&m&i&< i^il^Prffl Hra|feM/v ^\ot«JB IbBTt*rfl JttSffiET | M&rTBaffi/U ^'"ImB SHKwi; ^w!?flEai H&£ ;^^»^i Sgaogyt vr l immm UNITED STATES OF AMERICA Mfi^ * ♦ , FOUNDED 1836 WASHINGTON, D. C. GPO 16—67244-1 i / THE FAMILY ADVISER; 0 R, A PLAIN and MODERN PRACTICE of PHYSIC; CAL-CULATED For the Ufe of Families who have not the Advantages of a Phyfician3 AND ACCOMMODATED TO THE DISEASES of AMERICA. THE SECOND EDITION, CORRECTED. By HENRY WILKINS, M. D, TO WHICH IS ANNEXED Mr. Wefley's Primitive Phyfic, REVISED. A A PHILADELPHIA: PRINTED BY HENRY TOCKNISS, KO. 25, CHURCH-ALLEY, AND SOLD BY JOHN DICKieeS, NO. 44, NORTH 3EC0XD .STREET, NEAR ARCH STREET. l795- PREFACE. THE fubftancc of the following pages is chiefly drawn from thofe excellent au- thors, Home, Cullen, and M'Bride ; whole names alone are a fufficient recommendation : They were compiled at the requeft of our friend Mr. Afbury. The work contains a good defcription of each diforder, and its remote caufes, as far as known. The proximate caufe is generally c- mitted, being unintelligible to thofe who are not acquainted with medicine, of little ufe, and much difputed by phyficians. The cure is as fimplc as poffiblc, fo as not to interfere with efficacy : few medicines being recommended, and no compounds where they could be.omitted. To this is prefixed the management of the (ick, about which the attendants are ufually much at a lofs. Such medicines as are frequently ufed are put at the end, numbered and referred to, which pre- vents frequent repetition, but thofe that are not fo general are inferted in the reading. Will not this be much more agreeable to the reader, than a general reference or a general infertion ? A few PREFACE. A few difoiders are omitted, becanfe they are not proper to this country, or becaui'e they are unmanageable even in the hands of phyficians, or for otber as good reafons: olherwife it com- prehends as many difoiders as Dr. Cullen has treated on-. It is recommended to the Methodift Society in-particular, by tbe amhor, their Friend. Philadelphia, 1793.. THE FAMILY ADVISER, ®c. CHAP. I. OF FEVERS IN GENERAL. FEVERS admit of a two-fold dift.incr.ion : fir:*, with refpecr. to their duration ; as into continued, Remittent and Intermittent Fevers. Continued fevers go on to their end, without any very obvious change for better or.worfe, in a period of twenty-four hours. Remittent fevers, either obvioufly abate at fome pe- riod or periods during twenty-four hours, or are like a number of ftiort continued fevers linked together, abating once in the courfc of two or three or more days. Intermittent* go perfectly off every day and return the next, which is called a Quotidian ; or every other day, leaving an intermediate well day, called Terti- ans ; or every fourth day inclufive, leaving two well days, called Quartans. In tin's manner they go and come till they change, or finifli their courfe. The fecond diitincbion refpects the flate of the fyftem : as Inflammatory, Nervous, and Pu'rid fevers. Inflammatory fevers fhow more or lefs the fymptoms of general inflammation ; ftrong action and an abfencc of every fymptom of putridity and infenfibility; they are moll commonly continued. Nervnas fevers {how a general debility, infenfibi- lity and irregularity, without any fymptoms of the A 2 fluids [ <* ] tending much to diffolution ; though a flight and flow tendency is obfervable, after they have continu- ed for fome time. Putrid fevers fometimes ftiow figns of inflammato- ry a&ion for a while ; but thefe quickly give way to fymptoms of putrefaction, viz. blacknefs of the gums and tongue ; from being lined with foetid fecretions : a blacknefs and fcetor of what is difcharged by vomit- ing, which ufually attends : and the fame appearance of many of the fecretions and excretions, particular- ly the {fools; to which may be added a quick fuc- ceeding debility. CHAP. II. INFLAMMATORY FEVER. THIS fever mod frequently attacks the young in the vigour of their life ; fuch as are of a ruftic fanguine athletic conftitution, who indulge themfelves in living freely : though fufficient caufes will bring it on in fome degree, in almoft any conftitution and way of living. It attacks at all feafons, but moil frequent- ly in the fpring and beginning of fummer. Caufes. Heat and cold alternately, or varioufly ap- plied, fatigue, anger, immoderate ufe of fpirituous liquors, watching, &c. &c, Symptoms. It difcovers itfelf by a laffrtude, with a dull fenfation of the body, debility, alternating chills and heats, tremors, pains throughout the whole body, but more particularly about the fhoulders, back, knees and head. Thefe are fucceeded bj an intenfe and burning heat, an inextinguifhable thirft, inflamed eyes, tomefaftion or fulnefs of the face, ficknefs and vomiting, inquietude, anxiety, full and ftrong pulfe, dry fkin,red (though fometimes watery) urine; rough, dry, yellow, or dark coloured tongue, covered with a cruil; difficult breathing, coftivenefs, cough, watching, de- lirium, ftupor; and if the fever is not checked, a co- r ? i ma, or coriftant tendency to fleep, tremors, partial convulfions, as of the hands, &c. hiccough, involunta- ry difcharges of the belly and bladder take place and clofe the fcene in death. This is a defcription of it in its moil violent degree. In the greateft number of cafes, we meet with it far more moderate; a ftrong pulfe, fick ftomach and thirft being the chief fymptoms. Management. The patient fhould be confined to his bed, in a cool, dark and filent room ; the cool- nefs to be regulated by the feafon. He mould ab- ilain from all kinds of meats and ftrong drinks. For food; panada, barley, jellies, light unfeafoned puddings and pies, may be given in fmall quantity. For drink; lemonade, vinegar and water, barley water, herb teas with lemon juice, apple water, tamarind water or jelly and water, may be given largely. Cure. If the fever be violent, and the patient as de- fcribed in the firft paragraph of the cafe, from half to two thirds of a pint of blood fliould be taken away (according to the age and cuftoms of the patient) as quick as poflible; which may be repeated the next day in leffer quantity, if the fever has not abated. After the firft bleeding let him take one ounce of Glauber falts, which will frequently exclude the necefiity of another bleeding. After this the bowels fhould be opened daily if required, by a common clyfler. If after one bleeding and a dofe of ialts, the fever does not go off, which it feldom does, let the pati- ent have one of the powders No. I. every two hours, provided they will remain on his ftomach : but if they will not, give the fahdie mixture No. 2. two table-fpoon- fuls every two hours j and after this has been given fome time, if the patient's fk-in become foft and moift, it fhould be continued in, otherwife lay it afide and try the powders again. If thefe when g!. c'.\ for a day or two do not leffen the fever, or if the/ will not re- main, andthefaUue mixture is ineffectual, and withal bleeding has been practifed as far as prudent; it will then be neceffary to put a bliftu* to the back of the [ 8 1 neck, and to foak the patient's feet in lukewarm wa- ter for an hour if he can bear it; after this try the powders, or the mixture again, and they will then have their only chance, and in many cafes will be effectual. In the flighter cafes of this fever, fuch as *I have faid, we moft commonly meet with. If the patient will allow of it, one bleeding will be proper, after which or in fuch as will not allow bleeding, give a puke ; two grains of tartar emetic divided into three dofes and taken in half an hour, or fifteen grains of ipecacuana, or half a table-fpoonful of antimonial wine Will anfwer; after which give the powders or the mix- ture, and open the bowels with a dofe of falts. After the fever has gone off, which ufually is attended with a fw:at, if the patient is much reduced, let him take a tea-fpoonful of bark in port wine, or in water eve- ry three hours till he has taken an ounce, after which he may lake one or two more at longer intervals. He fhould ufe gentle exercife in a carriage, and return gradually to his bufinefs and diet. ,,There is a fever which has the name of fynochus, which in the firft llage is of the above type, but after a while quickly changes to the putrid, to-be hereafter defcribed. I.i fuch a cafe all the management and cure above fhould be relinquifhed as foon as the change is obferved, and the management and cure for the putrid immediately adopted. CHAP. III. NERVOUS FEVER. THOSE of relaxed fibres and weak nervous fyftem, are the perfons moft fubjecr. to this fever. Caufes. Exceffive evacuations, repeated falivations, immoderate venery, depreflions of the mind from grief, watching and night itudy, humid ftagnant air of fubterraneous apartments, indigeflible food, efpeci- ally fuch as is mifit for nutrition ; as of cold watery fruits and vegetables; thin cloathing, rainy feafons, foft moifl winter, &g, Symptom;. /#m---—*--.^^^^^ " [ 9 X Symptoms. This fever approaches with dejecliort of mind, lofs of appetite, oppreflion, fkepleffnefs, in- voluntary groans, repeated fighs, fear, unufual laffitude after motion, and alternate fucceffions of cold and heat. After fome days a fwimming or pain in the head comes on with fick ftomach and vomiting of infipid phlegm, great weaknefs, moderate heat, mfenfibility to thirft; frequent, weak, and fometimes intermitting pulfe ; a moifl tongue, fometimes red and at other times covered with a white or yellowifh tough mucus ; dry lips, oppreflion about the breaft and difficult breathing, pale wateiy or whey-like urine : a dull fenfe of pains about the breaft and head, dozing, deli- rium, rednefs and warmth of the face, whilft the feet are edd ; a tendency and difpofition to be eafily and frequent]}' diflurbed by dreams :—aftT thefe have taken place and continued fome time, they are followed by immoderate fweats and wafting laxes, great dulnefs and flothfulnefs of the external and internal fenfes, anxi- ety and fainting. And now nature being exhaufted by the diforder, the tongue trembles, the extremities from a coldnefs become cold, the nails turn livid, fight and hearing perifh, the delirium turns to a coma, the b.lly and bladder are involuntarily evacuated, topi- cal convulfid^ns come on, and death doles the fcene, ufually before the fourteenth dr.y. The fymptoms in- creafe in the evening.—The delirium is only a mutter- ing continually ; quite different from the delirium of the former fever: though in this there is generally a great infenfibility, and towards the end a lofs of fight and hearing, yet at times in the beginning there is a great and preternatural fenfibility to light and ncife : fometimes an eruption like millet feed appe.Vr^ without any alteration for better or worfe. A continuance of this fever has brought on temporal idiotifr , which vanifhed with the debility. Management. The patient fhould be coufined to his bed in an airy darkened room, and kept agreeably warm or cool, according to the feafon. His room, bed and body clothes, face, hands and feet fhould be kept r 10 ] kept clean. His diet fhould be light though nourim- fng, and given frequently, rather than in large quan- tities at once ; it fhould be mild: chicken water and broth, or beef tea may be given if the patient, defires it, and the effeft proves it to be ufeful; but the gene- ral flock of food fhould confifl of the various prepara- tions of mild, d'geftible, nourifhing vegetables, fuf- ficiently well known to every houfe-keeper; thefe fhould be fuited to the patient's appetite, and chang- ed fo as not to pall him with any one. Wine and water may be ufed from the beginning, though then it may only be given to allay the thirft, and fhould be made weak : five or fix times a day a cup full may be given, even though the patient do not afk for ft ; but as the ftrength fails it fhould be made ftronger and ftronger, and given in as large quantity as a perfon in health could take. When the wine has not the effect of increafing the fymptoms and rendering the pulfe too quick, it may be fafely continued in.—Claret is fup- pofed to be the beft. Cure. A gentle vomit of 12 grains of ipecacuana in a little water may be given in the beginning, and may be .repeated the next day. The bowels fhould be opened with thirty grains of rhubarb, and coftive- nefs continually prevented by fmall dofes of the fame medicine. A blifler fhould be applied to the fide early in the difeafe, and when it has drawn, the water let out, and the part dreffed with a colewort leaf Or a little Turner's cerate ; after this another may be applied to the other fide, or to the back of the neck, provided no bad fymptoms follow the firft, if they do, bliflers fhould be laid afide till a ftate of infenfibility comes on, when they fhould be applied fucceffiveiy, as long as they are attended with advantage. If the patient's fkin be dry in the beginning, let him take three or four grains of James* powder, in thick fyrup three or four times a day, warning it down with fnake- root tea; yet not fo as to fweat the patient. If the James' powder is not to be had, one-eighth of a grain of tartar emetic may be ufed in its flead. When the de- bility C it ] bility increafes, let the patient begin and take two table-fpoonfuls of the decodion of bark No. 3. every hour or two, putting a little mint water with it, and when the patient has taken this fome time, let him take the bark in fubftance with wine : one tea-fpoon- ful of bark in two table-fpoonfuls of old claret every two or three hours : this or No. 4. fhould be continu- ed in till the patient perfedly recovers. When the patient has been much haraffed for want of fleep, have his feet bathed at evening in tepid water, and give him ten or fifteen drops of laudanum. This practice may be continued as long as it proves effec- tual in procuring fleep. In thofe cafes that proceed from exceflive evacuations there is little hope and fcarce any thing fhould be attempted, but the lengthening plan. The patient fhould carefully fhun all the caufes, and ufe a generous diet with regular varied exer cife of body and mind, and be fparing of his ftrength. CHAP. IV. PUTRID FEVER. THOSE who are of a relaxed habit and gloomy difpofition ; thofe who have been debilitated by living upon bad victuals, by venery, famine, labour, or lofs of reft, &c. eafily take this fever (which is caufed by putrid contagion or noxious air) and diffi- cultly emerge from it. Symptoms. An intenfe confuming tho' remitting heat, particularly inwards; fmall, frequent, and unequal pulfe without ftrength ; throbbing of the arteries that run along the neck and temples ; great proftration of ftrength, heavinefs without fleep ; and when fleep does take place, little or no idVeftiment is gained from it; [ 12 ] &n anxious, dejected, and defponding mind, naufea, and vomiting of black bile, pain of the head and tem- ples, redncfs of the eyes, and pain about their fockets ; dufky countenance, noife in the ears, interrupted breath- ing, with fighs and foetid breath; pains about the fto- mach, joints and back, difficulty of lying in one pof- ture, trembling, delirium. At firft the tongue is whit- ifh but quickly changes blackifh, whilft the lips, teeth and gums are befet with a tough difagreeable mucus ; an inextinguifhable thirft attends with a bitter mawk- ifh tafte, which is communicated to the drink. The iirine, on the increafe of the diforder, becomes blackifh or red with a fediment : The fweats become foetid, the ftools lived, black or bloody, and very foetid : and if the fever goes on, a thrufh and ulcers attack the mouth and throat; blood is difcharged from different parts, a hiccough and other partial convulfions come on, which death fcarce ever fails to follow. Management. The patient fhould have frefh air ad- mitted by keeping the door of his chamber open, if it is not too cold, and by opening his windows, if it is fummertime, and the weather clear. Salt petre or vinegar fhould be burned upon the hearth in winter, and boughs of trees and flowers thrown about the room in -fummer. His hands, face and feet fliould be wafhed daily in vinegar and water, or wine and water; he fhould be ihaved frequently, and fliifted in bed and body clothes as frequently as can be afforded, if it is daily : in fine, the greateft attention fliould be paid to cleanlinefs.— His food fhould be moftly of acid vegetables, fuch as pleafe his appetite and ftomach beft. His drink fhould be port wine diluted ; this he fhould drink more and more of, as he becomes more debilitated, fo as to make it his drink and medicine : a quart a-day may be ufed; this he fhould continue in for fome time after he has recovered, though in fmaller dofes : A frefh air- ino- every day, after recovery, will be highly ufeful. Cure. An emetic of eight grains of ipecacuara and pile of tartar emetic, or half a table-fpoonful of anti- rnonial r. 13 ] monial wine, fliould be given as quick as poffible, be- fide this, twenty-rive or thirty grains of rhubarb, or two drachms of cream of tartar, fhould be given in a lit- tle jelly, to open the bowels, after which the decoction of bark No. 3. fhould be given : two table-fpoonful? with a little mint water, every hour; if the ftomach bears this well, and the fymptoms of putrefaction and debility increafe, the bark in fubftance fliould be ufed : a tea-fpoonful in lemon juice and mint water every hour. But if the ftomach does not bear the bark, or if the heat and fever be conliderable, apply a blifter to the breaft, and give a dofe of thefaline mixture or one of the following pills between the times of taking the bark, viz. Camphor beat to an impalpable powder, with com- mon fpirits, twenty-four grains, powdered feneca root as much ; make them up with fyrup. If the ftomach flill refufes the bark in the above ways, try it in triple quantities in clyflers, or try the vinous tincture, No. 4. The bark is the only chance, we are therefore to perfift in its ufe till a cure is made. Three drops of oil of vitriol in a glafs pf water every hour, may be tryed where the delicacy of the ftomach or fever, will not admit any preparation of bark ; but, as it is apt to gripe, it fhould never be ufed when the bowels are affecded. Clyflers of fait, fugar, and deco&ion of bitter herbs are to be ufed to keep the bowels regular, or fome of the gentle purges mentioned above ; but it will be of- ten beft to ufe firft one and then the other, according to circumftances. In cafe this fever fhould be of a re- mittent form, the remiflions fhould be greatly attend- ed to, and a double quantity of bark given if poffible. Sometimes a lax with dift.nfion of the belly comes on after a while, in fuch a cafe the belly fliould be foment- ed with bitter herbs, boiled and applied warm, and one grain of ipecacuana, with five drops of laudanum, given every two hours. Sometimes fpots break out i:i this fever, then it has been termed the Spotted Fever; at other times there is a yellownefs of the fkin, then it is termed the Jj yellow [ *4 3 yellow or Weft India fever. In this laft cafe tbe fymptoms of putridity are in this country more lenient, and a confiderable vomiting fometimes hinders the giv, ing of medicine : in this cafe a bliiter to the breaft and the effervefcing faline mixture have been found effectu- al to flop the vomiting ; but in general the treatment is the fame as recommended above. In the end of thefe fevers, fome phyficians recom- mend blifters to roufe the patient: if they are applied, the fkin fliould uot be pealed off as is fometimes done, hut only opened to difcharge the water, and then dreffed with Turner's cerate. But the beginning or firft ftage is the moft proper for blifters. CHAP. V. REMITTENT FEVER. pAUSES. Expofure to the fun for hours together, or the effects of a cool evening, and other fimilar caufes after fatigue or fummer heat. Thus there is no difference in the real caufes of this fever and inteno.it- tents, except in the degree and mode of their appli- cation. Symptoms. Alternating cold and heat, followed by a continued heat and a fever: Sometimes a delirium comes on at the firft attack. The patient is diftreffed with thirft and vomiting, r.fually of bile ; pain of the head, back and joints; the region of the ftomach fwells, and becomes painful; the tongue is white and moift, and the patient is harraffed with fleepleffnefs; the fkin and eyes are of a yellow caft ; the pulfe is fometimes a little hard, and feldom full; the bowels arc fometimes bound, fometimes loofe: with thefe fymptoms the fever ufually proceeds, for 2, 3, 4, 5, 6, 7 or 8 days, at one of which times, after a little fweat it remits, and the patient becomes evidently better. After a few hours have elapfed, com- monly in the evening, the acceffion comes on, fometimes withj at other times without a chill, and fo goes on as before: C «5 ] before ; In this m'ffnner, that is, by accediqns a;.d re- miffions, the fever gees on to its final period. A copious fweat or difcharge of blood fro;n the nofe, or an univerfal yellownefs, commonly attend the conclufion of it. After the fever has gone off, a great light r.efs of the head attends, fo that the patient can fcarce walk ; rheu- matic pains, and dropfical fwellings fometimes follow. Management. The patient fhould be kept cool and airy ; he fhould have plenty of acid drinks, as lemon- ade, jelly, tamarind water, and for food, he fhould have toafted bread moiftened with a little tea, baked fruit'., rice, fago, barley, &c. but thefe, though proper, will feldom have a place, as the patient can fcarce ever con- tain on his ftomach what his little appetite inclines hitu to take: but the toaft has often been found to flay, when nothing elfe would. Cure. If the vomiting be confiderable, a little ca- momile tea may be given to promote it a moment or two, that a remifiion may be procured to give the fa- line mixture No. 2. one table.fpoonful every hour. When this fits on the ftomach pretty well, ten drops of antimonial wine and a little mint water may be ad- ded to each dofe, and the medicine continued: but if the vomiting is only flight, the beft way to procure a remifiion of the fymptoms will be to give an emetic, one tea-fpoonful of antimonial wine, maybe given eve- ry ten minutes until it operates, or 12 grains of ipe- cacuana may be given at once, after which the mix- ture may be given in the manner directed with antimc- nial wine. If the vomiting refifts every thing given, or if a re- miffion does not take place in a few days, blifters fhould be ufed ; on the breaft in the firft cafe, on the back of the neck in the lafl. Sometimes a bundle of mint flew- ed in wine, and applied to the breaft, has been found u(eful in checking the vomiting, therefore it may be tried before a blifler. Coftivenefs fliould be xegularly obviated by taking a tea-fpoonful or xncne of cream of tartar, or by uiing the t is 3 the common clyflers of falts, fugar and milk ocea- fionally. When the patient has fuffered for want of fleep, af- ter giving a clyfter, and bathing the feet in lukewarm water for half an hour, ten or fifteen drops of lauda- num may be given in a dofe of the faline mixture No. 2. and thi3 fhould be done after noon before the in- civafe of the fever, for it ufually makes fome increafe towards night. When the fever remit', the decoction of bark fhould be given, two table-fpoonfuls every hour, and if the acceffion is poftponcd by it, the bark in fubftance fhould be given, as long as the acceffion is abfent: in fome cafes it will put it off altogether ; then, as well as when the fever ceafes, the bark fhould be given in large quantities, until the patient recovers his ftrength. When a lax attends, four grains of rhubarb and one of ipecacuana with two drops of laudanum, may be giv.rt every three or four hours inftead of the faline mixture. When great fweats attend 'n the end, it maybe ne- reflV.rv to add five drops of elixir of vitriol to each or every other dofe of bark : in cafe a headach follows, apply a fmali blifter behind the ear, and repeat it if neceffary. The patient fhould be very careful in avoid* mg the caufes of this fever, or he will experience a relapfc. CHAP. VI. v INTERMITTENT FEVER (commonly) FEVER AND AGUE. CLAUSE. The relaxing heat of fummer, efpecially when accompanied with moifture and bad air of maifhy places, will fo relav. the furface and expofe the extreme veffels to the air, that nothing more than the ufual effect of common air is neceffaiy to bring on the fever; at other times, when the predifpolition is not fo '■ c it, a cool air will produce it. Symp- L *7 1 Symptoms. A languor with yawning and ftretching, coldnefs, fick ftomach, rigors and tremors, ufually at- tend the commencement; the cold with fhivering con- tinues in a very confiderable degree, for one, two or three hours, when it begins to give way, firft to flufhes, and then to a continual burning heat and fever, with a full pulfe and thirft. Pain of the head and frequently of the joints, attended fometimes with a delirium. Af- ter this has continued for fome time, a fvveat breaks out, wh'ch becomes profufe, and this is fucceededby an intermiiaon of a part, a whole, or two days, ac- cording to the type. See page 5. In the intermif- fion, the patient is affected with fcarce any thing but debility. The fever returns again at the end of the time mentioned, with the fame fymptoms, and fo goes on to its end, unlefs it changes its form. Quotidians come on in the morning, and ufually attack the deli- cate and irritable. Tertians come on about noon, and ufually attack the more robufl and vigorous. Quar- tans come on in the afternoon, and moft commonly attack the aged and torpid. Management. Sometimes the ague fo reduces the patient, that it will be neceffary to keep him warm and give a little wine ; but this is feldom the cafe. In common nothing is neceffary but to lie down. In time of the fever, lemonade and other acid drinks, or warm teas may be ufed; the former will be moft grateful. Li the intermiffions, port wine and water, and a ftrcngthendig eafy digefted diet will be proper. Cure. In the beginning of the cold flage, if the patient is able to take a puke, he fhould take one ; three grains of tartar emetic in a gill of water, may be taken in the courfe of forty minutes, if required to take all: or 15 grains of ipecacuana in a fpoonful of water, or a tca-fpoonful of antimonial wine every fif- teen minutes: either of thefe may be ufed ; the tartar id the moft active and effectual, but acts too rou^h with fbme. When this has been taken, and the fever B 2 La* [ iS ] lias come on, a fwealing fliculd be encouraged by tak- ing about three" pints of warm drink in the courfe of two hours, to which one hundred drops of antimonial wme may be added, to make it more effectual. In c; le the patient cannot take a puke, let him take an Anderfon's pill to open his bowels before the time of the ague, and when the fever has come on, and con- tinued a while, let him take fifteen drops of laudanum and fifteen of antimonial wine, in a cup of warm tea every half hour, for three times. But when nothing forbids a puke but the perfon's inclination, he may tahe juft before the fit, or after it is over fome time, the following powder; twenty grains of rhubarb, and five of calomel in a little fyrup, and when the fever comes on, take the warm drink as above. Thefe medicines will prepare for the exhibition of bark, which fliould be given immediately after the iweat goes off. Any of the preparations may be given, but the powder is the beft; it may be given in mint water, milk or wine ; one tea-fpoonful every hour, till the ague comes on again ; then it fhould be laid afide till this is over, when it is to be given again ; the pa- tient fhould not ceafe under an ounce and an half, or two ounces. If, when this has been taken, the ague does not ceafe, another puke fhould be ufed as before .In all cafes the bowels fliould be kept open by Ander- fon's pills or rhubarb. Sometimes twenty drops of laudanum given before the ague, will put it off, and fometimes giving it juft be- fore the patient is expected to fweat, will prepare for the bark; fometimes a quantity of fnake-root tea at the fame time will prove effectual: and in many cafes bit- ters, of horehound, dogwood, rue, &c. will do as well as bark. The fever and ague, after it has continued for fome time, is apt to affociate cuftom with its caufes of re- currence; and thus it will frequently continue through fuch feafons as it would not have begun in. In fuch cafes as thefe almoft any alteration in the fyftem will leffen or remove it; thus keeping the patient under expect- r- '9 1 expectation ; fear or joy have often removed it; and thus the impofitions of old women have often been erleccual, when the faith of her patient has roufed his expectation and fixed his attention. Though fuch things may at times bt allowed, yet I would caution every prudent perfon to keep his fkin to himfelf, and not let ignorant quacks fill up their lack of knowledge upon him, with the virulence of an arfenical plafter, or a more dangerous bolus. C K A P. VII. HECTIC FEVER. /^£rom the irritations which act about tlKTiU Symptoms. The fever ufually comes on i.i the fore- noon, fometimes with confiderable chilis or coldnefs,, which lail fome time ; this is fucc eeded by heat, a quick, fmali and weak pulfe in general, though fome- ti.ius there is fome hardrr:f*s in d, tfpecdd'y in thofe who are not much reduced, and early in the complaint;. this fometimes lcffens inwirds evening, and again in- cvci.ids at night; at other times it continues on with- out any very obvious change till towards morning, when it intermits or greatly remits with a profufe fweat which la'ils a eonfider:dde tim: ; the fwcats do not appear in the firft ftage, th-t is, in profunda. A headach ufur.lly attends the fever, as alfo a fick fto- nrich, both oi which gow better in the intermifdon or remiihon. The tuiigue is ufiidly ch:m in thv: fever, the belly at firft isoftc-n boivid, bvt i;i the -...l ■• hi:: ab-oft al- E *> 3 ways attends. The patient waftesaway gradually, hi* feet fwell, particularly at night, his hair falls off, bis nails become crooked and thick, his face fharp, and a general failing takes place in every thing but his ex- pectations of getting better, and his underilanding, which ufually remain to the laft. This is the moft ufual form, but there is fome variety, owing to the variety of the parts affected, and the ftate of the patient. Management. The patient fhould have the lightefl and moft nourifhing food given him in fmali quantities at a time, and at fiich times chiefly as the fever id ab- fent or flight, thus his breukfaft or dinner at ten o'clock, fhould contain moft. of what he fhould eat. Milk is very proper when the ftomach will receive it : fometimes it may be moft agreeable when diluted with water and fweetened, at other timrs it may fit better when boiled. Cuflards, light puddings, chicken wa- ter and broth, beef tea, rye mufti, corn mufh, with the common vegetables of the grain kind, are moftly proper. Weak wine and water in the abfence of fe- ver ; barley water and fage tea at other times, will be proper for drink. The patient ihould be kept clean, and when his ftrength admits, he fhould be aired in a chair, and at all times have accefs to pure air. Cure. In many cafes it will be needlefs to attempt any thing but a removal of the caufe, when the fever will quickly ceafe : but in general both the oae and the other are to be combated. For treating the caufes I re- fer to the places where they are treated of (though fome of them could not have a place in this book, as they belong to furgery) for the treatment of the fever alone, the debility fliould be removed and the fever in- terrupted : for the firft, when nothing f'.rbids, bitters and bark are neceffary; alfo elixir of vitriol, which may be given to fixty drops a day. Thefe are to be ta- ken whilft the fever is off, or when it has greatly re- mitted, juft before the time when the return is expect- ed, and again after it has commenced, one of the fol- lowing powders may be given ; "'pecflv.v.a.n.a two grains, jnagne- [ 21 ] magnefia one tea-fpoonful, mix them and give it in a little camomile tea. When a lax comes on there is little hope, but the following may be given : colum- bo root one drachm, pour one gill of boiling water upon it, and in a quarter of an hour ftrain it off; to this twenty drops of laudanum may be added; this may be ufed in the courfe of eight hours, and repeated.— Rice will now be the beft food. CHAP. VIII. INFLAMMATION OF THE EYE. fAUSES. Thefe act either externally or internally, though frequently both take place in producing the affection. The externals are, violence, duft, cold winds, changes from heat to cold, viewing minute objects or bright bodies ; metallic fumes, great heat, efpecially when accompanied with moifture ; night reading, &cj The internal caufes are, checked excretions, as the nienfes, &c. repulfion of fome eruptive diforders, long continued ulcers dried up, immoderate ufe of fpiritu- ois liquors and fpicej, fevers, meafles, fcrophula, venereal difeafe, Sec. &c. Symptoms. Rednefs, fwelling, fliffhefs and pain of the ba'l of the eye or the lids ; both from an inflam- mation of the veffels that pafs over and through them, being filled with too much blood, or with red blood, inftead of the fine white parts of it. When the inflammation is confiderable, a fever at- tends ; and in fuch cafes there is danger of the eflectsr unlefs fpeedily prevented by curing the difeafe. Management. In no cafe a cure can be hoped for unlefs the caufes be removed, which in many cafes will be followed with an immediate cure. In any bo- dy be lodged in the eye, it is to be extracted, and if another difeafe be the caufe, it inuft be cured by the means directed for fuch difeafe. In every cafe th» patient mould avoid exercifing his eyes any more than what C " ] what there is neceffity for :—He fhould confine hnr~ felf to a dark room, or apply a fold of green filk over his eyes, and ufe an umbrella in the fummer. His fbcA fhould be light and moflly vegetable, in all cafes without pepper or milliard. His drink fliould be cooling and acid, without any mixture of fpirit. His room fhould be cooled with fprinkling in the fummer time. Cure. If there be a fever, or if the inflammation be confiderable, and the patient aid•• to bear bleeding, he n u-d lofe half a pint of blood, which may be re- pe e if neceffary; this fhould be followed by a dofe of faitr, or if the patient's cafe does not require bleed- ing, or other circumftances prevent it, the falts then fhould be the firft thing. All this is to be done after the caufe is removed, and thus in many cafes where removing the caufe will be the chief means of cure, they will have no place ; as where the ^inflammation pro- ceeds from the venereal difeafe, fcrophula, &c. One of the fever powders No. i. when the fever continues, or the inflammation remains obftinate, given every four hours, will be ferviceable. The belly fhould be kept regular by cream of tartar or fmali dofes of falts, or of jalap and nitre : as jalap fifteen grains, nitre twenty-five, mix them.—For external applications, a blifter behind the ears is moft effectual, and to the eyes the following: fugar of lead twelve grains to half a pint of water, or as much white vitriol to an equal quantity of water : to either of which, when the inflammation has continued, and the former re- medies have been ufed, may be added a table-fpoon- ful of brandy. Thefe external applications (the blifter excepted) will be proper in every cafe and time. The weak- nefs that follows requires that the patient ufe either a general or topical cold bath, and avoid much ap- plication and expofure. CHAP. C 23 ] CHAP. IX. INFLAMMATION OF THE BRAIN. THIS is either a fymptomatic diforder, as when it follows in the courfe of a primary affection : or it is original,-being primary itfelf—of this alone I fhall treat, that requiring the treatment of the con- comitant diforder. It ufually attacks in the heat of fummer thofe of an irafcible difpofition, who are in their youth and given to ftudy. Caufes. Drunkennefs, watching, long expofure to the fun, anger, exceffive cogitation, grief, care, ve- hement defircs, external violence, certain poifons, and fuppreffions of particular difcharges ; as the piles, the difcharge after parturition. Symptoms. It begins with rigors, which are follow- ed by heat, pain and throbbing of the head, difturb- ed fleep, iioife within the head and ears, inflammation and pain in the eyes, with inability to bear the light and noife, and a bloated countenance—the pulfe is low, oppreffed and quick, often weak as well as low, though fometimes it is hard : the patient continues without any fleep for a long time, fometimes till the eighth day ; the arteries along the neck perceptibly throb, and blood fometimes iffues by drops from the nofe; great debility, anxiety and fighing attend, yet the patient is fubject to anger, fierce delirium, flartings and conyulfions. When the diforder has ceafed, a fwimming and heavinefs of the head, weak eyes and great delicacy of hearing attend for a conli- derable time. Management. The patient fliould be confined in an airy, darkened, filent and cool room ; his bed fhould be hird, and his head fomewhat raifed upon it. He ftVmld have plenty of acid, cool drink?, without any mixture of fpirit. His food fhould be of panada, barley, [ 24 ] barley, jelly, &c. The caufes of the diforder nyuft be carefully removed. Cure. The patient fhould be bled pretty freely, and this may be repeated again and again in lefs quantities, during the firft 48 hours ; provided the fymptoms demand it, and the patient be able to bear it:—the pulfe will ufually be the beft guide ; for if this does not fink very low, there will be no danger from bleeding. A dofe of falts fliould be given after the firft bleeding, and it may be neceffary to repeat this the next day. Clyflers may be given daily, fuch as No. 5. one of the fever powders No 1. may be given every three hours, beginning after the operati- on of the firft dofe of thejfalts. The patient's head fhould be fhaved and warned with cold vinegar and water. If the delirium runs on after the above eva- cuations, a large blifter fhould be applied to the crown of the head, and when this has drawn, others, if ne- ceffary, may be applied to the ankles. When the patient has fuffered fome time for want of fleep, the feet fhould be bathed half an hour or twice as long, in water moderately warm, and if this is inef- fectual, let him have ten or fifteen drops of laudanum, or a tea-fpoonful of paregoric at night, with this care, that if it makes him worfc, to difcontioue it ; but if it has the defired effect, to perfift giving it every »ight, if required. A nourifhing diet and the ufe of wine fliould be gradually entered into, after the fymptoms of danger are perfectly gone, in order to prevent the fucceed- ing fymptoms of debility. Great care will be neceffary to avoid the caufes of this diforder, as flighter ones may caufe a rc- lapfe or repetition. CHAP. £ 25 J C H A P. X. Q^U I N C Y. J^AUSES. The application of cold to the neck or throat, a ftream of cool air applied with force to the very part ; as in riding and running ; thefe caufes pro- duce their effect more certainly when preceded by heat. Exercifing the parts that fuffer, as in finging, and loud fpeaking; acrids, mechanic bodies, fuppreffed evacuations, or artificial evacuations, that have been long ufed, neglected. Symptoms. This complaint ufually appears with red- nefs and fwelling of the glands fituated on each fide of the palate ; one is ufually moft fwelled in the beginning, and as this declines, the other increafes; a pain that flioots towards the ear attends, with feverifh fymptoms, and a ftrong, full, quick pulfe : The patient feels a difagreeable clamminefs, and the tumour is ufually tip- ped with whitifh mucus. In fome cafes the external parts are much fwelled ; fometimes fcarce any tumour is to be perceived by look- ing into the mouth, and at the fame time the difficul- ty of fwallowing and pain may be very coniidcrable : In the worfl cafes the breathing becomes very diffi- cult, the tumours clofing up the paflage almoft entire- ly ; then the patient fits with his mouth open, his drink regurgitates through his noftrils, and he is ready to ftrangle every minute for want of a free refpiration, which is totally impeded when the patient dies. What is ufually termed a fore throat, is a leffer de- gree of this fame affection, therefore the fame reme- dies may be ufed, omitting the moft general and pow- erful one of bleeding. Management. The patient fhould be kept neither hot nor cold : he fhould have a light vegetable diet of a fluid preparation ; his drink fhould be of the acid kindf and not cold or warm, but juft aired. His head fliould be kept up in bed, or he may fit up altogether; C fpeaking, [ 2<5 ] freaking, and every exertion of the throat, fhould be avoided, and the caufes fhould be removed. Cure. The patient fliould be bled pretty freely, and this may be repeated the next day if neceffary: he fliould take a dofe of falts as foon as poffible, and then a blif- ter fhould be applied under the throat, of a Aim form, fo that it may reach from ear to ear : the bowels fhould be regularly kept open : before the tumour has become very confiderable, fifteen grains of ipecacuana will be of great fervice. In fuch patients as do not allow of bleeding, this may be the firft medicine. Warm water and vinegar fhould be infpired from a proper machine for the purpofe, or from a funnel put over a wooden bowl of water and vinegar, the mouth fhould be frequently gargled with aftringent wafhes, as fage tea and vinegar; or alum-vinegar and honey, or decoction of oak bark and fait petre. Scarifications with a lancet are neceffary where there is danger of choaking ; and likewife to let out the matter, when the tumours have fuppuratcd. If the patient is liable to frequent returns of this af- fection, I would advife him to ufe the cold batli daily ; at any rate to wafh his neck, and habituate himfelf to wear nothing but a very thin flock or ribband, inftead of a large neckcloth. CHAP. XI. PUTRID SORE THROAT. THIS diforder has for its caufe, fpecific contagion, and therefore attacks all ages and conftitutions. Symptoms. It begins with chills, which are follow- ed by an intenfe and burning heat, a fwimming and pain of the head, a troublefome fenfation in the throat, ficknefs and vomiting, loofenefs, inflamed and watery eyes, tumid and flufhed face, with a ftiffnefs of the neck, a fmali, frequent and irregular pulfe, fatid breath and a difagrecable tafte. Very foonj white fpots appear on the gh.nds each fid.1 of the palate, and thefe [ 27 J* thefe with the palate appear red, fwoln and gloffy: thefe fpots fpread and unite, covering almoft ad of the mouth with thick Houghs, which falling off, leave ul- cers in their places : the rednefs and tnmour are fome- times extended to the internal parts of the nofe. On the fecond day, or later, efflorefcenees appear on the flif calomel and twelve grains of opium, to be nv.iij; into one do- P 2 ZeU C 42 ] Ken pills, one to be taken morning and evening, waffl- ing it down with a large quantity of Virginia fnake root, lignum vitae, or faffafrafs tea. Befides thefe* there are other common remedies, which are lefs cer- tain, as a decoction of prickly afh, muftard whey, balfams, &c. In what is called the fciatica, twelve drops of fpirit of turpentine, in a little honey, taken night and morning, is particularly effectual. The external remedies in rheumatifm, are fpirits o£ camphor, fpirits of hartfhorn and oil; oil and fpirit* of turpentine, electricity applied by infolation, and drawing fparks ; the fiefh brufh, cold water dafhed on- However, this laft is more effectual in cafes that are between the inflammatory and chronic, where one joint is chiefly affected. CHAP. XXIV. TOOTH A C H. f^AUSES. A general cold, cold air applied to the- checks in an unufual and hidden manner, acrids* fweets, or acids applied to the teeth, the acrid matter of a rotten tocth, extraordinary violence, as in break- ing hard fubftances, blows, &c. Befides thefe there are certain difpofing caufes, under which the ufual ex- pofure we are corftantly liable to, is a fufficient caufe; as a nerve being '.aid baie, by rotting or extraction of a t^oth, pregnancy, hyfteric difpofitions, &c. oj.-.ijtoms. Thefe are various in different circum- ftanecs. In the tooth ach that proceeds from com- mon cold, there are frequently fymptoms of a rheu- matic affection of the adjacent parts, the pain extend- ing from tie tooth to the face, and along up to the tempi , with a throbbing of the arteries, and rednefs,, lomciimes a little fvvelling of the face, and withal a ftveiiihnefs. In moft other cafes, a violent pain of the tooth, with a little inflammation of the gum, are the oidy fymptoms, except that about the terminati- on, the face (in relaxed habits) is apt to fwell. Manage* C 43 1 Management. The patient fhould carefully avoid every caufe, and confine himfelf to his room. In the cafe of rheumatic fymptoms, his food and drink fhould be of the weakeft and Iighteft kind, and a filk handkerchief fhould be applied over his face. In the Other cafes, the face fhould be wrapped in flannel, and no change made in the food or drink. The tooth fhould be flopped with lint. Curt. In the firft cafe it will be the beft way to aim at the removal of the cold, by giving a dofe of falts, and taking a fweat of weak whey, with a tea- fpoonful of fait petre. After this a fmali blifter applied to the part will be moft effectual; or, inftead of this, fweating the part with hot herbs, or a hot ftone, wrapt in moift or dry rags, may be ufeful. In general, in fuch a cafe it will be of little ufe to apply any thing to the tooth itfelf, till the above has been firft done, then a little laudanum and fpirits may be held in the mouth. In all the other cafes, topical applications are more effectual. The chief of thefe are opium, camphor, oil of cloves and other warm effential 'oils ; with thefe electricity, burning the tooth, applying a hot iron to the ear, and many other means, have been at times ef- fectual. But it is often neceffary with thefe to give fmali dofes of laudanum, and apply a blifter, and when thefe fail, extracting the tooth ; which may be done at any time, by a careful trufty operator : but if this does not relieve, the pain paffing to another tooth, the pa- tient fhould not infift upon that being drawn, but commit all to patience. The beft manner of applying topicals is to infert the medicine into the hollow,' and cover it with lint or wax. CHAP. C 44 ] CHAP. XXV. THE GOUT. THE caufes of the gout, for better comprehending them, may be placed under four beads. I ft. The prime caufes ; which are the ufe of exceflive quantities of high feafoned animal food, and the libe- ral ufe of wine and other fpirituous liquors. Thefe are fuppofed to produce their effect, by caufing an ac- tion in the extreme veffels (which are employed in nu- trition) in degree and conftancy, above what they were conftructed to bear, fo that as foon as the body ceafes to y:Vd, which is at the end of growth, the veffels fro i being over excited, are overcome, and fuffer an indirect debility, and relaxation. 2d. The predifpofing caufes ; under which a lefs de- gree of the above brings on the complaint, bjcaufe they aim at the fame point: they are, indolence, hereditary delicacy of the parts that fuffer in the gout (from a general iimilarity to the parent) and that tendency in the animal ceconomy which produces a robuft and grofs habit. Thefe caufes would, when they had proceeded to a certain extent, bring on the gout; but it is fel- dom the cafe, that it is not helped on by what may be called 3d. The exciting caufes; as venery, debauchery, cold applied to the feet, indigeftion, much application of mind, night watching, paffions, exceflive evacua- tions, changing of habits, debilitating difeafes, bruifes or ftrains of the parts that fuffer in gout ; the ufe of acids and acid fruits, &c. All thefe act by debilitating generally or topically, and this being always accompa- nied with a relaxation, expofes the injured parts to the irritation of the air in an uncommon manner. The irritation of the air brings about 4th. The proximate or immediate caufe ; which is a fuperabundant afflux of the nervous, or vital princi- ple, to the parts moft debilitated or mvft expofed (to the [ 45 J" the common irritations) ; ufually the extremity of the joints, or ball of the great toe. This afflux of vual principle has two effects, ift. As there is no fere- lation without the prefence of this principle, f » die abundance of it, the fenfation is exquifite. a.Jy. As there is no circulation without it, and the c:-dilation is in proportion to it, fo, in the abundance ni 't the circulation isincreafed to inflammation, and the under parts are forced, and filled fafter than they can propel the blood ; hence congeftion, rednefs and pin of the joint, and in fuch parts as are not plentifully furnifhed with veffch, the mufcular fibres are contracted to a fpafra. THE SYMPTOMS OF THE REGULAR GOUT. A CEASING of the fweat to which the feet have been accullomed, an unufual coldneis of the legs and feet, a frequent numbnefs, alternating with a prick- ling fenfation all along the courfe of the extremities, frequent cramps of the legs, and a fwelling of the veins. Whilfl thefe fymptoms take place in the parts mentioned, the whole body is affected with a degree of torpor and languor: the functions of the ftomach in particular are more or lefs difturbed, the appetite is dhr.diifhed, and flatulency with other fymptoms of in- digeftion felt. Thefe fymptoms take place for fome days before the fit of the gout comes on, but often on the day preceding the fit the appetite becomes great- er than ufual: The fit ufually begins about three o' clock in the morning, with pain affecting one foot, moft commonly at the ball of the great toe, but fome- times in other parts of the foot; with the coming on of the pain there is ufually more or lefs of a cold fhivering, which as the pain increafes gradually gives way to heat and fever, which lafts as long as the pain does. From the firft attack the pain becomes more violent till the next midnight", after which it gradually remits, and after continuing about twenty-four hours ufually ceafes, with a fweating and fleep. The [ 4<5 ] The next morning after the remifiion, a fwelling and rednefs is to be perceived in the part affected, wiiich •after continuing fome days, gradually abates. But though the pain ceafes at the end of twenty-four hours, it ufually returns every evening, with lefs and lefs violence and fever, and again abates in the morn- ing : this recurring continues fome days, and then goes off very entirely, till the third, fecond, or next Spring, following. This is the cafe in the firft attack of the gout; but the returns become more frequent, till at length after fome years the patient is never clear of it, except a month or fo in the fummer feafon : Af- ter the gout has continued, the pain does not remain in one joint, but fhifts about until it has attacked al- moft every joint in the body. After a fit is over, the. patient feels himfelf recruited in body and mind. As the gout proceeds, the pains become lefs fevere and more continued, and the other affections are more confiderable, fo that the ftomach is very much affected with ficknefs. After the firft fits of the gout the joints remain fupple, but in the advanced ftate they become ftiff and motionlefs, with earthy concretions. In thofe who have fuffered much with the gout, a complaint of the kidneys frequently alternates with the gouty affections. MANAGEMENT BETWEEN THE FITS. IF it be early in the complaint, or the patient not debilitated, gentle continued bodily exercife and a diet of vegetables and milk fliould be ufed; but if the patient is already much injured by it, neither of the above will be fafe. His exercife fliould then be getlation, for walk- ing would injure the parts too much, and other exer- cife would r e fatiguing: His diet fhould be of the moft nourifhing vegetables, milk and light meats, which laft may be ufed more and in proportion to the debility, and if this be confiderable, it will be neceffary to ufe good [ 47 1 good Madeira, diluted, for drink; ofherwife all fpi- rituous liquors fhould be abftained from. The caufet mentioned fhould as much as poffible be avoided, and the patient fliould keep his bowels regular with a little fulphur, caftor oil, lenitive electuary, or any mild opening medicine ; which are to be ufed at all times to prevent or remove the coftivenefs. In general, it will be found ufeful after a fit not to rife foon, but to keep warm in bed moft of the mora- ing, and to go to bed early. TREATMENT IN THE FIT. AT this time very little can be done to advantage. If the patient is vigorous, and the inflammation and pain confiderable, blood-letting may be once perform- ed, though fparingly. Scarce any thing folid fhould be taken for diet, and when the patient has fuffered much from want. of reft, fifteen drops of laudanum in one tea-fpoonful of fpirits of nitre dulcified, may be taken at night. Applying poultices of bread and milk to the parts, will fometimes give eafe to a fmali extent, and in a violent cafe may be tried ; carded wool fliould always be applied. When the inflammation has gone off, and a ftiffnefs remains, it will be of fervice to ufe the flefh-brufh to rub the parts with, and after the fit to take regularly fome of the preparations of fteel, mentioned hereafter. OF THE ATONIC GOUT, OR GOUT OF THE STOMACH. IN fuch patients as have brought the gout on them- febes, this peculiarity feldom happens till late in the diforder, when the fyftem is generally debilitated, and there is little difpofition to inflammation. In fuch a flate the ftomach is ufually much debilitated, and lia- ble to be acted upon by a flighter caufe than what would bring on an affection of a joint, From t 4° ] Trom the above circumftances of debility, general find topical, as w.'! .■.■= from the ftomach being defend- et £< in the applicant n of the common air (which pr.;duc.s the re-action, or inflammation in the regular gout) it happens that the gout of the ftomach is a ve- ry different affection from the regular gout; being a cafe of deficient and irregular action of the part, in- stead of an inflammation and exceflive action as in the regular; and hence requiring very d fferent remedies. Symptoms. Lofs of appetite, indigeftion, flatulen- cy, naufea and vomiting, acid eructations, pains and cramps in different parts, which yield" upon the dif- charge of wind ; coftivenefs, though fometimes loofe- cefs, colic pains and hypochondriac fymptoms (which confifts in a great attention to the flighteft fymptoms, and an apprehenfion of danger) an abfence of inflam- matory affections of the joints, and of fever. Management. The patient's food fliould be a mix- ture of animal and vegetable, of the moft nutrient and digcftible kind, taken rather at many times than in large quantities. Wine and water, or fpirit and wa- Va fliould be his drink : It will be of great advantage to keep clofe to the bed, except when the patient is able, and the weather good, then he fhould ride in a carriage daily. Treatment. Fifteen grains of ruft of fleel, with as much pounded orange-peel, may be taken with mint water, or a little fpirit of lavender, four or five times a-day. A tea-fpoonful of faline aromatic fpirit will alfo be of fervice to take a few times a-day. If indigeftion prevails much, fourteen grains of ipe- cacuana may be given every five or fix days, or large draughts of ftrong camomile tea, which will frequently have the fame effect. A third variety of the gout is, when the inflamma- tion has appeared firft in its ufual place (the joirts) hut from improper treatment, bad management, expo- furc, and other lefs obfervable caufes, it leaves the joints, and faes upon the ftomach or fom,e other part. Thij [ 49 1 This is called the retrocedent govt. When the ftomach receives the affection, a great anxiety, fick- nefs and vomiting attend ; if the lungs, an afthmatic affection is the product; if the heart, fainting; if the head, an apoplexy. When the ftomach or bowels are attacked, wine, with fpices boiled in it, fhould be given plentifully, or if this is not fufficient, fpirits with fpices in large dofes. In flighter cafes, lefs dofes of fpirits, in which garlic has been fleeped, may be given ; with this the pa- tient's feet may be fleeped in a ftrong hot mixture of fpirits and water, and blifters laid on the ankles; vola- tile aromatic fpirits, and affafoctida, are alfo proper to be given, but they are lefs powerful than fpirits and fpices. When the vomiting is troublefome, it may be encouraged with camomile tea, and afterwards reftrain- ed by twenty or thirty drops of laudanum with a drachm of fpirits of nitre didciiied ; vitriolic s&ther and muflc are fometimes ufeful. When any of the other parts are affected, a blifter fhould be immediately applied, and the bath of fpirits and water applied to the feet. If the patient is able io bear bleeding, it fliould be performed when the head or lungs are affected. In all cafes a gentle de- termination to the furface fhould be aimed at, by giving one tea-fpoonful of faline aromatic fpirits every two hours ; or fpirits of nitre dulcified and laudanum every two or three hours. The fourth and laft variety of the gout is the misplaced. That is, when the pa- tient, inftead of a regular affection, is immediately (without any preceding affection of the joints) affect- ed with an inflammation of the lungs, the bladder, or the lower end of the laft gut; in this laft it brings on the piles: when it affects the bladder, it brings on llrangury or a difficult difcharge of urine. Thefe af- fections are to be treated as directed in the chapters for them ; remembering the conftitution and fituation of the patient. During every fpecies, coftivenefs fhould be removed by three or four grains of aloes, or twenty-five of E rhubarb. ' C 5° 3 Rhubarb. And between every affection, the fyftertf may be ftrengthened by the following medicine; half a wine-glafs full of which may be taken twice a day, at eleven and at four o'clock; port wine, one quart, nifty iron or iron flakes, one handful, cinnamon one ounce : let them remain one week and then ufe them. Obfervatiom.- ift, It appears, that a primary gout is the confequence of a general injury done to the fyf- tem ; but that the ftomach and extremities fuffer chief- ly, becaufe the ftomach is particularly injured by the prime caufes, and the extremities are more expofed (from their diftance from the heart and other caufes) to the irritation of the air, which far exceeds common notice and opinion. 2dly, It is alfo plain, that thofe who are much pre- difpofed to the gout by hereditary conftitution of .he parts, cannot pofiibly efcape it; becaufe that qur.-ti- ty of food which is neceffary for nutrition, will pro- duce an aaion, that the veffels ufually injured in the gout cannot fupport through life. 3dly, A ft of the gout is a change in the fyftem, which aims at a removal of the injury; only being .unbounded and exceflive, not produced by any inter- nal confeientious power, but by' phyfical laws. CHAP. XXVI. THE SMALL POX. rr-1 HE fmali pox is of two kinds; the diftinct and _f_ the confluent: As they demand a very different treatment, I fhall not confound them, but treat of them feparately. THE DISTINCT SMALL POX. THE caufe of this is a fpecific contagion. Symptoms. About eight days after inoculation, and probably the fame time after taking it the natural way/ C 5' J" way, a fever appears of the continued inflammatory kind: after this ha3 continued about three days, a diftinct eruption of fmali pimples, like flea-bites, ap- pear on the face; thefe increafe and extend, fo that about the end of the fifth day, the eruption is com- pleted and extended to the extremities: from the firft eruption the fever ufually declines, and at the finifliing of the eruption it ceafes. During the fever, children are frequently affected with ftarting, and if kept warm, with fits. About the eighth day after the eruption, thefe pim- ples have increafed to fpheroidal puflules, filled with matter, with a red margin around each. Before the puflules are quite filled, a fwelling of the face takes place, which fubfides as foon as the puflules are filled : a fwelling of the wrifls and feet fucceeds the above, juft in the progreflion of the eruption ; .during this period a fore throat is common. After the puflules are fully ripe .and yellow, they then either pour out the matttr, from a fmali rupture at their top, or the matter is abforbed, leaving en imp- ty flat bag : the former is ufually the cafe with thofe on the face; the latter with thofe on the arms and thighs : in this way they decline till they are perfect- ly dried up, which takes place, from eight to fixtcen days (from the time they begin to decline) according to fize and number of .the puflules : pits are fre- quently left behind. Management The patient fhould be kept cool, both by going into the air, and thinning his cloathing: However, the cuftom of expofing to bad weather, ex- treme cold, and pulling off from children the flannels which they have been long ufed to, has occafioned the worft confequences : a medium therefore is to be ob- ferved. Thofe who are in a good ftate of health fhould live chiefly oa vegetables, what meat they do ufe, fhould by all means be frefh; but thofe who are weakly fhould not alter their food, fo as to weaken themfelves, but only choofe fuch as they always fhould, viz. digeilable rnild fqo4° This .fhould be the ma- nagement [ 5* 1 nagement until the fever commences, when they fiiould ufe nothing but light fpoon aliments, fuch as barley, gruel, panada, cuftard, jelly, Sec. Spirituous drinks fhould be altogether avoided ; at the time of the fever fnch drinks as the following may be taken more «3r lefs, in proportion to the height of the fever, viz. lemonade, cream cf tartar diffolved in water, and fweet- ened, jelly and water, apple-tea, made by pouring boiling water on undreffed, red-ftreaked apple?, fliced very thin; the drink to be fweetened; thefe drinks, abftinence, and vegetable food, with the directions for keeping the patient cool, may be obferved until the number cf pocks and favour of the difeafe be deter- mined, after which they may be gradually relinquifh- ed; the expofure firft, and then the others, and the proper habits returned to. The firft week in May is probably the beft time for inoculation, in the States of Pennfylvania, Delaware and Maryland ; farther Southward, April ; farther Northward, the latter end cf May : but avaricious aims have been the caufe of adopting an earlier feafon. It is upon the whole, in large towns, fafeft to inocu- late before teething, but only becaufe of the danger of taking it the natural way ; where that is not to be feared, then from the fifth to the twelfth year, is far preferable; if any thing be amifs, we can then Hand fome chance of rectifying it, by furtable treatment, but with infants we can only deplore their ftate, when the com- plaint takes an unfavourable turn. Treatment. To thofe who are pretty hearty, or of a full habit, between the time of inoculation and fever, two dofes of Glauber falts, or cream of tartar, fuffi- cient to procure four or five ftools and not more, may be given : but to thofe who are lean or weakly, no purgatives fhould be given, only coftivenefs fliould be removed by a little cream of tartar, or the pills No. 6. If they have not a paffage every day, this will be neceffary ; or if they have a paffage every day, and the ftools fliould be hard and difficultly paffed, the pills, or a clyfler of oil, fugar, milk and a lit vie feraped I 53 1 'foraped Caftile foap, which is probably the'beft, k to be given. If at the commencement of the fever, the patient feels much oppreflion at the ftomach, uneafinefs and giddinefs, it will be proper to adminifter an emetic of two grains of tartar emetic, diffolved in a cup of warm,, water, or of ten grains of ipecacuana; at the fame time he fhould have frefh air: when the fever has com- menced, if it runs high, it will be proper to give a dofe of falts, which may be taken at two or three por- tions : If this does not leffen the fever, take four grains of tartar emetic, and put them into a quart of apple or other tea ; three table-fpoonfv.ls of this to be given every hour, till the eruption appears, keeping him cool withal. If the. eruption appears numerous, and the pulfe be ufually ftrong, a dofe of falts will be of ufe, as it will bring many of the pimples to nothing ; after this nothing more will be neceffary, but to keep the bowels regular with fmali dofes of any mild medi- cine. When the pocks have dried away, if any fore or un- dulatory motion of the mufcles take place, a few pills of the following form may be given : calomel twelve grains, opium three grains, honey enough to form them into twelve pills, one of which may be taken eight and morning. If the arm inflames much, pour cold water on it .daily, for ten minutes together. N. B. All the above prefcriptions of medicine are for grown perfons. THE CONFLUENT SMALL POX. SYMPTOMS. In this the fever is more violent than in the former, the pulfe being quicker and more contracted ; a difpofition to coma, or a deep drowfi- nefs, is ahnoft always prefent with the incipient fever, and a delirium is a frequent fymptom ■: infants are fre- quently attacked with fits in the firft days ; vomiting is here a common fymptom : early in the third day, -A-J ~* \.i~n!C t 5+ 1 the pimples break out in clufters, and thefe are fre- quently preceded or accompanied with an efflorefcenec like St. Anthony's fire. When the eruption is completed, it is found to be much more numerous in the face than on the body : the pocks are lefs eminent: at the end of the eruption the fever does not go off, but only remits, tofnereafe with more violence, when the pocks have acquired their fummit ; this is called the fecondary fever : The- pimples foon turn to veficks filled with whitifh or brown water, inftead of yellow matter, as in the diftinct: the pocks are very irregular, and run into one another in many places, fo as to form one large flat pock, cover- ing almcft the whole face ; wherever there is any fpace between them, it is not florid, but pale and flirivelled. The fvvelling of the face, that fometimes attends the diftinct, is here always prcfent at an earlier period, and dies to a greater height; the difcharge of falivar is generally great about the fame time;. both fubfide about the tenth or eleventh day, counting from the attack of the incipient fever. With infants a lax is common inftead of a falivaticn. The pocks over the body, though diftinct, are ge- nerally flat, and upon the whole, there is a great ten- dency to putrefaction. The management of this fliould be much the fame as that dirc6tcd for the diftinct, except that towards the latter end, when the patient grows weak, and fymp- toms of putridity prevail, then the patient fliould have icr drink, fixty drops of elixir of vitriol, to oile pint of fpirits and water, or wine aud water, and a moderate de- gree of warmth fhould be kept up. Great attention fhould be given to keep the room clean, fweet and ventilated, as directed for the putrid fever. Treatment. When the fymptoms appear as laid down, with confiderable fever; give one fixth of a grain of tartar emetic in apple-tea, or common drirk of any kind, every hour. From the fifth day * on- ward, *The day is, always reckoned from the attack of the iiiciri- «nt fever. [ 55 1 ward, till the eruption be complected, give twenty drops of laudanum, every morning and night, taking care to remove the coftivenefs it occafions, by giving cream of tartar, or caftor oil daily, if neceffary. When the fecondary fever comes on, the fame treatment with tartar emetic and laudanum fhould be ufed, until the fymptoms of putrefaction and weak pulfe take place* then all fliould be dropped, for bark and port wine, which may be given every hour, fo that the patient may take a pint of wine and one ounce of bark, from. morning till bed time. From the eighth day to the eleventh, when the fe- ver is violent, blifters fhould be laid on fucceffively, without any refpect to the pocks ; the wrifts, thighs, back of the neck, and breaft, are proper places ; when the fwelling in the throat threatens fuffocation, a blifter fhould be applied over the throat, and the throat gar- gled with a mixture of one drachm of elixir of vitriol, to half a pint of fage tea and a little honey ; or in- ftead of this, with vinegar and water. If the fits, that ufually attack children, happen but once or twice, nothing need be done but' to keep them cool; but if th.y are frequent, they are likely to deftroy the patient ; then as large a dofe of laudanum as the child can take, fhould be given. The bark, with the vitriol and water fliould be con- tinued for a confiderable time after the difeafe, to ftrengthen the fyftem, though it fhould be ufed in a lefs quantity* CHAP. XXVII. THE CHICKED POX. THIS diforder appears to arife from a fpecific con- tagion in the air: like the fmali pox, it never returns. Symptoms. The patient is generally, for one or two nights, or nights and days, affected with fever, which mofl always is flight: at no certain period, though perhaps aid a vs. bef-re the third day, the necks appear en t 56 ] on the face, arid over the body; they are never very numerous, though fometimes pretty large. In the courfe of four days they are at their f immit, when they are about the fize of a large brifter fhot, and much of the fame form, filled with yellowifli or white water^ They fometimes come out fucceffively inftead of a great many at once. Management. The patient fliould be kept cool, efpe- cially when in bed ; light vegetable food, and cooling acid drinks, fiiould be ufed. Treatment. If the fever be worthy attention, the bowels fhould be opened with a dofe of cream of tar- tar or of falts, every day till it ceafes, and the acid .drinks given plentifully. CHAP. XXVIII. THE MEASLES. THIS diforder arifes from fpecific contagion, and never has been known to attack the fame perfon twice. ~It ufually makes its appearance about January, and jagain ceafes at midfumsier. Neverthelefs, it is not al- together adherent to any particular times, for it con- tinues throughout the year, though lefs extenfively. Symptoms. It comes on like a common fever, with a cold ftage fucceeded by a hot one ; a naufea, anxiety and vomiting, are pretty generally attendants. Some* times at the beginning, the fever is fharp and violent, but before the eruption it is moft generally fo, which happens about the fourth day ; with thefe a hoarfe- nefs, cough, difficult breathing, fwelling of the eye- lids, acrid difcharge from the eyes and nofe, with fneezing take place: generally a drowfinefs attends the beginning. The eruption appears firft on the face in fmalLpoints like flea-bites, which foon may be ob-v iferved by fight or feeling, in clufters, fpreading them- iielv.es over the whole body; the face appears a little C 57 ] turgid during the firft two days of the eruption, aftef this, the eruption changes its colour from a fcarlet to a brown, and foon goes off very entirely, leaving a fcurf. The fever fometimes goes off, when this de- fquamation takes place, but more commonly continues with the cough for fome time after the diforder has gone through its ftagcs, and not unfrequently the cough and difficulty of breathing increafe towards the end, fo as to mark an inflammation of the lungs. Af- ter the defquamation, a lax or fweating ufually take3 place, and continues for fome time. Management. The patient fliould avoid heat, but on the other hand, fhould not expofe himfelf fo much to the cool air, as in the fmali pox. He fhould live on a low vegetable diet, and cool acid demulcent drinks, fuch as flaxfeed tea, with lemon juice : barley water boiled with prunes, is alio very good, efpecially for the cough. Treatment. If the feyer that precedes the eruption is confiderable, it will, in adult patients, be proper to bleed, but in children, a purge or two of falts will be generally fufficient. From the beginning, the drinks. mentioned above and fyrups may be given to allay the cough ; but thefe are feldom fufficient; it will therefore be neceffary, from the time of the eruption,. to give one ter-fpoonful of paregoric, twice a-diy, and two at night in common d ii>L. This treatmeit and keeping the bowels open regularly, with gentle me- dicine, as falts at>d manna, in fmali dofes, cream of tartar, caftor oil, Sec. fhould be continued in. When the defquamation or peeling of the flcin takes place, if the difficulty of breathing mentioned in the defcrip- tion, comes on, with a ftrong pulfe ; then the patient fhould be bled freely, and a blifter laid afterwards on the fide, as in a pleurify, and with thefe, one of the powders No. 1. may be given every two hours, or if it be a child, a fufficient quantity of antimonial wine, to be taken at intervals of two hours: during fuch a Hate the paregoric fliould be omitted. If the patient is unable to bear bleeding, the cafe then cannot be ve- ry L 58 3 fy violent; then purging and bliftering with the pow- ders may be ufed; gentle riding and bark are proper to reftore the patient when much reduced. CHAP. XXIX. THE SCARLET FEVER. THIS complaint cannot poflibly be feparatedfrom the putrid fore throat, as the affection of the throat, eruption of the fkin, and low or putrid fever, which are the chief fymptoms, are attendants on both; added to this, the fame contagion will affect one per- fon with what is judged to be the putrid fore throat, and another with the fcailatina. It is therefore pro- bable that the fcarlatina is only an affection of lefs magnitude, fometimes owing to the lenity of the ge- neral contagion, and then caufing fcarlatina univerfai- iy, and at other times owing to the diverfity of con- ftitutions attacked. Hence, for the cure, &c. I refer to what I have faid of the putrid fore throat, Chap. xl. But it frequently happens that the fcarlati- na is fo flight as to fhew no putrid fymptoms but ra- ther inflammatory ; then all that will be required will be a blifter to the throat and keeping the bowels open with cream of tartar. CHAP. XXX. St. ANTHONY'S FIRE. pAUSES. A hereditary difpofition thereto, or a peculiar delicacy of the membrane that fuffers the inflammation ; paflions of the mind, a hidden cooling of the body after being heated by the fun, fpirituous liquors taken freely, hot drinks or hot baths, checked evacuations, moift air, and perfpiration any how ftopt, generally excite the difeafe in thofe predifpofed. Symptoms^ C 59 J Symptoms. It commonly comes on with fhiveffrig> and fucceeding heat with fever ; the pulfe is general- ly quick, fometimes hard and full; a confufion of the head and fome degree of delirium frequently attend, but a drowfinefs almoft always, which fometimes in- creafes to a comatofe ftate. After thefe fymptoms- have continued from one to three days, a rednefs moft commonly on the face appears, which increafes with a fwelling, that turns white, upon preffing it with the finger. This goes on to increafe, though it com- monly abates in one part a little, to increafe in ano- ther ; in this manner it fometimes extends all over the head, and fwells the eye-lids, fo as to produce tempo- rary blindnefs. It is not an uncommon cafe for blifters to arife on the fwelling, filled with yellow or whitifh ferum, which break after awhile, and leave the part underneath blackifh, and very ready to turn gangrenous; the flcin between thefe blifters peels off; matter is fometimes difcharged ;rom the eyelids : the inflammation and fe- ver ufually continue about ten days, and then go off; when the fever goes on violently, and the inflammati- on extends, it is apt to produce an apoplexy. Thefe are the fymptoms of a perfect difeafe, but flighter affections are not unfrequent, even with little or no fever. Management. The patient fhould be kept cool, in proportion to the greatnefs of the fever: acid drinks and vegetable diet fhould be ufed throughout. Treatment. When the cafe agrees with what is laid down above, half a pint or more of blood fliould be taken away, which may be repeated, if the habit al- low, and the pulfe and inflammation require it: after bleeding, cooling purgatives fliould be adminiftered j one ounce of Glauber falts may be divided into four parts, one of which fhould be given every two hours, mixing it with lemon juice, which covers the bad tafte. This practice of adminiftering falts may be followed for fome days; they not only open the bowels, but • terape- [ 6o ] 'ternperate the heat and fever : in flighter cafes bleed- ing fliould be laid afide, and the medicines given as directed. Whenever there are any fymptoms of putrefaction, as a low, weak pulfe, dark colouring of the tongue and mouth, acrid and black fpots underneath where the blifters flood ; then all evacuations (except keep- ing the bowels regular, with a little rhubarb) fhould be laid afide, and twelve grains of columbo root given every hour; when this can be kept on the ftomach well, and does not have fufficient effect, as much bark fliould be given, and the dofe increafed as neceffity requires, or as it will fit on the patient: wine and water, and vitriol and water, made by putting two tea-fpoonfuls •of elixir of vitriol to a pint of water, may be drank alternately and freely. The patient is moft always wanting fome topical application, for this phyficians have thought that meal fprinkled on the part, is the only proper application ; this, when the inflammation is confiderable, fits agree- ably, and has fome effect in foftening the flcin, and if fprinkled on very flightly when the blifters difcharge, it dries up the humour: however patients are not con- tent with it, therefore apply either of the following •with a rag moiftened in it: half a pint of ftrong tea of camomile flowers, or wormwood tops, fifteen grains of white vitriol, and a tea-fpoonful of lau- danum or a ftrong folution of allum. Sometimes from neglect, the part fuppurates ; then it fhould be poulticed with bread and milk till it is ripe, when it fhould be opened and dreffed with lint fpread with wax and oil melted together; this need only be applied over the fore. Bark and vitriol, with frefh air, gentle exercife in a carriage in fair weather, will be proper to brace up the habit in the end. CHAP. [ 61 1 CHAP. XXXI. THE ESSERA, OR NETTLE RASH. THIS generally attacks thofe of a delicate confti- tution, efpecially fuch as have a fine flcin, the ex- ceflive irritability of which appears to be a caufe of the difeafe. From, the above it would appear, that women and children are the chief fubjects of it; which is agree- able to obfervation. :^ Symptoms. It ufually comes on in the night, pro- ducing great reftleffnefs and itching. In the morning confiderable red eminences are to be obferved on fome parts of the body, ufually about the upper arms, neck, and breaft; their forms are irregular, fome being like the ftroke of a whip, others like the fling of a mofque- to. It is not unfrequent for them to difappear in the courfe of the day, and return again at night: the time of continuance is various, as they fometimes continue for a week, and fometimes for a year or more. They have never been known to have any dangerous effect ; the itching being all that is difagreeable, which at times is fo troublefome as to prevent fleep. Management. The patient fliould ufe exercife, bathing, and every proper means to remove fuch a de- licacy of conftitution. Cure. This has been too little attended to, or per- haps we fliould ere this, have' difcovered fome fimple medicine that would remove it. I have feen mercury recommended, and in a few cafes which I have treated^ it was always attended with fuccefs. ^^ Twelve grains of calomel, and as many of fulphur of antimony, may be made into a dozen pills, one of which may be taken for fix nights following, after which they may be ufed only twice a-week ; if the pa- tient's gums become fore, they fliould be omitted: F iEthiops [ <*i 1 -Sithiops mineral is alfo a proper medicine, twenty grains may be ufed every other night for twenty days* Perhaps if common fulphur was tried every night, it would have an equally good effect. To guard againft the returns of it, bark may be ufed; and fome weeks after ufing the medicines prefcribed, the cold bath. CHAP. XXXII. BLEEDING AT THE NOSE. THOUGH this complaint attends at any age and may trouble any conftitution, yet it does not make the diforder I mean to treat of, except when it attacks young people, and efpecially thofe who are full of blood. The animal oeconomy finds it proper not to increafe the different parts equally from the time of conception, but increafes certain parts fucceffively, this increafe is brought about by a determination of blood to thefe parts: hence the different periods of life, that we fee fluxes of blood making their appearance may be eafily accounted for: and hence this complaint in the youth- ful, and the following complaint immediately after that period. It requires attention, or it will foon be accompani- ed with very difagreeable circumftances. Symptoms.. A head-ach, rednefs of the eyes, florid countenance, and throbbing of the temporal arteries, ufually precede for a while before the effufion, but im- mediately before it a fulnefs of the face, and itching at the nofe take place: befide thefe, frequently more ge- neral fymptoms are obfajvable; as coftivenefs, pale urine, coldnefs of the feet^uid fhivering : this is a de- scription which fuits the moft perfect ftate of the complaint. The quantity of blood difcharged is various. Management. At the time the bleeding comes on the patient fhould be placed iy a ftrearn of cool air, and C 63 ] and be fupported erect; he fliould avoid talking, or blowing his nofe. In the intervals he fliould avoid heat, ftooping hhi head, or walking fall, more efpecially after eating : his exercife fliould be gentle and conftant, and this mav be partly in riding and walking, and partly in the oc- cupation of his bufinefs, if that be mechanical. The cold bath may be ufed daily, in which he may remain fome time ; this has, befide a bracing property, a tendency to make the patient lean : a little care fhould be ufed iri the beginning ; no cap fhould be worn on the head to keep the water from that part. He fhould live upon a vegetable diet chiefly, and ufe cold water for his conftant drink. Cure. In beginning to treat the patient, if he has not already loft much blood, a few ounces may be tak- en from him, a little before the time of the bleeding's coming on, and ever afterward a dofe of falts may be ufed at the fame time ; and it may be obferved in gene- ral, that it will be neceffary to keep the bowels very regular. If after the falts have been taken, the difpo- fition is not removed, one of the fever powders, No. 1. ' may be ufed every two hours, for two days, and large quantities of lemonduice taken between each dofe. When the bleeding comes on, it may be fuffered to continue till fix ounces have been difcharged,. provided the patient be full of blood, but' if otherwife, it fhould be flopped immediately, by pouring cold water on his head, hands and tefticles, and by drinking cold water; at the fame time, ufing doffils of lint, dipt in a tlrong folution of allum and water, or in any common aftringent, and applied up the nofe ; apiece of fponge i?> fometimes of fervice ; a weak folution of blueftone has fometimes flopped the bleeding, after other things have failed. r But in maj^Plafes neither of the above will anfwer, then the patient's'life is in danger, and the following fimple^method may be ufed by any corn-* mon perfon, who has the leaft degree of prefence of mind ; take a needleful of filk, wax it and tie to one end of it a doffil of well fcraped lint, about as large as a thumb, [ *4 1 ■a thumb, get a piece of cat-gut firing feveral inchei long, greafe it a little, pufh this cat-gut through the bleeding noftril into the mouth, till you obferve it come out near the throat, lay hold of it wdth a pair of narrow pincers or forceps, or in their ftead, with a dull pair of fciffars, and draw it till you have both ends in your hands ; tie a knot in the end that you have drawn through, and to this knot fallen your filk and draw back the cat-gut till you have drawn the doffil of lint againft the orifice of the paffage that leads into the throat, then you need only ftop up the noftril wdth another doffil of lint, which will fhut up the paffage altogether, and hinder any more blood from coming out. The lint fhould be kept in for three or four days. The cat-gut is only for the purpofe of getting the filk through, which is too limber of itfelf: In pufh- ing the cat-gut through, you are not to pufh it up- wards, as the noftrils apparently lead, but directly backward, aiming at the upper part of the throat where it comes out ; the noftrils turn at about half an inch after you have pufhed it upwards. By the dated returns of this complaint, and the habit of the patient as well as by the quantity, you may eafily diftinguifh it from what is termed, a paffive flowing of blood from the nofe. In this complaint, the ufual topical applications for the other kind are fufficient ; but with this the cold bath may be ufed, which is an effectual remedy, from my own experience ; with this or without it, tincture of iron, No. 7. may be ufed, C H A^ XXXIII. SPITTING OF BLOOD. /CAUSES. Befides the predifpofition mentioned in the preceding chapter, we may confider, as exciting caufes, fuppreffed evacuations, fudden changes of the air [ 65 1 air from heavy to lighter, violent efforts, compreffion In different pares, &c. j£ Symptoms. After fome general diforder, a%flaj5j$en- ey, chills, &c. a fulnefs is often felt about, t^cheftv «From the blood .being poured out, an Brntatiqn is -made, to relieve which, the patient hawks or coughs, by which means he difcharges a little frothy, reddifh, and fomewhat faltifh fpittle ; this fenfation often re- turns again, and the fpittle is thrown out of a deeper red. In tin's manner the patient ufually difcharges the blood for fome hours or days, when it ceafes for that period. But it fometimes happens, that the rup- ture is more confiderable, and the pure blood is dif- chargt.it in iuch quantities, as to excite vomiting ; 11 fuch a cafe the patient's life is in immediate danger. A c>ugh ufually follows the bleeding, which returns fomttimcr- every week, and fo on at every period be- tween that and a year. Management. This ihould be exactly as defcribed for the preceding diforder, only that the cold bath ihould net be ufed, as we have not fufficient experi- ence to recommend it, and the cold fhould be here very moderate, as when it is fevere, it determines the blood to the lungs, which is to be avoided. Treatment. If the patient be able to bear it, blood fliould be taken away, though not in profufion. As foon as the bleeding takes place, this fhould be follow- ed by a dofe of Glauber falts. And ever afterwards when wc apprehend from the fymptoms before de- fcribed, that the bleeding is about to return, we fhould anticipate it. by the repetition of the falts, which I have feen attended with the beft fuccefs. When the bleeding is copious, befides the manage- ment of expofing the patient to cool air, let him take a tea-fpoonful of common.fait, and repeat it when ne- ceffary. This has been often effectual, and may be carried in the perfon's pocket, when repeated fmali bleedings plague him, or ten grains of allum every hour. In the intervals nitre fhould be given to reduce and cool 'the fyftem, ten grains in flaxfeed tea, may F 2 be [ 66 1 be given three or four times a day ; after the commo- tion has ceafed, the country air fliould be ufed. It is Sometimes neceffary to take a tea-fpoonful of pareJ goric elixir at night, in the morning, and at noon, to quell the cough. CHAP. XXXIV. CONSUMPTION. /CAUSES. A hereditary, natural or acquired debi- lity of the lungs, maybe looked upon as caufes of this fatal diforder : under fuch circumftanccs, aimed any irritation upon thofe parts will eftablifh the con- fumption ; and it is fomewhat doubtful if any caufe will do the fame, without the predifpofition. Symptoms. Cough, pain about the breaft, fpitting of naufeous matter at all times of the day, which is fometimes flreaked with blood ; a fever which comes on at noon, frequently with fhivering, and moft al- ways with coldnefs, which remits towards the after- noon, to exacerbate or renew its violence at night, continuing with the other affections, and after awhile being followed in its fecond fit towards morning with a copious fweat. The pulfe in this fever, which is a hectic, is quick and moft generally weak, though in its firft attack fome degree of hardnefs is to be felt. The fever is always kindled by taking much food at a time. To- wards the end of the confumption, a lax takes place which generally carries off the patient. Management. The patient fhould live upon a light digeftible diet; milk, vegetables, fpoon-meats, pud- dings, pies, &c. are proper; thefe fhould be taken in fmali quantities at a time, and ufed the oftener, on that account. The teas and drinks prefcribed for fe- vers, are the proper drinks to be ufed. Exercife in a carriage or failing, are almoft indif- penfably neceffary ; the country air is.fo far preferable to [ <*7 3 to the town, that the former will fometimes alone per- fect a cure, and the latter refift every means. Cold ihould be guarded againft ; and for this as well as other reafons, a flannel fhirt fhould be worn. Cure. If the patient is not low and thin, he fliould be bled every week for three or four times, taking away about a quarter of a pint of blood each time, till all figns of increafed action or hardnefs are gone from the pulfe ; if they give way at f he firft bleeding no more is to be ufed. After this, or when this is not allowable, eight grains of ipecacuana fhould be given every four days, for as many times as they ap- pear to be beneficial: when this has been done, the patient fhould take twenty drops of elixir of vitriol, early in the morning, at ten o'clock, and again af- ter the noon fever has abated and before the even- ing one has come on. To allay the cough take two ounces of paregoric, two grains of tartar emetic, or when tartar does not agree, two ounces of the fpirits of nitre dulcified : two fmali tea-fpoonfuls may be ufed at idght, and half that quantity taken at any time in the day when it is troublefome. When the pain in the breaft is confiderable, blifters may be ufed ; a fe- ton fhould be put in the fide in the beginning. The bowels fhould be kept regular, with fmali dofes of caftor oil, fulphur, magnefia, or cream of tartar. The above prefcriptions, although the beft and fim- pleft that can be recommended, frequently fail, and v/hen the difeafe threatens to refift them, a fea voyage fhould be recommended as the only refuge. It is not unfrequent that the confumption is com- bined with other affections, then we muft have regard to thefe affections, or no cure can be expected. But fuch cafes are fo complex, that they require the judg- ment of an able phyfician. CHAP. C 63 ] •CHAP, XXXV. THE PILES. A LAXITY of the gut affeded, natural or ac- quired, difpofes to this complaint, fo much that flight caufes bring it about. The following are found to be the ufual caufes, viz. much walking or riding, coftivenefs, long continuance in an ere& pofture, ftrong purges, fuppreffed, natu- ral or artificial evacuations; falling dowrt of the gut, drinkino- large quantities of watery liquors, grief, ob- llructions of the liver, pregnancy, high living, Sec. Symptems. The fymptoms of this difeafe being not alwavs" alike, have made fome variety and diftinction of it.' Thus there it, the blind piles, when the tumour is not viiible ; the common piles, when tumours ap- pear without bleeding ; and the bleeding piles, when they difcharge blood. However, there are general iyir.ptoms which are common to all ; as, a pain and fiwimming in the head, ftupor, tick ftomach with pains in the bowels and back, * which frequently precede, and in fome cafes a fever alic : a feufe of fulnefs and itching are the local fymptoms: thefe are foon reliev- ed in the bleeding piles, when that t.ikes place, and frequently the eilablifhment of the tumour is attended with an adeviation of the fymptoms. Sometimes blood only comes away with the ftools; but at other times a comid:r?.Lle, conduit difcharge alarms the patient. This affection is apt to return at ftatcd intervals, and to increafe. Management. AH the caufes as far as poffible are to be aveided, and temperance is flrictly to be obferved by the plethoric ; light vegetable food, and cool acid dd.iks are proper during the affection. Much atten- tion fhould be given to regularity, and efpecially in keeping the bowels in a proper ftate. In L'an patients' a flannel fliirt is often neceffary. Cure. [ ^9 "3 Cure. It is frequently the cafe, that this difcharge is falutary, and therefore a doubt arifes in the minda of fome people, about adminiftering medicines to check it. Hence, whenever the difcharge is fmali* and attended with benefit, nothing need be done to check it; but whenever it is profufe, it then threat- ens a greater injury than it is likely to relieve ; then, as well as when it returns often, it fhould be check- ed by applying cloths dipped in cold water or vine- gar to the neck, hands, thighs, and the part itfelf: if this does not relieve it, dip a fponge in allum and water, or in a decoction of galls, and apply it to the part, and if neceffary, give twelve grains of ipeca- cuana in a little water immediately. When nothing but tumours are prefent, and they are painful ©r large, wafh them with the following wafh: to half a pint of lead-water add two tea-fpoonfuls of lau- danum. This may be ufed three or four times a-day. Open the bowels in all cafes with fulphur, or fulphur and cream of tartar, mixed in equal quantities with honeys two tea-fpoonfuls may be taken every two hours; i^ flight cafes this is frequently fufficient alone. CHAP. XXXVI. IMMODERATE FLOWING OF THE MENSES. /fAUSES. High living, excefs in drink and vene- ry, fliocks from falls, dancing, paffions, neglect- ing abftinence in time of menftruating, inflammatory fevers, other evacuations checked, coftivenefs, cold applied to the feet, frequent mifcarriages, difficult la- bours, neglecting to nurfe, living too warm, drinking much tea or coffee, purging, &c. Symptoms. An immoderate flowing is ufually preced- ed by head-ach, giddinefs, and difficult breathing, a ihuddering immediately precedes the difcharge, with this L 70 ] this alfo a pain in the back, and feverifhnefs Frequently ■attend. After a large difcharge, a general debility eifues; the pulfe becomes weak, the ftomach fick, refpiration difficult -upon the leaft motion ; the feet cold and fwoln, efpecially towards evening, when a f ver takes place of the hectic kind. Palpitations, faindng, fear- fulnefs, are not uncommon fymptoms : the whites fre- quently follow. The above fymptoms take place more or lefs, foon. er Or later, according-to the profufenefs and repetition of the difcharge. Management. The caufes of this complaint difcover to us, that it may take place in two ftates of the fyftem, one when it is over-loaded or plethoric, the other when it is debilitated; each of which require feparate ma- nagement. In the former cafe, cold, abftinence, and cool drinks fhould be ufed with vegetable diet in the intervals : in the latter, good nourifhing food, port wine, and ex- ercife are to be ufed. In all cafes the caufes are to be removed or obviated : motion in time of flowing is to eftrict y avoided. Cure. In the intervals the management prefcribed will be fufficient. In the period, the patient fhould be kept cool; ten grains of alum may be given every half hour ; fponges dipped in cold vinegar, may be applied to the frnalt of the back, and to the parts, and if this does not anfwer, ten grains of ipecacuana may be given in a little water ; after this give ten drops of elixir of vitriol eveiy hour : to correct the laxity that fucceeds, ten grains of ruft of iron may be taken four times a-day, and in cafes of much debility, the Peruvian bark alfo. When the menfes return more frequently, or flow more plentifully than natural, the patient fhould be on her guard, look for the caufes, and obviate them. CHAP. I V 3 CHAP. XXXVIt. THE WHITES. QYMPTO MS. A difcharge of whitifh mucus flows iuftead of the menfes, or after them, and contiiiues longer and longer, till it becomes pretty conftant. Treatment. As when this cafe takes place, debility is generally prefent, a nourifhing diet may be ufed, with port wine and water, more or lefs,- in proportion to the debility, and gentle, regular exercife. Cure. The fteel, as recommended above, is one of the beft remedies ; with this topical applications fliould be made, with a fyringe. Decoctions of Peruvian bark, oak-bark, or galls, are proper. CHAP. XXXVIII. OBSTRUCTED MENSES. CLAUSES. Cold is one of the moft common caufes, either when applied to the body during menflrua- tion, or when it has at a preceding time brought on the complaint called a cold; diftafes of much pain or action in other parts, debility, exceflive evacuations, low paffions of the mind, are alfo caufes. As the diforder is fo well marked, I need not men- tion the fymptoms that enfue in thofe who have once had the menfes, but fhall confine myfelf to the fymp- toms that take place in girls who have never had them, although they have paffed over the proper time. This is called properly a retention of the menfes. The patient after the age of thirteen, but how long after is uncertain, is affected with a lofs of appetite, fluggifhnefs, laffitude and debility ; the countenance becomes pale or fwarthy, and the body univerfally flaccid, the legs fwell, efpecially at night, and the bel- ly fometimes fwells alfo, whilft pains affect the head, back* [ 72 ] back, and other parts : refpiration is generally labo- rious. Management. It is clear, that neither the manage- ment nor the cure can be conducted on a fingle plan: In the plethoric, and thofe who have cold as a caufe, low diet fhould be prefcribed, with thin drinks, cool air, and reft : but in thofe emaciated, nourifhing food, wine and exercife fhould be ftrenuoufly enforced. Cure. In thofe of the former cafe, that is, thofe who are full of blood, or have much remaining ftrength, perhaps nothing will relieve fooner than blood-letting; with this falts may be ufed, and if the menfes do not return at the ufual period, at that very juncture let the patient take four grains of calomel, and as many of aloes, in a little honey, and repeat the dofe next night if neceffary. Thofe who are emaciated, or have a retention, fhould take ten grains of fteel every fix hours, and a couple of dofes of bark daily, till the period arrives; and then, if neceffary, take the bo- lufes as directed. A decoction of madder has been often ufed with fuccefs. CHAP. XXXIX. VOMITING OF BLOOD. pAUSES. Obftructed menfes, and other evacuations fuppreffed ; enlargement of the fpleen or liver, ero- fions of the ftomach by poifons, fmali gb.fs, &c. and violent ftraining to vomit. Symptoms. Some pain about the ftomach, anxiety and vomiting of black grumous blood, without cough- ing. Management. The patient who is fubject to this fhould live regularly and abftemioufly, and endea- vour by every means to counteract fuch caufes as ad- mit of affiftance, and ufe proper medicines for the fame purpofe. In time of a difcharge, the patient fhould retire from all clofe places, into cool and frefh Cure, C 73 1 Cure. Whatever may be the caufe, we are to ufe the fame means to flop an exceffive difcharge. Befides the treatment mentioned before, we may ufe gentle aftringent medicines, as ten grains of alum diffolved in water every half hour, till the vomiting lias ceafed fome time ; after which a decoction of oak bark may be ufed for fome days, in the fame quantity, and made in the fame manner as the decoction No. 3. When an enlargement of the fplcen or liver is the caufe, little hope remains of a cure ; but the patient fliould not negleft to try the Virginia fulphur fprings," which are very powerful deobftruents. When fup- preffed evacuations are the caufe, the means directed for them fhould be adminiftered; when acrids have bee 1 taken into the ftomach, they fhould be changed if pof- fible, by their proper antidotes, or enveloped in fome mild mucilage, as mucilage of gum arabic, or in oil, ar fyrups. When vomiting is the caufe, a few drops cf laudanum in mint water, will put a flop to it. CHAP. XL. DISCHARGE OF BLOOD FROM THE URINARY PASSAGE. QAUSES. The paffage of a ftone, hard riding, blows on the fmali of the back, fuppreffion of the piles, acrid medicines, as cantharides taken internally, or abforbed from a blifter, or fome putrid difeafes, as the confluent fmali pox. Symptoms. A quantity of red or coffee coloured blackifh urine is difcharged, fometimes with pieces of clodded blood, like a worm, fometimes the blood is diffufed through the urine, and remains fo ; at other times, it is depofited in the bottom of the pot; fome- times much pain attends, as when a ftone is paffing along the ureters, at other times there is none. Management. The patient is to be advifed to lay in a reclined pofture, and to avoid all ftimulating meats and drinks; the caufes are to be removed, before a G cure [ 74 J* cure can be expected. Barley, rice, panada, graef, puddings, and things of this fort, are to be his nourifh- ment. Cure. A plenty of mucilaginous drinks are to be ufed, as barley water, flaxfeed tea, mucilage of gum ^..arabic, mallow tea, &c. and if the difcharge continues, aflum whey may be ufed. In the cafe of putrid dif- eafes, vitriol and bark are to be adminiftered freely. CHAP. XLI. COLD. /^AUSE. Cold applied partially or generally to the body, efpetially after an increafe of heat. Symptoms, it frequently makes its appearance with a difficulty of breathing through the noftrils, a fenfe of fulnefs and ftoppage there ; this is followed with a pain in the forehead, fliffnefs and rednefs of the eyes and difcharge from the nofe. When the affection is any worfe, the patient is fubject to chills and feverifhnefs, which is confiderable towards evening, a hoarfenefs, fore throat, cough, flying or fixed pains of different parts, and not unfrequently fome difficulty of refpiring. The cough in the beginning is ufually dry, but as the other Symytoms give way, it becomes moift, more eafy, and attended with a difcharge of whitifh or yel- low mucus, which is moft frequent ; this goes off at different periods, according to the patient's age, ftate, &c. Management. The patient fliould confine himfelf to the houfe, in a temperate room, and live upon vegeta- bles and cool acid mucilaginous drinks, as barley wa- ter or flaxfeed tea fweetened and acidulated with lemon juice or vinegar. Cure. If the feverifhnefs and difficulty of breath- ing are confiderable, bleeding fliould nut be omitted ; with or without this, a dofe of falts fliould be taken, after which fweating fhould be practif d : one of the powders No. i. nny be given every hrur, wafhing it dewn with warm whey or tea ; or i.iftcad of thefe, ten Uiop.. ith a vomiting and fweat, at other times he lays days, and frequently never recovers. Management. The patient fhould be laid on a bed with his head raifed as high as it conveniently can ; his neck-cloth fhould be ftripped off, and he fhould be placed in a cool room. If the fit continues long, a little water may be poured down his throat, if poffible, twice or three times a-day ; when he is 011 the reco- very, his diet fhould be as light as poffible. . There are fome cafes which may be termed apo- plexy, which demand treatment only from the furgeon, as when it depends upon a fracture of the fkull. Cure. The patient fhould be bled as freely as his conftitution will allow : this may be done at different times, ] 79 1 times, rather than at once. After bleeding, a clyfter of Caftile foap, diffolved in water, fhould be given, one drachm of foap to a pint of water, or inftead of that, two table-fpoonfuls of antimonial wine in as much water. Thefe may be ufed every fix hours, for feveral times. If thefe do not bring him to himftlf, a large blifter fhould be applied to the back of his neck, and fina- pifms made of muftard, vinegar, and crumbs of bread, applied to the foles of his feet. As foon as the pati- ent is able to fwallow a pill, fix grains of aloes, and as much foap made into a bolus or pills, fhould be giv- en him every day, fo as to keep his bowels in regu- lar motion. Gentle exercife fhould foon be ufed, and increafed till the patient is perfectly well: proper exercife and abftinence are the only fecurities againft a return. When the diforder ends in a palfy, which it fometimes does, the cure directed for pally is to be followed. Lethargy and Coma, which are fpecies of this difor- der, are to be treated in the fame way, having refpect to the degree of the diforder and the patient's habit, and directing the evacuations in proportion to them. CHAP. XLV. PALSY. f^AUSES. Comprtffion of a nerve in its origin or courfe, certain narcotics taken internally, exhala- tions from lead and arfcnic in their preparations, ex- ceffwe venery, old age, &c. Symptoms. A lofs of fenfation or ability cf motion in the part affected, which is fometimes one half of the patient, as the right fide, or from the hips down- wards ; at other times, only a fmali part is affected, as the hand, the arm, the leg. Management. This is to be according to the pati- ent's habit: If he is full, a low diet is to be ufed ; if [ 80 ] if he is low, a flimulating diet and fpirituous drinks' fhould be ufed. The caufes are, if poffible, to be removed. Cure. In full habits it is often neceffary to purge with jalap, or aloes, and fometimes even to let blood : when thefe have been ufed, and likewife when they have not been neceffary, flimulating medicines are to be ufed. A table-fpoonful of muftard-feed may be the firft, which will give the patient a gentle vomiting; after this, any of the following may be tried, as they may beft fuit: from one to two tea-fpoonfuls of vola- tile tincture of guaiacum in water, three times a-day; or ten drops of tincture of cantharides, three times a-day in broth or mucilage ; ten drops of fpirit of tur- pentine in honey, three times a-day ; infufions of horfe- radifh and milliard ; electricity ; frictions ; external applications of fpirit of fal ammoniac and oil; appli- cations of flies, made by putting a lump of blifter- plaifter to twice as much common wax and oil plaifter; and laftly, by drinking the water of Berkley fprings, which is probably as effectual as any. CHAP. XLVI. FAINTING. /^AUSES. Exceffive exertions, heat, large evacuati- u ons, exceffive paffions, as fear, anger, joy, &c. fud- denly depriving the body of any compreffion, diflen- fion, or pain, that it has been for fome time accuftom- cd to, violent pain, affections of the ftomach, difagree- ablc fmells, fights, &c. Symptoms. Sometimes a languor, an anxiety, a gid- dinefs and dimnefs precede ; at other times the faint- ing comes on fuddenly ; the patient turns pale, finks away, and appears dead ; the pulfe being either im- perceptible, or very low ; the breathing in the fame ftate. A cold fweat often breaks out, and ftands in drops upon the patient's forehead^ which is as cold as a corpfe. [ 8i ] corpfe. After lying a few minutes in that ftate, the patient begins to recover, and vomits, or is fick at the ftomach. Management. The patient fhould be laid out on a hard bed, in a ftream of cool air. If the caufe re- quires attention, it is to be removed as quick as pof- fible. Cure. The patient fhould have his face fprinkled with cold water, and his hands, arms, and legs rub- bed in the direction of the circulation, that is, towards the heart. Hartfhorn fliould be applied to the nofe and temples, and twenty or thirty drops given inter- nally. As foon as the patient begins to recover, a lit- tle good wine fhould be given him, and if much de- bility remains afterwards, it fhould be removed by bark, CHAP. XLVII. DYSPEPSY, OR CONFIRMED INDIGESTION. /^AUSES. The large ufe of coffee, tea, or any warm watery drinks, of tobacco, ardent fpirits, opium, bitters, fpices, and acids ; putrefcent food, over-eat- ing, frequent unneceffary vomiting or purging : fome diforders, as intermittent fevers, fluxes, &c. An indo- lent life, much application of mind, exceflive venery, long expofirre, without exercife, to cold moift air. Symptoms. The great variety of fymptoms in this affection together with the caufes, is the reafon that no two perfons are identically alike affected; but ne- verthelefs the general or fundamental fymptoms are al- ways alike ; thefe I fhall fet down : a lofs of appetite, diftenfions of the ftomach with wind, eructations after eating efpecially, heart-burn, fometimes a vomiting, frequent pains about the ftomach, and often a dejected mind. Management. Avoid all the caufes, ufe the moft di- geftible meat in fmali quantities at a time, avoid all flatulent C 82 ] flatulent vegetables, ufe wine and water, brandy and water, or porter, if it will fit well on the ftomach ; ufe gentle, conftant, and varied exercife, taking care to avoid expofure in cold or damp weather. Cure. This is either palliative or radical; the lat- ter is not to be expected in a fhort time, nor at alb, unlefs with great attention. The palliative confifts in removing the prefent dif- agreeable feelings from time to time. The moft troublefome fymptoms are the wind and acid on the ftomach, and the coftivenefs: for the wind and acid, a little magnefia, chalk or lime-water, with fome effence of mint, fhould be taken occaftonally. For the coftivenefs, the patient fhould be provided with a box of pills made with jalap or rhubarb ; or with extract of white walnut bark, thefe may be taken occafionally; riding over agreeable country feats, is one of the moft effectual remedies againft a dejected mind. For the radical cure, we are to attempt the removal of the debility in the fibres of the ftomach ; for which purpofe the waters of Berkley fprings, or of any cha- lybeate fprings, are the moft promifing : when thefe cannot be ufed, any of the following medicines may be ufed, as fhall beft fnit. Half a wine glafs full three times a dayr, of the tincture No. 7. or two tea-fpoon- fuls of No. 8. in a little water, or in fpirit and water, three times a day ; or twelve grains cf columbo root three or four times a-day ; or a table-fpoonful of the tincture of bark, No. 4. three times a-day, CHAP. XLVIII. LOCKED JAW. pAUSES. Sudden application of cold to the body when warm and much relaxed; lacerations of the tendons or nerves of the foot, and of fome other parts ; expofure of the mufcles to the air, after the flcin has t>een taken off by a gangrene or otherwife. Symptoms, C 83 1 Symptoms. A ftiffnefs of the lower jaw, and pains about the breaft. and back generally precede, and in- creafe till the jaw becomes firmly clofed, and the muf- cles of the back, or of the fore-parts, are violently con- ftricted, fo as to bend the patient into a bow; after this ftate hasrontinued for fome time, he is fei/.ed with convulfions, in which he is generally carried off. Management, If any fubftance is lodged in the parts primarily affected, it fhould be removed immediately : the patient fhould be kept warm, and fed upon fuch food as can be got down. In fome cafes, it would be advifable to draw a lower tooth, to make a paffage for the food ; wine and water is the moft proper drink. Cure. It will be proper to remove a toe, or any fmali part, if that be the place of the wound, and to drefs this, or whatever pan may be hurt, with a ftrong fuppurating falve, as bafilicon (which is compofed of rofin and wax, with a fufficiency of oil to foften it) hav- ing firft fprinkled it with red precipitate: or if thefe things are not to be had, a little warm oil of turpentine. The patient's bowels fliould be opened with caftor oil, or with jalap, and kept open ; after this he fhould have one drachm of ftrong mercurial ointment rubbed into his thighs- and arms, morning, noon and night, till he fpits freely : after this it may be ufed every other day, fo as juft to keep up a fpitting for a week or more, if the fvmptoms continue. A pill of one grain of opi- um may be given frequently to eafe the pain. If the patient grows weak, he fhould take the bark as fre- quently as he poffibly can, and in as great quantities as his ftomach will bear, without railing his pulfe too much. It will be proper to continue the medicines in imaller quantities, for fome time after the affection has gone oft. If the fore is brought in the beginning to fuppurate, the locked jaw need not be feared. C HAP. [ H ] CHAP. XLIX. EPILEPSY, OR COMMON FITS. i^AUSES. Wounds, and bony protuberances of the flcull; offification of the membranes of the brain ; acrimony of the fluids from contagion, degeneracy, &c. paffions, as anger, fear; ftrong imagination of difagreeable objects, and the fight of fuch ; congef- tions of blood in the brain, produced by a plethoric ftate, by long continued fun-heat on the head ;. by in- toxication, furfeit, &c. irritations proceeding from worms : teething ; fplinters in the flefli; fractured bones ; ftones in the kidney ; the matter of ulcers; poifons, &c. and laftly, large evacuations of blood. It will readily appear, that many of the above cauf- es do not produce fits generally ; and hence there muft be a predifpofition in thofe, in whom they will occa- fion them. A predifpofition confifts either in a great mobility of the mufcular fyftem, or in a relaxed ftate of the veffels of the brain, which allows of their being eafily forced beyond their power, and admitting of congeftion. Symptoms. Sometimes the patient feels indifpofed for fome time before the attack, with head-ach, gid- dinefs, fulnefs of the head, fluggiflinefs, &c. at other times the fit attacks without warning ; the perfon falls down, and is varioufly agitated, fometimes one fide more than the other; his tongue is often thruft out of his mouth, and by that means is bit almoft or quite through : after continuing fome minutes in this ftate, his convulfions ceafe, and he lies fome time in a fleepy ftate, and then-returns to himfelf, not knowing what has pafled. Management. It will be proper to hold the patient, fo as to keep him from hurting himfelf, and to put a piece of thick leather between his teeth, to keep him from injuring his tongue. It is feldom or never necef- fary to prefcribe any diet for the patient, except in [ §5 ] the inteivals, when it is to be fuited to his ftate. If. fulnefs is the caufe of the fits, or he is of a full habit, a low vegetable diet, with hard exercife, fhould be ufed ; but for a contrary ftate, a nourifhing diet and conftant gentle exercife is to be ufed. The caufes fhould if poffible be removed by operations or medi- cines, fuited to the caufe. Cure. In full habits, a bleeding will be proper during the fit, or preceding it. However, if they fre- quently return, it will not do to bleed every time, but give a dofe of falts in its ftead, at the time the patient expects the return. Befides this, very little can be done, except to adhere ftrictly to the management directed, and to have an iffue put in the back of the neck. In thofe of thin habits, when feveral fits return quickly after one and the other, that is in one day, ft will be proper to give twenty drops of laudanum; to have him bath?d in warm water, and a warm milk and water clyfter injected two or three times a-day. All this may be repeated if neceffary, in fix or eight hours after. But the chief thing confifts in removing the mobility or irritability mentioned in the caufe. For this, bark, fteel, and the cold bath are proper; they fhould be ufed a long while, with proper exercife and diet. In fits proceeding from feme of the above caufes, as from irritations, the removal of the caufe is all that is re- quired. But it is lamentable, that fome of the caufes ^ cannot be removed; as that from bony protuberances into the brain, &c. for fuch there is no remedy. But it is very probable, that the number of fits will be greatly leffened by temperance, and avoiding extremes on ei- ther hand. H CHAP. £ 86 3 CHAP. L. St. VITUS's DANCE. THIS is a convulfive affection, partly under th- influence of the will: It affects the patient's leg* or arm, or both. It makes him limp along, and in taking a cup of water, or applying it to his mouth, he ufually performs fome uncommon geftures, carrying it quickly one way and then another, before he gets it to his mouth. It is apt to terminate in palfy. Children from eight to twelve are the fubjects of it. Cure. The patient fhould live fparingly, and be purged if he is full. Befides this, cold bathing and a vomit of ipecacuana, taken two or three times, will be of fervice. Sometimes electricity is of fervice. CHAP. LI. PALPITATION OF THE HEART. IT is not when this is a fymptom, but only when it is a primary affection, that it belongs to this head. CAUSES. Obftructions in the large blood-veffels, exceffive irritability or mobility of the heart, affections of the mind ; and exceffive evacuations. Management. The patient fhould live on a nourifh- ing diet, if he is weak habitually, or has been weaken- ed by diforder ; much motion, hidden flarts, ftraining, and all expofure fhould be avoided. Cure. When it is certain that an obftmction in the large veffels is the caufe, there can be no cure expected, only palliative, and that by avoiding all ex- oefs and extremes. In the other cafes, ftrengthening the habit with bade, fteel, wine, and gtntl-j riding, are what will 'prove effectual to remove it j and ior a tcmpcv.-->- *ne- dicine, [ 87 ] diciue, pills of afafoetida, or a few drops of laudanum, may be ufed. CHAP. LII. ASTHMA. BY this I do not mean every difficulty of breath- ing, but only that which returns periodically, de- pending upon a certain peculiar conftitution of the lungs. It ufually obferves the changes of weather in its returns, and feldom or never goes off entirely. Symptoms. It often begins with a tightnefs acrofs the breaft, flatulency, and impediment in refpiration, which continues until the patient can fcarcely get fuf- ficient breath to live. Sometimes a large quantity of frothy fpit is difcharged, at other times little or none. Whenever any phlegm is difcharged, which the patient generally makes many efforts to do, it is attended with relief. Management. The patient fliould ufe light food, fuch as will not produce flatulency; his drink fhould be of the cooling kind, He fhould be in a place where there is a free ad- miffion of air, yet not expofed to cold. Cure. A vomit of ipecacuana fhould be given in the beginning ; after which twenty drops of laudanum in a little mint water : this may be repeated in fix or eight hours, if neceffary. The bowels fliould be immediately opened, and kept open with common clyflers. If much fever attends the afthma, it may be propev to take away fome blood, if the patient is fufficiently able to bear it ; and alfo to lay a blifter to the back. Gentle riding is proper, after the fit has paffed over. As tea and coffee are fuppofed to be injurious to afth- matics, they may ufe milk and water in thedr ftead. CHASk [ 88 ] CHAP. LIIL HOOPING COUGH. THIS often begins like a common cold, but pro- ceeds on till the c-ugh becomes more like a con- vulfion : the patient's breath is fo forced out of his lungs, that it returns with a whizzing or hoop ; after which he often pakes, and finds relief. After fome time there is a confiderable difcharge of mucus. Management. The patient, if full, fhould live on a low diet for fome time: milk in its various prepara- tions is proper, and fhould form the chief of the pa- tient's diet. Gentle riding is of fervice in good weather. Cure. Gentle pukes of ipecacuana, or tartar eme- tic, fhould be given evecy two or three days for feve- ral times ; after which, fmali dofes of antimonial wine every night: the bowels fhould be kept open with cream of tartar, or jalap. When the cough has con- tinued for fome time, and the patient grows weak, he fhould take bark daily. . A blifter is fometimes neceffary, when the patient s breathing becomes much interrupted, or when the re- turns of coughing are violent and frequent. CHAP. LIV. C H O L I C. PAUSES. Coftivenefs, cold applied to the belly or feet, indigeftible food, acrids, &c. Symptoms. Pain in the belly, ufually about the na- vcl, with coftivenefs, flatulency, and often vomiting. Cure. When much fever attends, it will be prudent to bleed ; but when there is nothing but a quick or frequent pulfe, we need not order bleeding, but endea'- vour to open the bowels with a common clyfter, or with a fpoonful of caftor oil given every three hours, C 89 ] till it operates ; after which ten drops of laudanum may be given in fome mint water, every hour, for four times if neceffary. If the pain does not abate for this, the patient fhould be put into a tub of warm water for half an hour. If the ftomach does not bear the oil, let the patient take a quarter of an ounce of cream of tartar, and fif- teen or twenty grains of jalap. The opening medi- cines fhould be often repeated in lefs dofes, to prevent a relapfe, and remove the coftivenefs, which the lauda- num occafions ; falts and manna, or manna and fenna, are alfo very good purges. The patient fliould ufe riding, to prevent returns, and avoid all food that has a tendency to flatulency, or to produce coftivenefs. CHAP. LV. CHOLERA MORBUS, OR VOMITING AND PURGING OF BILE. TFIIS violent diforder happens at the end of fum- mer, ufually after loading the ftomach with aciel fruits. Cure. The patient fhould take large dofes of ca- momile, or balm, or fage tea, to wafli out the fto- mach ; after which he fliould take ten drops of lauda- num, in fome mint or cinnamon water every half hour, for five or iix times if neceffary. If this does not have the defired effect, a blifter fhould be laid on the breaft, and a Targe bundle of mint, ftewed in wine or fpirit, laid over and about it. The patient ihould be kept as warm as he ca 1, fo as not to be difagreeble. Great care fliould be taken to avoid the night air, and acid fruits, which rather promote the fecretion of bile, than correct it when fecreted. This fame diforder, with very little variety, is very common to children in large towns. They fhpuid be immediately carried out into the country air. ^thct.r. H 2 :aiu;g C 90 ] waiting for an alteration of the diforder, and alfo dipt in water frefh from the well. For a medicine, they may have, if five years old, thirty drops of laudanum pat into half of the mixture, No. 2. One tea-fpoonful of this and one of weak mint water, may be taken eve- ry half hour, for three or four times: the mint as above may be immediately applied to the ftomach : but the chief dependance is to be put in port wine, given every hour, and increafing the dofe ; one tea-fpoonful is enough to begin with. After the diforder has gone off, bark or columbo, ihould be taken to ftrengthen the ftomach. CHAP. LVI. LAX, OR LOOSENESS. PAUSES. Over-eating, bad food or water, large quantities of fwects qr acids, poifons, over-purg-- ing, bile in the fummer time, matter difcharged into the inteftines, cold applied to the belly or feet, teeth- ing, paffions of the mind, &c. Management. The caufes as far as poffible fhould be removed, the patient fliould avoid damp or cold air, by dreffing warm, as with flannel next the fkin ; all food that has a laxative quality, fhould be; avoided. Sago, rice, milk, eggs, light broths, and digeilibie meats fhould be ufed ; for drink, wine and water, and warm teas, are proper, as fage, balm, mint, &c. Cure. To perform this, we fliould keep up a free perfpiration, by giving three times a-day, half a grain of opium, with one grain of ipecacuana : let the pa- tient lie down for one hour after taking this. After ■ufing this prefcription for fome days, aftringents are to be ufed, as ten or fifteen grains of tormentil root twice a-day, or thirty grains of gum kino twice a-day, or oak bark, made into a decoction, and ufed in the farr-c Quantities as the Peruvian ba:h, or fix grains of atfur< :ry two hours* CHAP.. r 9* i CHAP. LVII. HYSTERICS. pAUSES. Paffions of the mind, efpecially grief, large evacuations, obftructed menfes, great irregu- larities of any kind. Thefe fcarce ever fail to bring it on, in thofe fubject or predifpofed to it.. Symptoms. Some diforder is generally felt in the bel- ly, which is fucceeded by the fenfation of a ball riling up till it gets fixed in the throat; with this, the pa- tient is alfo wreathed to and fro by convulfions, which ceafe after fome minutes, to return again. In the intervals, the patient fometimes lies in a fleepy ftate, at other times cftmes to herfel'f and talks. In this man- ner they continue for fome time. Management. The patient fhould be kept from hurting herfelf during the fit; her food fhould be of the lighteft kinds. If fhe is full, nothing but water drinks fhould be ufed, but if otherwife, fhe fhould have wine and water : exercife is of material confequence to prevent rehpfes. Cure. When the patient is of a full habit, or when the affection proceeds from obftructed menfes (pro- vided this does not proceed from debility) fome blood: fhould be taken away,, after which the bowels fhould be opened with a common cly'.er. If the convulfions. ftill continue, ten drops of laudanum fhould be given in fome fage tea, or mint wat?r, which may be repeat- ed three or four times if neceffary. In lean patients, a tea fpoonful of the tincture of afafoetida given three or feir times a-day, is what is generally ufed ; fometimes a imall puke of ipecacuana will put an end to the fits. Thofe who are in this latter cafe, fhould ufe bark, fteel or bitters, with a nourifhing diet, and.gentle exercife, to prevent returns ; whilft thofe who are in the con- trary ftate, fhould lite abftemioufly, keep their bow- els open, and ufe much exercife. CHAP.. t 92 I CHAP. LVIII. BITE OF A MAD DOG. CYMPTOMS. The wound fellers, and after fome time, feldom under a week or two, the patient be- comes languid and dejected. He then begins to dread water, and cannot fwallow it without great agonies and convulfions of the face ; after fome time he cannot - bear the fight of it. He doze's, and every now and then ftarts from his flumber ; and fometimes raves fo as to need confinement. Cure. The wound fliould be cut out, if it is on a part that admits of it; if not, let it be filled with gun powder, and this burned; after which it fliould be kept open for a month, by fprinkk'ng it with red pre- cipitate, and dreffing it with a falve made with wax, oil and rofin. But if this has been neglected, there is no way left, but to falivate the patient, by rubbing one drachm of mercurial ointment on him every fix hours till he fpits freely ; after which it may be applied every other night, fo as to keep up a plentiful fpicti ig for a week or ten days. This, if done in time, will often prevent the affection. CHAP. LIX. DROPSY. PAUSES. Obftnietions of the liver, compreflion of the blood-veflels from any caufe, large evacu •■*. mis, fuppreffed natural evacuations, cold a:\:l moiflure ioag applied, hard drinking, general debihty, partie>.iir debility of what is called the lymph.aic ^ltem, iup- ture of a lymphatic, Sec. Symptoms. A fuppreffion of mice, dro-i^ht, fw 'Tr-r cf tiic bedy, or the body in general. .•, cchdifuahv re- tains the impreffion of the fine'er ; awards the -,:.'. ;e- r 93 i ■vers come on with a loofenefs, which puts a period to the patient's miferable life. Management. The patient fhould live upon light di- geftible food, and obferve the greateft regularity : his drink fhould be wine and water, if he is thin or debili- tated : gentle exercife fhould be conftantly ufed. Cure. It will be very well in the beginning, if the patient's ftate admits of it, to give two or three fmali purges, compofed ©f twenty grains of jalap, with a quarter of an ounce of cream of tartar : if this does not anfwer, we fhould tiy medicines that promote the uri- nary fecretion ; for which purpofe two grains of pow- dered fquills may be given, twice a-day: or half an ounce of cream of tartar diffolved in a quart of water, may be taken in the courfe of the morning. An infu- fion of horfe-radifh and garlic, in fpirit, has been fome- times of ufe; alfo ftrong cider, iron flakes, and muf. tard-feed put together. From ten to twenty drops of an fnfufion of tobacco, in a little mint-water, twice a-day, have been ufed with fuccefs: alfo a tea-fpoonful of falt-petre in a little gin, twice a day. If none of the above medicines have the defired ef- fect, there is but little chance of a recovery. However, after every thing elfe has been tried to no purpofe, rubbing the belly, when the dropfy affects that part, with warm oil for a long while, every day, before a fire, has proved effectual. Bitters and fteel are always ufeful, and fhould be taken with the other medicines, only at another hour. There is a kind of dropfy, which affects only the ca- vity of the breaft, which is known by the noife the water makes, when the patient turns over; by its af- fecting the pulfe fo as to make it irregular in itsftrokes; by its affecting the refpiration, and difturbing the pa- tient in the night with a fenfation of oppreflion. It is to be treated as the other dropfies. CHAP. [ 94 ] CHAP. LX. RICKETS. QYMPTOMS. It makes its appearance generally between the ninth and twenty-fourth month, in the following manner ; the child becomes ft date, and grows lean, whilft the head grows fomewhat out of form ; the teeth come out flowly, turn black, and fill out: in a little time the child becomes altogether mifhapen, fome parts growing whilft others pine away : the ftools are liquid; and after a confiderable time, a fever comes on, which continues till it puts an end to the pitiable object. But when it is not fo bad, the child recovers as he grows, till he recovers all but his fhape. Management. The child fhould not be kept longer than ufual at the breaft, he fhould have a portion of meat for his diet, much tea fliould be avoided: he fliould be carried out every day for exercife, when the weather permits, and great attention fhould be paid to. keeping him clean Cure. If the weather is not very cold, let the child be dipped every morning in water immediately from the well: give him a tea-fpoonful of the tincture No. 7, three or four times a-day, and let him take two or three grains of rhubarb, when coftive. Bark is alfo a good medicine, if the child can be prevailed on to take it. If there is much acid on the ftomach, give a little crabs eyes, or magnefia. CHAP. LXI. JAUNDICE. pAUSES. Concretions of the bile flopping up the ^* duct, tumours, fpafms of the gut into which the bil- [ 95 J" bite is emptied, as in cholic and obftructions of the liver. Symptoms. An univerfalyellownefs which begins in the white of the eyes, whitifh ftools, and pains about the right fide, and fometimes a fwelling at the fame place. Management. The patient fhould live moftly oa vegetables, except when very thin. Gentle exercife fhould be conftantly ufed; the drink fhould be wine and water, when in the above ftate, but if full, no- thing but water fhould be ufed. The patient fh'olild carefully avoid cold and moifture. Cure. A gentle emetic fhould be tried, and if it is of fervice, or does not do harm, it fhould be repeated ; this is beft fuited where there are gall-ftones: but if the liver be obftructed, the patient fhould take one grain of calomel, every night and morning, till his gums feel fore. When much pain attends, twelve" or fifteen drops of laudanum may be given twice a-day. Bitters are often ufeful; alfo elixir of vitriol, to forty drops a-day. Soap has fometimes been ufeful, taken in pills; but the chief dependence is to be put in diet and exercife. When there is any fever, the faline mixture, No.' 2. mould be ufed as there directed. PRESCRIPTIONS. FEVER POWDERS. No. i. TAKE one hundred grains of clean fait petre, and one grain of tartar emetic ; beat the fait fine, and mix the tartar well with it: divide it into five powders. One of thefe is generally given every'two hours, in v. cup of water or tea. SALINE I 96 3 SALINE MIXTURE. No. 2. Take two tea-fpoonfuls of fait of tartar, or fait of wormwood, diffolve it in fix table-fpoonfuls of water, and add lemon or lime juice to it, or pure vinegar gra- dually, until it ceafes to bubble; fweeten it. Two table-fpoonfuls every hour is generally the dofe. DECOCTION OF BARK. No. 3. To one ounce of bark add half a gallon of water, and boil it in about two or three hours to three gills; flrain it through a coarfe rag whilft hot. Dofe : Two table-fpoonfuls every two hours. TINCTURE OF BARK. No. 4. Pour a quart of Port or Madeira wine on two oun- ces of bark ; in fix days it will be fit for ufe. Dofe. A fmali wine-glafs full from two to fix times a-day. MILD CLYSTER. No. 5. To one pint of milk add of lard or oil, molaffes, and Glauber or table fait, each one table-fpoonful: warm it to the heat of blood, and ufe it at once. COMMON LAXATIVE PILLS. No. 6. Take thirty-fix grains of aloes, and twenty-four of Caftile foap : make them into twelve pills with a little honey : one or two are a dofe. TINCTURE OF STEEL OR IRON. N. 7. On a handful of the flakes that fly off round the an- vil (in a blackfmith's fhop) pour a quart of Port wine; let it Hand a few weeks and then ufe half a wine-glafs full, once, twice, or three times a-day. BIT- L* 97 ] BITTERS. No. 8. On an ounce of gentian root, finely cut, and half an ounce of orange peel, pour a pint of good brandy: let them ftand five days, and then ufe about two tea- fpoonfuls in a little water, three times a-day. DOSES. r Laudanum. Tart. Emetic. For Drops. Grains. a grown perfon 10 to 25 3 to 4 a youth of 13 4 to 8 l| to 2| a child of 3 3 to 4 I to if a babe r to 1$ , Ipecacuana, Grains. 8 to 18 6 to 10 4 to 6 1 to 2 EXPLANATION OF DIFFICULT WORDS. Chalybeate. That which is impregnated with iron. Coma. A difordered ftate like fleep. Congefdwn. A colle&ion of humours. Contujton. Preffure, fqueeze, crufh. Conflricled. Drawn together, bound. Debility. Feeblenefs, weaknefs. DecoSion. That which is made by boiling. Delirium. A confufion of the internal fenfes. Demulcent. Softening. Defquamation. A peeling off. Exacerbate. Sharpening up, increafe. Efflorefcence. An appearance of ruddy fpots. Exhalation. Vapour, fume. Eminence. Raifed above a level. Eruclation. A belching. Fauces, The pofterior cavity of the mouth. \ Flaccid. C 98 1 Flaccid. Relaxed, loofe. Gejlation. Paffive exercife, as riding. Grumous. Clodded. Intermittent. With an interval. Laceratiou. Tare, rend. Mucilaginous. Jelly-like, flimy, vifcous. Narcotic. That which deftroys fenfe and ftupifies. Naufa. Sicknefs at the ftomach. Obefity. Fatnefs. Ofiify. To turn to bone. Palliative. That which mitigates, leffens. Peripneumonia. Inflammation round the lungs. Puflules. Pimples with matter in them. Radically. From the root, the bottom. Remit. To leffen, or ceafe partially. Rtefpiration. The act of breathing. Sedate. Given to inactivity, quiet. Sloughs. Mortified fpots. Spheroidal. Like a fphere. Suppurate. To turn to matter. Topical. Confined to a place or part. Torpor. Slownefs. Turgid. Swelled, bloated. Undulate. To proceed like waves. Ventilated. Expofed to the wind. Vejtcles. Pimples with water in them, like bladder?. CONTENTS CONTENTS O F FAMILY ADVISER. A Page. POPLEXY 78 Afthma • 87 Bleeding at the nofe 62 Bite of a mad dog 92 Catarrh. See cold and influenza. Croup or Hives 28 Chicken Pox 55 Confumption 66 Cold 74 Cholic •« 88 Cholera morbus, or vomiting and purging of bile 89 Difcharge of blood from the urinary paffage 73 Dyfpepfia, or Indigeftion 81 Dropfies 92 Dofes 07 Effera, or Nettle Rafh 61 Epilepfy, or Common Fits 84 Fever, Inflammatory 6 ■------Nervous 8 ------Putrid 1 j •Remittent ^4 [9 58 76 —-----Intermittent 16 ------Hectic K ------Scarlet Flux Fainting 80 Gout, Regular 4c ■-----Atonic a-j ------Mifplaced 49 Retrocedent ib. CONTENTS. Hives 28 Hooping Cough 88 Hy fieri cs 01 Inflammation of the eyes 21 1 of the Brain 23 -----------of the Stomach 3 c —r---------of the Inteftines 36 -----------of the Liver 37 of the Kidneys 39 Influenza 7c Jaundice 94 Locked Jaw 82 Lax or Loofenefs po Mumps 2q Meafles rfi Menfes, Profufe 68 -------Obftructed 71 Obftructed Liver 38 Pleurify, true ?q ---------Ballard 32 Piles 68 Palfv -Acute -Chronic Sciatica Small Pox Diftinct .-----------Confluent 79 Palpitation of the heart 86 Prefcriptions pt Putrid Sore Throat 26 Quincy 25 Rheumatifm,. Intercoftal ^4 40 4J Rickets 94 41 5° 53 St. Anthony's Fire 58 Spitting of Blood 64 St. Vitus's Dance 86 Tooth ach 42 Vomiting of Blood 72 Whites 71 FINIS. PRIMITIVE PHYSIC: OR, j An EASY and NATURAL t i METHOD of CURING [ MOST } DISEASES. p By JOHN WESLEY, M. A. Homo fum ; humani nihil a me alienum puto. -----*—»■■■■■■■■■■■■—.----- TRE twenty-fourth edition, REVISED and CORRECTED. *■'<••<••<■.<..<*>.>..>•>• ■>■•»■■" ; k \ A PHILADELPHIA: TRINTED BY HENRY TUCKNISS, N^. 25, CHURCH-ALLEY, AND SOtD BY JOHN DICKINS, NO. 44, NORTH SECOND STREET, NEAR ARCH STREET. n 1795- ty^= '!f3 PREFACE. —< -<4"«S ■■f$*J$3»5*SW»-* WHEN man came firfl out of the hands of the great Creator, clothed in body as well as in foul, with immortality and incor- ruption, there was no place for phyfic, or the art of healing. As he knew no fin, fo he knew no pain, no ficknefs, weakuefs, or bodily diforder. The habitation wherein the angelic mind, the Divinse particula Aurae abode, though originally formed out of the duft of the earth was liable to no decay. It had no feeds of cor- ruption or diflblution within itfelf. And there was nothing without to injure it: Heaven and -earth and all the hofts of them were mild, be- nign and friendly to human.nature. The entire creation was at peace with man, fo long as man was at peace with his Creator. So that well might " the morning liars fing together, and " all the fons of God fhout for joy." 2. But fince man rebelled againll the Sove- reign of heaven and earth, how entirely is the fcene changed ! The incorruptible frame hath put on corruption, the immortal has put on mortality. iv PREFACE. mortality. The feeds of weaknefs arrd pain." cf ficknefs and death, are now lodged in our inmofl fubftance •, whence a thouland diforderj continually fpring, even without the aid of ex- ternal violence. And how is the number of thefe increafed by every thing round about us f The heavens, the earth, and all things contain- ed therein, confpire to punifh the rebels againft their Creator. The fun and moon fhed un- wholefome influences from above ; the earth ex- hales poifonous damps from beneath ; the beads of the field, the birds of the air, the fifties of the fea, are in a date of hoftiliry ; the air itfelf that fnrrounds us on every fide, is replete with the fhafts of death : yea, the food we eat, daily faps the foundation of the life which cannot be fuflained without it. So has the Lord of all fecured the execution of his decree,-----" Dull " thou art, and unto duft thou fhalt return." 3. But can there nothing be found to leffen lhofe inconveniencies, which cannot be wholly Temoved ? To foften the evils of life, and pre- vent in part the ficknefs and pain to which we are continually expofed ? Without queftion there may. One grand preventative of pain and fick- nefs of various kinds, feems intimated by the great Author of nature in the very fentence that intails death upon us: " In the fweat of thy face " fhalt thou eat bread, till thou return to the " ground." The power of exercife, both to preferve and reftore health, is greater than can well be conceived j efpecially in thofe who add temperance thereto •, who if they do not confine themfelves altogether to eat either " bread or the herb of the field" (which God does not require them to do) yet lleadily obferve both that kind PREFACE. V and meafure of food, which experience fhews to be moft friendly to ftrength and health. 4 It is probable, phyfic, as well as religion, was in the firft ages chiefly traditional: every father delivering down to his fons, what he had himfelHn like manner received, concerning the manner of healing both outward hurts, and the difcafes incident to each climate, and the me- dicines which were of the greateft efficacy for the cure of each diforder. It is certain, this is the method wherein the art of healing is preferr- ed among the Americans to this day. Their difeafes are exceeding few j nor do they often occur, by reafon of their continual exercife, and (.till of late) univerfal temperance. But if any are fick* or bit by a ferpent, or torn by a wild beaft, the fathers immediately tell their children what remedy to apply. And it is rare that the patient fufferslong; thofe medicines being quick, as well as, generally, infallible. 5. Hence it was, perhaps, that the ancients, not only of Greece and Rome, but even of bar- barous nations, ufually afligned phyfic a divine original. And indeed it was a natural thought, that he who had taught it to the very beafts and birds, the Cretan Stag, the Egyptian Ibis, could not be wanting to teach man, Sanflius his animalt mentifqtte capacius aha : Yea, fometimes even by thofe meaner creatures: for it was eafy to infer, " If this will heal that creature, whofc flefh is nearly of the fame tex- ture with mine, then in a parallel cafe it will heal •jne." The trial was made: the cure was wrought: and experience and phyfic grew up together. 6. As Vi PREFACE. 6. As to the manner of ufing the medicines here fet down, I fhould advife, As foon as you know your diflemper (which is very eafy, un. lefs in a complication of diforders, and then you would do well to apply to a phyfician that fears God) Firft, Ufe the firft of the remedies for that difeafe, which occuts in the enfuing collec- tion ; (unlefs fome other of them be eafier to be had, and then it may do juft as well). Secondly, After a competent time, if it takes no effect, ufe the fecond, the third, and fo on. I have pur- pofely fet down (in moft cafes.) feveral remedies for each diforder; not only becaufe all are not equally eafy to be procured at all times, and in all places: but likewife the medicine that cures one man, will not always cure another of the fame diftemper. Nor will it cure the fame man at all times. Therefore it was neceffary to have a variety. However I have fubjoined the letter (I) to thofe medicines which fome think infalli- ble. Thirdly, Obferve all the time the greatefl: exaftnefs in your regimen or manner of living. Abftain from all mixed, all high-feafoned food. Ufe plain diet, eafy of digeftion ; and this as fparingly as you can, confident with eafe and ftrength. Drink only water, if it agrees with your ftomach; if not, good, clear fmali beer. Ufe as much exercife daily in the open air, as you can without wearinefs. Sup at fix or feven on the lighteft food ; go to bed early, and rife" betimes. To perfevere with fteadinefs in this courfe, is often more than half the cure. Abov^ all, add to the reft (for it is not labour loft) that old unfafhionable medicine, prayer. And have faith in God who " killeth and maketh alive, 11 %\)ho bringetb down to the grave, and bringeth up." 7. For PREFACE. vii 7. For the fake of thofe who defire, through the bleffing of God, to retain the health which they have recovered, I have added a few plain, eafy rules, chiefly tranfcribed from Dr. Cheyne. I. 1. The air we breathe is of great confe- quence to our health. Thofe who have been long abroad in eafterly or northerly, winds, fhould drink fome thin and warm liquor going to bed, or a draught of toaft and water. 2. Tender people fhould have thofe who lie with them, or are much about them, found, fweet, and healthy. 3. Every one that would preferve health, fliould be as clean and fweet as poffible in their houfes, clothes, and furniture. II. 1. The great rule of eating and drinking, is, To fuit the quality and quantity of the food to the ftrength of our digeftion -, to take always fuch a fort and fuch a meafure of food, as fits light and eafy on the ftomach. 2. All pickled, or fmoked, or falted food, and all high-feafoned, are alone unfit for aliment. 3. Nothing conduces more to health, than abftinence and plain food, with due labour. 4. For ftudious perfons, about eight ounces of animal food, and twelve of vegetable, in twenty four hours, are fufficient. 5. Water, though the wholefomeft of all drinks, yet if ufed largely in time of digeftion, is injurious. A 6. Strong, and more efpecially fpirituous li- quors, are a certain, though flow, poifon, unlefs wcii diluted, and cautioufly ufed. 7. Experience tfii PREFACE. 7. Experience fhews, there is very feldom any danger in leaving them off all at once ; unlefs in time of particular difeafes, as of debility. 8. Strong liquors do not prevent the mifchiefs of a furfeit, nor carry it off fo fafely as water. 9. Malt liquors (except clear fmali beer, or fmali ale, of a due age) are exceeding hurtful to tender perfons. 10. Coffee and tea are extremely hurtful to perfons who have weak nerves. Ill 1. AH perfons fhould eat very light fup- pers ; and that two or three hours before going to bed. 2. To go to bed about nine, and rife at five, fliould be a general practice- IV. 1. A due degree of exercife is indifpen- fably neceffary to health and long life. 2. Walking is the beft exercife for thofe who are able to bear it; riding for thofe who are not. The open air, when the weather is fair contributes much to the benefit of exercife. 3. We may ftrengthen any weak part of the body by conftant exercife. Thus the lungs may be ftrengthened by moderate fpeaking; the digef- tion and the nerves, by riding; the arms and hams, by ftrongly rubbing them daily. 4. The ftudious ought to have ftated times for exercife, at leaft two or three hours a-day : the on? half of this before dinner, the other before going to bed. 5. They fhould frequently fhave, and fre- quently wafh their feet in cold water. 6. Thofe PREFACE. is 6. Thofe who read or write much, fhould learn to do it chiefly (landing; olherwife it will im- pair their health. 7. The fewer cloathes any one ufes, by day or night, the hardier he will be ; but the habit mull be begun in youth. 8. Exercife, firft, fliould be always on an empty ftomach ; fecondly, fliould never be con- tinued to wearinefs ; thirdly, after it, we fliould take care to cool by degrees : olherwife we fhall catch cold. 9. The flefh-brufh is a moft ufeful exercife, •efpecially to ftrengthen any part that is weak. 10. Cold bathing is of great advantage to health : it prevents abundance of difeafes. It pro- motes perfpiration, helps the circulation of the blood, and prevents the danger of catching cold. Tender people fhould pour water upon the headbe- fore they go in, and walk in fwiftly. To jump in with the head foremoft, is too great a flicck to nature. It is beft to ufe it immediately after riling. V. 1. Coftivenefs cannot long confift with health. Therefore care fhould be taken to remove it at the beginning by a gentle medicine ; and when it is removed, to prevent its return, by foft, cool, open diet; as of vegetables, acid or fweet. 2. Obftructed perfpiration ^vulgarly called catching cold) is one great fource of difeafes. Whenever there appears the leaft fign of this, let it be removed by gentle fweats, or purges. VI. 1. The paflions have a greater influence on health, than moft people are aware of. 2. All violent and fudden paflions difpofe to, •or actually throw people into, acute difeafes. K 3. The X PREFACE. 3. The flow and lafting paflions, fuch as grief and hopelefs love, bring on chronic difeafes, and low fevers. 4. Till the paffion which caufed the difeafe, is calmed, medicine is applied in vain. 5. The love of God, as it is the fovereign re- rrtedy of all miferies, fo in particular it effec- tually prevents all the bodily diforders the paf- fions introduce, by keeping the paflions them- felves within due bounds. And by the unfpeak- able joy,^ and perfect calm, ferenity, and tran- quillity it gives the mind, it becomes the moft powerful of all the means of health and long life. London, June, 11, 1747. To TO THE MEMBERS OF THE Methodift Epifcopal Church. Friends and Brethren, THE grand interefts of your fouls will ever lie near our hearts ; but we cannot be un- mindful of your bodies. In feveral parts of this extenfive country, the climate, and in others the food, is uirwholefome : and frequently, the phyficians are few, fome of them unfkilful, and all of them beyond the reach of your temporal abilities. A few fmali publications excepted, little has been done by phyfical books, in order to remove thefe inconveniencies: and even thofe have been written in Europe, and do there- fore partake of the confined ideas of the writers, who could not poffibly be fully acquainted with the peculiarities of the various difeafes incident to a people that inhabit a country fo remote from theirs. Simple remedies are in general the moft fafe for fimple diforders, and fometimes do wonders under the bleffing of God. In this view we prefent to you now the Primitive Physic, Jtobhfhed by our much honoured friend John Wesley. But the difference being in many refpecls [ *» ] refpefls great between this country and England, in regard to climate, the conftitution of patients, and even the qualities of the fame fimples,— we faw it neceffary for you, to have it revifed by phyficians practifing in this country, who at our requeft have added cautionary and explan- atory notes where they were neceffary, with fome additional receipts fuitable to the climate. In this ftate we lay the publication before you, and earneftly recommend it to you As we apply all the profits of our books to charitable purpofes, and the promoting the work of God, we think we have fome right to intreat rou (except in particular cafes) to buy only our hooks, which are recommended by the confer- ence, and figned with our fignatures : and as we intend to print our books in future within the states, and on a much larger fcale than we have hitherto done, we truft we fhall be able foon to fupply you with as many of the choiceft of our publications, as the time and temporal abilities of thofe of you, who do not live a life of ftudy, will require. We remain, dear hrethren, as ever, Your faithful pallors, Urwmcui Uori&3 AC*' I 13 ] Collection of Receipts. [N. B. We would inform our readers, that the receipts and notes inclofed in brackets, as this is, are inferted by the phyficians who revifed the copy for this im- preflion; and alfo, that the prefcriptions marked * are better than the others.] 1. Abortion* (to prevent). * TIT OMEN of a weak cr relaxed habit fhould V V ufe folid food, avoiding great quantities of tea, and other weak and watery liquors. They fhould go foon to bed, and rife early; and take fre- quent exercife, but avoid fatigue. If of a full habit, they ought to ufe a fpare diet, and chiefly of the vegetable kind, avoiding ftrong li- quors, and every thing that may tend to heat the body, or increafe the quantity of blood. In the rirfl cafe, take daily half a pint of a decoc- tion of lignum vitae; boiling an ounce of it in a quart of water f-;r five minutes. _ In the latter cafe, give half a drachm of powdered nitre, in a cup of water-grutl, every five or fix hours: in both cafes fhe fhould fleep on a hard mattrafsand be kept cool and quiet. The bowels fhould be kept re- gular by_a pill of white walnut extract. K 2 2. For * [In the firft cafe, the col J La>h ufed two or three times a week, from the beginning to the iixth month of prep-nancy, js deemed effectual----In the latter cafe, bleeding at the araa m flic fourth and fcvcBth months may be ufed,] t H ] 2. For an Ague.* 'Go into the cold bath juft before the cold fit. ffjp Nothing tends more to prolong an ague, than indulge ifag a lazy indolent difpofition. The patient ought therefore between the Jts to take as much exercife as he can bear ; and to ufe a light diet, and for common drink, Port wine and water is the moft proper. * When all other means fail, give blue vitriol, from one grain to two grains, in the abfence of the fit, and repeat it three or four times in twenty-four hours. Or, boil yarrow in new milk, till it is tender enough to fpread as a plaifler. An hour before the cold fit, apply this to the wrifts, and let it be on till the hot fit is over. If another fit comes, ufe a frefh plaifler. This often cures a quartan : * Or, put a tea-fpoonful of fait of tartar into a large .glafs of fpring water, and drink it by little and little. Repeat the fame dofe the next two days, before the time of the fit : * Or, a large fpoonful of powdered camomile flow- •'rs : * Or, a tea-fpoonful of the fpirits of hartfhorn ia a glafs of water. Or, eat a fmali lemon, rind and all. * Li the hot fit, if violent, take eight or ten drops of laudanum : if coftive, with an Anderfon's pill. * D.. Lind fays, an ague is certainly cured by taking fom ten to twenty drops of laudanum, with two drachms.of fyrup of poppies, in any warm liquid, half an hour after the heat begins. * (rj* It is proper to take a gentle "vomit, and fometimes a purge, before you ufe any of thefe medicines. If a vomit is taken two hours before the Jit is expecled, it generally pre- vents that ft, and fometimes cures an ague : efpecially in chil- dren.—It is alfo proper to repeat the-medicine (whatever it be J about a week after, in order Jo.prcvent a relapfe. Do net * An ague is an intermitting fever,-each fit of which, is pi** eded by a cold fhivcring, andjroes. off in aivveac. [ «s ] l»r take any purge foon after.—The daily ufe^of the Jlejh- brujb, and frequent cold bathing, are of great ufe to pre- vent relapfes. * Children have been cured by wearing a waift- coat, in which bark was quilted. [Thofe fevers which abate their violence at times, that there appears an abfence of the fever for a certain period between two fits, are called intermittents, fays Galen. The length of the period determines the name, as quotidian, tertian, double tertian, quartan. The fpring intermittents feldom need the grand fpecidc remedy, viz. The Peruvian bark, in this climate, as by adminiftering a vomit of twenty grains of ipeca- cuana, or of eight grains of the former and one of tartar emetic mixed for a grown perfon, the fucceed- ing heat of the feafon effedls the cure, and often with- out medicine. The fall intermittents feldom put on » regular form at firft in adults, but are generally remit- ting fevers ; but even though they approach nearer to a continual fever, the patient feldom needs bleeding, .and perhaps never in regular intermittents. In either cafe a vomit as before mentioned, the firft opportunity in remitting, and two hours before the fit in an inter- mitting fever, with warm diluting drinks in the time of the fit, and when intermitting regularly, the bark may be applied after the operation of the vomit, and the fit is over. Cldldren generally need only to be purged before the ufe of the bark, with jalap or rhr- barb: the dofe of thefe may be thirty grains for a grown perfon, and lnlf the quantity for one of nine years old, arid in proportion. After the fever regu- larly intermits, and the ftomach has been cleanfed ard the body kept open, the Peruvian bark may be given (unlefsfome inflammation or obftruftion prevent) im- mediately after the fit, two omios, and often one is ge- nerally fufficient, thus :—Divide ;..n ounce of powder of the bark into twelve dofes ; let the fick man or wo- man take one every two hours between the fits, and continue them after the return of the next ; or__ JJoil an ounce of the bark in a pint and a half of wa- [ 16 1 tcr gently down to a pint, flrain off the liquid, and take a wine-glafs full every two hours ; or—To an ounce of the bark in powder add four or five fpoon- fuls of proof fpirit and a pint of boiling water, let them infufe two or three days ; to ufe as the former.— But it is beft in fubftance when it can betaken.] 3. St. Anthony's Fire.* * Take a glafs of far-water warm, in bed, every hour, wafhing the part with the fame. (Xj3 Tar-water is made thus.—Put a gallon of cold wa- ter to a quart of Norway tar. Stir them together with a fo.tjlickforjve orfx minutes. AJter it has Jlood covered for three days, pour off the water clear, bottle and cork it. Or, take a decoddion of elder leaves, as a fweat; applying to the part a cloth dipt in lime water, mixed with a little camphorated fpirits of win*?. CCj" Lime-wafer is made thus.—Infufe a pound of good quick lime infix quants of fpring water for twenty-four hours. Decant and keep it for ufe. * Or, take two or three gentle purges.—No acute fever bears repeated purges better than this, efpecially when it afftcls the head : meantime boil a handful of fage, two handfuls of elder leaves (or bark) and an ounce of alluni in two quarts of forge-water, to a pint. V.'afri with this every night.—See extract from Dr. Tiffot. If the pulfe be low and the fpirits funk, nourifhiHg broths and a little negus may be given to advantage : Dreffing the inflammation with greafy ointments, falvep, &c. is very improper. Bathing the feet and legs in warm water is fervicea- ble, and often relieves the patient much. In Scotland the •St. Anthony's fire is a fever attended with a rcdandpain- fi>! fwelling, full of pimpks, which ..iVrrwards turn into I'm ill bliders, on the face or fome other part of the body. The Conn- er the eruption is, tiu kli danger Let your diet be o;;ly v.u- ter-grucl, or barley-1 rot.\ with ro-ifted apples. C 17 1 the common people cover the part with a linen clotb covered with meal. 4. The Apoplexy.* * To prevent, ufe the cold bath, and drink only water. In the fit, put a handful of fait into a pint of cold water, and if poffible pour it down the throat of the pa- tient. He will quickly come to himfelf. So will one who feems dead by a fall. But fend for a good phy- fician immediately. If the fit be foon after a meal, vomit and bleed. * A feton in the neck, with low diet, has often pre- vented a relapfe. * There is a wide difference between the fanguineous and ferous apoplexy; the latter is often followed by a palfy.----;The former is diftinguifhed by the counte- nance appearing florid ; the face fwelled or puffed upj and the blood-veffels, efpecially about the neck and tem- ples, are turgid ; the pulfe beats ftrong ; the eyes are prominent and fixed; and the breathing is difficult, and performed with a fnorting. This invades more fud- denly than the ferous apoplexy. Ufe large bleedings from the arm or neck ; bathe the feet in warm water; cupping on the back of the head, with deep fcarifica- tion. The garters fliould be tied very tight to leffen the motion of the blood from the lower extremities. * A fcruple of nitre may be given in water, every three or four hours. * When the patient is fo far recovered as to be able to fwallow, let him take a ftrong purge ; but if this cannot be effected, a clyfter fhould be thrown up with plenty of frefh butter, and a large fpoonful of common fait in it. In the ferous apoplexy, the pule is not fo flsong, the-countenance is lefs florid, and not attended with fo great " An apoplexy is a total lofs of a!! fL-nfe and voluntary motion, commoniy attended with a ftroog pulfe, hard breathing ani fooning. r is ] great a difficulty of breathing. Here bleeding is not fo neceffary, but a vomit of three grains of emetic tar- tar may be given, and afterwards a purge as before, and a blifter applied to the back of the neck. (C/* This apoplexy is generally preceded by an unufual heavinefs, giddinefs, and drowjmefs. 5. Canine Appetite.* " If it be without vomiting, is often cured by a fmali bit of bread dipt in wine, and applied to the noftrils." Dr. Schomberg. 6. The Aithma.f Take a pint of cold water every morning, wafhing the head therein immediately after, and ufing the cold bath once a fortnight: Or, cut an ounce of flick liquorice into flices. Steep this in a quart of water, four and twenty hours, and ufe it, when you are worfe than ufual, as common drink. I have known this give much eafe. Or, half pint of tar-water, twice a day. Or, live a fortnight on boiled carrots only. It fel- dom fails: Or, take from ten to twenty drops of elixir of vitri- ol, in a glafs of water, three or four times a day* (CiT Elixir of vitriol is made thus.—Drop gradually Jour ounces ofjlrong oil of vitriol ieiio a pint of fpirits of wine, or brandy : let itjland three days, and add to it ginger Jlice J, half an ounce, and Jamaica pepper, whole, one ounce. In three days more it is Jit for ufe. Or, into a quart of boiling water, put a tea-fpoon- ful of balfamic aether, receive the fteam into the lungs, through a fumigator, twice a day. CCj* Balfamic. * An infatiable defire of eating. f An afthma is a difficulty cf breathing, returning at inter- vals, from a diforder in the lungs. Iu the common [or moid] afthma, the patient imts. much. [ 19 ] 0C> Balfamic aether is made thus.—Put four ounces of fpirits of wine, and one ounce oflfalfam of tolu, into a 'vial, with one ounce of other. Keep it well corked. But it will not keep above a week. For prefent relief, vomit with twelve grains of ipe- cacuana. 7. A Dry or Convulfive Afthma. Juice of radifhes relieves much: fo does a cup of ftrong coffee : or, garlic, either raw, or preferved, or in fyrup: Or, drink a pint of new milk morning and even- ing.—This has cured an inveterate afthma. Or, beat fine faffron fmali, and take eight or ten grains every night.—Tried. Take from three to five grains of ipecacuana every week. Do this, if need be, for a month or fix weeks. Five grains ufually vomit. In a violent fit, take fif- teen grains. In any afthma, the beft drink is apple-water ; that is, boiling water poured on fliced apples. The food fhould be light and eafy of digeftion. Ripe fruits baked, boiled, or roafted, are very pro- per ; but ftrong liquors of all kinds, efpecially beer or ale* are hurtful. If any fupper is taken, it fhould be very light. * All diforders of the breafts are much relieved by keeping the feet warm, and promoting perfpiration. Exercife is alfo of very great importance ; fo that the patient fhould take as much every day, as his ftrength will bear. IfTues are found in general to be of great fervice. Dr. Smyth, in his Formulas, recommends mmTprd- whey as common drink, in the moift afthma; and a decocdion of the madder-root to promote fpitting. ZdT The decocfion is made thus.—Boil one ounce of madder; and two drachms of macef in three pints of water, to Z 20 ] to two pints, then Jlrain it, and take a tea-cupful three or Jour times a day. 8. To cure Baldnefs. Rub the part morning and evening, with onions, till it is red ; and rub it afterwards with honey. Or wafh it with a decocfion of box-wood: Tried. Or, electrify it daily. 9. Bleeding at the Nofe (to prevent). Diffolve two fcruples of nitre in half a piot of water, and take a tea-cupful every hour, if the patient is plethoric. * To cure it, apply to the neck behind and on each iide, a cloth dipt in cold water: Or, put the legs and arms in cold water: Or, wafh the temples, nofe, and neck with vinegar: Or, fnuff up vinegar and water. * Or, foment the legs and arms with it: Oi, fteep a linen rag in fharp vinegar, burn it, and blow it up the nofe with a -quill: * Or, apply tents made of foft lint dipped in cold water, ftrongly impregnated with a folution of alum, and introduced within the noftrils quite through, to their pofterior apertures. Or, diflblve an ounce of alum powdered, in a pint of vinegar ; apply a cloth, dipt in this, to the tem- ples, fteeping the feet in warm water. In a violent cafe, go into a pond or river. Tried. —See extract from Dr. Tiffot. 10. Bleeding of a Wound. Make two or three tight ligatures toward the low- -tx part of each joint; flacksnthem gradually: Or, C « 1 Or, apply tops of nettles bruifed: Or, ftrew on it the aihes of a linen rag, dipt in fharp vinegar and^ burnt: Or, take ripe puff-balls. Break them warily, and fave the powder. Strew this on the wound and bind it on. /.—This will flop the bleeding of an amputa- ted limb. [Or, take of blue vitriol and alum each an ounce and a half, boil them in a pint of water till the falts are dif- folved, then filter the liquid and add a drachm of the oil of vitriol ; a foft rag may be dipped in this, and ap- plied up the nofe ; or any bleeding we can come at.—■ Buchan.—Or, ufe the agaric of the oak.]. ii. Spitting of Blood.f Take two fpoonfuls of juice of nettles every morn- ing, and a large cup of decoction of nettles at night, for a week : Tried. Or, three fpoonfuls of fage-jttice in • a little honey. This prefently flops either fpitting or vomiting blood : Tried. Or, twenty grains of alum in water every two hours. 12. Vomiting of Blood. Take two fpoonfuls of nettle juice. (c^* This alfo diffolves blood coagulated in the fto- mach.)—Tried. Or, take as much fait petre, as will lie upon half a crown, diffolved in a glafs of cold water, two or three times a day. 13. To diffolve coagulated Blood. Bind oe the part for fome hours, a pafie made of black foap and crumbs of white bread : L Or, _ f-[Eat a table-fpoonful of fine common fait every morning fail.. i»S> <* a tea-fpoonful every three hours, until the bleeding flops.] [ 22 ] Or, grated root of burdock fpread on a rag : renew this twice a day. 14. Blifters, On the feet, occafioned by walking, are cured by drawing a needle full of worfted through them, clip it off at both ends, and leave it till the fkin peels off. 15. Biles. Apply a little Venice turpentine : Or, an equal quantity of foap and brown fugar well mixt. Or, a plaifter of honey and wheat flour : * Or, of figs: Or, a little faffron in a white bread poultice. . . JTis proper to purge alfo. 16. Hard Breads, Apply turnips roafted till foft, then mafhed and mix- ed with a little oil of rofes. Change this twice a-day, keeping the breaft very warm with flannel, 17. Sore Breads and Swelled. * Apply lead water. Or, boil a handful of camomile and as much mal- lows in milk and water. Foment with it between two flannels, as hot as can be borne, every twelve hours. It alfo diffolves any knot or fwelling in any part, where there is no inflammation. 18. A Bruife. Immediately apply treacle fpread on brown paper t Tried. Or, apply a plaifter of chopt parfley mi^twith butter: Or, elt&rify the part. This is tfie quickeft cure of all. . 19. To C *3 ] 19. To prevent Swelling from a Bruife. '* Immediately apply a cloth, five or fix times dou- bled, dipt in cold water, and new dipt when it growa warm: Tried. 20. A Burn or Scald. If it be but fkin deep, immediately plunge the part in cold water, keep it in an hour, if not well before. Perhaps four or five hours: Tried. Or, electrify it. If this can be done prefently, it totally cures the moft defperate burn. Or, if the part cannot be dipt, apply a cloth four times doubled, dipt in cold water, changing it when it grows warm. 21. A deep Burn or Scald. * Apply inner rind of elder well mixt with frefh butter. When this is bound on with a rag, plunge the part into cold water. This will fufpend the pain till the medicine heals. Or, mix lime-water and fweet oil, to the thicknefa of cream, apply it with a feather feveral times a-day. This is the moft effeftual application I ever met with. Or, put twenty-five drops of Goullard's extracb of lead» to half a pint of rain-water ; dip Enen rags in it, and apply them to the part affected. This is particu- larly ferviceable if the burn is near the eyes. 22. A Cancer.'* * Diffolve four grains of white arfenic in a pint or water, one table-fpoonful every morning in molaffes or milk mull be taken, 23. Chil- * A C3ncer is a hard, rojmd, uneven, painful fwelling, of a • blackifh or Teaden colour, the veins round which item ready to burit- It comes commonly with a fwelling as big as a pea, which does not ax firft give much pain, nor change the colour of th« flcu*. C u ] 23. Chilblains (to prevent). * Wear focks of Chamois leather, or filk. Bathe the feet often in cold water, and when this is done, apply a turnip poultice. 24. Children. •* To prevent the rickets,- tendernefs, and weak- nefs, dip them in cold water every morning, at leaft till they are eight or nine months old. No roller fliould ever be put round their bodies, nor any ftays ufed. Inftead of them, when they are put into fhort petticoats, put a waiftcoat under their frocks. Let them go bare-footed and bare-headed till they are three or four years old at leaft. . 'Tis bell to wean a child when feven months old^ if k be difpofed to rickets. It fhould lie in the cradle at leaft a year. No child fhould touch any fpirituous or fermented liquor, before two years old. Their drink fhould be water. Tea they fliould never tafte till ten or twelve years old. Milk, milk-porridge, and water gruel, are the proper breakfafts for children. 25. Chin-Cough, or Hooping-Cough. Rub the feet thoroughly with hogs lard, before the #re at going to bed, and keep the child warm therein: Tried. Or, rub the back, at lying down, with old rum. It feldom fails: Or, give a fpoonful of juice of penny-royal, mixt with brown fugar candy, twice a-day: Or, half a pint of milk, warm from the cow, with the quantity of a nutmeg of conferve of rofes diffolved in it every morning. 0r« [ 25 1 Or, diffolve a fcruple of fait of tartar in a quarter of a pint of clear water: add to it ten grains of finely powdered cochineal, and fweeten it with loaf-fugar. Give a child within the year, the fourth part of a fpoonful of this, four times a day, with a fpoonful of barley-water after it. Give a child two years old, half a fpoonful: a child above four years old, a fpoonful. Boiled apples put into warm milk may be hischief food. This relieves in twenty-four hours, and cures in five or fix days. * Or take two grains of tartar emetic, and half a drachm of prepared crabs claws powdered : let them be mixt very well together. One grain, one grain and a half, or two grains of this compofition, may be added to five or fix grains of magnefia, and given in a fmali fpoonful of milk and water in the forenoon, between breakfaft and dinner, to a child a year old. * At night, if the fever is very high, half the for- mer dofe of this powder may be given, with from five to ten grains of nitre. In defperate cafes, change of air will have a good sffwft. 26. Cholera Morbus : i. e. Flux and Vomiting of Bile."* * Boil a chicken an hour in two gallons of water, and drink of this till the vomiting ceafes: Or, decoction of rice, or barley, or toafted oaten- bread. * If the pain is very fevere, fteep the belly with flannels dipt in fpirits and wacer. L z * The * [A7Tr the bowels are well emptied by large and frequent- ly repeated draughts of the ift and ad prefcriptionsbinder this head, inftaiit relief, in u:i extreme low frjiny ftate, m-y be ob- tained by taking from 25 to 30 drops of liquid laudanum in 3 glafs of mint tea. This is a dofe for grown perfons; if ui.dtv Ji years gf age, it mull b.- proportioned accordingly .J * The third day after the cure, take ten or fifteen grains of rhubarb. 27. Chops in Women's Nipples. Apply balfam of fugar : * Or, apply butter of wax, which fpeedily heals them. 28. Chopt Hands (to prevent). Wafh them with flour of muftard. * Or, in bran and water boiled together. 29. (To Cure.) Wafh them with foft foap, mixed with red fand: Tried. Or, wafh them in fugar and water: Tried. 30. Chopt Lips. Apply a little fal prunellse. 31. A Cold. Drink a pint of cold water lying down in bed: Tried. Or, a fpoonful of treacle in half a pint of water: Tried. Or, to one fpoonful of oatmeal, and one fpoonful of honey, add a piece of butter, the bignefs of a nutmeg 1 pour on gradually near a pint of boiling water : drink this lying down in bed. 32. A Cold in the Head. Pare very thin the yellow rind of an orange. Roll it up infide out, and thurit a roll into each noftril. 33- Ttw I 27 1 33. The Cholic (in the Fit). Drink of camomile tea : Or, take from thirty to forty grains of yellow peel of oranges, dried and powdered in a glafs of water. * Or, take from five to fix drops of oil of anifeed on a lump of fugar. * Or, apply outwardly a bag of hot oats : * Or, fteep the legs in hot water a quarter of an hour: * Or, take as much Daffy's elixir as will prefently purge. This relieves the moft violent cholic in an hour or two. <£j* Daffy's elixir Is made thus :—Sena two ounces, jalap one ounce, coriander feed half an ounce ; Geneva, ot proof fpirit, three pints ; let them digejl feven days ; Jlrain, and add loaf fugar Jour ounces. 34. The Dry Cholic (to prevent). Drink ginger tea. $5. Cholic in Children.* Give a feruple of powdeed anifeed in their meat: Tried. ' Or, fmali dofes of magnefia. * Or, a drachm of anifated tinfture of rhubarb, eve- ry three hours till it operates. 36. Bilious Cholic.f Drink warm lemonade: Or, * [Children fubjeft to daily and fevere cholic pains, fhould take the breaft. fparingly, and chiefly be fed on Ample chicken broth. StroBg mallows-root tea, taken every now and then, i« an excellent medicine in this complaint.] f This is generally attended with vomiting a greenifh or frothy matter, with feverifh heat, violent thirft, a bitttr tafte in the niouth, and little and high-coloured urine. [ 28 ]' Or, give a fpoonful of caftor oil.* 37. An Habitual Cholic. * Wear a thin, foft flannel on the part. 38. An Hyfteric Cholic.t Mrs. Watts, by ufing the cold bath two and twenty time? in a month, was entirely cured of an hyfteric cholic, fits, and convulfive motions, continual fweatings' and vomiting, wandering pains in her limbs and head, with total lofs of appetite. * Take 10, 15, or 20 drops of balfam of Peru on fine fugar : if need be, twice or thrice a day : Or, in extremity, boil three ounces of burdock- feed in water, which give as a clyfter : * Or, twenty drops of laudanum, in any proper clyfter ; which gives inftant eafe. [In this difordtr there often is fuch a vomiting, that no medicine for the prefent can be contained on the ftomach long enough to be advantageous. A lit- tle warm water may be given at firft ; then cover the fick with an extraordinary quantity of bed-clothes ; when fhe becomes warm, the vomiting ceafes; then a grain of opium may be taken, and if the complain::; are not relieved thereby in half an hour, it may be repeated.—A day or two after a warm purge fhould be taken: Tried.] 39. A Ner» * [Take one table fpoonful of caftor oil, mixed with a fpoon- ful of lemon-ju-te or (harp vinegar fweetened, every hour, un- til it purges. This is a fafe, eafy, and effectual purge, not only in all thofe complaints where the bowels are the feat of dii'ei.fe, but alfo in the intermitting and remitting bilious fevers incident to warm climates.] •j- Is attended with a violent pain about the pit of the fle- Biach, with great finking of the fpirits, and often witfi green* ilh vomitings.. I *9 J 39. A Nervous Cholic*. Ufe the cold bath daily for three or four weeks: 40. Cholic from the Fumes of Lead, or White Lead, Verdigreafe, &c. In the fit, drink frefh melted butter, and then vo, mit with warm water J . * To prevent or cure. Breakfaft daily on X<% broth, and ufe oil of fweet almonds frequently. Smelters of metals, plumbers, fcc. may be in a good meafure preferved from the poifonous fumes that furround them, by breathing through cloth or flannel mufflers twice or thrice doubled, diptin a folution or. fea-falt, or fait of tartar, and then dried. Thefe muf- flers might alfo be of great ufe in many fimilar cafes. 41. Windy Cholic. Parched peas eaten freely, have had the moft hap- py effefts, when all other means have failed. 42. To prevent the ill Effects of Cold. The moment a perfon gets into a houfe, with his hands or feet quite chttled, let him put them into a veffel of water, as cold as can be got, and hold them there till they begin to glow. This they will do in a minute or two. This method likewife effectually pre- vents chilblains. 43. A- Cop.-' * This fome term the dry bel!y-ach. It often continues fe- vetal dup, with little urine, and obftinate coftivenefs. A choJic with purging, fome term the watery gripes. t 3° 3 43. A Confumption. One in a deep confumption was advifed to drink nothing but water, and eat nothing but water-gruel, without fait or fugar. In three months time he was perfectly well. Take no food but new butter-milk, churned in a bottle, and white bread.—I have kpown this fuc- cefsful. Or, ufe as common drink, fpring-water, and new milk, each a quart; and fugar-candy two ounces. Or, boil two handfuls of forrel in a pint of whey. Strain it, and drink a glafs thrice a day: Tried. Or, turn a pint of fkimmed milk, with half a-pint of fmali beer. Boil in this whey about twenty ivy- leaves, and two or three fprigs of hyffop. Drink half over night, the reft in the morning. Do this, if need- ful, for two months daily.—This has cured in a def- perate cafe : Tried. Or, take a cow-heel from the tripe-houfe ready di. fivd, two quarts of new milk, two ounces of hartf- bi/i: -shavings, two ounces of ifinglafs, a quarter of a pcund of fugar-candy, and a race of ginger. Put all tblfe in a pot ; and fet them in an oven after the bread is drawn. Let it continue there till the oven is near cold; and let the patient live on this.—I have known this cure a deep confumption more than once. Or, every morning cut up a little turf of frefh earth, and lying down, breathe into the hole for a quarter of an hour---1 have known a deep confumption cured thus. " Mr. Mailers, of Evefham, was fo far gone in a confumpt'on, that he could not ftand alone. I advifed him to lofe fix ounces of blood every day for a fort- night, if he lived (o long ; and then every other day; then every third day; then every^fifth day, for the fame time. In three months he was well."-----(Dr. Dover.) Tried. This prefcription will not be fafe in any [ 3* 1 any cafe, but where the pulfe continues pretty ftrong^ and there are figns of inflammation. Or, throw frankincenfe on burning coals, and re- ceive the fmoke daily through a proper tube into the lungs: Tried. Or, take in for a quarter of an hour, morning and evening, the fteam of white rofin and bees-wax, boiling on a hot fire-fhovel. This has cured one who was in the third ftage of a confumption. Or, the fteam of fweet fpirit of vitriol dropt into warm wa'er. Or, take morning and evening, a tea-fpoonful of white rofin powdered and mlxt with honey.—This cu- red one in lfs than a month, who was very near death. Or, '.link thrice a day two fpoonfuls of juice of wa- ter ■ crofTcs.—This has cured a deep confumption. Ii the laft ftage, fuck an healthy woman daily. Tried by my Father. * For diet, ufe milk and apples, or water-gruel made with fine flour. Drink cyder-whey, barley-water fharpeucd with lemon-juice, or apple-water. So long as the tickling cough continues, chew well a-d,fwallow a mouthful or two, of a bifcuit or cruft o: bread, twice a day. If you cannnot fwallow it, fpit it out. This will always fhorten the fit, and would often prevent a confumption. See extract from Dr. Tiffot, page 33. 4 44. Convulfions. Ufe the cold bath : * Or, take a tea-fpoonful of valerian root powder- ed in a cup of water, eveiy evening. Or, half a drachm of miffelto powdered every fix h , drinking after ft a draught of ftrong infufion t:. jf. 4S« Coju [ 32 ] 45. Convulfions in Children. Scrape piony-roots frefh digged. Apply what you have 101 aped off to the foles of the feet. It helps im- medi ely. Tried. 46. Cuviilfions in the Bowels of Children. Give a child a quarter old, a fpoonful of the juice of pcllitory of the wall, two or three times a day. It goes through at once, but purges no more. Ufe the fyrup, if the juice cannot be had. 47. Corns (to prevent). Frequently wafh the feet in cold water. 48. Corns (to cure). Apply frefh every morning the yeail of fmali beer, fpread on a rag : . Or, after paring them clofe, apply brmfed ivy- leaves daily, and in fifteen days they will drop out; Tried. . . Some corns are cured by a pitch plaifter. All are greatly eafed by fteeping the feet in hot wa- ter wherein oatmeal is boiled. This alfo helps dry and hot feet. 49. Coftivenefs. Rife early every morning : Or, boil in a pint and a half of broth, half a hand- ful of mallow-leaves chopt: ftrain this and drink it, before you eat any thing elfe. Do this frequently, if oeedfuL Or, [ 33 ] Or, breakfaft twice a week or oftener, on water- gruel with currants: Tried. * Or, take the bignefs of a large nutmeg of cream of tartar mixt with honey, as often as you need. * Or, take daily two hours before dinner, a fmali tea-cupful of ftewed prunes : Or, ufe for common drink, water, or treacle-beer, impregnated with fixed air : Or, live upon bread, made of wheat-flour, with all the bran in it. Or, boil an ounce and a half of tamarinds in three pints of water to a quart. In this ftrained, when cold, bifufe all night two drachms of fcna, and one drachm cf red rofe leaves. Drink a cup every morning when coftive.—See Dr. Tiflbt. 50. A Cough. Make a hole through a lemon, and fill it with honey. Roaft it, and catch the juice. Take a tea-fpoonful of this frequently : Tried. [Or, take a table fpoonful of molaffes each night and morning, and drink in common, molaffes and water: Tried.] Or, take Spanifh liquorice two ounces, fait of tartar half an ounce ; boil the liquorice in three pints of wa- ter to a quart. Add the fait to it when it is blood- warm. Drink two fpoonfuls of this every two hours. It feldom fails: Tried.—I have known this cure "an inveterate moift afthma. Or, at lying down keep a little ftick-liquorice like horfe-radifh, between the cheek and the gums.— I believe this never fails. Or, peel and flice a large turnip, fpread coarfe fu- gar between the flices, and let it ftand in a difh till all the juice drains down. Take a fpoonful of this when- ever you cough: * Ov, take a fpoonful of fyrup of horehound, morning and evening : Tried. _____ M . ^. Or, £ 34 ] Or, take from fifteen to twenty drops of elixir of vitriol, in a glafs of water, thrice a-day. This is ufe- ful when the cough is attended with coftivenefs, and relaxation of fhe ftomach and lungs. Or, powder an ounce of fpermaceti fine. Work it in a marble mortar with the yolk of a new-laid egg. Mix them in a pint of white wine and take a fmali glafs every three hours. Or, drink Water whitened with oat-meal four times a-day. Or, keep a piece of barley-fugar, or fugar-candy conftantly in the mouth. 51, Violent Coughing from a {harp and thin Rheum. Work into old conferve of rofes, as much as you can of pure frankincenfe powdered as fine as poffible. Take a bolus of this twice or thrice a-day. It eafes prefently, and cures in two or three weeks. Or, take half a grain of the infpiffated milky juice of fowthiftle, once or twice a-day. It has the ano- dyne and antifpafmodic properties of opium, without its narcotic effects. Or, it may be made into lauda- num, in the fame manner that opium is, and five or fix drops taken on a lump of fugar, thrice a-day. The milky juice of all the fowthiftlcs, dandelions, and lettuces, have nearly the fame virtues. * Or, ufe milk-diet as HMwh- as poffrble. 52. The Cramp (to prevent). Tie your garter fmooth and tight under your knee bt going to bed ; I never knew this fail. Or, take half a pint of tar-water, morning and evening : * Or, be electrified through the part that ufes to be affected. This generally prevents it for a month: ibrfcetdncs fur a tw.lv c mo nth. t 35 1 Or, to one ounce and a half of fpirits of turpentine, Lidd flour of brimftone and fulphur vivum, of each half r.n ounce ; fmell to it at nig.it, three or four times. 53. The Cramp (to cure). * Chafe the part with hungary-water : Or, hold a roll of brimftone in your hand. I have frequently done this with fuccefs. 54. A Cut. Keep it clofed with your thumb a quarter of an hour. Then double a rag five or fix times j dip it in cold water, and bind it on : Tried. 55. Deafnefs. "Be electrified through the ear : Tried. Or, ufe the cold bath : Or, put a little fait into the ear : Or, drop into it a tea-fpoonful of fait water: * Or, three or four drops of onion-juice, at lying down, and flop it with a little wool. 56. Deafnefs from Wax. * Syringe the ear with warm, water.: Tried. .57. Deafnefs with a dry Ear. * Mix brandy and fweet oil: dip black wool in this, •and put it into thenar. When it grows dry, wafh it well in brandy : dip.it and put it in again. jS. Deli- t 36 ] 58. Delivery. After delivery in child-birth, the mother's milk is the only proper purge for the child. Let it begin to fuck ten or twelve hours after the birth. 59. A Diabetes?.* Drink wine boiled with ginger, as much and as of- ten as your ftrength will bear. Let your drink be milk and water. All milk-meats are good : * Or, drink three or four times a day, a quarter of a pint of alum poffet, putting three drachms of alum to four pints of milk. It feldom fails to cure in eight or ten days. (Dr. Mead.) 60. The Dropfy.f Ufe the cold bath daily, after purging: * Or, rub the fwelled parts with falled-oil by a warm hand, at leaft an hour a day. This has done wonders in fome cafes: Or, cover the whole belly with a large new fpunge dipt in ftrong lime-water, and then fqueezed"out. This bound on often cures, even without any. fenfibk evacuation of water. ™ Or, apply green dock-leaves to the joints and fo|es of the feet, changing them once a day. Or, mix half an ounce of amber with a quart of wine- vinegar. Heat a brick (only not red hot) and put it into a tub. Pour them upon it, and hold the parts- fwelled over the fmoke, covering the tub clofe to keep in * A diabetes is a frequent and large difcharge of pale and fvveetilh urine, attended with a conftant thirft, and a wafting «jf the whole body. f A dropfy is a preternatural collection of water in the head, breaft, belly, or all over the body. It is attended with a continual thirft. The parts fwelled pits if you prefs it with your fingers. The urine is pale and little. t n 1 in the fmoke. The water will come out incredibly, •and the patient be cured : Tried. Or, eat a craft of bread every morning fafting: Tried. Or, mix a pound of the coarfeft fugar with a pint of juice of pellitory of the wall, bruifed in a marble mor- tar. Boil it as long as any fcum rifes. When cool, bot- tle and cork it. If very bad, take three fpoonfuls at night, and two in the morning. It feldon fails: Tried. Or, make tea of roots of dwarf elder. It works by urine. Every twelve or fourteen minutes (that is, af- ter every difcharge) drink a tea-cup full.—I have known a dropfy cured by this in twelve hours time. One was cured, by taking a drachm of nitre every morning in a little ale. Tar-water drank twice a-day has cured many ; fo has an infufion of juniper berries roafted, and made into a liquor like coffee.: Or, three fpoonfuls of the juice of leeks, or elder- leaves : Tried. * Or, half a pint of decoction of butchers broom (intermixing purges twice or thrice a week). The proper purge is ten grains of jalap, with fix of powder- ed ginger. It may be increafed or leffened according to the ftrength of the patient. Or, of the decoction of the tops of oak-boughs. |This cured an inveterate dropfy in fifteen days : Or, take fena, cream of tartar and jalap, half an. ounce of each. Mix them, and ta,ke half a drachm e- very morning in broth. It ufually cures in twenty days. This is nearly the fame with Dr. Waro?8 powder. I fuppofe he took it from hence. He fays it feldom fails, either in the watery or windy dropfy. Or, fteep half an ounce of jalap in a quartern of Geneva for twelve hours. Draw it off. Divide it in- to three parts, and take it every other morning. Then put a large fpoonful of fyrup of marfh mallows into half a pint of ftale beer, and when it has boiled a little, cool it, and drink it at lying down in bed. Do .this three times. This has cured many. -M-2 ,0$, 7 [ 3« 1 Or, be electrified : This cures dropfies fuppofed in- curable. f£j" How amazingly little is yet known, even of the human body ! Have not dropficalperfons been continually advifed to abjlain from drink as much as poffible ? But how can ive reconcile this with the following undeniable fails, pubffloed in the medical tranfactions ? Jane Roberts, aged twenty, was at laft conftrained to take to her bed by a confirmed afcites anafarca. In this defperate cafe, fhe drank as much as fhe would, firft of fmali beer ; and when that failed, of thin milk. After a while her flcin cracked in many places : ;md ihe continued dunking and leaking till fhe was quite well. A middle-aged man in the weft of England, drank , every day 'iwe: or fix quarts of cyder: and without any other medicine, v»?.s totally cured in a few weeks time of a dropfy long fuppofed to be incurable. A farmer agtd feventy, in a confirmed afcites, was V iven over for dead. Being defperate, be drank three quarts of cold water, every four and twenty hours. His whole food meantime was fea-bifcuit, fometimes with a little butter. For fixteen days he feemed worfc. Then he difcharged fir near a week a vaft quantity of water, and was fjon dee from his difeafe, which ne- ver returned. 6i. Drowned. Rub the trunk of the body all over with hot fait. 'It frequently recovers them that fee in dead.—See ex- tract from Dr. Tiffot, page 150. And blow into the lungs. 62. The Ear-Ach, without Inflam- mation. Rub the car hard a quarter of an hour : Tried. * O^ be electrified : Or, C 39 ) Or, put in a roafted fig, or onion, as hot as may be: Tried. Or, blow the fmoke of tobacco ftrongly into it. But if the ear ach is caufed by an inflammation of the uvula, it is cured in two or three hours, by receiv- ing into the mouth the fteam of bruifed hemp-feed, boiled in water. 63. Ear-Ach from Cold. Boil rue, or rofemary, or garlic, and let the fteam go into the ear through a funnel. 64. Ear-Ach from Heat. Apply cloths four times doubled and dipt in cold water, changing them when warm, for half an hour. 65. Hard-Wax in the Ear, Is beft diffolved by warm water, 66. Eyes bleared. Drop into them the juice of crab-apples. 67. A Blood-ihot Eye. * Apply linen rags dipt in cold water two or three hours : Or, blow in white fugar candy, finely powdered : Or, apply boiled hyffop as a poultice. This has a wonderful efficacy. 68. A bruife in the Eye. App'y zz a pl.ddcr, conferve cf rcfcs. 6$. Ceuds C v> 1 '69. Clouds flying before the Eye. Take a drachm of powdered betony every morning. * Or, be electrified. ■% 70. Blindnefs, Is often cured by cold bathing : Or, by electrifying: Tried. This has cured even a gutta ferena of twenty-four years ftanding. 71. Dull Sight. Drop in two or three drops of juice of rotten ap- ples often. 72. Eilms. Mix juice of ground-ivy, with a little honey, and two or three grains of bay-falt.—Drop it in, morning and evening. 73. Hot or fharp Humours. Apply a few drops of doubleTrefined fugar, melted in brandy : Tried. Or, boil a handful of bramble-leaves, with a little alum, in a quart of fpring-water, to a pint. Drop this frequently into the eye. This likewife cures can- kers or any fores. Or, lay a thin flice of raw beef on the nape of the neck: Tried. 74. Eyes or Eye-Lids inflamed. Apply as a poultice, boiled, roafted, or rotten -ap- •.ples, warm, * Or. C 41 ] Or, wormwood-tops with the yolk of an egg: This will hardly fail. * Or, beat up the white of an egg with two fpoon- fuls of white rofe-water, into a white froth. Apply this on a fine rag, changing it fo that it may not grow dry, till the eye or eye-lid is well: Tried. * Or, diffolve an ounce of fine gum arabic in two or three fpoonfuls of fpring water ; put a drop into the inner corner of the eye, from the point of a hair-pen- cil, four or five times a day. At the fame time take as much fait petre as will lie upon a fix-pence, diffolv- ed in a glafs of water, three or four times a day ; ab- staining from all ftrong liquids as much as poffible, till cured.—White bread poultices, applied to the eyes in an inflamed ftate, frequently occafion total blindnefs. * After the inflammation is fubfided, if weaknefs flill remains, dip a finger in the white copperas eye- water, and rub round the eye, three or four times a day.—N. B. All acrid eye-waters, ?,vl powders, put into the eyes when they are inflamed, uorribly increafe both the pain and inflammation. 7j. A Lachrymal Fiflula.* Apply n poultice of fine leaves of rue : Or, w ;fh the eye morning and evening with a de- coction of quince-leaves. 76. Pearly.in the Eye. Apply a drop of juice of cdandine with a feither thrice a day : * Or, diffolve a little fal araraon'ac in rofe-wa n-e. Keep this three days in a copper veffel. ' Drop it twice a day into the eve. Or, * This diforder in the inner corner of the eye, caufes the tears to flow involuntarily. "When it is confirmed, only a fur- geon can cure it. t 42 D ■Or, reduce feparately, to the fincft powder poffible, an equal weight of loaf-fugar, cream of tartar, and bole avmoniac; mix them together, and put a little ns under this head, take aaftor oil, as directed in the note to Bili- ous Cholic] ( f This diftemper is nothing but a kind of very fmali lice, which burrow under the flcin. Therefore inward medicines are abfolutcly ntcc'.lefs------Is it poifible any phyfician fiiould be ignorant of this ? ■ • i It commonly appears firft, by the thicknefs of the lips, or -a flubborn humour in the eyes, then come hard fwdlings, in the neck chiefly; then running fores, [ S* ] Or, fet a quart of honey by the fire to melt. When k is cold, ftrew into it a pound and a half of quick-lime beat very fine, and fifted through a hair-five. Stir this about till it boil up of itfelf into a hard lump. Beat it when cold, very fine, and fift it as before. Take of this as much as lies on a fhilling, in a glafs of water, e#ery morning fatting, an hour before breakfaft, at four in the afternoon, and at going to bed : Or, make a leaf of dried burdock into a pint of tea. Take half a pint twice a day, for four months. I have k.nown this cure hundreds. The beft purge for the king's evH is tincture of jalap, which is made thus :—Jalap in powder, three ounces; Geneva, or proof fpirits, one pint. Let them infufe feven days. A tea-fpoonful or two is fufficient for a child ten years old, in a morning falling ; and repeat- ed once a week, fo as to keep the ftomach and bowels clean, will frequently cure the king's evil. But all vi- olent purges, or when repeated too often, are perni- cious. 126. Lamenefs, from a fixed Contrac- tion of the parts.* Beat the yolk of a new-laid egg very thin, and by a Spoonful at a time, add and beat up with it three oun- ces of water. Rub this gently into the parts for a few minutes, three or four times a day. 127. Legs Inflamed. Apply fulier's earth fpread on brown paper. It fel- dom fails : Or, bruifed turnips. 128. Legs • [Anoint the part well with fweet oil, and rub it in with the band, continuing the friclion for half an hour or an hour, eve- ry night and morning, until well. Or, bind the caul of a newly killed -animal clofe, on the part J totortrcatedif neceflury.J [ 59 ] 128. Legs fore and running. Wafh them in brandy, and apply alder-leaves, chang- ing them twice a-day. This will dry up all the fores, though the legs were like an honey-comb :^ Tried. Or, poultice them with rotten apples : 1 ncd. But take alfo three or four purges. 129. Leprofy.* Ufe the cold bath : Or, wafh in the fea, often and long : Or, mix well an ounce of pomatum, a drachm of pow- dered brimftone, and half an ounce of fal prunellae; and anoint the parts fo long as there is need : Or, add a pint of juice of houfe-leek, and half a pint of verjuice, to a pint and a half of poffet-drink. Drink this in twenty-four hours:—It often cures the quinfy, and white fwellings on the joints: Or, drink half a pint of cellery-whcy, morning and evening. This has cured in a moft defperate cafe : Or, drink for a month a decoction of burdock- leaves, morning and evening : Tried. 130. Lethargy.•(■ Snuff ftrong vinegar up the nofe : Or, take half a pint of decoction of water-creffes, morning and evening. 131. Lice (to kill). Sprinkle Spanifh fnuff over the head. Or, wafh it with a decoction of amaranth. 132. For * In this difeafe, the fkin hi many parts is covered with rough, whitifh, fcaly puftuk 5; and if thefe are rubhcd off, with a kind of fcaly fcuif. f [A lethargy is a confhut inclination to doze, or be aflerp, with Uttle or no fever.J I <50 ] 132. For one fcemingly killed with Lightning, a Damp, or fufFocated. * Plunge him immediately into cold water: * Or, blow ftrongly with bellows down his throat. This may recover a perfon feemingly drowned. It is flill better if a ftrong man blows into his mouth. 133. Lues Venerea. Take an ounce of quickfilver every morning, and a fpoonful of aqua fulphurata in a glafs of water, at five in the afternoon. I have known a perfon cured by this, when fuppofed to be at the point of death, who had been infected by a foul nurfe, before fhe wa3 a year old. QdT I infert this for the fake of fuch innocent fufferers. 134. Lunacy. Give decoction of agrimony four times a-day: Or, rub the head feveral times a-day with vinegar in which ground-ivy leaves have been infufed: * Or, take daily an ounce of diftilled vinegar: Or, boil juice of ground-ivy with fweet oil and white wine into an ointment. Shave the head, anoint it there- with, and chafe it in warm every other day for three weeks. Bruife alfo the leaves, and bind them on the head, and give three fpoonfuls of the juice warm every morning. (C/* Thi6 generally cures melancholy. The juice alone, taken twice a-day, will cure. Or, electrify: Tried. 135. Raging Madnefs. Apply to the head, cloths dipt in cold water : * Or, * It is a fure rule, that all mad men are cowards, and may be -xonquered by binding only, without beating. (Dr. Mead.) He alfo obfervcs, that blifteriug the head does more harm than good. Keep the li£ad*clofeTfhav.ed, and frequently wafh it .with vinegar. C *i 1 * Or, fet the patient with his head under a great water-fall, as long -as his ftrength will bear: Or, pour water on his head out of a tea-kettle : Or, let him eat nothing but apples for a month : Or, nothing but bread and milk : Tried. 136. The Bite of a Mad Dog. Plunge into cold water daily for twenty days, and keep as long under it as poffible.-----This has cured, even after the hydrophobia was begun.* Or, mix afhes of trefoil with hog's lard, and anoint the part as foon as poffible. Repeat it twice or thrice at fix hours diftance. (Xj* This has cured many : and particularly a dog bit on the nofe by a mad dog. Or, mix a pound of fait with a quart of water. Squeeze, bathe, and wafh the wound with this for an hour. Then bind fome fait upon it for twelve hours. N. B. The author of this receipt was bit fix times by mad dogs, and always cured himfelf'by this means. Or, mix powdered liver-wort, four drachms : black pepper, two drachms : Divide this into four parts, and take one in warm milk for four mornings fatting. Dr. Mead affirms he never knew this fail: But it has fome- times failed. Or, take two or three fpoonfuls of the juice of rib- wort, morning and evening, as foon as poffible after the bite. Repeat this for two or three changes of the moon. It has not been known to fail. [To prevent the diforder in thofe who have been bit- ten ;—Cauterize the wound, and drefs it twice a day with digeftive, and once a day with mercuriaj ointment. TifTot. Wafh the wound well, and drefs it every day with fait. Keep the wound open 40 days.] O 2 137. The * If this he really a nervous difardi-r, what wonder if it fhoufdl v. cured by cold bathing ? I 62 ] 137- The Mealies* (fj' Immediately confult an honeft phyfician : * Drink only thin water-gruel, or milk and watet, the more the better; or toaft and water. If the cough be very troublefome, take frequently a fpoonful of barley-water fweetened with oil of new almonds newly drawn, mixed with fyrup of maiden-hair. * After the meaffes, take three or four purges, and for fome weeks take care of catching cold, ufe light diet, and drink barley-water, inftead of malt-drink. See extract from Dr. Tiffot, page 8?.. 138. Menfes Obf-ructed. Be electrified: Tried. Or, take half a phic of ftrong decoction of penny- ' roynl, every night at going to bed: Or, boil five lar;c heads <..f hf up, ina pint of wa- ter, to half. Strain it; a>,d drdik it at going to bed, two or three nigKs. It ield< ;n fails: Tried. * Or, take drom three to four grains of calomel, in a pill, for two or three nights, taking care not to catch cold. It purges : Tried. Let any J thefe medicines be ufed at the regular times as near as can be judged.-----See Dr. Tiffot. 139. Menfes Profufe. Drink nothing but cold water, with a fpoonful of fine flour ftin-ed in it. At that time drink a glafs of the coldeft water you can get, and apply a thick cloth dipt in cold water : Or, put the feetSnto cold water: Or, apply a fponge dipt in red wine and vinegar: Or, bleed in the arm. Stop the orifice often with the finger, and then let it bleed again: Or, 1. # This diftemper is always preceded by a violent cough, b£tm fourteen days before the red /pots corae out. C 63 3 Or, boil four or five leaves of the red holy-oak in a pint of milk, with a fmali quantity of fugar. Drink this in the morning; if the .perfon can afford it, fhe mav add a tea-fpoonful of balm of Gilead. This does not often fail: * Or, reduceto a fine powder half an-ounce of alum, with a quarter of an ounce of dragon's blood. In a violent cafe, take a quarter of a drachm every half hour. It fcarce ever fails to ftop the flux, before half an ounce is taken. This alfo cures the whites. [If the ftrength will admit, take a little blood from the arm.-, the body fhould be kept loofe." Let her take a. tea-cup£ul of alum-whey every three or four hours—made thus: Put two drachms of powdered alum into a pint of milk, boil it till the curd is well fepa- rated, then ftrain off the whey and bottle it. The like : medicine in floodings, and in the whites, has been found often ufeful: Tried.] 140. To refolve coagulated Milk. Cover the woman with a table-cloth, and hold a pan of hot water, juft under her breaft ; then ftroke it three or four minutes. Do this twice a day, till it is cured. 141. To increafe Milk. Drink a pint of water going to bed : Or, drink largely of pottage made with lentils. 142. To make Milk agree with the Stomach. If it lie heavy, put a little fait in it; if it curdle, Jiugar. For bilious perfons mix it with water. -.143. A [ ^ 3 143. A Mortification (to (lop). * Apply a poultice of flour, honey, and water, with a little yeatt. f_A gangrene is when any part of the body, from the violence of the inflammation is not actually dead, but is in a ftate of dying.—Galen. The inflammation fhould be abated by bleeding, if the fever admit, and by cooling, opening medicines; the parts around touched with vinegar, lime-water, or camphorated fpirits, and fcarified. Apply a poultice dHJncuit of fine wheat flour boiled with milk to the gangrened part, and take the bark freely.. N. B. No oily fubftance fhould ever touch a bone, found or unfound, but foul bones fhould be dreffed with fpirits, as tincture of myrrh, &c. J 144. Nervous Diforders. When the nerves perform their office too languidly, a good air is the firft requdite. The patient alio fhould rife early, and as foon *.■; the dew is off the ground, walk: let his breakfaft be mother of thyme tea, gathered in June, ufing half as much a- we do of common tea. When the nerves are too fenfible, let the perfon breathe a proper air, let birr, eat veal, chick- en;, or mutton. Vegetables fhould be eat fparingly ; the moft innocent is the French bean ; and the beil root, the turnip. Avoid all fauces. Sometimes he may breakfaft upon a quarter of an ounce of the pow- der of valerian root infufed in hot water, to which he ' may add cream and fugar. Tea is not proper. When the perfon finds an uncommon oppreflion, let hirn take a large fpoonful of the tincture of valerian root. (fdr This tinclure Jhould be made thus : Cut to piecesJx ounces oj wild valerian root, gathered in June, andfrjh drieil. Bndfe it by a few Jlrokes in a mortar, that the pieces may be fplit, but it Jloould not be beat into powder : put this into a quart ofjlrong wl.de wine j cork the bottle t 6s 1 and let it fland three weeks, Jhaking it every day ; thttt prefs it out and filter the tm8ure through paper. N. B. The true wild valerian has no bad frnell : it it has, cats have urined upon it, which they will do, if they can come at it. . But I am firmly perfuaded^ there is no remedy m nature for nervons diforders of every kind, comparable to the proper and conftant ufe of the ekancal machine, 145. Nettle Rain* Rub the parts ftrongly with parfley. 146. Old Age. Take tar-water morning and evening: Tried. Or, decoction of nettles : either of-thefe will pro- bably renew the ftrength for fome years : Or, be electrified daily : Or, chew cinnamon dafly, and fwallow your fpittle. 147. An old ftubborn Pain in the Back. Steep root of water-fern in water, till the water be- comes thick and clammy. Then rub the parts there- with morning and evening: Or, apply a plaifter, and take daily balfam of ca- pivi. 148. The Palfy.t Be electrified daily for three months, from the places where the nerves fpring, which are brought to the * A flight fever, (which fometimes lafts for weeks or months) attended with itching and fmarting, and an eruption juft like that o.cifioned by nettles. In Georgh, we called it the prickly heat. t A palfy is fhe lofs of motion or feeling, or both, in any •particular part of the body. t <* ] the paralytic part—If the parts beneath the head are affe-ited, the fault is in the fpirial marrow. If half the body, half the marrow is touched. Or, ufe the cold bath if you are under fifty, rub- bing and fweating after it : Or, fhred white onions and bake them gently in an earthen pot, till they are foft: fpread a thick plaifter of this, and apply it to the benumbed part, all over the fide, if need be.—I have known this cure a perfon of feventy-five years old. Or, take tar-water, morning and evening : Or, boil white and red fage, a handful of each in a quart of white wine. Strain and bottle it. Take a fmali glafs morning and evening. CdT This helps all nervous diforders. Or, take a tea-fpoonful of powdered fage lying down in bed. 149, Palfy of the Hands. Wafh them often in decoction of fage, as hot as you can bear: Or, boil a handful of elder-leaves, or, two or three fy r-1sof muftard-feed in a quart of water. Wafh c'n. . i ibis, as hot as may be. 150. Palfy of the Mouth. * After purging well, chew muftard feed often : Or, gargle with juice of wood-fage, 151. Palfy from working with white Lead or Verdigreafe. Ufe warm baths and a milk-diet. 152. The Palpitation, or Beating of the Heart. -Apply outwardly a rag dipt in vinegar: Or, C 67 ] O, be elearified". Tried. . Or, take a decoaion of mother's wort every night. 153. Phlegm (fee Flegm). 154. The Piles (to prevent). Wafh the parts daily with cold water. 155. The Piles ^to cure\ Apply warm treacle : Or, a poultice of boiled brook-lime. It feldom fails: Or, varnifh. It perfectly cures both the blind and bleeding piles: Tried. Or, fumigate with vinegar, wherein red hotfJnts have been quenched. This foftens even fchirrhous tumours. [Take flour of fulphur, half an ounce ; cream of tartar, half an ounce ; conferve of rofes an ounce, w.di fyrup enough to make an electuary; take the bulk of a nutmeg thrice a day, and touch the parts with the following linament. Take burnt cork, two ounces ; digeftive ointment, half an ounce; linfeed oil enough to make it into a linament: Tried.] 156. The inward Piles. Swallow a pill of pitch, falling. One pill ufually cures the bleeding piles : Or, eat a large leek, boiled : Or, take twice a day, as much as lies on a fhilling, of the thin fkins of walnuts, powdered. 157. Violent bleeding Piles. Idghtlv boil juice of nettles, with a little fugar: tak^. two ounces. It feldom needs repeating. 158. The [ $8 ] 158. The Pleurify.* " TJfe a decoction of nettles; and apply the boiled herb hot, as a pou'tice. I never knew it fail. Or, a plaifter of flour of brimftone and white of an egg : Tried.—See D.. Tiffot, page 38. In diforders of this kind, Dr Huxham advifes, " Sip almoft continually thi.> whey, barley-water, or hyffop tea, fharpened with lemon-juice ; or vinegar and water. If the fpitting flop fuddenly, take a little vomit. Likewife camphorated vinegar, with fyrup of elder or rafberries is gootd To appeafe the cough take often, a little at a time of roafled apples, of ftraw- berries, rafberries, or currants." [There is alfo a baftard pleurify, which is an inflam- mation of the mufcles among the ribs, attended with little or no fever. In the true pleurify the pain is greateft in infpiration, and is moft perceived when the unaffected fide is lain on, attended with a conftant fever, fhort cough, and fometimes a fpitting of blood ; thefe fymptoms do not attend the baftard pleurify. . Thi.s laft diforder feldom needs bleeding, as does the true pleurify ; the work is better done by a vomit and acidulated barley-water. But the pleurifies in North America do not admit of fuch large bleedings as in Europe, nor can the patients bear fuch large dofes of medicines : the diet in the true pleurify fhould be flen- der, cool and diluting: a bladder filled with warm milk and water, applied to the fide, may be renewed when cool: he may drink a decoction of feneca rat- tle-fnake-root, &c. There are alfo pains in the fides which are moftly from flegm, and are carried off by warm diluting drinks, where bleeding would be hurtful, efpecially in the fall of the year, j 159. To one Poifoned. * Let one poifoned by arfenic, diffolve a quarter of an * A pleui ify is a fever attended with a violent pam in the fide, and a pulfe rcro-rkably hard. [ «9 ] an ounce of fait of tartar in a pint of water, and drink every quarter of an hour as much as he can, till he is well. * Let one poifoned by opium, take thirty drops of elixir of vitriol, every quarter of an hour, till the drowfinefs or wildnefs ceafes : * Or, take a fpoonful of lemon-juice, every half hour. * Let one poifoned with mercury fublimate, dif- folve an ounce of fait of tartar in a gallon of water, and drink largely of it. C> This will entirely deflroy the force of the poifon, if it be ufed foon. Nothing cures the African poifon, but a decoction of the roots of the fenfitive plant. 160. Polypus in the Nofe. * Powder a lump of alum, and fnuff it up frequently. Then diflblve powdered alum in brandy : dip lint there- Mi, and apply it at going to bed. 161. A Prick or cut that fellers. Apply turpentine. 162. Ptyalifm.* A very violent and ftubborn diforder of this kind was cured by chewing perpetually a little dry bread, and fwallowing it with the fpittle. 163. An eafy Purge. Drink a pint of warmifh water fatting, walking af- Or, a foft egg with a tea-fpoonful of fait: P Or, * A continual Spitting. C 7° J Or, infufe from half a drachm to two drachms of damafk rofe-leaves dried, in half a pint of warm water, for twelve hours, and take it: * Or, infufe three drachms of fena, and a fcruple of fait of tartar, hi hnlf a pint of river-water for twelve hours. Then ftrain and take it in the morning. Wild-afh is a plant of the very fame nature as fena. Its leaves taken in the fame quantity purge full as well, and do not gripe as fena does. It is therefore prefer- able to that which is brought from Turkey or Italy. OC/* The wild-afh is called in the north of England, round-tree, quicken, quick-beam, or wiggan-tree. The leaves fhould be gathered when the tree is in flower. 164. A ftronger Purge. Drink half a pint of ftrong decoction cf dock-root: * Or, two drachms of the powdered root of monks rhubarb, with a fcruple of ginger. 165. The Quinfy.* Apply a large white-bread toaft, half an inch thick, dipt in brandy, to the crown of the head, till it dries: Or, bleed, purge and blifter. 166. Quinfy of the Breaft.f Take from eight to twenty drops of laudanum, ly- ing down in lied: Or, make an iffue in the thigh. 167. The * The yimifv J* a fever, attended with difficulty of fwal- lowing, arid v i. 1. cf breathing. •j- Th;s is krow« by ,1 fudden unaccountable pain and diffi- culty of brt;:thirg, ;«.»zing a perfon in the night, or on any violent n.oiion. 167. The Rheumatifm.t To prevent. Weir wafhed wool under the fe"et. To cure. Ufe the cold bad;, with rubbing and fweating : Or, apply warm fleams : Or, rub' in warm treacle, and apply to the part !i;own paner fmeared therewith : change it in twelve hours : 'fried. Or,'drink half a pi )•. cd tar-water, morning and evening : Or, fteep fix or feven cloves of garlic, in half a pint of white wine. Drink it lying down. It fweatj, and frequently cures at once. * Or, t:d;e two cloves of garlic, and one drachm of gum ammoniacum 5 beat them together in a mar- ble mortar, with a little w-ler, fo as to make three boluLs. Take ono of them night and morniag, and drink faffafras tea freely : * Or, mix flour of brimftone with honey, in equal quantities. Take three fpoonfuls at night, two in the morning, and one afterwa-ds, morning and evening, till cued. Thia fucceeds oftener than any remedy I have found: Or, live on new nd'k vdiey and white bread for fourteen C.ovnn This has cv.red in a defperate cafe : O.-, pcvi:id the green {talks of Englifh rhubarb in Mdy or June, with an eynl quantity of lump-fugar. Take the quant cy of a nutmeg of this three or four tm:s a day. This feldom fails.-----See extract from D.. Tiiov, p:r:;. 6l. In a ftubborn rheumatifm, let your diet be bailey- gruel, with currants, roafted apples, frefh whey, and light pudding. f_Rub an ounce of camphire, with f\yo ounces of Florence oil, in a mortar, till the camphire be entire- ly diffolved, to rub the parts affected.—Buchan.] * Take f Rheuimtical pains are generally m.o.1 violent a., foon n you are waim ic bed. C 72 3 * Take of Florence -.l> fail either to return the rapture or procure ftools, and the pain and ficknefs ar the ftom i.:h rather increafe, with a beginning reftleffnefs, the cafe becomes highly alarming and dangerous, and no time is to be loll: fteep a quarter of an ounce of ftrong tobacco in a pint of boiling w.iter an hour, fir in it off and inject it as a clyfter. This m 1/ caufe great ficknefs and faintntfs, fo as to alarm the by ft.nders not a little, hut is not. Jan-eroas, and will fre- qu n ly fucceoi when every thing eife-fai!s. After the rupture is reduced, a well-fitted fteel frafs fhould afterward*be always worn, and the orriiftioa of it f >r an hoHr, while in an-_re.it poihire, may be faul. U is ftrongly recommend rd, in every rc.cnf cafe of this kind, tocli in a phyfic! m of experience as :ary after the itcudent as pdifible, as a chirurgi- it operation m >y be abfo!u'ely ncc.fft- ry to five the perfon's life. The above ;><* iti-n.no otner ftianlj he uulUd to in a cafe of fo r.u.h jmpertaace.j [ 74 3 " I place," fays Dr. Riviere, " a broad plank floping from the fide of the bed to the ground. On this I lay the patient upon pillows, with his head downward. Then 1 foment the part for half an hour, with cloths four times doubled, fteeped in cold water, gently touching it with my fingers. Afterwards I bind en it, many times doubled, a cloth fliaped like a triangle, wet in cold water.—The gut is generally reflored to its place in a few hours. If not, I repeat the opera- tion twice a day, and in two or three days the difeafe is cured." 172. A Rupture in Children. Keep its bowels open with iln:barb and apply a ioll band. 173. A Scald Head. Apply daily white wine-vinegar : Tried. Or, a little blue ointmev.t. After the cure, give two or three gentle purges. If a proper ivgard was paid to cleanlinefs in the head and apparel of cldldren, the fcakdhead woidd feldom be feen. 174. The Sciatica,* Is certainly cured by a purge taken in a few hours after it begins: Or, ufe cold bathing, and fweat, together with the flefh-brufh twice a day : Or, boil nettles till foft. Foment with the liquor, then apply the herb as a poultice.—I have known this cure a fciatica of forty-five years Handing : Or, apply nettles bruifed in a mortar : Or, • The fciatica is a viohut pain in the hip, chiefly in the joint of the thigh-bone, [ 75 ] Or, a mud made of powdered pitcoal and warm wa- ter. This frequently cures fores, weaknefs of limbs, moft diforders of the legs, fwelling and ftiffnefs of the joints. It cured a fwelling of the elhow-joint, though accompanied with a fiftula, arifing f> om a caries of the bone. See extraft from Dr. Tiffot, page 66. 175. Inflammation or fvvelling of the Scrotum. Apply lead water. 176. A Scorbutic Atrophy.* Ufe cold bathing :—Which alfo cures all fcorbutic pains. 177. Scorbutic Gums. *Wafh them daily with a decoction of the peruvian bark, adding a little tincture of rofes, with a folution of myrrh. * [Wafh them with cold water, then with tincdure of red rofes, with as much fweet fpirit of fait mixed with it as can be conveniently borne : Boerhaave. Or, wafh them with tincture of myrrh : Tried.] 178. Scorbutic Sores. A diet-drink.—Put half a pound of frefh fhaved lig- num guaiacum (called by the block-makers lignum vitae) and half an ounce of fena into an earthen pot that holds fix quarts ; add five quarts of foft water and lute the pot clofe. Set this in a kettle of cold water, and put it over a fire, till it has boiled three hours. Let it ftand in the kettle till cold. When it has flood one * Such a degree of the frurvy as caufes the flefh to wafh; aw-*y like a confumption. [ 76 > one night, drink daily half a pint, new mid: warm, in the morning, fafting, and at four in the afternoon. Wafh wdh a little of it. In three months all the fores will be dried up : Tried. 179. The Scurvy.* Live on turnips for a month : Or, take tar-water, mondr.g and evening, for three months: Or, three fpoonfuls of nettle-juice eveiy morning : Tried. Or, decoftion of burdock. Boil three ounces of the dried root in two quarts of water to three pints. Take hdf a pint daily : unlefs it purges too much, if fo, take lefs. A decoction of the leaves (boiling one leaf four minutes iu a quart of water) has the fame effeci: Or, take a cupful of the juice of goofe-grafs, in a morning, fafting, -for a month : it is frequently called hariff, or cleavers. Laft year 1 knew many perfons cured by it. ' Or, pound into a pulp, of Seville oranges, fliced, rind and all, and powdei ed-fugar, equal quart'ties. Take a tea-fpoonful three or four times a day : Tried. Or, fqueeze the juice of half a Seville orange into a pint of milk over the fire. Sweeten the whey with loaf-fucrar, and drink it every morning, new milk warm. To make any whey, milk fhould be fkimmed, after it is boiled. * Or, pour three quarts of boiling water, on a quart of ground malt : flir them well, and let the mixture Hand covered clofe, for four hours : ftrain it off, and ufe * The fcurvy is known by heavinefs of body, wearinefs, rnttennefs < f gurus, and ytllow, lead, or violet-co oured fpois on the 1. 9.* or arms. N- B. A fcurvy attended with coftivenefs (which is moft ttommoii) is termed a hot fcurvy : one attended withloofc* jatfi, a cold fcurvy. -I 77 ] ufe this as common drink: in hot weather, brew thie ~ frefh every day. It will hardly fail. Or, take morning and evening, a fpoonful or two of lemon juice and fugar. " It is a precious remedy, and well tried."—Dr. Mackbride. Water and garden creffes, muftard and juice of fcur- vy-grafs, help in a cold fcurvy. When there is a continual fak tafte in the mouth, take a pint of lime-water morning and evening. 180. A Broken Shin. Bind a dry oak-leaf upon it: Or, put on a bit of white paper moiftened with fpit- tle. It will flay on till the place is well: Tried. This cures a cut alfo. 1S r. Shingles.* * Drink fea-water every morning for a week ; to- ward the clofe, bathe alfo : Or, apply pounded garlic. [It is neceffary that the body fliould be purged and kept loofe, then touch the part twice a-day with the following : Take muftard-feed powdered fine, and beft writing ink, as much as will make it into a linament; Tried.] 182, Sickifhnefs in the Morning. Eat nothing after fix in the evening: Or, drink half a pint uf water impregnated with fix- ed air, 183. Sin *vs fhrunk. Rub them with warm oil. 184. Skia * A kind of Rin^-Worrh, which encircles the body like a belt, of a hand's breadth. L 78 ] 184. Skin rubbed off. Apply pounded all-heal—It feldom needs repeating. Or, a bit of white paper with fpittle. i8j. Small-Pox. Drink largely of toail and water. Or, let your whole food be milk and water mixed with a little white bread : Tried. Or, milk and apples. Take care to have aJipee, pure and cool air. There- fore open the cafemenrtvery day : only do not let it chill the patient. , " There may be puflules a fecond time, coming out and ripening like the fmall-pox, but it is barely a cu- taneous diforder. " In violent cafes, bleed in the foot; bathe the legs in warm water, twice or thrice a day, before and at the eruption ; and apply boiled turnips to the feet. Never keep the head too hot. * " In very low depreffed cafes, wine may be giv- en: and if the puflules lie buried in the flcin, a gentle vomit. In many cafes a gentle purge of manna, cream of tartar, or rhubarb. " In the crude ichorofe fmall-pox, a difh of coffee now and then, with a little thick milk in it, has'often quieted the vexatious cough. " After the incruftation is formed, change the fie-k: but let it be with vary dry, warm linen." Dr, fiuxhim. 186. A \on.y running Sore in the Back', Was entirely rm-jd by eating betony in every thing : Or, tcke every nwrni . rubbed together, and divided into fix dofes, one of which fhould be given every four hours. Then take tine lioney, an ounce ; borax, a drachm : burnt alum half a drachm ; rofe-water, two drachms: mix them to touch the parts with : Bucha:i.] 229. Tonfils fwelled. Wafh them with lavendei;-water. 230. Torpor ; * I«ittle white yJcersin the n}?u;b, [ 89 ] 230. Torpor; or, Numbnefs of the Limbs. Ufe the cold bath, with rubbing and fweating. 231. Twifting of the Gu.ts. Ufe injection of tobacco fmoak. • 232. Tympany; or, Windy Dropfy. Ufe the cold bath with purges intermixt: Or, mix the juice of leeks and of elder. Take two or three fpoonfuls of this, morning and evening : Tried. Or, eat a few parched peas every'how;> <« '< 233. A Vein or Sinew cut. Apply the iniier green rind of hazel frefh fcraped., 234 The Vertigo,, or Swimming ia the Head. * Take a vomit or two : * Or, ufe the cold bath for a month : Or, in a May morning, about fun-rife, fnuff up daily the dew that is on the mallow-leaves : Or, apply to the top of the head, fhaven, a plaifter of flour of brimftone, and whites of eggs : Tried. Or, take every morning half a drachm of muftard- feed : Or, mix together one part of fait of tartar, with three parts of cream of tartar. Take a tea-fpoonful in a glafs of water, every morning, fafting. This is ferviceable when the vertigo fprings from acid, tough phlegm in the ftomach. 235- Vigilia, [ *> ] 235* Vigilia, Inability to Sleep. Apply to the forehead, for two hours, cloths four times doubled and dipt in cold water. I have known, this applied to a lying-in woman, and her life faved thereby : Or, take a grain or two of camphire. Afafoetida, from ten to thirty grains, likewife will in moft cafes anfwer. 236. Bite of a Viper or Rattle-Snake. Apply bruifed garlic: Or, rnb the place immediately with common oil.— .Quere, Would not the fame cure the bite of a mad dog ? Would it not be worth while to make the trial on a dog ? [Or, take a quantity of hore-hound, bruife it well in a mortar, and fqueeze out the juice ; likewife plan- tane in like manner : a table-fpoonful of thefe liquids mixed together in equal quantities, is to be taken eve- ry three hours till the infection is done, and the beat- en herbs are for a poultice to the part, having firft cleanfed it well: Or, apply the liver and guts of the ferpent to the wound. Good in the bite of any ferpent.] 2^y. To prevent the Bite of a Viper. Rub the hands with the juice of radifhes. 238. An Ulcer. Dry and powder a walnut-leaf, and ftrew it on, and lay another walnut-leaf on that: Tried. Or, boil walnut-tree leaves in water with a little fu- gar. Apply a cloth dipt in this, changing it once in two days. This has done wonders. Or, C 9> ] Or, foment morning and evening with a decoction' of walnut-tree leaves, and bind the leaves on. This has cured foul bones ; yea, and a leprofy : Tried. 239. Ulcer in the Bladder or Kidneys. Take a decoftion of agrimony thrice a-day : Or, decoction, powder, or fyrup of horfe-tail. 240. Ulcer in the Gum or Jaw. Apply honey of rofes fharpened with fpirit of vitriol: Or, fill the whites of eggs boiled hard and flit, with myrrh and fugar-candy powdered. Tie them up, and hang them on fticks lying acrofs a glafs. A liquid diftills, with which anoint the fores often in a-day. 241. A Fiftulous Ulcer. Apply wood-betony bruifed, changing it daily. 242. A Bleeding varicous Ulcer in the Leg. Was cured only by conftant cold bathing. 243. A Malignant Ulcer. Foment morning and evening, with a decoction of mint. Then fprinkle on it finely powdered rue : Or, burn to afhes (but not too long) the grofs ftalk on which the red .coleworts grow. Make a plaifter with this and frefh butter. Change it once a-day : * Or, apply a poultice of boded parfnips. Thie will cure even when the bone is foul: Or, be electrified daily : Tried. 244. Aq [ 92 ] 244- An eafy and fafe Vomit. Pour a difh of tea on twenty grains of ipecacuan- ha. You may fweeten it if you pleafe. When it has ftood four or five minutes, pour the tea clear off, and drink it. 245. To ftop Vomiting. Apply a large onion flit acrofs the grain, to the pit of the ftomach : Tried. * Or, take a fpoonful of lemon-juice and fix grains of fait of tartar. 246. Bloody Urine. Take twice a-day a pint of decoftion of agrimony: Or, of decoction of yarrow. 247. Urine by Drops with Heat and Pain. Drink nothing but lemonade : Tried. Or, beat up the pulp of five or fix roafted apples with near a quart of water. Take it at lying down. It commonly cures before morning. 248. Involuntary Urine. Ufe the cold bath : Or, take a fpoonful of powdered agrimony in a lit- tle water, morning and evening : ' Or, a quarter of a pint of alum poffet-drink every night : ' Or, fomer-t with rofe-leaves and plantane-leaves, boiled in a fmith's forge-water. Then apply plaifters cf alum and boL armoniac, made up of oil and vinegar : Or, apply a blifter to the os facrum. This feldom fidls. 249- Sharp I 93 3 249* Sharp Urine. 'Take two fpoonfuls of frefh juice of ground-ivy. 250. Suppreffion of Urine, Is fometimes relieved by bleeding : Or, drink largely of warm lemonade : Tried. Or, a fcruple of nitre, every two hours : Or, take a fpoonful of juice of lemons fweetened with fyrup of violets. 251. Uvula* inflamed. Gargle with a decoction of beaten hemp-feed: Or, with a decoction of dandelion : Or, touch it frequently with camphorated fpirits of wine. 252. Uvula relaxed. Bruife the veins of a cabbage-leaf, and lay it hot on the crown of the head : repeat, if needed, in two hours. I never knew it fail. * Or, gargle with an infufion of muftard-feed, 253. Warts. Rub them daily with a radifh : Or, with juice of marigold-flowers: it will hardly fail: Or, water in which fal armoniac is diffolved : Or, apply bruifed purflain as a poultice, changing it twice a-day. It cures in feven or eight days. 254. Weaknefs in the Ankles, Hold them in cold water a quarter of an hour morn- ing and evening. R 255. A • This is ufually called th« palate of the mouth. [ 94 1 255- A foft Wen. Wrap leaves of forrel in a wet paper, and roaft them in the embers. Mix it with finely fifted afhes into a poultice. Apply this warm daily. Dr. Riviere fays, " I cured a wen as big as a large fift, thus : I made an inilrument of hard wood, like the ftone with which the painters grind their colours on a marble. With this I rubbed it half an hour twice a day. Then I laid on a fuppurating plaifter very hot which I kept on four or five days. The wen fuppur- ated and was opened. Afterwards all the fubftance of it turned into matter, and was evacuated. Thus I have cured many fince." 256. The Whites. Live chaftly. Feed fparingly. Ufe exercife con- flantly. Sleep moderately, but never lying on your back. Or, boil four or five leaves of the white holy-oak in a pint of milk with a little fugar. Then add a tea- fpoonful of balm of Gilead. Drink this every morn- ing.-'—It rarely fails: Or, make Venice turpentine, flour, and fine fugar, equal quantities, into fmali pills. Take three or four of thefe morning and evening. This alfo cures moft pains in the back : Or, take yellow rofin, powdered, one ounce ; con- ferve of rofes, laaif an ounce; powdered rhubarb, three drachm6 ; fyrup, a fufficient cntantity to make an elec- tuary. Take a large tea.fpoonful of this twice a-day, in a cup of comfrey-root tea. Or, in a quarter of a pint of water wherein three drachms of tamarinds ind a drachm of lentifh-woodRas been boiled: when cold, infufe fena; one drachm, coriander-feed and liquorice a drachm and a-half of each. Let them Hand a1! night. Strain the liquor in fhe rho: .drier, and drink it daily two hours before fcrodvfafl; " 257- A L" 95- J 257. A Whitlow. Apply treacle : Tried. Or, honey and flour : Tried. Or, a poultice of chewed bread. Shift it once a-day: Or, a poultice of powdered pit-coal, and warm water. 258. Worms.* Take two tea-fpoonfuls of brandy fweetened with loaf-fugar: Or, a fpoonful of juice of lemons ; -or two fpoon- fuls of nettle-juice : Or, boil four ounces of quickfilver an hour in a quart of clear water. Pour it off and bottle it up. You may ufe the fame quickfilver again and again. Ufe this for common drink : or at leaft, night and morning, for a week or two. Then purge off the dead worms with fifteen or fixteen grains of jalap. Or, take two tea-fpoonfuls of worm feed, mixed with treacle, for fix mornings : Or, one, two, ^r three drachms of powdered fern- root, boiled in mead. This, kills both the flat and round worms. Repeat the medicine from time to time. Or, diffolve an ounce of hepatic aloes, in a pint of ftrong decocbion of rue. Take a tea-fpoonful or two, in a morning fafting. This deftroys both round worms, and afcarides: * Or, give one tea-fpoonful of fyrup of bear's-fout at bed time, and one or two in the morning for two or three fucceeding days, to children between two and fix years of age ; regulating the dofe according to the ftrength of the patient. Syrup * A child maybe known to have the worms, by chillinefs, palcnefb, hollow eyes, itching at the nofe, ftarting in fhep,and an uriufual {linking breath—Worms are never found in chil- dren that live wholjy uj>ou milk. C 9^ ] Syrup of bear's-foot is made thus :----Sprinkle the green leaves with vinegar, ftamp and ftrain out the juice, and add to it a fufficient quantity of coarfe iugar. This is the moft powerful medicine for long round worn;?. Bruifing the green leaves of bear's-foot, and fmelling ofte. o.t them, fometimes expels worms : Or, mix and reduce to a fine powder, equal parts of rhubarb, fcammony, and calomel, with as much dou- ble refined fugar, as is equal to the weight of all the other ingredients. The dofe for a child, is from fix grains to twelve, once or twice a week. An adult may take from twenty grains to forty, for a dofe. Or, bpil half an ounce of aloes, powdered, with a few fprigs of rue, wormwood, and camomile, in half a pint of gall, to the confiftency of a plaifter: fpread this on thin leather, and apply it to the ftomach, changing it every twelve hours, for three days; then take fifteen grains of jalap, and it will bring vaft quantities of worms away, fome burft and fome alive. This will cure, when no internal medicine avails. Sec extract from Dr. Tiffot, page 145. £Or, take ten grains of camomile, thirty grains of rjmbarb, and as much finely powdered chalk, or oyfter- fhells, for fix powders when rubbed together ; one to be taken every morning, noon, and night; for a child five years old. Keep him from cold water. Take two drachms of quickfilver, boil it in half a pint of water till half is confumed, pour off the liquor and give him half a table-fpoonful thrice a-day, and layby the quickfilver. J 259. Wounds. If you have not an honeft Surgeon at Hand, Apply juice or powder of yarrow : /. Or, bind leaves of ground-ivy upon it: Or, wood-betony bruifed. This quickly heals even cut veins and finews, and draws out thorns and fplinters: Or, CI 91 1 Or, keep the part in cold water for an hour,' keep- ing the wound clofed with your thumb. Then bind on the thin fkin of an egg-fliell for days or weeks, till it falls off of itfelf. Regard not, though it prick or fhoot for a time. 260. Inward Wounds. Infufe yarrow twelve hours in warm water. Take a cup of this four times a-day. 261. Putrid Wounds. Wafh them morning and evening with warm decodti- , on of agrimony. If they heal too foon, and a matter gathers underneath, apply a poultice of the leaves pounded, changing them once a-day till well: * Or, apply a carrot-poultice ; but if a gangrene comes on, apply a wheat-flour poultice (after it has been by the fire, till it begins to ferment) nearly cold. It will not fail. [One of the beft poultices for feparating or fuppurat- ing, will be found to be made of bifcuit of fine wheat flour, boiled in milk: and moft additions or refinements on it only leffen its value ; fometimes it may be proper to touch it over with a little fweet oil or frefh butter; and in extreme pain, in other cafes, with liquid lau- danum.J 262. Wounded Tendons. Boil comfrey-roots to a thick mucilage or jelly, and apply this as a poultice, changing it once a-day. 263. To open a Wound that is clofed too foon. Apply bruifed centaury. K. 2 264. Daffy's t 9a ] 264. Daffy's Elixir. Take of the beft fena, guaiacum, liquorice fliced fmali, anifeeds, coriander-feeds, and elicampane-root, each half an ounce ; raifins of the fun, ftoned, a quar- ter of a pound: let them allbe bruifed, and put into a quart of the beft brandy. Let it ftand by the fire for a few days, then ftrain it.—See page 27. 265. Turlington's Balfam. Take of balfam of Peru, balfam of Tolu, Angeli- ca-root, and calamus-root, of each half an ounce; gum ftorax in tears, and dragon's-blood, of each one « ounce; gum Benjamin, an ounce and a half; hepatic aloes and frankincenfe, of each two drachms ; let the roots be fliced thin, and the gums bruifed ; and put all the ingredients into a quart of fpirits of wine ; fet the bottle by the five in a moderate heat for eight or ten days, then ftrain it for ufe. This is indeed a moft excellent medicine, for man pr beaft, and for any frefh wound. I know of none like it. 266. Stoughton's Drops. Take gentian-root, one ounce ; cochineal and faf- fron, one drachm ; rhubarb, two drachms ; the leffer cardamom-feed, grains of paradife, zedoary, fnake-root, of each half an ounce ; galengale one ounce ; flice the roots, and bruife the feeds ; then infufe them in a quart cf the beft brandy, and add the rinds of four Seville oranges. When it has flood eight days, clear it off; aqd put a pint and a half more of brandy to the fame ingredients till their virtue is drawn out. This is greatly helpful in diforders of the ftomach.—See fto- imachic tincture, page 82. »6t.. Dr. t 99 ] 267. Dr. James's Powders. Inftead of giving half a crown a packet for thefe powders, you may, at any draggift's get Dr. Hard- wick's fever-powder, for a (hilling an ounce, which (if it be not the fame) will anfwer juft the fame end. COLD- [ ioo ] COLD-BATHING Cures Young Children of CONVULSIONS* Cutaneous inflammations, pimples, and fcabs Gr.ivel Infl-immation of the ears, navel, and mouth Rickets* Suppreffion of urine Vomiting ..{■■ Want of fleep. It prevents the Growth of Hereditary Apoplexies Afthmas Blindnefs Confumptions Deafnefs Gout King's evil Melancholy Palfies Rheumatifm* Stone. It frequently cures every Nervous,* and every Paralytic Diforder: in particular, Ague of every fort* Atrophy Coagulated blood after bruifes Convulfions * Co.ivulfive pains Epilepfy* Hyfteric * And this, I apprehend, accounts Tor its frequently curing the bite of a mad do£, efpecially if it b« repeated ior twenty or thirty days, fuccyflively* C 101 3 Hyfteric pains Incubus Involuntary ftool or urine Lamenefs (Old) leprofy Lethargy Lofs of appetite Nephritic pains Pain in the back, joints, ftomach Rheumatifm {chronic)* Rickets* Rupture Suffocations Sciatica # Surfeits (at the beginning) Scorbutic pains Swelling on the joints Torpor of the limbs, even when the ufe of them is loft Tetanus* Tympany Vertigo St. Vitus's dance Vigilia Varicous Ulcers The Whites. * Wife parents fhould dip their children in cold wa- ter every morning, till they are three quarters old ; and afterwards their hands and feet. * Wafhing the head every morning in cold water, prevents rheums, and cures old head-achs, andfore eyes. Water Drinking generally prevents * Apoplexies, convulfions, gout, hyfteric fits, madnefs, palfies, ftone, trembling. To this children fhould be ufed from their cradles. The beft water to drink, efpecially for thofe who are much troubled with the wind, is rain-water. Af- ter it has fettled, draw it off clear into another veffel, and it will keep fweet for a long time. Electrifying, [ 102 ] Electrifying, in a proper manner, cures Blindnefs Blood extravafated Bronchocele Burns or fcalds Coldnefs in the feet Contraction of the limbs Convulfions Cramp Deafnefs* Falling ficknefs Feet violently disordered Feloiy Fiftula lachrymalis Fits Ganglions Gont Head-ach , Involuntary motion of the eye-lids Knots in the flefh Lamenefs Wafting Weaknefs of the legs Reftores. bulk and fulnefs to wafted limbs Locked jaws or joints Leprofy Menftrual obftructions Ophthalmia Pain in the ftomach Palfy* Palpitarion of the heart Rheumatifm* Ring-worms Sciatica « Shingles Si;;evvs fhrunk Spafms k Stiff joints Sprain, however old Sore throat Tooth- [ io3 ] Tooth-ach* Ulcers Wens. Drawing fparks removes thofe tumours on the eye- lids, called barley corns, by exciting local inflamma- tion, and promoting fuppuration. Nor have I yet known one fingle inftance, wherein it has done harm : fo that I cannot but doubt the vera- city of thofe who have affirmed the contrary. Dr. De Haen pofitively affirms, " it can do no hurt in any cafe :" that is unlefs the fhock be immoderately ftrong. Fafting-fpittle outwardly applied every-morning, has fometimes relieved, and fometimes cured Blindnefs Contracted finews from a cut Corns (mixt with chewed bread and applied eveiy morning) Cuts (frefh) Deafnefs Eye-lids, red and inflamed Scorbutic tetters Sore legs Warts. Taken inwardly, it relieves or cures Afthmas Cancers Falling ficknefs Gout Gravel King's evil Leprofy Palfy Rheumatifm Scurvy Stone Swelled liver. The beft way is, to eat about an ounce of hard bread, or fea-bifcuit, every* morning, fafting two or three hours after, This fhould be done, in ftub- born cafes, for a mouth or fix weeks. CONTENTS. CONTENTS. A No* jTA-BORTION to prevent - i For an Ague - - 2 St. Anthony's Fire - $ Apoplexy - - -4 Canine Appetite - 5 The Afthma - - 6 A Dry or Convulfive Afthma - 7 To cure Baldnefs - - 8 Bleeding at the Nofe (to prevent) - 9 Bleeding of a Wound - - 10 Spitting Blood - - 11 Vomiting Blood - . - - 12 To diffolve coagulated Blood - 13 Blifters - - - 14 Biles - - -15 Hard Breafls - » 16 Sore Breads and Swelled - - 17 A Bruife - . r8 To prevent Swelling from a Bruife » ig A Burn or Scald . - - 20 A deep.Burn or Scald - 21 ACanceu - . 22 Chilblains (to prevent) &c. - -2* Children . - - _ 24 Chin-Cough, or Hooping-Cough - 25 Cholera Morbus, i. e. Flux and Vomiting 26! Chops in Women's Nipple*- - ' 27 Chopt Hands (to preyent) - - 28 r ----(to cure) . - 29 Chopt Lip» - - - 30 A Cold ~ - 3t A Cold in the head - 32 The cholic-(in the Fit) - - 33 CONTENTS. No. The Dry Cholic (to prevent - 34 Cholic in Children - * 35 Bilious Cholic - - 36 An Habitual Cholic - "37 An Hyfteric Cholic - .38 A Nervous Cholic - "39 Cholic from the Fumes of Lead, White Lead, Verdigreafe, &c. - 40 Windy Cholic - *- 41 To prevent the ill Effects of Cold - 42 A Confumption - "43 Convulfions 44 Convulfions in Children - 45 Convulfions in the Bowels of Children 46 Corns (to-prevent) - 47 —--- (to cure) - 48 Coftivenefs - - 49 A Cough - 50 Violent Cough from a fharp and thin Rheum 51 The Cramp (to prevent) - 52 ..u., ,-----(to cure) - « 53 A Cut - - 54 Deafnefs - - "55 Deafnefs from Wax - "5^ Deafnefs with a dry ear - 57 Delivery - - 5° A Diabetes 59 The Dropfy - - 60 Drowned - - - 61 The Ear-Ach, without Inflammation 6a Ear-Ach from Cold - 63 Ear-Ach from Heat • * 64 Hard Wax in the Ear - 6? Eyes bleared - - .#> A-Blood-fhot Eye - • <7 A^Bruife in the Eye • '^- 6£ €|buds flying before the Eye • - '•, 69 Blindnefs - - ^ ' W Dull fight - - - ft films * - - , ; 7* Hot or fharp Humoura : 73 CONTENTS. No. Eyes or Eye-lids inflamed - 74 Lachrymal Fiftula - - 75 Pearl in the Eye - - J6 Sore Eyes - - .77 An excellent Eye-Water - 78 Another - 79 Another - - 80 An Eye-Water, &c. - - 81 Weak Eyes - - 82 Fainting on letting Blood The Falling Sicknefs The falling of the Fundament The falling down of the Womb Extreme Fat A Fever A high Fever Fever with Pains in the Limbs A rafli Fever A flow Fever A Worm Fever A Fiftula To deflroy Fleas and Bugs Flegm Flooding (in Lying-in) - -,. A Flux A Bloody Flux To prevent (or ftop a beginning) Gangrene The Gout in the Stomach The Gout in the Foot or Hand The Gout in any Limb The Gravel The Green Sicknefs To kill Animalcula that caufe the Gums to wafte away from the Teeth To make the Hair grow - The Head-Ach A Chronical Head-Ach - . . Head-Ach from Heat A Nervous Head-Ach A violent Head-Ach 8.T 84 86 *V 87 88 89 90 9* 92 94 ' ' 95" 96 97 98 99 100 IOI IC2 IO5 IO4 105 iqG 107 108 109 110 111 1:2 CONTENTS. No. A Hemicrania - - li3 Stoppage in the Head - - IJ4 The Heart-burning - - - 115 The Hiccup (to prevent) - - XI6 .----------(to cure) - - 117 Hoarfenefs - - -118 Hypochondriac and Hyfteric Diforders 119 The Jaundice - - I2° Jaundice in Children - - I21 The Iliac Paffion - - - 122 An Impoflhume - - I23 The Itch - - 124 The King's Evil - - - *25 Lamenefs from a fixed Contra&ion of the Parts 126 Legs inflamed - - - 127 Legs fore and running - - 12° Leprofy - - - 129 Lethargy - " x3° Lice (to kill) - - . * I3I For one feemingly killed with Lightning, a Damp, or feiffocated - 132 Lues Venerea - J33 Lunacy - 34 Racing Madnefs - - x35 The Bite of a Mad Dog - - ] 36 The Meafles - " *37 Menfes obftrufted ■ - 138 TVLnfes profufe - ■ *39 To refolve coagulated Milk - - 140 To increafe Milk - - >4' To make Milk agree with the Stomach 142 A Mortification (to ftop) - "US Nervous Diforders - - x44 Nettle Rafh - " :45 Old Age - " - 140 An old thibborn Pain »n the Back - 147 The Pftlfv " " I48 Palfy of the Ha ids - !49 i'ali'y of the Mouth - - 15° Palfy from working wkh White Lead or Ver- digreafe - " 15l CONTENTS. No. The Palpitation, or Beating of the Heart - 152 Phlegm (fee Flegm) ... 153 The Piles (to prevent) - - 154 The Piles (to cure) ' - - 155 The inward Piles - - - - 156 Violent Bleeding Piles - - l57 The Pleurify - - -158 To one Poifoned - • - I59 Polypus in the Nofe - - - 160 A Prick or Cut that fefters - - - 161 Ptyalifm - - - - 162 An eafy Purge - - » l6j. A ftronger Purge - - - l04 TheQuinfy - - - - i6t A Quinfy of the Breaft - - 166 The Rheumatifm - - - - 167 To reftore the Strength after a Rheumatifm. 168 Rickets (to prevent or cure) - - 169 Ring-Worms - - - - 170 A Rupture - - - 17E A Rupture in Children - - - 172 A feald Head - - - - 175 The Sciatica - - - - 174 Inflammation or Swelling of the Scrotum 17^ A Scorbutic Atrophy - - - 176 Scorbutic Gums - - - 177 Scorbutic Sores . - - 178 The Scurvy ... - 179 A broken Shin - - - 180 Shingles -- - - - i8r. Sickifhncfs in the Morning - - 182 Sinews fhrunk - - - 183 Skin rubbed off - - - 184 Small-Pox - - - i8£ A long running Sore in the Back - 186 A Sore Leg - - - - 187 A Sore Mouth - - - 188 A Sore Throat - - - 189 A putrid Sore Throat - - 190 A Sprain - - - - 191 S. 2 CONTENTS. No. Al venomous Sting - - 102 Sting of a Bee - - - 193 siting of a Nettle - - 194 Sting of a Wafp - - 195 Sting of a Bee or Wafp in the Eye - - 196 Sting in the Gullet - - . 197 A Stitch in the Side . - - * 198 Accidental Sicknefs, or Pain in the Stomach 199 ?ain in the ftomach from bad Digeftion - 20c Choleric hot Pains in the Stomach - 201 Coldncfs of the Stomach - - 202 Pain in the Stomach with Coldnefs and Wind 203 Stone to (to prevent) - - - 2:4 In a raging Fit - - - 2:5 Stone (to eafe or cure) - •- 2.6 Stone in the Kidneys - - 207 Stoppage in the Kidneys - - 208 The Stranguary - - - - 209 Sunburn (fmarting) - - - 210 A frefh Surfeit - - - -211 To ftop profufe Sweating - -212 Swelled Glands in the Neck - - 213 Indolent fwellings - - 214 Soft and flabby Swellings - - 215 A white Swelling (on the Joints) - 216 To diffolve white or hard S.veilings - - 217 To fallen the Teeth - - 218 To clean .the Teeth - - 219 To prevent the Tooth-Ach - - 220 To cure the Tooth-Ach - - - 221 Tooth-Ach from cold Air - - 222 Teeth fet on Edge - - - - 223 Ertreme Thirft (without a Fever) - 224 Paul in the Tefticles - - - 225 Tdticles inflamed - - 226 To draw out Tlurus, Splinters, and Bones 227 Thrulh - - - - 228 To«fiis Swelled . - - 229 'i'oi, -1, or Numbnefs of the Limbs - 230 Tvv id gof the Gut* - - 231 Tympany, or windy Dropfy ■j- CONTENTS. No. A Vein or Sinew cut - - 233 Tli r Vertigo, or Swimming In the Head 234 Vigilia, Inability to Sleep - 235 Bite of a Viper or Rattle-Snake - 236 To prevent the Bite of a Viper - 237 An Ulcer - - 238 Ulcer in the Bladder or Kidneys - 239 Ulcer in the Gum or Jaw - 240 A Fiflulous Ulcer - - 24! A Bleeding variceus Ulcer in the Leg - 242 A malignant Ulcer - - 243 An eafy and fafe Vomit - - 244 To ftop Vomiting - - 245 Bloody Urine - 246 Urine by*Drops with Heat and Pain 247 Involuntary Urine - - 248 Sharp Urine - - 249 Suppveffion of Urine - - 250 Uvula inflamed - - 251 Uvula relaxed ... 252 Warts - - - 253 Weiknefs in the Ankles - - 254 A foft Wen - - 255 The Whites - - 256 A Whitlow - - 257 Worms - - 258 Wounds - - - 259 Inward Wounds - - - 260 Putrid Wounds - - 261 Wounded Tendons - - 262 To open a Wound that is clofed too foon 263 Daffy's Elixir - - - 264 Turlington's Balfam - ' - 265 'Stoughton's Drops - . 266 Dr. James's Powders - - 267 THE END. **.'-«. - . 5*> THE FOLLOWING BOOKS, ARE PUBLISHED BY John Dickins, No. 50, North Second-fired, near Arch-fireet, PHILADELPHIA; For the Ufe of the Methodifl Societies in th& United States of America ; AND THE PROFITS THEREOF APPLIED FOR THS General Benefit of the faid Societies. 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