsules are numerous, and should be carefully dried: it may be kept whole or in a state of powder. Dried lobelia has a slight irritated odor, and, when chewed, though at first without taste, soon produces a burning, acrid impression upon the posterior parts of the tongue and palate, very closely resembling that produced by tobacco, and attended in like manner with a flow of saliva, and a nauseating effect upon the stom- ach. The powder is of a greenish color: the plant yields its active properties readily to water or alcohol, and water distilled from it retains its acrid taste: it has not been accurately analyzed. Medical properties and uses.—Lobelia is emetie, and, like other medicines of the same class, is occa- sionally cathartic, and, in small doses, diaphoretic and expectorant; it is also possessed of narcotic properties. The leaves or capsules, chewed for a short time, occa- sion giddiness, headache, general tremors, and ulti- mately nausea and vomiting; when swallowed in the full dose, the medicine produces speedy and severe sweating, and great relaxation; its effects in doses too large or too frequently repeated, are extreme prostra- GUNN'S DOMESTIC MEDICINE. 579 tion, great anxiety and distress, and ultimately death preceded by convulsions: fatal results have been expe- rienced from its empyrical use. These are more apt to occur, when the poison as sometime happens, is not rejected by vomiting: in its operation upon the system, therefore, as well as in its sensible properties, lobelia bears a strong resemblance to tobacco. It is among the medicines which were employed by the aborigines of this country, and was long in the hands of empyrics, before it was introduced into regular practice. The Rev. Doct. Cutler of Mas- sachusetts, first attracted to it the attention of the pro- fession. As an emetic it is too powerful and too dis- tressing, as well as too hazardous in its operation for ordinary use. The disease in which it has proved most useful is spasmodic asthma, the paroxysms of which it often greatly mitigates, and sometimes wholly relieves even when not given in doses sufficiently large to pro- mote active vomiting: it was from the relief obtained from an attack of this complaint, that Doct. Cutler was induced to recommend this medicine. It has also been used in catarrh, crout, pertussis, and other pectoral affections, but generally with no better effect than may be obtained from less unpleasant and safer medicines. Administered by injections it produces the same distres- sing sickness of stomach, profuse perspiration, and universal relaxation as result from a similar use of tobacco. Dr. Eberle administered a strong decoction of it successfully by the rectum, as a substitute for this narcotic in a case of strangulated hernia. It may be given in substance, tincture or infusion: the dose of the powder, as an emetic, is from five to twenty grains, to be repeated if necessary: the tincture is most frequently given. The full dose of the preparation for an adult is 580 GUNN'S DOMESTIC MEDICINE. half a fluid ounce, though in asthmatic cases it is better administered in the quantity of one or two fluid drachms, repeated every two or three hours, until its effects are experienced. This is the whole secret of the great Lobelia. PEPPERMINT. Peppermint is originally a native of Europe, but it is now cultivated in almost every garden of the United States. The roots of the peppermint should be trans- planted every three years, otherwise the plant is apt to degenerate into the flavor of the spearmint. This plant is certainly so common, that a description would be entirely unnecessary. From this plant the oil is distilled, which, when mixed with alcohol or proof spirits, makes the essence of peppermint sold in the shops. Peppermint is a warm stimulate to the stomach, and through that medium to the rest of the body, holding a first rank in the list of medicines called carminatives: which means those medicines which dispel, or scatter the wind from the stomach and bowels. It is also beneficial in allaying spasmodic affections of the stom- ach and bowels; removing sickness of the stomach; dispelling flatulence, or wind, and in removing all colicy pains. It is very often beneficial when cramp takes place during the operation of an emetic, or puke. The green leaves stewed in spirits, or hot water, and appli- ed to the pit of the stomach as warm as they can be borne, will often stop puking when some of the best remedies fail. GUNN'S DOMESTIC MEDICINE. 581 GINGER. Ginger is a perennial plant, originally found in the East Indies, but at present cultivated in all the West India Islands. I think it highly probable, that the gin- ger would grow well in all the southern and western states, particularly in Louisiana, Alabama, Georgia, and South Carolina. In the West India Islands, it is cultivated very much in the manner that we cultivate potatoes in this country, and is fit for digging once in every year. There are two sorts of ginger, the black and the white. The black ginger consists of thick and knotty roots, of a yellowish grey color on the outside, and an orange or brown color in the inside. The white ginger is not so thick and knotty as the black, and is internally of a whitish grey or bright yellow color. The white is firm and resinous, more pungent or sharp in its state than the black, and consequently a higher price. Pieces which are worm eaten, soft, light, and easily broken, you are always to reject. Ginger has a fragrant smell, and a hot, biting, aro- matic taste, and is very useful in flatulent or windy colics, and in all cases of looseness and weakness of the bowels or intestines; it does nott heat the system so much as the different kinds of pepper, but is much more durable in its effects. Some time since, the pow- der of ginger, taken in very large doses in sweet milk, was considered a very valuable remedy in gout. I have never tried it myself, and therefore cannot say as to its correctness, but the experiment would be an inno- cent one, and is very easily tried. I think it unneces- sary to say any thing more on the subject of this root; every old lady in the country is acquainted with its general character and medical virtues. 582 GUNN'S DOMESTIC MEDICINE. OPIUM. Without this valuable and essential medicine, it would be next to impossible for a physician to practice his profession, with any considerable degree of success: it may not be improperly called, the monarch of medi- cinal powers, the soothing angel cf moral and physical pain. "Charmed with this potent drug, the exalted mind, All sense of woe delivers to the wind : It clears the cloudy front from wrinkled care, And soothes the wounded bosom of despair!" There are two kinds of this drug known in com- merce, distinguished by the names of the Turkish and East India opium. The Turkish opium is the best: it is considerably solid and compact, possesses some degree of tenacity or stickiness, and when broken leaves a shining fracture. It is of a dark brown color; and when first taken into the mouth, produces a nauseous bitter taste, which soon becomes acrid, with some de- gree of warmth. The best kind of Turkish opium is in flat pieces, and generally covered with leaves used in packing it, and has nearly double the strength of that brought from the East Indies. The East Indian opium is not so solid as the Turkish, being sometimes not much thicker than tar, its color much darker, and its taste more nauseous and less bit- ter. By these distinctions, which are obvious to even tolerable judges, you will easily know the Turkish opium from that of the East Indies. Opium is combined, or in other words, mixed with more medicines for the cure of diseases, than any other drug known to, or used by medical men. In every patent medicine sold in the shops, especially for the relief of pain in diseasel, opium forms the principal portion. Bateman's drops and Godfrey's cordial, both GUNN'S DOMESTIC MEDICINE. 583 of which have sustained their character for near a century, have opium for their bases or principal parts, and they are certainly valuable medicines. Were I to trace back the use of opium as a medicine among man- kind, it would bropably be found among the Greeks; but the limits of my book will not permit me to go minutely into its history : suffice it to say, that this valu- able, singular, and astonishing drug, seems capable of changing our very nature to a more exalted state of being, at the same time that it holds in due and proper subjection, without impairing it, the rationality of the mind Opium is made from the white poppy, which is or can be cultivated in all our gardens; it is probably a native of the warmer parts of Asia. Some attempts have been made to cultivate it extensively in England^ but the climate of that country seems to present an in- superable obstacle to its being cultivated as a produc- tive object of commerce. The United States, however, and particularly the more southern and western por- tions of the Union, on the score of climate and soil, present no difficulties in the cultivation of opium, in amply sufficient abundance for the consumption of all our citizens. This is another proof, among several others which I have adduced, evincive of the indepen- dence of our country in the production of important medical drugs, if we will only employ industry and enterprise; the fact is, that enormous sums of money are yearly expended for opium, which go into the pockets of foreigners, that we could very easily produce from our own soil. The leaves, stalks, and capsules of the poppy, which capsules mean the cases containing the seeds, abound with a milky juice, which must be gathered when the seeds are nearly ripe. 584 GUNN'S DOMESTIC MEDICINE. The manner of collecting this juice is as follows; Aftpr the sun has gone down, or about the twilight of evening, make several incisions or cuts, lengthways, on the surface of the capsules or poppy pods. As I have just told you, this is to be done when they are not quite ripe; and is best performed with a knife made for the purpose, having four or five blades. The milky juice which flows out from these cuts during the night, must be collected the following day, after a sufficient time has been allowed for the milky fluid to become inspis- sated or thickened by the heat of the sun. It is now to be collected by a thin iron scraper, made for the pur- pose, and put into an earthern vessel. This is kthe whole secret of opium making, a secret which every man in this country ought to know and profit by, and the ignorance of which has already cost our citizens millions of money; the price of foreign opium in our eastern^cites, much of which is of an inferior quality, is about four dollars the pound. The operation of cutting or scarifying the poppy pods, in the manner I have mentioned, may be repeated every evening, or as long as the pods will furnish the milky juice. When a considerable quantity of this juice is collected, you have nothing to do but to work it with a wooden knife or spoon, until it becomes of a proper consistency or thickness, and to enclose it in the leaves of the plant itself, or in tobacco leaves. "A paper has lately been read, in the Harrisburgh Medical Society," says the Medical Recorder, "on the cultivation of the poppy, and the manafacture of opi- um. The author, who is Doctor Webster Lewis, of Lewisburg, York county, Pennsylvania, has transmitted a specimen of his manufacture of opium, equal to the best foreign opium of the shops. After many unsuc- GUNN'S DOMESTIC MEDICINE. 585 cessful experiments, he has fallen on a mode of cultiva- tion and preparation, both easy and profitable. The plan will be put into operation in the ensuing season, by several other members of the society, to whom he has presented some of his best seed." And, wi'thjre- gard to the cultivation of opium in the United States, the following extract of a letter from a gentleman in England, to a citizen of the United States, will throw much light on the subject. "Let me entreat you to make an experiment on the cultivation of opium. I caused a great increase of this article at Patna; it used to sell 225 rupees the cake, of 160 pounds: and has been sold for 300 lately. The company sells to the amount," annually, I presume, "of fifteen millions of rupees, two and sixpence sterling, amounting to one million eight hundred and seventy five thousand pounds sterling. I know it can easily be produced in Ameri- ca, and is the best article of commerce that can be sent to China." If these representations be correct, of which there can be no doubt, the cultivation of the white poppy, and the manufacture of opium, are not only easily practicable in the United States, but would afford an immense revenue to the citizens, as an arti- cle of commercial exportation: and the fact is, if the real state of the case were truly known, that we yet remain in comparative ignorance of the multiplied and inexhaustible resources of our own country. There is a considerable difference between the effects produced by wine or spirituous liquors, and those produced on the system by opium. The excitement of pleasurable sensations, produced by wine or spirits, is acute and powerful, while these sensations last; but they are of extremely short duration. The one is a flame which soon subsides, and leaves nothing but the 74 586 GUNN'S DOMESTIC MEDICINE. ashes of self reprehension and bitter reflection behind it; while the other affords a steady, agreeable and permanent glow of pleasure, physical and intellectual, which lasts frpm ten to twelve hours. But the princi- pal jUstinction between these stimulants of the human system, lies in this: that wines or spirits disorder and confuse the intellectual faculties, while opium in all its forms if taken in proper quantities, introduces order, harmony and pleasurable serenity among them. Wines or spirits, unsettle and cloud the judgment, and deprive us of our intellectual self possession; while opium, on the contrary, produces a just equipoise between our intellectual strength and sensibilities; arouses all our dormant faculties; and disposes them to harmonious and pleasurable activity; and with regard to the tem- per, moral energies and physical sensations in general, opium produces that sort of simple and vital animation, that cordial warmth of feeling and sensibility which we would almost suppose to have accompanied man in his primeval and unfallen state. Wine or spirits, if taken to any excess, always lead men to the brink of absurd- ity and extravagance; and beyond a certain point, invariably produce a distraction of the mental facul- ties; while opium, on the contrary, soothes our irrita- tions of feeling, concentrates our intellectual energies, and robs pain and misfortune of their stings. This, however, is but one side of the picture. Opium, as I have already told you, although a very valuable medi- cine in many diseases, and also always producing those agreeable sensations I have attempted to describe, when used to aimitonsiderable excess, especially if persisted in, has m^y advantages and miseries attending it. It is used by the Turks to great excess, because all wines and spirituous liquors are prohibited by the Mahoinme- GUNN'S DOMESTIC MEDICINE. 587 dan creed. Opium, if habitually taken, or in other words, when it is made use of as a stimulant or luxu- ry, and not as a medicine, affects the physical system in a terrible manner, and produces the same sufferings as those which arise from intoxicating liquors. When the pleasurable effects I have before described begin to cease, or the effects of the opium begin to die in the system, the feelings are as agonizing and dreadful as can possibly be conceived; the mind becomes weak, irresolute, heavy, dull and languid; and the body averse to activity or motion of any kind, is not only disposed to sleep, but seems little affected by objects of pursuit which usually put it in motion. If the dose of opium has been very considerable, all these symptoms continue to increase, until tremors, convulsions, vertigo, stupor, insensibility and total deprivation of muscular strength succeed—when death usually closes the scene. All these symptoms appear singly or combined, in pro- portion to the comparative moderation or excess of the dose, and the peculiarities of the constitution of the person. Therefore use not this drug, but as intended by the Great Father of the universe, the universal parent of mankind; because used as a medicine alone, it is an invaluable blessing, in the relief of pain and suffering, and in soothing and tranquilizing the system with balmy and refreshing slumber. Having under the head of each disease mentioned particularly, when it was necessary to make use of opium or laudanum which is nothing more than opium dissolved or steeped in any kind of spirits—for which look under the head laudanum—I shall now close these remarks. Opium and laudanum which are the same things in substance and effect, are always efficient in mitigating or subduing pain, and in overcoming 588 GUNN'S DOMESTIC MEDICINE. spasm or cramp; in fact, they are the chief means em- ployed by physicians in these cases. I have now, as fully as the limits of my book will allow, described to you this great and effective medicine, which is valuable, powerful, and if properly used, innocent. In a small dose, it acts as a stimulant; in a moderate dose, it eases pain and procures sleep, and in an over dose, when the person is not in the habit of using it, the consequences will always be fatal. It is therefore evident, that this medicine should be used with great judgment and dis. cretion. The average dose of opium is' about one grain: and the dose of laudanum for a grown person, about from twenty-five to thirty-five drops, in a little cold water. For a child about the period of birth, the dose of laudanum is half a drop; but the table of medicines, to which you will please to refer, will ex- plain the doses of both opium and laudanum, for all ages. HORSE MINT. Horse mint grows very abundantly in all parts of the United States, and is so extremely common as to require no description. A tea made either of the green or dried leaves, will stop vomiting, or puking— especially in bilious fevers. It will also act, in simple cases, as a valuable remedy for promoting, or bringing on the menses, or courses of women, when they are obstructed. In this instance, it may be placed on a footing with rosemary, pennyroyal, and many other simple herbs. All this, however, is well known to every old lady in the country. GUNN'S DOMESTIC MEDICINE. 589 CASTOR OIL—AND HOW TO MAKE IT. This oil, which is essential to the preservation of health in every family, is made from the seed of a plant called palma christi, which is a native of most countries lying within the tropics, and will grow and flourish in all temperate latitudes. In the process of manufacturing this oil, the outer coat or covering of the seed or bean, must first be taken off; in the next place, you must bruise them in considerable quantities, and afterwards subject what may be called the pumice, to a pressure sufficient to throw out the oil. The oil thus extracted, is called cold expressed oil, and is by far the best. That extracted by boiling the bruised seeds in water—another process of preparing it—is more nauseous, of a much darker color, more easily becoming rancid or stinking, much more disagreeable to take, and much more active in its operation on the system. The palma christi will grow in any climate or soil in the United States; it rises to about ten or twelve feet in height, and is usually about the size of a common corn stalk, having very large and beautiful spreading leaves. Whether you extract the oil cold, or employ boiling water in the process, you must first collect the branches having the ripe seed on them, and expose them to the sun until perfectly dry. Then lay them on the scaffold or floor, and beat them with a light flail, to separate the hull or shell from the seed—after which, to dislodge every particle of shell, you may pound them gently in a wooden mortar. Tak.e care that you get all the cov- ering off the seeds, because there is an acrid skin, which if intermixed with the oil, sometimes makes; it operate as a puke, and always as a drastic or griping purge. It is not improbable that the oil obtained by 590 GUNN'S DOMESTIC medicine. boiling, is saturated or filled with the properties of this skin, which forms another of my objections to boiling the seed. If you prefer, however, to extract the oil by boiling, you must put the seed, divested of their cover- ing, in a vessel of boiling water: in about twenty min- utes, a dirty scum will rise, which must be taken entire- ly off. The clear oil will then rise, which must be put into a vessel without water, kept warm by a slow fire— taking care that it does not arrive at a boiling heat. As soon as it becomes clear and transparent from taking off the scum which arises, and which will make an inferior kind of oil, you must put the clear oil, when cold, into clean bottles, and cork them well. The kind of palma christi which produces the finest oil, is the species of Which the stalk is of a pink color. I neg- lected to mention in the proper place, that the quantity of water in the first vessel used, should be three measures to one of seed, which should be frequently stirred, to prevent any portion from sticking to the sides and bottom of the vessel, which would give the oil a burnt taste—you must also be careful that it does not boil over. The dose for a grown person is two table- spoonsful, and for an infant a tea-spoonful, even at birth. DIRECTIONS FOR PRESERVING ROOTS, HERBS, FLOWERS AND BARKS. Roots which are annual, or grow and die yearly, should be collected before they shoot on their stocks or flowers: roots which are biennial, or which live and grow two years, should be collected in the harvest of the first year, or in the spring of the second year: GUNN'S DOMESTIC MEDICINE. 591 perennial roots, or those which survive the frosts of winter, should be gathered before the sap has begun to mount, or after it has returned to the root.—When a root is worm eaten, or otherwise decayed, you are al- ways to reject or refuse it; the medicinal virtues of such a root are destroyed. You are now, with a brush and some cold water, to cleanse the roots newly dug up, and to let them remain in the water as short a time as possible; after which you are to cut the small and useless fibres or strings from them, if there be any, and carefully to dry them in a moderate heat. Roots which consist wholly of fibres or strings, of which there are several kinds, the black or Virginia snake-root, for instance, are to be dried as soon as possible, by a regular and moderate heat. But should the root be aromatic, which means spicy and fragrant, like ginger for instance, you are to dry it in a cool, airy, dry situation, turning it frequently, in order that you may retain its virtues and fragrance. If roots that you obtain are thick and strong, you are to split them in thin pieces, and string them on a cord or twine, so as to admit the air freely to them in dry- ing; if they are covered, which is sometimes the case, with a thick tough bark, peel them while fresh and dry them. Some roots are apt to lose their virtues by dry- ing; when this is the case, you have nothing to do but to keep them buried in dry sand, which will preserve them in such a manner that they will always be fit for use. Herbs and flowers are always to be gathered in dry weather, and not until the. dew is off. They are then to be dried in as short a time as possible, by the gentle heat of a stove or fire; for by this speedy method of drying, the herbs and flowers retain their virtues, which 592 GUNN'S DOMESTIC MEDICINE. are usually destroyed by the common method of drying them in the open air and in the shade. When herbs and flowers retain their virtues, they generally also retain much of their natural color. Barks and woods, for medicinal uses, are to be gath- ered in spring or in autumn, and from the youngest and most vigorous trees, because their most active and pow- erful virtues are at those periods residing in them. If they are of the resinous kind, by which I mean rosin- ous merely, they are to be gathered in the spring; but if they are of a gummy nuture, you must always gather them in the fall, or autumn:—You are to recollect dis- tinctly, that all decayed and injured parts of any of the articles I have mentioned, are to be entirely rejected. Persons are very frequently disappointed in the medici- nal effects of roots, herbs, barks, &-c.: this is generally owing to the want of due care in obtaining and prepar- ing such vegetable substances in due time, and in a proper manner. SULPHUROUS FUMIGATION, OR SULPHUR BATH. I have repeatedly mentioned in the course of the preceding pages, that this bath was a most invaluable remedy in which this head is referred to: I shall now, therefore, endeavor to give as minute and plain a de- scription of it as possible, and in as common and plain language as I can find. The fumes of sulphur were employed as a bath, and a remedy against many diseases as early as the time of t the celebrated Hippocrates. After falling into disuse for a very long period, this bath has of late become a J GUNN'S DOMESTIC MEDICINE. 593 matter of general interest—especially since the experi- ments made by Dr. Gales in 1812—and since his publi- cations on the efficacy of sulphurous fumigations in the cure of many obstinate diseases. Dr. Gales made his first trials of this remedy, by placing a small basin of sulphur and nitre under the bed clothing of the patient, who was stripped naked, and exposed to the fumes of the contents of the basin: at the same time that these fumes were confined to the body by the bed clothes, and prevented from reaching the mouth and nostrils of the patient, by wrapping his neck and shoulders very closely with the clothing of the bed. This method was found, on fair experiments, to be imperfect and unsatis- factory; and he afterwards adopted in place of it, what he very properly called his fumigatory box, which I shall now describe:— This box is merely a wooden case, something resem- bling a pulpit, in which the patient can sit upright in a chair, with his head above the top of the box, and his shoulders immediately below it. Underneath this box, and connected with it, are the parts which are necessa- ry for producing the fumigations to be applied to the naked body. The lowest story is the ash-pit: the mid- dle one contains the fire, and the uppermost one is the hearth for the sulphur. The floor of the box itself, is immediately above the hearth for the sulphur, and is bored, or perforated full of holes, in order that the fumes of the sulphur, when heated by the fire below, may ascend through the bottom of the box, and com- pletely surround, touch, and envelope the naked body of the patient. The top of the box is so constructed, that the whole, or opening in the middle of it, closely embraces the neck, and effectually prevents the fumes of the sulphur in the box from reaching the mouth, 75 594 GUNN'S DOMESTIC MEDICINE. nose, and eyes of the patient. This description, reader, is the whole secret of the sulphur bath, so much talked of, so little known, and so rarely used in the United States. When the seat of the disease to be removed is on the face or any part of the head, the vapor, or fumes of the sulphur from the box, may be applied to the part affected by means of a flexible pipe—by which I mean one that can be moved in different directions, like the leader of a fire engine, reaching from the box to any part of the face or head. This sulphur bath must be taken from fifteen minutes to an hour, accord- ing to the state of the patient, and the stubborness of the disease to be removed. Immediately after taking it, the patient ought to retire to bed for an hour or two. I have mentioned in another page of this book—that when the remedies there noticed for rheumatism have failed, recourse must always be had to sulphurous fumi- gation, which I have now accurately and plainly described to you. The truth is, it is an active and powerful remedy in very many diseases besides rheu- matism. It is an excellent remedy in psoriasis palma- ria, which is a very obstinate species of tetter, confined to the palm of the hand; also, in psoriasis scrotalis, in which the skin of the scrotum, or bag containing the testicles, is afflicted with heat, itching, tension, or tight- ness, and appears of a red color. In cases where the skin of the scrotum, or bag is thus affected, the above symptoms are succeeded by a hard, thickened, brittle texture of the skin, and by painful chaps, cracks, and excoriations, or scalings off of the skin, not easily to be healed by any other means than sulphuric fumiga- tions. This remedy is also valuable in what physicians call psoriasis inveterata: which is known by universal GUNN'S DOMESTIC MEDICINE. 595 dealings of the skin of the whole body, which becomes harsh, dry, and much thickened. This disease com- mences with a few irregular, though distinct patches on the extremities; these patches next appear on different parts of the body; and lastly, they become what is called confluent, and spread over the whole surface of the body. The skin is then red, deeply furrowed, and so stiff or rigid, as to impede the movements of the joints: and so quick is the formation or exfoliation of the scales from the body, that the bed is frequently found covered with them. I have now occupied more space under this head than I at first intended; but considering the vast impor- tance of the sulphur bath, and its most valuable qualities in cases where the human system has been charged with mercury, which requires remo- val, I think the space well and profitably occupied. For a further description of this bath, see pages 145, and 550, 3d volume of the Medical Recorder: the limits of my book preventing my giving a minute detail ©f their valuable remedy. BLOOD LETTING. Every person should not only know how to open a vein with a lancet, but should also be acquainted with the cautions that are necessary to be known for avoid- ing danger; because many cases may, and do occur, where medical assistance cannot be had in time, and where actual loss of life occurs for want of bleeding. To bleed in the arm, you are to apply a ribband, or other broad ligature, an inch or two above the elbow joint, and to draw it so tight as to compress the veins 596 GUNN'S DOMESTIC MEDICINE. of the arm immediately under the bandage, and to fill and swell them immediately below it. As soon as the vein rises in which you intend to bleed, place the thumb of your left hand about an inch below the place you intend to pierce, or open with the lancet; and then with your right hand, holding the lancet firmly between your thumb and fore finger, making the incision ob- liquely, or slanting in the vein, without, changing the direction of the lancet; because, by raising the handle, the point of the lancet would be so much lowered as to cut the under part of the vein, and perhaps dangerous- ly wound an artery. When you have drawn the quantity of blood intend- ed, untie the ligature, or bandage, and close the orifice, or hole. To do this properly, you must place your thumb on the orifice, and press with a moderate force, so as to bring its sides, or edges together. The flow- ing of the blood will now be stopped, and you must next apply a compress, made by twice doubling a piece of linen, about two inches square, and placing it between the thumb and the orifice: over this, you are to place another compress, or thick folding of linen, about four inches square, so as to fill up the hollow, or bend of the arm. When this is done, you are to confine the folds of the linen, by passing over them, crosswise, both above and below the elbow joint, a ribband or broad tape, in the form of the figure eight, and to finish with making a knot over the linen. If the bleeding should continue, the bandages are to be taken off for a few moments, and while the thumb of the operator is press- ed firmly on the orifice, or hole, so as to bring its side, or edges together; the coldest water is to be poured on the arm, or the orifice, or hole itself washed with sharp vinegar. If it is convenient, a piece of adhesive, or GUNN'S DOMESTIC MEDICINE. 597 sticking plaster, placed over the orifice, will generally stop the flow of blood. To bleed in the foot, a moderately tight bandage must be placed above the ancle joint: after which, you are to open the fullest and largest vein with a lancet, observing the same conduct I have laid down for you in bleeding in the arm. If the blood does not flow sufficiently, you will easily remove the difficulty by placing the foot in warm water. On removing the bandage above the ancle, the blood will cease to flow; and it it should not, the bandage I have described for the arm, a piece of court, or any other sticking plaster will generally stop it. TOPICAL BLEEDLNG. To bleed topically : that is to say, to bleed from some particular part of the surface of the body, you are to proceed in the following manner, if you employ leeches:—The part is to be scarified, or slightly cut in shallow gashes with the point of a sharp lancet, or by a scarificator, which is an instrument with a number of lancets, acted on by a spring. The leeches are to be previously prepared, by allowing them to creep over a dry cloth, or by drying them. In order to attract them, the scarified part should be moistened with a little cream or sugar; and if the blood about the surface should not induce them to fix themselves, you are to confine them to the place by applying a wine glass over them—they will then soon take hold. If you bleed topically, by cupping, you are to pro- ceed in the following manner:—You are, in the first instance, to scarify the part in the way I have just told you, with the point of a sharp lancet, or with a scarifi- cator, such as I have described it to you. When this is done, you must take a cup, and exhaust it of the at- 598 GUNN'S DOMESTIC MEDICINE. mospheric air it contains. This is done, by burning in and over it, some soft paper, dipt in spirits of wine, or any other kind of proof spirits. When the flame is nearly, or quite exhausted, and the air in the cup conse- quently destroyed, you are to place the mouth of the cup over the scarified part. As the cup cools, it will stick fast, and as it were, suck the little scarifications, or gashes, and fill itself with the blood, in place of the air, which cannot get in. When the cup is full, it will easily be removed by raising one side of it. Burning the air, as I have told you, and applying the cup as I have described, may be repeated as often as you may think necessary; or dipping the cup in hot water and immediately applying it over the scarified part, will cause it to take hold or draw. This is the whole secret of cupping—about which so much has been said by medical men, and so little understood by the general community. After bleeding in the arm, or wherever else a vein is opened, there is sometimes a swelling of the part, called by physicians ecchymosis. Whenever this takes place, you must shift the position of the limb frequently, so as to produce a free discharge of blood from the tumor, or rising. If this will not do, you are to double pieces of linen, dip them in brandy or other spirits, and compress them on the tumor by bandages. If neither of these measures will answer, the tumor, or swelling, must be opened with a lancet, the coagulated blood let out, and the sore treated as a common wound. There is another effect which sometimes follows blood letting: which is an acute pain, felt on the first introduction of the lancet, and immediately communi- cated to the extremity of the hand or foot. Here you must apply cloths, wrung out of sugar of lead water, to GUNN'S DOMESTIC MEDICINE. 599 the whole limb, and renew them frequently. You must also resort to bleeding, cooling purges, and very simple food, for the purpose of preventing inflammation. If these measures do not answer, you are to give lauda- num in considerable doses: and if laudanum also fails in producing good effects, you must divide, or cut the nerve, or tendon, which was pricked by the lancet. Sometimes an artery is wounded in bleeding. You will know this, by the tremulous, or pulsatory motion with which the blood flows, and by the blood being of a lighter and richer color than that which flows from the veins: and besides you will be unable to stop the blood by the usual pressure. The cure may be attempt- ed, however, in the early stage, by compressions and fiandages, in the usual way, and by living on very low diet: but should these fail, a surgical operation must be performed, by taking up the ends of the artery, and securing them with ligatures, or ties, until they re-unite, or grow together again, or until the circulation of the blood can be again restored. CLYSTERS OR GLYSTERS. Language almost fails to express the great value of this innocent and powerful remedy, in very many diseases to which mankind are daily and even hourly subject; and I most sincerely regret to say, that it is a remedy not only too little known, but too seldom used in the western country, both by physicians and in fami- lies. This disregard for the great virtues of clystering, must either arise from the supposition that the opera- tion is too troublesome, or from a false and foolish deli- cacy, which forbids the use of an instrument, by which 600 GUNN'S DOMESTIC MEDICINE. thousands of lives have been preserved in extremely critical circumstances, and with which every mistress of a family should be perfectly acquainted, so as to be able to administer a clyster when required in sickness. And I do here most positively assert, and that too from my own experience, that hundreds to whom I have been called in cases of colic, must have died, had it not been for the immediate^ relief given by clysters: I will mention one strong instance, to prove the correct- ness of my assertion, to which many others might be added, if the limits of my work would permit. While practicing in the state of Virginia, I was called on at midnight to attend a stranger, who had arrived but a few moments before in the mail stage. The gentleman was one of the judges of the supreme court, in the state of New York. He stated to me that the colic had been coming on him, for a considerable time before the stage stopped. By the time I arrived, his misery was so extreme, that he repeatedly exclaimed—-UI must die, unless immediate relief be given me." After ad- ministering all the usual remedies, which are enumera- ted under the head colic, without giving him much relief, I commenced administering glysters of water pleasantly warm; and on the first being thrown up the bowels, he received more relief than had been produ- ced by all other remedies I had tried. He felt an immediate exemption from pain, and after two or three more had been given, a copious discharge by the stool followed, and he was entirely restored. Glysters principally act, by exciting the lower por- tion of the intestinal tube, and sometimes from the effects of sympathy. In the latter cases, the discharges are generally copious, or in other words of large quan- tity ; and to produce these full discharges by stool, you GUNN'S DOMESTIC MEDICINE. 601 are frequently to repeat the clysters of warm water, so tempered as to be pleasant to the feelings of the patient, and in such quantities as the bowels will bear. I have continued to give these injections of warm water for an hour or more in many instances, before I could overcome or subdue spasm or colic; and in cases of great constipation, which means that the bowels are so bound up that the patient cannot have a stool, the wa- ter is to be thrown up as far as possible, and the edges of the fundament pressed together as you draw out the pipe of the instrument, so that the clysters may be pre- vented from returning until it has produced the intend- ed effect. When I have had cases of the kind I have mentioned, after throwing the warm water up the bowels as far as possible, I have always closed the fundament on drawing out the pipe, because without this necessary precaution, in very many instances, the water would return with as much rapidity as it was thrown up with*—You will, therefore, see the necessity of following my example, and the directions I have just laid down; and you are in all cases of danger, to repeat the clysters of pleasantly warm water, as often and in such quantities as the bowels will admit. The best method of administering glysters in extreme cases, is first to give purgative medicines in the usual manner, and as directed under the different complaints mentioned in this work; and when it becomes necessary to use glysters, to give them so as to assist the medi- cines taken into the stomach in their operation. For instance, when you give a purge in the usual way, you know that it will require some time to operate: now, if you wish to hasten the operation of this medicine, pive a glyster or two of warm water, especially in spasm, croup, or costiveness, and you will find yourself 76 602 GUNN'S DOMESTIC MEDICINE. speedily relieved of the spasm or colic; because the water will soften the hardened excrements in the bow- els, and assist in bringing off any undigested food which may have remained in them. Whenever a purgative medicine has been given, and you in proper time ad- minister a glyster to assist its operation, the alimentary canal is soon completely evacuated or cleared of its contents. I have somewhere before told you, that there are hard lumps of excrement in the lower bow- els, Which require to be removed by the finger of the physician, or by an instrument calculated for the pur- pose: now, your own good sense will always teach you, that these clysters will always soften the concre- tions or lumps of excrement alluded to, and give you relief by a stool. In fevers and inflammations, any man of common judgment must know, that glysters made of slippery elm bark, which I have frequently directed and admin- istered, must and will tend to cool the whole system, allay the heat and irritation of the bowels, and gently assist the medicine which had been given to operate. They will also produce a determination to the skin, which means a gentle moisture or sweat. I have told you that tepid or warm water always opens the bowels; but the very reverse of this practice is sometimes re- sorted to, in desperate circumstances, and with great advantages, by some of the most distinguished physi- cians. In some cases of very obstinate constipation, the meaning of which has been sufficiently explained, relief has frequently been obtained, when all other remedies had failed, by a glyster of the coldest water, even of iced water. In such extreme cases, however, when all other means have failed, and the constipated state of the bowels is likely to prove fatal, the last GUNN'S DOMESTIC MEDICINE. 603 resort is, and you are only to adopt it in such cases, to dissolve from twenty to sixty grains of the emetic tartar in water, and give it as a glyster: ipecacuanha may be used in place of emetic tartar, and is sometimes prefer- red for safety. In the numerous cases of constipation and colic to which I have been called, and some of them very dangerous ones, I have never been compelled to use more than twenty grains of emetic tartar in the clysters I have mentioned : and even when this quantity is to be used, it ought to be administered under the direction of a physician, and never but in extreme cases, and as the last alternative. I shall here mention a remedy for the colic, which has lately been discovered, and which is said to give immediate relief Give by the mouth, fifteen grains of calomel and two grains of tartar emetic, which you are to mix in honey, molasses, or any kind of syrup. In common cases of constipation, when the bowels are not easily moved so as to produce a stool: or in colic, arising from indigestion, or from having taken some improper food into the stomach, or from having gone some time without a passage, if you wish to has- ten the operation of a purge, or if the stomach is too weak to bear one, all that is required is a simple laxa- tive glyster, made of two table-spoonsful of castor oil, or sweet oil, mixed with the same quantity of molasses, and put into about a pint of pleasantly warm water, to which you may add a table-spoonful of common salt, if you wish the clyster somewhat stimulating. This is a simple and innocent clyster, requiring nothing for its administration but the instrument for injecting it into the bowels, which will hereafter be described, with the method of making clysters, either simple or more active as the complaint may require. 604 GUNN'S DOMESTIC MEDICINE. Glysters are frequently used in dysentery or flux, to soothe and quiet the bowels, relieve the pain, and re- strain the too great frequency of the stools. In these cases, the clysters are to be niixed with some laudanum, and some mucilage, such as slippery elm tea. I have mentioned these things under their proper heads, and in such complaints, as require their use:—see colic, page 200—cholera morbus, page 203—and dysentery, page 256, together with many other cases in which glysters are recommended. There are many persons, both men and women, who are constitutionally subject to costiveness: by which I mean, being bound in their bowels so that they cannot have their regular stools. This costiveness arises from a variety of causes; such as diseased liver, indigestion, torpor of the bowels, and from improper food being taken into the stomach and bowels, and always produce spasms or colic pains; for remember this, that whenev- er your stomach and bowels are disordered, you will become costive, your head will be confused and other- wise distressed, your spirits will become low and deject- ed, and the whole train of hypochondriacal feelings and sensations will haunt ycu. All these last symp- toms can easily be relieved by a simple glyster, made of equal quantities of milk and water, and thrown up the bowels; for by this your bowels will be relieved of their load, which always produces irritation, and your mind and feelings soon experience an agreeable change. You, who are always taking medicines to keep your bowels open, and whose stomachs are becoming ex- hausted and worn out by medical drugs, let me advise and entreat you, as a friend and physician, who has witnessed throughout France, the great and surprising benefits arising from this simple operation, to abandon GUNN'A DOMESTIC MEDICINE. 605 the idea of constantly taking medicines. Your good sense must teach you, if you will give yourselves time for reflection, that they must and will eventually destroy the coats of the stomach, and vitally impair its powers; and that when you do really require medicines to sub- due the disease, your system will have become so habituated to them as to require tremendous doses; or so completely worn down by their constant use, as to produce no effect. In France, there is scarcely a fami- ly unprovided with an instrument for glystering, which is always used when there is the slightest obstruction or costiveness of the bowels. These people mostly use a simple clyster of milk and water, and sometimes water alone; in summer they use cold water, and in winter, water pleasantly warm. It is to the warm bath, and to the common use of clysters, that are to be attri- buted in a great degree, the cheerful dispositions, the uniform health, and the practical philosophy with which these people bear the hardships and misfortunes of life; in fact, if you take from a French physician the warm bath, and the glyster pipe, he cannot practice medicine with any kind of success.—The importance of glysters, both in the hands of physicians and families, has be- come so well known, and is now so highly valued, as to call forth the commendations of the most eminent phy- sicians of both Europe and America. The old plan of administering glysters, was by an assistant; it was both inconvenient and indelicate, and has been measurably superseded, except in cases of infancy and extreme weakness, by a new and valuable invention, called a self pipe. The common method of using the old-glyster pipe, is as follows:—You are to take a beef or hog's bladder, which has been blown up and suffered to get dry; and after inserting or fastening 606 GUNN'S DOMESTIC MEDICINE. a short hollow reed or quill in it, cut off at both ends of the barrel, you are to put the glyster itself into the bladder. The end of the reed or quill, or of the glyster pipe of the shop, if you use one, is now to be covered with some oil or lard, and gently put up the fundament about an inch, by an assistant, and the sides of the bladder squeezed together gradually, so as to throw its contents as far as possible up the bowels, but a full description of the particular mode of glystering in this way, will be given in the sequel, or conclusion. The new invention consists of a pewter syringe or pipe, called a self pipe; the meaning of which is, a pipe that can be used without an assistant. It is so constructed as to be Used by yourself, or by an assist- ant, if you are so weak as to require one. The pew- ter syringe holds nearly a quart, and by a screw a long pipe is connected to the springe, which holds the glyster itself. All that is required, is to put the small tube into the fundament, and gradually to bear on the han- dle of the syringe, which, as you bear down steadily, throws the glyt-ter up the bowels. The force with which the glyster is thrown up the bowels, depends on the pressure of the handle of the pipe. You are to recollect that the force, unless it be very gentle and steady, is never to be used; ail you have to do, is to press gradually on the handle of the syringe, by which you will feel the distension of the bowels as the glyster is thrown up. When a glyster is to be thrown up by an assistant, the long pipe or tube is to be unscrewed, and a shorter one, made for the purpose, screwed on, which is to be used as a common squirt, on which principle it acts. One of these pipes may be purchased at any drug shop, for about two dollars; and I trust from the great advantages to be derived from this val- GUNN'S DOMESTIC MEDICINE. 607 uable instrument, which in very many instances has even saved life, that no family in this country will long be without one. I shall now state the manner of ad- ministering a glyster, in such a way that it may be understood by any person possessed of the least judg- ment. In giving a clyster by an assistant, the patient is to be laid on the edge of the bed, with the bottom a little over the edge, and the knees drawn up near the belly. The clyster pipe is then to be taken, the finger placed before it to keep in the contents, and applied to the fundament. On pushing in the pipe, the finger is to be taken away. The pipe is to be pushed up very gently, the operator's hand near the thighs, a little backwards, towards the backbone, and then the contents are to be forced out, by gently pushing the handle of the syringe with one hand, while with the other the syringe is firm- ly held; or if a bladder and pipe are used there is nothing to do but to introduce the pipe to the funda- ment as just described, and to gradually and gently squeeze the bladder, so as to empty the contents into the bowels. Glystering is one of the most powerful, innocent, mild and beneficial remedies known in the science and practice of medicine. FRICTION. Friction, in medicine, means the act of rubbing a diseased part with a soft brush, a coarse linen cloth, or with flannel, or by rubbing in the body or diseased parts, oils, unguents, and other matters in order to ease, relieve, and cure them. This exercise or rubbing, con- tributes remarkably to the health, particularly of seden- 608 GUNN'S DOMESTIC MEDICINE. tary persons; for it excites and kindles the natural warmth, diverts deductions, promotes perspiration, opens the pores, and Jends to dissipate stagnant humors: This operation is also particularly beneficial to the nervous, debilitated and studious—being a useful sub- stitute for other exercises. Hence I recommend to such individuals to spend half an hour every morning and evening in rubbing their whole bodies, especially their limbs, with the brush or flannel. It ought, however, to be observed, that this practice will be of the greatest service when the stomach and bowels are empty. Lastly, I venture to assert, that the most important purposes to which friction may be rendered subservient in the animal economy, have hitherto been almost entirely neglected: I am convinced from experience, that medicated frictions, or the introduction of the most active medicines into the human system, by rubbing them in properly on the surface of the body, is attended with the most happy effects, especially in all chronic diseases. Common sense appears to have long since pointed out this excellent method of administering medicines, even to the Indian savages, though it is little practiced in the United States, where the stomach is doomed to be the field of battle, for deciding commo- tions and irregularities in our complicated frames. But who is hardy enough to maintain, that the digestive organ was by nature destined to become the exclusive vehicle of drugs, and to serve as their common labo- ratory? GUNN'S DOMESTIC MEDICINE. 609 ISSUES. Issues are small ulcers or sores, formed by artificial means, in various parts of the body, for the purpose of procuring discharges of matter, considered beneficial in many diseases. They were formerly considered merely as drains, to carry off noxious or foul humors from the blood, and were therefore opened as near die affected part as practicable. But, as it is now well known that they produce benefit, as well by sympathy as by acting as a drain, they are usually placed where they will be the least dangerous and inconvenient. The most prop- er parts to place them in, are between the ribs, on either side of the back bone, in the hollow above the inner side of the knee, in the outer and fore part of the shoulder, in the.nape of the neck; in fact, wherever there is cellular substance enough for the entire protec- tion of the parts underneath. They must never be placed near any blood vessel of a large size, nor over a tendon, or thinly covered bone, nor over what is called the belly of a muscle. There are three kinds of them; the seton or cord, the pea or pepper issue, and the blister issue. When you take off a blister, and wish to convert the sore into an issue, a discharge of matter can easily be kept up for any length of time, by dressing the part once a day with any ointment mixed with a little powdered Spanish flies. If the discharge is too small, put a little more of the Spanish flies into it; and if too large, put a little less into the ointment, or desist from using the ointment for a few days, until the discharge be sufficiently diminished. This is called the blister issue. When you want what is called the pea or pepper issue, you must make an incision, or cut with a lancet, 77 610 GUNN'S DOMESTIC MEDICINE. large enough to admit one or more peas or grains of pepper, or any thing else that will keep the sore run- ning. When this opening is made with a lancet, or any other sharp instrument, the skin must be pressed or pinched up together, and the cut made of sufficient size to admit the substance to be put into it. The em- ployment of caustic, however, is the best mode of open- ing an issue: this caustic is the lapis infernalis of the drug shops. The caustic must be made into a kind of paste, with a little soft soap or water. You are then to put on an adhesive or sticking piaster, with a hole in the middle of it; and in this hole, on the skin, you are to spread the caustic paste, and cover it with another sticking plaster, to keep the paste from spreading. In four days the place will become sore,-and separate so as to admit whatever you may choose to place in it, for the purpose of keeping it running. The seton, or cord issue, is always made when a large quantity of matter is required to be discharged; it is frequently put in the back of the neck, for diseases of the head and eyes, and between the ribs for com- plaints of the breast. The cord which is to be intro- duced, ought to be of cotton and silk threads, either not twisted together, or very loosely twisted. A part of the cord must then be besmeared and smoothed with some kind of ointment, and passed through the skin and part of the flesh, leaving a few inches of the cord hanging out on each side, to be moved backward every day, for the purpose of keeping it running. DISPENSATORY, OR CLASSIFICATION OF MEDICINES. The medicines required for common and useful purposes, are very few in number, compared with the hundreds you see displayed in doctor's shops for mere show, or because they possess some simple and innocent virtues. I assert it without fear of contradiction, that more than one half of the medicines now in use, could be very easily dispensed with, and not the least incon- venience be felt for the want of them. When you see an extensive drug store, filled with drugs, tinctures, essences, &,c. &lc. &c. it always ought to remind you of a dinner table, covered with many unnecessary dishes, where two of the substantial ones, properly cooked, would answer the same purpose. This hint will be sufficient to apprise you, that there are many / different medicines which produce the same effects on the human system, and consequently that there area great many which are absolutely useless: and the choice of which, even by physicians, depends not so much on the characteristics or nature of the diseases, as on the particular caprice or partiality of the physi- cian himself. Under the head of each disease, I have mentioned the principal medicines now in use to effect the cure, and also those which are held in the highest estimation by the most distinguished medical men. But, as the classification of several that may be useful to those who have but a limited range of selection, I shall proceed to classify and describe them as minutely as my limits will admit. 612 GUNN'S DOMESTIC MEDICINE. You will recollect that when you are in the habit of taking medicine often, or any particular medicine fre- quently, your system will become so habituated to the effects, that large and more increased doses will be required to produce the usual effects. This doctrine is proved to you, by thofce who have long been accustom- ed to the use of opium, spirits, or even tobacco. Man is the creature of habit, and can easily bring his system to bear, by slow degrees, medical drugs which would in the first instance produce death. By this rule, you are to remember, that in giving medicine, you are to vary it in larger or smaller doses, according to the strength or weakness of the patient, as your good sense and discretion may dictate. What would at times act only as a good purge, would in other cases, and where the patient is weakly and delicate, be productive of fatal consequences. Therefore, always take the consti- tution, the state or condition of the person, and the particular character of the disease into consideration, before you administer medicines. EMETICS OR PUKES. These are medicines which, on being received into the stomach produce vomiting or puking. They are called emetics by physicians, and are given in a great variety of cases, which you will see enumerated in the body of this work. Their operation will always be increased, and rendered much easier by drinking milk or blood warm water in considerable quantities, after the first operation. Ipecacuanha.—This is the mildest of pukes; the dose for a grown person is from fifteen to twenty grains, GUNN'S DOMESTIC MEDICINE. 613 dissolved in warm water; say, five or six spoonsful; give one spoonful every ten minutes until it operates. Tartar Emetic.—This is my favorite puke. You will always find it of superior efficacy in bilious fevers. It is the most generally used by physicians in producing full and copious vomiting or puking. A dose for a grown person is from five to six grains, which you are to dissolve in five or six table-spoonsful of warm water, and one table-spoonful of which you are to take every ten minutes, until it operates. Antimonial Wine.—This is nothing more than tar- tar emetic dissolved in wine. This dose is two or three tea-spoonsful, given every ten or fifteen minutes, until it operates. Antimonial wine is made as follows:—just dissolve forty grains of emetic tartar, into a large wine glass of warm water, which is about two ounces of water. After the emetic tartar is dissolved, add to this water about half a pint of Tencriffe wine: after stand- ing a few hours it will be fit for use. In cases where an emetic or puke is necessary for children, antimonial wine is nearly always given to them, and that too at a very early age. I have n^ver hesitated, when necessary, to give it to children when first born, to relieve difficult respiration or breathing, where there was an accumulation of phlegm. The dose in such cases, ought not to be more than one or two drops; this medicine, however, is much oftener given to children of more advanced age. At any peri- od under one year of age, and over four months, the dose when intended to produce vomiting, is from five to ten drops, according to the necessities of the case, which is to be repeated at short intervals of time, until the effect is produced. But, in the dangerous disease called croup, and I wish you particularly to recollect 614 GUNN'S DOMESTIC MEDICINE. this, a larger quantity of the antimonial wine should be given, because there is in this disease a great insen- sibility to the operation of emetics. In an attack of croup, therefore, you need not be afraid to give a child six months old, from twenty-five to thirty drops, every fifteen minutes. White Vitriol.—Of all the emetics or pukes known in medicine, this is the quickest in its operation, and ought always to be given in cases which require an immediate evacuation of the stomach : these cases are generally those in which poisons have been swallowed. The dose is from twenty to thirty grains, in a cup of warm water: this medicine is called by physicians sul- phate of zinc. The connexion of the stomach with every part of the body, and the great power it exercises over all por- tions of the system, and particularly over the brain, have been fully explained to you: the fact is, as I have before stated, that I consider the brain as the father, and the stomach as the mother of the system. In con- sequence of the very close connexion between the stomach and head, emetics or pukes act as powerful and valuable remedies, in all diseases connected with the brain and its dependencies. They not only relieve the stomach, by discharging its acrid, vitiated, and sometimes oppressive contents; but they, at the same time, promote the secretion and evacuation of bile. They also, and that powerfully, promote a determina- tion to the surface, by which I mean perspiration or sweating: the fact is, that a moisture can be produced on the skin, either by vomiting or puking, or by the mere nausea or sickness of the stomach, arising from emetics given in proper doses. I have not space here, to enumerate all the advantages arising from emetics; GUNN'S DOMESTIC MEDICINE. 615 they will be found under the different heads of diseases, as treated in this work. I will now give you some directions, as to the admin- istration of emetics, in particular cases and states of the system. If the person to whom you wish to give a puke, is of a full and fat habit of body, with a, short neck, a great determination of blood to the head, you should draw some blood from the arm before giving the puke. By doing this, you will render the puking easy and copious, and prevent all danger of appoplexy from too great a determination of blood to the head of the patient. Doctor Chapman, one of the professors of the Medical School of Philadelphia, states explicitly, and in strong terms, that many lives have been endan- gered, and some actually sacrificed, for want of this necessary precaution of bleeding. In all cases where the necessity of a puke is urgent, and especially where poisons have been swallowed, give a full dose of emetic medicine at once; but in common cases, you may give an emetic in broken doses, as I have directed : this will prevent too great violence in the operation. You should, if convenient, always give an emetic on an empty stomach, and in the morning; because at this time, it will always act with greater certainty and effect, and with much less distress to the patient. When you find that an emetic acts too severely, and you wish to check the operation, give from twenty to thirty drops of laudanum in a little toddy, and apply cloths wrung out of warm water to the pit of the stomach : or you may apply stewed garden mint to the stomach; or drink thin chicken soup, with some salt in it, so as to turn the oper- ation downwad. If these measures fail, give a glyster, in which you are to put double the quantity of lauda- num usually given by the mouth; and if this also fails 616 GUNN'S DOMESTIC MEDICINE. put a large blister over the pit of the stomach, and poultices to the feet, made of pounded mustard seed, corn meal, and vinegar. The quantity of laudanum I have mentioned, has reference to grown persons, and not to children. In all cases consult the table of med- icines. ACTIVE PURGATIVES. These are such medicines as purge freely. When you use them with the intention that they shall act mildly on the bowels, and only keep them gently open, they are called laxatives by physicians: the medicines are usually mixed with honey, molasses, or any kind of syrup that is convenient; their operation is always pro- moted by mild drinks, such as thin gruel pleasantly warm, or any kind of warm tea. If at any time you take a purgative medicine, such as calomel, for in- stance, and it should not operate in due time, it will always be proper to assist the operation by some one of the laxative medicines. Calomel.—A purgative; the dose for a grown person is from fifteen to twenty grains—and I now again, for the last time, tell you, that small doses of this medicine act more unkindly than large ones. In a reasonable dose, calomel will work off without assistance, while in a small dose, it is liable to remain in the system, if not removed by the assistance of laxative medicines. I am now speaking of the calomel when given with the intention of purging. Calomel and jalap: purgative; ten grains of each, mixed with honey, molasses, or any kind of syrup, is a dose for a grown person. This valuable preparation GUNN'S DOMESTIC MEDICNE. 617 was a favorite with the celebrated Doctor Rush; he generally gave it in fevers—it both purges and sweats freely. Twenty grains of each, mixed as above, is a dose for a grown person. Calomel and gamboge: purgative; ten grains of calomel, and three grains of gamboge, mixed with honey, molasses, or any kind of syrup, is a dose for a grown person: it is a valuable and active purge, given in bilious fevers. Lee's anti-bilious pills: purgative; they are made of five grains of calomel, ten grains of jalap, two grains of gamboge, and half a grain of tartar emetic. This is a valuable preparation, and very easily made; and the information 1 have given, will enable you to prepare these pills yourself, and always to have them fresh for use. Those obtained from the stores are generally old, hard and dry, and do not operate as if fresh and newly made. Cook's pills: a valuable purge, particularly when the liver is diseased, and in. female complaints, where obstructions and irregularities take place in the month- ly discharges. These pills are made with equal quan- tities of rhubarb, aloes and calomel, ground fine, well mixed together, and made into pills of a common size, with a little honey or syrup. A dose of tiiese pills for a grown person consists of three or four of them, which operates freely as a purge. These pills may be frequently taken, until the desired effect is produced. Salts, senna, and manna: purgative; take of each of these articles half an ounce, and put them into a pint of hot water: after which you are to cover the vessel in which you make the preparation. For a grown person, take of this a tea-cupful every hour until it operates freely. 78 618 GUNN'S DOMESTIC MEDICINE. Salts and tartar emetic: purgative; to a common dose of salts, add one grain of emetic tartar—this is a very valuable purge to remove bile. May apple, jalap, rhubarb: purgatives;—the roots of these plants, act, in doses from thirty to fifty grains each, taken separately, as an effective purge. If either of these roots are given with calomel, the dose should be from five to ten, or fifteen grains of calomel, mixed with about twenty grains of the May apple, jalap, or rhubarb root well pounded. LAXATIVES. These are medicines which gently open the bowels. Castor Oil, an innocent and valuable medicine; the dose for a grown person, is from two to three table- spoonsful. The most agreeable way of taking this laxative oil, is in coffee, or a little spirits of any kind. Sweet oil—generally called olive oil. It acts on the bowels the same as castor oil. The dose for a grown person is from two to three table-spoonsful: like castor oil, you may take it in a little spirits or coffee. Charcoal in powder.—This is one of the most val- uable and innocent medicines we possess, particularly for persons laboring under dyspepsia or indigestion. To persons of a costive habit of body, the use of pounded charcoal is invaluable, from its always keep- ing the bowels open and regular. The dose for a grown p^Son is one table-spoonful, mixed with honey, milk, or cold water. The preparation of charcoal as a medicine is very simple. It consists in merely burn- ing the charcoal used by smiths, over again: to do which, you are to place it in an iron vessel, and expose GUNN'S DOMESTIC MEDICINE. 619 it to a hot fire until it becomes of a red heat; then suffer it to cool, pound it very fine, and put it in a dry bottle, which is to be tightly corked. This is the whole secret of preparing charcoal for medical purposes. It is an excellent medicine in all depraved conditions of the stomach, and it will also check the violent vomitings or puking which accompany bilious and yellow fevers; and I will now disclose to you a secret respecting the use of charcoal, which is probably unknown to the physicians of the United States. Whilst I was at Ha- vanna, a city in the island of Cuba, I discovered the secret, by which the Spanish physicians check and re- lieve the approaching symptoms of black vomit in yellow fever: the medicinal preparation is charcoal and oil of turpentine mixed; but I could never ascertain the quan- tity of each. This matter, however, can easily be as- certained by experiment. Magnesia, calcined.—-Two tea-spoonsful of this medicine is a dose for a grown person; it must be taken in half a tumbler of cold water. If you take uncalcined magnesia, a table spoonful will be required as a dose. This medicine corrects acidity of the stomach, and gently opens the bowels. It is also well adapted to women in a family way, and to persons afflicted with dyspepsia or indigestion. A dose taken at bed time, will generally afford to dyspeptic persons a pleasant night's rest, by aiding the digestive powers. Cream of Tartar.—-This is a cooling and innocent laxative medicine, and is remarkably welP»adapted to the warm season. It may be taken in co^d wgler sweet- ened with sugar. The dose for a grown person, is a table-spoonful, in a tumbler of water. Manna.—This is the most innocent laxative medicine made use of in the practice of physic. On account of 620 SUNN'S DOMESTIC MEDICINE. its extreme mildness in operation, it is better adapted to infants than any purgative known. Used as a laxative, it is seldom given to grown persons alone, but generally combined or mixed with senna: the compound is called senna and manna. If the manna be given alone, the dose for a grown person is from one to two ounces, dis- solved in hot water. If you give it combined with senna, half an ounce of manna, with the same quantity of senna made into a tea, with about a pint of boiling water, is the dose for a grown person. [See the heads senna and manna, in the index.] Flour of Sulphur.—This is nothing but brimstone, purified and powdered very fine. From one tea-spoon- ful to ten, or about the same quantity given in broken doses, three times a day, will moderately purge a grown person. Whenever any of the above purgative or laxative medicines purge too much, and the patient is becoming weak, if you wish to check the operation, you are to give a dose of laudanum, from twenty to thirty drops; or you may give a glyster, in which you arc to put double the quantity of laudanum taken by the mouth, and at the same time apply hot cloths, wrung out of boiling water, as warm as they can be borne, to the stomach of the patient: either of these measures will stop the operation of these medicines. In some cases, from the bowels being torpid, medi- cines of a purgative nature will net produce a passage. In such cases, you are to wait a reasonable time for their operation; if they do not operate, you are to give glvsters. [For instructions, see head glysters, in index.] If these means fail, as they sometimes do, instead of giving heavy doses of medicine by the mouth, give glysters of warm water, and at the same time pour the GUNN'S DOMESTIC MEDICINE. 621 coldest water over the belly of the patients. Sailors, when at sea, and when they have no medicine on board, frequently relieve themselves from costivenes of the bowels, by merely lying with their bellies over the but of the cannon, the coldness of which seldom fails to pro- duce a strong disposition to stool. In severe constipa- tion of the bowels, when the common remedies fail to procure a passage or stool, give a mixture of castor oil and oil of turpentine, of each half an ounce at one dose—and if it does not operate in due time you are to repeat the same. This powerful and valuable dis- covery has been lately used with great success in the city of New York. STIMULANTS. Stimulants are medicines which excite the whole system into action; the best of which are, our common spirituous liquors, intended by Divine Providence as medicines, but which we abuse in their employment as luxuries of daily use, by which they are converted into poisons, pregnant with deadly mischief; destroying the reasoning faculties, and entailing upon the unfortunate devotee, a train of corporeal afflictions which infallibly eventuate in his premature dissolution. They are, therefore, to be regarded, rather than a blessing, as a curse upon posterity and a nation. It is a fact certainly known to those who are in the habit of constantly using stimulants, that they require to be frequently adminis- tered, or else they lose their power: that when the system has, for any length of time, been accustomed to those stimulants, it is necessary gradually to increase the quantity, to produce the same action upon the sys- 622 GUNN'S DOMESTIC MEDICINE. tern which was excited by their early or first use. The stimulants generally considered medicinal, or used in medicine, are as follows: Sulphuric Ether.—This is a valuable stimulant in eases of great debility or weakness, in hysterical cases, in cramp of the stomach, in checking vomiting or puking, in allaying sea-sickness, and discharging wind from the stomach. Externally applied to the head, it will greatly assist in relieving head ache. Ether is to be kept well corked, or it will lose its strength; and when it is taken, it must be drank as quick as possible after it is mixed with water, or it will lose the power or effect it is intended to produce.—Dose, from one to three tea-spoonsful, mixed in a stem or wine glass of cold water. Spirits of Hartshorn.—This is a strong and active stimulant; it is generally used in hysterical complaints, and nervous head ache, and is also a valuable remedy in dyspepsia. See page 133. By the alkaline proper- ty which it possesses, it neutralizes acid in the stomach, at the same time communicating strength to that organ. In all extreme cases of debility of the stomach, attend- ed with vomiting and spasms, as is frequently the case with habitual drunkards, hartshorn will be found a most valuable remedy.—It will relieve the sting of the bee, wasp, and other insects, by keeping the wounded part wet with it.—Dose from one to two tea-spoonsful. Opium, and the preparation made from opium call- ed laudanum, when given in small doses, act as stimu- lants—when given in larger doses, produce sleep and relieve pain. For a full discription of both these articles, see head in index, and for doses, see table of medicines. GUNN'S DOMESTIC MEDICINE. 623 Spirit or Oil of Turpentine, when taken internally, is one of the most active and diffusible stimulants, per- vading the whole extent of the system, but with greater force to certain parts; and in cases where the bowels are obstinately constipated or bound; in puerperal, or child- bed fever, and in epileptic fits, particularly where these complaints are brought on by worms, it also acts as an evacuant or purge. The dose is from three to four tea- spoonsful alone, or with a small portion of water* Spirit of Lavender.—This is a mild and pleasant stimulant, and is generally administered to females in hysterical affections. When mixed with sulphuric ether in equal quantities, it is valuable in debility, or weakness of the system. The dose of lavender alone is three tea-spoonsful. There is nothing more difficult in the practice of medicine, than to determine when it is proper to pre- scribe stimulants: nor is it possible for me here to point out to you the exact time, or to give further light on the subject, than in advising you to be guided by the state of the system; and avoid their application during fever, as they invariably increase it; and never pre- scribe them in any case, until proper evacuations have been made. It is only in the protracted and feeble stage of diseases, that they can be resorted to with any hope of advantage. By watching their operation, you can readily perceive by the absence or presence of the following symptoms, whether their administration is proper or not: pain in the head; delirious wanderings, or in other words, the patient talks wildly; great watch- fulness; stricture, or tightness of the breast; restless- ness and anxiety, with a hot, dry skin, parched tongue, and a quick, small, and corded pulse. Upon the 624 GUNN'S DOMESTIC MEDICINE. appearance of any, or all of the above symptoms, you are immediately to desist in the use of stimulants. ANODYNES. Anodynes are those medicines which ease pain and procure sleep. Opium, in doses of from two to five grains. See table of medicines; and also for a full description of opium, see that head. Laudanum, made by dissolving an ounce of opium in a pint of good spirits of any kind—it is generally fit for use in five or six days. Fifty drops of laudanum are equal to two grains of opium. For doses of this, or any other medicine, refer to the table of medicines. Paregoric, made by adding a half a drachm of opium —or one ounce of laudanum to a pint of spirit of any kind, and mixing with them half a drachm of flowers of benzoin, the same quantity of the oil of anise-seed, and one scruple of camphor. The dose is three or four tea-spoonsful. For the different ages refer to the table of medicines. ANTISPASMODICS. Anti-spasmodics are medicines which arc given to remove spasms or cramps, and generally used by physi- cians for this purpose. Opium or Laudanum, in doses depending on the extreme urgency or danger of the case. GUNN'S DOMESTIC MEDICINE. 625 Hot Toddy, made with spirits, hot water, and sweetened with sugar. Sulphuric Ether, dose from two tea-spoonsful to a table-spoonful, in half a cup of cold water. Asafoetida, a lump weighing from eight to ten, or even twenty grains; or if you use the tincture, which is nothing more than asafoetida steeped in whiskey as follows:—take of asafoetida, two ounces, and put it in a pint of old whiskey, or good spirits of any kind; let it stand for ten days, and the tincture is ready for use. Dose from one tea-spoonful to four, mixed in a little cold water. Essence of Peppermint, given in a large dose, mixed with hot toddy. The best means for removing spasm, are the warm bath—see page 156—bleeding freely, and applying cloths wrung out of hot water, or hot salt to the skin, over the part where cramp or spasm is seated. TONICS. Medicines which increase the tone of the muscular fibres, and thereby strengthen the whole body. Peruvian Bark.—This bark is obtained from South America: there are three kinds—the red, the yellow and the pale. The red bark when pure, is the be^t. It has, however, been ascertained that the medicinal pro- perties of our common dogwood, are equal, if not supe- rior, to the imported bark. The dose, in substance, of the Peruvian bark, is from two to four tea-spoonsful, in a stem or wine glass of water, taken every three or four hours, when there is no fever. If it should disagree with the stomach, it 79 626 GUNN'S DOMESTIC MED1CINP; may be given in decoction, by putting an ounce of the bark in a quart of hot water, to which add a little Vir- ginia snake root, frequently called black snake root, to which add a small portion of cinnamon or ginger. When it becomes cold, you are to mix with it half a pint of the best Madeira or Teneriffe wine.—Dose a stem or wine glassful every two or three hours. Dogwood Bark, or Wild Cherry-tree Bark, pound- ed fine and taken in doses of thirty or forty grains, are equal to the Peruvian bark. I have been in the habit of using in my practice, equal quantities of the barks of dogwood, wild cherry and poplar, (I allude to the poplar of the forest, of which our boats are made,) these three barks steeped in good spirits of any kind, and administered in moderate doses, say three or four times a day, is superior in its tonic effects, to any medi- cines I have ever used. The bark of the poplar is one of the most valuable medicines we possess; I can assert from experience, that there is not in all the materia medica, a more valuable and certain remedy for the dyspepsia or indigestion, than poplar bark. In hysteri- cal complaints, this bark, combined with a small quan- tity of laudanum, is a valuable remedy. In worms it has been prescribed to a child when convulsions or fits had taken place; after taking a few doses, several dead worms were discharged with the stools. The dose of the powder, to a grown person, is from twenty grains to two drachms; or the bark may be used in tincture: that is, steeped in spirits, or as a tea: its virtues are always greatest when given in substance or powder. Columbo Root is a mild, but powerful tonic, com- municating vigor to the stomach: when properly ad- ministered, it does not produce stricture, nausea, or in other words, sickness of the stomach, and oppression; GUNN'S DOMESTIC MEDICINE. 627 and is well adapted to dyspeptics, or those persons laboring under indigestion; for the stomach will bear this substance with advantage, while most other tonics produce disagresable symptoms.—This medicine will also restrain, or stop, vomiting, or puking:—it is fre- quently substituted for Peruvian bark, in consequence of its milder action on the system. Dose from ten, twenty, to thirty grains of the powder, in half a tea- cupful of milk or cold water, three times a day. In dyspeptic cases, or enfeebled digestion, small doses an- swer better than large ones. The tincture is a useful form of administering this medicine, which is prepared as follows:—Take of Columbo root three ounces, bruise it with a hammer; put it in a quart of good spirits of any kind, or good wine, let it stand five days, shaking it frequently, then strain it, and it is fit for use: it should be taken occasionally through the day, as pleasantly prepared as the stomach is capable of re- ceiving it. ^-— Nitric Acid.—Read diseases of the Liver, where you will find a full description of this medicine. It is a most powerful tonic, particularly in chronic affections of the liver, and where the constitution has been much injured by the use of mercury, or ven- ereal diseases. The best method of taking it is, to make a quart of cold water pleasantly sour with the medicine, and add to it sugar or any kind of syrup, which renders it agreeable to the taste, when it may be drank through the day in such quantities as the stom- ach will bear. In taking this medicine, however, it is best to take it through a quill, as the acid is apt to in- jure the teeth. Gentian Root.—This makes a strong and valuable bitter, and is much used in weakness of the stomach, 628 GUNN'S DOMESTIC MEDICINE. and to increase the appetite. Take two ounces o Gentian root, one ounce of orange peel, and half an ounce of canella alba, put them in a quart of good spirit of any kind, or good Madeira or Teneriffe wine: after eight or ten days, shaking it frequently so as to extract their strength, it then yields a pleasant and healthful bitter, and may be used at pleasure, or as the stomach may require it. Virginia Snake Root, sometimes called black snake root, wormwood, tansey, camomile flowers, horehound, wild centaury commonly called centry, and hops; all of which yield a pleasant and innocent bitter when made strong, by boiling, and then adding to the tea an equal quantity of spirit: or as a tincture by steeping them for several days in good spirit of any kind; these articles may be used separately or mixed together, as you may have it in your power to procure them. Elixir Vitriol.—It is a very pleasant and useful tonic; it restores and strengthens the appetite, and gives tone to the digestive organs, and restrains those sweats which frequently occur after severe fevers called by medical men colliquative sweats, which means those sweats which melt down, as it were, the strength of the body. Elixir Vitriol is one of our most popular and highly esteemed medicines, for restraining he- morrhage, which means flooding from the uterus or womb, and in haemoptysis, which means spitting of blood. The dose is from fifteen to twenty drops, every two or three hours, mixed in a stem or wine glass of cold water, or in as much water as will make it plea- santly sour. Iron in its operation on the system, evinces all the effects of a powerful and permanent tonic; no medi- cine, perhaps, leaving behind it such lasting impres- GUNN'S DOMESTIC MEDICINE. 629 sions. It increases the activity and volume of the pulse, corrects the state of the blood and secretions, and invigorates or strengthens the whole system. The numerous advantages arising from the use of Iron, as a medicine, are embraced within the sphere of chronic debility. The chalybeate waters of which the western coun- try abounds, are springs impregnated with iron, and are found upon almost every branch and creek. The water of these valuable springs should be used by per- sons laboring under the following complaints: Chloro- sis, which means green sickness [see that head,] in hypochondriasis, commonly called vapors, or low spir- its; in hysterical affections; the whites, a disease to which women are subject, [see that head;] paralysis, or palsy, [see that head;] in scrofula, or king's evil; rickets in children; and in dyspepsia, or indigestion, [see that head.] I have now enumerated the various cases in which the chalybeate waters are beneficial, as well as the principal complaints in which iron is em- ployed. When this medicine is used in substance, it is generally obtained from the apothecary, or doctor's shops, in the form of rust of iron, and given in doses of five or ten grains, three times a day, mixed in syrup of any kind. By putting a few grains of rust of iron in a bottle filled with common soda water, it makes as valuable a chalybeate drink as the water of any of the springs which are impregnated with iron. I again, for the last time, tell you that tonics must not be given, when they produce fever. 630 GUNN'S DOMESTIC MEDICINE". SUDORIFICS. Sudorifics are medicines which produce free and copious sweating. Diaphoretics are those which occa- sion only gentle perspiration, or moisture of the skin. Tartar Emetic, called by physicians, Tartarized Antimony, when given in small doses, so to produce slight sickness at the stomach, is more generally attend- ed with perspiration, and is proper in fevers. Nitrous Powders.—To sixty grains of Nitre—which is nothing more than Saltpetre—pounded very fine, add sixteen grains of calomel, and one grain of tartar emetic: mix them well together, and then divide the compound into eight equal portions, one of which you are to give every two or three hours, in a little syrup of any kind. If these powders should purge, which they sometimes do, you should omit or leave out the calo- mel.—The Nitrous Powders are considered a valuable medicine in bilious fever. Dover's Powder.—This powder is one of the moot certain sudorifics, where it is often difficult, by other means to produce a copious sweat. The dose is from five to twenty grains, according as the person's stomach and strength can bear it. It is proper to avoid much drink immediately after taking this medicine; for by so doing it is apt to be vcmited or puked up, before it has had due time to operate as a sweat. The manner of preparing them are as follows, if you cannot obtain them already prepared at any apothecary or doctor's shop: Of ipecacuanha, in powder, and opium in fine powder, each one drachm, vitriolated tartar, or salt petre, (either will do,) one ounce finely powdered; you are to be very particular to grind all these articles to- gether into the finest powder; when thus ground as fine as it is possible, you have prepared and ready for GUNN'S DOMESTIC MEDICINE. 631 use, this valuable medicine. Opium intended to make these powders, ought to be pounded in a mortar per- fectly fine, during the coldest weather, and kept for this purpose in a bottle. In warm weather, the opium be- comes too soft to admit of being reduced to powder. Dover's Powder is one of the most valuable remedies we have, for quieting the bowels in dysentery or flux, after proper evacuations have been made. Antimonial Wine and Spirits of Nitre.—Take equal quantities of each, and mix them together; the dose is one, two, and three tea-spoonsful: if it inclines to vomit, or puke, you are to lessen the quantity of antimonial wine one half to two of the spirits of nitre. This is valuable in fevers to promote perspiration. Ipecacuanha, given in small doses—say one or two grains—every two or three hours, mixed with a little warm water or syrup, will excite perspiration. Seneka Snake Root, Virginia snake root, butterfly weed, sometimes called pleurisy root, dittany, bone set, called by some, thoroughwort. These roots or herbs are all valuable for their sweating powers. For a full description of each, refer to their different heads. OINTMENT FOR SORES. Simple Ointment.—This, as its name expresses, is innocent, and merely intended to keep the parts soft, and from exposure to cold; made by melting four ounces of beeswax with a half a pint of sweet oil; or in a less quantity, observing the proportions. Suet, and clear hog's lard will answer if the oil cannot be conve- niently had. 632 GUNN'S DOMESTIC MEDICINE. Balsilicum Ointment.—Healing and exciting; used in dressing sores. It is made by melting one ounce of beeswax, one ounce of resin, and an ounce and a half of clean hog's lard together. Lead Ointment.—For dressing sores of an inflam- matory nature. Pound very fine, one drachm of sugar of lead, and mix it well with six ounces of hog's lard. Red Precipitate Ointment.—This ointment is gen- erally used for curing the itch; it is also valuable for old sores on the legs, when applied in the dry powder, after cleansing them well with castile soap; it will also destroy what is called proud flesh. The way to make this ointment is, to mix one drachm of the powdered precipitate with an ounce of hog's lard, and rub them well together. Tar Ointment.—Used in diseases of the skin, par- ticularly scald head; made by melting together equal quantities of tar, and the best mutton suet. Jamestown Weed.—This valuable plant, of which I have given a full description, under the proper head, forms one of the best ointments for piles and old sores, made by first bruising, and then stewing the leaves in hog's lard, and then" strained; the proportions in which the leaves and lard are to be mixed, are about one part of the leaf to one of lard. Turner's Cerate.—This ointment, which is so cele- brated in burns, [for a full description of its extraordin- ary virtues, refer to that head,] is prepared as follows: take of calamine in fine powder, half a pound, bees wax the same quantity, hog's lard one pound; melt the wax with the lard, and put it out in the air, when it begins to thicken, which it will do as it gets cool, mix with it the calamine, and stir it well until cold. GUNN'S DOMESTIC MEDICINE. 633 When you inquire for this article at an apothecary or doctor's shop, ask for calamine in powder; it is a mineral imported from England and Germany, and found in mines intermingled with the ores of different metals. Blistering Ointment.—Take of Spanish flies—call- ed, medically speaking, cantharides—beeswax, resin and tollow, equal quantities of each; melt first the wax, resin and tallow together, the flies are to be taken and pounded very fine, and mixed with the composition a little before it becomes entirely cold or firm. Tartar Emetic Ointment—Called by physicians, Ointment of tartarized Antimony.—This is a valuable external or outward stimulant, and forms a most bene- ficial application in all deep seated inflammations, especially, of the chest. It occasions a pustular erup- tion on the skin, or in other words, numerous pimples, which discharge in a short time; these discharges, or runnings may be kept up by the occasional application of the ointment as expressed under that head. The method of making this ointment is as follows: take of tartar emetic one drachm—or two, if you wish to make it strong—mixed well with one ounce of hog's lard, and it is fit for use, or if you prefer it sprinkle it on a piece of leader, on which an adhesive, commonly called a strengthening plaster, has been previously spread, taking care not to cover the edges of the adhe- sive plaster with the ointment, so as to prevent it from touching and adhering, or sticking to the skin. Volatile Liniment—This is a valuable preparation, to be rubbed on the skin as an external stimulant in sore throats, rheumatism, spasms, pains, &c. After rubbing it well in, which should be continued from twenty minutes to half an hour, flannel should be 80 634 GUNN'S DOMESTIC MEDICINE. wrapped around the afflicted part. Volatile Liniment is made by mixing equal quantities of spirits of harts- horn and sweet oil; by adding to this mixture, a tea- spoonful or two of laudanum, the preparation will be much improved in its efficacy in relieving pain. MERCURY. I shall mention only such mercurial medicines as are daily and commonly used. Calomel, is considered the most valuable of mercu- rial medicines, in every disease in which I have directed its use. Full, plain, and explicit directions have been given as to the doses, and the effect intended to be pro- duced by this mineral, and the injuries which frequently result from its improper use. Blue pill.—There is scarcely an indication to be ful- filled—says Dr. Chapman—by mercury, the purgative effect excepted, to which this preparation is not adequate. It is much prescribed in cases where salivation is de- manded, and as an alternative, which you will see fully described in Diseases of the Liver. The blue pill is made by triturating, or rubbing quicksilver with the conserve of roses, till the globules, or J'ttle balls of mercury, are entirely extinguished or destroyed; the pills should be so prepared as to contain about a grain of the metal; the dose in general is, a pill in the morn- ing, and one at night. This is the mildest preparation of mercury, but it is by no means an inactive medicine. The dose may be increased, if necessary, to as high as six pills. r Mercurial Ointment—generally known by the peo- ple of the country as oil of baize. The old plan of GUNN'S DOMESTIC MEDICINE. 635 preparing this ointment required great labor. The following is % quick and effectual method of preparing this article: take an ounce and a half of balsam of Peru, to every pound of mercury; triturate for ten minutes, and the mercury will be not only extinguished, but apparently oxydised. Then add the proper pro- portions of suet and lard to make an ointment. As soon as the whole is well mixed, which may be done in three minutes, the ointment has a fine blue color, and possesses full activity. SWAIM'S PANACEA. This medicine, on its first appearance before the public, excited great hopes of being an invaluable remedy for several complaints supposed to be incura- ble, particularly scrofula. The high recommendations which accompanied it, by some of the most distinguish- ed physicians of Philadelphia, entitled it to some confi- dence, and so much were its virtues appreciated, that this medicine sold for the extravagant price of five dol- lars per bottle; its immediate and successful sales, realized to Mr. Swaim a large fortune. In due time, however, like all patent medicines, it sunk into dignified retirement, being nothing more than an old friend with a new face: its principal and component part, being the same as the French medicine called Rob Syphili- tique, which is corrosive sublimate—one of the most active preparations of mercury. Swaim's Medicine, is made from sarsaparilla, marsh reed grass, borrage flowers, senna, rose leaves, sassafras and winter green; these articles are boiled together in water, and strained off; sugar and honey are then 636 GUNN'S DOMESTIC MEDICINE. added, so as to form the consistence of syrup, when the most active mercurial preparation, corrosive subli- mate, is mixed with it. The Rob, in its effects, is similar to Swaim's medi- cine; its preparation, however, is more simple, and the addition of the former, adds nothing to its virtues. Both these medicines are only valuable in the seconda- ry stages of that dreadful disease which I haye so plainly described under the head venereal. LIVERWORT. This plant grows so abundantly, and is so well known in the western country, that a description would be unnecessary. The excitement produced throughout the United States in consequence of its being a suppos- ed remedy or cure for consumption, led to a full inves- tigation of its virtues, when, like thousands of its predecessors, it has only proved to be an innocent palliative remedy. By using it as a tea, it assists ex- pectoration, or a discharge from the lungs; allays the irritation of the cough; and in some instances, lessens the frequency of the hectic symptoms. See head Consumption. ADDITIONAL DISEASES, &c EATING SNUFF. Nothing is more difficult to be accounted for, even by men of acute and profound observation, than the strong attachments of the human species, to practices which are absolutely at war with nature, and hostile to every principle of enjoyment and happpiness. How the use of tobacco, under any form, could ever have become a luxury among mankind, especially consider- ing its nauseous and disgusting qualities, is an enigma not to be solved on common principles. We can easily account for our attachment to food and even to those luxuries of life which have any thing tempting in their use, by referring them to instinctive impulses to the preservation of life, and our native propensities to heighten the enjoyments of existence: but to account for our attachments to habits and practices, which are absolutely disgusting, offensive, and highly injurious to health, and which almost invariably lead to immoral and dangerous excesses, we are compelled to refer them to the degeneracy of our species, and the entire corruption of their moral tastes and feelings. The use of tobacco in any way, unless as a medical appli- cation to the system, the instances of which will be found under the proper head, is dangerous to health, to happiness, and morals. In support of the truth of this doctrine, it would be idle to adduce proofs; those who use tobacco are conscious of its destructive effects, and those who do not, may hourly witness its dreadful con- 638 GUNN'S DOMESTIC MEDICINE. sequences, on the health and morals of society. • We are all well acquainted with the effects of chewing and smoking tobacco, and taking snuff in the common way; but we have something yet to learn and disclose, respecting the hitherto unheard of practice, among the females of our country, of regularly eating Scotch snuff! It appears from what I have been informed on verita- ble authority, or I certainly would not believe it pos- sible, that the practice among our ladies, of eating daily considerable quantities of Scotch snuff, arose in the first instance from their using it as a tooth powder— yes, most courteous reader, a tooth powder! If this is any thing more, than a mere pretext for the filthy and disgusting practice, which taints the breath with a fetor worse than asafoetida, deranges all the physical sensations, and the whole nervous system; imparts to the very cheek of youthful beauty the loathsome com- plexion of a cake of bees-wax! Subverts, ruins, and finally destroys the digestive powers of the stomach; and renders that stomach a filthy reservoir of dregs and crudities, which taint and corrupt the whole system; the eaters of Scotch snuff may be induced to abandon the destructive practice, when I point out to them a much better tooth powder—which is nothing more nor less, than powdered charcoal, mixed with peruvian or dog-wood bark. In speaking of the evils which arise from eating snuff, I have not enumerated the half of them: the fact is, that language itself would fail in classing and giving them names. We all know perfectly well, that the stomach is the work-shop of the whole human machine, and that when its functions are deranged or impaired, the whole system suffers in its remotest extremities. Hear what the celebrated Rush says, respecting the GUNN'S DOMESTIC MEDICINE. 639 practice of eating snuff:—"I have known two instances of death from eating snuff It is a habit which is increasing among the ladies of our country with a rapidity only equalled by the ravages of ardent spirits, and which is no less ruinous to health and destructive to life." The practice of eating snuff had its probable origin in using the Scotch snuff as a tooth powder;—a fond- ness is soon acquired for it, and hundreds among us, especially among our females, get drunk upon it every day. Doctor Rush's views of this subject are undoubt- edly correct, but he has not said all that might have been said respecting the consequences of snuff eating. He might have said that those who are in the practice of eating snuff may easily be distinguished from those who are not; he might have said, here is a snuff eater; notice this complexion; it is a pallid, sickly yellow; the skin seems to be undercoated with a layer of snuff; there is nothing of the rose's bloom of opening unsullied beauty, on this lank, faded, and hollow cheek; look at this eye—the owner is an eater of snuff; do you see any thing of that healthful brilliancy, that sparkling fire of youthful beauty which enchants mankind, in that jaundiced, sunken, hollow, dead, and beamless eye? No: the vital energies have been worn out and exhausted by snuff eating; the animations of youth have been overpowered and killed by this excess; this is but the shadow of a human being! Catch a scent of this breath; is it pure and sweet, with youthful pas- sion's tender bloom? does it remind you of the gale of spring, that gently shakes the blossoms from the orange grove? does its healthful purity bespeak the paradise of sweets from which it comes? No: like the wind of night, that has swept the sepulchral shades 640 GUNN'S DOMESTIC MEDICINE. of death, it comes with corruption and infection on its wings! *it reminds you of disease, debility, decay and death—of every thing but love! Doctor Rush might have said all this of the snuff* eater, and forfeited none of his high claims to professional honors, integrity and truth. I am decidedly of opinion, and I record the allega- tion without fear of contradiction, especially by those who know any thing of the subject, that of the two characters, the drunkard and the snuff eater, the drunk- ard is the more worthy personage, if consequences be taken into consideration. Snuff eating invariably pro- duces langor, extreme debility, aversion to the perfor- mance of the common duties of life, tremors of the nerves, capricious and disagreeable temper, and restless melancholy and lowness of spirits, unless the person is immediately under the disgusting stimulant. But this is not all: snuff eating always produces want of appe- tite, nausea, inordinate thirst, pains and distension of the stomach, dyspepsia or indigestion, tremors of die limbs and whole frame, disturbed sleep, emaciation or wasting of the body and limbs, epilepsy or fits, con- sumption and death. Nor is this all: tobacco is an absolute poison; a very moderate quantity introduced into the system or even applied moist to the pit of the stomach, has been known to produce instant death. The Indians of our own hemisphere have long known of its poisonous effects upon the human system; and formerly used to dip the points of their arrows in an oil obtained from the leaves, by which faintness and death occurred from their wounds. I was once ac- quainted with a young lady of the first respectability, whose kind and affectionate heart was possessed of every noble and generous sentiment, who was in the GUNN'S DOMESTIC MEDICINE. 641 habit of eating snuff. She was taken dangerously ill, and it became necessary to give her an emetic or puke; and the fact was, that in the operation of the medicine she threw up nearly half a pint of snuff from the stom- ach. How young, blooming, and tender girls, can bear the use of snuff in this way, or indeed in any other way, after experiencing the wretched sensations always pro- duced by it, is to me absolutely unaccountable, unless on the principles 1 have mentioned; and I must, also, here confess myself unable to account for the fact, that the parents of these girls knowing the evils of snuff eating, cannot merely overlook the practice in their blooming daughters, but absolutely encourage it by their example. I really trust that the preceding remarks, and they are founded in experience and truth, will have some influence in restraining the practice of snuff eating, and in restoring many of the fair of our country, to the possession of their native charms and beauty. INFLAMMATION OF THE LUNGS. An inflammation of the lungs is sometimes an origin- al disease, and sometimes derived from other maladies. It is occasioned by the causes which bring on the pleu- risy, by violent exercise, wearing wet clothes, obstruct- ed perspiration, and ardent spirits. In an inflammation of the lungs, the symptoms resemble those of pleurisy; but the pain is not so severe, and the pulse is not so quick and hard, while there is greater difficulty of respiration, and greater oppression of the breast. A dull pain is felt internally along the breast bone, or between the shoulders, augmented by breathing; great 81 642 GUNN'S DOMESTIC MEDICINE. solicitude near the heart; weariness and inquietude; loss of sleep and want of appetite; while a yellowish scurf overspreads the tongue. The veins in the neck are also dilated; the face inflated, while a dark red discol- oration prevails about the eyes and cheeks. TREATMENT. An inflammatory attack upon an organ so necessary to existence as the lungs, is always dangerous, and re- quires speedy relief The diet should be extraordina- rily slender and thin. Infusions of fennel roots in warm water, with milk decoctions of barley, and common whey, are most proper both for drink and nutriment: the steam of warm water is also recommended as a kind of internal fomentation, and a help to attenuate the impacted humors. If the bowels are in a laxative state, if the patient thereby is not debilitated, no effort should be promoted by emollient clysters. Bleeding and purg- ing are generally necessary—but if the patient spit freely, they may not be required: the quantity of blood taken at the commencement of the disease, should be large. The evacuating plan should be adopted early, but it should not be persevered in too long. The solu- tion of gum ammoniac, with oxymel of squills, will promote expectoration or spitting: it is from a free dis- charge of spittle that relief is principally to be expected. When the counteracting treatment does not succeed, a suppuration is formed, more or less dangerous accord- ing to its situation: if it occupies the pleura, it may break outwardly, and the matter will be discharged without danger: when it occurs within the lungs, the matter must be ejected by spitting: when it floats be- tween the pleura and the lungs, it is said an incision must be made between the ribs to liberate the confined matter. The same remedies and treatment are employ- GUNN'S DOMESTIC MEDICINE. 643 ed in this disease as in pleurisy. Inflammation of the lungs is called by the doctors peripuenmony: the patient's bowels should be opened by calomel or other purgatives. Blood should be taken from the arm, and a blister ap- plied over the pain. The decoction of seneka snake- root or butterfly root, should be freely used. If the patient should not be relieved, (as often happens,) and sinks into a state of general debility, I then give the chalybeate pill night and morning: the patient should also take every morning a new laid egg, beat up in as much old whiskey as will cook it; fill up the glass with sweet milk warm from the cow. This preparatidn acts as a stimulus and an expectorant, and at the same time nourishes the patient. His drink should be buttermilk whey. FALLING OF THE PALATE. The falling of the palate is attended with a tickling in the throat, and soreness of the tongue: it proceeds generally from a foul stomach. TREATMENT. Take of sage tea half a pint, vinegar and honey two ounces of each, and half a drachm of alum, and wash the throat with it: alum water will answer the same purpose. Apply salt and pepper to the elongated palate by means of the handle of a spoon. If these measures fail, give an emetic. 644 GUNN'S DOMESTIC MEDICINE. JAUNDICE. This disorder turns the white of the eye, as well as the skin, yellow; the urine is saffron colored, and will stain a white cloth. The causes are, obstruction of bile; purges or vom- its; an obstinate ague; or the premature stoppage of it by astringent medicines; remoter causes are, the bites of vipers or mad dogs or poisonous animals, and vio- lent passions; infants, when the first stools are net sufficiently purged off, and pregnant women, are subject to it. The symptoms are, excessive weariness, great aversion to motion, a dry skin, an itching pain over the body, the breathing difficult, oppression of the breast, heat in the nostrils, a bitter taste in the mouth, sickness at the stomach, flatulency and vomiting. Where the disease is simple, it is not dangerous; where it besets the old and debilitated, and is complicated with other maladies, it often proves fatal. Regimen.—The focjd should be light and cooling; stewed prunes, boileof or roasted apples, preserved plums, boiled spinage^ veal or chicken soup, with light bread, are very propeh A cure has sometimes been effected by living on raw eggs, or sucking a raw egg every morning. The drink may be buttermilk, whey sweetened, or decoctions of cooling opening vegeta- bles. Where there are no symptoms of inflammation, as much exercise as the patient can bear, will be benfi- cial; walking, running, riding on horseback or in a carriage, or a longl journey, have great restorative efficacy. Such amusements as promote circulation, and cheer the spirits, may be indulged in with advantage, i TREATMENT. The patient should first be bled, an emetic should then be given, castile soap may also be administered in GUNN'S DOMESTIC MEDICINE. 645 sufficient quantities to keep the intestines open; or the salt of tartar may be taken in doses of twenty or thirty grains three or four times a day, dissolved in the infu- sion of columbo. The patient should be bled more freely where there is pain about the region of the liver; a slight salivation is produced. The warm bath should be used, and a blister may be laid over the pained part. Three or four spoonsful of olive oil may be taken to alleviate the pain, or one or two tea spoonsful of ether, or thirty drops of laudanum. Bags of hot salt may be laid on the right side, and after the obstructions are removed, the tone of the system may be restored by the use of columbo, nitric acid, dogwood or cherry- tree bark, with porter and wine. SCROFULA OR KING'S EVIL. Symptoms.—Small tumors appear behind the ears or under the chin. The feet, hands, eyes, breast, and armpits and groins are liable to its attacks. These knots in time break and become ulcers, from which a thin watery humor is discharged. Regimen.—The food should be very low, light and easy of digestion, as good light bread, soup of the flesh of young animals, with an occasional glass of wine. The patient ought to take as much exercise as he can bear, in dry, open air, but it should not be too cold. TREATMENT. Warm fomentations are injurious. Bathing in cold water, or the sea where it is convenient, and keeping the bowels open with salt and water will be highly salutary. A tea spoonful of salt dissolved in water should be taken every morning, Peruvian bark 646 GUNN'S DOMESTIC MEDICINE. and steel alternately every two weeks, or nitric acid will be of great service. Muriate of lime in doses of from ten to eighty drops gradually increased, three or four times a day, diluted with water or tea, is said to be a very valuable remedy. The solution of arsenic may be given twice or thrice a day after a suppuration has taken place. Mix well together one pound of finely powdered bark and one ounce of white lead pulverized; this powder applied to scrofulous ulcers, will act beneficially, or let an ounce of sugar of lead be dissolved in a pint of water; keep on the ulcers linen cloths moistened in this solution. The ulcers should also be washed with salt and water every morning. Before a tumor breaks, it should be anointed with fresh butter stewed to an oil twice a day, bathing it in with a hot shovel. When the tumors break, apply to them a plaster of molasses stewed down to such a degree of thickness, that when spread it will not run: if the disease is attended with general debility, chalybeate medicine should be taken. Time and sim- ple means are the surest remedies: the cure cannot be humored. The diet and drink should be of a light and cooling nature. Cold should be guarded against, and exercise should be taken: in this simple manner I have cured cases that have baffled regular practice. When the lumps are first coming, relief may be obtained by anointing them with oil of fresh butter, and warming it in with a hot shovel. I have given the practice of other physicians as well as my own. GUNN'S DOMESTIC MEDICINE. 647 NIGHT MARE, OR INCUBUS. The patient in sleep feels an oppression or weight about his stomach and breast: he groans—is in great distress, and dreads suffocation—he fancies himself in some imminent danger, and tries to escape, but finds he cannot move—he imagines himself about to fall over a precipice—be drowned in a river—or consumed in a burning house. Causes.—Indigestion, debility, reple- tion, late and heavy suppers, great fatigue, sleeping on the back, intoxication. TREATMENT. As the person afflicted generally moans or manifests distress, he should be waked, as that brings immediate relief. Those who are subject to this complaint should eat early and light suppers, and take a glass of pepper- mint water after supper to assist digestion: windy food should be avoided. A hard bed should be preferred. When the complaint proceeds from debility, the chaly- beate pill may be taken; or steel, bark or columbo, may be administered in ordinary doses: if it arises from a full habit, a spare diet will be proper, as well as vene- section and purging. Severe study, anxiety, and what- ever will oppress the mind, should be carefully avoided. It will be prudent in those who are frequently troubled with this complaint, to have a companion to sleep with them, lest at some time the stagnation of blood should continue so long as to stop the functions of life, and terminate in death. « 648 GUNN'S DOMESTIC MEDICINE. HYDROPHOBIA, OR THE BITE OF A MAD DOG. Whenever it can be done, the part that is injured should be cut out immediately, and by this means the poison will be hindered from entering into the system* When this cannot be done, caustic should be applied without delay, so as to change the nature of the wound, or the part affected may be washed, then burnt with a hot iron more extensively than the wound itself, then fill it with mercury and keep it open for some time. Mercu- ry also should be employed inwardly and outwardly to produce salivation. Large doses of opium, it is said, have proved beneficial. The caustic volatile al- kali, may upon experiment be discovered to be an antidote to the bite of a mad dog as well as to that of poisonous serpents. Emetic weed, scull cap, and chick weed are deemed valuable remedies in hydrophobia. RICKETS. This disease originates from weakness, and any cause that produces debility disposes to it. The head and abdomen are unnaturally enlarged—the face is flushed and florid. It sometimes affects the bones which become crooked, unnatural and deformed. The appe- tite is bad, the digestion imperfect, and the solids relaxed. TREATMENT. Exercise is the most effectual remedy. Much may be accomplished by nutricious diet and wholesome air. Gentle vomits and cathartics should be given to cleanse and purify the system. It should then be braced with tonics, as bark, steel, and columbo; but perhiips nothing GUNN'S DOMESTIC MEDICINE. 649 will so effectually invigorate and renew the constitution as the chalybeate pill. Bandages will also be useful in reducing the enlargement of the head. ST. VITUS' DANCE, Is a species of convulsions. Its approaches are evin- ced by languor and love of inaction, and long protracted constipation of the bowels. Presently the face is con- vulsed and the limbs twitch and jerk and many strange gesticulations are exhibited. As costiveness is too com- monly the cause of this disease, purgatives are usually necessary; if continued, the symptoms will gradually abate, an J the patient, strange as it may seem, will gain strength, and show by his walk, countenance, and appearance that he is recovering. Cathartics are mainly to be depended on; though, sometimes tonics may be employed successfully. TO CURE A WEN. Wash it with common salt dissolved in water every day, and it will be removed in a short time. Or make a strong brine of alum salt; simmer it over the fire. When thus prepared, wet a piece of cloth in it every day and apply it constantly for one month, and the protuberance will disappear. 82 650 GUNN'S DOMESTIC MEDICINE. MORTIFICATION. Before a mortification comes on, the part affected is in a high state of inflammation, a burning and ex- ceedingly painful sensation is felt, and where a wound is the cause, it becomes dry, and the flesh around it assumes a purple color. This stage is called gan- grene; the next step is mortification. When gan- grene ensues, a strong lye poultice will generally arrest its progress. When this fails, I apply the steam of wool, and continue the application for hours until the patient becomes easy. The principal ingredients which I use to stop a mortification, firtt washing the wounds with a decoction of spikenard, are wool, bacon rinds and life everlasting; the steam of these conveyed to the wound, or mortified parts, will, when perseveringly applied, make the unsound flesh slough off, then nature will generate new flesh and the patient will get well. But, perhaps an example or two will illustrate more forcibly and clearly my mode of treatment in cases of mortified wounds. I was called on not many years since to a man, who had got his leg broke in falling a tree, his leg was very badly mangled, part of the bone drove six inches into the ground. The accident hap- pened in the morning; I was sent for and got there in the evening. I found that the arteries were not entire- ly destroyed, and stated my belief that I could save the leg. I gave him two spoonsful of castor oil with fifteen drops of laudanum, and washed the leg in warm milk and water. After cleansing it in this way, I boiled a quantity of spikenard in water and made a dressing with which I washed the leg twice a day. After using this decoction, I applied a poultice of sweet milk and flour to the leg, until a mortification took place—an event which I was anxiously anticipa- GUNN'S DOMESTIC MEDICINE. 651 ting. Knowing that such a mass of bruised, lacerated flesh must sooner or later die, I prepared myself for the occurrence. On the morning of the fifth day, he be- came restless: I enquired how he was, and he inform- ed me, that his leg felt as if it was in the fire. I had an oven filled with wool, bacon rinds, and life everlasting; into it I threw red hot irons. I had a tube three or four feet long, extending from a hole in the oven to the fractured leg, over which I had made an arch so as to confine the steam to the wounded part. I continued this course, still filling the oven with wool, and throwing in hot irons, all that day, all the subsequent night, and until ten o'clock next morning—when the patient said he felt as easy as he ever had done in his life: the use of the steam was then discontinued. The mortified flesh sloughed off in pieces as thick as a man's hand, until the whole of the dead and bruised parts came off, which was nearly all the flesh from the knee to the ankle. All the bone of the leg was then taken out. After the mortification was stopped, the same treatment was pur- sued : the leg was washed as at first with a decoction of spikenard twice a day, and a poultice of sweet milk and flour was applied until the cure was complete. The patient was made to drink plentifully of dogwood tea; his diet was light, and his bowels kept open by doses of castor oil or salts. The leg was stretched out straight and kept in an easy posture, so that it might be as long as the other when the new bone was formed. It soon became sound, and was as useful to thet patient as if the accident had never happened. This is my treatment, and in my hands it has never failed to arrest mortifica- tion before it became general. I have never known a general mortification to be stopped : this may be recog- nized by the patient's becoming stupid or languid, and 652 GUNN'S DOMESTIC MEDICINE. vomiting a dark, bilious matter. This course persever- ingly pursued, with the aid of a little common sense, will, it is hoped, supersede the horrid practice of cutting off limbs whenever a black spot appears on them. WHITE SWELLINGS. There are twTo kinds of white swellings—the acute and scorbutic. The acute is the most common, and will first occupy our attention. There is no disease to which the human family is liable that will, if not taken in time, inflict more severe and lasting misery. It does not attack persons above the age of twenty-five years: children between five and fifteen are more likely to ex- '. perience its violence and severity. No diversity of soil ) nor salubrity of climate, can ward off its assaults: its ravages extend from the sea-shore to the mountains, and are most frequent in the most temperate and healthy !■' atmosphere. Children of the finest constitutions and (ij of the greatest activity, are most liable to its attacks. \ If the patient survives the severity of the first assault, he may for many years drag out a painful and misera- ble existence—his macerated body filled with sores from the crown of his head to the sole of his feet, and his sufferings so protracted, violent, and agonizing, that I when he dies, as he will of a hectic fever, his friends, ji relations, and even parents, feel comfort hi the thought ij that death has relieved him from his miseries, and j| ?. willingly consign to the tomb the mortal remains of the ; unhappy victim. Causes.—This disease is brought on by suddenly cooling the body after it has been overheated by violent exercise. It is often produced by working too hard— GUNN'S DOMESTIC MEDICINE. 653 by running or jumping, and then going immediately into water; or lying down on the cold ground and going to sleep: sometimes the first symptom is, a pain in the part infected, and continues for several days before the patient is seized with the fever: at other times, the first notice of the disease is, a violent attack, as of the bilious fever, with loss of appetite, and constant craving of water. In a few days the disease locates itself, and extreme pain is felt in the part affected; but although every part of the human frame is liable to its assaults, it most frequently fastens on the limbs. The part com- mences swelling most commonly, though not always, without changing its color; for sometimes the whole limb is highly inflamed. The patient finds no rest day nor night; the pain is augmented on every movement of the limb affected, which continues to settle for five or six weeks before it breaks. By this time the patient is reduced to a skeleton by his excruciating pains. After the abscess breaks and commences running, the suffer- er will gradually gain strength and begin to move about, although his wound is still running, and the disease unconquered. TREATMENT. Though this disease has long baffled the skill of the most eminent physicians of the world, its pathology and treatment are but imperfectly understood and have, as yet been imperfectly elucidated. When this disease begins with a pain in the limbs without fever, it may sometimes be relieved by making an ointment of hops, fit, or if it cannot be had, of fresh butter and red pepper, and rubbing the part affected twice a day, drying it in with a hot shovel or iron. If, after doing . this the pain should still increase, and the limb begin to swell and puff, an incision should be made with a lancet 654 GUNN'S DOMESTIC MEDICINE. the whole length of the blade, nor is this operation much felt or dreaded, so great is the pain of the dis- ease ; on the contrary it gives relief. This operation is only to be performed by a skillful physician. Place at the bottom of the wound a piece of vegetable caustic about the size of a pea; after waiting half an hour put in as much more in the same way; continue to do so three or four times every day until you get into the cavity which always contains an oily fluid. The flesh also is always puffed up from the bone. After you have got to the bone, stop the use of the caustic, and make a decoction, (not strong) of wild ivy leaves, and throw it in on the bone with a syringe three or four times a day. After you begin to use the ivy decoction, apply a poultice of sweet milk and flour; under this treatment the wound will soon commence a healthy suppuration and the patient will in a short time recover. As the physician is seldom called in until the disease has damaged the bone, if the swelling is not opened in the early stage, the oily fluid spoken of, will not be found; for it is soon changed into puss. Whenever the physi- cian is called in, he must follow the directions given: if the bone is injured, it may be known by the appear- ance of the matter discharged : it will be covered with specks or eyes, such as are often seen in soup; if many of these are visible, the bone is unquestionably injured, and a speedy cure is not to be expected. Nature must work, and her operations must be watched and aided. After the abscess is opened, and discharging a healthy matter, the system must be strengthened and restored. The energy of the patient must be renovated before the cure of the wound is undertaken. The chalybeate pill will be the proper medicine. When the patient has gained sufficient strength, which he will not do GUNN'S DOMESTIC MEDICINE. 655 under five or six months, if the running still continues, it will be an unerring proof that the bone is injured. The wound must then be gradually opened by the ap- plication of the caustic, as before directed. BEER FOR CONSUMPTION. Take of spikenard root, if green, two pounds—if dry, one pound; of seneka snake-root two ounces; of wild cherry bark, of the root of devilsbit, each half a pound; of the root of wild sweet potatoe, the root of burdock, and of the bark of white walnut, each half a pound: put these into ten gallons of water; boil it down to three. Pour it off the roots, while boiling, into a keg or jug, and to this quantity add one quart of honey: in a few days it will ferment, and be fit for use. Of this decoction the patient may drink two or three tea-cupsful a day. This beer is to be given to patients affected with the livers complaint or any kind of con- sumption : it is useful in cases of debility of long standing This medicine acts as a tonic, a cathartic, and a stimu- lant. The white walnut is intended only to keep the bowels open: the patient will, therefore, judge and put in more or less of it, as he finds its operation more or less powerful: if the patients are easy operated on, a less quantity is to be taken. REMARKS. In making an addition to this medical work, I feel sensible of the insufficiency of space', to write as fully and as plainly as I could wish, on such important and useful subjects as might be communicated to my coun- trymen. The rapid sale of my book, and the great patronage I have received in my humble efforts to be useful to my fellow creatures, fills my heart with joy and gratitude, and language is inadequate to express to my fellow-citizens, how much I estimate their goodness, or how willing I feel still to continue my feeble efforts through the assistance of Almighty God, to do them good, and to unfold to them such thing^in plain lan- guage, as may soothe their bodily infirmities, and per- haps be the means of relieving them from pain and sickness. To the profession of medicine the life of man stands greatly indebted through all its ages, from the cradle to the grave, and that the use of second means was intended by the Deity, cannot be controverted. Behold the spontaneous gifts of nature, yielding in almost every fragrant herb and flower, medicine to heal and relieve our maladies, recalling to our minds the splendid proofs of the Divine Majesty, showing the in- comparable superiority of nature over the most elegant works of human contrivance. Behold, for a moment, the forms and colors that embellish the vegetable world, and see hovv many thousands of the human race, like the grazing cattle, without reflection, trample on the flowery meads, and forget that those plants are the works 83 A 658 GUNN'S DOMESTIC MEDICINE. of God, and intended by our Heavenly Father, in infi- nite mercy, for the use of his creatures; wonder net, then, that so many constitutions are destroyed in this country by the daily and constant use of mineral poi- sons, which, if properly treated by the medical plants, would have been otherwise preserved, leaving the system free from the effects of such medicines as I consider worse than the original disease. But the time is not far distant, when the reflecting part of this community will be fully satisfied, that the medical herbs and roots of the United States are better adapted to our constitutions and diseases, than the mineral poisons so constantly and freely used in the present day. I have ever loved and cherished an exalted opinion of the vegetable kingdom, and I never have prescribed a single mineral, without feeling sensible there was something defective in my medical education. And although I have prescribed them throughout my work, in the spirit of truth, and according to the practice of medicine at this time, I still deplore, and conscientiously acknowledge, that there is not a substitute for that herculean remedy, calomel, in which any confidence can be placed, notwithstanding the many boasted substitutes daily advertised by quacks and pretenders in the healing art, nor has this invalua- ble remedy, or boasted panacea of our profession, devel- oped its powers so as to be perfectly and fully understood by even the most learned and observing practitioners. That it has done much good to mankind, I acknowl- edge, by its affording relief in many diseases which would otherwise have proved incurable, or perhaps ter- minated fatally, but whether the effects of this powerful medicine are left lurking in the system for years, and perhaps never eradicated, is quite doubtful; theoccular demonstration of my daily practice, and intercourse GUNN'S DOMESTIC MEDICINE. 659 with my fellow men, proves beyond the Possibility of doubt, as to die injurious effects er;:y}u-'- " i. eviy cases by the indiscriminate use of caiomel. parted 'v to those whose constitutions and inherent dL yrd^r uej^t them to the most awful effects from this i.:edir .-. Then let me, as a parent bestowing his parting coun- sel and benediction on his children, advise you to avoid as much as possible, this, as well as all other active medicines, remembering to administer it with due cau- tion and judgment; and when required to use it ' * :t be administered in active doses, by which I mer. ?s to be removed from the system, and for this pu o an active dose is by far the best, by enabling it no -.'.y to be beneficial, but work itself off You will hiid in the practice of medicine, that in nine cases out of ten, active purging will relieve; you are also to remember that the mind has a powerful influence not only over disease, but particularly over the digestive organs. Thus when the.mind is intensely occupied, the digestive powers of the stomach are suspended; mental activity controls the functions of the stomach to an equal ex- tent. During the period of deep thought, the vital energy of the body is so entirely directed to the brain, that not only the stomach, but the extremities experi- ence a diminution of excitement as is proved by their coldness and insensibility. This condition of the brain will so affect the stomach and intestines, as even to sus- pend the operation of active medicines. Doctor Rush states that during the Revolutionary war, he knew offi- cers who were unexpectedly drawn into battle after having taken drastic cathartics, and yet suffered no in- convenience from them until the excitement of it had passed away. I have seen, too, distressing sea-sickness promptly relieved by the mental anxiety produced by 660 GUNN'S DOMESTIC MEDICINE. an engagement between vessels of war. The stimula- tion caused by this sublime spectacle, produced a revul- sion from the stomach to the brain, and thus relieved the one of the irritation accompanying this distressing disease, and the other from that depressed state indica- ted by languid feelings and obtuseness of intellect. The mind having such full and powerful effects over the whole system, should be a sufficient evidence to guard you in many complaints, particularly in diseases of the stomach, against the use of too much medicine, depending generally upon diet, moderate exercise, rest, temperance in all things, particularly in eating, change of climate, in sea bathing, and the use of the tepid or warm bath, mineral springs, foot exercise in alt chronic complaints, and in assisting nature, by innocent rem- edies, to throw off disease. Your good sense will suggest to you the importance of time, and the remedies mentioned in chronic disorders, by which I mean dis- eases of long standing, rather than destroying the coats of the stomach, and paralyzing the last glimmering of hope, by a farago of medicines. Physicians prescribe much, but use hut few medicines themselves. Let, then, this hint suffice, by showing you that much is to be ex- pected by simple remedies, discriminating judgment, and the influence of the mind upon the coporeal body, but do not understand me that I wish you to discard medicine altogether, but by its limited use, and depend- ing much on the simple, yet efficient directions 1 have here recommended to you, you will have but little use for physicians or their prescriptions. ACCIDENTS. When an accident takes place by a fall from a horse, or a height, or being thrown from a carriage, or receiving a blow from a stick, or any similar injury to those I have mentioned, it will be proper, if possible, to bleed from the arm, but from any other part, if these parts are injured so as to prevent it. The loss of blood must be regulated according to the situation and cir- cumstances of the case: for frequently the injury has been so severe as apparently to deprive the patient of life: in this situation, you must await for the returning symptoms of animation, using friction; or in other words, rubbing, so as to restore the circulation; this will be proper over the region of the heart and stom- ach, temples, and the extremities, and bathing the tem- ples with the spirits in which camphor has been dissolv- ed,'or spirits of hartshorn, or strong vinegar, at the same time applying it occasionally to the nose; and should the person be able to swallow, or so soon as they may be a little restored, it will be proper to give a little wine and water, or water and spirits of any kind, or any other gentle stimulant that may be convenient. In all cases of suspended animation, it is highly essential to continue for a length of time, friction, and in many difficult cases, you will find the tepid bath of great service in restoring life; for I have frequently witnessed the person restored, when all, and even the most dis- tant hope seemed at an end; therefore, let me implore you in such cases, to use gentle and continued friction 662 GUNN'S DOMESTIC MEDICINE. on the body, for some vital spark may yet linger, and be warmed into animation—Providence may bless your kind efforts, and what heart-felt gratification will it afford you to be the humble instrument of restoring the life of a fellow creature, who, perhaps, in an unex- pected and unprepared state, has been thus situated, with the last glimmering hope sinking fast into eternity. If I had space—and I regret I have not—I could give you several interesting cases that have fallen under my care, and many I have witnessed, particularly in the cases of drowning, in which the most happy effects have been produced by perseverance. But on this highly important subject, let me refer you to the head, Suspended Animation. In all cases, where the patient is unable from severe injury to walk, it is necessary immediately to prepare a conveyance—and for this purpose, take two boards sufficiently long and broad, and then nail two cross pieces with the ends projecting about a foot for handles —or make, if the plank is not convenient, a litter form- ed of the branches of trees. On either of these, con- vey your patient to the nearest house. If the person should be bleeding, you must stop the blood before moving him or her. In removing him on and from this litter to the bed, be extremely careful, as many serious accidents occur by being in too great a hurry and alarm; frequently there is considerable pain inflict- ed unnecessarily, by awkwardly stripping off the coat or pantaloons; therefore rip up the seams, by which you very often prevent much unnecessary pain: recol- lect never to use the least force. When the patient is stripped, and the room cleared of all unnecessary lookers on, which is generally the case, much to the annoyance of the patient and his physician, particularly GUNN'S DOMESTIC MEDICINE. 663 if a female, then proceed to ascertain the injury, if a male, with calmness and firmness—if a female, with tenderness and delicacy, yet with certainty, as to the nature of the injury. I would here remark in plain lan- guage, as I have always done in all my advice and writings, that false delicacy has in many instances, de- stroyed the lives of many females, that might have otherwise been easily preserved. With these remarks and directions, I shall in as few words as possible, and in plain language, proceed to give such directions in surgery, as may be easily performed by the most hum- ble person who will attend to the directions. Injuries may be simple or compound; that is, it may be a contusion or bruise, a wound, fracture, or dislocation, or it may be two or all of them united, in one or several parts. A Contusion is of course the consequence of every blow, and is known by the swelling and the skin being bruised and discolored—wounds of course require no explanation. Fractures, in other words broken bones, are known by the sudden and severe pain, and by the appearance of the limb being out of shape—sometimes by its being shortened, and by the person being unable to move it without great pain. But the most certain way to as- certain it, is to grasp the limb above and below the spot supposed to be fractured, and by moving it gently different ways, you hear a grating noise, occasioned by the broken ends of the bone rubbing against each other. Very often, however, before you can arrive to render assistance, the limbs become much swollen. In such a case, always reduce first the swelling, as by twisting the limb, or other experiments, it will give the most excruciating pain to the afflicted person. 664 GUNN'S DOMESTIC MEDICINE. Dislocations, or in other words, bones being out of joint, are easily perceived by the deformity of the joint, which you can compare witli^ its fellow, and plainly ob- serve the difference, and from the person being in great pain, and unable to move the limb, and by its being longer or shorter than common, and from the impossi- bility of moving it in any direction, without great misery. CONTUSION OR BLOW. If slight, you must bathe the part frequently with cold applications, such as vinegar and water, ice water, or cold spring water; this will reduce or keep down in- flammation or fever, and must be occasionally used for five or eight hours; but if fever should come on, then bleed, and purge well with salts, and diet the person on the lightest food and cool drinks. If the fever should still continue, you must repeat the bleeding and purging; perhaps a good active dose of calomel, followed by a dose of salts, in this event, would cut short the fever. Be particular as to the patient's passing his water, as it frequently happens from a blow, that the nerves of the bladder become palsied, and the patient feels no desire to make, although the bladder is full. In this case, it is highly important to attend to drawing off the water by a catheter, an instrument for this purpose; for direc- tions how it is used, see under the head directions for passing Catheter. The most serious effects, however, resulting from contusion, is when the blow is on the head, producing either concussion or compression of the brain. See those heads. GUNN'S DOMESTIC MEDICINE. 665 SPRAINS. Sprains are to be treated with the coldest, applica- tions; and for this purpose, Nature's remedy is by far the best—cold water. Plunge the sprained part into cold water, and hold it there as long as you can bear it; after which, dry it with a coarse towel, and rub on it spirits of camphor; by which I mean, spirits that cam- phor has been desolved in; rub this well in, and bind it with flannel, and every morning and evening, pour cold water on it, from the spout of a tea kettle, held up at a considerable height. This simple remedy will relieve you in a short time, and to a weak joint of any kind, this is an invaluable prescription. I have removed the weakness of an ankle of long standing by it, when all other applications failed. CONCUSSION OF THE BRAIN. Symptoms. The person stunned—the breathing is slow—great drowsiness and stupidity—the pupil of the eye rather contracted, or drawn up—frequently vomiting or puking. After a time he recovers. Remedies. Apply cloths dipped in cold vinegar and water to the head; and if you have ice, its application will be greatly beneficial. So soon as the stupor is off, bleed, and open the bowels with epsom salts, or any cooling purge; by all means confine him to* the'bed, and the lowest and most cooling diet and drinks—the room kept dark but cool, and no noise whatever. In this quiet situation, you are to endeavor to prevent in- flammation of the brain, which, if it conies on, must be met by free and copious bleeding, blisters, and purging. 666 GUNN'S DOMESTIC MEDICINE. COMPRESSION OF THE BRAIN. Symptoms. Loss of sense and motion—slow, noisy, and difficult breathing—the pulse is quite slow and irregular—the muscles relaxed, as in a person just dead—the pupil of the eye enlarged, and will not con- tract, even for a strong light—the person cannot be roused, and bears a resemblance to one inflicted with an apoplectic fit. Remedies. Bleed freely, and shave the head, and apply cool applications to it until you can procure a good surgeon, and this must be done immediately, or it will be too late, as there is nothing but an operation in this case, that will save life. WOUNDS. Wounds are of three kinds: first, incised wround, which means a clean cut; second, a punctured wound, which means a wound produced by sharp pointed instruments, as needles, awls, nails, &,c.; third, a con- tused wound, which means a wound occasioned by round or blunt bodies, as musket balls, clubs, stones, and all gun shots wounds, are included in this last men- tioned term. Remedies. In all wounds, the first thing to be done is to endeaver to stop the flow of blood; should this be but trifling, draw the edges of the wound together with your hand, and hold them in that position for some lime, when the blood will frequently stop. If it still continue, and the quantity large, or of a bright red color, flow- ing in spirts, or with a sudden jerk, then clap your finger on the spot it springs from, and press it with firmness, while you request some other person to pass a handker- chief round the limb, (supposing the wound to be in one,) above the cut, and to tic its, two ends together in a hard knot. A stick of any kind, must now be passed under the knot, (between the upper surface of the limb and the handkerchief,) and turned round and round until the stick is brought down to the thigh, so as to make the handkerchief encircle it with considerable tightness; you may then take off your finger; if the blood still flows, tighten the handkerchief by a turn or two of the stick, until the blood ceases. The patient may now be removed (taking great care to secure the 668 GUNN'S DOMESTIC MEDICINE. stick in its position) without running any risk of bleed- ing to death by the way. As this apparatus must not be left on for any length of time without destroying the life of the parts, endeavor as quick as you conveniently can, to secure the bleeding vessels; for I shall give you such ample and plain directions, that any person of common sense may take them up and secure them in a proper manner, and perfectly safe. In the first place, wax together three or four threads of a sufficient length, cut it into as many pieces as you think there are vessels to be taken up, each piece being about a foot long. Now wash the parts with warm v/ater, and then with a sharp hook, similar to a crookek awl, or a slender pair of pincers in your hand, fix your eye steadfastly upon the wound, and direct the handkerchief to be gently loosed by a turn or two of the stick; you will now see the mouth of the artery from which the blood springs; seize it with your hook or pincers, draw it a little out, while the person who assists you passes the waxed thread, called by medical men a ligature, round the artery or bleeding vessel; now tie it up tight, with a double knot. In this way take up, one after the other, each bleeding vessel you can see or get hold of. Should the wound be too high up in a limb to apply the handkerchief, don't be alarmed, for the bleeding can still be commanded. If it is the thigh, press firmly in the groin, or if in the arm, with the hand-end or ring of a common door key, make pressure above the collar bone, and about its middle, against the first rib which lies under it. The pressure is to be continued until you can obtain assistance, and then tie up the bleeding vessels as before directed. If the wound is on the head, you must press your finger firmly on it until a compress, which means several folds of linen, is fur- GUNN'S DOMESTIC MEDICINE. 669 niphed; this is to be bound firmly over the artery by a bandage. If the wound is in the face, or so situated that pressures cannot be effectually made, or you cannot get'hold of the vessel, and the blood flows fast, put a piece of ice, or a cloth wet with tanner's ooze, or flour, and let it remain on until the blood coagulates; you can then remove it, and apply a compress or bandage. It is important that this simple method I have described, should be practised so as to enable any one to compress the great arteries in these situations, thereby preserving many a man who would, for the want of this simple assistance, bleed to death before a surgeon or medical aid could be procured. INCISED WOUNDS. The meaning of an incised wound, is a clean or fresh cut. Wash away all the dirt that may be in the wound, with a sponge or linen rag and warm water; when the blood is stopped, draw the sides of the wound nicely together, then confine it in this situation by narrow strips of sticking plaster, placed at short distances apart, and directly across the wound. Now a fold, or soft compress of old linen or lint, is to be laid over and confined by a bandage. In many cases, you will find inflammation follow. If this should be the case, then remove the strips, and bleed and purge the patient, and keep him on very low diet, and as quiet and as cool as possible; in other or more plain language, endeavor to keep down fever— and now recollect that matter must form before the wound will heal; therefore it is best to 'encourage it by applying a soft poultice of any kind, until the 670 GUNN'S DOMESTIC MEDICINB matter is produced; after which, you may use any simple ointment in this place. The usual or common method of narrow strips of linen, spread with sticking plaster, called by physicians adhesive plaster, form the best means of keeping the sides of a wound together when they can be applied; yet if the wound is in the ear, nose, tongue, lips, bag, by which I mean the pri- vates, or the eye-lids, then use stitches, which are made in the following manner: thread a common needle with a double waxed thread, pass the point of it through the skin, at a little distance from the edge of the cut, and bring it out of the opposite one at the same distance. Should the wound be large, so as to require more than one stitch, cut off the needle, thread it again, and proceed on to take as many stitches as necessary; leave all the threads loose until all the stitches are pass- ed, when the ends of each thread must be tied in a hard double knot, drawing the thread in such a way that it bears a little on each side of the cut, When the edges of the wound are partly united by inflammation, cut then the knots, and draw out carefully all the threads. From the plain matter in which I have writ- ten and explained to you, you will easily perceive, that in all wounds, after stopping the flow of blood, and cleansing the parts, the important point is to bring the sides of the wound even, and together, so that it may grow together as quick as possible, without producing any matter; this is called by physicians healing by the first intention. Now to produce this desirable effect, in addition to what I have already mentioned, you must recollect two things necessary to be attended to; first, the position of the patient; and secondly, the applica- tion of the bandage. Let the position be such as will relax as much as possible, the skin and muscles of the GUNN'S DOMESTIC MEDICINE. 671 part wounded; by attending to this strictly, you will prevent, or in a great measure lessen the tendency to separate or open. My method in such cases, is as fol- lows : take a common bandage of proper width and length, and pass it over the compresses moderately tight, so as to keep them in their proper place, and by its pressure, the wound will heal immediately, and keep it from separating or opening. In many cases, the wound is so large and severely painful that the limb or body of the patient cannot be raised or moved, for the purpose of applying or removing it; then spread the ends of one or two strips of linen or leather with sticking plaster, which may be .applied in place of the bandage in the following way: stick one end of the strip to the sound skin, at a short distance from the edge of the compress, over which it is to be drawn with moderate firmness, and secured in the same man- ner on the opposite side; if you see that it is necessary to secure it more fully, apply a second or third, or until properly secured. As I have before told you, if vio- lent inflammation comes on, in all wounds the proper practice is to reduce it by bleeding, purging, &c. but if you see any symptoms of approaching locked-jaw, give your patient wine, brandy, opium, porter, &,c.; in other words, stimulate him freely, and give a generous diet. PUNCTURED WOUNDS. These wounds, called by physicians punctured wounds, are produced by any sharp pointed instru- ments, as nails, awls, needles, &c. Treatment. First stop the bleeding, then with- draw the needle, splinters, glass, or any thing that may 672 GUNN'S DOMESTIC MEDICINE. be in a wound of this nature, provided it can be done easily; and if enlarging the wound a little, will enable you to get any foreign body out, it is best to do so. Though it is not always necessary to enlarge wounds of this nature; yet when the weather is very warm, I advise you not to neglect doing so; because it is a pre- caution against locked-jaW, which occurs frequently in wounds of this description. I recollect a case in 1816, that occurred at Savannah, Georgia. A Miss D---- L----, a most amiable and accomplished lady, in making preparations for a ball, by accident, stuck a needle slightly in her heel. The puncture being slight, she attended the ball. On the following day symptoms of locked-jaw commenced; and the second day, not- withstanding the skill afforded her by several eminent professional gentlemen, she died. So soon as you en- large a wound of this description as directed, pour a little turpentine into the wound, or touch it by caustic, and then cover it with a poultice, moistened with lauda- num; the object of the poultice is to form matter. When this is done, you must then treat it as a common sore, with mild ointment of any kind. Frequently in such cases, there is a great deal of pain; if so, give laudanum in large doses,—you need not fear giving laudanum in broken doses, until the patient gets ease; for I have often given it as high as two hundred drops, say thirty at each dose, before partial ease could be afforded. In warm weather, inflammation often occurs; in such a case bleed in moderation, and purge freely— recollect here to use the lancet with care and discretion. GUNN'S DOMESTIC MEDICINE. 673 CONTUSED WOUNDS. Wounds of this description are made by round or blunt bodies, as musket balls, clubs, stones, &o. In such wounds you may have little to fear of loss of blood, as they are attended generally by little bleeding; if any, it must be stopped. If the wound is produced by a ball, and the ball can be felt, or easily got at, it is proper to extract,—it is proper to do so, or any piece of the wad or cloth, or clothing should be withdrawn— for instance, if the ball can be plainly felt immediately under the skin, then make an incision across it and take it out. But remember well, this salutary council —never allow any poking in the wound to search for a ball or any articles differently situated from what I have plainly described, for many deaths occur, which if properly managed, or in other words, so much unne- cessary science dispensed with, would have been en- tirely cured. The best extracter in such cases is a soft bread and milk poultice. In fact, by long experience and reflection, I should say that gun-shot wounds, that have formed a lodgment must not be opened either lightly or wantonly; nor under the idea of hunting for extraneous substances; for the parts themselves will bring these to the surface, and such as cannot be thus extracted, give little trouble, nor do they prevent the healing of a wound. It is particularly vain to hunt for balls, because they take a wayward course, and often find a lodgment where the surgeon or physician would be least inclined to look for them. Even if the ball can be felt, and yet the skin is sound, some eminent sur- geons think it will not be prudent to extract it before the original wound is healed, because, where it rests it can do no harm, and it is better to have only one wound at a time than two. When a ball has wounded 85 674 GUNN'S DOMESTIC MEDICINE. a cavity, as for example, the abdomen, which means the belly; if the ball has passed with little velocity, the parts will heal by the first intention: [You will recol- lect I explained plainly to you the meaning of healing by the first intention.] If, however, it has passed with such velocity or quickness, as to procure a slough, meaning an inward huse, the adhesive inflammation will take place on the peritonaeum, meaning the skin which lines the belly, and covers the abdominal viscera, or in other words, the bowels, and the organs in the belly and chest. The adhesive inflammation, as re- marked, will take place on this peritonaeum ad around the wound, which will prevent the general cavity from taking part in the inflammation, although the ball shall have not only penetrated, but wounded, those parts not immediately essential to life, in its passage through the body; for whatever solid viscus has been pierced, the surfaces in contact, surrounding every orifice, will unite by the adhesive inflammation, so as to form one contin- ued canal, with which the general cavity has no com- munication. If any extraneous or outward body has been carried in by the ball, it will be included in these adhesions, and with the slough, will be conducted by one of the orifices to the outward surface. If the ball has wounded the liver or the surface, these may soon acquire the healing disposition; if the stom- ach, intestines, kidneys, ureters, or bladder, such inju- ries are generally mortal; for their contents escape into the cavity of the abdomen or belly, and universal inflammation of the peritonaeum takes place, attended by great pain and tension or swelling, which terminates in death. But if the wound is small and the bowels are not full, adhesions may take place all round the wound, which will confine the matter, and make it go on in its GUNN'S DOMESTIC MEDICINE. 675 right channel. When a ball has not penetrated any of the viscera of the abdomen, but only by contusion pro- duced death in a part, whenever the slough conies away, the matter contained in that viscus will escape, but as the adhesive inflammation takes place between the sur- faces in contact, the new channel will be preserved entire, and cut off the communication between the ex- ternal air and the cavity of the abdomen. This chan- nel may, however, in time be closed, and the contents may pass by their accustomed course. A young gen- tleman was shot through the body; the balls, three in number, entered on the left side of the navel, and came out behind just above the superior vertebrae of the loins. The first water he made was bloody—in less than a fortnight, John Hunter, the most eminent sur- geon of London, pronounced him out of danger, being persuaded, that whatever cavities the balls had entered, were united by the adhesive inflammation, so as to form one complete canal, and that neither the extraneous matters, carried in with the balls, nor any slough, which might separate from the sides of the canal, nor matter formed in it, could get into the cavity of the ab- domen, but must be conducted to the external surface of the body, either through the wounds or from an abscess forming for itself, which would work its own exit somewhere. Soon after this conclusion, some faeces, (meaning that which should pass from the fun- dament,) coming through the wound, confirmed him in his opinion respecting the efforts of nature, which are great on such occasions to secure the cavity of the abdomen: yet he feared this wound might in future perform the functions of the fundament. He saw clearly, that an intestine had received a bruise sufficient to kill the part, and that till the separation of slough 676 GUNN'S DOMESTIC MEDICINE. had taken place, both the intestine and canal were still complete, and therefore did not communicate with each other, but that when the slough was thrown off, the two were laid into one at this part, and that there- fore the contents of the intestine got into this wound. This symptom, however, gradually decreased by the contraction of this opening, till an entire stop to the passage of the faeces by it took place, and the wounds were healed, and the gentleman entirely restored to health. Having fully described to you the effects of gun-shot wounds, and their general effects, I shall conclude, by directing you in such cases, should the inflammation be great, to bleed and purge. If your patient labors under great pain, give laudanum, and if the parts assume a dark lock, threatening a mortification, cover them with a blister. Where the wound is much torn, wash the parts very nicely with warm water, and then (having secured every bleeding vessel) lay them all down in as natural a position as possible, drawing their edges gent- ly together, or as much so as possible, by strips of stick- ing plaster, or stitches, if necessary. Now apply a soft bread and milk poultice over the whole. WOUNDS OF THE EAR, NOSE, &c. Treatment.—Wash the parts well, so as to cleanse them from all dirt, &c. and then draw the edges of the wound together by as many stitches as are necessary. If the part is even completely separated, and has been trodden under foot, by washing it in warm water, and placing it even, and accurately, in its proper place, by the same means it may still adhere or grow on. GUNN'S DOMESTIC MEDICINE. 677 WOUNDS OF THE SCALP. Treatment. In wounds of the scalp, it is necessary to shave off the hair. After this operation is perform- ed, wash the parts well, and draw the edges of the wound together with sticking plaster. If it has been torn up in several places, wash and lay them all down on the skull again, drawing their edges together as nearly as possible, by sticking plaster, or, if necessary, by stitches. Then cover the whole with a soft fold or bandage, smeared with simple ointment of any kind. WOUNDS OF THE THROAT. Treatment. Seize and tie up every bleeding vessel you can get hold of If the windpipe is cut only partly through, secure it with sticking plaster. If it is com- pletely divided, bring its edges together by stitches, taking care to pass the needle through the loose mem- brane that covers the windpipe, and not through the windpipe itself. The head should be bent on the breast during this operation, and secured by bolsters and band- ages in that position, to favor the approximation of the wound. WOUNDS OF THE CHEST. If the wound in the chest is a simple incised wound, draw the edges of it together by sticking plaster, cover it by a fold or compress of linen, and pass a bandage round the chest. The patient is to be confined to his bed, kept on very low diet, and bled and purged, in order to prevent inflammation. If, however, inflamma- 678 GUNN'S DOMESTIC MEDICINE. tion should come on, you must reduce it by copious and frequent bleedings. Should the wound be occasioned by a bullet, extract it, and any pieces of cloth, &,c. that may be lodged in it, if possible, and cover the wound with a piece of linen smeared with some simple oint- ment, taking great care that it is not drawn into the chest. If a portion of the lung protrudes or projects out, return it to its place immediately, but be as gentle and cautious as possible. WOUNDS OF THE BELLY. In wounds of the belly, close it by strips of sticking plaster, and stitches passed through the skin, about half an inch from the edge of the wound, and cover the whole with a soft compress of linen, secured by a band- age. Any inflammation that may arise, is to be reduced by bleeding, purging, and a blister over the whole belly. Should any part of the bowels come out at the wound, if clean and uninjured, return it as quickly as possible; if covered with dirt, clots of blood, &o. wash it carefully in warm water previous to returning it. If the gut is wounded, and only cut partly through, draw the two edges of it together by a stitch, and return it; if com- pletely divided, you must connect the edges by four stitches, at equal distances, and replace it in the belly, always leaving the end of the ligature or thread project from the external wound, which must be closed by sticking plaster. In five or six days, if the threads are loose, withdraw them very gently and carefully. GUNN'S DOMESTIC MEDICINE. 679 WOUNDS OF JOINTS. In wounds of this description, you are to bring the edges of the wound together by sticking plaster, with- out any delay; keep the part perfectly at rest, bleed, purge, and live very low, so as to prevent inflammation. But should it come on, it must be met at its first approach by bleeding to as great an extent as the con- dition of the patient will warrant, and by a blister covering the whole joint. If the joint seems like it would be a stiff one, keep the limb in that position which will prove most useful; that is, the leg should be extended, and the arm bent at the elbow. Wounds of the joints are always highly dangerous, and frequently terminate fatally. WOUNDS OF TENDONS. Tendons or sinews are frequently wounded and ruptured. They are to be treated precisely like any other wound, by keeping their divided parts together. The tendon which connects the great muscle forming the calf of the leg with the heel, called the tendon of Achilles, is frequently cut with the adze, and ruptured in jumping from heights. This accident is to be rem- edied by drawing up the heel, extending the foot, and placing a splint on the fore part of the leg, extending from the knee to beyond the toes, which being secured in that position by a bandage, keep the foot in the position just mentioned. The hollows under the splint must be filled with tow or cotton. If the skin falls into the space between the ends of the tendon, apply a 680 GUNN'S DOMESTIC MEDICINE. piece of sticking plaster, so as to draw it out of the way. It usually takes five or six weeks to unite, but no weight should be laid on the limb for several months. OF FRACTURES. As I have before plainly pointed out to you how fractures may be known, it will be unnecessary to dwell on this subject. It will, however, be advisable for you to recollect this general rule: in cases where, from the accompanying circumstances and symptoms, a strong suspicion exists, that the bone is fractured, it will be proper for you to act as though it were positively ascer- tained to be so. FRACTURES OF THE BONE OF THE NOSE. Treatment. From the exposed situation of the bones of the nose, they are frequently forced in. When this is the case, any smooth article that will pass into the nostrils should be immediately introduced with one hand, so as to raise the depressed portions to the prop- er level, while the other is employed in moulding them into the required shape. If violent inflammation fol- lows, bleed, purge, and live on the lowest kind of diet. FRACTURES OF THE LOWER JAW. Treatment. There is no difficulty in discovering this accident by looking into the mouth; and it is to be relieved by keeping the lower jaw firmly pressed against the upper one, by means of a bandage passed under 86 682 GUNN'S DOMESTIC MEDICINE. the chin and over the head. If it is broken near the angle, or that part nearest the ear, place a cushion or roll of linen behind it, over which the bandage must pass, so as to make it push that part of the bone for- ward. The parts are then to be confined in this way for twenty or twenty-five days; during which time, all the nourishment that is taken by the patient, should be sucked between the teeth. If, in consqquence of the blow, a tooth is loosened, do not meddle with it, for if let alone, it will grow fast again. FRACTURES OF THE COLLAR BONES. A fracture of the collar bone is of very common occurrence, and is known at once, by passing the finger along it, and by the swelling, &c. Treatment. To reduce it, seat your patient in a chair, with his shirt off, and place a stout compress of linen, made in the shape of a wedge, under his arm; the thick end of which, should press against the arm- pit. His arm bent to a right angle at the elbow, is now to be brought down to his side, and secured in that position by a long bandage, which passes over the arm of the affected side, and round the body. The fore arm—meaning that which reaches from the elbow to the wrist, is to be supported across the breast by a sling. It then takes from four to five weeks to re-unite. GUNN'S DOMESTIC MEDICINE. 683 FRACTURES OF THE ARM. Treatment. Seat your patient on a chair, or the side of a bed; let some one assist you to hold the sound arm, while another person grasps the wrist of the broken one, and steadily extends it in an opposite direc- tion, bending the fore arm a little, to serve as a lever. You must now place the bones in their proper situation. Two splints, made of shingle or stout pasteboard, long enough to reach from below the shoulder to near the elbow, must then be well covered with tow or cotton and laid along each side of the arm, and kept in that position by a bandage. The fore arm is to be support- ed in a sling. Two smaller splints, may, for better, security, be laid between the first ones; that is, one on top, and the other underneath the arm, to be secured by the bandage in the same way as the others. FRACTURES OF THE BONE OF THE FORE-ARM. As I have before, and I again tell you, it is that part which reaches from the elbow to the wrist, that is desig- nated or called the fore-arm. When this is fractured, they are to be reduced precisely in the same way, with the exception of the mode of keeping the upper por- tion of it steady; which is done by grasping the arm above the elbow. When the splints and bandage which I have directed you how to make, are applied, support it in a sling. 684 GUNN'S DOMESTIC MEDICINE. FRACTURES OF THE WRIST. Fractures of the wrist very seldom take place. When this accident does happen, the injury is generally so great as to require amputation or taking it off. If it is possible to save the hand, lay it on a splint, well covered with tow or cotton. This is to extend beyond the fingers—place then another splint opposite to it, lined with the same soft materials, and secure them by a bandage. The hand is then to be carried in a sling. The bones of the hand are frequently broken: in such a case, fill the/ palm of the hand with soft com- press or folds of linen or domestic cloth, or tow or cot- ton, and then lay a splint on it long enough to extend from the elbow to beyond the ends of the fingers, and then to be secured by a bandage. If the finger is broken, extend the end of it until it becomes straight. Place the fractured or broken bone in its place, and apply two small pasteboard splints, one below and the other above, which you must secure by a narrow ban- dage. The upper splint ought to extend from the end of the finger over the back of the hand. It may some- times be proper to add two additional splints for the sides of the finger. FRACTURES OF THE RIBS. When after a fall or blow, the patient complains of a prickling pain in his side, we may suspect a rib is broken. The way to discover it, is by placing the ends of two or three of your fingers on the spot where the pain is, and desiring the patient to cough, when the grating sensation will be felt. All that is necessary, is to pass a broad bandage round the chest, so tight as to GUNN'S DOMESTIC MEDICINE. 685 prevent the motion of the ribs in breathing, and to live on a light diet. FRACTURES OF THE THIGH. The thigh is perhaps the most difficult fracture to manage; and to the ingenuity of one amongst the best men who ever lived, (Doctor Hartshorn, of the city of Philadelphia,) the world is indebted for an apparatus which does away the greatest impediments that have been found to exist in treating it so as to leave a straight limb, without lameness or deformity; nor is it the least of its merits, that any man of common sense, can apply it nearly as well as a surgeon or physician. It consists of two splints, made of half or three quarter inch well seasoned stuff, from eight to ten inches wide, one of which should reach from a little above the hip, to fifteen or sixteen inches beyond the foot, while the other extends the same length from the groin. The upper end of the inner splint, is hollowed out, and well padded or stuffed. Their lower ends are held together by a cross piece, having two tenons, which enter two vertical mortices, one in each splint, and secured there by pins. In the center of this cross piece, (which should be very solid,) is a female screw. Immediately above the vertical mortices, are two hori- zontal ones, of considerable length, in which slide the tenons of a second cross piece, to the upper side of which, is fastened a foot block, shaped like the sole of a shoe, while in the other, is a round hole, for the re- ception of the head of the male screw, which passes through the female one just mentioned. On the top of this cross piece, to which the foot block is attached, are V 686 GUNN'S DOMESTIC MEDICINE. two pins, which fall into the grooves at the head of the screw, thereby firmly connecting them. The foot block, as before observed, is shaped like the sole of a shoe. Near the toe, is a slit through which passes a strap and buckle. Near the heel, are a couple of straps with two rings, arranged precisely like those of a skate; of which, in fact, the whole foot block is an, exact resemblance. A long male screw, of wood, or other material completes the apparatus. To apply it, put a slipper on the foot of the broken limb, and lay the apparatus over the leg. By turning the screw, the foot block will be forced up to the foot in the slipper, which is to be firmly strapped to it, as boys fasten their skates. By turning the screw the contrary way, the padded extremity of the inner splint presses against the groin, and the foot is gradually drawn down until the broken limb becomes of its natural length and appear- ance; when any projection or little inequality that re- mains, can be felt and reduced by a gentle pressure of the hand. The great advantages of this invaluable apparatus, I again tell you, are the ease with which it is applied, and the certainty with which it acts. The foot once secured to the block, in a way that any man of com- mon sense understands, nothing more is required than to turn the screw until the broken limb is found to be of the same length as the sound one. It is proper to remark, that this should not be effected at once, it being better to turn the screw a little every day until the limb is extended. As this apparatus may not always be at hand, it is proper to mention the next best plan of treating the accident. It is found in the splints of Desault, improved by Dr. Physic, of the city of Phila- delphia, consisting of four pieces. The first has a GUNN'S DOMESTIC MEDICINE. 687 crutch head, and extends from the arm pit to six or eight inches beyond the foot. A little below the crutch, are two holes; and near the lower end on the inside, there is a block, below which there is also a hole. The second reaches from the grain, the same length with the first, being about three inches wide above and two below. Two pieces of stout pasteboard, as many handkerchiefs or bands of muslin, with some tow and a few pieces of tape, form the catalogue of the appa- ratus—which is to be applied as follows: Four or five pieces of tape are to be laid across the bed, at equal distances from each other. Over the upper two is placed one of the short pasteboard splints, well covered with tow. Then the patient is to be care- fully and very gently placed on his back, so that his thigh may rest on the splints. One of the handker- chiefs, or strong soft band, is to be passed between the testicle and thigh of the affected side, and its ends held by some person standing near the head of the bed. The second handkerchief is to be passed round the ankle, crossed on the instep, and tied under the sole of the foot. By steadily pulling these two handkerchiefs, the limb is to be extended, while with the hand the broken bones are replaced in their natural form. Then the long splint is to be placed by the side of the pa- tient, the crutch in the arm pit, (which must be defend- ed by tow or cotton,) while the short one is laid along inside of the thigh or leg. The ends of the first hand- kerchief being passed through the upper holes, are to be drawn tight and secured by a knot, while the ends of the second one pass over the block beforementioned, to be fastened in like manner at the lower one. All that remains, is the short pasteboard splint, which being well covered with tow, is to be laid on top of the 688 GUNN'S DOMESTIC MEDICINE. thigh. The tapes being tied so as to keep the four splints together, completes the operations. Cotton or tow is to be every where stuffed between the splints and the limb, and a large handful of it placed in the groin, to prevent irritation from the upper or counter extend- ing band. You must be careful while tying the two handkerchiefs, that they are not relaxed, so that if the operation is properly performed, the two limbs will be nearly of an equal length. The superior advantages of Hartshorn's apparatus over this, as well as others, must be evident to every one acquainted with the difficulty of keeping up that constant extension which is so absolutely necessary to avoid deformity and lameness, and which is so com- pletely effected by the screw. Next to that, however, stands Dr. Physic's, which can be made by any car- penter in a few minutes, and which, if carefully appli- ed, will be found to answer a good purpose. Fractured thighs and legs generally re-unite in from six to eight weeks, depending, however, much upon the age of the patient. Old persons frequently require three or four months. You must recollect in such cases a straw bed is best for your patient, or a mattrass, or any bed that will not yield, so as to keep the limb in its proper position. FRACTURES OF THE BONES OF THE FOOT. This accident seldom occurs—the bone of the heel is sometimes, though rarely, broken. It is known by a crack at the moment of the accident, a difficulty in standing, by the quick swelling, and the grating noise GUNN'S DOMESTIC MEDICINE. 689 on moving the heel. To reduce it, take a long bandage, lay the end of it on the top of the foot, convey it over the toes under the sole of the foot, and then by several turns secure it in that position. The foot being extend- ed as much as possible, carry the bandage along back of the leg above the knee, where it is to be secured by several turns, and then brought down on the front of the leg, to which it is secured by circular turns. In this manner the broken pieces will be kept in contact, and in the course of a month or six weeks will be united. All fractures of the foot, toes, &o. are to be treated like those of the hand and fingers. OF DISLOCATIONS. The signs by which a dislocation may be known, have been already explained to you. But remember that the sooner the attempt is made to place it in its proper place, the easier it will be done. The strength of one man, properly applied at the moment of the accident, will often succeed in restoring the head of a bone to its place, which in a few days and even hours would have required the combined efforts of men and pullies. After you have made several trials with the best apparatus that can be obtained, and you find you cannot succeed, make the patient stand up, having all things in readiness, and bleed him in that position until he faints; the moment this occurs the muscles will re- lax, and a slight force will often be sufficient, where more powerful ones have been used without effect. 87 690 GUNN'S DOMESTIC MEDICINE. Also recollect to vary the direction of the extending force. A slight pull in one way, will often effect what has been in vain attempted by great force in another. DISLOCATION OF THE LOWER JAW. Dislocation of the lower jaw is produced by blows? or yawning, usually called gaping. It is known by an inability to shut the mouth, and the projection of the chin. To reduce it is quite simple: Seat the patient in a chair, with his head supported by the breast of an assistant who must stand behind him. Your thumbs being covered with leather (or a glove) are then to be pushed between the jaws, as far back as possible, while with the fingers outside, you grasp the bone, which must be prest downwards, at the same time that the chin is raised. If this is properly done, the bone will be found moving, when the chin is to be pushed back- wards, and the thumbs slipped between the jaws and the cheeks. If this is not done, they will be bitten by the sudden snap of the teeth as they come together. The jaws should be kept closed by a bandage for a few days and the patien live upon soup. OF THE SHOULDER. This accident is quite common, (and the most so of all the dislocations mentioned.) You can easily dis- cover it, by the deformity of the joint, and the head of the bone being found in some unnatural position. To roduce it to its proper place, seat your patient in a chair, place one hand on the prominent part of the shoulder blade, just above the spot where the head of the bone should be, while with the other you grasp the arm above the elbow and then pull it outwards. Sometimes this will not succeed; if so, then lay the patient on the ground, place your heel in his arm pit, and then steadily and forciby extend the arm by grasp- ing it at the wrist. GUNN'S DOMESTIC MEDICINE. 691 OF THE COLLAR BONE. The Collar Bone is seldom dislocated; but should it take place, the treatment is, to apply the bandages, &c. as you have been already directed for a fracture of the same part. OF THE ELBOW. If this dislocation has occurred by falling on the hands, which is most common, or holds his arm bent at the elbow, and every endeavor to straighten it gives him great pain, it is dislocated backwards. Seat the patient in a chair, let some one grasp the arm near the shoulder, and another the wrist and forcibly extend it, while you interlock the fingers of both hands just above the elbow, and pull it backwards, remembering that under those circumstances, whatever degree of force is required, should be applied in this direction. The elbow is sometimes dislocated sideways or later- ally. To reduce it, make extension by pulling at the wrist, while some one secures the arm above; then push the bone into its place, either inwards or out- wards, as may be required. After the reduction of a dislocated elbow, keep the joint at perfect rest for five or six days, and then move it gently. If inflammation should come on; treat it as I have before told you in all inflammations—bleed freely, purge, &c. OF THE WRIST, FINGERS, &c. Dislocations of this nature are common, and easily known, by the least examination; they are all to be reduced by forcibly extending the lower extremity of the part, and pushing the bones in their places. If necessary small bands may be secured to the fingers by a narrow bandage, to assist the extension. These accidents should be attended to without delay; for if they are neglected for a little time, they become irreme- diable or incurable. 692 GUNN'S DOMESTIC MEDICINE. OF THE THIGH. Notwithstanding the hip joint is the strongest one in the whole body, it is sometimes dislocated. The meth- od of ascertaining this accident is by a careful exam- ination of the part. Comparing the length and appear- ance of the limb with its fellow, &c. sufficiently mark the nature of the accident. I will proceed to state the remedy: Place the patient on his back, upon a table covered with a blanket. Two sheets, folded like cravats, are then to be passed between the thigh and the testicles of each side, and their ends (one half of each sheet pass- sing obliquely over the belly to the opposite shoulder, while the other half passes under the back in the same direction) given to several assistants, or what is much better, tied very firmly to a hook, staple, post or some immoveable body. A large and very strong towel, folded as beforementioned, like a cravat, is now to be laid along the top of the thigh, so that its middle will be just above the knee, where it is to be well secured by many turns of a bandage. The two ends are then to be knotted. If you have no pullies, a twisted sheet or rope may be passed through the loop formed by the towels. If you can obtain the former, it is better. Cast the loop over the hook of the lower block, and secure the upper one to the wall, directly opposite to the hooks or men that hold the sheets which pass be- tween the thighs. A steadily increasing and forcible extension of the thigh, is then to be made by the men who are stationed arthe pullies or sheet, while you are turning and twisting the limb to assist in dis- lodging it from its unnatural situation. By these means, properly applied, [thejiead of the bone will frequently slip into the socket with considerable noise. GUNN'S DOMESTIC MEDICINE. 693 Should you be unable to succeed, change the direc- tion of the extending force, recollecting always, that it is not by sudden or violent jerks that it can be put in place, but by a steady, increasing and continued pull. Should all your efforts prove unavailing, (I would not advise you to lose much time before you resort to it,) make your patient, as before directed, submit in such cases to loss of blood, by which means in those difficult cases you are to succeed. OF THE KNEE PAN. If this small bone is dislocated, you will perceive it at once by the slightest glance. Now, to reduce it, lay your patient on his back, straighten the leg, lift it up to a right angle with his body, and in that position push the bone back to its proper place. Then keep the knee at perfect rest on a pillow for a few days. OF THE LEG. Accidents of this kind cannot happen without tearing and lacerating the soft parts; but little force is required to place the bones in their proper situation. Should the parts be so much torn that the bones slip again out of place, you had better apply Hartshorn's or Desault's apparatus, which I fully described to you for fractured thigh. OF THE FOOT. Dislocation of the foot seldom takes place. It, how- ever, may occur; therefore I will give you the treat- ment. Let one secure the leg, and another draw the foot, while you push the bone in the contrary way to that in which it was forced out. Then you are to cover it with folds of linen dipped in water in which sugar of lead has been dissolved, and apply a splint on each side of the leg, so that it reaches below the foot. An accident of this nature is highly dangerous, requiring 694 GUNN'S DOMESTIC MEDICINE. the immediate assistance of a skilful physician; as, even then, all that can be done to remedy them is in the speedy reduction of the bone, keeping the parts on a pillow at rest, and subduing inflammation by bleed- ing, low diet, and all such directions as already given to subdue fever. OF COMPOUND ACCIDENTS. I have fully, and as plainly as I could, before told you how to treat accidents of this kind, and what plan you are to pursue when single; it now remains for me to state to you what is to be done when they are united. For instance, an accident happens by which a man is thrown from a height. On examination, a wound is found in his thigh—it is bleeding profusely, his ankle on examination is out of joint, with a wound commu- nicating with the cavity, and his leg broken. In the first place stop the bleeding from the wound, then re- duce the dislocation next, then draw the edges of the wound together with sticking plaster, and lastly apply to the fracture, Hartshorn's or Desault's apparatus, which I have so fully explained before, that any car- penter can construct it for you. AMPUTATION. This means the cutting off a limb, or other part of the body. How often do those accidents happen where there is no physician, or regular surgical assistance, (often at sea, or at a distance in the country,) and the limb requiring immediate amputation, or cutting off The only difficulty, I confess to you, is to know when this operation ought to lie performed; for it is sometimes GUNN'S DOMESTIC MEDICINE. 695 the case that the most skilful surgeon is mistaken, or at a stand whether he shall operate or not. I do know several cases that have been preserved by the obstinacy of the patient, refusing to have the operation performed. But this was running a great hazard of life, and should be in all such cases ventured upon with due caution— and the operation ought not to be performed unless under the most careful and sound judgment. Now, to perform this operation, requires nothing but firmness and common dexterity, for any man, and that, too, to perform it well. Although, as I have told you, there are many doubts whether an amputation should take place or not, yet in others, all difficulty vanishes; as for instance, when a ball has carried away an arm; or during a storm, a tree happens to fall and mash the knee, the leg or ankle, so that those parts are greatly lacerated or torn, and the blood vessels are severely lacerated, also nerves and tendons; or the crushing or splintering of the bones, almost necessarily resulting from such accidents, render immediate amputation an unavoidable and imperious duty. Now, you will ask, what shall I do for instruments with which to perform this operation? If it is difficult to obtain surgical in- struments, which is often the case in the country or at sea, it is of no consequence. The instruments for this purpose are few, and easily obtained, which, in all cases will answer as a valuable substitute. First, get a large carving knife, with a straight blade—have the knife as sharp and smooth as possible—a pen-knife—a carpen- ter's tenon, or mitre saw—a slip of leather or linen, three inches wide, and twenty inches long, slit up the middle to the half of its length—a dozen or more of ligatures, each about a foot long, made of waxed thread or fine twine—a hook with a sharp point, or a shoe- 696 GUNN'S DOMESTIC MEDICINE. maker's crooked awl will answer—a pair of slender pincers—several narrow strips of sticking plaster, called by physicians or surgeons adhesive plaster, or adhesive strip—some dry lint—a piece of old linen, large enough to cover the end of the stump, spread with simple oint- ment or lard—a bandage three or four yards long, about the width of your hand—a piece of sponge, and some warm water. You are now prepared fully to perform amputation; which I will so plainly explain, that any man, unless he be an idiot or an absolute fool, can perform this operation. AMPUTATION OF THE ARM. How to perform the operation. Give the pa- tient, about half an hour before you intend operating, sixty drops of laudanum; now having all things in readiness, seat him on a narrow and firm table or chest, of a convenient height; he is now to be supported by an assistant, by clasping him round the body. If the handkerchief and stick have not been previously ap- plied, place it as high up on the arm as possible, (the stick being very short,) and so that the knot may pass on the inner side of it. Your instruments having been placed regularly on a table, and within reach of your hand, while some one supports the lower end of the arm, and at the same time draws down the skin, take the large knife and make one straight cut all round the limb through the skin and fat only; then with the pen- knife separate as much of the skin from the flesh above the cut, and all around it, as will form a flap to cover the face or end of the stump; when you think there is enough separated, turn it back, where it must be held by an assistant, while with the large knife you make a second straight incision round the arm and down to the bone, as close as you can to the doubled edge of the GUNN'S DOMESTIC MEDICINE. 697 flap, but taking good care not to cut it. The bone is now to be passed through the slit in the piece of linen beforementioned, and pressed by its ends against the upper surface of the wound by the person who holds the flap, while you saw through the bone as near to it as you can. With the hook or pincers you then seize and tie up every vessel that bleeds, the largest first and the smaller ones next, until they are all secured. When this is done relax the stick a little—if any artery spurt blood, tie it as before directed. The wound is now to be gently and very carefully cleansed with a spunge and warm water, and the stick to be relaxed. If it is evident that the arteries are all tied, bring the flap over the end of the stump, draw then the edges together with strips of sticking plaster, leaving the ligatures hanging out at the angles. Lay the piece of linen, spread with simple ointment or hog's lard, over the straps and a fold or pledget of lint over that, and secure the whole by the bandage. Then put your patient to bed and rest the stump on a pillow. The handkerchief and stick are to be left loosely round the limb, so that if any bleeding happens to come on, it may be tightened at once by the person who watches by the patient. If this accident should take place, by which I mean the bleeding, the dress- ings are to be taken off, the flap raised, and the bleed- ing vessel sought for and tied up; after which, every thing is to be placed as before. I have mentioned a handkerchief and stick; these are substitutes for the instrument used by surgeons called a tourniquet. Remember, in sawing through the bone, a long and free stroke should be used to prevent any hitching; as an additional security against which, the teeth of the saw should be well sharpened and set wide. 88 698 GUNN'S DOMESTIC MEDICINE. It is of the greatest importance to attend to this cir- cumstance. The ends of divided arteries cannot at the time of operation be got hold of; or being in a diseased state, their coats give way under the hook; so that it is impossible to draw them out, and not unfre- quently they are found ossified, which means turned into bone. In all such cases, having threaded a needle with a ligature well waxed, pass it through the flesh round the artery, so that when tied, there will be a portion of it included in the ligature along with the artery. The needle used by surgeons for this purpose is a curved or crooked one; but a straight one will an- swer. When the ligature has been made to encircle the artery, cut off the needle and tie it firmly in the ordinary way. The dressings should not be removed for several days, say from five to seven, if the weather is cool; but if warm weather, it should be removed in three days. But this you must do with great care, after soaking it well with warm water, so that you can take it away without it sticking to the stump, bleeding or otherwise producing pain. Then apply a clean plaster of lint, over which put a bandage as before directed;—which dressing is to be removed and a fresh one applied every two days. In about fourteen or sixteen days the liga- tures will generaliy come away; and in from three to five weeks, (if all goes on as might be expected, without any accident,) the wound is well. OF THE THIGH. Amputation of the thigh is to be performed in the same manner as that of the arm, with one exception; it being proper to put a piece of lint between the edges of the flap, to prevent them from uniting until the sur- face of the stump has adhered to it. GUNN'S DOMESTIC MEDICINE, 699 OF THE LEG. There are two bones in the leg, which have a thin muscle between. In such a case you must have an additional knife to those I have before mentioned, to divide it. The knife required for this purpose must have a long narrow blade, with a double cutting edge, and a sharp point. You can grind down a carving or case knife to answer every purpose; the blade however must be reduced to less than half an inch in width. The linen or leather strip should also have two slits in it instead of one. Having all your preparations in or- der near you, your patient is to be laid on his back, on a table covered with a blanket, or on a hard bed, with as many persons as may be necessary to hold him. The handkerchief and stick are then to be applied on the upper part of the thigh. One person holds the knee, and another the foot and legs as firmly as possi- ble, while with the large knife the operator makes an oblique incision round the limb, through the skin, and beginning at five or six inches below the knee pan, and carrying it regularly round in such a manner that the cut will be lower down on the calf than in front of the leg. As much of the skin is then to be separated by the pen knife as will cover the stump. (It is here im- portant for you to take the principal part of the flap from the hinder part of the leg; for the cut being made as directed, it should require only one inch of skin to be raised in front, and of course you must take enough from behind to meet it.) When this is turned back a second cut is to be made all round the limb and down to the bones; when with the narrow bladed knife be- fore mentioned, the flesh between them is to be divided. The middle piece of the leather strip is now to be pulled through between the bones, the whole being 700 GUNN'S DOMESTIC MEDICINE. held back by the assistant who supports the flap while the bones are sawed—which should be so managed that the smaller one is cut through by the time the other is only half off. The arteries are then to be taken up, the flap brought down, and secured by adhe- sive plaster with bandages, as I have before plainly explained to you. OF THE FORE-ARM. The fore-arm has two bones in it; therefore you require in this operation the narrow bladed knife, and the strip of linen with three tails. Let the incision be made straight round the part, as in the arm; with this exception—complete as I give you directions in the case before this. OF THE FINGERS AND TOES. When amputations of this kind are made, you must draw the skin back, and make an incision round the finger a little below the joint it is intended to remove; turn back a little flap to cover the stump, then cut down to the joint, bleeding it so that you can cut through the ligaments that connect the two bones—the under one first, then that on the side. The head of the bone is to be turned out, while you cut through the remaining soft parts. Should you see an artery spurt out the blood, immediately tie it up; if not, bringdown the flap, and secure it by a strip of sticking plaster. And then put a narrow bandage over the whole. CONCLUDING REMARKS ON AMPUTATION, It often happens in cases of amputation, that the wound is apt to bleed after you have dressed it—there- by giving you considerable trouble. (This is called by surgeons secondary bleeding.) Therefore to prevent this, if necessary, before the strips of plaster are appli- ed to the edges of the flap, give a little wine-water, or GUNN'S DOMESTIC MEDICINE. 701 a little spirit and water, and wait a few moments to see whether the increased force it gives to the circulation, will occasion a flow of blood; if it does, secure the vessel it comes from. But should there be a consider- able flow of blood from the hollow of the bone, make use of a small plug of cedar; and if violent spasms of the stump take place, hold it carefully by your assist- ants, and immediately administer large doses of lauda- num; it may be understood as a general rule, that after every operation of the kind, laudanum must and ought to be given according to the sufferings of the patient. MORTIFICATION. In the general treatment of wounds and in surgery, remember always to stop excessive inflammation; which, if allowed to go to a certain point, frequently produces mortification, or the death of the parts, Therefore, always be on your guard against fever— which you may easily know, by heat, pain, redness, and swelling. Now, I again repeat, that you must bleed and purge as much as you think your patient may be able to bear, from his situation, constitution, &c. &c. These matters are to be entirely regulated by the ap- pearances at the time. If the fever and pain should suddenly cease, and the part which before was red, swollen and hard, becomes of a purple color and soft, you are to stop at once all reducing measures, put a large blister over all the parts, and give good wine, porter, barks, and wine or quinine, or other generous stimulants, so as to support the sinking condition of the patient, for mortification has or is about to com- mence; and should you find the blisters should fail to 702 GUNN'S DOMESTIC MtCDICINE. put a stop to the disease, and the parts look dead and become offensive, cover them with charcoal, or ferment- ing poultices, until nature separates the dead parts from the living; during which time give a free, generous and • strengthening diet and good wine. In mortification of, the fore-arm, it frequently be- comes necessary to amputate. This ought never to be done until after blisters have been fairly tried to the sound parts above the mortified; as they often separate, you should be careful to examine strictly the parts, so as to discover, in time, that which may be necessary. THE CATHETER. A Catheter is a small surgical instrument made use of for drawing the water from the bladder. There are two kinds, male and female. The difference between them is very little; the male has but one hole in the end that enters the bladder; the female has several; this is the only difference in the instrument. By this simple operation, which any person of common sense can perform, the lives of thousands have been preserv- ed—and this is one among the many reasons I could advance, for having explained the outward parts of female generation so plainly. Now many fools say that I ought to have left out an explanation of these parts. And why do they say so? Because they do not read the book, so as to see the necessity of writing so plain. Are we ashamed of the parts which the diseases of our nature require to be explained, so as to obtain relief in cases of disease? I am writing a book not for the learned but the unlearned, not for amuse- ment, but to explain, in plain language, the diseases to GUNN'S DOMESTIC MEDICINE. 703 which we are subjected, and the method to obtain relief from pain and sickness. With these remarks I shall proceed. METHOD OF USING THE CATHETER. Holding the private member near its head, between the finger and thumb of the left hand; (standingat his side;) now with your right hand you introduce the point of the instrument into the passage, (out of which flows the urine,) the convex side of the catheter to- wards the patient's knees; then gently, by no means using force, push the instrument down the urethra, at the same time endeavor to draw up the penis on it. When you first introduce the catheter, the handle will of course be near the belly of the patient; and as it goes down the canal it will be thrown farther from it, until it enters the bladder, which you will know by the water immediately flowing through the tube into the basin or pot. It sometimes occurs that you cannot succeed while the patient is on his back; if this is the case, make him stand up, or you may place him with his shoulders and back on the ground, while his thighs and legs are held up by assistants. In difficult cases I have been compelled to place the patient on his back, and when the catheter was as far down as it would go, I introduced the fore finger, well oiled, into the funda- ment, and endeavored to push the point upwards while still pressing forwards with my other hand; by which means I have often succeeded, when all other methods failed. You must recollect force is never, on any account, to be used. Vary the position of the instru- ment as-often as you think proper; even permit the patient himself to try, but by all means use no force or violence; but humor the instrument, take your time, and be cautious, and you will at last succeed. I will 704 GUNN'S DOMESTIC MEDICINE. state to you a case. During my practice in Virginia, in Botetourt county, near the town of ^alem, a Mr. T. a young man in the prime of life, was engaged in raising a large barn, when a part of the building gave way, and he was dreadfully mashed, with a fall of thirty feet. I was immediately called in to his case; it was such as to leave but little if any hope of his re- covery. One of the logs having fallen across his privates, placed him in such a situation as to be entirely helpless. In this critical and, I may add, wretched situation, he continued five days without passing a drop of water. I had made daily unsuccessful efforts to introduce the catheter, but widiout success; his fever and thirst very great. I had bled . him very copiously every day, and endeavored by all means to reduce in- inflammation. His misery was excruciating from being unable to pass his water. All my efforts to pass the instrument, from the bruised stat<* of the parts, were unsuccessful. I then determined, previous to an oper- ation, to make the last trial; when I introduced my finger, as before described, into the rectum. Feeling distinctly the point of the instrument, I passed it gently into the neck of the bladder, when immediately the water flowed. So great and instantaneous was the relief afforded him, that he exclaimed, "I thank thee, merciful God !" By this operation upwards of a gal- lon of water was drawn off From this time his recovery gradually commenced. The instrument which I learned him how to introduce is continued, I am informed, until this time, being unable to pass his water without it. He is still living in Virginia, but, poor fellow, entirely deprived of the use of his lower extremities. I will now relate to you a second case— with which I shall close my remarks on the subject of GUNN'S DOMESTIC MEDICINE. 705 mis small but valuable instrument. Two years since I was called upon at night to visit a young lady of the most respectable family residing about ten miles from Knoxville, said by the messenger to be dying. On my arrival, I found her in great misery. She desired the room might be cleared of a!l save her sister, when she with the greatest delicacy declared her misery was from being unable to pass her water. In this horrible situation she had been for four days; during which time, the whole catalogue of teas had been prescribed from water melon tea to the full extent of twenty differ- ent kinds. All had been poured down the throat of this poor innocent girl, until she declared that she had rather die than drink another draught. On examina- tion I found I had forgotten my catheter, but as I have often done before, I made a temporary instrument. I took a common goose quill, cut it off at both ends, made one of the ends perfectly smooth, passed it into the small hole which I have so plainly described in the outward parts of female generation, and in less than five minutes this amiable and innocent girl was entirely relieved, by an operation which any old wo- man might have performed, saved me a disagreable ride of a very cold night, and the family an expense of ten dollars. This lady is now married, and the mother of a fine family. I have often since laughed with her, about the quality and quantity of the teas administered. I have mentioned this last case to show you the actual importance and indeed the necessity of explaining these parts, which otherwise I should have veiled in different language or omitted them altogether. 89 SCARLET FEVER. This complaint is now raging violently through Vir- ginia; and within a short time, has made its appear- ance throughout the western states, with considerable severity in its symptoms, and requiring active and prompt treatment—otherwise it generally proves fatal. I have no doubt, by early attention to those symptoms and remedies which follow, you will at once cut short and easily control this contagion, (for it certainly is a contagious disease,) similar to the measles—distinguish- ed or known from them, by the spots making their appearance on the second day of the fever; when, in measles, they usually make their appearance on the fourth day. The spots in scarlet fever being of a light flaming red, while those of measles are of a dark red color. From this plain and different appearance, you can certainly distinguish at once the difference in the diseases; thereby enabling you to take at once such prompt steps as to arrest this disorder; which, if suffer- ed to proceed, generally, and I may almost add always, ends fatally. Symptoms. Cold and sudden chills stealing gradu- ally over the whole body—with flushes of heat, great thirst, the head ache, the skin is covered with large red or scarlet patches, which after a short time unite or come together; then in a few days they disappear or go off in a kind of scurf, like bran, and the throat be- comes quite hoarse or sore, GUNN'S DOMESTIC MEDICINE. 707 Remedies. As you value the life of your patient, depend on emetics or pukes of ipecacuanha; which are to be given on the first appearance of the disease, to be followed by a dose of salts or eight grains of calomel and eight of rhubarb; and half of this dose for children. If the pulse is full and strong, and the head aches, it will be proper to draw blood, and dash cold water over the body very freely and frequently. (Do not be alarmed at this last remedy, for it will be the certain one in this complaint to relieve your patient, for I have often used it with great success.) There is no disease in which the advantages of cold water have been more successful than in scarlet fever; but to receive the full benefit of it, it must be often used and that freely; that is, as often as the heat, &c. seem to require the use of it, which perhaps may be the case eight or nine times in twenty-four hours. A fine remedy in this disorder is the Saline Mixture, made as follows: Salt of tartar one drachm, water seven ounces, essence of peppermint five drops. When the salt of tartar is dissolved, add very gradually lemon juice, or vinegar, until the effervescence ceases. This mixture to be taken every hour—and to children, such quantities of it as you can conveniently get them to take. It is a cooling mixture, produces gentle moisture on the skin, and keeps down inflammation, &o. When there is a sore throat, use any innocent gargle, such as sage and honey, with a little alum or borax in it, so as to wash or cleanse the throat frequently; and apply a mustard poultice to the throat. In scarlet fever in the latter stage, it will be prudent for you to guard against putrescency, which symptoms I will plainly describe to you, so that you may know them; having fully the marks of typhus fever—difficulty 708 GUNN'S DOMESTIC MEDICINE. in swallowing—breathing hurried—breath hot—skin dry, and burning to the touch—a quick, weak and irregular pulse—scarlet patches break out about the lips; and the inside of the mouth and throat are of a fiery red color. About the third day, blotches of a dark red color make their appearance about the face and neck, which soon extend over the whole body. If you will examine the throat, you will find a number of specks, between an ash, and a dark brown color, par- ticularly on the palate, &c.—a brown fur covers the tongue—the lips are covered with little pimples con- taining acrid matter, which burst and produce ulcera- tion wherever they touch. If the case is a bad one, the inside of the mouth and throat become black, and are covered with running sores, called ulcers. When these symptoms take place, it is a well marked case of putrid fever, and contagious. Be therefore careful, but not afraid. We cannot die in a better cause than in discharging a duty which we owe to God and our fellow creature—the last and most solemn injunction of our blessed Redeemer, "Love ye one another," and the beautiful inculcation of Divine Revelation, "Do unto all mankind as you would they should do unto you." For the treatment of these last symptoms, read un° der the head, remedies for putrid sore throat. EPIDEMIC CHOLERA. This pestilence has swept from life one hundred and forty millions of the human race, according to the most authentic reports of interments, since August, 1817. Sharers of the same nature, warmed with the same hopes, and as fondly attached to life as ourselves, all have been prematurely swept into eternity in quick succession, overwhelming the heart with sorrow for some affectionate parent, some tender companion, or some dear and near friend; and how many thousands, no doubt, unprepared for so sudden a change from life to the presence of the Supreme Judge of the Universe! It is impossible to commence writing on this awful and important subject, without reflecting on the rapid extinc- tion of human life, the cxcrutiating miseries so many human beings must have suffered, without shuddering at the great sum of human misery inflicted by this com- plaint; nor can we but be sensible of the insufficiency of human efforts, against the decrees of an overruling Providence. Now are we not warned by this sad and affecting scene, in language not to be mistaken, "Be ye also ready." This destroying angel whom the Eternal has em- ployed to sacrifice so great a portion of the human family, has, since August 1817, been advancing over the whole field of Europe; nor have oceans, mountains, climates, or distance, preserved us from its ravages. Mysterious and uncertain in its course, having no reg- ulated or physical agents by which its location could 710 GUNN'S DOMESTIC MEDICINE. be certainly determined, save that of its selection of the vicious, the uncleanly and intemperate. Nothing in my opinion can change the condition of the atmos- phere, which is essentially connected with this com- plaint. In other words, the disease is in the atmos- phere; and although no preventive can be taken against this complaint, yet much may be done towards staying its progress, and towards alleviating the force of the attack. The two best preventives for cholera from experience are temperance and great cleanliness; for experience, throughout this disease, proves clearly, and without any doubt, that cholera spreads itself with the most deadly effects amongst those, who are negli- gent of personal cleanliness, and dissipated in their habits. But notwithstanding the cholera in a great measure was supposed at first to limit its ravages prin- cipally to this unfortunate part of the community, and such as were greatly exposed, yet time and daily expe- rience prove, that many thousands have died of our most respectable citizens, who were certainly of the opposite character to those I have mentioned. Yet the fact is, that all who are within the atmosphere of chol- era are liable more or less to suffer from this complaint; but what are the real and physical causes that produce cholera, is as yet very uncertain, even to those medical men who have had great experience in it. All that can be said is that it is in the atmosphere; nor can any thing change the condition of the atmosphere which is so essentially connected with this disorder. The per- sons most liable to this affection, says the French Royal Academy of Medicine, in their report, are those physically and morally debilitated; those weakened by excesses, of whatever kind they may be; gluttons, drunkards and gamesters, and women of imprudent GUNN'S DOMESTIC MEDICINE. 711 habits, and all persons suffering under the pernicious effects of uncleanliness. To this testimony may be added that of all physicians and others who have watched this complaint, and the progress of the disease in India, England, France, Canada and our own coun- try. In all these countries the intemperate, the vicious and the lewd, when attacked, have universally fallen victims—and are the first to fall prostrate before the cholera, and most difficult to cure; and as an able physician expressed himself, generally beyond the reach of medicine. The unhappy inmates of the houses of ill fame, and those of immoral uncleanliness, in Paris, have been universally the first to be conveyed to the cholera hospitals. I shall now proceed to give you a full and perfect account of the cholera—its commencement and march throughout Europe and the U. States—the physical agents, &c. conuected with the disease—its locations, and the causes by which it was more or less increased or diminished in virulence, and if it is not in some degree attenuated in its dreadful effects, either by the power of the climate, or by that of the social organiza- tion of the people—and whether the cholera is pesti- lential or not, by which I mean catching—or how far the assistance of medicine or art may go to counteract the agents of this epidemic—together with a gen- eral and comprehensive treatment of the disorder, with the conflicting opinions of the most distinguished physicians, aud their treatment of cholera, and such useful information as is derived from the most able writers on the subject—with such plain directions and in such language as may be adapted to the capacity of the people. 712 GUNN'S DOMESTIC MEDICINE. The Cholera commenced in India, at Jessore, in August, 1817, of which disorder ten thousand persons died in the first two months. In Mymensing, a district watered by the Boiirrampooter, the Cholera prevailed in two successive years—the deaths here were ten thousand seven hundred and fourteen persons. In 1817, the complaint was mostly confined to the lower classes; but in 1818 the disease became general, and no rank was spared, and a tenth of the inhabitauts fell. A precise document is preserved at the city of Dacca, a district between and near the confluence of the Ganges and Bourrampooter. In sixteen months, from August, 1817, to January, 1819, of 6354 sick with the disease, 3757 perished—more than one-half. In the town of Sylhat, in three thousand three hundred and sixteen houses, containing eighteen thousand eight hundred and ninety-six inhabitants, there were ten thousand individuals attacked in five months; of whom died one thousand one hundred and ninety-six, or about equal to one in nine. In the district of Nuddea, traversed by that branch of the Ganges called Hoogly, of a population of one million three hundred thousand, the cholera destroyed sixteen thousand five hundred; there were attacked twenty-five thousand, of whom two-thirds died. Of four thousand seven hundred and eighty who received medical assistance, only one thou- sand sixty-six died, or less than one fourth. (Here is an evidence of the advantages of medicine.) At Nul- torc, between the Ganges and Boiirrampooter, the mala- dy was much less severe—the deaths not exceeding one in a hundred, in consequence of being better acquaint- ed with the treatment of this malady. In the country places, however, the fourth of the sick died, and in the GUNN'S DOMESTIC MEDICINE. 713 same district, only a short distance to Bargulpore, the cholera destroyed 15.571 in ninety days. Not one in a hundred in this district that were attacked, who escaped death. This may and is no doubt the cause of the great mortality; the country being low, marshy, and filled with stagnant pools. In Benr^re?, fifteen thousand people died; Calcutta has been visited severe- ly four times since 18-3 7. From Bengal I have not been able t > procure complete document?, or from the citv of Calcutta, wnich is the seat of Government of British India. It appears, however, from the best evi- dence procured on the first eruption, that in 1817, in the three months and a half previous to the 31st De- cember, thirty-five thousand seven hundred and thirty- six inhabitants of the city and suburbs were attacked by the cholera; of these two thousand three hundred died, or one in fifteen; but from the severe manner of attack, the distance, the great aversion of the Hindoos against European medicine, and the superstitious desire to await the termination of the malady, they generally resorted to some sacred place, or near an idol or wooden god, and there waited until death terminated their dreadful sufferings. Thousands and thousands have thus perished without seeking assistance, and consequently their deaths not recorded. At Calcutta, the proportion of men to women was as four to one. Of three families, great or small, there was always one or two of them who experienced a loss of from one to two, or three individuals, and in some cases five or six. In the English army in India, where the cholera was opposed by all the powers of medical science, the mor- tality, though still considerable, was less dreadful. The division of the centre lost two hundred and thirty Europeans, out of a corps of three thousand five 90 714 GUNN'S DOMESTIC MEDICINE. hundred; and five hundred and thirty-four natives, out of about eight thousand. The deaths varied according to time, and were sometimes one in eight, and some- times one in three and a half. In the division of Ilansi, there were only two hundred and sixty cases of Cholera; the loss was from one to five or six of the sick. In the division of the left, of eight thousand men, one hundred were attacked; and forty-nine died, or more than one third. In fine, in the division of Nagpore, of four thousand men, thirteen Europeans and two hundred and eleven individuals of the coun- try, were attacked with the cholera. Six of the for- mer, died; and amongst the natives the loss was about one in seven. Considering the eruption of 1817 and 1818, separately from those which followed, the English physicians of Bengal have asserted, that the mortality, though immense, was nevertheless exaggerated or in- creased by fear; and that thousands have been destroy- ed by the alarm or terror of this disorder, is certain, from authentic information from all medical sources. Fear is one of the exciting causes of this disease. We have estimated, say the English physicians, the ravages as proportional to the extent and density of the respec- tive populations it struck. The loss was more consider- able at the commencement and middle, than towards the end of the eruption. When it was opposed by medical assistance, the deaths among the troops rare- ly amounted to the third of the sick, and was bounded frequently by the fifth. When the sick were abandoned to themselves, the half of those attacked generally perished, and sometimes even two-thirds. In the island of Bombay, inhabited by nearly two hundred thousand people, it is fully established, that in seven months there were fifteen thousand nine hundred and GUNN'S DOMESTIC MEDICINE. 715 forty-five cases of cholera. Thus the twelfth part of the population was infected; of whom two thousand four hundred and thirty-two perished, or one in six. In the Madras army in five years there were fifteen thousand eight hundred cases, of which three thousand seven hundred and thirty perished. Of the naive military, of seventy-one thousand men, there perished fifteen thousand eight hundred and thirty—or one in four. The entire loss among the native troops was nearly a fourth. The population of the British posses- sions of India, amount to forty millions, without com- prising recently conquered country. The enumeration may be considered correct—therefore yielding in Indos- tan, an annual mortality, produced by the cholera, of two and a half millions of people. If we reduce the preceding estimate one-half, allowing for intermittances of the malady, yet the ravages of the scourge over the five regions of India during the fourteen last years, will form a loss of eighteen millions of persons. What must then have been the extent of its murderous effects, when we comprise its destructive course over so many other regions of insular and continental Asia, from which it is impossible to draw correct information. During the prevalence of the cholera in Russia in 1830, the progress of infection among the inhabitants, and the proportion of deaths to the sick, have differed according to time and place. The southern regions were those where the malady spread the most, widely and with the greatest rapidity; those towns where the disease entered at the end of autumn suffered but slightly. The province of Caucasus in Russia, there almost every where perished the half of those infected with this complaint, whilst the mortality amongst the nomadic tribes of the great steeps east and northeast 716 GUNN'S DOMESTIC MEDICINE. from the Caspian, amounted to only a fifth of those attacked. The longest period in which the disorder prevailed wis I 14 days; and the shortest twenty days: the i<;nrMT beginning in summer, and the latter in au- tumn. The province of Caucasus had the greatest number of deaths; out of sixteen thousand attacked, ten thousand perished. From the official lists which I have been able to collect on the prevalence of cholera in Russia, being united in one summary, yield the following—which is far below the reality. From the middle of June to the 15th of November, 1830, the public documents establish the fact, that there were in Russia fifty-four thousand three hundred and sixty- seven persons attacked with the cholera, of whom thirty-one thousand two hundred and fifty-six sunk un- der its violence. If I divide the aggregate numbers of the sick, and of the dead, by 1071, I find that during a period equivalent to three years, fifty-one individuals were attacked every twenty-four hours, by this disorder —and that out of these, thirty, or three-fifths died. The numbers given by the official reports are certainly below the truth, since, on one hand, a great number of cases have escaped notice, and on the other, a large number have, from different motives, been concealed. I, therefore, from documents on which you may rely as correct, estimate without exaggeration, that during the prevalence of the cholera in Russia in 1830, the infected amounted to one hundred thousand, and the deaths to sixty thousand persons. At the same time, the complaint had not then extended over more than one half of the Russian Empire. ' The Consuls of France, by their reports, have lat- terly enabled me to collect from their official docu- ments, some few details of the cholera in Western Asia, GUNN'S DOMESTIC MEDICINE. 717 and even in Arabia. The Iman or Sovereign inform- ed them that ten thousand of his subjects had fallen by this disorder, and that in consequence of the people having exhausted their means of burying the dead, provision was made from the imperial treasury; hun- dreds of dead bodies being frequently exposed for weeks for want of the means of burial, and owin<* to the fear of the contagious nature of the disease, thou- sands and thousands have died in the most wretched state, who have been permitted from fear and ignor- ance to linger out the most excruciating torture, with- out a single friend to soothe, or wipe from their brow the cold and clammy sweat of death. It would be totally unnecessary for me to trace minutely, in a work of this kind, the various ravages in towns, districts, &o. committed by this dreadful scourge. I have, how- ever, so far as I deemed necessary, communicated to you the principal and first locations of the disease, together with such official reports as I deemed inter- esting as to the principal places of mortality in Eu- rope. It may be necessary here for me to state, before I proceed further on this important subject, the atmos- pheric and other phenomena, anterior to and contem- poraneous with the disease in the sections of country mentioned. The physicians and surgeons of India, who have strictly noticed, and have reported faithfully, such appearances, describe frequent and great devia- tions from the usual order of the seasons, before and during the existence of cholera; and they speak of unusually violent thunder storms, violent squalls, and storms of wind and rain. Earthquakes were also felt in various parts of Hindostan. At the time when the grand army under the Marquis of Hastings suffered so 718 GUNN'S DOMESTIC MEDICINE. dreadfully from the disease, the thermometer ranged from 90 to 100—the heat was moist and suffocating, and the atmosphere a dead calm. At the time this complaint raged in Calcutta, the disease was attributed to the extreme heat and drought of the season, follow- ed by heavy rains, and the use of unwholesome food. In the island of Java, the weather was very dry and hot at the time the cholera broke out in the month of April. When this complaint broke out in Bombay, the falls of rain were unusually great in August; and at Ma- dras, the weather was much the same. It has been universally observed by those acquainted with this dis- ease, that it has generally been accompanied by a cloudy, overcast state of the sky, sudden showers, com- posed of large drops of rain, resembling those of a thunderstorm, and a thick, heavy state of the air, giv- ing it a whitish appearance; and whenever the weath- er cleared up, the disease gradually disappeared. Throughout India similar notices were made of the connexion between the disturbed state of the weather and the appearance of the disease. In all instances southerly and easterly winds seemed to give vigor and force to the cholera. Its greatest ravages have been during the heats of summer, subsiding most generally at the beginning of winter. During the prevalence of the disease, the atmosphere is in a rarified state; and exhibits a great tendency to part with its moisture, forming thick clouds, heavy rains, or haziness, and to become agitated by storms. The same influence of season on the appearance of cholera in Persia and Turkey is thought to be as evident as in India, for it raged with great virulence for three years at various places from the shores of the Persian gulf to the GUNN'S DOMESTIC MEDICINE. 719 Mediterranean, in one direction, and to the borders of Russia in Europe in the other, it prevailed only in summer. The weather before the appearance of this complaint in Mecca, (in 1831) was remarkable for the excessive heat—the thermometer being steadily as high as 102 F., and afterwards heavy rains, with the wind from south to south-east. Before the cholera appeared in Suez, a very hot south wind prevailed. At Cairo, on the approach of the disease, the wind was from the north-cast, and the heat during the day was very oppressive, with cold nights. At Nishmi Novogored in Russia, there sud- denly succeeded to a warm and dry state of the atmos- phere, in the month of August, 1830, a continuance of cold and wet. At this time the cholera began—pre- vailing winds south-east. The cholera appeared at Riga at the commence- ment of uncommonly hot and sultry weather. In Poland the cholera increased as the weather in March and April became cooler and more damp. With warmth and dryness of the air the complaint rapidly abated. When, however, in August and Sep- tember the days became very hot, and the nights cold, it again raged to an alarming extent. The prevalence of the disease at Moscow is stated to have been in pro- portion to the humidity or dampness of the atmosphere. At Vienna the cholera broke out on the 13th of Sep- tember after a hurricane and much cold rain. At Dantzic, so irregular and unfavorable to health had been the weather of the spring, that pestilential dis- eases were expected from the irregularity of the season. The prevalent winds, in most places in which the chol- era committed its ravages, have been easterly, from north-east to south-east Such winds the late Dr 720 GUNN'S DOMESTIC MEDICINE. Rush of Philadelphia, if you recollect, informed us, almost invariably preceded and accompaned some of die worst pestilences, and various fevers—such as plagues, yellow fever, and violent bilious and intermit- tent fevers. Among the phenomena worthy of record connected with the history of cholera, is the sickness, and mortal- ity of animals antecedent to and at the time of the ravages of the disease, in many parts of the world where it prevailed. On the most careful examination of all the reports on cholera by the most able physi- cians, it is Conclusive that the complaint is not trans- missible either by persons or goods, and fifteen years experience proves that the disease arises in the atmos- phere, and that all attempts to keep off this complaint by restrictive measures have utterly failed. More than five hundred instances I could here give you, of the cholera having suddenly appeared in a district, or country, in which not the least communication or in- tercourse had taken place with those affected with it. And we learn from the most scientific physicians, and those too who have made the most attentive and dili- gent research, that the cholera is not contagious, but arises from predisposing causes within the range of atmospheric influence—and how many facts have we before us by different writers on the East India cholera, that in the very centre of extensive districts ravaged by the cholera, there are certain narrow strips or patches of country, in which there existed no natural obstacles to the extension of the disease, but into which it never penetrated, although all around was one scene of des. olation. This part of the subject cannot be placed in a clearer light than by simply observing that the instances of immunity from the disease where unlimited inter- GUNN'S DOMESTIC MEDICINE. 721 course had been allowed, are in ten fold greater numbers than where restrictions had been imposed and no in- tercourse had been enforced. On the contrary it is believed that these quarantines or cordons (in other words guards to prevent persons who come from a quarter in which the disorder is known to exist) do not even give an opportunity of escape. Their tendency and effect are the other way. As another proof of this disease not being contagious, except in filthy, close and ill ventilated places, by which I mean filthy rooms and other dirty places, that the smell is sufficient to occasion sickness at any time—I say as another proof, the full and constant intercourse of physicians, nurses, attendants and friends, almost constantly with the sick of cholera, and the number of the former who have been attacked with the disease. If cholera were thus communicable, or catching, a large majority of the persons designated, ought to have had the complaint— whereas, in truth, a large majority of them entirely escaped. Those who were attacked were not in greater proportion than would have suffered from any prevalent disease whatever. At Moscow, five hundred and eighty-seven patients affected with cholera, and eight hundred and sixty laboring under other diseases, were admitted into the hospital of Ordinka. This hospital consists of a single building, three stories high communicating by stairs placed within the boards. The same attendants had charge of all the patients; the different articles of furniture were distributed with- out distinction to the patients, and all the clothes were washed together by the same persons. Of the eight hundred and sixty patients above alluded to, not a sin- gle one became affected with cholera; and of one hundred and twenty-three hospital attendants, two only 91 722 GUNN'S DOMESTIC MEDICINE. were affected, a man and a woman, both of whom were disposed to the disease from very irregular con- duct, and frequent admonitions had been given them of their danger but to no effect, when they suddenly died. Hundreds, nay, thousands of instances, might be addu- ced of entire immunity or escape, after constant inter- course with the sick both in India, Europe and the United States. The women who washed the cothes of the patients in the hospitals, were entirely exempt from the disease. All the attendants who helped the patients in and out of the bath, rubbed their bodies, dressed blisters &c, all escaped the complaint. This with few exceptions has been the case in all the cholera hospitals, with which I have corresponded. The phy- sician general to the town hospital of Dantzic, says that there were five waiters always near the patients; eight men were employed in rubbing and bathing; nine medical men visited the patients, of whom one was always in the room in the day time, and two watching every night—no one of these twenty-two persons fell ill. I have visited, says Dr White, the Gateshead hospital, during the time I had the honor of being phy- sician to that institution, unber all circumstances of physical depression. I have breathed the atmosphere of its apartments for hours together; yet I, the atten- dants, nurses, all equally exposed, have equally escaped. Not a single individual in the profession has sustained to my knowledge an attack since the disorder has pre- vailed. It is not reasonable to suppose, that physicians and nurses should be entirely free from attacks of cholera. We ought on the contrary to be surprised at the proportion being so small, when we consider how the extreme fatigue and loss of rest which they under- go, must peculiarly predispose them to the disease, GUNN'S DOMESTIC MEDICINE. 723 Very different, however, would be the result, if physi- cians, friends and attendants, were obliged to render their services in the close and confined quarters of a city or town, and in the damp, filthy, and ill-ventilated houses of those who are in the great number victims to the disease. Hence it becomes the duty of all gov- ernments, and the corporations of cities, and all public authorities, to make timely and suitable provision for the reception of the poor and needy, and placing them in the earliest stage of the disease in comfortable hos- pitals, and also of cleansing dirty, filthy places, and houses, cellars, privies, &c. From a full and impartial review of all the reports on the subject of cholera, with the rise and progress of the disease, it proves to be an epidemic, depending upon some peculiar morbid change in the constitution of the atmosphere, which, to speak the truth, and in plain language, is unknown to all medical men. And all that can be said on the subject is this, that it is owing to some unknown peculiarity of the atmosphere, some- thing similar to that which gives rise to the ordinary fever, and other complaints of the season of the sum- mer and autumnal months. That its severity or miti- gation greatly depends upon the predisposing causes at the time of the location of the disease, there can be certainly no doubt: for instance, such as intemperance of every species—exposure to the dews of night— sudden changes in the heat and dryness of the atmos- phere—excessive fatigue, and the system laboring un- der general debility—a want of cleanliness—food of a bad quality, &c. All articles which irritate the stom- ach and bowels, prove exciting causes of the complaint. Any sudden or considerable debility of the nervous system is to be greatly dreaded, as of itself laying the 724 GUNN'S DOMESTIC MEDICINE. body open to an attack of cholera. On this account, anxiety, fear, and the depressing passions in general, should not be allowed to harass the mind. Hundreds, I may almost say thousands, have been destroyed by fear alone. In your manner of living be regular, and do not suddenly change your habits, but maintain regu- lar hours of sleep, regularity of meals, and the accus- tomed daily exercise, strictly avoiding exposure to the sun, great fatigue, night air or dews, getting wet, care- fully avoiding situations in which the air is foul, stag- nant, and loaded with moisture, and every thing which has a tendency to reduce the energies of the system, either by over excitement or direct debility, and to im- pede the functions of the skin, or to induce disturbance of the digestive canal. To avoid cholera, preserve habits of strict temperance—no excess of any kind— no experiments to be made with medicine, by which I mean the preventives of the disease advertised by quacks and imposters in every city. Remember one important rule—strict cleanliness of person, clothes* and habitation. Keep your feet warm and dry, wear warm clothing, so as to guard against sudden changes of weather, and particularly from sudden, damp, cold moisture. Avoid late hours, crowded assemblies, long continued menial exertion, sleep not in damp beds, or in low, damp, ill-ventilated apartments, and shun, as you wish to avoid the cholera, at the time it is raging, all swampy or marshy districts. As many have been for years in the habit of taking spirituous liquors, I should advise such persons to drink on sparingly and in proper moderation; for we are truly creatures of habit, and I have always believed that any sudden change, either in diet, drink or clothing, is highly injurious, par- ticularly at a time when cholera is prevailing in that GUNN'S DOMESTIC MEDICINE. 725 section of country in which you reside; and under any circumstances our habits become second nature, and if necessary, which is often the case, it is prudent to gradually desist, or change them. As I have before told you, no medicine ought to be taken as a preventive in cholera, for all medicines of this nature are amongst the most effectual means of inducing an attack of the disease. During the prevalence of the late epidemic at Montreal, the authorities very judiciously forbade apothecaries making up and vending without permis- sion, the medicines and quack nostrums eagerly sought after, with a hope of preventing or arresting the com- plaint. Time and attention to the early symptoms of this disease are of great importance. But urgent as may be the demand for assistance, it ought never to be given from fear or as a preventive, (which has no doubt been often the case,) for hundreds have died from fear, as reported by many distinguished observers of this malady. Suffer me to remind you of one im- portant preventive, in this epidemic—at all times and under all circumstances, to place a reliance upon Almighty God. That man must adhere with inviolable constancy to whatever is good or great in life, who is animated with the hope of divine approbation, and who relies with assured confidence on the friendship, protection, and assistance, of the great ruler of all things. No difficulties, no dangers, no sickness, can terrify him who has that great Being on his side, the sole, the sovereign disposer of all events. After all my diligent research and attention, I find the preventives against cholera may be summed up in a few words—pure air, good substantial living, tempe- rance and regularity of life in all things, strict cleanli- ness, and a tranquil mind. 726 GUNN'S DOMESTIC MEDICINE. Symptoms of Cholera. I shall commence by giving you what is termed the Premonitory Symptoms of Cholera—by which is meant symptoms of the first or forming stage of the disease—and on your paying strict attention to these symptoms, will greatly depend the favorable issue of the case, and if you do not, in nine cases in twelve the person will die. The person attacked with cholera complains of weakness, as if he had undergone fatigue; he feels frequently for a few moments, uneasiness in the region of the stomach—but not so severe as to create alarm. Frequent evacuations or stools from the bowels, being obliged to go to stool from two to a dozen times a day —and not much griped in passing them. The coun- tenance or features look unusually sharp, sometimes a little sick at the stomach, but this last symptom is not very common. This early evidence of the approach of the cholera, is not often attended to, and seldom no- ticed but by those experienced in the complaints. The symptoms I have just mentioned may continue, varying, sometimes better and then worse from one to ten days, before the second stage of the disorder commences. The stools at the first are generally of a dark brown or blackish color. As the looseness continues, they grad- ually become less and less of a natural appearance, until they look like dirty water. Some headache, cramp of the fingers, toes and belly, and almost always a swimming of the head, and a ringing of the ears, ac- company these symptoms. Very frequently the bowels, for two or three days, are costive or bound, and then looseness will again come on, and in a few hours collapse supervenes, and in general sickness at the stomach, and vomiting or puking. Now remember that on an early attention to this looseness of the GUNN'S DOMESTIC MEDICINE. 727 bowels will greatly depend the cure, by timely applica- tion of such means as I shall advise; or if it is con- venient, and you fear to trust your own judgment, make on the first appearance of these symptoms early appli- cation to a physician. Dr. Kirk, a distinguished medi- cal gentleman, says it was found, from regular records of upwards of four thousand patients, that this loosoness of the bowels prevailed in every case. Symptoms of Marked Cholera. Having atten- tively perused all the numerous accounts which have been published, of the various symptoms by which the epidemic cholera is accompanied, I have thought it only necessary to give you all the general and well marked symptoms of the complaint, without noticing every triffing deviation from the ordinary course of the disease. All you wish to be informed of is, when you are about to take it, and lastly when it has certain- ly attacked. I have therefore selected for you the description of the Madras Report, founded on exten- sive experience in the country in which I enumerated to you its awful ravages. This complaint generally takes place in the night or towards morning. You are taken sick at the stomach and vomit, or puke—the bowels are at once evacuated, that is in other words, you go to stool, and you seem to discharge or empty all their solid contents, and feel, after you have done, great exhaustion, sinking and emptiness—after a short time you feel faintness, your skin becomes cold and very often giddiness or swim- ming in the head, and ringing in the ears; the power of moving your limbs seems impossible—twitching of the muscles of the fingers and toes are felt, and these affections gradually extend along the limbs to the • 728 GUNN'S DOMESTIC medicine. trunk of the body. The pulse from the first is small, weak, quick, and after a certain interval, but particular- ly on the commencement of spasms or of severe puking, it sinks suddenly, so as to be quickly lost in all the external parts. The skin, which from the com- mencement of the disease is below the natural heat, becomes colder and colder; it is seldom dry—general- ly covered with a profuse cold sweat, or with a clammy moisture. In Europeans the skin often assumes a livid hue; the whole surface becomes collapsed; the lips become blue—the nails present a similar appearance, and the skin of the feet and hands becomes much cor- rugated and exhibits a sodden appearance; in this state the skin is insensible, even to the action of the strongest medicines, such as warm spirits, or spirits in which camphor has been dissolved, or in fact even the action of the most powerful stimulants; yet the patient generally complains of oppressive heat on the surface, and wishes to throw off the bed clothes. The eyes sink in their orbits, and are surrounded with a livid or dark circle; the eye becomes heavy and frequently the whites of the eye diffused with blood, or in other words blood shot. The features of the face look sharp and dead, and indeed the whole countenance assumes a cadaverous aspect, and its appearance so uncommon that it is easily observed by all to be strangely and peculiarly unnatural. There is almost always urgent thirst, and a desire for cold drink, although the mouth be not usually parched. The tongue is moist, whitish and cold; a distressing sense of pain, and a burning heat at the epigastrium or pit of the stomach, are very common in this disease. Very little water is passed, bile, or saliva or spittle, is secreted; the voice becomes GUNN'S DOMESTIC MEDICINE. 729 quite feeble and hollow, having an unnatural sound; the breathing is oppressed and generally slow, and the breath of the patient is quite cold or deficient in heat. While these symptoms are going on, the stomach and bowels are very much affected in different ways. After the first vomiting and stool, however severe these symptoms may be, the matter passed by stool is always of a watery nature; and in some cases it is entirely destitute of color. The stools often resemble muddy water; and in others it is of a yellowish or greenish color. A very common appearance is that which is called in the East Indies "congee stools," resembling water in which rice had been washed, or having the appearance of numerous little slimy flakes, floating in the colorless water. The discharge from the stomach by puking, and those from the bowels by stool, do not appear to differ mucti, except that the former, or that which is puked up, has mixed with it portions of food which may have been eaten and not digested. Neith- er the vomiting nor purging are symptoms of long continuance; they are either stopped by medicine, or the body becomes unable from weakness to puke or purge any longer; and they, together with the spasms, suddenly disappear a considerable time before death. If blood be drawn, it looks of a dark or black color, ropy, and flows slowly and with difficulty. Toward the close of the scene, great restlessness comes on, and constant anxiety and distress; and death takes place often in ten or twelve hours, and generally within seventeen or twenty hours from the commencement of the attack. During all this mortal struggle and com- motion in the body, the mind remains clear, and its functions undisturbed, almost to the last moment of existence. The patient, though, sunk and overwhelmed, 92 730 GUNN'S DOMESTIC MEDICINE. and almost lifeless, dislikes to speak, and is greatly distressed if the least disturbed—still, however, retain- ing the power of thinking, and of expressing his thoughts, as long as his organs are obedient to his will; such symptoms are the most common of the epidemic cholera, where its tendency to death is not checked by medicine. Cholera, however, like other diseases, has presented considerable variety in its symptoms; thus, it may on one occasion be distinguished throughout by the absence of vomiting, and by the prevalence of purging; on another, by the excess of vomiting; and, though more rarely, by the absence of purging, Spasms may be generally present in one instance; in another, it may not be observed. Of all, the most difficult is, that which is marked by a very slight com- motion in the system—in which there is no vomiting, hardly any purging, perhaps one or two loose stools, no perceptible spasm, no pain of any kind, a marble cold- ness, with arrest or stoppage of circulation which comes on from the beginning, and the patient dies without a struggle. Vomiting or puking, as I have before told you, if entirely absent, or if it has taken place for a time, it soon stops, from the stomach being paralyzed, or in other words, as if it were really dead or without any feeling or sensibility. Purging is a more constant symptom than vomiting in this disease, and in all cases of cholera, or most generally, it is, as I have before said, the first symptom in the disorder. Purging has been very rarely absent altogether—and when it is absent, is quite a^bad symptom, for it denotes or shows plainly that the attack is very dangerous. There is seldom much griping or tenesmus, which means a great and constant desire to go to stool, without doing GUNN'S DOMESTIC MEDICINE. 731 much, and sometimes these desires are so sudden as to be irresistible. They also frequently take place at the same time, both puking and purging with spasm, and the pulse stops for a time at the wrist; as if these symptoms originated at the instant, from one common cause. In advanced stages of the disease, purging generally ceases, but in many cases a discharge of watery fluid takes place on every change of posture. The matters evacuated after the first emptying of the bowels have been occasionally observed to be greenish or of a yellowish appearance, turbid, of a frothy ap- pearance, like yeast, and quite frequently bloody; but by far the most common appearance is, that of pure scrum (which means the appearance of whey,) so thin and colorless as not to leave a stain on the patient's linen. The next in order of frequency is the congee- like fluid; (I have before explained to you what the congee stools meant;) the mucus is at all times so thor- oughly mixed, however, with the scrum, as to give the whole the appearance of milk. The quantity of the clear watery fluid which is sometimes discharged, is very great, and were these discharges to continue con- stantly, it would afford a perfect knowledge of the cause of the debility or weakness, thirst, thickness of the blood and other symptoms; but it is reduced to a positive certainty, that the most fatal and rapid cases, are by no means those which are distinguished by ex- cessive discharges. Death, on the contrary, has ensued in innumerable instances after one or two watery stools, without the development of any other symptom affect- ing the natural functions. Collapse has even come on before any evacuation by stool had taken place. The peculiarly calm and undisturbed state of the mind in this disorder, has been the subject of great 732 GUNN'S DOMESTIC MEDICINE. surprise; instances are known of patients being able to walk, and to perform many of their usual avocations in business, even after the circulation has been so much arrested, that the pulse has not been discerned at the wrist; the cases I allude to, are those chiefly in which it has begun by an insidious watery purging; and ma- ny lives have been lost m consequence of the patients, under these false appearances, not having taken early alarm, and applied for medical aid. In other cases again, the animal functions appear to have been early impaired, and the prostration of strength to have pre- ceded most of the symptorgs^ f^The voice, in general, sounds very weak, partakin^of the debility prevailing in the other functions; it iscommonly noticed as being remarkably feeble, often almost unable to be heard. Deafness has also been remarked in some instances to have been completely established. Coma does occa- sionally occur, especially towards the termination of the case, when it is fatal; but delirium has seldom been observed in this complaint. Spasm has been held as one of the most essential features or certain accompaniments of the epidemic cholera, and owing to which circumstance it has re- ceived this specified name; so far, however, as relates to the muscles of voluntary motion, and it is that descrip- tion of spasm only to which I now refer, no symptom is more frequently wanting. Spasms of the muscles chiefly accompany those cases in which there is a sen- sible and violent commotion of the system; hence they are more frequently found in cases where Europeans are the subjects of the disease, than when it attacks the natives of India, and in robust patients, more frequently than in the weakly. In the low or more dangerous form of cholera, whether in the European or Indian, GUNN'S DOMESTIC MEDICINE. 733 spasm is generally wanting, or is present in a very slight degree. The muscles most commonly affected are those of the toes and feet, and of the calves of the leg; next to these the corresponding muscles of the superior extremities, then those of the thighs and arms —and, lastly, those of the trunk—producing the most distressing feelings to the afflicted person. It is deserv- ' ing of remark, says Doctor Graigie in his account of the disease, that in several instances, the first indica-. tions of cholera were the twitching of the fingers and toes; and a great many persons who resisted all the other symptoms of the disease were attacked by this twitching. Of all the symptoms of cholera, none are so universally present, nor indeed so important and fatal, as the immediate sinking of the circulation. It musi nevertheless be admitted, that where instant remedial medicines have been successfully practiced, this symptom may not have developed iteell| and that there are even cases where an excited vascular action has been observed to accompany the first perturbation of the system in cholera. Some intelligent medical gentlemen have entertained doubts whether such cases belong indeed to this disease; it is, however, to be re- membered, that these are precisely the cases which yield most certainly and readily to appropriate reme- dies, and it consequently follows that the physician can seldom have an opportunity of observing whether or not this form of cholera will pass into a more aggrava- ted stage. Cases, however, have occurred, in which such degeneration has taken place, and it has been followed by death. The symptoms of excitement have likewise principally occurred among soldiers, in whom an effect upon the circulation may have been produced by the quantity of ardent spirits they are in the habit of 734 GUNN'S DOMESTIC MEDICINE. drinking daily. The period at which a marked dimin- ution of vascular action takes place, is somewhat vari- ous. The pulse sometimes keeps up tolerably for some hours, though very rarely; it more generally be- comes small and accelerated at an early stage, and on the accession of spasm or vomiting, suddenly ceases to be distinguishable in the extremities. The length of time during which a patient will sometimes live in a pulseless state, is extraordinary. That remarkable shrinking of the features of fhe face, which has acquired the emphatic term of the "true cholera countenance," appears in every case, un- less quickly stopped in the forming stage, by medicine. This expression of countenance, which conveys so truly, that of death itself, cannot be mistaken; and by an attentive observer, it will be perceived, that a similar shrinking takes place throughout the limbs, and all the projecting parts of the body. No symptoms of cholera are so uniform in their appearance and progress, as those connected with the blood and its circulation. It is fully established, that the blood of patients attacked with cholera, is of an unnaturally dark color, and of a very thick consistence. In a great majority of the re- ports of the physicians of India, it is stated unequivo- cally, or without doubt, that after a certain quantity of dark and thick blood has been drawn, it is common for its color to change—becoming much lighter. When this was the case, it was considered favorable as to the termination of the case. In India, when medical aid was early administered, and the constitution of the patient otherwise healthy, the recovery from an attack of the cholera was generally very quick, owing to the peculiar constitutions of these people, in whom there is ordinarily very little tendency to inflammation or fever. GUNN'S DOMESTIC MEDICINE. 735 But in Europeans, in whom there is much greater tendency to inflammation or fever, and a determina- tion to some of the internal organs; consequently, the recovery from the disease by them is not so sudden or perfect. When cholera, however, is of long continu- ance, and when the congestions appear to have been thoroughly established, few, either Europeans or na- tives, who outlive the attack, are restored to health without considerable difficulty. I have now described to you as fully and as minutely as the space allotted to me in this work would permit; giving you the general symptoms of cholera, as it pre- sented itself in the different districts of India, and they agree in every respect with those observed in the disease during its prevalence in Russia, Poland, North of Eu- rope, the Canadas, &-c. Sec. This is proved by the history of the disease, by the most able and distinguish- ed physicians throughout Europe and India; particular- ly the able report made by Dr. Keir, of Moscow, to the British Government, and in the accounts transmitted from Montreal and Quebec. And all the reports made on this fatal disease agree as to the principal symptoms; that in the generality of cases, there were the same ex- cessive or constant evacuations by puking and purging of a watery, turbid fluid—the same collapse of the skin —coldness of the surface—sinking of the pulse—failure of the strength—lividity of the face, or purple cast— shrinking of the features—spasms of the muscles, &c. all of which symptoms usually take place more or less, with some few variations, (perhaps very few,) owing to the peculiarity of the constitution, or the state of the system at the time of taking the disease. For cholera, in its severity and duration, by which I mean the length of time it exists, depends much upon the local or pre- 736 GUNN'S DOMESTIC MEDICINE. i disposing causes. Therefore, if any decided difference has been observed between the character of cholera, as it prevailed in India, and after its extension into Europe, the Canadas, and the United States, it consists merely in the gradual amelioration of the complaint; by which I mean, that it sometimes gradually loses its severity; owing, as I have before told you, to the pecu- liarity of the climate, the predisposing causes, inviting, more or less, the disease, wherever the disorder, which is in the air, may locate or settle itself. And this is the reason why the cholera rages more violently at one place than it does at another; because the predisposing causes are greater. Therefore, let temperance and cleanliness in all things, be the watchword -T for experience has taught the people of the United States, that by due caution, and early attention to the proper remedies, which are simple and easily understood, this pestilence may be, and has been perfectly within the control of medicine—and that this disease is the same as the European cholera, is fully established by the evidence of various physicians of eminence, who have witnessed the cholera both in India and Europe; and, as I have before stated to you, its virulence or mitigation entirely depending upon local causes, or the constitution, and the predisposition to an attack of this complaint. TREATMENT. The Cholera has not been found to be less under the control of proper treatment, than any other disease equally rapid in its course. When remedies of a proper kind have been administered in the early stage of the complaint, and judiciously managed, a favorable termin- ation has, in the majority of cases, been the result. The difficulty is, to induce patients, or those attacked GUNN'S DOMESTIC MEDICINE. 737 with this disorder, to apply sufficiently early for medical assistance. With the loss of a very few hours, the chances of recovery are greatly diminished. "If the disease," says Dr. Annesley, whose experience in the treatment of epidemic cholera, during its prevalence in India, was considerable, "be taken at its commence- ment, or within an hour after the disorder attacks you, it is as manageable as any other acute disease; but the rapidity with which it runs through its course, requires the most active exertions before it can be checked, and the loss of an hour may cause the loss of life." The remedies most successfully used in India, and throughout Europe generally, will be noticed. The variety of different means used, and the peculiar opin- ions of different medical writers, many of which have proved unsuccessful, I do not think it necessary to mention in a book of this kind. My object in writing so ful'y on this subject, has been to give you a perfect and general knowledge of the complaint, as to its vio- lence and progress in India, and the principal remedies which prove to be the most successful in the cure of cholera; selecting from the experience of the most dis- tinguished physicians, such remedies as may be relied on in this epidemic; after which, I subjoin the opinion and advice by letter, of the distinguished medical gen- tlemen of our own country, simplified*in plain language, adapted to the people—closing this important subject with my remarks and advice to my countrymen. The remedy, the good effect of which, in the treat- ment of cholera, appears to have been most generally acknowledged, and the early employment of which is most insisted upon, is blood-letting. Bleeding from the arm in the first stage, when the pulse is full, and the temperature not reduced, is often 93 738 GUNN'S DOMESTIC MEDICINE. sufficient to cut short the disease. The patient always feels immediate relief, particularly, where the head has been affected. The bleeding should be performed in a horizontal position; or in other words, the patient should lie on the bed while bleeding him. After the bleeding, he must remain quiet in bed for some time. Doctor Drysen, who has had great experience in this complaint, directs to increase the flow of the blood from the arm, by frictions or rubbing to the surface of the body, with flannel cloths wrung out of hot water, or by bleeding while the patient is in the warm bath. To sec how to prepare and use the warm bath, read under that head. According to Mr. Bell, "in no case in which it has been possible to persevere in blood-letting, until the blood flows freely from the veins, and its color is re- covered, and the oppressed chest is relieved, will the patient die from that attack of the disease." He directs that when the blood has once begun to flow, it ought to be allowed to bleed until these changes are observed. It is the opinion of Doctor Kenedy, that in ninety-nine instances out of a hundred, where patients are said to have died "despite of blood-letting, it will be found on examination, either that no blood flowed from the incision or opening made by the lancet, or that it came away in drops, or in a small broken stream, rarely exceeding a few ounces in quantity. "On the contrary," he adds, "where blood was freely obtain- ed to the extent of twenty or thirty ounces, and where the depletion was followed by proper auxiliaries, or other assisting remedies, the patients have usually re- covered." The testimony of the German, Russian, and Polish physicians, has all been given in favor of the beneficial GUNN'S DOMESTIC MEDICINE. 739 effects of blood-letting, when early resorted to in chol- era. The absence of the pulse is no reason why you should not use the lancet, unless it be accompanied by other symptoms of great debility and the system has been exhausted by previous evacuations or purging, and the surface is covered with a cold, clammy sweat. Even under such circumstances, many attest the advantages of blood-letting, especially when preceded by sinapisms, or in other words stimulating plasters of mustard to the belly, feet, ancles, &c.—the application of dry heat and frictions to the surface, by which is meant bags of hot sand, bags of hot mush, bags of hot oats, bottles of hot water rolled in blankets, &c.—(this is dry heat,)— frictions or rubbing, as before explained, and diffusible stimulants internally—either, spirits of hartshorn, bran- dy, wine, and liquors of all kinds, given inwardly, so as to excite or rouse the circulation of the blood. In some cases of cholera, says that able and expe- rienced physician, Dr. Lefevre, the pulse ceases to beat very early, but upon opening a vein the blood flows slowly at first, gradually the current becomes fuller and stronger, the pulse beats very sensibly, and the heart thus relieved, is enabled to continue its circulation. The only cases in which bleeding would appear of doubtful propriety, during the first stage, are those occurring in old debilitated or weak persons, and in constitutions completely broken down by intemperance. When blood cannot be drawn from the arm, and the spasms continue—when severe pain and burning heat are felt at the epigastrium—when the skin is cold, and deluged with a cold clammy sweat, and when there is oppression at the chest and difficulty of breathing, excessive pain and confusion of the head, with great 740 GUNN'S DOMESTIC MEDICINE. intolerance or dislike of light, no pulse, or a very indis- tinct one, and a cadaverous or offensive smell from the body, cupping is advised over the region of the belly, with frictions of turpentine externally or outwe.rdly, and calomel given internally: In the advanced state of the disease an opportunity is sometimes afforded for the drawing of blood. This, according to Dr. Annesiy, is marked by a struggle or effort of the circulation to overcome some resisting power, and is a most auspi- cious or favorable symptom, which should never be overlooked. As soon as it occurs, bleeding, directed with great judgment, should be resorted to. The patient, after bleeding should be warmly cover- ed with bed clothes, and allowed to remain perfectly still for a short period. Sinapisms and rubefacients, or in other words, in plain English, meaning mustard poultices, mixed with strong vinegar and applied to the calves of the legs, inside the ancles, soles of the feet, &o., to act asj a stimulant employed in low states of fevers, and other diseases; and in cholera the object is to rouse the cir- culation of the blood, and to supersede the use of blisters, which are in this disorder too slow. Rubefa- cients mean that substance which, when applied to the body or skin a certain time, makes a redness with- out blistering. Sinapisms and rubefacients are among the most efficacious or best means adapted to the cure of cholera. "It may be said of them, that they are indispensable, and there is hardly any stage of the disease in which they may not be employed with ad- vantage—so long as the disease endures, so long will their use be proper, and they should be repeated con- tinually." The pain in the bowels, and even the sickness, are often instantaneously relieved by the GUNN'S DOMESTIC MEDICINE. 741 application of a large mustard poultice mixed with vinegar and applied over the region of the belly, and much pain is saved the patient if it be applied early. In violent cases of the disease the application of the mus:ard poultice mixed with strong vinegar as before directed, and applied to the ancles, wrists, calves of the legs, inside of the arms and. thighs, and along the spine, is recommended in the strongest terms in various treatises by the best informed physicians of India and Europe, on the cholera; and from the beneficial effects which we have seen result from the practice through- out this complaint, that is one which should never be neglected; it would be as well probably to defer, how- ever, the sinapisms or poultices until the full effects of dry frictions have been tested. When the skin has been excoriated or inflamed by the use of sinapisms, anodyne fomentations, or in other words laudanum or opium steam, applied to the body, or even pulverised opium sprinkled over the tender surface, will be often useful in relieving pain and sickness at the stomach. Dry frictions are recommended as remedies of great importance and efficacy in all cases of cholera. By dry friction is meant rubbing well the whole body with your hands; hence, it can only be recommended in those cases where there are plenty of attendants to wait upon the sick. Dry frictions are best adapted to, and have been found most beneficial in the early period of the attack. "The object of friction is twofold. 1st. To restore the circulation in the part, and the heat that is dependent upwn it. 2d. To introduce remedies into the system by absorption." The first may be effected by mere rubbing with the hand, or a warm flannel, or the flesh brush; and if persisted in, will often restore the circulation to the extremities, which were previously 742 GUNN'S DOMESTIC MEDICINE. cold and senseless; but it requires great perseverence and long continuance; for it is necessary to keep up the circulation after it is restored; and as I have before told you, requires considerable assistance or attendants to wait upon the sick. Various liniments have been proposed to assist the effects of friction; but they may be superseded by steady rubbing with the hand, which should be sprinkled occasionally with a little powdered starch, or a little camphorated oil. Where proper and effectual rubbing cannot be maintained, stimulating liniments should be employed; because little rubbing will suffice, and the effect will be more permanent. The liniment composed of camphorated spirit and am- monia, (meaning hartshorn,) will answer every purpose. When the spasms are severe, the spirits of turpentine are best for rubbing with. Rubbing the body with spi- rits is improper, as their rapid evaporation will have a tendency to increase the coldness of the surface. Medicines may be introduced into the circulation by frictions, and thus certain indications fulfilled, when the stomach is in too irritable a condition to retain the proper remedies. Especially may local pain and spasm be alleviated by frictions with opium, hyosciamus, and other narcotics, in the form of liniments or ointments. Dry Heat. This remedy is strongly recommended by many of the practitioners who have witnessed the cholera in the north of Europe. Mr. Kennedy, a dis- tinguished physician, recommends it in the first stage of the disease, after bleeding, the warm bath, and the other remedies which are immediately .demanded. He remarks—"as soon as the cramps are subdued, or have received a decided check, the patient should be removed from the bath with all possible expedition, and be placed between dry heated blankets. Dry warmth should be GUNN'S DOMESTIC MEDICINE. 743 further afforded by surrounding his body and limbs with bags and heated sand." Here dry heat, be it re- membered, is the remedy, and not the sand which con- tains it. On this principle, bottles of hot water, rolled in flannel, have been employed; and also hot ashes, bran, oat meal, hot mush, &o. To prevent loss of time, however, always take the first or most convenient of the above articles that may come to hand, so as to pro- duce any heat as early as possible. You will recollect the warm bath is always preferable in the first stage of the disease, from its great power; "caution is necessa- ry," says Mr. Kennedy, "to prevent its being too long continued." The following are the directions of Dr. Harnett, one of the British Medical Commission, at Dantzic, for the use of the warm bath. "It has been found necessary to guard against the indiscriminate use of the hot water and vapor baths, or steam, (generally used by a pipe under the bed clothes.) In hot weather, after perspira- tion has broken out, and above all, in the clammy stage of the disease; and after marked venous congestion has taken place, when it seems to increase the latter, which is particularly observable in the brain and heart. The bath should be used either in the critical moment in the beginning of the disease, or, at farthest, instantly after, if admissible even then. To obviate the deter- mination of blood to the head, cold applications ought to be occasionally applied to it, while the patient is in the bath. The patient should be most gently and otherwise judi- diciously placed in the bath, with respect to the gradu- ally inclined position of his body, and due support of the head, neck and shoulders; and the immersion or subjection should be short, merely long enough for the 744 GUNN'S DOMESTIC MEDICINE. positive communication of heat and its effects, when he ought to be as gently and judiciously taken out, well wrapped up in hot blankets, promptly laid in a bed, and gently rubbed with warm, dry, coarse thread towels, all over, and wiped dry as fast as the clammy sweat oozes out. There is much handy and careful personal management requisite, in this essential part of the treat- ment. Calomel. This medicine has been greatly used in cholera, by a majority of English surgeons in India, and it is spoken highly of by such of them as have witnessed the disease in the north of Europe. In ma- ny instances the use of this powerful medicine has been carried or given to an enormous extent—doses of a scruple to half a drachm being considered the smallest dose adapted to the disease; others, however, have condemned the use of the remedy to this great extent, and recommend it to be given in smaller doses frequently repeated, and in general combined with opium. The evidence which is advanced in favor of the beneficial effects of calomel, under both mqdes of administration, might at first view appear perfectly con- clusive ; but in making up an opinion oh this subject, it is necessary to recollect that in almost all the cases which are adduced where the practice is supposed to have been eminently successful, ether important reme- dies have at the same time been employed—especially bleeding, frictions, and stimulating applications to the surface—and very commonly the warm bath. Upon the early and judicious employment of the last men- tioned medicines, nearly all the writers agree that the cure of the disease mainly depends; by many they are of themselves supposed fully sufficient—and that the various internal remedies that have been resorted to GUNN'S DOMESTIC MEDICINE. 745 are either useless or absolutely pernicious. Among the physicians of Russia, Poland and Germany, there are but few who recommend the use of calomel at all, and the majority denounces, in very decided terms, its employment in the early stages of cholera, or to the extent to which it was carried by the practitioners of India. In Warsaw, the result of experience showed, according to Dr. Hille, that whether in larger doses, or in smaller ones frequently repeated, the calomel did more harm than good; and hence its use was either entirely abandoned, or it was given in a single dose of a few grains combined with opium. Dr. Gibbs, writing from St. Petersburgh, says expressly, that scruple and half scruple doses of calomel would not do there; Dr* Lefevre very properly remarks, that small doses com- bined with opium can be of no use in the first stage. In slight cases, he adds, where the quantity of opium is sufficient to allay the spasmodic action, while time is allowed for the calomel to act gradually, the combina- tion however may be of service; but it must share the same fate as all the vaunted nostrums which when ad- ministered indiscriminately, lose even the merit to which they are really entitled. In Dunaburg, no calomel was administered, and of seven hundred and forty-five cases, many of which were in the last stages of the disease when first seen by the physician, only seventy-five terminated fatally. Opium. No remedy has been proposed in the treats ment of cholera, which has so great a mass of testi- mony in its favor as opium. Nearly all the physicians, whatever may be their opinions as to the nature of the disease, have administered it. By some it is recom- mended in the largest possible doses; by others, how- ever, when given in smaller doses, it is considered, 94 746 GUNN'S DOMESTIC MEDICINE. much more efficacious, and less liable to produce injurious consequences. Mr. Orton, an eminent prac- titioner, considers it "probable that a single dose of opium given alone at the very commencement of the disease, would be found in a great majority of instan- ces to put an effectual check to its progress." The Polish, and a few of the German physicians object however, to the administering of opium in cholera. Internal Stimulants. The application of ether, brandy, ammonia, (hartshorn,) and other stimulants, I find to be very generally recommended, especially in the advanced state of the disease. They are directed to be used or continued until reaction is fairly estab- lished, after which they are to be gradually relinquished. In the early stage of the disease, there is less evidence of their good effects than during that period in which the clammy sweat, icy coldness of the surface, scarcely perceptible pulse, and sunken countenance, indicate a state of collapse, which if not speedily removed, the loss of the patient is inevitable. Many persons have employed the most powerful stimulants even from the commencement of the attack, and with no sparing hand. This practice is highly improper, and certainly by experience known to end in fatal consequences. Stimulants require at all times, much judgment and great caution in their employment, or they will most assuredly produce far more harm than good; and should be given under no other circumstances than those I have described, and even then, it is questionable whether they do not produce more evil than benefit. Purgatives. Thongh considered by many physi- cians as indispensable remedies in the treatment of cholera, they do not appear, with the exception of cal- omel, to have been very generally employed until after GUNN'S DOMESTIC MEDICINE 747 the more pressing and violent symptoms of the disease have been subdued. At this particular juncture it is very generally admitted that they have been productive of the best effects. They are proper so long as the bowels do not perform their functions regularly, and the stools have an unusual appearance; nor is there any danger of reproducing the disease by their con- tinuance, so long as we take these marks for our guide. It is much more likely to recur or return from neglect- ing to administer them; for purging by calomel is ne- cessary, for you will find the quantity of unhealthy matter which is often evacuated by stool, remains for a long time after the complaint has been subdued. Such is the experience of Doctor Lefevre, in regard to the use of purgatives. He says, they are found indispen- sable, by producing copious discharges of vitiated bile. "A full dose of calomel," remarks the Doctor, "is often useful in the beginning of the convalescence, as it acts upon all the secretions. But the simple purging, which is so requisite after this disorder, is best effected by small and repeated doses of caster oil." The virtues of this last medicine, have indeed been extolled in a very positive manner, by the physicians both of India and Europe. "The success under its use was very considerable, and there seems," says Mr. Scott, "to be sufficient evidence to warrant a more extensive trial." It is admitted by all that purgatives which produce frequent watery stools, with griping, are improper in this disease—are very prejudicial, and ought and must not be given. Enemata, which means glyster. When the stomach is so irritable that it will not retain anything, or constant puking, by which the exhibition of remedies by the mouth cannot be given, glysters, (called enemas^ will 748 GUNN'S DOMESTIC MEDICINE. be proper, not only in the first attack of the complaint, but in the latter stages of the disease also; especially in such cases as have been attended with much spasm, and the bowels continue sore for a long time after, and every motion on the stool is productive of pain. In this case, an enema or glyster of half pint of flaxseed tea, and ten drops of laudanum, produces immediate relief—administered in this manner, the Opium is less liable to produce injurious consequences than when given by the mouth. Injections, or glysters in plain English, given of hot water above blood heat, have been hignly spoken of in cases of great collapse or sinking and general coldness of the skin. After draw- ing ap the water with a syringe, (or squirt,) and letting this warm water remain up awhile, the water may be withdrawn by the syringe, and a fresh supply of warm water introduced. Mr. Fife speaks favorably of injec- tions of mustard—they have, he says, promptly brought on a discharge of urine, after it had been entirely sup- pressed. Muriate of Soda.—(Nothing in English but our common salt.)—This has been spoken of by a few of the continental physicians, as a powerful remedy in cholera, and is recommended by the eminent Mr. Searl, as an emetic in the commencement of the case. I cannot say that the evidence in its favor is very strong. It is true, we are told by Dr. Barry, that at St. Peters- burgh, two German physicians declared in his presence, at the medical council, "that during the preceding eleven days, they had treated at the custom-house hospital, thirty cholera patients, of whom they lost none. They gave two table-spoonsful of common salt in six ounces of hot water at once, and one spoonful of the same cold every hour afterwards." But let it be recollected, GUNN'S DOMESTIC MEDICINE. 749 that these gentlemen, as well as the others who have recommended this remedy, always premised bleeding, (that is, first bled, and then used the salt and warm water,) and also used other valuable remedies, upon the importance and good effects of which in cholera, there is but little difference of opinion. It is thus that many remedies in this, and other diseases, acquire a fictitious reputation from being conjoined or mixed with others of acknowledged power—when, had they been omitted, the case would, in all probability, have proceeded as rapidly, or perhaps even more so, to a favorable termina- tion. Drinks. A strange diversity of opinion exists among the writers upon cholera, as to the proper drinks to be allowed the patient. By some, dilutents of every kind were entirely prohibited, in consequence of a supposition that they increased the vomiting. The great desire of the patient is for cold water—he appears to labor under the most distressing thirst, the calls of which, it must be evident, cannot be disregarded, without materially in- creasing his suffering, and, eventually, the disease under which he suffers. Mr. Scott, in common with nearly all the best practitioners, admits the propriety of allowing some bland dilutent, but maintains that it should be given of tepid warmth. He conceives that cold drinks are always dangerous, and generally fatal. This was the opinion very generally of the surgeons of India. Mr. Annesley, however, gave cold water, with a slight impregnation of nitric acid—in other words, made pleasantly sour. This was the general drink at the hospital under his care, and was found to relieve the most distressing symptom of the disease, the burning sensation at the stomach. From the experience of the European physicians, it would appear very fully settled, 750 GUNN'S DOMESTIC MEDICINE. that cold drinks are not more prejudicial than warm, and when desired by the patient, should be freely given. According to Lefevre, iced lemonade has often been taken with advantage. The diluted nitric acid, he states, may be added with great benefit to the common drink. Fifty drops of the diluted acid, added to a pint of water, sweetened to the taste, is a grateful beverage. Dr. Drysen, of Riga, says that when the thirst is great, warm, or even hot drinks are the best, and are often retained and even desired by the patient. He directs infusions of various mild aromatic herbs, or when these are unpleasant to the patient, of common tea. But when the patient desires earnestly cold drinks, they may be given in slight portions at a time, without fear of any bad consequences. Fresh milk, moderately cool, he states, has been found very beneficial; and when the diarrhoea is considerable, a decoction of rice or barley, or thin tapioca, &c. may be given, and when there is entire absence of pain or tenderness of the abdomen or belly—a little port wine may be added. A cup of strong coffee, he has found very readily to stop the vomiting or puking in this disease—he advises the pa- tient, in case of the drinks being rejected by the stomach, to be allowed to swallow small portions of ice some- what rounded into the shape of a pill by being rolled between the fingers—a practice also recommended by Brussais. The strongest testimony in favor of warm water, is that given by Dr. Strum, a surgeon in the Polish Army: writing from the encampment near Karmienka, "The treatment which we now pursue is probably already known to you, as Dr. Helbig has been ordered to publish an account of it by the government. It con- sists in nothing else than giving to the patient as much GUNN'S DOMESTIC MEDICINE. 751 warm, nearly hot water, as he is able to drink, in the quantity of a glassful every fifteen or thirty minutes. By the time he has taken fourteen glasses the cure is complete, with the exception of a slight diarrhoea, which it is not proper suddenly to suspend. The effects of this plan of treatment are so quick and effectual, that in two hours, or often sooner, the patient is well— particularly when it is commenced with sufficiently early. Treatment of the secondary stage of Chol- era. After the more violent symptoms of the disease have been removed, that is after the vomiting and purging have been suspended, the regular action of the heart established, and the circulation and heat of the surface permanently restored, the attention of the phy- sician must be directed to guard against or remedy local congestions, to prevent inordinate reaction, and to produce a healthy action of the bowels. Congestion is most liable to take place after the first stage or that of collapse is over, in the liver and lungs, and sometimes in the head also. For this, moderate blood-letting, local or general according to circumstances, is the most certain remedy. When febrile symptoms with determination to the brain, present themselves, topical bleeding, (such as cupping, &c.) near the temples, will be found very successfully to relieve it. The judicious employment of blisters, and of cold applications to the head, will also be of advantage. When the healthy condition of the bowels has not been produced by the remedies administered in the first stage, moderate doses of calomel, followed by castor oil, or other mild purgatives, will be necessary. As soon as the dischar- ges have become healthy or well tinged with bile—that is, that you have fully roused the liver into action—the 752 GUNN'S DOMESTIC MEDICINE. patient may be considered out of danger, and the pur- gatives discontinued; but not until then. Tenderness or fixed pain in the region of the stomach, or any part of the abdomen or belly, call for the immediate appli- cation of leeches or cupping. I have now fully, and as minutely as I conceived it necessary in a work of this kind, given you the various remedies which have been proposed, and strongly recommended, in the treatment of cholera by different writers—together with the practice of the most dis- tinguished physicians in India and Europe. You will after reading attentively this subject see plainly that no decided or positive or certain method is laid down for the treatment of this dreadful scourge of the human race. In plain language, it has commenced in the United States, and the physicians of this country have been compelled to establish a practice founded on their own experience, and to adopt or use such remedies according to the symptoms, or the effect of the disease, at the time of its location, upon the habits, constitutions, &o. and the effects of climate, together with such pre- disposing causes as may exist at the time this disorder is prevalent. I have subjoined for your satisfaction and informa- tion, several letters of the most enlightened and distin- guished physicians of our conntry, and, when itbecomes necessary, reduced their technical or medical terms into plain language, so that you might easily understand them. Their valuable information, and the distinguish- ed standing of their authors, deserve the confidence and gratitude of the American people. Permit me, in cases of emergency, to recommend to your particular attention the letters of Drs. Drake and Pattison. GUNN'S DOMESTIC MEDICINE. 753 LETTER OF DR. DRAKE. Prevented entirely by indisposition, from laying be- fore the readers of the Chronicle, last week, an account of the progress of the epidemic; and not yet capable of much effort of the pen, I shall scarcely fulfil my en- gagement to furnish them with a history of the disease. Twentyrseven days have now elapsed since the onset of the pestilence, during which period the whole number of deaths, as far as it has been ascertained, is three hundred and fifty-one. Dividing the period into three equal parts of nine days each, the first would average about two daily, the second seventeen, and the third twenty-one. The greatest number of deaths was from noon on the nineteenth to noon on the twentieth, and amounted to forty-two, or one out of every six hundred inhabitants actually in the city at the time. Since that day the mortality has slowly diminished, and at present there is a general impression that the epidemic is de- clining. . ■ <■■ No age, sex, complexion or condition, has been ex- empted from the impress of the poison, but its mortal effects have been very different, in different classes of the community. Among the colored it has gone on to develop a fatal disease, far oftener in proportion than among the whites, while among the latter, the laboring classes have much more frequently fallen victims than those who lived in ease and affluence. Many drunk- ards have been its victims, but the majority of this class have as yet escaped. More men have sunk than wo- men, but the names of the victims show that a great number of mothers in the lower and middle ranks of society, have died. The great secret, I apprehend, of those diversities, and of the comparative exemption of the reading and affluent classes, is simply their earlier 95 754 GUNN'S DOMESTIC MEDICINE. knowledge and fuller appreciation of the signs and means of arresting the disease in its forming stage. Whenever, either in white or black, rich or poor, male or female, old or young, it has been suffered to establish itself in violent vomitings, coldness, cramps and pros- tration, it has proved fatal or been cured in so small a number that they constituted exceptions to the rule. Could every man, woman, and child, in the city, have been taught what were the first symptoms, convinced of the necessity of attending to them, and furnished with the means of adopting the requisite treatment, I do not hesitate to say, the mortality would have been far less than has taken place. For the information of distant readers where this disease may unhappily break out, I shall briefly state the simple course, which in my own practice, and that of a great number of my medical friends, has proved effectual for this purpose. On the very first occurrence of any complaint in the stomach or bowels, the patient must instantly go to bed in a warm room, and continue there until all disease has left him. This is the greatest point in the treatment, and if neglected, nothing else will be of any avail. His bed- covering should be warm and close, and he should be enjoined to lie still. In this situation, two objects are to be kept steadily in view—first, to excite the skin into :er dilation, and secondly, to excite the liver into a co- pious secretion of bile, which being brought about and proper j maintained, the patient is insured. To accom- plish these ends,-he must be made to drink freely of a weak tea of k x sage, thorough wort, sassafras, or sn.ike .uot. At the same time, he must take a powder of ten grains of calomel and one of opium, which may be repeated two or three times, with or without the opium, according to the judgment of the physician. In GUNN'S DOMESTIC MEDICINE. 755 fcnost cases bags of mush or bitter herbs may be laid over the abdomen, and are much preferable to sina- pisms, except where the vomiting is severe. If the patient should be of a full habit or have f ver, blood- letting would be required. In twelve or twenty-four hours after the commencement of this course, it will often be necessary to administer a little rhubarb, castor oil, or senna. Such are the small and simple means by which this great pestilence may be arrested, if at- tacked in its forming stage. Should they, as too often happens, be omitted until spasms and prostration of the vital powers come on, they are still the most valuable, but will oftener fail than succeed. They who can be made practically sensible of these facts, will be saved. They who cannot, are liable to perish. RELAPSE. All who have had cholera, in any degree, are peculi- arly liable to relapses, and many of our citizens have already perished in this way. The causes of these re- lapses are chiefly two. First, rising two soon from bed, and going into the open air, by which the prespiration is checked. In no other disease is this so dangerous. I speak according to the experience of other places, and my own observations in this. Secondly, indul- gence in diet. Those who are recovering from cholera, whether slight or violent, will relapse and die, if they indulge in hearty meals of solid food. All they eat should be liquid and mild, such as gruel, soup, mush and milk, rice, chocolate, and other articles of a light kind. Everything beyond this bill of fare is pernicious. I hope my fellow-citizens will scrupulously observe what I stated; and I beg of all editors to co-operate in disseminating a knowledge of these most important cautions. 756 GUNN'S DOMESTIC MEDICINE. NEGLECT OF THE FIRST STAGE. It is lamentable to see how many continue to fall vic- tims to the epidemic from neglecting the first stage. I repeat the opinion, and would reiterate it with every possihle solemnity, that few or none would die of the epidemic if the first stages were attended to. When- ever I have been able to get the history of a fatal case, I have found the patient had one, two, three, or more days' indisposition, chiefly of the stomach and bowels, before the spasms and coldness came on. Now, in that forming stage, the malady is easily arrested; when it is neglected the patient generally dies. Could every one who becomes indisposed be induced to take instantly to his bed, and send for a physician, the epidemic would be forthwith deprived of all its hor- rors. The Roman maxim, "resist the beginning," is not more applicable to any other evil which afflicts mankind, than to epidemic cholera. CHOLERA AND THE STEAM DOCTORS. I am told that a great many persons effected with cholera apply to the steam doctors. Many of these are no doubt cured; but others must be lost, who under a different method might have been saved. I have often said to my friends, that some parts of the Thomp- sonian practice would be well adapted to cholera, especially in its advanced stages; but it is a fatal error to suppose that this method is proper in all cases. I hope the steam doctors, many of whom I believe are benevolent men, will candidly consider what I am about to say. A weak infusion of lobelia, with con- finement to bed and external heat, is extremely proper in the forming stages of the disease; but many cases at the same time require blood-letting, and all that require this latter remedy, would be injured by the use GUNN'S DOMESTIC MEDICINE. 757 of "No. 6" and other powerful stimulants. The liver, moreover, is torpid and does not secrete bile; it is necessary, therefore, to administer calomel liberally in the early stages of the disease. Opium likewise is a valuable remedy in this stage, and contributes greatly to palliate the sufferings of patients. Thus it is, indiscriminate omission of blood-letting, calomel and opium, cause many to die who might have heed saved. One grain of opium, to ten of calomel, form a pro- per dose which may be given once, twice or three times, and will seldom fail to excite a flow of bile, after which the patient is generally safe. In the stage of collapse, "No. 6," and every other stimulating arti- cle in the Thompsonian plan, may be admitted; though treated in this manner or any other the patient will generally die. In concluding, I must again solemnly and affection- ately warn the community that no reliance is to be placed on any plan of treatment that is not entered upon at the very beginning of the disease, and that taking to bed in a warm room at the onset of the complaint and continuing in that situation for several days is indispensable to safety. DANIEL DRAKE, M. D. Cincinnati, Friday, October 26, 1832. LETTER OF DR. PATTISON. We have been compelled to give only an abridge- ment of the letter of this distinguished individual, to his friend, Dr. Carmichael of Fredericksburg, Va. Dr. Pattison is Professor of Anatomy in the city of Balti- 758 GUNN'S DOMESTIC MEDICINE. more, is one of the most distinguished medical men now living; as a surgeon, there is not his superior. Having long toiled in the steep and rugged road of science, he has reached the summit and now stands unrivalled in his profession. As a philanthropist, his generous heart is ever ready to soothe and to relieve the afflictions of mankind. Dr. Pattison, substantially, says :— When the epidemic exists in any particular district, the state of the bowels must be attended to with the utmost solicitude, and the most trifling irregularity at once remedied. I have before been at some pains to press on your attention the fact, that in almost every instance, the malignant form of the disease is preceded by diarrhoea; and I would now state, that in this stage, the complaint may, with certainty, be remedied. The diarrhoea indicates mere functional derangement; re- move this, and restore the healthy secretions of the liver, stomach, and the other viscera which minister to the functions of digestion and assimilation, and you save your patient. The treatment is very simple. Im- mediately on ascertaining the existence of the diarrhoea, direct your patient to take one of the following pow- ders: Powdered Rhubarb, 80 grains, Calomel, 20 grains, Salts of Opium, 1 grain, And divide into four equal powders. Should there be much pain and oppression in the epigastrium; and, more especially, should the pain be increased by pressure, apply from fifteen to twenty cups over this part, and if the patient be of a plethoric habit, take blood from the general system. Six hours after the powder has been taken, give from six drachms to • GUNN'S DOMESTIC MEDICINE. 759 an ounce of castor oil. The dejections will be found unnatural in their appearance, and should they con- tinue so, let the powder be repeated twelve hours after the operation of the first one has ceased, and follow it up as in jhe former case, with a dose of oil. Continue this treatment until the excretions become natural. Let the patient keep his bed, and take the lightest and most digestible food, and in the course of a few days, his health will be perfectly re-established. I have never yet, in the whole course of my experience, had an opportunity of treating a patient during the pre- monitory stage, in which I have not succeeded in arresting the progress of the disease. This is a most consolatory truth, and one which cannot be too exten- sively proclaimed. It disarms the pestilence in a great measure of its terrors, and it should have the effect of calming the minds of the timid, and inspiring them with confidence. Fear is, of all the exciting causes, the most powerful; the publication of these facts, prove there is no ground for it. By attention to diet, and im- mediately applying for medical aid, should the premon- itory symptoms arise, every individual may feel himself secure from danger. Should your patient not have applied to you for advice, until the first stage is verging on the second, the most energetic system of treatment will be required to afford him any chance of recovery. So soon as the dejections lose their feculent charac- ter, and assume the appearance of rice water, then the disease may be said to be entering on its second, and most alarming stage. The effect on the system, when these dejections commence, is immediate. The strength is prostrated; the countenance becomes contracted and ghastly; the spasms become more fre- • ,760 GUNN'S DOMESTIC MEDICINE. quent and more severe, and in general, the distressing sensation in the epigastrium is increased. If the case is now left to itself, collapse very speedily takes place; and indeed very often in spite of the best directed treatment, this comes on. It would require me to fill a ream of paper, were I to attempt to speak of all the plans of treatment which have been recommended; I shall refrain from doing so, and shall confine my re- marks to the indications which guide my own practice, and the measures I pursue in carrying them into effect. Before I do so, I beg leave to remind you, that I put in no claim to originality, either in my views as to the nature of the disease, or as to the mode of treating it. My mode of treating Cholera Asphyxia, is, in fact, the one which has been so successfully adopted by the British physicians in India. Believing, as I have already stated, that the disease depends on functional derangement of certain viscera, particularly those which fulfil the operations of diges- tion and assimilation; in every stage of the disease, my indication is, to restore the healthful performance of those functions. Now, of all the medicines which can be employed for this purpose, calomel is decidedly the most powerful, and to it I look as the sheet-anchor of hope. Let all your remedial measures, therefore, be so directed as to promote the operation of mercury on the system. If your patient complains of much pain in the epigastrium, let cupping-glasses be applied; and if the pulse will bear it, bleed from the general system. In the employment of general blood-letting, considera- ble judgment is required, and in determining the quan- tity, the pulse must be our guide. Even should the •"V pulsation at the wrist be scarcely perceptible, still, if other symptoms should indicate the propriety of bleed- GUNN'S DOMESTIC MEDICINE. 76l ing, be not deterred from employing it; you will fre- quently find, that as the blood flows, the pulse becomes more and more distinct. If so, continue the bleeding Until the pulse begins to feel it. The instant it sinks? apply the finger to the wound in the vein, and prevent the flow of another drop. General blood letting is calculated either to do much good or to be attended with much danger. I will therefore be excused in repeating that it should not be prescribed without the most deliberate consideration of the circumstances of each particular case. Emetics may in most cases be employed with much advantage. Whenever there is much feeling of oppression and sense of weight in the region of the stomach, they may be prescribed with safety. Dr. James Johnson, the distinguished editor of the Medico Chirurgical Review, a gentleman whom I consider as one of the very first physicians of the present age, and whose learning of the science of his profession is only equalled by the acuteness and accu- racy of his judgment, has strongly recommended emetics of mustard and water, in cholera, with the view of moving the congestion which he believes exists in the viscera. I prefer the salt and water emetic to any other which has been recommended. Its operation is immediate, and so soon as it has produced free vomiting, its nau- seating effect goes off. You will frequently be much struck with the matter dejected by vomiting; substan- ces which may have been taken into the stomach days before, will occasionally be thrown up unchanged—a sufficient evidence of the impaired condition^ of. the digestive functions. Should you, when called to, a case, be of opinion that vomiting may be required, you will, of course, employ it immediately, as, until its operation, 96 732 GUNN'S DOMESTIC MEDICINE. is over, you need not commence the calomel. So soon as the vomiting from the emetic has ceased, begin with this most important remedy. Some practitioners recommend the calomel to be used in large doses. From my experience, I would prefer giving it in small quantities, repeating the dose frequently; of course, the quantity and the frequency of giving it must be regulated by the circumstances of each particular case. One of the following pills, I would begin with, by giving every half hour. The pills ought to be freshly prepared. If they have been made for some days, they have become hard, and remain some time in the stomach before they are dissolved^ and every moment is of value in treating this disease. Take of Calomel, 12 grains, PowTder of Cayenne or red pepper 12 grains, Salts of Opium, 2 grains, Mix the mass thoroughly with a little gum arabic, and divide it into ten equal pills. It will be observed that each of these pills contains the fifth of a grain of the sulphate of morphia. This I consider a most valuable remedy in quieting the stomach and relieving the spasms. But it is one which must be employed with judgment. The indica- tions for its employment are the vomiting and spasms; and so soon as it relieves these symptoms it should be discontinued. It is probable, after three or four of the pills have been taken, they will disappear; or at all events, become much mitigated. Should this be the case, pills containing merely calomel, should be substi- tuted for those with the morphia. You had better direct your patient to take the calomel pills every half hour, until about thirty grains have been taken; after this quantity has been swallowed, diminish the dose, DUNN'S DOMESTIC MEDICINE. 763 and let him take only three grains every half hour. The medicine may be continued in this quantity, nnd taken at these intervals, until from a scruple to half a ■drachm more of calomel is taken, after which you had better allow the patient a short respite. Should the calomel not of itself produce feculent dejections, after it has remained in the system for some time, it will be useful to give a powder containing twelve grains of calomel and one scruple of rhubarb, and the operation of this may be promoted by giving some hours after- wards a dose of castor oil. The great object I would recommend you to have in view, is to introduce into the stomach a considerable quantity of calomel in divi- ded doses, and then to endeavor to obtain feculent dejections. When the rice-colored dejections are changed into feculent ones, the danger is in a great measure at an end, but persevere in the use of calomel until the healthy secretions are fully re-established. When the stools become natural, and when the secre- tion of urine, which had been completely stopped, is restored, your patient is cured. All that is further re- quired is rest in bed for some days, and care to avoid taking any but the lightest and most digestible articles of food. GLOSSARY. It is thought advisable to add to my remarks on epidemic cholera, the- lollowing Clossarv. in which the most obscure medical phrases employed under this head are rendered into plain language: Collapse—Shrinking. Discrepant—Opposing. Diarrkaa—Looseness of the bowels. Recumbent—Lying on the bed. Reaction—Favorable change. Pseudo-choleric—Resembling Cholera, but really not the dis- Ejected—Discharged. [ease, Revulsion—Withdrawal. Cups—See cupping page 595. Abdomen—Belly. Moribund—Hopeless. Epigastrium—Pit of the stomach. Effervescent—Boiling. Spinage—Green thread-like. Gastric—Of or belonging to the stomach. Ducts—Vessel^ through which the blood runs to the bowels. Portal Veins—Veins that supply the liver with blood. Secrete—To make or create, Cfflcinal—Such medicines as physicians use. Morbid—Diseased. Hepatic Veins—Those that secrete bile. Functionafer-Na t u r al. Intestinal is||e—Stomach and bowels. Vis vita—Poyfer of life, Deficiency of nervous energy—Want of strength in the nerves, Proximate cause—The disease itself. Venous congestion—Collection of blood. Torpid—Inactive. Sporadic—A single case. Alvine—Bowel. Sulpt. quinine—Salt of barks. Synopsis—General view. *1 Table of JJKedicines, with their Doses and Qualities Annexed. Medicines. Adults. Fkom 20 to 15. From 15 to 10. From 10 to 6. Qualities. From To. From. To. From. To. From. To. Arsenical Solution. 5 12 drops. 5 10 drops. 4 8 drops. 3 6 drops Tonic. Antimonial Wine. 2 4 drachms. 2 34 drms. 2 3 drachms. 14 24 drams Emetic. Aloes. 5 20 grains. 4 18 grs. 3 15 grs. 3 12 grs. Cathartic. Balsam Capaiva. 20 80 drops. 20 60 drops. 15 40 drops. 10 30 drops Corroborant, Balsam Turlington. 20 80 do. 20 60 do. 15 40 do. do. do. Do. Bark peruvian. 4 2 drachms. 4 14 drms. 25 gr. li drms. 20 60 gr3. Tonic. Calomel. 10 60 grains. 10 40 grs. 10 30 grs. 5 20 grs. Cathartic. Camphor: 6 20 grains. 5 15 grs. 3 10 grs. 2 8 grs. Stimulant. Cream of Tartar. 4 2 ounces. i 14 ounces. 3 10 drams. 2 8 drms. Aperient. Caustic vol. alk. liq. 4 2 drachms. 4 li drms. 4 1 drm. 23 30 drops Stimulant. Columbo. 10 60 grs. 10 30 grs. 10 40 grs. 8 30 grs. Tonic. Chalk prep'd. 20 50 grs. 20 40 grs. 15 35 grs. 15 30 grs. Absorbent. Castor Oil. 4 3 ounces. 4 24 ounces. 4 2 ounces. 3 8 drms. Purgative. Ess. Peppermint. 10 60 drops. 10 50 drops. 8 35 drops. 6 20 drops Cnrminative. Elix Vitriol. 10 40 drops. 10 30 drops. 8 25 drops. 6 20 drops T>nic. [sps iEther Vitriolic. 4 2 drachms. 4 14 drms. 30 ds. 1 drm. 20 60 drops Stirnula't &, anti- Ginger. 5 23 grs. 5 20 grs. 4 18 grs. 3 15 grs. Aromatic. Gamboge. 5 15 grs. 5 10 grs. 4 10 grs. 3 15 grs. Active purgative Hartshorn Spts. 4 li drms. 4 1 drm. 20 30 drops. 10 40 drops Stimulant. Ipecacuanha. 15 30 grs. 15 25 grs. 12 20 grs. 10 15 grs. Emetic. A TABLE OF MEDICINES, WITH THEIR Medicines. Adults. From 20 to 15. From . To. From. To. Jalap. 15 40 grs. 10 30 grs. Laudanum. 20 60 drops. 20 50 drops. Magnesia. 4 2 drms. 4 li drms. Manna. 1 2 ounces. 1 14 ounces. Nitre. 10 30 grs. 10 25 grs. Opium. 4 3 grs. 4 2 grs. Paregoric. 1 4 drms. 1 3 drms. Rhubarb. 15 40 grs. 12 35 grs. Steel Dust. 5 25 grs. 4 20 grs. Sugar of Lead. 1 5 grs. 1 4 grs, Salts Epsom. 1 2 ounces. 1 2 ounces. Salt of Tartar, 10 25 grs. 10 20 grs. Spts. Lavender. 30 100 drops. 25 75 drops. Sulphur Flour. ■ 2 8 drms. 2 6 drms. Sulphate Quinine. 2 8 grs. 2 6 grs. Tartar Emetic. 3 10 grs. 3 8 grs. Tincture of Steel. 8 20 drops. 8 18 drops. Tincture of Foxglove 10 50 drops. 10 40 drops. Tinctre of Cantharide*' 10 50 drops. 10 40 drops. Vitriol White. 20 60 grs. 20 50 grs. 3 AND QUALITIES ANNEXED. From 15 to 10. From From. To. From. 8 23 grs. 5 15 40 drops. 10 20 60 grs. 15 1 14 ounces. 4 8 20 grs. 6 4 1 gr. 1 2 grs. 50 10 35 grs. 8 3 15 grs. 24 4 3 grs. 4 3 14 drms. 2 8 18 grs. 6 20 60 drops. 15 1 4 drms. 1 1 4 grs. 1 2 6 grs. 2 6 15 drops. 5 8 30 drops. 5 8 30 drops. 5 15 30 grs. 12 10 to 6. Qualities. To. 20 grs. Purgative. 30 drops A nod)ne. 45 grs. Absorbent. 1 ounce Aperient. 15 grs. Febrifuge <$*diur Anodvne. 100 drops Ancdvne. 30 grs. Purgative. 13 grs. Tonic. 2 grs. Astringent, 12 drops Purga:ive. 15 grs. Absorbent <$• Feb 50 drops Cordial. 3 dims. Aperient. 3 grs. Tunic. 5 grs. Emetic. 12 drops Tunic. 25 drops Diuretic. 25 drop? Stimulant. 25 grs. Emetic. A TABLE OF MEDICINES, WITH THEIR DOSES AND QUALITIES ANNEXED. Medicines. Fr OM 6 TO 4. Fr OM 4 TO 2. To. Fn From. OM 2 TO 1. Under Oxe. Qualities. From. To. From. To. From. To. Arsenical Solution. 2 5 drops. 1 4 drops. i 2 drops. i 1 drop. Tonic. Antimonial Wine. 1 2 drachms. 1 li drachms. 1 li drms. 4 1 dram. Emetic. Aloes. 2 10 grs. 2 8 grs. 1 6 grs. 4 5 grs. Cathartic. Balsam Copaiva. 10 20 drops. 8 15 drops. 5 10 drops. 2 5 drops Corroborant. Balsam Turlington. do. do. do. do. do. do. do. do. Do. Bark Peruvian. 15 45 grs. 10 30 grs. 8 20 grs. 5 15 grs. Tonic. Calomel. 5 15 grs. 5 10 grs. 3 8 grs. 1 5 grs. Ciithartic. Camphor. 2 4 grs. 1 3 grs. 1 2 grs. 4 1 gr. Stimulant. Cream of Tartar. 2 5 drams. 1 4 drms 4 2 drms. 4 1 drm. Aperient. Caustic vol. alk. liq. 20 40 drops. 15 30 drops. 10 20 drops. 5 10 drops Stimulant. Columbo. 5 25 grs. 5 20 grs. 4 15 grs. 2 10 grs. Tonic. Chalk prep'd. 12 30 grs. 10 25 grs. 7 20 grs. 5 15 grs. Absorbent. Castor Oil. 2i . 6 drms. 2 5 drms. li 4 drms. 1 2 dims. Purgative. Ess. Peppermint. 4 15 drops. 3 12 drops. 2 10 drops. 1 6 drops Carminative. Elixir Vitriol. 5 15 drops. 3 42 drops. 2 10 drops. 1 4 drops Tonic. [SPS- JEther Vitriolic. 15 56 drops. 10 40 drops. 8 30 drops. 5 10 drop? Stimula't & anti- Ginger. 3 12 grs. 2 10 grs. 2 8 grs. 1 6 grs. Aromatic. Gamboge. 1 3 grs. Aciive Purgative Hartshorn Spts. 10 20 drops. 5 10 drops. 3 8 drops. 2 6 drops Stimulant. Ipecacuanha. 8 12 grs. 5 10 grs. 4 8 grs. 1 5 grs. Emetic. "W- A TABLE OF MEDICINES, WITH THEIR D OSES AND QUALP riES ANNEXE1 ). 06 Medicines. From 6 to 4. From 4 to 2. From 2 to 1. Under One. Qualities. From. To. From To. From. To. From. To. Jalap. 5 15 grs. 4 12 grs. 3 8 grs. 2 5 grs. Purgative. Laudanum. 8 20 drops. 5 15 drops. 3 8 drops. 2 6 drops Anodyne. Magnesia. 12 40 grs. 10 35 grs. 8 25 grs. 5 20 grs. Absorbent. CD Manna. 3 6 drms. 2 4 drms. 1 2 drms. 4 1 drm. Aperient. C3 5* Nitre. 5 12 grs. 2 10 grs. 2 8 grs. 1 4 grs. Febrifuge & Diu. 2 Opium. Anodyne. • w Paregoric. 30 60 drops. 20 50 drops. 10 • 40 drops. 2 20 drops Anodyne. G Rhubarb. 5 25 grs. 4 20 grs. 4 12 grs. 2 10 grs. Purgative. s Steel Dust. 2 10 grs. 1 6 grs. \ 2 grs. Tonic. Sugar of Lead. 4 14 grs. i lgr. 1 a lgr. Astringent. H Salts Epsom. 2 8 drms. 2 6 drms. 1 4 drms. 1 3 drms. Purgative. C Salt of Tartar. 4 8 grs. 3 6 grs. 2 4 grs. 1 3 grs. Absorbentdz. Feb' Spts. Lavender. 10 35 drops. 5 20 grs. 4 15 drops. 2 10 drops Cordial. Sulphur Flour. 4 2 drms. 20 grs. 1 drm. 10 40 grs. 5 20 grs. Aperient. C >-< Sulphate Quinine. 4 2 grs. 4 lgr. i 4 gr. i 4 gr. Tonic. 2 Tartar Emetic. 14 3 grs. 1 2 grs. 4 1 gr. i 1 gr. Emetic. Tincture of Steel. 4 10 drops. 3 8 drops. 2 6 drops. 1 5 drops Tonic. Tincture of Foxglove. 4 20 drops. 3 15 drops. 2 10 drops. 1 5 drops Diuretic. Tinct. Cantharides. 4 20 drops. 3 15 drops. 2 10 drops. 1 5 drops Stimulant. Vitriol White. 6 15 grs. 3 6 drops. 1 3 grs. Emetic. WEIGHTS AND MEASURES. 20 S™'™ I make \] 3 scruples ) ( scruple [ drachm 8 drachm 12 ounces 1^!lp3|i6pflMsoZS|™ke!i gal. pint 8fl'ddr'ms \jx\ 1 A1d ozs 60 drops j g \ lfl'ddr'm. LiJf ^A •■,v&---->~*» L j£->V y.y, '-**<-* '.;>>- >'•'-! '*)v,*:>:.