•Vo. the NATURAL PHYSICIAN S BOOK OF REMEDIES. CONTAINING A PATENT RIGHT FOR JOSEPH BAKER. SECOND EDITION, IMPROVED AND ENLARGED. CHILLICOTHE, OHIO: 1832. District of Ohio, To wit! BE it remembered, that on tire 21st day of May, /into Do- mini, 1831, JOSEPH BAKER, of the said district, hath deposit, ted in the office, the title of a book, the title of which is in the words following, to wit i " The Natural Physician'1 s Book of Remedies, containing a Patent Right for Doctoring. By Joseph Baker. The right whereof he claims as author, in conformity with an act of Congress, entitled "An Act to amend the several acts respecting Copy Rights." WILLIAM MINER, Clerk of the District. J. HOUGH, HUNTER* INTRODUCTION. IN" writing the following piece, I shall try to comprehend as much as I can with a tew words, so as to show the causes of diseases, with the medicine and management, with a few of the outlines of our physical bodies, its organization with the state of the blood under different circumstances; and shall try to be as plain as possible, and avoid repetition. And underneath, the pages I shall generally place some philosophical remarks, which is intended to make the reader acquainted with some of the laws of nature, which mav be said to be an abridg- ment of philosophy, that I fancy will be found very interesting to the readers in general. The principal work that I shall depend upon, is Niel Arnott's Elements of Physics-and I am ready to recommend his work as the best of the kind that I know of. The first and greatest thing with man i« the salva- tion of his soul; as Christ says: "First seek the king- dom of God and all these things shall be added unto you." And next of importance is the health, ease and safety of our bodies, which is every person's bu- siness to attend to with prudence and attention. But these two points, especially the first one, are too apt to be neglected and our attention fixed on objects of less importance. While the inferior race of beings seem to have changed as little since the beginning of our records as the trees and herbs of the wood, which give m inv of them shelter, the condition of man has progressed in a ver\ extraordinary manner. The inferior beings were so formed by their creator, that within one life or generation they should attain to all the perfection of which their nature was susceptible. Their wants were partly provided for: as the cloth- 4 ung of feathers for the fowls; furs and hair for beasts; scales foi fish,and the like. But h different is the case with man; though he comes into the world helpless, his strong intellects, operating with lan- guage, are the mt ans which have gradually worked this extraordinary change. By language fathers have communicated their gathered knowledge to their offsprings, and these to succeeding children, with new accumulations; and after many ages the precious store had grown until memory could not re- tain n ore. At length the art of writing and also of printing arose, which made language visible and m< re permanent, and so enlarging the stores of knowledge down to a recent period; and at present man's memory reaches to the beginning of records, whose judgment is searching the treasures of knowl- edge, and has a faint idea of the vast bounds of crea- tion, which appear to be governed by a few simple laws, which are almost as unchangeable as the giver. The condition of man has thus changed from bar- barism, in a good degree, to a state of civilization, which is covering the face of the earth, while each part is becoming interesting to him. Now a man of an ordinary fortune may reflect on what is going on around him, and say, I am settled in a society that affords me conveniences, support and comfort that a king did not enjoy some centuries past. Ships are crossing the ocean in every direction, and brings what is useful to me from all parts of the earth. In China they are digging the mines, as well as in many other places, forme; and my tea comes from China. In geneial,in the southern parts of America they are raising cotton for me; and sugar is sent here fiom different par's. In the West India Islands they are raising coffee for me. Silk is made and sent from Italy. Wool and flax are raised, manufactured and 5 brought here for my clothing. Grain, fruit and meat is raised and brought here for my nourishment from different countries. The postmasters are sending me the news from different parts; and I have officers, rulers, commanders and servants, that are doing ou- siness for my advantage. In short, I have roads, wagons, canals, boats, ships, horses, mules, oxen, carts and carriages, that are bringing me the com- forts nf life from almost all parts of the world, as well as mechanics of every description, making all kinds of machinery, tools and instruments, from a ship down to a pin or needle-all are working to my advantage. The printers are printing books of al- most every descripti >n for me, as well as sending me the news from all parts. These newspapersand bo-»ks transport the mind not only to all places, but to all times. Thus has the condition of man pro- gressed from a state of barbarism to this state of so- ciety. And now, likely, at this time we are on the eve of many more improvements equally valuable. If mv system of doctoring should prove good, as it has done, our richest parts of the country, which a number of people have deserted on account of the fevers, will re-people again with fresh zeal and courage; and this disease will be looked at as a tem- porary disease that is not fatal, though it has long been the common scourge of the country, and has peopled the grave-yard faster than any other disease. Rheumatisms, croups and pleurisies will generally be viewed in the same light. And if the steam wa- gon should travel from thirty to fifty miles an hour it will make a distant country seem near at home. This would be something like one thousand miles in a day and night. This would make a great differ- ence in business, when a man mav fill his office in a city several hundred miles from home; whoa the 6 news, goods, and, if required, armies can travel with such rapidity. Su^h being the improvements, all persons that have sufficient money to purchase what they need, can have nearly, if not more comfort, than if they possessed the whole, which would burden them with trouble The improvements of man is not generally made by craft, but by applying the means connected with memory and judgment, and is the result often of manv experiments, though it is so netimes by accident found out; but in some of the most useful discoveries divine Providence guides man's feelings to the very place where the discovery is made-the bible gives ns many instances of like circumstances; such has been the impressions of mv mind a number of years past. I thought first of publishing a book on this subject to sell as another book; but afteYsome reflection, I found that the law onlv encouraged the medical societies; and that the system must be sanctioned by the Legislature of the State or by the Patent Office, that it might be accord- ing to law. 1 felt conscious that it was mv duty to unclose mv views and bring them before the public, in that wav that the system might pass: and many serious reflection® on the subject have impressed me, that I am at a loss for language to express. One was, I feared my mind might get off the subject of religion, and get over-stocked with this world and its objects; and I looked for a stronger opposition from other physicians than that I have met with; - and about two or three years past I took a more particular view of the subject, while 1 reflected on mv present circumstances, while my reasons told Pie that I could live the balance of my days in a de- gree of peace, and this new system would involve me in difficulty, and the residue of mv days would be trouble. God bears me witness that I had a great 7 desire as well a? choice, to have nothing to do With the business, but impressions of mind as well as con* sciousness, crowded me forward in my duty. God has commonly made use of man to bring his purpo- ses about; and his maens have often been overlooked by the popular class of mankind; they are like young hunters who generally over shoot. Such things have been in every age of the world. Another very involving question has been presented to me, which has occupied my mind very seriously-whether it is right or not, to have such a price for Rights?- This question has been discussed among different classes of peopie, both religious and irreligious. The nature of the case has been explained to them con- sistent with popular customs, that if the price was reduced it would become unpopular; butthe price was first set by disinterested men, and is now set by the Natural Physician society, and 1 expect to be governed by them. In the first stage of education, vizjduring the years ol childhood, the learning acquired is necessarily of the most mixed kind, and is determined by what is called accident; but every person may be said to begin his education or acquisition of knowledge, on the day of his birth. Certain objects repeatedly pre- sented to the child,are, after a time, recognized and distinguished. The number of objects thus known, gradually increase, and from the constitution of the human mind they are soon associated in the recollec- tion according to their resemblances, or obvious re- lations, Thus, sweet meats, toys, articles of dress, &c. soon form distinct classes in the memory. At a later age, but still very early, the child distinguishes readily between a stone or mineral mass,a vegitable and an animal, and thus his mind has already noted the three classes of natural bodies, and has acquired 8 a certain degree of acquaintance with natural histo- ry. He also soon understands the phrases, a falling body, and the force of a moving body, and has, ■therefore, a perception of the great physical laws of gravity, and stubboness. Having seen sugar dissolved in water, and wax melted round the wick of a burn- ing candle, he has learned some phenomena ot chem- istry. And having observed the conduct of the do.-, mestic animals and of persons about him, he has be- gan his acquaintance with physiology, and the science of mind. Lastly, when he has learned to count, and judge of the division of a cake or sugar plumb between himself and his brother, he has ad- vanced into arithmetic. Thus, within a short time, a child of common sense has made a degree of pro- gress in the great departments of human science; and in addition has learned to name objects, and to express feelings by the sound of language. Such, then, is the beginning or foundation of knowledge, on which future years of experience or methodical science, must rear the structure to a more liberal education. Mathematics are at present generally made the beginning of the study; and the reason as- signed is, that scarcely any object in physics, chem- istry, or organic life, can be described without re- ferring to quantity or proportion, and therefore with- out using mathematical terms. Now, this is true; but it is equally true that the knowledge acquired by children in common schools, is sufficient to enable them to understand all the great laws of nature, nearly as well as the knowledge of language obtains ed at the same time, is sufficient without any study of abstract grammar, to enable him to converse on all common subjects sufficiently plain to be under- stood. But one mistake that exists among us is, .learning children with only the one sense of seeing. 9 ing is crowded more than the sense of feeling; there- fore it is found that the fastest way of learning is to write it down or mark it out with the hand or foot-, so that several of our senses may be engaged at the same time. Thus it is discovered, that in learning a song or any thing that we wish to learn by heart, once sounding it out, is as good as ten times looking over it with our eyes; and once writing it is as good as five times sounding it out. And we suppose the day is not far distant when the child will be taught first to write his alphabets, and then put them together in sylla- bles with his pen, and then put them in order for reading with the same instrument; and at times sound it out, so as to prepare the person to do busi- ness in the midst of a throng or multitude of people without disturbance. The notions on education pre- valent in the world, until very recently, have been as erroneous with respect to the comparative impor- tance of different branches of knowledge, as with respect to the order ot study. Thus at many of our famed schools, and even universities, the attention has been directed almost solely either to Languages and Logic, or to Abstract Mathematics, the precep- tors seeming to forget that these objects have no value but in their application to physics, chemistry, life and mind. "The reason for bestowing much ah tention on the Greek and Roman languages, was good some centuries ago, because then no book of value existed which was not written tn one of these languages; but now the case is completely reversed, for he who learns almost any matter of science from eld books, is learning error, or at least knowledge far short of modern erudition. As to the higher mathematics-again, while they mejit great honor; 10 as being the instruments by which many useful dis- coveries have been made, and the conjectures of powerful minds have been confirmed, still a very deep investigation of them is neither possible to every man-nor, if it was so, would it be of any utility. The mode of proceeding, to which we have now alluded, is as just, as if a manto whom permission were given to enter and possess a magnificent gar- den, on conditions of his procuring a key to open the gate, and measuresof all kinds to estimate the riches contained within, should waste his whole life on the road in polishing one key, or in procuring several of different materials and workmanship, and in prepar- ing a multiplicity of unnecessary measures," as the apostle says,''ever learning and never able to come to the knowledge of the trutn." Even religion itself, in various ages and countries, has felt the influence of the state of the mind as to solid attainments of the knowledge of nature, which we can easily pos- sess. So the enlightened Christian minister may earnestly recommend the study of nature, because, from contemplating the beauty of creation, discover the wisdom and benevolent design manifes* in ail its parts. Thence there springs up in every undepra- ved mind, those feelings of delight and gratitude which cons itutes the adoration, in part, that is due to the maker-and which forms a fit foundation for the sublime doctrine of immortality. Ami secondly, because a revelation must be proved by miracles; to enable men to distinguish between miracles and the usual course of nature, a perfect knowledge of that course, or of natural philosophy, is essential. AU the false religions that are in the world were formed and upheld by pretended miracles. We have good reason io suppose that the worship of Diana at Ephesus, was for want of a proper knowl 11 edge of nature, They had advanced in knowledge far enough to know, that the planet Jupiter was a greu deal larger than this globe; therefore they thought that the Go 1 of nature re-tided there. For reasons like this, the apostle spake against phi'oso- ph>,, for there were no phil gophers till Juiius Cas- sar, that could be depended upon; and therefore tney were called vain. And even in my early part of life I was taught that philosophy contradicted the bible, and by no means agreed with it; and the evi- dence that was brought, was, where God comman- ded the sun to stand still-and philosophers say that the earth moves, and the sun stands still; but it is evident that God speaks to our comprehension. The people would not have understood what the Lord intended, if he had said the earth shall now stop rolling for a short time, as these things had not yet been known. Other passages teach us, that God is angry with the wicked, when no more is intended than that his holy nature is opposed to sin. But let us compare modern philosophy with the gospel, and we will find that they agree, in substance, nearer than any other two systems now on earth. The genuine philosopher does not believe in effect without a cause, though he may not see the cause, he reasonably sup- poses that there is one; and such circumstances as that of the sun standing still, or the three Hebrew children in the fiery furnace, or the sun darkened when Christ suffered, with many others that could not have taken place according to the laws of nature, stands as pillars of his faith, that nothing but a su- pernatural cause could have effected them. Two of the laws of nature are Attraction and Repulsion - These laws of nature may be divided as follows: 1st, Physical; 2nd, Chemical; 3d, Vital; 4th, Mental. A knowledge of these and similar laws, constitutes 12 the branch called Natural Philosophy, of which' physics is the base. Now, as man cannot, short of a supernatural revelation, learn any thing but what respects first the momentary state, past or pre- sent of himself, and th • objects around him. While men were examining the forms and qualities of the bodies around them, they could not avoid noticing, also, the motions or changes going on among them, and they discovered resem lances among them; and a careful classification at this day being the result of countless observations, with experiments made through a series of years and generations, we are enabled to say, that all the motions and changes, which are constant and regular, in general,as where they produce the return of day and night. And as man by his books discovers how these changes have been going on for three thousand years past, and ob- serves how they go on at present, so he discovers that there is a regularity among them. History and Science, in this sense, makes up the whole sum of his knowledge of nature. But we have already said that physics is the base; as Dr. Arnott says-"The laws of physics govern every phenomena of nature in which there is any sensible change of place, being alone concerned in the greater part of all the phe- nomena, and regulating the rest, which originates from chemical actions, and forms the actions of life." The great physical truths are now reduced to four, and are referred to by the words Atom, Attraction, Repulsion and Inertia," or stubborness. It gives an astonishing but true idea, of the nature and impor- tance of methodical science, to be told that a man who understands these words, viz: how the atoms of matter, by mutual attraction, approaches and clings together, to form masses which are solid liquids.or airy-form, according to the quantity of heat among 13 them; and which, owing to their inertia or stub- bo. ness, gain or lose motion, in exact proportion to tne force of attraction or repulsion acting on them, uudeistands the greater part of the phenomena of nature. But such is the fact,'solid bodies, existing in conformity with these, exhibit all the phenomena of Mechanics; Liquids, those of Hydrostatics and Hydraulics; Airs, those of Pneumatics; as Dr. A. says -'"Had there been only one kind of substance or matter in the universe, the laws of physic would have explained all the phenomena; but there are iron, sulpher,charcoal, and about fifty others, which, to the present state of science, appear essentially dis- tinct. Now, these, when taken singly,obey the laws of physics; but when placed in contact, under certain circumstances, they exhibit a new order of things. Iron and sulpher, for instance, brought together and heated, disappear as individuals, and unite into a new yellow metallic mass; which, in most of its properties, is not like either iron or sulphur; under other new circumstances, the two substances will again separate and assume their original forms. Such changes are called chemical, from the Arabic word, signifying to burn." Then, to pursue this subject, 1 shall speak of the law of gravity or attraction. First, it has been ob- served, that things when raised from the earth, and left unsupported, falls toward it; it was supposed that things had weight, but there are exceptions in such matters; for it is found that some are heavier than others. Second, it was discovered that this globe of earth is surrounded by an ocean of air, having near- ly fifty miles of altitude or depth, of which a cubit foot taken near the surface of the earth, weighs about an ounce; it was then perceived that Hames, smoke, Vapour, &c. rose in the air only as oil rises tn wa 14 ter, viz: because lighter than the fluid by which they are surrounded. Third, it was found th it bo- dies floating in water, near to each other, approach- ed, and feebly cohered together; and that any bodies hanging by each other, are drawn by the same pow- e> towards each other, so as not to hang quite per- pendicular; and th it a plumet suspended near a hill is drawn towards the hdl with a force so much le<s than the weight of the plumet, as the hill is sm Iler than the whole earth, it is thus proved that, weight itself is only an instance of a more general mutual attraction, operating between all the con- stituent elements of this globe; and which explains, besides, the fact of roundness of the globe, all the parts being drawn together towards a common cen- tre; as also the form of dew drops, rain drops, or drops of mercury, as well as melted metal, gather into round substances. Fourth, and it was further observed, that all the heavenly bodies are round, and must, therefore, consist of materials obeying the same laws. And lastly, that these bodies, however distant, attract each other, for that the tides of our ocean rise in obedience to the attraction of (he moon, and the spring tides is when the sun and moon are in the same direction. It has been observed that the power of attraction was manifest in connecting the heavenly bodies together. The next I sha'I mention is that of Repulsion, which is effected mostly by heat; that flames, smoke, vapour, &c. rise out from this eanh, commonly, as the effect of heat, while other objects explode like that of gunpowder, and throws out from this com- mon centre. We may discover it in volcanoes, or where cither water, wind or fire is confined and pressed, it will explode. The next division we mention are those of Phy£- 15 cal, Chemical, V itai and Mental, to give the definition of the words. What I understand by the word Physi- cal, is, one body affecting another, whether the sub- stance be inside or outside, or at a distance off, it makes no difference; the moon is thought to have a physical power on the earth, though it is a great dis- tance from us. The word Chemical are substances being changed by going through certain processes of heat. Vital is all that has life. What 1 understand by the word Mental, is, the reasoning power or judgment. But I have learned enough to perceive, that the great universe is as simple and harmonious, as it is immense; and that the Creator, instead of interpos- ing separately or miraculously, to produce the differ- ent effects that take place, has willed that all should proceed according to a few general laws. There is nothing in nature so truly miraculous, and demands adoration, as that the endless results which we see should spring from a few simple laws. In times of ignorance men regarded every occurrence which they did not understand, as arising from a direct in- terference of a supreme power. For many ages, and among some nations still, eclipses, earthquakes, and many diseases of the body, as well as thunders, were or are accounted miraculous; hence arose among them many ceremonies, and sometimes even barba- rous sacrifices to appease their offended deities* and was no more reasonable than if we should pray for the day or night to be shorter than it is. They had not a proper perception of God, who made the sun to rule the day; who said to the water, 'hitherto thou shall come and no farther;' who gave nature perma- nent laws-laws that appear, in a degree, as un- changeable as the giver-and allows men to disco- ver them, for the direction of their conduct in lif^- 16 "taws so unchangeable, that eclipses may be calcula- ted backward or forward, for thousands of years, without erring any of notice; and as our knowledge of naiure advances, we can explain other events with equal precision." Life is the most complicated state in which matter exists, for under the influence of life it forms bodies with an internal structure of tubes and cavitie-, in which fluids move, producing changes continually. These bodies are called organized bodies, bec~ se of the various organs and parts they possess; th jy may be divided into two classes, viz: the animals, which are endowed with the power of locomotion or self motion; and vegitables, which are fixed to the soil. THE PHILOSOPHY OF THE BLOOD. I firmly believe that "the blood is the life;" first) because it is a bible doctrine, Genesis ix, 4 and 5, with many other passages equally plain; secondly, because it agrees with the fluids that circulate in mao and beast, as well as fish, fowl and insect; thir lly, because it corresponds with the fluid sub- stance 'hat circulates in the herbage and inanimate parts of creation. If this is admitted, the first thing to notice is, the circulation of the blood. Dr Arnott says:-"Perhaps there are few points more remarkable, in the history of the progress by which man has arrived at his present knowledge of the universe, than that it is only two hundred years since he discovered that the blood in his own, and m other animal bodies, is constantlj circulating. England cla'ms, as one of her sons, the man whose powerful intellect at last established this truth, in opposition to strong appearances, and to the most fixed prejudices. Dr. Harvey published his proofs in the year 1619. A person who tries to imagine what the science or knowledge of medicine could have been, While it took no account of this fact, on which, as a basis, all certain reasoning about the phenomena of life must rest, is prepared for what old medical books exhibit of the writings of human reason, in attempts to explain and to form theories, while a fatal error was mixed with every supposi- tion. The chief circumstance which prevented the earlier discovery of the circulation was, that on ex- amining dead bodies the arteries were always found empty of blood, which was the reason, also, of these vessels being called arteries or air-tubes. " V¥e now know that as the Thames water spreads 18 over London, in pipes, to supply the inhabitants generally, and to supply the particular purposes of brewers, bakers, tanners and o'hers, and is then in great part returned to where the cu.rent sweeps away the impurities-so nearly in the human body does the blood spread from the centre through the arteries to nourish all 'he parts, and to supply mate- rial of secretion, or the parts that divide the fluids to the liver, the kidneys, the stomach, and other viscera, or thick substances; and, after supplying the gaul, returns from these by the veins, towards the heart and lungs, to be purified, and to have its wastes replenished, that it may agaiu renew its course. "The circulation may be more particularly des- cribed thus: Fiom the left cham >er or ventricle of the heart, a strong muscular mass from the heart, a large tube arises, called the aorta, or big artery, and by a conunued division or ramification, opens a way for the bright scarlet blood to even the mi- nmest part of the living frame-she extieme divi- sions or twigs being so small that they are called capillary or hair like tubes. At the termination of these vessels, the blood after answering the purpose of nutrition, &c., by which it loses its bright color, enters the commencements of the venous tree, or re- turning channel, and gliding successively from smaller to greater branches, returns towards the right chamber or ventricle of the heart, requiring purification and partial renewal.-Considering the great arterial and venous systems of the body, as twin trees-the scarlet and the purple, with cor- responding and meeting branches, and with trunks will touch each other at the heart, it will appear that they again completely meet or inosculate, or commune with each other, by their extreme roots, and thus form a continued or circular channel, The 19 root of the venous tiee, by which the blood spreads iron) the right chamber of the heart to the lungs, 13 called the pulmonary artery; and that of the arterial tree, bv which the blood returns to the lett chamoer, is called the pulmonary vein. Both of these rami- fy in the spungy masses of the lungs, forming a great part of the pulmonary substance Fresh ma- terials for the blood is brought from the digestive organs, by the lacteal, or small organs, absorbents or thoracic duct, and is constantly pouring into a large vein near the heart, to be completely mixed with the dark or returning blood By a violent agita- tion or churning during its passage through the heart, the mixture, on leaving the right ventricle, is strain- ed through the minute ramifications of the vessels in the lungs, and at the same time is exposed to the action of the air entering the cells of the lungs in respiration, by which exposure the dark purple blood becomes again pure scarlet; and when it reaches the left chamber, or ventricle, is ready to set out on its journey as before, charged with new life and nourishment. The two chambers, or ven- tricals, of the heart, have each an anti chamber or auricle, (so called from an external resemblance to a dog's ear) into which the b:ood is first received from the veins, and there are valvular doors between the auricle and ventricle, which allow the blood to pass readily into the ventricle, but oppose its return during the ventricle contraction. Similarly acting valves are placed between the ventricles and gieat arteries. There are valves, also, in many of the veins over the bddy, to secure the natural course of the circulation. Besides the important change or purification which the blood undergoes in passing through the lungs, its composition is much influenced by the action of the kidney, of the discharges of th» skin, and of the liver, &c. 20 The fact of the circulation of the blood being' once admitted, an inquirer, who contemplate? the the apparatus by which it is effected, is led, by the general analogies of nature, to conceive, first, that the ventricle of the heart, at each contraction, emp- ties itself into the great artery; second, that the con- sequent jet causes a wave to pass along to the ex- tremities of the arterial tree, accounted, simply, elastic, so as to produce, every where, what is call-d the pulse; third, that the force of the heart, acting along the arteries, forces the blood through their open capillary extremities, into the commencing veins, and along the veins back to the heart again. N>w these suppositions which Harvey believed^ completely to describe the circulation, are all nearly true; but the following facts, and others, ascer- tained since Harvey's day, not exactly squaring with them, have rendered farther investigation ne- cessary: First-The pulse, instead of being a dis- tinctly progressive wave, is almost as instantaneous over the whole body as a shock of electricity. Se- cond-The arteries are al! found empty after death ; and if an artery be tied in the living body, the part beyond the ligature, although the action of the heart cannot reach it, is soon emptied through the capilla- ries into the veins. Third-Although the rapidity of the blood's passage through the cappillarie? varies very much, it does not vary in exact accordance with the changes in the rapidity or force of the heart,s action. In analyzing this subject, it is con- venient to follow the blood round from the heart to the heart again, through the three stages of 1 st the arteries, 2d the capillaries, 3d the veins. Arteries examined after death are found to consist of, 1st, an out coat of strong elastic substance; 2d, a middle coat of circular fibrous; and 3d, an inner coat of smooth lining membrane. Theif elasticity or 21 power of resisting change of situation, and of re- turning to a middle state trom either dilation or cm- presMon; because remaining in the dead artery, was the most obvious property, and was that first atten- ded to, Minnie observation of the phenomena of life, has since determined the following facts, prov- ing and illustrating a contractility resident in the fi- brous coats. 1st. "A small living artery cut across soon con- tracts so as to close its canal, and arrest hemmor- hage or bleeding. 2nd . "While an animal is bleeding to death, the arteries, accommodating themselves to the decreas- ing quantity of blood, contract far beyond the de- gree to which their simple elasticity would carry them, and they relax again after death. Dr. Hales took seventeen quarts of blood from a horse before it died, in whose body only three quarts more were found altogether, and yet the moment before death the force ot the blood in the arteries sustained a co- lumn of two feet in his experimental tube. 34. "The artery of a living animal, if exposed by dissection to the air, sometimes will contract in a few minutes to a great degree; and in such a case only a single fibre of the artery may be effected, narrowing the channel like a thread tied round it. 4th. ' When a living artery is tied, the part be- tween the ligature and the neaiest branch on the side of the heart gradually contracts, and becotnes a solid or impervious cord. "Although these facts prove indubitably a contrac- tility in the coats of arteries distinct from their elas- ticity, still because the circular fibres do not resem- ble common muscles in color or in chemical compo* sition, or in being immediately obedient to the Stimuli of electricity, pricking, great heat, &c.n One great mistake among doctors has taken its 22 rise from their experiments on dead bodies, as the fluid don't act in them like the fluids :n 'he living. The pore? can scarcely be opened, and when opened do not discharge like the living, nor no other nis- chaige will act in the st me position as in the livings therefore these experimen s, without particular at' teotion is paid, will blind a person instead of c m- municating light, or real knowledge, though they may do both. "The passage of the blood through the capilia* lies-We have seen that the heart keeps up a ten- tion or pressure, in the arteries, of about four pound on 'he square inch ot their surface, and with this force thus propelling the blood into the capilla- ries. If these last were passive tubes, constantly open, such force would be sufficient to press the blood thriugh them with a certain uniform velocity; hut they are vessels of great and varying activity. It is among them that the nu'rition of the different tex- tures of the body takes place, as of muscle, bone, membrane, &,c. and that all the secretions from the blood are performed as of bile, gastric juice, or sa- liva; and to perform such varied and often fluctua- ting offices, they require to be able to control in all wavs, the motion of the blood passing through them. The capillaries of the cheek under the influence of shame, dilate instantly, and admit more blood, pro- ducing what is called a blush; under the influence of fear they suddenly empty themselves, and the coun- tenance becomes pallid; tears or saliva gush in a moment, and in a short time are again dried up. If a person having inflammation in one hand, be blooded from corresponding veins in both arms at the same time, twice or thrice as much blood will flow from the diseased side as from the other. Similar changes occur in many other instances. Now, the only me- chanical action of vessels capable of causing these 23 phcncflhcna, must occur in contractile or muscular coats, and with reference to such action it merits notice, that arterial branches have always more of the fibrous or contractile coats, in proportion as they are smaller. '•The action of the capillaries, is the cause of that singular phenomenon which prevented the an- cients from discovering the circulation of the blood, Viz: the empty state of the arteries after death. "All muscular parts on animal, including, there- fore, the contractile coats of vessels retain life, or power of contracting, for a considerable time after respiration has ceased, as is seen in the recovering of persons apparently drowned or suffocated-in the leaping nf a heart taken from an animal just killed -in the actions resembling life, which can be pro- duced by the agency of galvanism in a body recently dead. But the fact is seen still more aptly for our purpose, in the total disappearance of a local inflam- mation after the death of the patient; for inflamma- tion involves a gorging or over distension of the ca- pillaries, into which, when the heart has ceased to press blood, the contractile force remaining in them even under disease and in a dead animal, is sufficient to squeeze the blood out of them, and often to remove all trace of the malady which has killed. In ordi- nary cases, then, the capillaries throughout the body remain alive and active for a considerable time after breathing has ceased, working like innumerable little pumps, and emptying the arteries into the veins. As the red blood is their proper sustenance, as well as stimulus, they work as long as there is any of it coming from the arteries behind them, except, how- ever, the capillaries of the lungs, which soon cease to act,-because after breathing has ceased, they are filled with black blood; and are, moreover compres- sed by the collapse of the chest, and all the blood acv 24 cumulates behind them. The capillaries may Con- tinue to be filled from the arteries, either in conse. quence of their elasticity opening them with what is called a suction power, or of an absorbent powei, de- pendent on life, like that of the lacteals, or them that convey chyle from the stomach into the blood; and of the absorbents all over the body, and perhaps of the vessels in the roots of vegetables. When death is produced by lightning, or by poisons which destroy all motions of life instantly, the arteries, af- ter death, are found to contain blood like the veins in a living body. If an artery be tied, the part be- yond the ligature is soon emptied into the veins, and becomes flat. The experiment has been made upon the aorta itself, or the great artery, which rises im- mediately out of the left ventricle of the heart." Passage of the blood through the veins.-''The veins have much thinner coats than the arteries, and if taken altogether, have greater capacity, because they exist, m many situations, as double sets, an ex- terior and an interior; they have, also, very frequent inosculations, or communications, with each other throughout their whole course. "The simple weight of the column of blood, in any descending artery, is just sufficient to raise the blood thro' open capillaries toan equal height in the corres- ponding vein, according to the hydrostatical law, that fluids attain the same level in all communicating ves- sels; and, therefore, as the arch of the aora rises considerably above the heart, the pressure of the descending arterial column of blood would be suf- ficient to lift that ia the veins not only up to the heart, hut considerably beyond it. In addition to this influence of gravity on the venous current, the blood is pressing into the arteries, and from them, therefore, towards the veins wiih a force from the heart itself, as is stated, of about four pounds to 25 the square inch; or, in ot.er words, as if there were a column of blood eight feet higher than the heart, urging the current, it might be expected from the law of equal diffusion of pressure in fluid?, that these causes would soon produce pressure in the veins as great as in the arteries. This does not happen, how- ever, because the blood has a ready escape from the veins through the right ventricle of the heart under'ordinary circumstances. There can be no greater tension in the veins, than just enough to lift the blood to the heart, and to overcome the friction; just as in an upright leather tube, open at the top, and receiving water from a powerful forcing pump, through a small opening at its bottom. There is not often i greaier tension, or pressure, than what corresponds to the height of a fluid column in the tube, and to the friction between the fluid and tube, in Dr. Halo's experiments, already alluded to, a tube connected with a vein, so as to receive its blood, be- comes filled with blood to a height only of about six inches above the level of the heart. As Dr. H. generally cut the vein completely across, and inser- ted the tube into the portion leading from the capil- laries, he would have discovered the whole power with which the blood is pressed along the veins from the capillaries, but for the free communica- tion of veins with each other which reduces the ten- sion even in an obstructed branch, to the degree existing in the system generally, when from agita- tion of the animal or any straining exertion, the passage of the blood into the heart was impeded, all the veins became tense, and a tube inserted into the returning jugular had blood running over, at a height of three feet above the heart. if the blood did not escape from the veins, as above described, the only cause which could pre* 26 vent the venous tension from becoming as great as the artereal, would be obstruction in the capillaries^ but the following facts and considerations prove, that these vessels which, in the dead body, allow the passage ofblood,-"1st, Magendie laid bare the chief artery and vein of a living limb, and detached them at the part from the flesh underneath, so that he could apply a tight bandage round the limb without including them, and could thus render them the only- channels of circulation for the lower limbs. He- then found, that when a separate ligature was put upon the vein to prevent the return of its blood to the heart, and a puncture was made beyond the ligature, the flux of blood from the puncture was rapid or slow, according as the heart was allowed to produce a greater or less degree of tension in the artery; this tension was regulated by compressing the artery be- tween the fingers. 2d -After a similar preparation of the parts, the blood will ascend in a tube from the obstructed vein, very nearly as high as from the ar- tery. 3d-In the common operation of bleeding, when the vein is first punctured, it often jets from it as from the artery, straining the top of a lofty bed- stead. 4th-The microscope discovers in the capil- laries a uniform forward motion of the blood, as if it were obeying the steady pressure of the arterial tension, and not any intermitting action. 5th-Dis- turbed action of the heart by obstructing the passage of the blood through it, is very soon attended with a tumefaction or swelling of all the veins leading to the heart; the swelling becomes very visible about the neck, head, and in the liver, produces swelling and acute pain. 6th-That perfectly open capilla- ries of the size, existing in the living body, should just regulate a flow of blood, urged by the usual arterial piess'.ire in the degree which really occnrs. 27 'eraperates the flow (o a proper medium; in ordinary cases; therefore, they must be open and regular, because near all the divisions of the fluids takes place among them;" that of perspiration, joint, wa- ter ,marrow, &c.; the division for urine is in the arte- ry and kidneys. These things prove that if the capillaries were open, and the communications of the veins shut, that there would be a pressure of blood in the veins, near as high as in the arteries. So little has this important truth been understood, that, in the elementary works lately published, the- venous current is treated of as a very obscure sub- ject; the difficulty seems to have arisen from the great disparity observed between the pressure in the arteries, and in the veins, while the reflection did not occur that it was owing to there being a free passage, or outlet, from the veins through the heart, and a communication of the veins. Veins are much weaker than that of the arteries. We may mention the fact, that if any vein in the living body is made to communicate directly with an artery, it soon swells to bursting; the veins possesses power as well as the arteries, to a great extent of adopting themselves to the varying quantity of blood. The arterial pres- sure of four pounds to the square inch, supporting in a tube connected with the arteries, a "column of blood eight feet high is produced by the action of the heart -but as the heart, while injecting the blood against this resistance, has, moreover, to overcome thestub- borness both of the quantity injected, and of the mass in the great artery; all is moved by injections, and the spring of the vessels yielding to momentary in- crease of pressure; therefore the heart acts with a force of neai six pounds on the meh. Now as the left ventricle of the human heart, when distended, has about ten square inches of internal surface, the 28 whole force exerted by it may be near sixty pounds." This has been much overrated. "1st-By assum- ing that the ventricles of the heart are completely tilled and emptied at each puisatmn-an assumption disproved by inspection of the exposed heart of a living body, and the fact of the valves between the auricles and ventricles, not closing so perfectly as to prevent returning. 2nd--By supposing the issue of blood from a wounded artery, or vein, to be the measure of the usual velocity. Now it would be as reasonable to suppose the issue of water from a wounded pipe, connected with any reservoir, to be the measure of a continued current in that pipe, al- though, in truth, the issue would he the same, even if the water in the pipe were usually at rest. 3d- By supposing the frequency of the pulse to be a mea- sure. Now we know, that in diseases of debility, and in animals bleeding to death, the pulse usually becomes more frequent as it becomes more feeble, and as there is less blood moving. 4th and lastly - By supposing the strength of the pulse t< be the measure. Now we find that the pulse in an artery just tied, and where, consequently, there is no for- ward current at all, is scarcely weaker than in an open arterv. The common fact of a person's feet remaining stone cold for hours, although the arteries leading to them pulsate nearly as usual, is a proof that exceedingly little blood is passing through the capillaries at the time, and that the pulse, there fore, is no measure of its speed " "The ventiicles of the heart appear, under com- mon circumstances, to throw out about an ounce and a half of blood at every contraction-or about seven pounds per minute. Now if the body contains about twenty pounds altogether, as seems to be the case, the whole would circulate twenty times in an hour; 29 this would give an average velocity of about eight inches per second, in the aorta, but gradually less in the smaLer arteries, because, whenever a vacular chamus subdivides the branches taken collectively, they have considerably greater area '.han the trunk from which they arise, and the current diminishes in a corresponding proportion,-just as the speed of a river stream, is always less in the parts which are deeper and broader The velocity in the extreme capillaries is often f>und to be less han one inch per minute; in the veins, the blood must move moie slowly than in corresponding arteries, in proportion as the veins are more capacious than the arteries.11 On the Pulse-"It is thought that the motion of theheart is transmitted through the fluid blood,some- what as sounds are transmitted thiough bodies gene- rally; or as a blow struck on one end of a logoi wood, is felt distinctly by a hand applied to the other, although there be no visible motion in the log. It has been shown that a sudden rush forward of the blood in the artery, such as might be produced by injections at one end of a ligid tube, would be felt by a finder applied, quite as distinctly as a swelling; and it has been deemed this occurrence to be one cause of the pulse, instead of the pulse being pro- gressive from theheart. It is some like a stroke of electricity which shocks the system all over near at once, yet the pulse is the beating of the artery. Every time the heart contracts, a portion of blood is forced into the arteries which dilate, or swell, to let it pass, and then immediately regain their former size, until, by a second stroke of the same organ, a fresh column of blood is pushed through them, when asimilar action is repeated The swelling and contracting of the arteries then constitutes the pulse, and consequently it may be found in every part of the body, where these 30 teasels run near enough to the surface to be felt; physicians look for it at the wrist, for convenience. The strength and velocity of the pulse, varies much in different persons, even in a state of perfect health. It is much quicker in children than in older persons; in old people it grows more slow and feeble, owing to the decreased energy of the heart; and is low sometimes in stagnations of blood. The pulse is in-* creased both in strength and activity by running, walking, riding and jumping, by eating or drinking things that are warm, by singing and joy, &c. They are diminished in like manner, by fear, want of nourishment, melancholy, excessive evacuation®, or whatever tends to debilitate the sjstem. In feeling the pulse, then, in sick persons, allowance should be made for these causes; or what is better, we should wait until their temporary effects have ceased. A hard corded pulse is that in which the artery feels like the string of a violin, or a piece of tightened cat-gut, giving considerable resistance to the pres- sure of the finger. The soft and intermitting pulse are easily known by their names. In cases of ex- treme debility, or on the approach of death, and in some diseases it vibrates under the finger, like a thread. In feeling the pulse, three or four fingers should be laid on it at once; the most convenient spot to do this is the wrist, but it can be readily done in the temple just before and close to the ear, in the bend of the arm, at the under part of the lower end of the thigh, among the ham strings, and on the foot. When the pulse trembles, we may judge that there are obstructions in the system; and also when they make a double motion. A MORE SIMPLE DESCRIPTION OF THE CIRCULATION OF THE BLOOD. I shall set it down for granted that the blood is the life. If this is admitted, the first thing that follows is, the formation and revolution of the blood. The blood flows from the heart through the medium oi the arteries, which in common is near the bones, to the extreme parts of the body, and absorbs in the flesh as it passes out, and the veins gather it and directs it to the heart again: thus, when we bleed a person, we tie round the limb only tight enough to stop the vein -but if we tie tight enough to stop the artery, we will get but little blood. There is a great quantity of water that passes through the canals of the sto- mach, and is thrown into the blood in an ordinary state of health; and a part of this water passes off by urine, and another part passes through the pores of the body. This is the most critical discharge of any, and there ought to be more attention paid to it than is. Here we notice that there is no singular channel through which the water passes from the stomach, but soakes through the intestines through small pores, and is united with the mass of the blood; the great means of health is to keep the blood, which is the life, pure, which is made up of every substance which is thrown into the stomach. This may con- vince us of the impropriety of poisonous medicines, which of course formsa part of that blood that is the life and animates the system. The Thompsonian system, that says heat is life and cold is death, is without foundation-If this was true, put a person in the fire and they would be sure to live. But it is 32 true that life requires a certain proportion of heat, and sometimes more than we are aware of; and it equally man- on the other elements, the water, air and earth, without which it would be impossible to live. It is evident that extreme heat will destrot life sooner than exireme cold. The arguments in favor of either air or water has as much ground to stand on as Samuel Thomson; but ihe four elements in conneelicn with the organized system keep up the piweis of animation. Do. tor Rush's argument in favor of lite being a forced state from the brain by the nerves, is as feasible, and more so, than Samuel Thomson's; but I feel perfectly satisfied ihat the blood is the Ute- this fact is recorded in rhe bibiein a number of places. These elements operating upon the organized system, keeps her in motion. The form 11ion of our system, and the means of iife.shows the wisdom of th it God that made us; and the busi- ness of a physician is not to correct the system, nor to form one new part to it, nor to change the circu- lation of the blood from a natural state or course, nor to disturb une of her parts; but rather to assist her by removing the obstructions that are in the way. We should examine where the obstructions are that is the cause of disease, and try to find 3 hat has disturbed nature's rules, and use the best means to remove it. I expect the present piece to be the beginning of a new system that may grow till it will arise to some degree of perfection. The most com- mon plan of curing diseases appears to be contrary to nature, and dangerous. If a person applies to the medical doctors, it frequently appears to me as a man setting up his life at stake, in which he stands a chance to lose his life; and if he gains it, the con- stitution is injured, and sometimes irrecoverable,- The vast divisions and contradictions in sentiment?. 33 that exist among the medical doctors, both in their practice and books, is sufficient to convince us of the impropriety of their system, and, according to Christ's sayings, will ultimatelj fall; for he says, that, a house divided against itself cannot stand. Th» administration of poison into the stomach, which im- mediately is introduced into the blood, which is con- trary to the life of man, and assists the complaint instead of the patient, and is contrary to reason; that the medicine that is contrary to life ts called up to assist. The numerous accidents that have happened in the country among their practice, has prejudiced a number of people so that they call on no physician when they get sick, and a great number of the rest are at a stand what to do in time of sickness; while others are loaded down with the effects of it, and are not able to extricate themselves-; and when poison is introduced into the stomach, nature has to overcome both the disease and medicine, or the patient dies.- 1 suppose that the face of nature has produced her own remedies, and in a general point of view, medi- cine should be taken in a natural state like the pro- ductions that are used for diet. The effect of a dis- tillation to get out the spirit of the herb, or seeds and root, may answer in some cases; but it frequent- ly changes the substance. Just observe the different effects of rye or corn, and then try the spirits of them, and see the effect on the stomach and blood. There are a number of things that the substance flies away in the vapor in a state of distillation. Many of those roots and herbs that I make use of cannot be applied to advantage in any other way but in a natural state. Lobelia is destroyed in a great degree by warmth, much less in a state of distillation; the liverwort is nearly so, and there is but a few medicines'that p<,» cesses the same quality after going through a state 34 of distillation as before. The human stomach is the best judge of medicine, and good experience is the best way to try their virtues and effects on the human body; for the virtue of some is in the spirit of the substance, and others it is in the solid parts of it; and the sensitive powers of the stomach will soon find out the virtues. The stomach always possesses a portion of acid in an ordinary state of health, and it is said that this is governed by the quantity of gall that is spilt in it, and the gall is generally governed by the strength of the diet we live on If we live on salt and fat diet, our gall is apt to over spill and sour the stomach too much. It is safer to live on fresh, weak diet in general. The stomach is in some degree like a still; when it does not sour enough, we are not well; when it over sours, we are also unwell; but if it can strike a right sour, all is well, and the stomach will discharge herself right. And there is a kind of vapor that rises up and mois- tens the coat of the stomach and pipes even to the mouth; and this watery substance is drawn through the canals of the stomach into the blood by large quantities; and discharges, part by way of urine, an I part by perspiration. The quantity of watery vapor that rises up is governed by the sourness of the stomach; and if substances that we eat have a tendency to stop up the canals of the stomach, this watery substance frequently raises more plentifully to the mouth, and is called a water-brash, and so it acts when the stomach over sours. Sometimes the canals of the stomach calls for more water than raises up in vapor; then the drvness of the throat and mouth demands a drink of water. At other times there is a humor settled on the coats of the stomach, which agitates it, and it throwsup all the substances 'hat are in it, or nearly so. And nt other times, the 35 humor strikes in all the way through the hollow of the body; from the throat to the rectum or lower part of the body, and this humor is on the inside of the ho vels, if this humor is in the pipes and threat, it cau-es a hoarseness and injures the voice, as well as often produces a cough. If it is in the stomach, the effect is a puking; and if it is in the bowels, the effect is a purging; or if in the stomach and bowels at once, the effect is a cholera morbus. I am of opinion that this disease can be cured by a regular course of medicine, and somerimes by one operation of sweat, and then give a few doses of No. 1, and keep a moist sweat for a while. But the most com- mon cause of disease is too much matter in the blood, that shuts up the pores of the body, and throws peo- ple into different situations in life. We may draw some conclusion of the violence of the complaint in a thin, clear skin person by the color of the blood through the skin; if it looks dark, you may suppose they are dangerous, and more so when it looks cloudy. In diseases of less violence, the skin is more clear, and has a more common appearance; and other com- plaints come from obstructed perspiration by means of cold, and some by humor in the blood struck out against the skin, and thus shuts the pours of the body. In this case there should be a driving medicine taken inwardly to keep it out, and the pores opened by doses of No. 1, and steam with the stomach empty, or nearlv so. of food, and it to be fresh and light, which is made use of. Both the creation of humors in the blood, and the striking them in on the inside, are fioin various causes too many to mention in this short work; but the most leading causes that create humor, are as follows: first, living on salt, rich diet; secondly, eating too many kinds of diet at a time; thirdly, keeping the stomach overstocked with food 36 loo long at a time; fourthly, drinking too much spirituous liquors, or what may be called hard drink; fifthly, the measles, sickly and unhealthy climates, and bad water. The next is what strikes them in on the bowels or in- side; firstly, cold on the outside; secondly, large draughts of cold wafer in the inside; thirdly, percipi- late or sulphur on the outside; fourthly dosesof physic which purges the inside But there is a great dif. terence between purging the body and purging the blood, and especially if the body is purged with a poisonous medicine; for the blood will gather a part of that poison out of the stomach, and carry it all through the whole body. And this is not the only bad effect; but if we purge the body while the pores are shut up, it frequently draws diseases in on the inside; because diseases frequently draw near to the place of discharge, and sometimes even affects the part where rhe discharge is; and the weight of that sub~ stance that passes down the intestinal canal is more forcible of itself than any other discharge of the body. But it needs force, because a thick morbid substance will not pass like a watery fluid; and for this reason the passage by urine is not so often ob* structed. Whatever increases the motion of the bowels, generally causes a purging; and when poison is passing through the bowels, they are roused into motion to resist its evils, and it is very wrong to force nature, instead of assisting her to do her duty or dis- charge her office. We may assist her by injections, which will never have a bad effect; and sometimes we can administer an oily substance that will make the bowels more pliable and capable of moving.- The effect of administering hickory bark lie, in small portions, will hereafter be described, removes the common matter, from the insides of the bowels, in a. 37 degree, and renders them more slippery and limber, and i» an assistance in purging, and so are fresh broths in some degree; and there are certain medi- cines that either draw out or drive away the stagna- tion of the bowels, and adds sensibility, which quick* ens the bowels that are not poisorr. 1 will name sul- phur as one, elder bark as another, and caster oil adds to the motion of the bowels. There are many others too tedious to mention at this time. There is one rule that we may judge these means by-that means that adds sensibility and quickens the bowels: in repeating the doses, less will answer, and that means that forces nature; nature braces against it, and you must increase your doses as you repeat them. But I am fully convinced that there is more purging done by doctors than is profitable, and not one sixth as much sweating done as ought to be done for the health and safety of the people; for the dis- charge through the pores of the skin 's the most dif* ficult of any other, and according to nature's rules, should be almost without intermission, while the other discharges have their proper intermissions; and to add to the difficulty , the discharge by perspi- rition is in a degree invisible-and, it is thought, that Something like one fourth of all the watery fluids that aie taken into the mouth ought to pass off this way in anoidinary state of health; And what makes it difficult, it depends on the force of the heart, that drives it not only down but upwards to the surface of the body; and there appears to be a balance between the motion of the heart and the opening of the pores, that whatever causes the heart to motion, has a ten- dency to open the pores; and moistening the skin with warm steam, has a tendency to soften it, and the pores are easier opened; and the steam^oing into the heart department improves its motions very much, 38 and of course produces a free perspiration. The medicine called the first part of the composition, or No 1, opens the canals of ihe stomach and skin, and assists in this proce*s. By purging the stomach, we may move the fountain of filth out of which the 'Hood has been already formed; and if we move it with a poisonous medicine, the blood in the meantime will receive a part of that p >ison,fiind of course is w orse than I efore. Now, the grand question is, which way shall the filth that is already in the blood pass off? Shall it be drawn lark to the stomach from whence it came, and pass off" in that way, which is contrary to nature? -or sh ill it continue to pass right through the pores of the skin, and be discharged in that na> ? If there is not a regular discharge through the pores of the skin, nature becomes unharnessed, and instead of throwing her substances towards the surface of the body, they are thrown back on the stomach. Gold- smith says, that there is no man that starves to death; but when the stomach gets empty, the poison out of the b ;dy gathers in and poisons them, and they go distracted and have strong symptoms of poison. This is fire way that people lie and eat nothing of notice, and are not hungry, that are said to be fed bv sick- ness; but it is by operating contrary to nature. I have known some that were said to lie for weeksand receive very little sustenance, though they had been hale, hearty persons immediately before, and they repeatedly took physic and purged in the mean time, and often were puked; and there appeared plain dis- coveries of filth still coming from the stomach, and the patients still reducing in their flesh. But this has not been the case with one of my patients, though they have amounted to eleven or twelve hundred; and near ninety of them of the consumption. It is very 39 evident to me, that nature should keep her regular course in s'ckness. If the stomach is overstocked with filth, the sensitive power* of it wilt find it out, and nature will make her motions to throw it off; then we should assist it by administering an emetic, which, if done right, will not only clear the stomach in a few minutes, but will be apt to cause a free per- spiration Clearing the stomach of filth will prevent the blood from being more filthy, bur it does not re- move that filth that is already in the blood; and as the blood has but two natural discharges, reason tells us that she must discharge her filth one of these ways, that is, by petspiration or the way of urine; and as I fancy 'hat none will argue thatshe must discharge her filth by the way of urine, then it follows that it must be discharged by way of perspiration. Let the reader pay particular attention to these plain remarks; for the blinded r.ay that many of the doctor books are written in, is calculated to keep a great body of the people in ignorance. For often when they touch a particular point, in which they think the people may gain some useful knowledge, they have it printed in some dead language, or use some strange phrases; and every medicine that is poison, is opposite to life, and of course assists the complaint instead of the pa- tient; and except nature is capable of overcoming both the disease and medicine, the patient dies. I have thought that there are many cures among them like many in the country, that are taken up on un- certain premises, that persons happen to take some •certain means about the time that nature has gained her point and overcome the disease and the whole cure is ascribed to whatever means they have taken. One or two circumstances like this establishes the means they have taken to be asure cure^wben at the same time likely it is right opposite. We have 40 no right to trust the virtue of the medicines without proper experience; but when diseases are in the,in- side of the body, my plan is to drive and sweat all out; but when on the surface of the body, though 1 try to keep the person at least once a day in a sweat, so as to keep up this discharge, J frequently give No. 4, which is a drawing medicine, and moderately, purges. I have made a few remarks on the outlines of this system, to show that it agrees with reason and with the bible. I want those that practice this system to pay. particular attention to the rules laid down, and we will depend alone on the God of the whole earth for his aid and blessings; and as we shall have a great number of the learned of our day to encounter, let us be careful not to bring a reproach on the sys- tem; and though the system may look new, and you cannot see into the particulars, I will assure you that all the general or leading points have been faithfully tried. Do not let this baffle your faith, because there is but one general way of cleansing the blood; for Paul says, that God has made of one blood all the na- tions that dwell on the earth; and it is thought by the strongest minds that the medicine that will cleanse the blood, will cure diseases that are oppo- site to each other, though I shall change the medicine as well as the management in a degree. The medi- cal doctors have one rule of salivating to cleanse the blood; that is, to throw off diseases by way of the glands: but mine is to thiow off diseases by the pores of the skin. And for the purpose to discharge dis- eases by this way, I will lay down a plan: there is a balance between the motion of the heart and the opening of the pores of the skin; the heart acts some- thing like a pump, that throws the blood out to the ex- treme parts of the body, and forces the water through 41 the pores of the skin; if any thing should retard its motion or power, the pores are no longer kept open, and the blood that should fill the extreme arteries and veins now fails to flow out as before, and crowds more on the insides, and the fii h that is in the blood gathers round the heart and stomach, and the patient feels sick at the stomach. And if the motion is much retarded, the feet will immediately get cold for want of sufficient blood. This coldness begins in the feet, because they are furthest from the heart; and as the heart motions slower or weaker, this coldness pur- sues up the legs, and, as it passes the knees, it imme- diately commences on the fingers; and as it still grows slower or weaker in motion, this coldness pur- sues up the arms and thighs into the body, until death is the conseq ience. There are two reasons why the blood is not thrown out: one is, a weakness of the nerves that causes the heart to motion weak or slow; the other is a thick, stagnated blood, that is hard to throw out. There is more to be done by improving the motion of the heart, than what is gene- rally believed; long experience has very much en- larged my views on this subject, so that I suppose the very symptoms of death have been baffled; as the blood flows out into the limbs, the cold, numb, death* like feelings vanish sometimes, and the sickness driven from the stomach; and in the meantime na- ture discharges her surplus water through ihe pores of the skin. 1 have cured the cholera morbus, when the limbs were cold, without any medicine, by improving this motion; and have thought that the sick stomach, or milk sickness, could be cured in the same way. I have known some take large doses of an emetic, and intheheighth of puking it was stopped this way. This has been tried to my satisfaction, and the same means will commonly stop a cholic. 42 A person that is acquainted with drawing water with a pump that leaks, may form some idea how the heart throws out the blood. If a person works a leaky pump slow, the water sometimes falls b.ick or leaks as fast as they raise it, and they gain none; then, for the purpose of gaining on the leak, they must improve their motions on the pump, and thus draw it faster than it can leak, So it is with the hu-> man body ; the blood is thrown out through the arte- ries, and the veins gathers it, and brings it back; and if we want to fill the extreme ve-sels, we must in- crease this motion so as to throw it out faster than it returns by the veins. Then to improve the motion of the heart, is as follows: covering a person all over when he is sweating, and having the steam to go im- mediately to the heart and lights, warms the blood at the fountain, and of course sets the heart to motion- ing; and as heat has a tendency to drive diseases, it is proper to applv it to the heart, so as to drive dis- ease from the seat of life towards the extreme par's of the body; and as heat has the tendency to m ike the blood more active to flow, it is necessary to apply it all over the body; so while it warms the blood and increases the motion of the heart, at the same time it moistens the skn, and thus opens the pores where it i« applied with sfeam; and as whiskey or camphor is driving, a small portion of one of them may be mixed with water for steam, and the smell of these will help to remove the sickishness of the smell of the sweat, while the vapor goes to th ' seat of life - But persons who are not in a puking position will find it an advantage to take a dose of No. 1 before thev sweat, which will not only assist in sweating and driving disease from the stomach, but will in- crease the motion of the heart for near twelve hours afterwards; though doses of it may be taken at any 43 time before or after they sweat; or if they do not sweat regular, make use of a warm drink of tea to warm the stomach on it. There are three parts that belong to the blood; one is the red part, or what some call the red gooblet; the second is the matter part, which s«>me call the gliten, and others the crassamentum; the third is the water part, that some call the serosity. 1 sup- pose that one point in doctoring is not only to know that there are such parts in the blood, but t> know how to improve or diminish either of these par's. I have thought if we knew these thi gs perfectly, we could glide people into health, beyond what could he expected. I have not mentioned this point because I considered mvselt master of it, but that it should not be altogether neglected, as it has too often been; hut (h it it should be the business of some in- dustrious minds that perhaps are deeper than mine. I will only conjecture a few things on the subject. In the first place, I suppose, that the red part is the most essential to lite, and I consider that it is cohe- sive, or has the property of sticking together more than the others; and the filth that it is affected with most is hum irified; and I suppose that sassafras bark, pricklv ash bark, or horse radish root, has a tenden- cy to increase this part of the blood, in a degree, if taken inwardly ; and I suppose that it is necessarv to improve it in cases of relaxation or stagnation of blood; and the way to improve the gluten is to make use of wild or tame comfrey root inwardly-this only should he done where a person is well, and can- not sleep sufficiently. The way to improve the wa- ter part or the serosity, is to live on a weak watery diet; the way to .dimmish either the red or watery part, is to make use ot the lancets, as they run freer from the veins than the gluten; and the way to re- 44 duce the matter part, is a regular course of medicine, as will be found after the patent-that is, to lower the fountain, hat is the stomach of solid food, so that it will not throw out as much matter as usual. The doses of No. 1, that belongs to this course of medi- cine, with the sweats, throws off abundance of matter from the blood. The gluten of the blood is a kind of oily matter, that the other two parts, where it is in a pure state, is willing to mix with; but sometimes there appears to be a matter in the blood, that the other parts ap- pear to disown, 1 supoose, because it is not of the right kind. In this case each part appears to sepa- rate to themselves in a degree in the body. This can often be discovered in the face, and sometimes in other parts, of a thio, fair skin person; they appear to be spotted or cloudy-sometimes one spot is red, another purple, and some pale-the pale spots is the water, the red is the red part of the blood; and the purple is the matter part. We may often see these purple spots in drunkards, as hard drink has a ten- dency to create too much matter in the blood; this is what sometimes increases his flesh, makes him ap- pear to be bloated, and, having too much matter iu the blood, is the causes of all stagnant complaints, and may be called the common cause of diseases, and sometimes shuts the pores of the body. The blood, which is the life, is out of order while the component parts of it is not mixed as they ought to be; for there is more dangerous diseases that come from this cause than any other one cause. It is necessary not only to know that there is such a surplus matter in the blood, but also to know how to remove it. As the humerin the blood can be removed by reducing the system by physicking, diet, and letting off blood. But I have seen no plan that reduces the matter faster 45 than the other two parts, or in other words to remove the surplus matter from the blood, that is no plan that man has devised, except the one that I have laid down. But nature has had a plan, that is to throw it off by the way of the glands, under the name ot a bad cold. Sometimes people have a cold, for the pores are shut; but others are open, and we can see a fUrpius matter coming from the head and bteast, sometimes in abundance. Do we not learn from this >hat nature is throwing off this matter?- And this is her way of discharge, when she does not discharge it fast enough through the skin. A person can satisfy himself on this subject by drawing blood fr< m another in the commencement of this disease, and let it get cold; then look at the quantity of mat- ter in proportion to the other two parts, and when this disease is done operating, tiy the same experi- ment of drawing blood from the person again; then examine the proportion of each part, and see if na- ture has not discharged some of her surplus matter. Sometimes this matter, not having a free discharge from the lungs, it affects that part, and becomes a consumption, or the person is affected for a longer or shorter time. But the medicine I have called No. i, or the first part of the composition, has the ten- dency to open the pores and drive out this matter in abundance, and at the same time destroy the humor which is in the blood faster than purging. Take 3 or 4 doses of this medicine, going to bed and cover- ing a little warmer than usual, will produce a copious sweat in a few hours, and in the mean time the sur- plus water and matter will both be driven so near the surface of the body, that the person will leel cold next to the skin. Though this process throws off some matter and water, yet I prefer a regular course of medicine, in which there is only two doseis 46 of this medicine given in twenty four hours, and the rest is do r- by other medicine, steam and manage* mem. I make use of the three elements on which lite so leeoh depmls; that is fire, water and air.- 1 make use of fire and air to raise (he watery vapor, and pl tee it near the seat of life, that is the heart; while (he air blows the heart and lights the fire, warm® the whole system;and the water moistens the glands as well as 'he surface of the body, and passes through the whole system; while it assists in open* ing the pores by moistening the skin, it all, with the medicine, assists in strengthen! ig the motion of the heart. I have -aid that the red part of the blood is cohesive, though the skin appears like a seive, that will let water and matter pass through; but the red >art is retained, and must be reduced by other means, if at all Another advantage in warm* ing the b ond is, that it makes it more active to force the water through the skin; and another equal ad- vantage is, that it assists in mixing the component parts of the blood well together; and it also assists in forcing that part that remains in the system out of the arteries through the flesh into the veins, and thus forms its revolution. As 1 have now made some mention of what will improve, as well as what will diminish the several parts of the blood, and expect this subject will again be embraced when applied to certain diseases, I wdl leave this point; and 'est there should be some doubts whether the gluten of the blood can be forced through the pores of the body, I will produce some evidence; that is, while a person whose blood is foul i® going through a regu- lar course of medicine, the matter in the meantime will cause the skin to be sticky, and the clothes that are next to them will frequently stink, even some time, till it becomes disagreeable to stay in the room. 47 1 have ordered some to be washed once a day to re- move this matter and stink from then'; though there are none that smell so disagreeable as the real ty- phus fever. Another evidence that the gluten of the blood is removed in this process-that is, if any per- son should doubt, let them draw a smalt quantity of blood before this process, and examine the compo- nent parts when it is cold; and after the process, try the same experiment, and see if there is not less mat- ter in the blood after than bef>re. When the blood is is purified by subtracting the matterand humor from it in this way, then improve your diet gradually, and take two doses of No 5. which will strengthen the nerves us well as improve the blood in proportion. This appears to he the only wise means of cleans- ing the blood. But lest this system should be dispu- ted, and some conclude the plan is wrong, and that we should purge the body more to get the blood clean. ! will say something more on the subject, as custom or habit has a great impression on our men- tal faculties; as the practice of purging has been a long time held up, the subject is more difficult than it otherwise would be In ihe first place, 1 would ask the questi m, wl ich way the fluids pass thi«>ugh the body? Doth it pass from the stomach towaids the places of discharge, say the bladder and skin? or doth it enter them first, and work towards the stomach? I think the answer will be bv all, that it enters the stomach first, and passes out towards the skin; that this is the natural course there is no room to doubt. If the blood discharges itself this way, it follows that if any fillh'is removed from the blood by a purge, it is contrary to the laws and rules of nature. 1 will readily admit that the filth that is already in the stomach and bowels, may be removed in a degree by pnkeing and purging, which may preventthe blood 48 from getting tvorse than it is But the question is, how shall the filth that is already in ihe blood pass off? Shall we purge it off contrary to natures rules-or shall we lorce it through the skin? If the stomach is one department in the body, and the arteries thro' which the fluids pass is not the same but another, it follows then that cleansing the stomach doth not cleanse the blood, no more than washing one house cleanses another. The means that are intended to cleanse the blood must pass through it as well as the arteries through which it passes; and as water is a cleansing element, we should make use of it, and with it administersuch medicine and means as should give the water a free passage through the organs of life, and such as would rou«e the blood into motion, as it is reasonable that we cannot cleanse without mo- tion. But to cleanse one room so that another might be clean, is not so unreasonable as to poison one that another might be cleansed, and at the same time the poison have access into the room that should be cleansed, and possesses no cleansing quality. But J wish to be far from accusing any7 person of using poison to cleanse the blood; for I believe that there are some of each order that will not do so on any condition. I have made as many remarks by way of explana* tion as I have room f-r; 1 shall immediately intro- duce a copy of the parent right for Doctoring, which is a better plan of Doctoring of itself than many others; but the rest of the book may be a great assis- tance. 49 THE UNITED STATES OF1 AMERICA. To all to whom these Letters Patent shall come-. Whereas, JOSEPH BAKER, a citizen of the United States, haih alledged that he has invented a new and useful improvement in Medicine; which im- provement he states has not been known or used be- fore his applica'ion, hath affirmed that he does verily believe that he is the true inventor or discoverer of the said improvement, hath paid into the Treasury of the United States the sum of thirty dollars, delivered a receipt for the same, and presented a petition to the Secretary of State, signifying a desire of obtaining an exclusive property in the said improvement, and praying that a patent may be granted for that pur- pose: These are, therefore, to grant, according to law, to the said Joseph Baker, his heirs, administra- tors, or assigns, for the term of fourteen years from the fifth day of May, one thousand eight hundred and thirty one, the full and exclusive right and lib- erty of making, constructing, using, and vending to others to be used, the said improvement; a descrip- tion whereof is given in the words of the said Joseph Baker himself, in the schedule hereunto annexed, and is made part of these presents. In testimony whereof, I have caused these Letters to be made Patent, and the seal of the United States to be rereunto affixed. Given under my hand at the City of Washington, this fifth day of May, in the year of our Lord one thousand eight hundred and thirty one, and of the Independence of the United States of America the fifty fifth. ANDREW JACKSON. By the President. M. VAN BUREN, Secretary of State. 50 Ctfy of Washington, to zaiit: I do hereby certify, that the foregoing Letters Pa* tent were delivered to me on the fifth day ol May, in the year of our Lord one thousand eight hundred and thirty one, to be examined. I have examined the same, and find them conformable to law, and I do hereby return the same to the Secretary of State within fifteen days from the date aforesaid, to wit:on this fifth day of May, in the year aforesaid. JN. MACPHERSON BERRIEN, Attorney General of the United States. The schedule referred to in these Letters Patent and making part of the same, containing a descript tion in the words of the said Joseph Baker himself, of his improvement in medicine. To all whom these pi esents shall come: Be it known, that 1, Joseph Baker, of Jefferson township, in the county of Ross, and state of Ohio, have invented a new and useful improvement in Me- dicine, and that the following is a full and exact des. cription of the construction and operation of the said Medicine improved by me. The schedule referred to in these Letters Patent, and making of the same, containing a description in the words of the said Joseph Baker himself of his improvement, being a mode of preparing, mixing, compounding, administering, and using the Medi- cines herein described, in the manner and in the dis- eases hereinafter mentioned; that is the mode of preparing and compounding medicine for an emetic, and also to cause a free perspiration, to be adminis- tered in diseases caused by cold and obstructed per- spiration, such as fevers, rheumatisms, dysentary, dropsys, consumption, pleurisies, bold hives, and all stagnated complaints, with some others. 51 N. B. All roots, barks, and herbs must be first dried, pounded in a mortar, or ground in a mill be- fore they are made into medicine. Part the first.-Take seneca snake root,one ounce; take liverwort tops, three quarters of an ounce: take robbins' plantain roots and tops, one quarter of an ounce, mix these well together. This forms the first part of the composition. Part the scond-Take the bark of the root of sassafras, a half ounce; take the inside bark of wild cherry, a half ounce; take the inside bark of elder, a half ounce; take sulphur or brimstone pulverized, a half ounce; mix these well together. This forms the second part of the composition. Part the third-Take lobelia, or what may be known by the name of Indian tobacco, the tops gathered in September, two ounces This forms the third part of the composition, which is to be admin- istered all together, or in parts as the nature of the case may require. It should be remembered, that equal portions of these three parts forms the whole composition of medicine. It should be remembered, that a dose of either of these powders for an ordinary constitution is an average tea spoon full, and allowance should be made for the different constitutions of people. When the violence of the disease requires a spee- dy remedy, and nature calls for an emetic, and there is an obstructed perspiration, it is necessary in this case to give a dose of powders of the whole compo- sition, and wash them down with half a pint of cold weak ley, made of the bark of shellback hickory; and if this does not operate as an emetic in fifteen minutes, give a second dose, with a less quantity of ley, or just enough to wash it down; and if it doth not ope- 52 rate, in the same time you mav try the third and fourth on the same rule, which will scarcely fail.- This process commonly produces a tree perspiration. Then continue the process by giving a dose of pow- ders of the first part of the composition, and in thirty minutes sweat until you get a free sweat over the body. The way to sweat is to cover the person all over, and make use of two oven lids, one at a time, have the feet in warm water, and sit your oven lid under the cover, and form a mixture of one third whiskey and two thirds water of about three gills, and steamit on the oven lid as they can bear it, and repeatedly sup warm tea; and when done, put them to bed, cover their breath a short time, with a hot stone quenched and wrapped up in a wet cloth at their feet; their teas should be spice bush or red pep- per; during sickness make a drink of water by quenching a hot Coal in it til! the chill is off. Take two doses of the fiist paitof the composition in the course of twenty four hours, and one of the second part, dividing the time of taking them, and sweat once a day for three days; and if the person have the fever and ague, sweat once a day till it leaves them, and keep up a moist sweat as steady as possible during the whole time, and keep them warm in the chills and fever. Their diet should be light, such as chicken and squirril broth with a little of the meat, and as little bread as possible; they can make use of rice or homony, but keep the stomach as emp- ty as convenient, and especially for three days; and after that they can increase their diet gradually until well. If the disease is less violent, you may leave out the first part of the process, and begin by giving a dose of the first part of the composition, and then sweat, and so follow the rale as is laid down above? 53 and if it is found that the first part of this process is necessary, it can be applied at any other time. In pleurisies and bold hives, and many other com* plaints, it is only necessary to pursue the rule, uptil the patient recovers, which is not likely to be long. Let it be wed remembered, (hat nature is the grand physician, and we are only to assist her in removing the obstructions that are found in her waj, as far as is in our power, and that we should pay particular attention to her claims and try to supply her wants if possible. Incases of less violence, these powders may be taken without a preparatory sweat, either in whole or separate parts, as the case may require. JOSEPH BAKER. Witness-Nathl. Massie, Henry S. Lewis. Here we notice again that we do not wish to force' nature into terms, but to assist her to fill her office; keep it close in mind, that too many kinds of medi- cine, diet, or teas, at a time, instead of curing, ad- ministers disorders, the stomach not being able to digest them, though they are the very sort that would have answered the purpose, provided the stomach could have managed them, but now they become filth, and lay in the stomach. There is abundance of harm done even by good medicines, that is, when there is too much or too many sorts at a time it over-powers the stomach. There are more people die that are killed with an over-stock of medicine and different kinds of teas and diet, which over-stocks the stomach, than die of neglect; for the stomach being weak, is not able to digest it, and it becomes filth, tho' we should not only be par- ticular to not administer too many kinds of medicine 54 at a time, but not change our medicine, teas and diet, oftener than we can help, and not humorthe patient's appetite, for we mav he sure that the claims of the apnetite, and the real claims of nature frequently differ, that the appetite of man and beast have fre- quently claimed things that are poison, and have killed them The practice of drinking spirits to ex- tremes, is to humor the claims of the appetite-and people, through kindness, frequently offer the sick different kinds of diet md teas, and do not know that they are injuring them, and making their disorder worse. I hinted above that the stomach is the best judge of medicine, If any substance is thrown on the stomach, the sensitive powers of the stomach will immediately accept of it, or make war with it; some- times create convulsions in the system, and other times throw the substance hack by way of the mouth. The practitioner ought to try to govern themselves in such a way as not to expose themselves to the penalty of the law. I will notice here that I sent samples to the patent office for several more medi- cines to be patented, for my system of practice; and although the patent law says that a man shall lay in his whole system, and keep nothing back, or to this amount-yet the present administration would not receive them, and stated that there were more than one invention contained in the system; bur as the bible tells us to be subject to rulers, and those that are in authority-so let us try to comply as near as the nature of the case will admit. It will be kept in mind, that the grand point is to cleanse the blood, and if (he blood is pure it cures almost all diseases. 55 A setof medicines as I use them.- i'o.l, take Seneca snake root one ounce; liveiwort roo • top: three q arters of an ounce, robins phintain roots nd tops, one quarter of an ounce. Foi a s bstitute, seneca snake root will answer alone, or use it with either o' the others. No. 2, the first species, or the second part ot the composition. Take equal portions of pulverized brimstone; elder bloom or bark; the inside bark of wild cherry; sassafras bark of the roots; and an- gelico root. The second species of No. 2. take pulverized brimstone; inside bark of vid cherry; angelico root; and hoarhound tops; equal portions; Third species, brimstone pulverized; angelico root; hoarhound tops; and alltcompain roots; equal por- tions. No 3, the first species, is an equal portion of 1,2, and 3, as is named in the patent; these are mixed together. No. 3, second species, take lobelia, gather the tops in September, dry and powder the seeds and tons together, one ounce and a quarter; take tobac- co dried and powdered, a quarter of r n ounce; take f»assafras bark ofl' the root, dried and powdered, a half ounce; mix these well together, then follow the rule laid down in the patent in administering it; a dose is a rounding tea spoonful. No. 4. first species, take burdock root, dried and powdered, one ounce; take elder flowers, dried and powdered, a half ounce; take pearlash a half ounce; mix these well together; for a dose take a rounding tea spoonful. No. 4, second species, take burdock and pearlash, as above mentioned, and put wild salandine, in place of the elder. No 5, first species, three fourths spknard roots, and one fourth peruvian bark; a dose is a rounding tea spoonful. No. 5, second species, two 56 thirds spiknard, and one third mountain sassafras roots. No. 5, third species, one hn If spiknard, one fourth solomon seal roots, and one fourth sassaparilla No. 6-Take a pint of linseed oil, and an ounce of sweet oil, and boil them in a kettle on coals for near- ]y four hours, as warm as you can conveniently, and take a halt ounce of borax, four ounces of red lead, and one ounce and a half of sugar of lead, and pound them in a mortar, or grind them till they ate well powdered, and take your kettle off the fire, and stir the oil whde you thicken these into it, and coniioue to stir it til) it gets blood warm; then try it by tak- ing out a little, and let it get cold; and if it is not thick enough for plaister, you can set it on the coals a few minutes, and continue to stir it till it gets blood warm again, and then stir an ounce of the spir- its of turpentine in it; or if it was thick enough the fiist time, it need not he heated again. These plaisters need to be harder in the summer than in the winter; and it can be spread on writing paper or on the grain side of thin leather, and applied to the place and it will stick. I have made use of this plaister for every kind of wounds, bruises, sores, burns, white swellings, rheumatisms, ulcers, sore breast, tooth ache; and even when there was wounds in the inside, it has been applied to the outside, and it has gained almost universal credit, and answers in place of almost every other kind ol salve or plais- ter. A regular course of medicine.-Nos. 1 and 2, may be either compounded or given single, though I most generally compound them, to make them easier taken; but if taken single the No. 1 should be given first. In an ordinary constitution there may be fyir doses of these powders given in 24 hours; allowances may be made for the different constitu- 57 iions, as well as allowances for their being reduced. By the present sickness, a dose is a rounding tea spoonfull-mind in all cases our tea spoons should be of an ordinary or common size.,. When we are thus prepared, then give a dose of powders, or a drink of sirup, (as the same powders are made in sirup in some cases) as the case may require; and in thirty minutes sweat a regular sweat. And in this course of medicine, their teas should be spice bush or red pepper, during sickness-store tea may do; make a drink of water by quenching a hot coal or crust in it, till the chill is off; if the patient is too costive, make a drink of hickory hark, weak ley or fresh broths, till they get more loose in their bodies; take four doses of powders every twenty-four h< urs, dividing the time of taking them, and sweat once a day for three days; but if the person have the fever and ague, or consumption chill, sweat once a day, till it leaves them; keep up a moist sweat as steady as possible during the whole time, and keep them warm in chill, and more particular in the fever. Their diet most generally is No. 1, but sometimes Mo. 2 or 3, as the case requires. They continue this course for twelve days, dress warm in the day, and lay warm of nights. If they can exercise lively they will be the better oi it; but if helpless, they ought to be rubbed or bathed frequently. A regular sweat is as follows:-Make use of two bows, partly in the form of a half hoop, let them cross each other, and be fastened al the top, and the patient is set in a chair under these bows, and be covered all over; make use of two oven lids, one at a time; have their feet in warm water, and sit one of your oven lids uoder the cover; have a mixture formed of one third whiskey, and two thirds water; you may need a pint, or put two spoonsful of dis- 58 solved camphor in a pint of water, and let them use one of these mixtures for steam on the oven lid as they can bear it; have them sup warm teas every half minute, if it is ever so little at a time, and continue this process till they get a free sweat all over the body; if one oven hd cools too soon, take it out and put in another, and so change till done. These oven lids should not be targe nor very hot, only so you can see the fire spark through them, for the heat isover- coming, but the steam is nourishing; so the less there is of the heat, and the more there is of the steam, the better: And when done, put them to bed, cover their breath a short time, and give them some warm tea, with a hot stone quenched and wrapped up in a cloth at their feet;and after the sweat is recruited agdin in bed, then gradually cool off. ^Fhe above may be called a regular sweat, but if the person is too weak to sit up, so as to take such a sweat, there can be hot stones or bricks wrapped up in wet cloths, and put round them in bed; but re^ member that covering the head, and fixing one a foot or so from the mouth to breathe too, will do more good than ever so many round the body; the patient should drink hot teas just as in a regular sweat.-- This way of sweating is more disagreeable than the other, and not so safe. No. 2-A second way of cleansing the blood when diseases are less violent, is to give three doses a day of medicine No. 4, and throw the person into a moist sweat once a day by exercise, being cloathed warm or any other way,& keep the same rules of diet as that laiddown in a course of medicine No 1. This should be attended to in diseases on the outside of the body. If any person should take cold while passing through either of these courses, or if you discover any sudden change for the worse, give a small dose 59 of No 2, and sweat immediately, which will drive a cold out; and if it is a cholic, it will help, though a drink of weak lie, as has been described, will some- times help. And after the three first days, in which patients are directed to be kept in a steady moist sweat, in a regular course of medicine, they ought to be thrown into a sweat once a day by some means to keep the pores open that often at least during the whole time of their recovery to perfect health. In following either of these rules, if the patient is hard to get into a way of sweating freely, you can give several doses of No. 1, fifteen minutes apart, or give some black snake root tea, or even Bateman's drops-none of them will do injury, as they are all sweating medicines, and no sweating medicine will create filth on the stomach; and then follow the rules as laid down in a course of medicine. And if natuie demands a puke or purge during the time that the person is going through either of these courses, it can be administered with safety; and af- terwards continue the course as before, or make use of an injection at any time, which is more advisable than to purge-though if the patient have a passage every four or five days, it is sufficient. The best means made use of for an injection, is the solution of elder bark in weak lie, with a small quan- tity of grease. If either of the emetics should operate too severe, or you should wish to stop it at any time, you can either put the patient to bed, and cover them all over, and quench a hot stone, and wrap it up in a wet cloth and put it to the breath; and if that should not stop it, vou can place several such stones round them til! you get them into a sweat, which will generally stop 60 it; or a quicker way is to place them over the steam, and take them through a regular sweat. The way to take No. 4-Put the powders in warm water or warm tea a few minutes before they are ta- ken, to dissolve the pearlash, and wash them down with tea or broth. By drinking plentifully of fresh broth and some weak lie, along with No. 4, generally purges moder- ately; and if any other means must be made use of as a purge, I would advise castor oil to be adminis- tered. The above purges are entirely safe to eat or drink any thing on them. The sassafras or tobacco mixed with the lobelia for an emetic, is to set it in operation-wherein one third of the quantity will answer the purpose, which renders the puke entirely safe-as it is not safe the wayThompsonians use it,neither doth it throw off the bile as well that way as the way I make use of it; the weak lie is another assistance. We may use these medicines to advantage while the patient is m a moist sweat, or sweating more or less every day. Bat if the patient does not sweat freely, we had better use No. 2 but very little, lest it should overstock the stomach; but No. 1 has not the tendency to overstock the stomach, as it is a sweating medicine and will be apt to work itself off, that is the substance of it, through the pores of the body. So if we should conclude that the pa>ient needed a double portion of it to assist in sweating, we may give it safely at any time. Burdock is a drawing, purging medicine, and strengthens the tone of the stomach; it enlivens the bowels by taking offthe dead matterand adds sensi- bility. and thus causes the bowels to motion. Pearlash has the tendency to destroy the mucus or 61 matter that is generally in the inside of the stomach and bowels, a? well as to destroy the small worms that sometimes are in the stomach. Diet No 1-This diet should be light such as chick- en or squirrel broth, with but little of the meat, and as little bread as possible; they can make use of rice or hnmony, hut keep the stomach as empty as possi- ble, especially for the three first days. Diet No2-Use rice or homony, and drink plen- tifullv of broths, such as chicken or squirrel, mutton, or beef, let them be rather fresher than common, or drink tea; and if you should use any bread, it should be very little, and a small quantity of fresh meat. Use such diet as the above till you about half satisfy the appetite. No. 3-Use the same kind of diet as is laid down in No. 2, till you nearly satisfy the appetite, but not quite;and never lay down in less than two hours af- ter you eat. Diet No. 4-Live on a light, watery diet and most- ly of vegetables, and always quit before you are quite satisfied; and use considerable sweetening in your diet, and always eat your meals two hours before go- ing to bed. Diet No. 5-Use mostly wheat bread and sweet milk, but not to eat too hearty. Diet No. 6-Rules to go by in an ordinary state of health. Never eat too manv kinds of diet at a time, nor change your custom of diet too suddenly, nor never lie down under an hour after you eat, nor nev- er crowd »he stomach too full, nor be extravagant in your changes of conduct or clothing; and keep an eye to the discharges from the pores of your body, nor drink spirits to excess, and keep your lusts and tem- per under a proper government. These will be means of health and propriety. 62 And as J sometimes make use of spiknard in No. 2, I will say something of its qualities Spiknard was a medicine in the days when Christ was on earth.- A woman poured a box of this ointment on his head, and it was considered very precious-John xii. 3; though its virtues have been long tried. But little has been said in its favor among physicians of late years; but I shall unite with the apostles in saying it is very precious, and one of nature's best productions. It strengthens the nervous system in general, and is one of the best medicines for weak people that can be produced-it braces up the whole system ot man, and is entirely innocent. The reader will observe that roots or barks ought to be gathered in the fall or spring, when the sap is not up, for they are stronger at these seasons of the year, that is as far as you can conveniently; but there are some, like that of Seneca snake root, that cannot be found only when it is in bloom. It may be that the reader may know all the roots, herbs, and barks by their names; but lest they should be at a loss to know Robbin's plantain, 1 will here describe it: it is a wild plant, the leaves are not as smooth as other plaintain, though it resembles them by spreading low on the ground; but it has one or two singular, white roots,that frequently intersects anoth- er plant ofthe same species; these roots are white & larger than the rest, while the rest are small and near the color and appearance of other plantain roots. The next thing 1 shall attend to, is to lay down seme of the causes of diseases, their symptoms and cure, in a short way, uf a few complaints, that some general knowledge may be conveyed to the reader of those complaints that I shall not name. The first complaint 1 shall name is the ague.- This disease comes from filth in the blood, which 63 thickens it till at length it shots the pores ot the body; and the blood being mixed with a quantity of water and matter, becomes stagnated, and nature is always ready to lend her hand to assist in every com- plaint. She makes her periodical effort to open this discharge of the body, and to force a revolution in the blood, as the organization of the human body is such that there is a quantity of water thrown into the blood continually; and part of it is absorbed in the flesh as it passes out from the stomach by the arte- ries, and this water ought to be discharged; and the blood also itself scatters in the flesh as it passes out, and if the water is not discharged from it, it stagnates in the extreme parts of the body. When this stag- nation commences, then the patient begins to feel the chill, for the blood, which is the life, looses its nat- ural warmth, being mixed with a quantity of water, and being already over-butthened with matter, she fails to keep up her natural warmth. Now nature wages war with the complaint, and sets the body to trembling, or, if necessary, to shaking, to remove this stagnation and force a revolution in the blood, and she kindles a fire in the inside, or in other words a fever, for the purpose of warming the blood; and this warmth is increased till it gets high enough to force a revolution of the blood through all the small organs of the body; whenever this is effected there is no more use for a fever and it goes off immediate- ly, and nature has gained her point. The pores of the body is now opened and a free discharge is a common consequence; but if there is not a free dis- charge at this time you may expect the contrast to be continued till either nature or the disease shall over- come; if nature overcomes, the patient will be reliev- ed measurably for a short time till the blood stag- nates again: but if the disease overcomes, death is 64 the consequence in a short time, though this contrast may continue for days; whenever this contrast hap- pens, it may be called a typhus fever or cold plague; whenever nature gains her point periodically, it may be called an ague. I will let these few remarks suf-, lice to show the cause of both typhus fever and ague, at this time. The symptoms of the ague are as follows: The person feels heavy, sometimes for several days, and tired as though they were pressed down; this is (he weight of matter in the blood, till the disease makes its attack, then they will have a shake or a chill and a fever follows and some limes a head ache. For a cure you may follow the regular course of medicine or commence the diet No. 2 by following the diet No. 1, is a little the surest to cure, but redu- ces the patient lower, and is not so apt to be com. plied with; but let them follow either one, they are not to exceed the diet No. 2 till they are clear of the complaint and then fall on diet No. 3 for some time, and so gradually increase and allow them no green fruit in neither fever nor ague until they are per- fectly well; clothe warm and lie warm of nights- exercise as much as possible. It is worthy of notice that in curing the ague or any species of fevers, the patients cannot overdo themselves so as to bring the disease back again; but the more they stir themselves and circulate the blood, being dressed warm, the better, as lying about and over eating are the worst things to bring it back of any other. As the typhus fever or cold plague is connected with the ague, it has been a disorder that has baffled the skill of a great number of physicians. I will make a few further remarks on the subject by way of explanation. 65 The blood, which is the life, in this disease, as well as many others, has too great a quantity of mat- ter in it. Here I will cite the reader to what 1 have said on the component parts of the blood. The extra quantity of matter is what chokes the pores and stops this discharge, and is bard to circulate through the small vents of the body out of the arte- ries into the veins. Nature, to force this circula- tion, creates this fire within the body, and calls for water to thin this densed substance. The appetite says she calls for cold water, but the fire she has raised within teaches that it should be warm, or as hot as it could be drank, so as to assist her in warm- ing the body;* and as soon as nature has accom- plished her design in forcing this circulation, she then dispenses with all her surplus water. But the question is, how shall we assist nature in forming this revolution and dispensing with her surplus matter and water? I answer, by giving No. 1, which in» creases the force of the heart for several hours after it is taken, and raising a steam, which doth the same, as well as to moisten the skin; and in this way assist in opening the pores of the body, that a free discharge may be obtained, and also lower the foun- tain. that is the stomach, of solid food, so that it shaft not throw out as much matter from it as usual. An hour or so before the time of day that this revo- lution must be performed, or in other words, that the ague and chill comes on, give a dose of No. 1, and take the patient through a sweat, and keep the sweat up till the time of day is passed for the ague or chill *This water may be impregnated with tea, so as to remove the sickishness of the taste; for the real claims of nature and the appe- tite frequently differ, for there are many things that are palatable that are poison, and nature wars with them as soon as they light on the stomachs ( 66 tocome on. This both discharges the matter, in a degree and warms the blood to supply the claims of nature, as the blood in its thick state cannot pass this revolution till it is warmed; and this discharge ought to be kept up in some degree till the disease abates; and during the time the patient might drink freely of weak lie, made as described in taking of No. 3, or an emetic. If the patient should ieel very weak, and the chill and fever are gone, so as to have no symp- toms of them, you can partly stop giving the medi- cine above named, and give two doses a day of No. 5. And in any disease, if the patient becomes so costive that there is no passage in four or five d; ys, you can give an injection, or administer No 4. a dose every hour, with chicken or squirrel broth, till it operates, or till you give seven or eight doses, or give castor oil. But «t should be remembered, that people living en low diet and sweating, will not have frequent discharges by stool; and we need not be uneasy if they have one discharge every four or five days. 1 will remark here that out of near seven hundred ca- ses that 1 have attended for the fevers of different kinds, I do not recollect of ever giving more than three or four purges. The above remarks may be applied either to the typhus fever or ague, or any complaint that is attended with a chill or shake, The common doctors often give astringent medi- cines for the ague: these choke the pores of the stomach, and keep the surplus, or even ordinary quantity of wate;, from passing into the blood, as nature calls for a surplus quantity of water in this disease, to carry off the surplus quantity of matter, that is already in the blood; and nature intends to carry off this matter that way, that is, by the pores of the skin; and choking these pores of the stomach, prevents this extra quantity of water from going into 67 the blood; therefore, this water does not stagnate in the body; but if the patient exercise enough to open these pores, and the usual quantity is again got into the blood, this chill or stagnation begins again as usual. I sometimes cure the ague on-a plan some- thing like this, though not by closing the vents of the stomach, but by giving the 2nd species of No. 4, three doses in twenty-four hours, and taking the pa- tient through a sweat once a day; this medicine is very drawing. This keeps the water back from passing this way, and carries off by way of stool.- This is a vety sure way of curing, provided there is not too much filth in the blood; but if the blood is very foul, these means sometimes draw it in on the inside too fast, and this makes the case dangerous; but in very moderate cases it answers the purpose. But many of the common doctors1 patients, that have the ague stopped by astringent medicine, have a yellow, bad color for a long time; and in fact, till they, bv exercise, or some other means, go through some copious sweats, they feel the symptoms of a common cause of disease,as is hereafter mentioned. These things show that the causes are not removed* But when my patients are cured by a regular course of medicine, they not only recover their color, but are relieved from all those feelings. It is evident that the ague is one species of stagnation of blood; but the typhus fever is a general stagnation all over the system, which may be called a universal effect of a common cause. It is almost incredible to say that this disease never has been investigated; as the cause of it has never been recorded on the pages of history, that I know of, till now. Through a period of six thousand years, and probably there has been hundreds of different plans of doctoringin existence; yet history records the symptoms of the complaint' 68 that have killed many of the ancient kings and rulers, that no doubt was the same complamt, in substance. The illustrious Washington died with a similar com- plaint; and the great Doctor Rush, of Philadelphia, was most likely killed by being bled in such a dis- ease, which is very apt to prove fatal. The doctors still appear to be at a stand what to call it; some call it a typhus fever, others a slow fever, and others a nervous fever nr chill complaint, hectick fever, pleurisy fever, rheumatic fever, spotted fever, &c., while they do not shew the cause; and all go to shew ♦hat they are unacquainted with it. Jn 1814, when it made a general attack in this country, 1 lost two brothers, a sister, and a brother- in-law, by it.-The doctors called it a new complaint, and gave it the name oi Cold Plague-and no doubt it has existed since time immemorial; and as it is the most common cause of any other, I shall there- fore call it a Universal effect of a common cause, as all other causes may be called, rather more acciden- ta qauses. The practitioner, in examining com- plaints, should try to know what part of them have been produced by a common cause; and also what part has come from accidental causes. One of the first things the practitioner should attend to is, to learn the symptoms of a common cause. By learn- ing this, they can tell a patient's complaint beyond what can be expected. Aman who had only studied mv system two weeks, and had learned these symp- toms, fold another man's feelings, who had the cons gumption, so correctly, (hat the consumpted man was convinced of the propriety of the system, and came, probably, 150 miles to be cured; and when he came and told the circumstance of his feelings, being told thus, he said it had brought him all this distance. *It has been common for my patients to say, that f 69 had told their feelings nearly as well as they could. Some have signified that J used some curious art; but when most common diseases are found to copne from one common cause, and a person., with only or- dinary learning and judgment, may learn to tell a person's feelings, by learning these symptoms, in the greater part ot common complaints. The symptoms of those complaints which come from one general cause, are so various, that it would take too much room to describe them completely, but I Will hint at the substance. The first is the common typhus fever. The pa- tient is frequently attacked with a chill, and some have several chills a day, and sometimes one part is warm and another cold at the same time; though there are some who never have a chill perceptibly, they are apt to feel a swimming in the head, or head- ache. Sometimes before they are attacked, and sometimes afterwards, even during sickness, another symptom still more common, is a heavy feeling all over, and sometimes pains in the limbs and sore all over; tired, pressed down and spiritless; sometimes a watery, tough phlegm, repeatedly coming up to the mouth, and a gnawing weakness across the lower part of the stomach; sometimes fever by spells-this is worse than if they had a steady fever. If the blood stagnates very bad, their feet will get cold; sometimes the part they lie on becomes numb, and when it works on still worse, the cold still pursues up the legs, and as it passes above the knees, it commences on the ends of the fingers; and as it im- proves, it draws more on to the body, on the arms and legs, and soon it invades the whole system; and while it is stagnating, sometimes they get spotted in the face, that is, one spot of the face will be red and another pale, and soofetimea there will be purple 70 spots-this is what some would call a spotted fever; But whi e the patient complains very much, there is not so much danger; but as the blood stagnates worse, they complain less till at length they appear easv. Now is the height of danger, though they may lie sometimes for dav s in this way, and the first complaint of any notice is likely to be the agonies of death. But when this stagnation strikes the nerves, there is a jerking or twitching in the flesh, and somei timeseven the cramp in the limbs or bodv. There are other symptoms that some people feel in the earlv part of this disease; such as a pain in the breast, that strikes through between the shoulders, and sometimes stiffens the back of the neck, and works up to the back of the head. When this disease comes on slow, sometimes for months, and I have known some coming on for several years, it is still nearly the same symptoms, which some would call a slow fever; but sometimes nature'resists the complaint, and warms part or all of the body-if so, they feel hot flashes, and some- times there is a numb feeling either in part or ail over the body, though this complaint often comes on Speedily, and takes a turn in nine days. For a Cure-k regular course of medicine. Bold hives, or what some call thecroop, is the next disease we will make mention of here Thecause of this disease is too large a quantity of humor and matter in the blood; and in connection with these, the person takes cold in the department of the heart and lights, which swells the lights often to an inordinate size, so that they fill the department; and the pores being shut, it forms a stagnation of blood all over the system, and the lights and heart not having room to work, are at length forced to stop, the person looks strangled. 71 The symptoms of this disease are as follows:- The countenance of the person looks flush, and as they become bad, they look more purple, and their voice is shrill and sharp, with hard work to breathe, like a person having the phthisic in a wheezing pos- ture. For a cure, give a dose or two of No. 1, mix- ed with one third sulphurj.or if thev cannot swallow the powders, make teaof them, and either sweat them regularly, or bathe their feet and legs in warm wa- ter, and give warm teas and cover them over till you get them in a sweat, and keep up the §weat till they are well; keep the blood circulating by rubbing and bathing during the time, which is not likely to be long, and the child t>bould be kept on light diet for a while, to keep them from having another at- tack. Costiveness is our next complaint. This general- ly comes on old people, and more apt on women than on men; but sometimes on all ages and classes of people. There are several causes that it pro- ceeds from: one is, for the want of a stronger motion in the bowels; another is inward fevers, that dries the water, or forces it out of the bowels through the small vents into the body, as there are small vents through which the water soaks, not only in the sto- mach, but bowels. Sometimes these vents are too liberal, and drain the water off too close, and leave the morbid substance too dry to be comfortable.- When this is the case, if the patient can bear it, and not be obliged to fly to some remedy, it is generally indicative of a strong constitution, and one which is apt to endure a long time. For a cure, the best rule is to change your diet to a fresh, watery diet, and use vegetables as much as is convenient. This rule is preferable to that of purging, for purging frequently makes it worse, ex«- 72 cept that of castor oil, which generally has been f<v the better, because it renders the bowels more plia-» ble, and rather strengthens the motions in them.- Corn bread is preferable to thut of wheat in this dis- ease; sour milk is preferable to that of sweet-salt meat should be avoided. Cholic is our next disease. There are various species of this disease; one species comes from what I have last mentioned-that is, costiveness, or being bound in what is called the pectum, or in the big gut at the lower part of the body. In attacks of this kind it would be best to make use of an injection. Sometimes these attacks are very severe, and even dangerous. In this species of cholic the pain begins near that part of the body where the disease is; and the strongest sense of pain is still felt there, though it sometimes flashes up to the stomach, and even all over the body. There are various other species of cholic. I shall lay down one general cause, which I suppose to be a weakness of the nervous system. I will here give a short narrative of an experiment of this kind: I was travelling near eleven years since in the western country, thro' a wilderness part, where there were but few inhabitants, and the diet of the people was very indifferent of course-corn bread of the coarsest kind, and some bacon and milk. And as milk has notagreed with my stomach for many years, I took but little of that; and bacon is a diet that, at home, I should not eat, on an average, two pounds a month; and for many years I have been disgusted with corn bread, and this was of the coarsest texture. So, af- ter several days travelling, and living this way, re- ceiving very little nourishment, I became very weak and also very cbolicky; and one day, having near ibirty miles from one house to another^ by way ef g 73 narrow, blind path, and feeling symptoms of the cholic when I started, but not dangerous; and as £ travelled, the cholic increased till J had travelled the most of the distance, and at length 1 concluded that my journey on earth was about to be at an end; & among the concerns that occupied my attention, was that 1 should die in the wilderness, and my family and connexions would never hear what had become of me I had flattered myself that I would be able to hold on the horse's back till he would take me thro'; but at length all hopes began to fail; I concluded that £ would get down and write a short letter, con- taining rny name and place of residence, and cause of my death, that if any body should pass that way and find the corpse or the clothes, they might get in possession of the letter, and would be apt to write to mv friends, informing them what had become of me. And as I rode up to a log, and with difficulty lighted on it, and I saw' the top of a spiknard immediately by the log. and I bethought myself that 1 would chew some of the root, and accordingly I pulled it up and commenced chewing and swallowing the juice, while 1 was consulting how to form my letter. And I had but just swallowed some of the juice, till I thought 1 found some relief. This en< ouraged me to continue, till in the course of two hours I was able to pursue my journey; and feeling extremely weak before the cholic attacked me, and finding that the spiknard had strengthened me, this gave me an idea that the cholic came from weakness of the nerves. But there has been, since that time, a great numbet of circumstances happened under my notice, that have confirmed me in the opinion that the cholic comes from weakness of the nerves. 1 will mention some circumstances that will coincide with what I have said. You will find that gross, strong persons 74 are not often attacked; but it is the people of a weak constitution that are attacked in a general point of view ; and again, when people are in a low state of health, they are the most apt to be attacked, J once thought that the cholic was confined to the stomach and bowels; but 1 have found that the whole hollow of the body is subject to it, and it is understood to be a collection of wind that causesit. The symptoms are so various that I am at a loss to describe them. 1 might only hint at it. Some- times when it makes an attack in the bowels, they swell perceptibly, and that is the part that pains are felt. A kind of weak feeling follows almost every species of cholic, and sometimes flashes of sickness are sensibly felt. When it attacks a person in the lower part of the stomach, they can frequently feel the stomach swell and a pain in it, with the same weakness mentioned above, and oftener the sick flashes that are mentioned before; and at other times a burning weakness in the stomach, and sometimes goes off by increasing the motion of the heart, which throws the person in a moist sweat, and at other times it attacks the breast, and sometimes crowds the heart and lights till it is difficult to breathe, and sometimes we can discover the breast swell, and sometimes a pain is one side or the other, either of the breast or bowels, and not settled long at a time, but rather moving from one part to another. But we may take it for granted, that any pain in the hollow of the body that is not settled there, so that we feel it, or feel some of it at all times, in that place, is the cholic. A person passing through a regular course of medi- cine, while the bowels are empty, is very apt to be attacked. Here I wish to warn the practitioners to be on their guard on this point; their patients may be 75 Uken strangely sick all of a sudden; if they have not taken cold, you may suppose that it is the cholic, and they are more apt when they are very low; you should give them suitable directions, so that they can break it off when they are attacked. I shall now name a few things that 1 suppose are a sufficient remedy for this disease; one that is most- sure is to take a dose of No. 5, and then go through a regular sweat; but taking several doses of No. 5, with sweating, has helped a number; and drinking of lie, made as has been mentioned, is sometimes a remedy. Another remedy that has been used to advantage, is to take several doses of mustard seed, fifteen minutes apart, that is a heaping tea spoonful at a time. Another remedy is to give an emetic, that is when the cholic is in the stomach. Another remedy is to quench bunches of hot ashes, and place them round the person as near the pain as is con- venient; and if it is in the breast, quench a hot stone and cover the breath, and place it to the breath a foot or so from the mouth, which will be very apt to relieve the patient. Cholic root powder has been recommended as acme. The consumption, what it is, and what causes it. Any disease that has a tendency to consume the body or flesh away gradually, may be called a consump- tion . The most common opinion is that the liver or lights are affected to constitute a consumption; hut I am far from this opinion. I have attended on about 170 cases for this disease, and I find it comes from different causes, and is lodged in different parts of the body; yet I have not made it a custom to call diseases a consumption that were not lodged in rhe hollow of the body. I knew one woman whose dis* ease was below the short ribs in one side, and she was probably eight years in consuming away, and 76 became a mere skeleton before she died; and I doc- tored one man who broke something below his short ribs and near the loins, and was seventeen years sinking away, and several doctors attended him, and all agreed he had the consumption In short, I have known people that I supposed had ulcers in different parts of the hollow of the body, and it was consider- ed both by the doctors and people in general to be a consumption, that is while the patient consumed away . And as I have cured a number of this com- plaint, and consider it easier to cure those whose liver or langs are affected, or if even the affect is in the light or heart department, than to cure those who have ulcers round the hollow of the body; be* cause the former are more apt to discharge the mat- tei by the way of the mouth than the others; and if the matter is not discharged, it becomes a hard lump, and the patient cannot be considered well while they carry in them this lump of useless matter. And while I lay down the cause of the complaints, I shall embrace under this head every general cause that consumes the body, such as sores or ulcers, in or out of the body. First,, it is a fact that sores are supported from humor in the blood. This humor frequently is mix- ed through all the blood io the body in a degree; but they often flow together and settle in particular limbs or parts of the body together, though they are more apt to settle near the discharges of the body than any other place. And as there is a steady dis* charge through the pores of a healthy person, the humor generally settles on the surface of the body of these persons, and there are some people who are affected in the rectum, because the discharge by stool is this way; and though the urinary passage is the purest water that is discharged from the human body, 77 yet there are some affected near the kidneys or neck ot the bladder; for this reason they set'de in healthy persons near the skin, but it depen is very much on the force of the heart. When the heart beats strong in persons, there is but little danger of their taking the consumption; because the humor is driven to the extreme parts of the body, and a tree discharge ot perspiration is kept up in a general point of view. Here we may see the necessity of a steady exercise, or labor, for consumptive persons. You may form an idea in general of those families where rhe consumption becomes hereditary; they are generally of a low pulse, as the pulse depends some on the motion of the heart, you may from this feel the force of the heart; but this rule is not always to be depended on, for sometimes the blood possesses too much matter, which choaks the pores and stag- nates in a general point of view. This destroys the motion of the heart very much, and diseases strike in on the inside, and forms new places of discharges, sometimes by the way of the mouth, and other times it discharges in the hollow of the body . We are to pay some particular attention to the age of these ulcers or sores, whether they be inside of the body or out; for where these humors collect and fester, they often break and begin to discharge their matter; and this has a tendency to draw more humors to the same place, and if this continues, at length it becomes a place of discharge, and nature discovering this evacuation, prepares some new channels or organs for this matter to flow along.- That this matter does not flow along the natural course of the blood vessels by opening the wounds, can be seen often either in man or beast; and by paving attention to a person that has an nicer on the arm or leg, you can discover this discharge is not 78 perpetual, but a little like the discharge bv stool or urine, that flows periodically or by spells; and at the time that this watery matter is forcing its pay towards the place of discharge, the person will com- plain of pain, sometimes very sharp. These things show that it does not flow along a natural organ, but an unnatural one. If these organs are new and na- ture has not got a long habit of preparing substance for them, it is quite easy to break it up by lowering the fountain, that is the stomach, and by a course of medicine, which will discharge an uncommon quan- tity of water and matter through the pores. And as the natural organs make a stronger claim <m the fluids than the unnatural ones do, by this means the un- natural organs will be left unsupplied, and in a short time will close up. But an old complaint differs from this; for although you stop this substance from flowing for a short time by robbing the fountain, and throwing off a quantity of substance through the pores, yet when the fountain gets a supply, and the poies close up measurably, nature has got such a habit of preparing a supply for these new vents or discharges, and they have been so long in use, that their claims for substance are nearly as strong as a hatural organ; and unless we baffle their claims a long time, it will not be destroyed; and the patient needs patience and a close adherence to the rules to baffle these complaints. There is one more cause that makes this complaint hereditary, that is to be alarmed or frightened. There are a number of peo- ple, that when they get frightened or terrified, the blood in a degree leaves the extreme parts of the body and flows more forcibly round the heart; and wherever the blood flows the strongest, there the humor is the more apt to affect the system-for the humor flows with the blood, and there have been a 79 number of families in the bounds of my knowledge who have never been affected with the consumption to their knowledge, till at length one has been at* tacked and died. This has had a tendency to af- frighten the rest. Then we find (hat another is at- tacked, and also dies; by this time the rest begin to take the alarm more generally, and conclude that it is hereditary. After this, if any one of the family are taken, they are immediately alarmed, and begin to think that it is sure death; and we find that it often turns out so, until it sweeps the whole family, and even sometimes whole connexions have died with the consumption. For this reason I would advise the physicians to keep their patients as comfortable as is convenient, and encourage them as much as the nature of the case will admit, and let attendants sing and cheer the mind, and be in a lively posture. These things will assist in throwing the blood out from the heart, so as to drive the humor to the ex- treme parts of the body. But there are other causes of this disease, such as the measles struck in by cold, which shuts the pores and settles on the inside; and the pleurisy has brought on the consumption, but it is in the light de- partment, and there are various other causes, such as wounds, or breaking something in the inside, &c. The symptoms of this complaint are so various, they are like a family of them; but I will hint at it as well as I can. There is apt to be a pain or soreness at whatever part of the body the disease is seated, and if this matter can have access to the mouth, there will be a cough and spitting of matter, or blood and matter. If this disease is seated any where in the heart department, we are apt to see some foam mixed with the spittle, and the pain or soarness will be higher up, and most apt to be seated m the 80 pleura, that is the flesh that is in the inside of the ribs, near the shoulder blade; and if this is the case, the patient will feel a pain strike through to the shoulder blade; and if it is in this department, the patient will be apt to be phthisicky, and more apt when they take cold, they feel a difficulty in breath- ing in some degree, and they are more apt to spit blood. In this species the pulse rather jerks, and is quick, as it comes from a pleurisy in the first place or bid cold. And another species of this dis- ease is where it settles on the lungs or liver. The symptoms of this species are, a pain or soreness at the pit of the stomach, and cough up more or less matter; they are apt to feel weak spells and a low pulse- these are most apt to swell in their limbs in the last stage of the disease Another species of this disease is when the inflammation is low down in the bowels, the person is apt to have a purging, and their pains are low down, and sometimes they are cholicky and not much if any cough, and weak feelings. Chills and fever* are a common consequence towards the last stages of consumptions of almost every species; these are the most common symptoms, besides those of a common cause, which are commonly con- nected with these. In curing, avoid every species of physic as much as possible, as they have a tendency to draw diseases in on the inside, and improve the inflamation by set- ting the bowels to motioning faster, and the more a humor is rubbed the worse it is. For a cure, take No. 2 of the first species, and mix your Nos. 1 and 2 together. If the patient has a cough, mix sugar with the powders. If the cough is verv bad. make a sirup of them, and give the same quantity a day. When the powders are given in sirup, which may be done in severe hacking eoughs, 81 ■leave your brimstone out of the powders, ana aux sugar with it, and give two doses a day, be* sides the usual quantity of the powders in sirup.- But if they have no cough, give them without sugar, and take the patient through a regular course of medicine. If they are not too weak, begin with diet No 1; but if very weak, begin with diet No. 2, After they have gone through one course, if they are not cured, take them through a second course, by having your No. 2 of the second species, and diet No. 2. And if they are not cured, take them thro' a third course, by having your No. 2 of the third species, with diet No. 3: And if the disease still re- mains, you can repeat the third course, and put a small quantity of pulverised tobacco in the medii cine, as much as they can bear, without making them sick; and when you stop, gradually increase the diet, as well as gradually decrease the medicine, till well. The Cholera.-This complaint has not yet been in this part of the country, as we are certain of- but there has been a strange cramping with the choleramorbus, that have cramped the limbs and body very much. Several such cases 1 have atten- ded, and cured without difficulty. The general symptoms of the Cholera,as we have it from Europe and America, with the exceptions of puking and purging, is the symptoms of a stagnation of blood; that of a coldness in the limbs, a swimming in the head; the cramps in the limbs, a heavy feeling, &c., are sufficient evidence that it is a stagnation of blood. And as this system universally cures people of stag- nations, we need not fear but it will be a sufficient cure for the Cholera. Here 1 refer my reader to my remarks on stagnations, as well as the common cause of diseases. The chokes in the body, with the 82 fright or terror that goes with this disease, is what drives the fluids back against the stomach and bow- els. Nature finds herself choaked in stagnations of blood, and makes a number o'f strange motions to throw it off. There has been a number of people who have been stagnated, or in other words, had the typhus fever, and were said to be bewitched, because they acted so strange. I knew two families who were thus afflicted, and the witch doctors said they were bewitched, and described one of the neighboring women as the person each time; and thu-s nwle a great disturbance, until some of them died; and 1 told them that it was the typhus fever, and they employed me to doctor the rest of the families, and they were cured immediately. And as the typhus fever seems to be thought strangely con talons, by its going through families and neigh- borhoods, but I believe, is only catching among those whose blood is thick; so I suppose is the case with the Cholera. 1 could bring forward many more reasons for calling it a stagnation of blood; but these may suffice, expecting it will be closely com- pared. And as this system has gained universal credit in curing typbus fevers or stagnations of blood, I expect the cholera will give us another victory over the physicians of the day. We need not be the least alarmed because the doctors have never been able to cure the cholera.- We ask, when have they cured the typhus fever? The answer by some might be, that certain persons have got well under their system of doctoring. I ask, if there has not as many, in proportion to the number, got well that never had a doctor to attend them? I honestly say, that I believe there are more, Their medicine, in this disease, is often worse than none. Of those that have been physicked severely, 83 there are something like one third that have died, in my judgment; and of those that have not been purg- ed, ihere are not over one fifth. The symptoms of the Cholera are generally a puking and purging, with the sj mptoms of a common cause. For a cure, give angejlico root tea after you have placed the patient in a regular sweat; let them drink this tea daring the sweat, as hot as they can; if the operation and tea does not stop it, place them in bed, cover their breath, and place a small hot stone or brick near a foot from the mouth; and continue to drop camphor on it; and let them suck this steam in with their breath; and continue this till they stop puking, or place them in the regular sweat again, at any time, till the puking stops, and then take (hem trough a regular course of medicine, until the stag nation is finally removed; continuing to give the hot tea while breathing to the camphor; steam in bed; use Nos. 1 and 2, as usual in a regular course of me- dicine, I will here remark, that old stagnations of blood have to be removed very gradually, by a steady process for a considerable time. This same cure will answer every species of choleramorbus, and 1 have a long time believed that it would cure the milk sickness, that prevails in some parts of the western country. Dissentary. This disease may be divided into two complaints, or rather come from two causes. I have already hinted in this work that physic draws diseases in on the bowels. There are different cam. ses that will set a person to purging if the body is full of humor; and any thing that should set the per- son to purging at this time, has a tendency to draw the humor in on the bowels-sometime too free a use of fresh meat has this tendency; at otlj^r times a sud - 84 den cold, & sometimes a large draught of cold water when the person is warm. But as the two species of flux amount to but one thing in the end, I will here detail the other cause, which is the most dan- gerous;it comes in hoi weather; persons frequently by exercising themselves too much in hot weather, bring on them what is called the heat; so, if a person gets hot enough to inflame the blood this way, and at this time take cold so as to shut the pores, this will frequently drive this inflammation or heat in on the inside of the bowels, that w'ould otherwise break out on the surface of the skin. The night air has this tendency, coming on us when we are very warm or lying too cold of a night after being very warm in the day, or a cold damp shower ot rain at this time, These, with other things, have this tendency; humors are alike, whether they are outside of the body or in; the more we rub them the more they become in- flamed; and a purge at this time sets the bowels in motion; this augments the humor, and the inflamma- tion is worse; so, the less purging that a person can do with is the better during the complaint. The most common symptoms are a purging, and a kind of matter comes with the stool; and when the ulcers get more rough, they commence bleeding, so that the blood and matter is on the stool-there are pains in the bowels and in some cases a heat. For a cure, your No. 2 should be made of dry and driving medicines, and follow a common course, ex- cept in an operation of steam, provided you can get your patient to sweating freely without it, and this sweat must continue day and night till well; but if you cannot get them in a way of sweating without it, make use of the steam repeatedly till they get in this way-the diet might be No. 2. The No. 2 as medicine that I have made use of in general, is equal 85 ports of sulphur, elder bark, and wild cherry bark^ and giving three or four doses of it a day. When persons have a dissentary, and there is no great quantity of blood or matter comes from them, it will be found an advantage to use diet No. 5. Apoplectic Fit.-This disease comes from hard drink in a general point of view, but sometimes from living too much on strong diet, very fat and salt, which sets the blood in a state of fomentation and fills it with humor, which throws it up to the head with such rapidity as to overcome the person. A cure. The patient may be first relieved by bleeding; it should be done as quick as possible, and afterwards give three or four doses a day of No. 1, without any other medicine, and regulate their diet to No. 2, for two oi three weeks, and then give diet No. 3. During the first part of the time try to keep them in a moist sweat, without an operation of steam, bathe their feet often in warm, water, and afterwards get them in a moist sweat once a day. Fevers. There are some doctors that are either blind, or wish to blind others, by placing fifteen or twenty names to fevers: such as the fever and ague, the typhus fever, pleurisy fevers, fomentary fevers, bilious fevers, yellow fever, nervous fever, inter- mittent fever, slow fevers, rheumatic fevers, &c. I shall consider them all under three or four heads But 1 find fault with the title as a complaint, for I be- lieve that it is the way that nature resists complaints that is by a fever. This is one of the best arguments made use of by Dr. Samuel Thompson. If he was the first person that found out that a fever was no complaint, he deserves credit; but I have been in a doubt whether he was the first or not. I think not less than eighteen years ago my father mentioned. 86 to me that some doctor had made this discovery, though I di>not remember the name, whether it was Thompson or not; but as it was years before the date of his patent, it does not look likely that it was him, I recollect of my father stating that this doctor cured with domestic medicines, that were not poison. I the i fell in with this opinion, awl have remained so since. We may discover that wounds, bruises, sores, burns, and the like, throw people into a fever; but cuie the complaint and the fever ceases. The next complaint of this kind I shall mention, is the fomentari fever. The cause of this complaint is generally a foul stomach; it is most apt to happen to people of a full habit, w hose blood is humorish. This filth creates a heat in the stomach, and this heat spreads all over tiie person; this shuts the pores of the body, and the fluids that should be discharged this way, are confined within the body; and somer tunes these fluids pass off either by stool or urine. Now the doctors instead of opening the pores, fre- quently increase the discharge by stool; this draws the substance back towards the stomach, and of course the filth with it, which is apt to make the pa- tient very sick; for nature, instead of throwing her substance toward the skin, where it ought to be dis- oharged, it is now forced back on the stomach, and this sometimes is repeated; and if this does not an- swer, sometimes they administer a poisonous emetic, which not onlv throws this substance back contrary to nature, but is apt to leave some of that poison in the body. But the question is, what shall be done in this case? I answer, what does nature demand? Is she tired of her load on the stomach? If she is, •she will make motions to tkrow it back by the mouth. If this is the case, vou can assist her by administer- ngNo. 3, and clearing the stomach this way, and 87 continue a regular course of medicine. Let the du et be No. 1, for three days, and so gradually rise (ill they get well, which is not apt to be long. If the patient, does not make motions to puke, you can be^ gin by giving a dose of No. Land then sweat, and so follow the regular course of medicine. The symptoms of the above complaint are as fol- lows; the patient is thrown into a high fever, and has a high pulse, often a pain in the head, and a sick stomach, and often has a load on the stomach, sometimes casting up a sourness in the mouth. The next 1 will call stagnated complaints, because they come from a stagnation of blood. 1 expect to cope under this head what is called the cold plague or typhus fever, stagnated fits, nervous fever, palsey, cholera, the third day ague, the slow fevers, bold hives, thespotted fever, bilious lever,common ague, rheumatisms, &,c. 1 will refer my leader to my general remarks on stagnations of blood as (because of these complaints in a greater or less degree, and the reason why it throws people into so manv kinds of fevers with oth- er complaints, is in proportion to the stagnation, and where it lodges in the body. When it lodges near the nerves, it becomes nervous; when it stagnates generally, it becomes typhus or a cold plague; when it settles near the skin, it becomes dropsycal; when it does not settle at ail, but occasionally thrown off by fever,'it becomes a paroxism or an ague; when it lodges in- the limbs, it becomes rheumatic, I have stated in my general remarks that there is too much matter in the blood, that causes this stagnation of blood. In a stagnation of blood, it is entirely too dangerous to bleed the person; and when we do try to bleed, the lancets frequently strike on the mattet part of the blood, and if so, the blood does not rut 88 free, and often when it does tun, it chokes in ths vent with the same matter. For a Cure-A regular course of medicine. Yellow Fever.- I have doctored but one case of this complaint, but I conclude that I know the cause of the yellow fever. 1 suppose as it generally pre- vails most in warm climates, that it is the gall of the stomach with the filth of the blood in a state ofdi?- charge gets choked in the pores either by cold or too great a quantity of matter in the blood, or some oth er cause; and as the natural color of this substance is yellow, it turns the person's skin the same color. I have known a number of person's whose skin was turned yellow by the jaundice, and some by fevers, and I have opened a free discharge from the pores of the skin and given them diet No. 1, and the col- or has been altered in three days. So I suppose that a regular course of medicine would cure this com- plaint. Scarlet fever comes from humor in the blood, and nature aims to throw it off by the glands of the throat, and the worst danger is while the throat is swelled, before the humor opmes out so as to be seen. The symptoms of this complaint, are a sore throat; and at length they break out with a red humor like scarlet, and it goes off frequently by the patient peal- ing all over or in part. For a cure, make use of No. 2, of sulphur and el- der bark, and take a course of medicine, and place -plasters on the bottom of the feet, and acioss the loinsand back to draw the humor away from the throat. Convulsion Fits-If the patient is dangerous, bleed in the foot, and after frequently bathing the feet in warm water, take a regular course of medicine by leaving out No. 2, & give three doses a day of No. 1. 89 Stagnated Fits.-The cause of this disease I will cite the reader to my remarks on a stagnation of blood; and the reason that it operates differently on these people, is the formation of the head, the blood has not the same room to circulate round the brains as it has in others when there is an over stock of blood in the head, as is the case in such stagnated complaints; because it stagnates in the *eet first, and the heart throws it up to the head, because it can- not flow freely to the feet. Although the fit itself baffles the stagnation in part, for nature takes this way to force a circulation of blood, but as there is too great a quantity of surplus matter in the blood, it stagnates again, and so continues as long as the blood is in this state. The symptoms of this complaint is in a great de- gree like all other stagnations of blood. At the time when the blood stagnates in the feet, and the leet gets cold, then the heart throws blood up to the head with too great a rapidity, and thus overcomes the brain, and a fit is the consequence; the person feels heavy cold chilis, sometimes numb and streachy, with other symptoms of stagnation of blood; and the plainest evidence ot a stagnated fit is, that the feet are cold in the time ot the fit. This disease, when it is old. is ven hard to cure, and needs patience and attention both ot the physi- cian and patient. If it was not that some wili look for something to be said on ihis subject, I should leave this disease out of my list; bu> as the public kn w that 1 have cured a few of this disease, and others frequently applying, I hereby give mv views in a short manner, for the want of room to pursue the subject further. 1 am perfectly satisfied that if this disease is taken while young, there will be no diffi- culty in curing by a regular course of medicine; but 90 it hi the age of the complaint that makes it constitu- tional. and that makes it hard to cure. If this disease attacks a person at any time before they get their growth, they ought to try to have it removed befire they get their set, lest it be interwoven in their con- stitution, which will make it hard to cure. I find it very hard with some to throw off astagnation of blood without bringing on them a convulsion fit, which mav be said to be opposite to the other. Yet I have found it no serious point to stop the blood from Stagnating in any person. But whenever it circu- lates freely in some, they take a convulsion fit, and to strike the centre ground between these 1 find it to be difficult. For a cure, make your No. 2 principally of sul- phur and sassafras; take a regular course of medi- cine; let your diet begin with No. lr and after three days No. 2 for at least two weeks, if the stagnated fits continue, you can repeat your regular courses of medicine, ano add a small portion of prickly ash bark Or ginseng with your No. 2; and if your patient's blood quits stagnating, and they continue to have fits, you must stop vour medicines, except one dose a day of No. k, and give two doses a day of No. 5, and the diet should not exceed No. 4, till the disease wears out, which may be a long time. The patients should exercise themselves steadily, but not to ex- tremes, especially if they are subject to convulsion fits. Let the patient wear flannel, if convenient, next to the skin, and dress warm and lie warm of nights, and get into a free sweat once a day. By some means their diet should be very fresh, and not much anima) food, with a watery diet, which might be sweetened as much as they please. They might make a free use of hickory bark lie during the whole time; and after they have done their courses of medi- 91 cine, leave No. 1 out, and use no other medicine only one or two doses a day of No. 5 with the lie, except the stagnation should return, and if so, by regular courses of medicine at intervals. Grooel.^This disease comes from two causes; one is, too much matter in the blood. This comes on people who use a great deal of salt and meat in their diet-that creates matter in their blood. These lumps of matter sometimes have lodged in the artes ries, and have become! stones, (if accounts be true, which look probable,) which have been found both in men and beasts, as well as in the bladder, and they have a growing tendency; the other cause is detain- ing the water in the bladder too long at a time at different times, while the thick part gathers into bo- dies, and so congeals into a hard substance, and re- maining in the water, at length becomes a stone, and has also a growing tendency. There are other causes that create matter io the blood, such as hard drink, for one evidence is that it improves the flesh on them; another is, that spotsand cloudy places are seen in their face.' I haVe not named these things as the cause of this disease, because I thought 1 could cure it, but more to keep people from bringing the disease on them; for With me this is one of the incu- rable complaints, though sometimes it may be abated Sb that the patient may have some ease tor a while. Symptoms are as follows-.-If it has come from too much matter in-the blood, thefewil! be symptoms of stagnation as have been described; but the com- mon symptoms are sometimes that the patient feels a' kind of grinding in that part of the body and a stoppage in the water, either in the commencement or towardr the close of making water, and sometime* duringthe whole-time, which makesit qtfite difficult to mate water, and their1 call? tO'oiake waMr a*e 92 oftener than usual, and sometimes tinctured with blood. 1 have received receipts to cure it, which have been recommended as a sure cure, that the practi- tioner can trv. They are inserted here as a cure. Receipt for the Gravel.-Take the root of what some call the queen of the meadows, or what others call the seven sisters, because there are sometimes seven stocks growing trom one root;the stocks some- times giow as high as a man's head, and four or five leaVes grow out of the stocks opposite each other, and the stocks are hollow; powder the root of this weed, and take three fbur'hs of it, and one fourth of angellico, mix these together, and take a half tea spoonful every two hours, and live on diet No. 2. till cured; and then gradually increase your diet; keep up a moist sweat as steady as possible. Dr Read's cure for the Gravel-Take horse mint and onions; bruise them together; take of the juice one table spoonful; put it in one gill of strong vine- gar; take this portion night and morning till well. Ihe sick headacne.-There are several causes that produce this complaint; one is, an over sour in the stomach; another is, something that we eat stops up the canals or the vents of the stomach, so t hat the watery substance that ought to pass out into the blood is now thrown up to the mouth. These, with other causes, throw the blood up to the head. I have been plagued with this disease from a child; then 1 was attacked once or twice a week on an average, and it has followed me all my lite, and 1 have always been trying new cures till about five years ago. 1 have not room in this work to mention the cures and their effects. Between five and six years ago I took a severe cough, and spit blood with abundance of matter, and had other symptoms of a 93 consumption, and" I took a regular course nf medicine and regulated my diet with a great deal of precision -and alter this it was near six months at one time that 1 was without a headache, and since that time, I have found regulating the diet was the best remedy for the sick-headache I have been fiom one week to three months at a time without it since, and would have been longer, but circumstances have called me to changes of business, and also to changes of diet, which have brought it on me al times, tbo' the cough did not last two months, and I have had no symptoms of if since, which has been near six years. I have found that drinking warm water repeatedly' during the time, even if it is puked up again, gives ease to the head; by keeping.fast trom food, and keeping up a moist sweat, is a great relief for the headache. The gout might be mentioned here, but I will cite my reader to my remarks on a stagnation of blood for the symptoms and cure. King's Evil comes from nearly the same cause of the gout, thmigh it may come from less excess in drink and diet. I do not know that it can be cured, th ugh it may be eased by living on light diet and taking some doses of No. 1. Receipt for the King's Evd.-Dr. Ward's Cure.- Take the thigh-bone of a horse, burn it to lime, and sift it through a fine sieve, mix it with butter-milk, apply it to the place till well; give doses of No. 1 repeatedly. Receipt for a Cancer.-Take copperas; burn it on a thin shovel till it heaves up white; then powder it fine; mix it with goose grease, till it becomes a salve; make a plaster on paper as large as a dollar; and shave the hair off on the «pen of the person's head; apply the plaster to that part once a day, for three 94 <i*ys; then take them off; take a pinch of red percipi- tate; m x it with fresh butter; anoint around the can- cer; and physic with the second species of No. 4, ■during the time; then close the process with bleeding the person.-Dvct. Ward. Measles.-For the want ofc managing this com* plaint right, it frequently brings on the consumption and a number of other complaints; sometimes takes the person off immediately, and others carry the ef. feet with then* as long as they live. It creates hu- mor in the blood, and does not discharge it like the small pox by means of sores, but the humor strikes back into the body or else settles in the inside; very little medicine and management taken in time will answer the purpose. When you first discover that any person has the complaint, give some doses of No. 1, and get them into a moist sweat once a day if convenient; let them take two doses a day of No. 2, according to the patent, and let their diet be No. 2; but if the disease is unwilling to come out, or has been out and got struck in again, you may sweat them freely. Mumps.-Let the patient be dressed warm and lie warm, and exercise as much as convenient; take two doses of No. 1 a day; driuk smartly of spice bush tea; let the diet be No. 2, till they get better, and then No. 3, &c. Dropsy tn the blood -There are two causes, one is the stagnation of the blood, which weakens the motion of the heart as well as obstructs the pores of the body with what is called the crassamentom or matter of the bbod; another cause is a less of blood by bleeding or wounds, which not only draws the red part of the blood off faster than the matter part but weakens the force of the heart, so that it is not able to open the pores aaddmhsrrge the water from 95 the blood. These remarks may suffice, as 1 have already mentioned a stagnation of blood. For a cure, take a regular course of medicine,give a few doses of No. 5 in the course of the time. 1 have cuied several, and found it no difficulty. 1 have concluded that a dropsy in the body sometimes originated from the same cause, and will be cured by the same means. A dropsy tn the head.-The cause of this disease is as follows: Il comes from living on strong diet, with too free a use of salt, or hard drink, or any cause that raises the blood to the head too long at a time with too much severity, till the organs get hah, itually prone to leaking water or matter. The diet should be regulated to No. 3, or, at fur* thest, to No. 4; make a free use of snuffing tobacco, and get into a moist sweat once a day by some means, and take a few doses of No. 2 during the time. By continuing this course a long time, the disease will be apt to wear away. Rheumatism.-The cause of this complaint I will cite the reader to a stagnation of blood in a general point of view; but though the blood is too thick, yet the person is not sure to feel the complaint till they take cold; and so it is with certain species of typhus fever. When the rheumatism settles all over the body, it acts very much like the typhus fever; when it settles in parts of the body, it has smaller symp- toms of the typhus fever. When the matter of the blood shuts the pores in certain limbs or parts, they swell by the water coming against the skm and have no vent. This species of rheumatism is easier cured by a regular course of medicine than the other, that is,where the matter settles on the cords or joints, it then is harder to remove. Relief may be given* •nd sometimes cured, by applying a plaster of No. 6 96 to the place, but the surest way of curing is a regu- lar course of medicine. 'rhe fly mg rheumatism is produced by a stagna- tion of blood, and is cured in the way we cure alt stagnations. Rheumatic Drops. Take Indian turnip, red pepper and old whiskey,with a emal quantity ot gum myrrh, till it is very strong, bottle up for use, bathe morning and evening hy the fire, wrap the pgrt in flannel warm hrough the intervals.-Doct. Ward. Pleurisy -Thecause of this disease is a cold in the lights. When people have been breathing in warm air, or receiving warm steam into the heart from drinking warm teas, or any other means, and then immediately receiving cold air to extremes, these sometimes contract cold in that department of the body which often swells the lights, and sometimes affects the pleura, that is the flesh that is joining to the ribs in the hollow part of the body near .he point of the shoulder, where the pain is must apt to be felt, though sometimes it affects other parts in the same department; and at other times cold is carried into the blood, and so affects the whole system; or the cold may impress on the outside of the body and shut the pores till it may be called a pleurisy. The symptoms of this disease are as follows: If the lights are swelled, they generally breathe hard; sometimes a pain every breath, either in the breast or shoots toward the point of the shoulder-s<>me- times all over. The symptoms of a pleurisy and a typhus fever are very nigh alike; the most sensible difference is, rhe typhus fever may be felt days be- fore it comes on or lays the person up; and the pleu- risy comes more sudden. The heavy weigh', that is felt in the typhu- is not so eenMoly felt in the pleu- risy, and the typhus is not so apt to swell the lights 97 or cause the person to breathe hard as the pleurisy. For a cure.-This is one of the complaints that is easier cured than any other, or done sooner by giv- ing a dose of No. 1 and No. 2 in the course of half an hour of each other, aod then take the person through a regular sweat for about thirty minutes, generally cures by putting them to bed and covering them, l*o that the sweat does not stop too sudden, or any way so that the sweat ceases moderately-if they set by the fire or stir about, provided they are warm enough. To continue the sweat a short time I have generally cured people of this complaint in the course of an hour from the time I commenced to sweat them If the piactitioncr should find that his patient was not cured in the above time, he may just conclude that the complaint is typhus, and he has lost no time, he can continue on according to the rule laid down for that complaint. Stone bruise and felons.- These complaints come from a bruise that stops the hlood vessel next to the bone, and as the water part of the blood is confined, and all the time increasing, it must have vent; and as it raises from next the bone, it sometimes injures the bone before it gets vent. The best means is to lance the place as soon as we find it out. and let the water out, and it commonly gives relief by lancing to the bone. Lockjaw comes from thick blood in a general point of view. When a person whose blood is thick receives a wound which affects some cord that has access to the jaws, then it takes a set, by the blood being thick that surround it. For a cure, put the person all over in tvarm water till it contes up to the mouth, for not exceeding five minutes at any one time; rub and bathe them in the meantime all over, and particularly the jaws.- 98 These processes may be repeated several times, or take them through a regular sweat by giving a dose of No. 1. Cramps is another disease that tak« place from the same cause of the blood being thick, and may be cured by the same means for a present cure; but to remove the cause, you must thin the blood for either of these diseases. Piles is a disease that I am not confident can be cured, yet I suppose they' may be relieved for a time. To reliese a person in this disease, make a medicine of elder bark, leaver or flowers, with one half sulphur, and let them take repeated portions for a day or two, and at the time inject a solution of it up in their bodies several times; this will commonly ie- lieve them for a while, and to keep as clear of it as possible, let them live on a weak, watery diet, or a vegetable food Receipt for the Piles.-Take red cobs and pound them fine, about two double handsfull; putthem in a keg without heads, set fire to them, and sit on the keg naked until the cobs are burned out; repeat this four times in a night. For old Ulcers or Phthisic.-Take the bark from the roots of yellow poplar, wild cherry and dog wood, put the bark in water till made strong, and boil it half away, then strain it, and bottle it tor use; take a glass morning and evening. A Consumption sirup.-Take medicine Nos. 1 and 2, with one fourth spiknard powders, and put them in a bottle and sweeten them with sugar till it is a weak sirup, and shake your bottle before you drink each time, drink of it three or four times a day; throw yourself into a sweat once a day by some means; dress warm, and Jie warm of nights, and live on diet No. 5. 99 These simple means will generally have a good effect, and sometimes remove the whole disease. Scald head.-This disease comes from humor in the blood, which sometimes comes into the world with a child. This humor settles on this part of the body, and is easily removed if taken in time, but it is like all other diseases; if it is not removed it becomes constitutional, and age makes it hard to cure. For a cure, make a solution of two thirds elder bark, flowers or leaves, powdered, and one third sulphur, put but a small quantity of water with them, so as to leave them as strong as possible; make a cap of thin leather, or any otht^r thing that will keep the air entirely out, and wet the inside of the cap with this solution three times a day, with a small portion of the spirits of turpentine, enough to scent the cap, and let the patient wear this cap till well; let their diet be No. 2 tor two or three weeks, and then No, 3 till well. The patient should take one or two doses of No. 4 a day, and get into a moist sweat once a day by some means. They ought to dress warm and lie warm of nights. I have cured but few cases of this disease, but what trials I have made has had the effect to convince me that the dis- ease is curable. But after a person is cured of this disease, they -ought to live on a light, fresh, vegetable diet for a season, to keep the disease from returning. When people commence this process, it would be as well to cut their hair off or clip it, and during the time it would be proper to wash the cap once or twice a week. Humors in the Feet.-When I was from fifteen to twenty years old, I had humors in the feet towards the fall of the year, tor every year till I was twenty- 100 one, and 1 was told to wrap up my feet m green elder leaves, and as fast as they dried, apply new ones; and I did so, and found relief immediately.- Since that Ihave told others uf this way of curing, and they have done so, and have generally been cured. The patient should have a pair of stockings on and stuff the leaves in them round the feet. Sore Eyes.-Fw a cure, make powders of equal parts of elder and suiphur, and a small portion of copperas; mix these together, and put them in a bottle, and put a small quantity of water to them, so as to leave them strong, and let the patient wash their eyes with this water two or three times a day. If the eyes have been a long time sore, and appear to be hard to cure, you may give them diet No. 2', or at most No. 3, during the time. These means will generally cure without fail. Flooding.-This disease comes from two or three causes, but most generally from a stagnated blood. If it is produced from this cause, the person will feel symptoms of stagnation, and the blood, when it flows, will be unmixed in a degree, and have the ap» pearance of other stagnated blood that is drawn from the body by bleeding any other way; the other cause is, the blood is unusually thin, or perhaps a sore or ulcer in that part of the body. For a cure, take two or three doses a day of Nd. 5, and let the diet be No. 3; and at the proper time, when ibis disease has gone off. or between the natu- ral courses, then take them through a regular sweat for the purpose of mixing the blood; one or two sweats at an interval of a day apart, will be found essential when it is caused by a stagnant blood; but if it is produced from the blood being too thin, it is only necessary to give the above quantity of No. 5, and regulate the diet to No, 3, and place a large 101 plaster of No. 6 between the shoulders, which ought to be done in each case to draw the disease from that part of the body. I have attended to a number of persons who were afflicted with this disease, and it has generally had a good effect, though the subject is too delicate to pursue it in this piece as far as it ought to be done. I have wrote a piece on the subject of Midwifery, but it is borrowed from other books, and corresponds with the balance of this work; but as these books may be used by people who would not make good use of that part, I have concluded not to put that part in every book. Worms.-There are three or four species of worms, and what will cure one will make another worse. I will name the most common species; one is the long, red worm that is frequently in the sto- mach and bowels, not only of children but also in grown persons. The way to kill these worms:-These worms may be taken off sometimes by large doses of castor oil or a quantity ot weak lie. to be taken repeatedly for some days, and use diet No. 2. I have thought that if poison was ever of any use as a medicine, it is to poison these worms to death, as there is a proba- bility of poisoning them, and not injuring the person much, though it will leave some poison in the blood. The way to poison these worms is to give some su- gar, about twenty or thirty minutes before you give the dose of poison; your dose of poison may be car- tina pink root, a common dose of it, or an even tea- spoonful of copperas for a child three years old, and more if the person is older, or less if they are young- er. Some make use of a small quantity of Mayapple root; but whatever poison is used, mix it with sugar -these ought to be worked off with fresh broths,-' 102 But these worms are not very dangerous, only when they choke the person by getting in bunches and getting in the pipes. Bui these means makes the little stomach worms worse, and this species of worms are more dangerous than the others, and they are apt to improve with bad blood, and get better as the blood is cleansed. For this species of worms give two or three doses of No. 4 a day, by putting them in warm water or tea about fifteen minutes be- fore they are taken, and sweeten them as mentioned before, and the diet ought to be lowered if coeve" nient, and get the person into a moist sweat once in a day if possible. For Worms. Take a tea spoonful of tobacco seed three times in a day, with honey or molases; do it three days in succession. J cure for white swelling.-Take mercurial ointment and rub the part effected; at the same time have a preparation for bathing, made of chesnut bark, shu- mach bark, near the root, rattle root, boil them to- gether, bathe the part effected, take flannel cloths, and dip them in it, and apply to the part as warm as they can be born during an hour or two: then make a poultice of cammomile. mullen, catnup, and flax- seed; bathe twice in a day; likewise, apply the poul- tice immediately after bathing. White swellings may be cured, either altogether or for a while, by applying No. 6 to the place till it gets well, and regulate the diet to No, 2 for a week, and then No. 3 till well. Week Stomach.-Take two quarts of cider vine- gar, put it in a stone jug, take hoarhound tops, horse radish root one handfull; then bury it in the ground for twelve days; take a tea spoonfull three times in a dav before eating. Receipt for the Tetterworm.-Take fresh butter 103 and put copiers or cents in it; keep it warm and stir it till it turns green; about twentj-five coppers to the half pint. When it is thus made, bathe the part diseased every few days, and keep the part dry if possible. Another cure is to take the buds of the balm of gilliad, mash them well, soak them in fresh butter, and apply to the part, and keep it dry. A cold bath may be applied to advantage in a great number of low stagnated complaints, as it sek dom has a bad effect when applied right. The way to apply a cold bath is, either emerse the person in cold water, or pour it on them, they being naked or nearly so; then put them to bed, cover them warm, and also cover their breath a short time; give some warm teas, which generally produces a sweat, then gradually take the clothes off them, and have them dressed warm between these processes, which may be as often as once a day, or to suit the circum- stances. It is entirely a safe operation. A simple wet fire or costic ta burn out cancers and the like, or to destroy proud flesh:-Take pearl- ash and dissolve it with the oil of vitrol, or mix the oil of vitrol with pearlash till it is soft enough to tun in the place so as to penetrate to the bottom of the sore or cancer, and when you wish to stop it, fill the •place with sweet oil. SURGERY. Broken bones, limbs &,c.-As 1 do not profess sur- gery, I will make but a few remarks on that subject- J have discovered a great lack in surgery, in giving- directions and medicines to their patients in such cases. It should be strictly understood, that nature is the grand physician to cure bones as well as th» flesh, that when a bone is broken and set by any per* 104 son, the diet should be regulated and the blood calmed by proper means to keep the wound fromin- 'flaming or getting humorish, which wHll be a means of preventing mortification with other consequences. This great lack may not be universal, but it prevails to a great extent. I would rather venture a common skilful person to set a bone by feeling round the limb to place the bones together, and give proper direc- tions tor medicines and diet, than to venture a pro^ fessed doctor to do itrand give no directions to regu- late :he blood. Directions for broken bones, bruises, &.c. Give three doses a day of No. 1, and see that the patient is got i sto a moist sweat once a day. When a bruise is first received, bathe the part in cold vinegar and salt, or cold water, rubbing the part severely for 30 min- utes, and if very bad, bleed the person as near the wound as convenient, and as soon as possible; and after an, hour or so, warm your vinegar and dissolve salt in it as long as it will dissolve, and bathe the part repeatedly with it as hot as they can bear it, and at intervals keep a cloth wet with it applied to the place. This should be done whenever we sup- pose there is bruised blood in the system from wounds and the like;get the person into a moist sweat and keep it up as steady as possible to keep offinflfim- matien, and if inflammation ba® ensued, follow the same rule if the bon,e is broken. You may apply these means without rubbing that part after the bone is set. If you undertake to set a bone or joint that has clipped, first apply warm water around the place to loosen the cords, then place your bones by feeling around; give diet No. 2 during the whole time till ^he difficultv or danger is over; then rise to No. 3 fill wall. Apply medicine No. 6 to the place, or as 105 near it as possible, during the time. A bone ought to be kept very still till it has time to knit together. If thewound should be such as to confine the patient so that they cannot exercise, they ought to have a dose or two of castor oil to keep the bowels regular in their discharge. These directions may be applied to all the receipts for wounds that are in substance* The following are taken in part from McKenzie's Receipts. If, in consequence of a broken bone or other inju" ry, the patient is unable to walk, take a door from its hinges, lay him carefully on it, and have him car- ried by assistants to the nearest house. If no door or sofa can he procured, two boards, sufficiently long and bread, should be nailed to two cross pieces the ends of which must project about a foot, so as to form handles. If in the woods, or where no boards can be procured, a litter may he formed from the branches of trees. In this way a hand-barrow may be constructed in a few minutes, on which the suffer- er may be properly carried. If he has been wounded and bleeds, the bleeding* must be stopped before he is removed. "Having reached a house, lay him on a bed, and undress him with eave and gentleness. If any diffi- culty arises in getting off his coat or pantaloons, rip up the seam*, rather than use force. This Being done, proceed to ascertain the nature of the injury. "This may be either 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 the necessary consequence of eve- ry blow, and is known by the swelling and discolora- tion of th^ skin. Wounds are self-evident. 106 Fractures are known by the sudden and severe pain, by the misshapen appearance of the limb, sometimes by its being shortened, by the patient be- ing unable to move it without excruciating pain, but most certainly, by grasping the limb above and be- low the spot where the fracture is supposed to exist, and twisting it different ways, when a grating will be felt, occasioned by the broken ends of the bone rubbing against each other. If the swelling, hnw- ever, is very great, this experiment should not be made until it is reduced. Dislocations, or bones being out of joint, are known by the deformity of the joint when compared with its fellow, by the pain and inability to move the limb, by its being longer or shorter than usual, and by the impossibility of moving it in particular direc- tions. The most serious effects, however, resulting from contusion, are when the blow is applied to the head, producing either concussion or compiession of the brain." " Concussion of the Brain." "Symptoms.-The patient is stunned, his breath* ing slow, drowsiness, stupidity, the pupil of the eye rather contracted, vomiting. After a time he re- covers. ' Treatment.-Apply cloths dipped in cold vinegar and salt to his head, and when the stuper is gone, bleed him and open his bowels with epsom salts. He should be confined to bed, in a quiet situation, ant^ every measure taken to prevent an inflamation of the brain, which, if it comes on, must be treated by co- pious bleeding, and bathe with vinegar and salt. "Compression of the Brain " "Symptoms.-Los« of sense and motion, slow, noi- sy and laboripus breathing, pulse slow and irregu- 107 lar, the muscles relaxed, as in a person just dead,the pupil of the eye enlarged and will not contract even by a strong light,the patient lies like one io an apop- lectio fit, and cannot be roused. "Treatment.-Shave the head, and if possible, pro- cure surgical assistance without delay, as there is nothing but an operation that can be of any avail." For management, see 104th page. aOf Wounds." "Wounds are of three kinds, viz: incised, punctu* red and contused; among the latter are included gun-shot wounds. The first step in ail wounds, is a To stop the bleeding.-If the flow of blood is but trifling, draw the edges of the wound together with your hand, and hold them in that position some time, when it will frequently stop. If, on the contrary, it is large, of a bright red color, flowing in spirits or with a jerk, clap your finger on the spot it springs from, and hold it there with a firm pressure, while you direct some one to pass a handkerchief round the limb (supposing the wound to be in one) above the cut, and to tie its two ends together in a bard knot. A cane whip-handle, or stick of any kind, must now be passed under the knot, (between the upper sur* face 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 hand- kerchief by a turn or two of the stick, until it ceases. The patient may now be removed (taking care to secure the stick in its position) without running any risk of bleeding to death by the way. For management, refer to page 104. "As this apparatus cannot be left on for any length. 108 of time, without destroying the life of the parts, en- deavor as soon as possible to secure the bleeding vessels, and take it off. Having waxed together three or four threads of a sufficient length, cut the ligature they form, into as many pieces as you think there are vessels to be taken up, each piece being about a foot long. Wash the parts with warm wat- er, and then with a sharp hook, or a slender pair of pincers in your hand, fix your eye steadfastly upon the wound, and direct the handkerchief to be relax- ed by a turn or two of the stick; you w ill 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 some one passes a ligature round it, and ties it up tight with a double knot. In this wav take up in succession every bleeding vessel you can see or get hold of. "If the wound is too high up in a limb to apply the handkerchief, don't lose your presence of mind, the bleeding can still be commanded. If it is the thigh, press firmly in the groin; if in the arm, with the hand or ring of a common door key, make pres- sure above the collar bone, and about its middle against the first rib which lies under it. The pres- sure is to be continued until assistance is procured, and the vessel tied up. "If the wound is on the head, press your finger firmly on it, until a compress can be brought, which must be bound firmly over the artery by a bandage. If the wound is in the face, or so situated that pres- sure cannot be effectually made, or you cannot get held of the vessel, and the blood flows fast, place a piece of ice directly over the wound, and let it re- main there till the blood coagulates, when it may be removed, and a compress and a bandage applied. For management; cite to page 104. 109 Incised Hounds. By an incised wound is meant a clean cut. Hav- ing stopped the bleeding, wash away all the dirt, &c. that may be in it with a sponge and warm wa^ ter, then draw the sides of the wound together, and keep them in that position by narrow strips of stick- ing plaster, placed on at regnlar distances, or from one to two inches apart. A soft compress of old Imen or lint may be laid over the whole. "Should much inflammation follow, remove the strips, sweat and bathe the patient with salt and vinegar (who should live very low, and be kept perfectly quiet) according to the exigency of the case. If it is plain that matter must form before the wound will heal, apply No. 6, until that event takes place. "Although narrow strips of linen, spread with sticking plaster, or No. 6, form the best means of keeping the sides of a wound together, when they can be applied, yet in the ear, nose, tongue, lips,and eye-lids, it is necessary to use stitches, which are made in the following manner: Having armed 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 op- posite one at the same distance. If more than one stitch is required, cut off the needle, thread it again, and proceed as before, until a sufficient num- ber are taken, leaving the threads loose until all the stitches are passed, when the respective ends of each thread must be tied in a hard double knot, drawn in such a way that it bears a little on the side of the cut. When the edges of the wound are partly uni- ted by inflammation, cut the knots carefully, and withdraw the threads. From what has been said, it must be evident thai 110 in all wounds, after arresting the flow of blood, and cleansing the parts, if necessary, the great indica- tion is to bring their sides into contact throughout their whole depth, in order that they may gr<»w to- gether as quickly as possible, and without the in- tervention of matter To obtain this very desirable result, in addition to the means already mentioned, there are two things to be attended to, the position of the patient and the application ot the bandage. The position of the patient should be such as will re- lax the skin and muscles of the part wounded, there- by diminishing their tendency to separate. A common bandage of a proper width, passed over the compresses modeiately tight, not only serves to keep them in their place, but also tends by its pressure, to forward the great object already mentioned. If, however, the wound is so extensive and pa nful that the limb or body of the patient can- not be raised for the purpose of applying or remo. ving it, the best way is to spread the two ends of one -Or two strips of linen or leather with sticking plaster which may be applied in place of the bandage, as follows: attach one end of a strip to the sound skin, a'tashort distance from the edge of the compress, over which it is to be drawn with moderate firmness and secured in a similar manner on its opposite side. A second or third may, if necessary, be added in the same way. Punctured Wounds. "These are caused by sharp pointed instruments, ms needles, awls, nails, &c. Having stopped the bleeding, withdraw any foreign body, as part ot a needle, bit of glass, &c. that may be in it, provided it can be done easily; and if enlarging the wound a little will enable you to succeed in this, do so. Though it is not always necessary to .enlarge wounds 111 of this nature, yet in hot weather it is a mark of pre* caution, which should never be omitted. As soon as this is done, pour a little turpentine into the wound 01 touch it with caustic, and then cover it with No. 6, This practice may prevent lock-jaw, which of this is but too frequent a consequence of wounds description. "Contused Wounds." "Wounds of this nature are caused by round or blunt bodies, as musket balls, clubs, stones, &c. They are in general attended but by little bleeding ;if, how* ever, there should be any, it must be stopped. If it arises from a ball which can be easily found and withdrawn, it is proper to do so, as well a« any piece of the clothing, &c. that may be in it; or if the ball can be distinctly felt directly under the skin, make an incision across it, and take it out, but never al- low of any poking in the wound to search lor such things; the best extractor of them, as well as the first and best application in contused wounds, pro- ceed from what they may, being a soft bread and milk poultice. If 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 nat- ural a position as you can, drawing their edges gen- tly together, or as much so as possible, by strips of sticking plaster, or stitches if necessary. A soft poultice is to be applied ever th ' whole, or No. 6. "Wounds of the Ear, Nose, SfC. "Wash the parts clean, and draw the edges of the wounds together by as many stitches as are neces* sary . If the part is even completely separated, and has been trodden under feet, by washing it in warm water, and placing it accurately in the proper place, by the same means, it will adhere." 112 (l Wounds of the Scalp. "In all wounds of the scalp it is necessary to shave off the hair. When this is done, wash the parts well, and draw the edges of the wound together with stick* ing plaster. If it has been violently torn up in sev- eral pieces, wash and lay them all down on the skull again,drawing their edges as nearly together as pos- sible by sticking plaster, or if necessary, by stitches. Cover the whole with a soft compress, smeared with some simple ointment, or No. 6. For management, refer to page 104. " Wounds of the Throat. <£,Seize and tie up every bleeding vessel you can get hold of. If the wind-pipe 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 membrane that covers the wind-pipe itself. The head should be bent on the breast, and secured by bolsters and bandages <n that position, to favor the approximation of the edges of the wound," "Wounds of the Chest. "If it is a simple incised wound, draw the edges of it together by sticking plaster, cover it with a com- press oflinen, or No. 6, and pass a bandage round the chest. The patient is to be confined to his bed. "Should it 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 ointment, or N ». 6, ta- king care that it is not drawn into the che^t. If a portion of the lung protrudes, return it without any delay, but as genHy as passible." ^Wounds of the Belly. "Close the wound bv strips of sticking plaster, and stitches passed through the skm, about half an inch 113 from its edges, and cover the whole with soft cam press, secured by a b,andage." "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, £c. wash it carefully in warm water previous to so do- ing. If the gut is wounded, and only cut partly through, draw the two edges of it together by a stitch, and return it; if completely divided, connect the edges Ijy four stitches at equal distances, and replace it in the belly, always leaving the end of the ligature projecting from the external wound, which must be closed by sticking plaster. In five or sis days, if the threads are loose, withdraw them .gently and carefully." For management, see page 104. " Wounds of Tendons. "Tendons, or sinews, are frequently wounded or raptured. 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 remedied by drawing up the heel, extending the foot, and placing a splint on the fore part of the leg, extending from the knee to be^ yond the toes, which being secured in that position by a bandage, keep the foot in the position just men- tioned, The hollows under the splint must be filled up with tow or cotton. If the skin falls into the apace between the ends of the tendon, apply a piece of sticking plaster, so as to draw it out of tho way. It takes five or six weeks to unite, but no weigh'., should be laid on the limb for several month?" 114 11 Of Fractures. "The signs by which fractures may be known, having been already pointed out with sufficient mi* nuteness,it will be unnecessary to dwell thereon; it will be well, however, to iecollec't this general rnle; In cases where, from the accompanying circum- stance? and symptoms, a strong suspicion exists that the bone is fractured, it is proper to act as though it were positively ascertained to be so." "Fracture of the Bone of the Nose. "The bones of the nose from their exposed situa- tion, are frequently forced in. Any smooth article that will pass into the nostril should be immediately introduced with one hand, to raise the depressed portions to the proper level, while the other is em- ployed in moulding them into the required shape." "Fracture of the Lower Jaw "This accident is easily dis&overed by looking into the mouth, and is to be remedied by keeping the Ipwer jaw firmly pressed against the upper one, by means of a bandage passed under the chin and over the head. If it is broken near the angle, or that part nearest the ear, place a cushion ®r roll of linen in the hollow behind it, over which the bandage must pass, so as to make it push that part of the bone forward. The parts are to be confined in this way for twenty days, during which time, all the nourish- ment that is taken should be sucked between the teeth. If, in consequence of the blow, a tooth is loosened, do not meddle with it, for if let alone, it will grow fast again " "Fracture of the Collar Bone. "This accident is a very common occurrence, and is known at once by passing the finger along it, and by the swelling, ^c. To reduce it, seat the patient in a chair without any shirt, and place a 115 pretty stout compress of linen, made in the shape of 5 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 lung bandage, which passes over the arm of the af- fected side and round the body. The fore-arm is to be supported across the breast by a sling, It takes from four to five weeks to re-unite." Fractures of the Arm. "Seat the patient on a chair, or the side of a bed, let one assistant hold the sound arm, while another grasps the wrist of the broken one, and steadily ex- tend it in an opposite direction, bending the fore-arm a little to serve as a lever. You can now place the bones in their proper situation. Two splints of shin- gle or stout paste board, long enough to reach frdWi 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 tBat position by a ban- dage. 'Che fore-arm is to be supported 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 other." Fractures of the Bones of the Fore-Aryi. "These are to be reduced precisely in the sam.e way, excepting 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 are applied, support it in a sling. Fractures of the Wrist. "This accident is of rare occurrence. When it does happen the injury is generally so great as to require amputation. If you think the hand can be saved, lay it on a splint well covered with tow; this 116 extends beyond the fingers; place another splint ops posile to it, lined with the same soft material, and secure them by a bandage. The hand is to be car- ried in a sling. "The bones of the hand are sometimes broken.- When this is the case, fill the prim with soft com- presses or tow, and then lay a splint on it, long enough to extend from the elbow to beyond the ends of the fingers, to be secured by a bandage, as usual. "When a finger is broken, extend the end of it until it becomes straight, place the fractured portion in its place, and then apply two small pasteboard splints, one below and the other above, to be secured by a narrow bandage. The top splint should extend from the end of the finger over the back of the hand. It may sometimes be proper to have two additional splints for the sides of the finger." Fractures of the Ribs. "When, after a fall or blow, the patient complains of a pricking in his side, we may suspect a rib is broken. It is ascertained by placing the tips ot two or three fingers on the spot where the pain is, and desire the patient to cough, when the grating sensa- tion will be felt. All that is necessary, is to pass a broad bandage round the chest, so tight as to prevent the motion of the ribs in breathing; and apply ?»o. 6 over the place." "Fractures of the Thigh. "This bone is frequently broken, and hitherto has been considered the most difficult of all fractures to manage. To the ingenuity, however, of Dr. Harts- horne, the world is indebted for an apparatus which dees away the grealesrimpediments that have been found to exist in treating it, so as to leave a straight limb, without lameness or deformity; nor is it the 117 least of its merits, that any man of common sense can apply it nearly as well as a surgeon. "It consists of two splints made of half or three' quarter inch well seasoned stuff, from eight to tern 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 grom. The upper end of the inner splint is hollowed out and well padded or stuffed. Their lower ends are held together by a cress piece, hav» ing two tenons, which enter two vertical mortices,- one in each splint, and secured there by pins. In the centre of this cross piece (which should be very solid) is a female screw. Immediately above the vertical mortices, are two horizontal ones of conside- rable length, in which slides 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 reception of the head of the male screw, which passes through the female one just noticed. On the top of this cross piece, to which the foot block is attached, are two pins, which fall into 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 pass- es 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 bro- ken 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 strap ped to it? as boys fasteo their skates. By turning 118 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 appearance, when any projection or little inequality that may remain, can be felt and reduced by a gentle pressure of the hand. "Th.e great advantages of this apparatus, I again repeat, are the ease with which it is applied, and the certainty with which it acts. The foot once se- cured to the block, in a way that every scbool-boy understands, nothing more is required than to turn the screw until the broken hmb is found to be of the sa oe length as the sound one. It is right to observe that this should not be effected at once, it being bet- ter to turn the screw a little every day, until the limb is sufficiently 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, consisting of four pieces. The first has a 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, is a block, below which there fe also a hole. The second reaches from the groin, 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 (he catahgue of the apparatus "It is applied as follows: Four or five pieces of tape are to be laid across the bed, at equal dis- tances from each other. Over the upper two, is placed one of the short pasteboard splints, well co- vered with tow." The patient js now to be care-> 119 fully and gently placed on his back, so that nis thigh maj rest on the splint. One of the handkerchiefs, or a strong soft band, is to be passed between the testicle and thigh of the affected side, and its ends held by an assistant standing near the head of the the bed. The second handkerchief is to be passed round the ankle, crossed on the instep and tied un- der the sole o7 the foot. By steadily pulling these two handkercbiets, the limb is to be extended, while with the hand the broken bones are replaced in their natural position. The long splint is now to be pla- ced by the side of the patient, the crutch in the arm- pit, (which is defended with tow,) while the short one is laid along the inside of the thigh and leg.- The ends of the first handkerchief, being passed thro' the upper holes, are to be drawn tight and secured by a knot, w hile the end of the second one pass over the block before mentioned, 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 thigh. The tape being tied so as to keep the four splints together, completes the operation. "Tow is to be every where interposed between the splints and the limb, and a large handful of it placed in the groin, to prevent irritation from the upper or counter extending band. It is necessary to be careful, while tying the two handkerchiefs, that they are not relaxed, so that if the operation is prop- erly performed, the two limbs will be nearly of ar^ equal length. "The superior advantages of Hartshorne's appar atus over this, as well as all others, must be. evident to every one acquainted with the difficulty of keep- ing up that constant extension which is so absolutely nectary to avoid deformity and lameness, and 120 which is so completely effected by the screw. Next to that, however, stands the one just described,which can be made by any carpenter in a few minikes, and which, if carefully applied, will be found to answer well. "Fractured thighs and legs generally re-unite in six or eight weeks; in old men, however they re- quire three or four months. "In cases of fracture of the thigh or leg, the pa- tient should alwaysjfpossible, belaid on a mattrass supported by boards instead of the sacking, which, from its elasticity and the yielding of the cords, is apt to derange the position of the limb." "Fractures of the Knee Pan. "This accident is easily ascertained on inspection. It may be broken in any direction, but is most gen- erally so across or transversely. It ft reduced by bringing the fragments together, and keeping them in that position by a Jong bandage passed carefully round the leg, from the ankle to the knee, then pressing the upper fragment down so as to meet its fellow, (the leg being extended,) and placinga thick compress of linen above it, over which the bandage is to be continued. rtThe extended limb is now to be laid on a broad splint, extending from the buttock to the heel, thick- ly covered with tow to fill up the inequalities of the leg. For additional security, two strips of muslin may be nailed to the middle of the splint, and one on Uach side, and passed about the joint, one below, the other above, so as to form a figure of eight. In twenty or thirty days the limb should be moved a lit- tle to prevent stiffness. "If the fracture is through its length, bring the parts together, place a compress on each side, and .keep tjiem together, with a bandage, leaving the 121 limb extended and at rest. Any inflammation ip this, or other fracture,is to becombated by bleed* iog, &c. "Fracture of the Leg. "From the thinness of the parts covering the prin- cipal bone of th<* leg, it is easy to ascertain if it is broken obliquely. If, however, the fracture be di- rectly across, no displacement will occur, but ihe pain, swelling, and the grating sensation, will suffi- ciently decide the nature of the accident. "If the fracture is oblique, let two assistants extend the limb, while the broken parts are placed by the hand in their natural position. Two splints, that reach from a little above the knee to nine or ten in- ches below the f>ot, having near the upper end of each four holes, and a vertical mortice near the low- er end, into which is fitted a cross piece, are now to be applied as follows.- Lay two pieces of tape about a foot long, on each side of the leg. juat below the knee joint, and secure them there by several turns of a bandage; pass a silk handkerchief round the an- kle, cross it on the instep, and tie it under the sole of the foot. The two splints are now placed one on each side of the leg, the four ends of the peices of tape passed through the four holes and firmly tied, and the cross piece placed in the mortice. By ty- ing the'ends of the handkerchief to this cross piece the business is finished. " It the fracture is across, and no displacement ex- ists, apply two splints of stout pasteboard, reaching from the heel to the knee, and well covered with tow, one on each side of the leg, securing them by a bandage passing round the limb, and outside the splints. "In cases of oblique fractures of the leg close to 122 the knee, Hartshorne's apparatus for fractured thighs should be applied, as already directed." "Fractures of the Bones of the Foot. "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 swel- ling, and by the grating noise on moving the heel. To reduce it,take a long bandage, lay the end of it on the top of the foot, carry it ovei the toes under the sole, and then by several turns secure it in that position. •'The foot being extended as much as possible, carry the bandage along the 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 way the broken pieces will be kept in contact, and in the course ofa month or six weeks will be united. "Fractures of the foot, toes,&c. 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 mentioned. It is well to recol- lect that the sooner the attempt is made to reduce it, the easier it will be done. The strength ofone man, properly applied, at the moment of the accident, will often succeed in restoring the head ofa bone to its place, which in a few days would have required the combined efforts of men and pulleys. If after sever- al trials with the best apparatus that can be muster- ed, vou find you cannot succeed, make the patient drink strong hot toddy of brandy or other spirits, un- til he is very drunk. In this way owing to the re- laxed state of the muscles, a very slight force will of'en be sufficient, where a very great one has been previously used without effect. 123 •'Ifany objections are made to this proceeding, or if the patient will not consent to it. having your appa- ratus (which is presently to be mentioned) all ready, make him stand up, and bleed him in that position un11) he faints; the moment this happens, apply your extending and counter-extending forces. Another important rule is, to vary the direction of the exten- ding force. A slight pull in one way will often ef- fect what has been in vain attempted by great force in another. "Dislocation of the Lower Jaw. "This accident, which is occasioned by blows, or yawning, is known by an inability to shut the mouth and the projection of the chin. To reduce it, seat the patient in a chair with his head supported by the breast of an assistant, who stands behind him. Your thumbs being covered with leather, are then to be pushed between the jaws, as far back as possi- ble, while with the fingers, outside, you grasp the bone, which is to be pressed downwards, at the same time that the chin is raised. Ifthis is properly done, the bone will be found moving, when the chin is to be pushed backwards, and the thumbs slipped be- tween 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 dosed by a bandage for a few days." "Dislocation of the Collar Bone. "This bone is rarely dislocated. Should it occur, apply the bandages, &c. directed for a fracture of the same part." "Dislocation of the Shoulder. "Dislocations of the shoulder are the most common of all accidents of the kind, ft is very easily known by the deformity of the joint, and the head of the bone being found in some unnatural position. Te 124 reduce it, seat the 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 nnd pull it outwards.. "Should this not succeed, lay the patient on the ground, place your heel in his arm-pit, and steadily and forcibly extend the arm, by grasping it at the wrist. The same thing may be tried in various po- sitions, as placing yourself on the ground with him, laying him on a low bed, while you are standing near the foot of it, Lc. "Ifthis fails, pass a strong band over the shoulder, carry it across the breast, give the ends to assistants, or fasten them to a staple it the wall; the middle of a strong band or folded towel is now to be laid on the arm above the elbow, and secured there by nu- merous turns of the bandage. The two ends of the towel being then given to assistants, or connected with a pulley, a steady, continued, and forcible ex- tension is to be made, while with your hands you endeavor to push the head of the hone into its place. "Dislocation of the Elbow. ''If the patient has fallen on his hands, or bolds his arm bent at the elbow, and every endeavor to straighten it gives him pain, it is dislocated back- wards. Seat him in a chair, let one person 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 back- wards, remembering 'hat under those circumstances, whatever degree of force is required, should be ap- plied in this direction. The elbow is sometimes dis- located sideways or laterally. To reduce it, make extension by pulling at the wrist, while some one se- cures the arm above, then push the bone into its place 125 either inwards or outward.-, as may be required. Al- ter the reduction of a dislocated elbow, keep the joint at perfect rest for five or six days, and then move it gently. If inflammation comes on, for man- agement, see page 104. "Dislocation of the Wrist, Fingers, ^c. "Disiecation of the wrists, fingers, and thumb, are readily perceived on examination; they are all to be reduced by forcibly ex'ending the lower extremity of the part, and pushing the bones into their place. If necessary, small bands may be secured to the fin$ gers by a narrow bandage, to facilitate the extension. These accidents should be attended to without de- lay, for if neglected for a little time, they become irremediable." "Dislocation of the Thigh. "Notwithstanding the hip joint is the strongest one in the body, it is sometimes dislocated. As a careful examination of the part, comparing the length and appearance of the limb with its fellow, &c. suffi- ciently mark the nature of the accident, we will pro- ceed to state the remedy. "Place the patient on his back, upon a table cov- ered with a blanket. Two sheets, folded like cra- vats, are then to be passed between the thigh and tes- ticle of each side, and their ends (one half of each sheet passing obliquely over the belly to the oppo- site shoulder, while, the other half passes under the back in the same direction) give to several assis- tants, or what is much better, tied very firmly to a hook, staple, post, or some immoveable body. A large, very strong napkin, folded as before, 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 tut ns of a bandage. The two ends are then to be knotted. If you have 126 ho pulleys, a twined sheet or ropeway be passed through the loop formed by the napkin If you can procure the former, however, cast the loop over the hook of the lower block, and secure the upper one to the wall, directly opposite to hooks or men that hold the sheets that pass between the thighs. A steadily increasing and forcible extension of the thigh is then to be made by men who are stationed at the pulleys or sheet, while vou are turning and twisting the limb to assist in dislodging it from its unnatural situation. Bv these means, properly applied, the head of the bone will frequently slip into its socket with a loud noise. "If, however, you are foiled, change the direction of the extending force, recollecting alway s, that it is not by sudden or violent jerk, that any benefit can be attained, but by a steady increasing and long con- tiuned pull. Should all your efforts prove unavail- ing, (1 would not advise you to loose much time be- fore you resort to it.) make the patient, as before di- rected, excessively drunk, and when he cannot stand, apply the pulleys. If this fails, or is objected to, bleed him till he faints, and then try it again." "Dislocation of the Knee-Pan. "When this little bone is dislocated, it is evident on the slightest glance. To reduce it, lay the pa* tient 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 place. The knee should be kept at rest for a few days. " Dislocation of the Leg. "As these accidents cannot happen without tearing and lacerating the soft parts, but little force is requir- ed to place the bones in their natural situation If the parts are so much torn that the bone slips again 127 out of place, apply Hartshorne's or Desaults appara- tus lor a fractured thigh." "Dislocation of the Foot. "The foot is seldom dislocated. Shotfld it hap* pen, however, let one person 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. The part is then to be covered with compresses dip- ped in lead water, and a splint applied on each side of the leg, that reaches below the foot. Accidents of this nature are always dangerous; all that can be done to remedy them consists m the speedy reduc- tion of the bone, keeping the parts at rest, and sub- duing the inflammation by following the directions of page 104. "0/ Compound Accidents. "Having spoken of the treatment to be pursued for a bruise, wound, fracture, and dislocation, as hap- pening singly, it remains to state what is to be done when they are united. "We will suppose that a man has been violently thrown from a carriage. On examination, a wound is found in his thigh, bleeding profusely, bis ankle is out of joint, with a wound communicating with its cavity, and the leg broken. "In the first place, stop the bleeding from the wound in the thigh, reduce the dislocation next, draw the edges of the wounds together with sticking plas- ter, and lastly, apply Hartshorne's or Dassault's ap- paratus to remedy the fracture. Hf, instead of a wound, fracture and dislocation, there is a concussion or compression of the brain, a dislocation and fracture, attend to the concussion first, th' dislocation next, and the fracture the last." "Of Amputation. "As accidents so netimes happen at sea, or in situations where it is impossible te obtain a surgeon,, 128 and which require the immediate amputation of a limb.it is proper to say a few words on that subject. To perform the operation is one thing, and to know when it ought to be preformed is another. Any man of common dexterity and firmness can cut off a leg, but to decide upon the necessity of doing so, re- quires much judgment, inst mces having occurred where, under the most seemingly desperate circumr stances, the patient through fear or obstinacy has refused to submit to the knife, and yet afterwards recovered. "Although in many cases much doubt may exist in determining whether it is proper to amputate or not, yet in others, all difficulty vanishes, as when a ball ha? carried away an arm. Suppose for a mo- ment, while rolling in a heavy sea, during a gale, the lashings of a gun give way, by which a man h s his knee, leg, or ankle completely mashed, or that either of those parts are crushed by a fall from the topgallant yard, a falling tree, &c. The great la- ceration of blood vessels, netvesand tendons, the crushing and splintering of the bones, almost neces- sarily resulting from such accidents, render immedi- ate amputation an unavoidable and imperious duty. "If there are none of the regular instruments at hand, you must provide the following, which are al- ways to be had, and which answer extremely well- being careful to have the knives as sharp and smooth as possible. instruments-The handkerchief and stick, a carv- ing or other large knife with a straight blade, a pen- knife, a carpenter's tenon or mitre saw, a slip of leather or linen, three inches wide and eighteen or twenty long, slit up the middle to the half of its length, a dozen or more ligatures, each about a foot long, tfiade of waxed thread, bobbin, or fine twine, 129 a. hook with a sharp point, a pair of slender pincers, several narrow strips of sticking plaster, dry imt, a piece of linen, large enough to cover the end of the stump, spread with simple ointment or lard, a ban- dage three or four yards long, the width of your hand, sponges and warm water. " Amputation of the Arm. ''Operation.-Give the patient sixty drops of laudanum, and seat him on a narrow and firm table or chest, of a convenient height, so that some one can support him. by clasping him round the body.- If the handkerchief and stick have not been previ- ously applied, place it as high up the arm as possi- ble, (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 or waiter., and within reach of your hand, while some one sup- ports the lower end of the arm, and at the same tune draws down the skin, take the large knife,and m <ke one straight cut all round the limb, through the skin and fat only, then with the penknife separate as much of the skin from the flesh above the cut, and all round it, as will form a flap to cover the face of the stump; when you rhmk there is enough separa- ted, turn it back, where it must be held by an assis- tant, while with the large knife you make « second straight incision round the arm and down to the bone, as close as you can to the double edge of the flap, but taking great care not to cut it. The bone is now to be passed through the slit in the piece of linen before mentioned, and pressed by its ends ag unst the upper surface of the wound y the person who holds the flap, while you saw through the bone aS near it as you can. With the hooks or pincers, you then seize and tie up ever-, vessel that bleeds, the 130 largest first, and smaller ones next, until they are ail secured. When thisis-done, relax the stick a little; if an artery springs, tie it as before. The wound is now to be gently cleansed with a sponge and warm water,and the stick to be relaxed. If it is evident that the arteries are all tied, bring the flap ovei the stump, draw its edges together with strips of sticking plaster, leaving the ligature hanging out at the an- gles, lay the piece of linen spread with ointment over the straps, a pledget of linen over that, and se- euro the whole by the handage, when the patient may be carried to bed, and the stump laid on a pil- low. "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 in an instant by the pejson who watches by the patient, when the diess- iugs must be taken off, the flap raised, and the vessel be s tight for and tied up, after which, every thing is to be placed as before. "It may be well to observe that in sawing thio' the bone, a long and free stroke should be used, to pre- vent any hitching, as an additional security against ■which, the teeth of the saw should be well sharpened and set wide "There is also another circumstance, which it is essentia' to be aware of; the ends of divided arteries cannot at times be got hold of, or being diseased their coats give way under the hook, so that they cannot be drawn out: sometimes, also, they are found ossified or turned intrt hone, In all these cases, hav- ing armed a needle wi'h a ligature, pass it through the flesh round the artery, so that when tied, there will he a portion of it included in the ligature along ■with the artery. When the ligature has been made 131 io encircle the artery, cut off the needle and tie a' firm: yin the ordinary way. "The bandages, 4'C. should-not be disturbed for five or six days, if the weather is cool; if it is very warm, they may be removed in three. This it to be done with the greatest care, soaking them well with warm water until they art quite soft, and can be ta? ken away without sticking to the stump. A clean plaster, lint, and bandage are then to be applied as befoie, to be removed every two days. At the ex* piration of fourteen or fifteen days the ligatures generally come away; and in three or four weeks4 if every thing gees on well, the wound heals." "Amputation of the Thigh. "This is performed in precisely the same manner as that of the arm, with one exception, it being pro- per to interpose 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," " Amputation of the Leg. "As there are two bones in the leg which have a thin muscle between, it is necessary to have an addi? tional knife to those already mentioned to divide it. It should have a long narrow blade, with a double cutting edge, and a sharp point; a carvng or ease knife may be grouad down to answer the purpose, the blade being reduced to rather less than half an inch in width. The linen or leather strip should also have two slits in it instead of one. The patient is to be laid on his back, on a table coveted with blankets or a matrass, with a sufficient number of assistants to secure him. The handkerchief and stick being applied on the upper part of the thigh, one person holds the knee, and another the foot and leg as steadily as possible, while with the large knife the operator makes, an oblique incision round the 132 limb, through the skin, and beginning at five or six inches below the knee-pan, and carrying it regularly round in such 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 penknife as will cover the stump. 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, just 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 held back by the assistant, who supports the flaps while the bones are sawed, which should be so managed that the smaller one is completely cut through by the time the other is half so. The arte- ries are then to be taken up. the flap brought down and secured by adhesive plaster, ^c. as already di- rected.'' "Amputation of the Fore-Arm. "As the fore-arm has two bones io it, the narrow bladed knife, and the strip of linen with three tails, .are to be provided. The incision should be straight round the part, as in the arm, with this exception, complete it as directed for the preceding case," "Amputation of Fingers and Toes. "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, bending 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 then to be turned out, while you cut through the remaining soft part. If yeu see any artery spirt, tie it up-if not, bring down the flap and secure it by a strip ol sticking plaster, and a narrow bandage over the whole. 133 "Remarks.-To prevent the troublesome conse- quences of secondary bleeding, before the strips of plaster are applied over the edges of the flap, give the patient, if he is faint, a little wine and water, and wait a few minutes to see whether the increased force it gives ter the circulation, will occasion a flow of blood; if it dots, secure the vessel it comes from. If there i« a considerable flow of blood from the hol- low of the bone, place a small cedar plug in it - Should violent spasms of the stump ensue, have it carefully held by assistants, and give the patient large doses of laudanum; it may, in fact, be laid down as a general rule, that after every operation of this kind, laudanum should be given in greater or less doses, as the patient may be in more or less pain." " Of Suspended Animation "From Drowning.-The common methods of rolb inga drowned person on a barrel,or holding them up by the heels, &c. are full of danger, and should never be permitted. If a spark of life should happen to remain, this violence would extinguish it forever.- As soon, therefore, as the body is found, consey it as gently as possible to the nearest house, strip it of the wet clothes, dry it well, and place it on a bed be- tween warm blankets, on the right side, with the head elevated by pillows. Every part is to be now well rubbed with flannels dipped in warm brandy, or spirits of any kind, while a warming pan, hot bricks, or bottles or bladders filled with warm water, are applied to the stomach, back, and soles of the feet. During these operations a certain number of the as- sistants (no more persons are to be allowed in tha room than are absolutely necessary) should try to inflate the lungs, by blowing through the nozzle of a. common bellows, or a pipe of any kind, placed 134 one nostril, while the other with the mouth are kept closed. If a warm bath can be procured, place the body in it. Clysters of warm brandy and water, salt and water, or peppermint water may be injec- ted. •'All these operations, particularly robbing the body, and trying to inflate the lungs, should oe con- tinued for six or eight hours, and when the patient has come to himself, small q i*utities <f warm wine, wine-whey, brandy and water, &.c may be given to him from tima to time. If, after he has recovered, a stupor or drowsiness remains, (but not before,) sweat them. "Should the accident occur in winter, and the body feel cold, as if frozen, previously to applying warmth, rub it well with snow, ice, or very cold wa- ter. Above all things, remember that perseverance for many hours in the remedies pointed out, may give von the unspeakable pleasure of restoring a fel- low creature to life." After they have come too, give them a regular sweat. "If a limb is frost-bitten, the cokl applications used should be continued longer, and warmth be more gradually applied than when the whole body is fro- zen. Care should betaken to handle the parts care- fully, so as not to break off the ear, tip ot the nose, &.C. Dyspepsia. This complaint is frequently caused by too steady a use of coffee, or hard drink, though it is one spe* cies of stagnation of blood. It is worthy of notice, that coffee thickens the blood, and is one means of -stagnation whi^h should always be avoided in curing every species of stagnation. When the filth of the blood strikes in against the stomach, it affects that part which caufces the puking, and sotnelimea aflects 135 the throat-This destroys the faculty of the sto* mach, so injurious is the discharge through the vents of the stomach. It is like all other stagnations -there is an over stock of gaslic juices, or a bitter sour in the stomach. I conclude that the cholera will operate nearly as harden the people ihat drink coffee to an excess, as on the drunkard. As I have named coffee as c.ne part of our diet that is injurious; I will name some others that ough> to be avoided in cleansing people's blood. One is butter, another is cabbage, and apples or cider, and peaches; and more especially if the fruit is green. These articles have often been in mv way. The symptom's of the dyspepsia is the tot a common cause, with sometimes a puking and pain, or unea-iness in the stomach; sometimes the throat is affected; the food doesnot lie right on the stomach. This s metimes brings on a consumption; if so, they both operate together. Fora cure, follow the same rule as in a consump- tion. Exercise is of great importance in tflis dis^ ease. INDIAN CUSTOMS AND DOCTORINGS. From my acquaintance with the different plans of Indian doctoring, I shall try to seiect such parts a« f consider most genuine and useful to lay before the readeis; as there are several plans that go under this name, weare left to conjecture what is genuine and what is not. If any of my readers should have a better knowledge of any particular point of this doc- toring than I have, I shall feel very much obliged to them to let me know: and if it should be found to bean advantage, I will recompense them, for my ob- ject is to get as near the substance of thte system as' possible. But I have compiled this work from va- rious ones, according to the best of my knowledge 136 and ability. Tn point of customs, f have selectee from Dr, B. Rush's work on this subject, with my own acquaintance with them: and in point «f doctor- ing, I have learned moie from others. Dr. Richard Carter, of Kentucky, has given his own views of doctoring, but has not been so careful to give the views of Indians as he ought to have done, provided he was acquainted with them as he professed to be; and his work appears to Ire a mixture of medical doctoring, with his own inventions, and bordering in some degree on Indian doctoring, I have not learn- ed from it as much as fr®m some others; and in ex- amining the different systems, to select that part which I supposed to be Indian doctoring and cus- toms. J sometimes judge from the appearance or manner of it, and other times from the title or man- ner of language made use of. Roots and herbs that had an Indian name to them, I took for granted that the Indians used them. As Ido not suppose that mine is genuine in every point, 1 shall w ish persons to assist me to correct it, wherein it is wrong, though I fancy that the reader will find it as near correct, if not more so, than any other that is now in vogue. A great deal of the future health o man depends on his origination and rise in the world. A child born of healthy parents, and being exposed to the different elements, at or near 'ts birth. that is of cold water or air, with other changes, such children ge- nerally bring into the world a system formed »y na- ture to resist the cause of diseases. The treatment ot children among the Indians tends to secure this firmness of constitution, that becomes in some degree hereditary. To harden them against the inclemen- cy of the weather, some of them emerse theii chil- dren-in cold water frequently, and others expose them, to the cold when they are quite young, or 137 bathe them in cold water; and to preserve their shape, they are tied to a board with their backs for several months, and live entirely on their mother's milk. The friction and speedy motion of the system and blood in infancy, forbid stimulating food of ail kinds. Nature never calls for animal food until she has proviiied the child with teeth which are necessa,- ry to chew. J am at a loss to express my views of the injury done in our country, as well as in the world in general, by living on si rong, stimulating diet and especially while young We may observe that there are but few cases of fits of any kind among families that live on light diet; and especially in childhood; their sensitive or mental faculties are generally more lively as well as the common motions of the body are more active; and they are more clear of ulcers, swellings, cancers and the like, with other advantages. The Indian children are frequently part naked in their common deportment in life, and either barefooted or wear a kind ot thin mockasin which is but little defence against water or cold; their tents partly open, and even sometimes without tents, and the tops of their heads are generally exposed to the elements; and living partly naked in this way, they frequently receive the showers of rain, commen- cing to wet the top of their heads and so penetrating down the body, which seldom has a had effect. In this way their constitutions are prepared tostand the inclemency of the weather; and what we call a had cold is almost a stranger among them. The diet of Indians are generally more fresh than ours, and wild animals are easier digested than tame ones. Their vegetables consist of roots and fruits, which are also easier digested; and in the warm seasons of the year, or at times that suit, they are employed ih 138 fishing, and live mostly on them; but their way of eating them partly fresh does not stimulate the blood as they do with us. Although a great deal of our continent abounds with salt springs, yet 1 cannot find that the Indians ever used salt in their diet until they were instructed to do so by the Europeans. As animal food is not much stimulating without salt, consequently the body of their diet is not calculated to stimulate and inflame the blood as ours is, when we make use of animal food seasoned high with salt, pepper, and the like. And they have not such a mixture of diet as we have.- and it there is an infla- mation on the Outside of the body, they apply some* thing as simple as a poultice of pounded balsam, or elder leaves, or the bark. If it is of a poisonous na- ture, a poultice of pounded wild celandine, or wbat some call touch-me-not; and in each case occasionally bathe the part in cold water. If such means does not cure, different ways are taken to burn the place some by holding it near the fire, or by pouring hot ashes on it, or holding a piece, of spunk on the place while it is burning, and thus call it a burn and then put a poultice, something as simple as slippery elm bark; or if if inflames, bathe it repeatedly in cold water. They preserve their merits from putrefac- tion by cutting it into small pieces and exposing it to the sun in summer, and in the winter to frost; in one case it is dried, and in the other it is so frozen that it cannot putrify. In dressing their meats they are careful to preserve their juices. They generally prefer it in soups, therefore the use of the spoon pre- ceded that of the knife and fork. They take the same pains to pieserve the juices of their meat when they roast it; they turn it often, and not crowding it near the fire, but having it at such a distance off that spine persona would suppose, that it would neither 139 yoasl nor cook at all. Thn brings me in mind of the many nights that we spent together during the last war; for an Indian would frequently roast my meat along with his, and for this purpose he would cut him a stick with not less than three forks, on which h.e would stick the meat, and set it at a pro- per distance from the fire, and in the course of the night he would have it cooked in the tenderest man- ner; and though 1 would see the process, yet I could not do it as well as himself.- in this way they pre- serve the juices. The efficacy of this animal juice in dissolving substances in the stomach has not been equaled by any of those soups or liquors which mod- ern luxury has mixed for that purpose. The Indians have no set time for eating, but obey the call of their appetite. After days spent in the chace or in war, they are apt to commit excess in eating: it is com- mon to see them spend several hours in satisfying their hunger. This is occasioned not so much on the account of the quantity they eat, as it is by the pains they take in chewing it. In this way they are brought to maturity and thus live, their constitutions thus prepared to stand the inclemency of the wealth er. The customs peculiar to the men consist chief- ly m such employments as are necessary topreserve life and defend their nation. These employments are hunting, fishing, and war, each of which are con- ducted in a manner that tend tu call forth every fibre and part of the body into exercise, and these means preserve health by rousing the blood into circulation; so it flows to the extreme parts of the body, and thus discharges the water and matter from it. Though these are rough means, yet they generally have a good effect. We proved the effect of such4 means while we were spies: we travelled frequently day and night through all kinds of weather, and frequent 140 ly lay out, without fire the coldest rights in winter, and yet the army were more sickly than we were. In the time of plenty and peace, in war, uno more especially in victory, we see Indians rise into exer- cise and strike a dance, having little bells or heeds to their ankles, and instruments in their hands to make a noise, and parade round the flies in winter, and in summer round other objects, perhaps poles set upon forks, over which they mr ke motions, as though they would tomahawk or scalp one another, and try their activity to see how near they could sti ike at one anothei's head, and stil l miss it; and every few rounds round the fire, they generally raise a shout, and thus set the blood in a high state of circulation. The women or squaws generally stand or remain near one place in their dance and shuffle their feet, having a number of deers hoofs and the like fastened near the bottom of their garments while they make a low and rather a coarse noise. Weare told that they display their tnanhood and strength of mind by keeping at a distance from the female sex, or not acknowledging they care any thing about them when they are with them; and when they see proper to marry, which is not corn- monk till they are thirty years of age, they have but little to say on the subject till the business is com- pleted. They act partly like the Jews of old, they take themselves wives; by this means they avoid in a degree the effects of love which have buried many in difficulties, distress, and death. We can discover that they are not accustomed to complain when in- jured either in body or mind, and though the child is tied to a board, and it set up against a tree for hour« at a time, it scarcely con plains, and this is the case with them when they cnme toyears of maturity nnd old age-this is an advantage to their health. 141 One custom peculiar to all savage nations, is to im- post heavy burdens upon their wives, and indeed on all their females. The female does principally all their druggery and domestic labors; this gives a firm ness to their bodies and strength to their constitu- tions. We are told that their mends seldom begin to flow before they are eighteen years of age and generally cease before they are forty*-they have them in small quantities, but at regular intervals- they seldom marry till they are above twenty. When marriages are unfruitful, which is seldom the case, a separation is obtained by means of an easy divorce; so that they are unacquainted with the disquietude which sometimes arise from barrenness. During pregnancy the women are excused from the more la- borious parts of their labor, hence miscarriages rare- ly happen among them. Nature is their only mid- wife; their labors are short, and accompained with little pain. Each woman is delivered in a private cahin, without so much as one of her own sex to at- tend her; and after washing herself in cold water, she returns in a few days to her usual employment, so that she knows nothing of those accidents which arise from delicacy, being shut up in a warm room for a month or two, which prepares the system to be tender and to take cold. It is remaikable that there is hardly a time or period between their marriage and the cessation of the mends in which they are not pregnant or giving suck. This is the most natural state of the constitution during that interval, and hence we often find it connected with the best state of health in the women of civilized nations. Here I will remark, that the savage women keep a stea- *In this they differ from other women which generally commen- ces between the ages of 14 and 15, and ceases between 45 and 50. 142 dy exercise, but not to extremes, during pregnancyr which keeps the muscles »nd cords pliable and wil- ling to give way when nature shall demand these things. But in women who set still, and the blood becomes thick, the muscles and cords become par- tially set, and sometimes break before they will give way, or burst parts of the flesh, so it is necessary that women live on a moderate, weak diet and keep regular exercise, during pregnancy. Another cus- tom which is common with the male and sametimes attended to by the female-that of painting in the southern climates It is said they use grease with a kind of yellow stone, which is of rather a deeper col- or than their skin, to stop excessive perspii ation; but the northern Indians generally use I he stone or clay, and paint their foreheads and cheeks either all over or in streaks, which makes them look more savage than they otherwise would look. They are not sub- ject to so many passions, which disorder the body, as we are; anger is in a measure concealed and bu» ried-envy and ambition are in a measure excluded. As love is one of our passions, the Indian is guarded against it. "The weakness of love" says one "which is so much indulged in, in ages of humanity and po- liteness, is regarded among savages as the most un- pardonable weakness or loose pleasure," A young man would think himself disgraced forever if he showed the least preference of one woman above another, or did not express the most complete indif. ference both as to the time when, and the person to whom, he was to be married. Thus are they exempt from the violent and lastingdiseases whichaccompany the several stages of such passions in both sexes among civilized nations. 1 hinted above, that Indian's diet did not stimulate the blood as that of the whites, who live in luxuries and use salt in their diet. Here we 143 have to remark, that since they became acquainted with the Europeans, they have become acquainted with spirits, and some of them appear to be f nd of It and use it to excess. Having made some remarks on the physical customs of the Indians, we shall pro- ceed now to inquire into their diseases, or the caus- es that produce diseases among them. The cus- tom among the indians of sleeping in the open air in the different climates, and the effect of heat and cold Upon their bodies, to which the warmth of their cab- ins expose them; their long marches, excessive ex- tercise their intemperance in eating, to which their long fasting and their public feasts naturally prompt them; and, lastly their habitations being most com- monly near the bank of some stre.im of water. These things make them subject to fevers, plueris'es and rheumatisms; these with the diaentary, consti- tute the greater part of their diseases, though they are subject to being poisoned both externally and ins ternally. The small pox and the venerial diseases were communicated to the Indians in North America by the Europeans, nor can I find they were subject to them before. They are seldom affected with the gout or scurvy, or any sedentary complaint, though they live a great deal on animal food, but are still in a degree exempt from salt,and those among them who drink to excess, do it more by spells, and are not accustomed to take it regularly or habitually from childhood. And as madness and craziness come in general from a fomentation of the blood, the Indians experience very little of it. The Indians make but a verj small account of worms-.they consider that they are natural or common to the body, and only operate with other diseases, though most animals are affected with them at certain times. But 1 am fully convin- ced that one half of the complaints that are charged 144 to worms, are really wme other disorder; and the Indians appear to be but little affected with diseases and pains in the teeth. All the reason 1 could as- cribe for it, is that they go with the top of their head naked, and are hardened to the inclemency of the weather, and do not fake cold in ihe teeth: neither do their children suffer in cutting teeth like some of ours. Their practice subjects them to many acci- dents, such as wounds, and broken limbs, and bruises. This brings me in mind of a circumstance that took place when we were spying together, and there be- ing but a small company of us, we were all the time in danger of being attacked by the enemy, both by the Indians and the British; for this reason we were not allowed to talk or shoot after we got a few mnes from the camp, lest we should be found out. but march in silent order from eight to fourteea days at a time, and all the conversation was done by whis- pering to one another at a certain time. In one of our silent marches, along a narrow path, in single file, on the waters of Branch's Fork of Auglaize, we discovered a large bear a few yards from us, with hts head in a hollow stump; and being on the opposite side of the stump from us, he did not discover us, but was digging in the stump, which our net Indians discovered, and knowing that they were not al >wed to shoot, they layed down their guns and blankjpts, took their tomahawks in their hands, and made se- cretly to the stump; and as they weie preparing to strike round the stump, the bear pulled >ut his head suddenly and took off, with the Indians close on his heels, for forty rods at least. This was not the only case in which they were exposed to danger. B.ut J found they were willing to climb trees for raccoons and the like, even into the bm of the highest trees. But the n^ost fatal danger they are exposed to, is 145 that of war. They are divided into many parties, and subdivided, and are so apt to war with one another, as well as with oth^r nations. By these means they subject themselves to a number of wounds, as well as a general declention among them. Having thus pointed out their natural diseases, I will make a few remarks on their remedies, which are simple ami few in number We find that in every nation fhey encourage the practice of physicians, and attend on their sick with success in a general point of view In case of fevers, which constitute almost half oi their disorders, they get some simple roots or herbs that they conclude will assist in curing the complaint, and generally make a tea of it, and drink it freely and sweat. They differ as to what roots they make use of; s 'me make use of Robbin's plantain root and tops alone; some the Indian turnip; some the cohush roots, though they are apt to mix several together, such as spice bush bark, angelico, cohush, Robbins plantain, &c. In one case I under- stood the Indian doctor mixed Robbin's plantain, cohush, Indian turnip, and wild ginger; though it is probable they have main others, such as the black snake root and the like. These likely are the most common medicines for fevers ofeveiy kind, as they treat them nearly alike, except low stagnated fe* vers, for which, possibly, they may use hotter medi- cines than they do for oihers, such as Indian turnip, henpepper, or prickly ash bark, though I am not fully satisfied that it is the case. But one thing is quite certain, that is, that thev make use of a cold bath in these fevers, after which the patient is wrap- ped up in bed, and goes through a sweat by drinking his teas. The Indian form of sweating in genera], which is used for a variety of complaints, is as fol- 146 lows: the patient is placed in a close tent or wigwam, over a hole in the eat th, in which a hot stone is pla- ced, and water is gradually thrown upon this stone, which involves the patient in a cloud of vapor; this, with his drinking only of hi? teas, involves him in a free sweat. In this situation he rushes out and plunges himself into the water, from whence he re- tires to his bed, covers warm, drinks his teas, and sweats. Several such trials as this seldom fails in curing in a few days. Their diet is fresh in general and if the stomach is partly empty during the time, is nearly all the directions that are wanting. As the cohush is an Indian name, and 1 do not know the English name of this herb, it is necessary' to describe it, that the reader may know how to find it. It is a weed that h 'S some appearance of the rattle root, and often grows in the same kind of soil; it grows near two feet high, and about the month of July has a kind of bluish green balls on the top, near as large as the end of a man's finger; the roots arc what are used. It branches very much, and is near the size of a small wheal straw when it starts from the main root. Though the above cures are somewhat odd and rough, yet 1 have a favorable opinion of them from the good effect J have heard of it, but have never practiced them, and have not proved the virtues of the medicines they in general make use of. But the greatest scarecrow is going out of a sweat and plunging into cold water; though it may look dan- gerous, yet I am convinced there is no danger in it, provided the patient is thrown into a free sweat af- terwards. In dysentary,the rule is to give a tea of wild cher- ry bark, puccoon root and parsimmon hark. Wheth- er they make use of the yellow puccoon root or not, 147 is a doubt with me; but (he sort I heard of was the red puccoon root-I once heard of crowfoot being made use of in this way. 1 once talked with a man who was cured of this disease by an Indian, and he stated that his diet was fresh fish; that salt was for-* bidden, and that he recovered immediately, though he had been very bad. Consumptions.-The rule is to make a tea of mountain sarsaparilla root and yellow puccoon root, and drinking some of this tea twice a day, and sweat once a day till they get partly well. I was told that an Indian undertook to cure a white man of the con- sumption, and sweat him once a day for three months. The diet should be fresh and light, and the patient stir as much as possib'e. The rule of taking medicine for every complaint, is to begin with a small quantity at first, and increase as the constitution will bear, until the patient takes a considerable portion at a time. Though they are like our own physicians, differing both in medicine and management, even in the same climate; but the substance is nearly the same as to our northern In* dians, except Richard Carter, of Kentucky, who has a plan that is different. They but seldom purge, and the means made use of are rattle root, epicuana, and boneset; though the latter sometimes purges, but commonly pukes. They commonly take them in teas, beginning with a small dose, and increase till it operates-make use of fresh broths with them. I do not find that the Indians ever have their feet frozen, their moccasins allowing their feet to move freely, and thereby promoting the circulation of the blood;this preserves their feet in the day time, and their practice of sleeping with their feet towards the fire, answers the purpose at night; and when the feet do not keep warm enough, they are stript and 148 held a short time in cold water, and then put on their mockasinsand stir themselves again, which general- ly nswersthe purpose intended. Some have thought that Indians could regulate the urine; the common medicine for it is angelico root, chewed and swallowed, though some may make use of agramona root for the same. Some have thought that Indians could destroy poi- son, or the effect of it in the body, 1 suppose that their manner of doctoring in general, that is, to cause a free perspiration, has some effect in that way; but the means they make use of I have not tried sufficiently to know whether they will answer the purpose or not: one is rattle snakes1 master, tho' the principal one is wild celandine, or what some call touch-me-not, that is the tops pounded and ap- plied outwardly, or made into tea and taken inward- ly. I understand that some are very superstitious about the last-mentioned herb, and have even said that snakes cure themselves when bitten, by eating it. I heard tell of an Indian doctor who made use of a weed called the king-of poison, that is the root of it. I suppose that when applied outwardly, it was pounded; or, if inwardiv, made into tea and drank, though these rne^ns in general might be powdered and administered either outwardly or inwardly in that way. I am told that they use the hot plantain for a cure-and others bury the part bitten in the ground for a while. A great deal has been said about Indians curing stiff joints, and bringing persons' limbs into u*e that have been useless for a great length of time, by in- fusions of herbs or roots in warm water; and others, bv greasing the part with a certain kind of grease. It is worthy of notice that there are many joints and limbs that become stiff or useless for want of the 149 pores being kept open, and sometimes the matter pait of the blood lodges in that part; and whatever tends to open the pores or dissolve and circulate this thick substance, is apt to bring the limb into use.- The most common things that this solution is to be made out of, is Indian turnip, henpepper, or weak lie. The part ought to be bathed in this infusion as warm as possible, half an hour at a time, twice a day, for two weeks at least, if the case requires, and be wrapped up warm through the intervals, and stir as much as possible, so as to keep the blood circula- ting; and if the patient is not able to stir about, the part ought to be severely rubbed as oPen as conve- nient; and if we grease with oil, the best kind of oils that I know of, ate rattle-snake's, bear's, pole- cat's, and red worm's oil. A person should grease with these twice a week for several weeks,and keep the part unusually warm, and exercise as much as possible, that the blood may circulate freely. The diet should be weak and fresh during the time of either of these processes; though s<>me have bathed the part in cold water, and afterwards wrapped it up warm at each interval, and so have kept the same directions as above. The waj to make the red worm oil.Put a num ber of worms in a phial or bott'e, and hang it near the fire, so as to keep it a little more than blood warm. Dr. Rush gives an account of Indians aiding na- ture in delivering a woman of her child, and of an Indian woman in a difficult labor being suddenly de- livered in consequence of a general convulsion im- posed upon the system by stopping for a short time her mouth and nose, so as to obstruct her breath. A ereat deal has been said about Indians curing the dropsy in the bodyThe rule is to take sumac. 150 the bark of the root, or parsimmon bark, make a tea of them; but if any person should use the sumac, they ought .o be careful to use that sort that has a smooth bark, as the other is poison The patient ought to use a small quantity of this tea twice a day, and keep the stomach very empty, and go through a cold bath once a day till the disease abates. Dropsy in the blood:--Make a tea of the yellow sarsaparilla and cobush, and drink some of this tea twice a day, and make use of the cold bath once a day, and live on very low diet, or keep the stomach very emnty until the disease abates. Bruises, which are common among the Indians;-. Bathe the part in cold water half an hour, and draw blood Irom as near the place as is convenient, and poultice with pounded balsam. The Indians are not plagued with stagnations of blood as we ave; their long fasting tends to brace them against this disease, in giving nature time to discharge herself, and their severe exercise circu- lates the blood so freely, that it is another brace against the same complaint. They are seldom plagued with the scald head or scurvey complaints, for this reason-they are igno- rant about doctoring them, and probably would doc- tor them like they do some that will not be cured other ways, that is, to burn them out with a kind of costic, and doctor them as for burns. Rheumatisms are treated like fevers in some ca- ses, and others like stiff joints and limbs that have been mentioned. Pleurisies are treated like fevers in some cases. It is common for Indians to administer a cold bath in a number of cases of relaxation, consumption, fits and stagnated complaints, that if, among white peo- 151 yde, as they have but few among themselves, and especially where the patient becomes stupid, as well as to their children, and even in old agf-; but their manner of administering it terminates in a ;ree sweat, by covering up warm afterwards, and drinking warm teas freely. "CASTOR OIL. "This is either imported from the West Indies, where it is o tained by decoction with water, 10 lbs. ol ^eed^ yielding 1 lb. of oil; or from the East Indies, where it is obtained by grinding in a mortar, with a hole in the side for the supernatant oil to run off, be- ing in common use there for lamp oil. Or, that made at home by the press, which is the best, espe- cially some that is prepared from cold^blanched seeds, with the eye taken out. Some chemists are said to take out the color from the foreign oils, by certain additions, and sell them for English, or. as it is called, cold dra*n castor oil. The virosity com- municated to the oil by the eyes of the seeds may be got rid of by washing the oil with boiling water, or with weak oil of vitriol. It is soluble in wai m spirit of wine,and itsadulteraiion may thusbe discovered, if thought necessary ; but as all the fat oils have nearly similar qualities, the taste is sufficient for practical purposes. li is purgative in doses from 1-2 an oz. to 1 1-2 ozs. floated on some distilled water, or on wine; or if it does not usual!v stay well on the stomach, on some tincture of senna; or made into an emulsion with yolk of egg, and a little distilled water, with 20 drops of lavender, and a tea-spoonful of simple sy- rup; it may also be used in clysters. It is particu- larly useful where a stimulant would be hurtful; as it operates quickly without disturbing the system;. 152 -also externally in swelling pains. Contrary to most medi fines, on frequent repetition a less dose is suf- ficient ." "CHICKEN-POX. "Symptoms.-Fever, inanility to sleep, pain in different parts of the body, a crop of small pimples or points on the back, which, by the second day, are changed into little blisters, which are ripe on the third, and disappear before the fifth day, without fbrmingtrue pus or matter, and leaving no marks or pits behind them. "Distinguish it from the small-pox, by the erup- tion coming out on the back, by the mildness of the fever, by the fluid contained in the vehicles or blis- ters not being true pus, and by the whole falling off in scales on the fifth day. Treatment.-Confine the patient to his bed. keep him cool and quiet, and give him a dose of salts.-- This is all thatis necessary. "COW POX. "Symptoms-A pimple at the spot where the mat' ter was inserted, which gradually undergoes certain regular changes, that characterize the comptaint. "Changes of genuine Cow-Pox-On i he second day. or sooner, from the nme of the operation, a small speck of inflammation is to be perceived, which, on the fourth day, is a pimple, surrounded by a circle of inflammation On the fifth, ibis pimple changes to a vesicle containing a thin fluid On the sixth, this vesicle is more perfect, its margin form- ing a regular circle;it is also a little flattened on he top, the centre of which is of a dark color. On the eighth or ninth dav, Slight chills, flushes of heat &c. ■are sometimes felt, accompanied by swelling of the 153 pustule, and pains shooting up into the arm pit, the glands or kernels of which occasionally swell. "Oh the tenth or eleventh day, the pustule is sur- rounded by a circular, vivid, inflammatory blush, that is very beautiful. This is regarded as a deci- sive proof of the presence of the genuine cow-pox. On the elevanth day, the centre of the pustule be- gins to grow of a dark color, which gradually increa- ses to a brown or mahogany one by the end of the. second week, when it begins to leave the^skin, from which it is finally separated. "Treatment.-If the pain, inflammation, and swell- ing are excessive, reduce them by copious sweats, &c." '•SMALL-POX. "Symptoms.-Inflammatory fever, drowsiness, pain in the pit of the stomach, increased by pressure, pain in the back, vomiting, on the third day the eruption breaks out on the face, neck, and breast, in little red points that look like flea-bites, and which gradually appear over the whole body. On the fifth day, little round vesicles, filled with a transparent fluid, appear on the top of each pimple. The erup- tive fever now declines. On the ninth day the pus- tules are perfectly formed, being round and filled with a thick, yellow' matter, the head and face also swelling considerably. On the eleventh day, the matter in the pustules if- oradark yellow color, the head grows less, while the feet and hands begin to swell. The secondary fever now makesits appear- ance. The pustules break and dry up in scabs and crusts, which at last fall off, leaving pits, which suf- ficiently mark the cause. g "Such are the symptoms of the distinct or mild 154 small-pox, but it frequently assumes a more terribh shape, in what is called the confluent. In the latter all the symptoms are more violent from the begin- ning. The fever is a typhus, there is a delerium preceded by great anxiety, heat, thirst, vomiting &c. The eruption is irregular, coming out on the second day in patches, the vesicles of which are flat- ted in, neither does the matter they contain turn to a yellow, but to a brown color. Instead of the fever going off on the appearance of the eruption, it is in- creased after the fifth day, and continues through- out the complaint. The face swells in a frightful manner, so as to close the eyes; sometimes putrid symptoms prevail from the commencement. "Treatment.-Place the patient in a cold, airy room, and let him be but lightly covered with bed clothes. Purge him every other day with salts, and give him frequent doses of No. 1 during the whole time. If from any cause the eruption strike? io, put him into the warm bath, give a little warm wine whey, or the wine alone, and apply blisters to the feet. Obstinate vomiting is to be quieted by the breath to a steam, and drinking hotangelico teas. "In the confluent small-pox, the treatment must be varied as it inclines more or less to the inflammatory or putrid type. If it inclines to the first,act as direc- ted for the distinct kind-if to the last, employ all those means directed in putrid fever. If the eyes are much affected, it will be necessary to bathe them frequently with warm milk, add to smear the lids with some simple ointment. "DIRECTIONS FOR BLEEDING. "Tie up t^p arm, placing the bandage at feast two inches above the projection of the elbow joints and then feel for the pulse at the wrist. If it is stop* 155 ped, the bandage is too tight, and must be relaxed. Select the most prominent vein, and feel with the tip of the finger if an artery lies near it. If you feel one pulsation so close to the vein (hat you are fear- ful of wounding it, choose another Having set your lancet, (I allude of course to the spring lancet, |he only one that can be used withi safety,) bend the arm in the precise position it is to be kept in while the blood flows. The cutting edge of the lancet is now to be placed on the vein, while you depress the han- dle or frame just as much as you wish the cut to be deep; by touching the spring on the side with your thumb, the business is done. To stop the bleeding, relax the bandage/jpress the two edges of the wound together, place a little compress of linen on it, and bind up the whole with a bandage passing round the joint in a figure of eight." "ESSENTIAL AND OTHER OILS. 11 Oil of Chamomile. "This is obtained from the flocvers, and is stora* achic. One pound will yield a drachm; 82 pounds will yield from 13 to 18 ounces. It is of a fine blue, even if distilled in glass vessels. " Oil of Mint, "Obtained from the dried plant; 6 pounds of fresh leaves willyield 3 1-2 drachms; and 4 lbs. dried will yield 1 12 ounce. It is stimulant, carminative, and antispasmodic. " Oil of Peppermint. "Obtained from the dried plant;4 pounds of the fresh herb will yield 3 drachms In general it re- quires rectification to render it bright and fine. It is stimulant and carminative. "Oil of Pennyroyal. "Obtained from tbe herb when in flower; 3pounds will yield 6 drachms; emmcnagogue. 156 "Oil of Sassafras. ''Obtained from the sassafras root; 24 pounds will yield 9 ounces; 30 pounds will yield 7 ounces and one drachm; and 6 pounds will yield two ounces." "Oil of Wormwood. "Obtained from the herb; stomachic; 25 pounds of green wormwood will yield from 6 to 10 dramchsof oil; 4 pounds of dry will yield one ounce, and 18 pounds only 1 1*2 troy ounces. "Oil of Turpentine. "Distilled, in Europe, from common turpentine, with the addition of about six times as much water; but in America, where *he operation is carried on upon a very large scale, no water is added, and its accidental presence is even dreaded, lest it should produce a disruption of the distilling appai atus. "To rectify Oil of Turpentine. "Pour three parts of turpentine into a glass retort, capable of containing double the quantity of matter subjected to the experiment. Place this retort on a sand bath; and having adapted to it a receiver 5 or 6 times as large, cement with paste made of flour and water, some bands of paper over the p'ace where the two vessels are joined. If the receiver is not tubulated, make a small hole with a pin in the bands of the cemented paper, to leave a free communica- tion between the exterior and interior of the recei- ver; then place over the retort a dome of baked earth, and maintain the fire in such a manner, as to make the essence and the water bail. "The receiver will become filled with abundance of vapors, composed of water and etherous essence, .which will condense the more readily if all the ra* diating heat of the furnace be intercepted by a plate of copper, or piece of board placed between the fur- nace and the receiver. When the mass of oil, sub* 157 jected to experiment, has decreased nearly two thirds, the distillation must be stopped. Then leave the product at rest to facilitate the separation of the etherousoil. which is afterwards separated from the water, on which it floats, by means of a glass funnel, the beak of which is stopped by the finger. "This etherousoil is often milky, or merely nebu- lous, by the interposition of some aqueous parts, from which it may be separated hy a lew days' rest. The essence, thus prepared, possesses a great de- gree of mobility, and is exceedingly limpid. "Another Method.-The apparatus employed in the proceeding process may be used in the present case. Fill the retort two thirds with essence, and as the receiver is tubulated, apply to the tubulure a small square of paper moistened with saliva, to afford a free passage to the vapors. Graduate the fire in such a manner as to carry' on the distillation very slowly, until a little more than half the oil contained in the retort is obtained. Separate from the product a very small quantity of exceedingly acid and red- dish water, which passes at the same time as the etherous essence; by these means the operation is much shortened. The oil of turpentine which re^ mains in the retort is highly colored, and thicker than the primitive essence. It may be used for ex- tending fat, varnish for coarse oil painting. "Balsam of Turpentine, or Dutch Drops. "Obtained by distillingoil of turpentine in a glass retort, till a red balsam is left. "Or, by distilling rosin and separating the oils as they come over; first a white oil, then yellow, lastly a thick red oil, which is the balsam. It is stimulant, and diuretic. "OtZ of Tar. "Obtained by distilling tar; it is highly valued by 158 painters, varnishers, &c., on account of its drying qualities; it soon thickens of itself, almost to a bal sam; the acid spirit that comes over? with it is use- ful for many purposes where an acid is wanted. "Rectified Oil-of Hartshorn, or Dippel's Oil. "Obtained from hartshorn, distilled without addi- tion, rectifying the oil, either by a slow distillation in a retort, &.c. no bigger than is necessary, and saving only the first portion that comes over, nr with water in a common still; it is very fine and thin, and must be kept in an opaque vessel, or io a draw- er, or dark place, as it is quickly discolored by light. It is antispasmodic, anodyne, and disphoretic, taken in doses of from 10 to 30 drops in water. "Japan Camphor. "This is obtained from the roots and shoots of (he laurus camphora and laurus cinnamomum, as also the capura carundu, by distillation with water. This crude camphor is refined by sublimation with one sixteenth of its weight of li ma, in a very gentle heat. "Camphor from Essential Oils. "Obtained from the oils of the labiate plants,by a careful distillation, without addition of one third of the oil; the residuum will be found to contain crys- tals of camphor, on separating which, and re Jistilling the remaining oil two or three times, the whole of the camphor may be obtained. Oil of rosmary or of sweet marjoram yields about 1 oz. of camphor from 10 of oil; of the sage 1 oz. from 8; and of lavender 1 oz. from 4, or even less of oil; that from oil the marjoram is not volatile, and although it takes fire, it soon goes out. This rosin, like the others from .essential oils, may be obtained in a large proportion, if the oil is kept in slightly stopped bottles in a cool place. "Spirit of Peppermint. "Take of the herb of peppermint, dried, 1 1-9 159 ibs. proof spirit, 1 gallon, water, sufficient to pre- vent burning. Disul off a gallon. "To make Coral Tooth Powder. "Take 4ozs. of coral, reduced to an impalpable powder. 8 ozs Armenian bole, 1 oz. of Portugal snuff, 1 oz, Havannah snuff, 1 oz of good burnt tobacco ashes, and 1 oz. of gum myrrh, well pulverized.- Mix them together, and sift them twice. "J good Tooth Powder. "To make a good tooth powder leave out the co- ral, and, in its place, put in pieces of brown stone ware, reduced to a very fine powder. This is the common way of making it. "An Astringent for the Teeth. "Take of fresh conserves of roses, 2 ozs. the juice of half a sour lemon, a little very rough claret, and 6 ounces of coral tooth-powder. Make them into a paste, which put up in small pots; and if it dry by standing, moisten with lemon juice and wine, as be- fore. "To Prevent the Tooth-ache. "Rub well the teeth and gums with a hard tooth- brush, using the flowers of sulphur as a tooth pow- der, every night on going to bed; and if it is done af- ter dinner it will be best; 'his is an excellent pre- servative to the teeth, and void of any unpleasant smell. " To Clean the Teeth. "Take of good soft water, 1 quart, juice of lemon, 2oz, burnt alum, 6 grains, common salt, 6 grains.- Mix. Boil them a minute in a cup, then strain and bottle for use; rub the teeth with a small bit of sponge tied to a stick, once a week. NATURAL PHILOSOPHY. "We may admire that a v.tried edifice, or even a magnificent city, can be constructed of stone from one quarry; yet, far suroassing this, it is found that the inconceivably, more varied and magnificent fab- ric of the universe, with all its orders of phenomena, is of elements but a little more complex." The four words, Atom, Attraction, Repulsion, and Stubbornness, the reader's eye may be fixed on as four physical parts of nature, while we treat on them. 1st. Atom-from the Greek word signifying that which cannot be further divided. The earth, as well as other bodies, are made up of such particles, and held together by attraction. 2nd. Attraction-is that which draws substances together. 3rd. Repulsion-is that which operates against attraction, and throws substances apart, as when heated water bursts into steam, or gunpowder ex- plodes. 4th. Inertia-expresses the fact, that the atoms, in regard to motion, have about them what may be figuratively called a state-whatever it may be-in other words, that bodies neither acquire motion, nor lose motion, noi bend their course in motion, but in exact proportion to some force applied. It is worthy of notice, that in learning any thing, the scholar's eye should be fixed on all the connect- ing parts, and comprehend them in as small bounds as possible, so as to give a general view of the whole -as when a person is learning geography they 161 should have a map of the whole world immediately before them, and as they examine any country they can connect it with the rest, having their courses and climates. The universe is built of very minute or small atoms, called matted, which by mutual attraction cling together in masses of various forms and sizes. The smallest substance which the human eye can see is still a mass of many atoms of matter, which may be separated from each other, or arranged dif* ferently ; still they cannot be destroyed or annihu lated. "A small mass of gold may be hammered into thin leaf, or drawn into fine wire, or cut into almost in- visible parts, or liquified in a crucible,or dissolved m acid, or dissipated bv intense heat into vapours, yet after any and all of these changes, the atoms can be collected again to form the original gold, without the slightest diminution." And all the substances or elements of which our glnbe is composed, may thus be cut, torn, bruised, ground, &c. a thousand times, but are always recoverable as perfect as at first. "And with respect to delicate combinations of these elements, such as exist in animal and vegetable sub* stances, although it be beyond human art originally to produce or even closely to imitate many of them, still in their decomposition and apparent destruc- tion, the accomplished chemist of the present day does not loose a single atom. The coal which burns in his apparatus, until only a little ash remains be- hind, or the wax taper which seems to vanish alto- gether in flame, or the portion of animal flesh which putrifies, and gradually dries up and disappears - present to us phenomena which are now proved to be only changes of connection and arrangement,. 162 ^ngong the indestructible ultimate atoms, and the chemist can offer all the elements again mixed or separate, as desired, for any of the useful purposes to which they are severally applicable. "A grain ot blue vitriol, w carmine, will tinge a gallon of water so that in every drop the color may be perceived." The buzzard smells his food at a considerable dis* tance, and that is done by Small atoms flying in the air. Any substance when sufficiently heated, rises as invisible vapour. Great heat, therefore, would cause the whole of the material universe to disap- pear, the most solid bodies becoming as invisible a» the air we breathe in. Mutual Attraction.-The earth, though it is made up of many different materials and elements, accord- ing to a geographical description, is said to be round; the sun, moon, and stars, or heavenly bodies, are ak so round, as well as the thousand instances of melted metal that gather into round substances, like the lead allowed to rain down from an elevated seive, which, by cooling as it descends, retains the form of its liquid drops, and becomes the shot lead to shoot with; as well as the rain drops, dew drops, and »<lrops of mercury, gather in round substances. Thus a plummet suspended near the side of a mountain, is drawn toward it in a degree proportion- ed to the size of the mountain by the sicje of the earth, and the reason why the plummet tends more toward the earth, than the mountain, is because the earth is larger than the mountain. Logs of wood, floating io water, approach each other, and afterwards generally remain together.- The wreck of a ship, in a smooth sea, after a storm 163 is often seen gathered into heaps. »-These things show the power of attraction. "The cause of the extraordinary phenomenon which we call attraction, acts at all distances. The moon, thd' two hundred and forty thousand milesfrom the earth, by her attraction raises the water of the ocean under her, and forms what we call the tide. The sun, still further off', has a similar influence; and when the sun and moon act in the same direction, we have the spring tides. The plannets are so far dis* tant that they appear to us little wandering points in the heavens, yet by their attraction effect the mos tion of our earth in her orbit, quickening it when she is approaching them, and retarding it when she is receding. The attraction is greater the nearer the bodies are to each other, and less as they get off farther. Like the light'ofa candle, that close by appears very evident, but grows dimmer as we get further off. Thus, a board an inch square, one foot from a light, just covers a board of two inches, two feetoff, and so in- creases as we get further off; and as the light spreads over more surface it grows weaker, in proportion to the surface that it covers. Light and attraction act alike in this sense. "What weighs 1000 pounds at the sea shore, weighs five pounds less at the top of> a mountain of a certain height, or raised in a balloon -as is proved experimentally by a spring ballance -and at the distance of the moon the weight or force toward the earth of 1000 pounds is diminished to five ounces, as is proved by astronomical tests." "Attraction has received different names as it is found acting under different circumstance. The chief distinctions are gravitation, cohesion, capillary and chemical attraction " Gravitation is the name given to it when it acts &» 164 a great distance. Cohesion is the name given when C acts at a very short distance, as in keeping the atoms of a mass together. Attraction is called capillary when it acts between a liquid and a solid, which has tubes or pores-attraction has received the name of Chemi- cal attraction when it unites the atoms of two or more distinct substances into one perfect compound. Di; Arnott says-"It might appear at first sight that it cannot be the same cause which draws a piece of iron to the earth with the moderate force, called its weight, and which maintains the constituent atoms of the iron in such strong cohesion; but when we recollect that attraction is stronger as the sub- stances are nearer to each other, the difficulty va- nishes. Atoms, in absolute contact, would be a mil- lion times, nay, infinitely nearer to each other, than when only a quarter of an inch apart; and, therefore, when the heat among the atoms of any cohering mass allows them to approach near, they must at- tract mutually with great force." I would not offer to contradict the doctor in these last remarks, yet I possess some small doubts wheth- er every thing that is stated in this last point is cor- rect. One is, whether the word inJinite would apply in that place; and another is, whether it is not the kind of metal that maintains the strength as well as atoms, being close together, though he might argue that this was the reason why it was stronger, that the atoms were closer than other metal-though he has brought forward many more evidences, that 1 have not room in this piece to quote. "Were it not, then, because the surfaces of bodies are in general so very rough and irregular^ that if applied to each other the> can only touch, perhaps, m four or five point; out ofa million, which the surface contains, bodies would invariably stick together, or 165 cohering by any accidental contact, the effect ofar- tifi( ially smoothing the touching surfaces, is seen in the following examples. "Similar portions being cut off with a clean knife from two leaden bullets, and the fresh surfaces being brought into contact with a light turning pressure, the bullets oohere almost as if they had been origi- nally cast together. Two small, of perfectly smootU-plates of glass or marble, laid upon each other, adhere with great force; and, indeed, so do most well polished flat sur- faces. Repulsion is often effected by heat. Were there only atoms and attraction,as has been explained, the whole material of creation would rush into close contact, forming one huge solid mass of stillness and death. But there is also heat which coun- teracts attraction. When a continued addition of heat is made to any substance, it gradually increases the mutual distance of the constituent atoms, or di- lates the body a solid; thus is first softened, then melted, or fused, that is to say, reduced to the state of liquid, as the cohesion attraction is overcome.- And lastly, the atoms are repelled to still greater dis- tances, so that the substance is converted into elas- tic fluid or air. Abstraction of heat from such air, causes a return of states into the reverse order. Ice, when heated, thus becomes water, and the water when heated further becomes steam, when cooled again becomes water as before, and the water be- comes ice. Other substances are similarly effected by heat: but as all have different relations to it, some, requiring much more heat for liquefaction, and some very little We therefore have that beautiful variety of solids, liquids, aqd air, which makes up our external nature. For instance, a rod of iron 166 which, when cold, will pass through a certain open4- ing, and will lie lengthwise between two fixed points; bur when heated, becomes toothick and too long to do either. The common thermometer for measuring the degrees of heat, is a glass filled with mercury or other fluid, and having a narrow tube rising from it, into which the fluid ascends on being expanded by heat, and so makes the degree A bladder of cold air, on being heated, becomes tight, and in certain cases will burst. As different materials require a different degree of heat to dissolve them, so gold requires 5000 degrees, lead 600, ice 32, &c ; and if heating be afterw irds continued,most things at certain higher temperatures suddenly expand again to many times the present size, until the liquid becomes airiform fluid. One pint of water, driven off as steam from the boiler of a low pressure steam engine, fills a space of nearly '2000 pints. On the earth, near the equator, com* mon sealing wax will not retain impressions, but is oil in the day, and a soft solid at night; and tallow candles cannot be used: and near our pole in winter the water is hard, and so are the different oils; thus we see that heat causes repulsion, as well as wind, water or fire, when pressed, will explode, as well as gunpowder. These are the most common means of repulsian. Were there no motion in the universe, it would be dead-it would be without the rising or setting sun- or rivers flowing-or circulation of wind-and there would be neither sounds nor light, or animal exis- tence. Motion is only understood by comparing one ■object with others, and perhaps the other objects are in motion at the same time. This earth is thought to have three motions when compared with the heavenly bodies. One is the motion of a circuit 167 round the son every year; another is rolling over every twenty-four hours; and the third is rocking toward the sun and from it once a year. Life and motion are closely connected. The blood, which is the life, is in a perpetual motion as long as life is known in man or beast, and even in fish, foul or insects. 1 ask, where dore find life without motion? We may say, nowhere. Then, where does the argument arise, that people must not stir nor exercise, or they will bring on the disease again7 We may say, not from the laws of life, but rather from the laws of death. Then, according to the laws that have been explained, if attraction draws substances together, this agrees with that part of the system that humors, flocking together, and settling together in the body, and also, that the maiter or gluten of the blood gather into bodies, and thus checks the organs or blood vessels. This is a common cause of disease. If that law, called Repulsion, disperses bodies (and it is mostly eflectefl by heat,) as is believed, according to the laws of na- ture, this agrees with the system which states that heatdiives diseases, as well as those thick substan- ces which are m the blood; therefore it ought to be ap- plied to the whole body, but more particularly to the inside-that is, by steam, which goes to the heart and lights, and hot teas on the stomach. This will drive diseases out towards the surface of the hody. Law of Inertia.-That bodies tend to continue in the state of motion, or of rest, in which they happen to be, so as to render force necessary to change, the state, is seen in, the following facts. The scientific term used to express this law is Inertia-but some- times the words obstinacy and stulfiornness have been substituted for explanation. When the sails of a ship are first spread to receive the foroe of the 168 'wind, the vessel does not get in full speed at onee, but slowly, as the continued force gradually over- comes the inertia of her mass. If the sails are, after she gets in speed, suddenly taken down, she does not lose her speed at once, hut slowly again, as the con- tinued resisting force of the water destroys it. Hor- ses must make a greater effort at first to put a carri- age into motion than to maintain the motion after- wards, and a strong effort is lequired to stop a mov- ing carriage. When a carriage body, hanging with springs, first begins to move, the body of it appears to fall back, and a person within seems to be sud- denly thrown against the back cushion. When the car riage stops again the body swings forward. A bad rider on horse-back may be left behind when his horse darts off suddenly, or* may be thrown off on one side by the horse starting to the other. A horse at speed stopping suddenly, often sends his ri- der over his head A man setting in a ship cabin, where the air that is on the outside has no communi- cation, though the ship may move forward ten miles an hour, he scarcely knows whether it is going for- ward or backward, or at rest. If he throws up a ball it will fall back, just as if he '*as on the land.- This shows that the ball has relative motion with the ship-and though the man may have all the fur- niture with hirn that he could wish, he cannot disco- ver from any thing inside of the cabin that the ship is moving. Thus we may be enclosed inside of this atmosphere, while the earth moves as rapidly as it is said to do, and we be insensible ef it. Many more circumstances might be numerated; but these may suffice to show the law of stubbornness. 169 The author takes the liberty to state, that in ad- dition to the means that have been laid down for the cure of the consumption, he has applied large plasters of No. 6 on the back of a number of persons, and when they have sweat so free that the plasters have slipped off, he has renewed them till the pa- tient got well; and in the course of the last year there has been about 25 professed to be cured of the above disease. I have observed that among those persons who have purchased my rights, there are some of almost everv order; some medical men, some Thompson nians, Indian doctors, (so called) Water doctors, Bo- tanical, &c. as well as a considerable number that never have been doctors at all; each possessing, m a greater or less degree, their habitual prejudices; yet there has been almost universal harmony and friendship among them, though many of them differ widely in their religious and political sentiments. This philanthropic spirit has prevailed to a great extent. But those who have kept nearest the sys- tem have generally had the best luck. Some have given the emetic in warm weak lie, instead of cold, and then complained of it not operating right. But 1 have not heard of any complaint where it has been given right, tho1 we should use the second species. And I have not heard of many changes for the better. Here I notice, that when No. 4 is used for cleansing the blood, or enlivening the bowels by repeated por- tions at any time, let it he of the second species; but if it is given for worms, let it be of the first species. As this system t/dl likely be deterred by some of the state laws which are unconstitutional, I will re- mark, that in contending with them, we should al- ways refer to the constitution of the State, or the 170 United States. One point is, that there shall be no law made that shall destroy the validity of any con tract. Another point, that there shall be no law made that a person shall have something for nothing, These are common points; and eveiy officer, when sworn into office, is bound to support the Constitution of the United States. And one point in the Consti- tution is, to grant patents. Hence they are to sup- port the Patent Law, but they are not bound to sup- port unconstitutional laws. The general means for cures or common proces- ses, as are laid down in the book, has been applied to women for the lise and obstruction of the mends toadvantage, and they have been applied to women in almost every stage of pregnancy without danger. ERR ATAS. In 3d page 8th line,for underneath the pages,read some of the pa- ges In page 38, 35th line, ought to read 1400 ;& l70 for the con- sumption. In page 98, 23d line, ought to read, repeat this three nights in succession. In 58th page, 29th Jine ought to read, the second species of No. 4. In page, 102nd, 8th line, ought to read, the first species of No. 4. Persons writing to me will please direct their Utters to Chillicothe, Ohio. INDEX, Ague - - . 62 A regular course of Medicine - - 56 Amputation, or cutting off a limb - - 127 Atom - - - 161 Attraction . 13, 162 A regular sweat - 57, 58 A regular set of Medicines - - 55,56 Apoplectic Fit - « 85 Against Purging with Poison - - 38,47 A second way of cleansing the Blood - 58 Bold Hives or Croup - - 70 Broken Bones - - 105 Circulation of the Blood - - 17 of the Blood in the Arteries - - 20 of the Blood through the capillaries - 22 of the Blood in the Veins - - 24 of the Blood in a more simple way - 31 Camphor _ - - 158 Componant parts of the Blood - 43 Cholic - - .72 Compound accident * - 127 CastorOil - 151 Chicken Pox - - - 152 Cow Pox - 152 Consumption - 75,98,169 Cholera - - - 81 Convulsion Fits - - - 88 Costiveness - - - 71 Cancer - 93, 103 Cramp - - - 98 Concussion and Compression of the Brain - 106 Copy of the Patent - - 49 Directions for Bleeding - - 154 Diet - - - 61 Dyssentary - - - 83 Dislocations - 122 Dropsy in the Blood - - 94- in the Head - • 95> 172 Dyspepsia » - - 134 Drowning - - _ 133 Emetic or Puke - - - 51,55 Education - - - 7 Fomentary Fever - - 86 Flooding ... 100 Fractures - - - 114 Felling and Stone Bruises - 97 Gravel - - - 91 Headache - - - 92 Humor in the Feet - - 99 Improvement of Man - - 1 Indian Doctoring - - 135, 145 King's Evil - - - 93 Lockjaw - - - 97 Motion - - - 166 Measles - - - 94 Mumps - - - 94 Natural Philosophy - - 7, 160 Obstruction of the mends - - 170 Oils of Mint - - • 155 Pulse - - - 29 Piles - - - 98 Pleurisy - - - 96 Remarks by the Author - - 169 Rheumatism - - - 95 Repulsion ... 14,165 Scalded Head - •- - 99 Surgery - 103 Scarlet Fever - - - 88 Small-Pox - - 153 Stagnated Fit - - - 89 Stagnation - - - 87 Tetterworm ... 102 Typhus Fever or common cause - - 64, 69 Ulcers and Phthisic - - 98 Worms . . - 101 White swelling - - - 102 Weak stomach - - - 102 Wounds - - - 107 bellow Fever - - - 88 Remarks on Females. The organization of women differ from men in certain points; but I shall only show the general cause of their disease and manner of cure. The most principle obstruction that is the cause of disease is the two small canals that convey fluids to the womb. These small canals are easily ob- structed. They are sometimes obstructed by cold, but most generally by two much matter in the blood or common cause. When these canals fail to dis- charge their fluids periodically, this fluid sometimes is thrown back into the other parts of the body, and the general course of all the fluids is deranged; and cold chills or hot flashes, swimming in the head, or strange feelings are felt by the patient; nature makes almost perpetual trials to discharge this substance; it is most apt to be thrown to the discharges of the body, as nature always throws her filth wherever she finds a place of discharge.' This substance some- times gathers up and festers round the womb or rectum; but other times it forms sores on the sur- face of the body. I have known some that were a long time obstructed, and the disease became a kingsevil, and others whose lungs became effected,, and the disease became a consumption. But the most common cases where women are irregular, it forms sores round the womb, or stagnation of blood, and generally, if sores, they are formed on the hip joint, or between the hip and kidney, these sores of- ten settle and obstruct the main arteries in a great measure, and thus disturbs the whole circulation of 2 blood. When women arc plagued with the whites, this fluid is detain d in the parts too long, or there are sores that matters and runs this substance; when they have discharges of black or dark substance, it is either by a fester or bruise, or a quantity of blood has lodged in the parts and become this color; when it is blood, it is more natural, because there are many small blood vessels that h.ive a close connexion with the parts-this is the reason why they are so apt to flood. Sometimes flooding is produced by large sores in those parts, though all these complaints are most generally from one common cause, as is de- scribed in the Book of Remedies, viz:-a stagnation of blood. It will be found that exercise on foot is of primary importance. 1 have often remarked that the mistress is often unwell, while the cook and wash-woman are generally hearty; because the foamer sets and sews, and the like, while the latter is generally on foot, which commonly keeps these vents of the body open. To young women that have felt some symptoms and never had any discharge, or to young women generally, I Will give some advice, and also to their parents. Girls most generally have their first dis- charge about 14 or 13 years old; and to prepare them for this time, they ought to be set at some kind of business, at twelve years old, that will tend to keep them on foot as much as posible; let them take the free air; and if they become very warm or sweaty, they ought to cool off very gradually; and when they come near their time, give them a tea-spoonful of pulvctized brimstone every few days, and drink a small quantity of sassafras tea aft w times. If these means do not answer the purpose against they arc 3 15 years old, take them through a regular course of medicine; and every few days give them some brim' stone, or Nos.l and 2, which will be better, and take them through a regular sweat; and continue the exercise, being dressed warm. There are very few who have been accustomed to work in the corn-field at this age that are unwell. Many parents, when they find their daughters unwell, keep them close in the house, and set them to sewing or knitting, and thus injure their health; instead of setting them to running at the big wheel, or some other lively excr- crcise- There has been a great number of women that have come to me to be cured, that have been ob- structed from three months to four years, and I dont know of one who has pursued the rules right, but have been cured. I have attended several who were expected to die every day, and others who have turned spotted in the face, but they have all been cured; but women that are already affected with a disease of this nature, should take a regular course of medicine, as is laid down in the Book of Reme- dies, and when there are sores in the department of the womb, make a solution of elder bark, sulphur, a small portion of tobacco, and water blood warm, and use a syringe to throw a small portion up into the womb, two or three times a day till they get bet- ter; and after the regular course of medicine, they should take a regular sweat once in two or three days, till well; but when women are already weak- ened with this or any disease, they are not certain to be regular till they get well otherways; then,when nature gets harnessed with nervis power, it will caixy on its own revolutions. While the person is 4 going thro1 the processes above mentioned, after the first 3 days, in which they are to keep their stomachs partly empty. It will be well for them to keep fast once a week, so as not to eat any thing from over night till the turn of the next day; and keep the stomach rather empty, so as not to eat their satisfac- tion during the whole time, till well; and wearing a large plaster of No. 6 round the loins, aud also be- tween the shoulders, will generally be an advantage; and the person should live on a light watery diet dur- ing the whole time. But the greatest difficulty or most common one, is with girls about the time they become women. From the time they are twelve years old till they become women, they ought not to sit and sew, or sit at any business any more than could be helped; but allow them a free excercise on foot, as steady as possible: now is the time for them to lay in a store of health that may be good during life. The system should now be made acquainted with the inclemency of the weather, and nature will do her own business. In cases of pregnancy, women ought to live on a light diet, and keep up a steady exercise, which is an advantage; and if they feel symptoms of abortion, they should drink tansey tea -if they have weakly constitutions, they might drink some spikenard root tea, or chew the roots and swallow the substance, or take nerve powders occa- sionally. The womb falling complaint may often be helped by taking nerve powders. But when these means do not help ia a few weeks, the woman should take a regular course of medicine, to cleanse the blood, and afterwards take nerve powders,one or two doses a day, till well. But while a person is going through a regular course of medicine they will be 5 worse, but this should not discourage them; -they should continue the course, and then commence taking nerve powders. But in this last disease, namely, womb falling complaint, it comes from a weakness of the nervous system. The patient should not drink store tea, because it is nervous; they might use weak coffee and nourishing food. Place a large plaster of No. 6 on their backs, as high up as the shoulder blades. FLOODING. This often takes place from sores in the womb -department, as the blood vessels and big arteries have a close connexion with the parts. If it takes place from sores, there is generally asen.se of it felt, that is a soreness round the parts. When it takes place from a sore, or any vessel being broken in the parts, we should place a large plaster of No. 6 over the back as high as the shoulder blades, and one over the sore place: keep the patient's body in a level posi- tion and cool til) it abates: giving large doses of nerve powders; & in the intermission between the natural courses, take them through a regular course of med- icine. continue large plasters of No. 6, and inject up into the womb a solution made of the 4th species of No. 2, by putting the powders in warm water: this species is mentioned in the Book of Remedies, in the last process for the consumption; and after the regular course, give one or two tea spoonsful of nerve powder a day. Sometimes it takes place when there is no sore; when the blood is very thin it leaks 6 out at the natural discharges of the body, or other' parts, because these blood vessels have a close con- nection with the parts. Other times, the mouths of the bleeding vessels arc opened by the child when pregnant, and causes a flooding. But it is worthy of notice, that when people are effected with a common cause, the three parts of the blood gits separte in the body, and the thin part runs oft' in this way; yet if the blood was rightly mixed it would be very thick. But in all cases of flooding the patient's body should be kept cool and laid in a level position, and give them several doses of nerve powders; and if it continues, tie gai- ters round the limbs till it abates. If it comes from a common cause, or a stagnation of blood, they will have the symptoms of a common cause; if so, be- tween the natural courses, or at the time when it is finally abated, take the patient through a regular course of medicine, and place a large plaster of No. 6 over the back, and give No. 5 in the time of flood- ing; and have them dress warm and take as much exercise as possible. But that species of flooding that comes on women in pregnancy, that is, while the foetus or unborn child crowds the p irts.they open the mouths of the bleeding vessels, and while those vessels are on the stretch, and the blood thin or stagnated, they commence bleeding; if this is the case, and it cannot bestopped by some of the means that have been mentioned-as those means seldom have a bad effect on pregnant women, or any others -then we may know that the vessels are kept open or stretched more than they can bear. It will be ne- cessary, in this case to deliver the woman as soon as possible. 7 1 shall now make mention of Dr. Edward Rigby, of Norwich in Europe. He gives a narative of upwards of forty cases of profuse flooding in pregnancy, nd by delivering the women there lives were principally saved. I shall make a few explanatory remarks on this subject. No circumstance that attends parturition or preg- nancy exposes women to so much danger as profuse llermorages or flooding. Towards the latter end of pregnancy, ami more especially in the time of 1 bor, the art of midwifery is in no instance more at a loss for means to relieve the patient. The treatment of floodings that come on before the utrius has acquired any considerable size, must be considered not dan- gerous, if they use such medicine and management, as have been mentioned, it will commonly abate, and the woman go on to her full time. If it should con- tinue, the small child and secondinis will be apt to puss oft', and then the utirus will be apt to contract, And thereby close the mouths of the bleeding ves- seis. The'midwife has- nothing to do in these cases. But that flooding that precedes the delivery of the full grown child, when the utirus has arrived at its greatest stretch and the vessels have required their greatest magnitude, must be ever highly dmg. rous: being more profuse and more d fticult to guppr ss. in proport ion to the increased size of the vess 1 q n- asmuch that the number of instances in which they have unhappily proved fatal, is very considerabl . 1 will just name the case and give a few expl natory remarks, and leave it to the judgment of the practi- tioner. Dr. Rigby generally introduced his hand nto t te utirus^ if possible, and also into, the moudi of dir 8 womb and turned (he child, and delivered the woman as soon as possible; and after clearing her, the parts would generally contract, and stop the mouths of the bleeding vessels. But before he could deliver wo- men, he broke the membrane generally with his nail or some instrument; though it is not safe to break the membrane or the part that surrounds the child, until the mouth of the womb is sufficiently enlarged, that the child can pass, as these are some of nature's means to enlarge the parts. But if the parts are sufficiently opened, so that the head can pass, it is likely that the child could be extracated or the wo- man delivered. Dr. R. thinks that, it is the best chance, after some other means have been tried, that if the parts are sufficiently enlarged it can be done at any time during pregnancy. But as it is a branch of business 1 have practised but very little, I shall therefore leave it to the judgment of the practitioner. The next, thing J shall mention, is women when on the decline of life. Their menstrual discharges commences at 14 and ceases about 47. In the cessa- tion of this discharge, nature seems to be combined with this surplus fluid; it sometimes produces sores over the body, and others it effects inwardly. But if the women generally would live on light diet from the time they are 44, keep fast once a week from over night till the turt) of the next, day, and take a dose of Nos. 1 and 2 once a week, it would have a good elr ct; but any time when women are in the decline of life and feel unwell, let them take two or 9 three doses of Nos.1 and 2, and take a regular sweat once in two or three days, and wear a large plaster of No. 6 round the loins; it generally will relieve them: exercise on foot is also good, and to wear flannel next the skin is good. If they baffle the dis- ease till they are fifty-five, they generally are more healthy than ever. But if during the time from 45 to 55, the woman has sores outside or in, or any other convulsions of the blood, let them take a regu- lar course of medicine, and regulate their diet as msual; it generally will cure. Receipt to Make No. 7. Take 1 quart of alcohol, 1 gill of ether, 40 drops of cinnamon oil, 40 drops of laudanum, 40 drops of aniseed oil colored with saunders, a quarter of an ounce of camphor gum-mix these well together.- This medicine will lay the stomach and stimulate. Hot Drops, or No. 8. One quart of alcohol, though brandy may do, 1 gill of ether, 1-4 pound of seneca snake-root well powered, half an ounce of cayenne pepper-these should be mixed together and kept in a clean place three days for use. This medicine will stimulate the system and cause perspiration in stagnations of blood. Every species of No. 2 can be placed in brandy and given to advantage, instead of giving them as has been laid down. Every species of Nos. 4 and 5 may be given in spirits, when people do not. like to take them otherwise. Each species of No. 3 may be mixed with strong ley and bottled up for use; and when used mix cold water with it to make it weak enough to take. 10 midwifery. There may be said to be throe stages is the pro- cess of natural labor. The first includes all the cir- cumstances and changes which take place from the commencement of the pains to the complete dilata- tion or extension of the parts; the breaking of the membrane that contains the unborn child, and the discharge of the water. The second includes those which occur from the time of the opening of the osu- tiri or parts to the expulsion of the child. The third includes all the circumstances which relate to the separation and exclusion of the placenta or after- birth. But to treat of each of these stages more par- ticularly and in order- The womb is not always found in the same cen- tral position, nor docs it. always dilate in the same length of time. The first part of the dictation and enlargement of the parts is generally m ale very slow- ly; but when the membranes containing the water begin to insinuate themselves, they act like a wedge, and then the operation proceeds much more r pidly. It c. nnot well be told with certainty how long time will be required in any case for the complete dilata- tion of the parts yet some conjecture may be made. If, for example, after the pains b ,ve coni hied three hours, the mouth of the womb should be enlarged to the size of one inch; then two hours will be required for enlarging it to two inches; and three more hours will be required for a complete enlargement: making, in .11, eight hours, This c Iculation supposes the Libor to go on regularly .nd with equ 1 strength. But the mouth of the womb and general channel sometimes remains for hours in the same state; and 11 yet, when it begins to enlarge, the complete en- largement is soon perfected. Again, in soma cases the enlargement proceeds on regularly for a while, and. then is suspended for many hours, and afterwards returns with great vigor. With first children, this is commonly tedious and very painful; some consid- erable judgment is therefore necessary on the part of the midwife, for supporting the patient and en- couraging the suffering woman. As the labor pro- ceeds, the pains become more frequent and forcible; and if the dilation should take pl. co with difficulty, there will sometimes be a sickness at the Stomach, and if so, this is a favorable symptom, for it common- ly has a tendency 1o relax the system. At length, after a greater or lesser number of hours, as the case may be, the dilation is effected. But let it be carefully observed, that artificial aid is not to be offered during this pirt of the process: it may indeed be well to encourage the woman and in- spire her with confidence-but be assured that all manual interposition will retard the progress, except feeling round the bowels and placing the head of the child in a right position to come into the world. But if the womb is not in a central position, so that the mouth of it is not towards the channel that leads to the world, it should be placed in a central posi- tion-though the patient or by-standers be ever so scared or ignorant-pain on the one hand and igno- rance on the other. But the midwifes must bo firm in the discharge of their duty. Care must be taken not to break the membrane. Should an examina- tion be deemed necessary, when the nlirus is fully dilated, the membrane is usually broken by the fo.ee of the pains, if this should be the cast, they will be 12 protruded outwards in the form of a bag and there- fore of no further use; if the labor has not been dis- turbed, the child is commonly born speedily, after the natural ruptors of the birth be delayed; after this event takes place it will be a very proper time to make a careful examination of the state of things.- Here I may remark, that touching the parts too fre- quently is injurious. The juices furnished by nature for moistening the parts, must be improperly exhaust- ed by repeated application of the hand: it is right not to take women in hand too soon, till nature is fully ripe for the process. It happens commonly, that women taken at surprise, have better times than when aided by a good midwife, because the natural juices is not wiped away: nature is generally com- petent to the task appointed her of God, and the only circumstances which can make it necessary to call in a midwife at all, are, the possibility of irregu- larity, and the convenience of having dexterity in the management of the after-birth, dressing the child, &c. This brings me to the second stage. The second stage of natural labor, includes all the circumstances attending the descent of the child through the pelvis, the dilatation of the external parts, and the final expulsion of the child. In gene- ral, it will follow, that the further the labor is ad- vanced before the discharge of the water, the more speedily and safely will this second stage be accom- plished. As the head of the child passes through the pelvis, it undergoes various changes of position, by which it is adapted to the form of each of the passages, and that more or less readily, according to the size of the head, strength of pains, &c.; and 13 whether these changes are produced quickly or in a tedious manner, whether in one or many hours, it can by no means be proper to interfere, for the pow- ers of the constitution will produce their proper ef- fects, with less injury and more propriety than the most dexterous midwife. When the head begins to press upon the external parts, at first every pain may be suffered to have its full and natural effect, but when a part of the head is fully exposed, and the fore part of tire perinaum is on the stretch, it is ne- nessary to use some precaution to prevent its being torn; and the more expeditious the labor, the moic is the caution necessary. Some have thought, that if the external parts be very ridged, they should be frequently annointed with some kind of ointment.- Nothing can equal the natural juices, but if from any cause the parts become heated, dry flannels wrung out of warm water should be applied for some time,, and afterwards some very mild ointment might not be amiss. Women with first children are most sub- ject to inconvenience and difficulty in these respects. To prevent any injury from befalling the external parts, the only safe and effectual plan is to retard for a certain time the passage of the head through them; therefore, instead of encouraging the patient, at this time, to use her utmost exertion to hasten the birth, she should be convinced of its impropriety, and be discouraged from using any voluntary exertion. If she cannot be "regulated according to your wishes, her efforts must be counteracted by some external resistance. This may be performed by placing the finger and thumb of the right hand upon the head of the child during the time of a pain, or placing the balls of one or both thumbs on the thin 14 edge of the perinum. With first children, if there be great exertions and much danger of damage, the right hand muy be used as bf fore, and ihe palm of the left hand wound round with a soft cloth may be applied over ihe whole pefinum, where it. must be finely continued during the violence of ihe pains.- It is proper to proceed in this way till the parts are sufficiently dilated; then the head may be permitted to slide through them in the slowest and gentlest manner, paying the strictest attention, till it is cleared of the perinum. If there should be any delay or difficulty when the perinum slides over the face, the forefinger of the right hand may be passed under its edge, by which it may be cleared of the mouth and chin, before the support given by the left hand may be withdrawn. This assistance should be applied in a proper direction and with uniformity -the danger of injury to the external parts will be increased by irregular pressure-the heat! being ex- elled, it is commonly deemed necessary to extri- cate the body of the child without delay; but expe- rience has now taught that there is no danger, and that it is far safer for the mother and child to wait for the return of the pains; and when the shoulders of the child begin to advance, and the external parts are again brought to the stretch, the same support should be given to the perinum as before; the child should then be conducted in a proper direction, so as to keep its weight from resting too heavily on the perinum. Two or three pains are sometimes neces- sary for the expulsion of the shoulders, after the head is born. The child should be placed in such a situation that the external air mfly have free access to its mouth, but let the head be covered. Having 15 taken the proper care of the mother, it will be ne^ cessary io proceed to the third and Iasi part of the operation. The third stage of natural labor:- There is a proper time for dividing the finis or um- bilical cord. B< fore the child breathes and cries, a motion of the arteries of the cord in .y be felt beat- ing like the pulse; but after it has breathed and cried, this pulsation or motion ceases, and the string be- comes quite relaxed and soft. These circumstances ought to take place before the umbilical cord is di- vided. Ten, fifteen, and sometimes twenty minutes are required for the complete relaxation of the naval string-then let it be tied in two places and divided between them. Soon after the birth of the child the midwife should apply her hand upon the abdo- men of the mother, to determine whether there be another child, and whether the womb contracts in a manner favorable to the separation and removal of the cake. Most women are extremely uneasy till the placenta is removed, and suppose the sooner it is accomplished the better; but this uneasiness is un- necessary, and all hurry is improper. After the birth of the child, let the first attention be paid to the mother-tranquility should bo restored to her mind, and the hurried circulation of the blood should be calmed; she should be recovered from her fatigue, and her natural state regained as soon as possible: with this design, let her be kept quiet, affording her at ihe same time some suitable refreshment. In the course of ten, fifteen or twenty minutes the pains will return for the purpose of expelling the pla- centa; and it will generally be expelled without any kind of artificial aid, which should never be employ- 16 ed where it can be avoided. But if it descends too slowly, the midwife may take hold of the cord, and by pulling it in a gentle manner and in a proper di- rection, may afford some assistance, and this should be done only in time of a pain. After the placenta is brought down into the vagina, whether by the na- tural pains or with the artificial aid as above, it must be suffered to remain there till excluded by the pains -this may prevent a dangerous flooding. If an hour be requisite for the exclusion after it enters vagina, no assistance ought to be offered; but after that time, it may agajn be gently pulled in the time of the pains. No objections should be raised to this plan, from any supposed advantage to be derived to the child from laying the cake upon its belly upon hot embers, in hot wine, or the like: all this is per- fect folly. Let it then be a settled point, that hurry is im- proper, either in dividing the string or removing the cake. Haste, in the first place, may destroy the child; in the last, must injure the mother in a greater or less degree. If the ill effects be not immediately perceived, she will at length be sensible of the injury when her health gradually declines. The conclusion to be drawn from the foregoing is, that parturition is a natural process of the consti- tution, which needs no assistance; and when it is natural, it should always be suffered to have its own course, without interruption. If the process should go on too slow, you can use some of the Nos. 7 and 8, to stimulate the system, at any time when there is no danger of flooding.